Showing posts with label addiction. Show all posts
Showing posts with label addiction. Show all posts

Thursday, March 10, 2011

When #WINNING! is Losing

I felt a little relief this last Sunday evening when I saw that for the first time in days, none of the topics trending on Twitter had anything to do with Charlie Sheen. I'm not much of a celebrity stalker. I don't follow TMZ, although I find their uncanny ability to break a story amazing. I enjoy reading People but I almost never buy it. I've only landed on Perez Hilton's website once or twice. Normally I couldn't care less about celebrity bad boys (or girls). But I've been following Charlie Sheen these days, although I've never been a fan of his and I've never cared for the show Two and a Half Men. To be honest, I'm not exactly sure why I've been tuning in to "news" I'd usually avoid like the plague, but I think it has something to do with his history of addiction and mental instability. Throw in the celebrity factor and you've got a pretty interesting window into how our society loves to build people up and then watch as they fall. I think my interest is less in Charlie, than in how we're all reacting to him. 

I've heard lots of speculation on what's really going on with him:
  • Is he still using drugs and drinking? I'd put money on it.
  • Has he always been like this and his PR people have just managed to make him look mostly normal until now? Possibly.... Probably, actually. 
  • Is he suffering a drug-induced psychosis? I'm becoming more and more convinced that this may be the case. There are times he seems a little too together though so I'm not 100% sure.
  • Is it all an act? Could be, but I'm not convinced he's that good of an actor. Not to mention he looks like death warmed over. 
  • Maybe he's really clean now and the drugs were just masking his obnoxious personality all these years? I mean, check that wedding video from way back when. Charlie has been a wild child for a long time. Not to mention you can be clean and still be in a state of drug-induced psychosis.

The real answer to his behavior is probably a combination of the above scenarios. We'll probably never know the whole truth. Through it all, however, one thing seems clear; Charlie Sheen is an angry man with a tremendous ego and a soupçon of mental illness. True, he makes no apologies for himself and there is something that feels refreshing about that in an age when celebrities are constantly offering up halfhearted apologies for their indiscretions. But I can't help but think he wouldn't be a very fun person to hang out with considering all the negativity bubbling so close to the surface. I wouldn't want him as a friend, employee, a boyfriend or husband and certainly not as a parent. 

Even though I've been following Charlie's antics, I also feel a little relief that attention seems to be turning away from him already. Which in turn makes me sad to see how easily we dismiss someone with serious mental illness and a dangerous addiction. Not to mention how we mock them. I'm not even going to address the people who think he's some kind of hero.

Our society both loves and hates an addict. We encourage drinking and build many of our most important social occasions around it; sometimes even work related occasions. We put bars on every street corner and then judge people harshly for getting a DUI. We make it uncomfortable for people not to drink. But if you're an alcoholic? Forget it, we don't want anything to do with you. After all... drinking too much is a choice. Right? We hate smokers but we sure love the tax money they pay on every deadly pack. That's what they get for smoking! Drug addicts are just scary. They're bad people and ought to just stay away from the rest of us decent folks. Mental illness makes us cringe. It's so scary. I mean a little garden variety depression is ok, as long as you're quiet about it. But please don't even think about doing any ranting and raving. (Unless you're a celebrity that is- then we will pay you to do it and put you on TV!) Hold down a job, try to act normal. If you end up on the street, you're just not trying hard enough. Get over it, already! Oh, it's so much fun to place blame, isn't it? Feels nice to experience compassion from afar. 

Obviously I'm simplifying a lot of complex issues for the sake of making a point. I'm certainly not excusing drunk driving and alcoholics and drug addicts are no fun to deal with but they are people just like you and I. They have families and friends, and the more you care about them, the less fun they become. The Sheen family has been pretty quiet on the subject of Charlie. Jon Cryer has refused to respond to Charlie's criticism and name calling. Chuck Lorre has responded only in the most minimal of ways and even ex-wife Denise Richards, she of reality show fame, has remained mum on the subject, merely saying that Charlie has always lived this lifestyle. It's nothing new. Family and friends aren't surprised. Charlie didn't get this way overnight. No one does.

The fact is, we don't know much about addiction. We've made great strides in understanding mental illness. But we're far from "curing" either problem, although they often go hand-in-hand. The human brain, for all out advanced medical equipment, is still largely a mystery. Doctor's are still trying to determine the role that genetics plays in addiction and mental illness and it looks like it's shaping up to be a more significant role than previously thought. There's not a lot of money being spent to study addiction. It's not a glamorous field of study. There's always AA. Let them save themselves.

The sad fact is that AA doesn't work for everyone. It's a great organization, I'm not slamming it. I believe it's saved a lot of people. But it doesn't work for everyone. Going cold turkey doesn't work most of the time. Putting them in prison doesn't generally work either. Many addicts lack the life skills they need to overcome their addictions. Many have lost support of family and friends. Addiction is a sticky diagnosis. Martin Sheen compares it to having cancer, as do many twelve steppers and in some ways, it's not far off the mark. Addiction is an illness. And just to complicate matters, there's that element of choice. Or at least there appears to be. But ask a longtime alcoholic if they feel like they have a choice whether or not to take that next drink. Look around at how many smokers have to keep quitting over and over. Ask a heroin addict if they ever stop fantasizing or reminiscing about getting high. The choice is only a choice for so long.

