Bright Eye

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Addiction and Mental Health

mental health problems?For most people with alcohol problems, they often have a number of unresolved difficulties with life generally.

Excessive drinking is often a symptom of other problems. Some of these may be minor of course, like an aversion to being bored, or a lack of confidence socially, or just a limited variety of ways to relax.

Some people have more deep-rooted problems behind their addictions - like anxiety, depression, lack of self-esteem etc. These can all be addressed with cognitive counselling techniques however.

Then there are many people with more serious mental health problems who end up having difficulties with alcohol. ‘Self-Medicating’ they call it in the medical profession. Basically, if life is unbearable and beyond your ability to cope with it, then people will try anything to feel better, even if it’s only for a few hours. And never mind what happens later.

Say what you like about alcohol, but one thing’s for sure - it can certainly take your mind off things if you’re feeling distressed. So if you’ve been trying to live with bipolar disorder or schizophrenia for years and nothing the medical profession has suggested has really helped that much, it’s no surprise when people turn to the bottle.

However, once that ‘self-medication’ turns into dependency, then the situation can spiral out of control. And this is where it becomes more difficult to help people solve their addiction issues. It’s not impossible of course, it just takes more work and perhaps a little more motivation.

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The Higher Power Problem

The 12-step (AA, NA) philosophy includes a tricky concept for some, the idea of a “Higher Power”.

If people have developed a problem such that they cannot control their own use of alcohol or drugs, so that they are in effect disempowered by their addiction, what effect might it have to suggest to them that they should believe in the ability of a “Higher Power” to help them overcome their problems?

Is it not more useful to suggest, and encourage them to believe in their own power again? From this they can work at ways to develop that inner power, so that they have the ability to take back control of their own actions and lives.

Many alcoholics are already deeply ashamed of their actions, their self-esteem is in shreds. Rebuilding that confidence in the Self is vital. Not to the point of arrogance or self-centredness obviously, because those extremes are themselves often at the root of many addiction problems. Achieving a balanced personality is the goal.

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Addiction as Learnt Behaviour

Beating addiction is not a process of being told what to do differently, or learning the tricks that you were possibly lacking, those secrets which people without an addiction surely must have. No, it doesn’t work like that.

Overcoming addiction is more to do with learning about yourself, learning how you tick, what beliefs you hold, some of which you might not even be aware of, which contribute to your problems.

Most of our behaviours are very automatic, we do things without thinking too deeply about the consequences, most of the time. We are animals, just like the rest of nature, and we respond in the same way they do. Like Pavlov’s famous dogs - if you show us something that we’ve seen before, we often respond to it in a pre-programmed or learnt way. If you smell some lovely fresh food being cooked, you’ll start to produce saliva. You will also probably think certain thoughts as a result, again often automatically (though they might not FEEL automatic). Some of these thoughts are so subtle and you have them so often, you might not even notice them.

With addiction the initial event can be anything - being bored, feeling lonely, angry, disappointed, frustrated, tired. From that thought you might think something like “I can’t stand feelings like this, I must change this feeling”. Again, this thought might not be a loud one in your head, its just a way of dealing with the world and your feelings that has become automatic.

So, in a situation like this, you’ll find something to get rid of this unpleasant feeling you’ve got - “I know what will change my mood, a drink…” or some cocaine, or whatever your problem is with (whereas someone without addiction problems might choose to accept that feeling for a while, or find a less destructive way to change the feeling).

So, to change your addictive habits, you firstly need to understand fully how they work, what you are doing to sustain them. Then you can slowly relearn some healthier ways to deal with life, with your unpleasant feelings.

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