Our society isn't supportive of recovery. Because addiction is so stigmatized, many addicts don't feel they can be open about their recovery and so they may be constantly placed in situations they can't handle. Look at Ted Williams, the "homeless man with the golden voice" who was thrust into the spotlight only to end up drinking again. Almost overnight, all his contracts and financial backers disappeared. We have so little understanding of addition and mental illness that everyone involved in his so-called salvation apparently thought it was no big deal for him to handle overnight fame. The same people were shocked and appalled to find out that Williams had abandoned his nine children years prior and had a rap sheet as long as his arm. Who would have thought a homeless addict might have some skeletons in his closet? Ted Williams has the same voice as an addict that he had as a supposedly sober man. But suddenly some people in the entertainment business have developed a moral high ground about entertainers stepping over the line. Go figure.

And then there's Charlie. The difference is, Charlie Sheen is getting away with his antics and Ted Williams, not so much. What if Williams had attained celebrity before his addictions landed him on the street? What if he had all the money of a successful, longtime celebrity? I dare say his story may have had a much different ending. As for Charlie... who knows what his ending will be? Even if he were to clean up his act, I'm not sure his ego would allow even the perfunctory and insincere apologies for his bad behavior that we like to hear from even the most obviously unrepentant celebrities. I empathize with his family and friends. They are feeling pain for him and they are also, at the same time, embarrassed by him and for him.

No matter how you feel about Charlie Sheen, his very public breakdown has aroused a lot of strong emotions in people. Maybe the best thing that could come out of it is if we start talking about mental illness and addiction. They're two of the largest public health crises facing this country. From them often spring others, such as child abuse and neglect, domestic violence and homelessness. Charlie Sheen is a long way from living on the street, but he's not so different from many men and women who do. He's not so different from the addicts in our own lives, because chances are we all know a few. At the same time we may feel scorn, we should also feel pity. In addition to disgust, we ought to try and empathize. Because someday it may be our spouses, our children, our friends or even ourselves inhabiting Charlie's dark place.

Because when it comes right down to it, there but for the grace of God go you and I.

Tuesday, March 1, 2011

The Non-Smoking Section Please

I quit smoking about three months ago. I wasn't the typical smoker. Most smokers start the habit as teenagers or young adults. I was almost 30 when I started. I'd always hated cigarettes and couldn't stand even sitting near the smoking section in a restaurant. I came from a staunchly non-smoking family; neither of my parents smoked. People are 4 times more likely to smoke if they come from a home where parents light up. But, regardless of statistics, I became a smoker.

In about 2001, I was going through a divorce. Most of my friends at the time smoked, including, I was to find out, my husband. I knew he'd smoked socially but I had no idea he'd been hiding a habit from me for years. There are no recreational smokers; at least, not for long. If you light up on a regular basis and you inhale, you're a smoker. I thought I could beat the nicotine. I thought I waited just long enough between times that I wouldn't get addicted. I was wrong and if you're a smoker, you know exactly what I mean. My smoking friends tried to warn me but I told myself I could stop anytime. I just didn't want to. But when I decided I was done with cigarettes, it wouldn't be any big deal.

Ironically, even though I had started smoking on a regular basis, I still didn't like cigarettes. But the habit spoke to the stress I was under. I felt calmed. I had something to do with my hands. I fidget. When I'm bored or nervous, I bite my nails, shred napkins, click pens and fiddle with whatever is handy. I've always been conscious of this habit as one that annoys other people and tells them more about me than I'd like them to know. So when I started smoking and it gave me something to do with my hands... it was love. Not to mention the physical act of smoking, I could fidget with my lighter too! Smoking becomes a ritual. Most smokers have their favorite brand of lighter. Some will only use Bics or Zippos, most "pack" their smokes. Everyone has a different way of ashing their cigarettes and disposing of the empty packs. You get strangely attached to all the accessories;  lighters, ashtrays, your favorite brand of smokes.

Slowly, steadily, the rituals of smoking became a part of my daily life- first smoke in the morning, stopping at the gas station or the party store to buy a new pack, fumbling for a lighter, driving with the car window cracked in the winter, a drink and a cigarette, Sunday morning breakfasts with friends in the smoking section. And with my new addiction came a new diagnosis. The cough that wouldn't go away wasn't bronchitis, it was full-blown asthma. And those of you who have never smoked are shaking their heads and wondering why I didn't quit then. Good question. But nicotine, she is a harsh mistress. So to my smoking accessories, I now added two different inhalers. More rituals, more things to hold in my hands and turn over and over, cap and uncap and recap and over and over. More money to spend on prescriptions and doctors visits.

I tried to quit several times. I did, in fact (mostly) quit for a surgery. Eight weeks without a cigarette and all I could think of was starting again, which I did, as soon as I was able.  For all the drawbacks, I didn't want to quit. I loved smoking. I hated it and I loved it. I used the patch, it made my skin itch. I got a rash and sore spots. It lasted a few weeks and I was smoking again. I tried the gum. It tasted awful and didn't do anything but make my mouth feel numb. I never even quit with it. I tried cold turkey a couple times which didn't last long. I tried Wellbutrin and I didn't even get to the point of quitting.

And then I heard about this new miracle drug called Chantix. Which I think I got three prescriptions for from my doctor before he finally asked me why I was misplacing them and not getting them filled. There just never seemed to be a right time to quit. I was always stressed about something and I figured I needed complete calm in my life before I could tackle being nicotine-free. Yeah, right. All of you who have achieved perfect calm, with the absence of all stress, raise your hands. That's what I thought. I was also freaked out by the prospect of the vivid dreams that are often a side effect of Chantix. But I finally started taking it and it worked. I quit. No bad side effects. I felt great too. I was, however, still living with a smoker at the time and from time to time I would sneak a smoke and before you know it, I was back at the bottom of the slippery slope of nicotine addiction.

Fast forward about a year and a half. I have another Chantix prescription. I live alone now and no one smokes in my house (including me). As of May 2010, you can no longer smoke in restaurants or bars anywhere in Michigan. The cigarettes which were $3.18  a pack when I started smoking about ten years earlier have now almost doubled in price. Although I like having a smoke out on my porch on a nice summer evening, I'm not looking forward to another long, cold winter spent shivering outside. I cough a lot and my throat is sore most of the time. I've been suffering terrible bouts of acid reflux, so bad that stomach acid burns my esophagus and I have to go to the doctor several times to have my throat numbed and then sleep almost upright. I start taking my Chantix again and this time it sticks. I want to quit. I am tired of having to stop and buy smokes all the time or go out just before bed to make sure I have one for morning; the panic on the way to work in the mornings when I think I've forgotten a lighter. I hate how I start feeling nervous and fidgety when I'm somewhere I can't smoke. I know people notice it. I hate having to excuse myself from groups to go out and stand in the rain, puffing. I can't stand this anymore, I feel like a prisoner and I want to quit. I want to quit bad.

The Chantix worked its magic again. I didn't finish more than a few weeks worth. I quit in the first week. I used some homeopathic lozenges. I don't know if they helped but I think they did. I didn't sneak any smokes this time. I could be around smokers and not be seriously tempted for the most part. Although there were some trying times that I may have slipped up if people had let me. The nicotine withdrawal doesn't last long. A week at most and that's probably an overestimate. It's the habit part that is hard- the hand to mouth gesture. The loss of all the little rituals. Driving is hard, I always had a cigarette while driving. After meals and on the phone I have a nagging sense that something is missing. Sometimes the urge just sneaks up on me. It's usually gone within a few minutes.

When I was painting my bedroom, about a month after I'd had my last cigarette, I kept having very frequent cravings. At first I couldn't figure out why. Then I realized that what I really wanted was a break. Smoking becomes the way smokers take their breaks. Downtime becomes about the cigarette, smoking becomes synonymous with relaxation. After I quit, I noticed that I had a hard time remembering to take breaks. I had to relearn to listen to my body. To realize that although I don't have the excuse of needing a cigarette, I still need a break sometimes. Once I figured that out, the rest of the painting went well and the cravings went away.

I'm three months in now. I've experienced some pretty significant "life" stress. I'm still a non-smoker. I'm committed. After I quit and started being able to think clearly again (it takes a while!) the first thing I noticed was that I still smelled like perfume at the end of the day. I thought that was kind of nice. I was tired all the time for a while. But my mouth wasn't terribly dry all day long. And then I started noticing my sense of smell getting sharper. Laying in bed one morning I couldn't figure out why I kept smelling cinnamon until I spied, several feet away, a half full mug of Yogi Indian Spice Tea. That was a fairly pleasant experience but let me tell you that having your sense of smell all of a sudden get sharper isn't always a great thing!

Food still tastes pretty much the same to me but then I never really noticed diminished taste. Figures, the one side effect of smoking I could have used. I breathe better than I used to; my asthma has barely kicked in all winter. I still have a sore throat since my sinuses are still draining a lot of what I can only assume are unspeakable toxins and poisons down the back of my throat. But the nagging, itchy cough caused by the cilia trying to clear everything out of my lungs is gone, or at least greatly diminished. My ears are less plugged and my skin looks better and is less dry. I stay warmer so I assume my circulation has improved. And I feel calmer. I no longer feel the need to leave restaurants as soon as humanly possible and I can spend time talking to friends and family instead of being distracted by the need to fuel my nicotine addiction.

I know this process isn't over. That it will take years for my body to repair much of the damage. I know I will have to be constantly vigilant in order not to be swayed into thinking that one cigarette is ok. But I feel up to it this time. I didn't quit just because I felt like I should. I quit because I wanted to. And just like with any addiction, to succeed, the desire for change has to remain strong. It will no doubt at times be a wild ride but I've fastened my seat belt and this time I'm ready.