(00:00:06): Hi, welcome to Sober Banter, and I'm Colin. (00:00:09): And I'm Rachel. (00:00:10): And our guest today is Brian. (00:00:13): Doctor Brian. (00:00:14): No, yes, Doctor Brian. (00:00:15): It's Laquan. (00:00:16): Laquan, yes. (00:00:19): We are excited because actually you'll be our first guest that, (00:00:22): you know, (00:00:23): is not in recovery, (00:00:24): but you specialize in recovery. (00:00:26): I mean, you are, I mean, I would say an expert as a psychologist with a PhD in psychology. (00:00:33): And more importantly, kind of, I saw a lot of your background. (00:00:38): Not only have you wrote, written a book about kind of talking about loved ones into (00:00:43): treatment center or into recovery, (00:00:46): kind of going that path, (00:00:47): but also with, (00:00:48): I think I saw a lot of insomnia training as well, (00:00:51): which is very interesting. (00:00:53): So maybe tell us a little bit about yourself. (00:00:57): Yes, I'm a California licensed psychologist and you're correct. (00:01:01): And, uh, um, (00:01:03): I worked in treatment recovery for almost 15 years. (00:01:07): I've been in clinical practice combined with training and licensure for almost 20 years. (00:01:16): And absolutely correct. (00:01:17): I also had a specialization in insomnia, (00:01:20): which goes hand-in-hand definitely for people in recovery. (00:01:23): It's usually a significant predictor for substance relapse. (00:01:28): It is. (00:01:29): Yes, it is. (00:01:30): In some research, usually people who... (00:01:33): are going to relapse on a substance after a period of sobriety or recovery usually (00:01:38): aren't well-rested, (00:01:40): you know, (00:01:40): typically speaking. (00:01:41): So at least it's one potential predictor for someone kind of lighting up the (00:01:46): perfect storm for a potential relapse. (00:01:49): Not a sure shot indicator, but it's definitely a... No, like your risk level. (00:01:53): Yeah, (00:01:53): your heightened risk level because without... (00:01:56): Because stress levels and anxiety increase or depression or trauma, (00:01:59): then you're probably not sleeping well as well, (00:02:01): so... (00:02:03): Yeah, (00:02:03): and then I like to go and give talks, (00:02:06): a lot of media coverage, (00:02:07): which as a speaker as well. (00:02:10): So through the National Alliance on Mental Illness for almost 15 years as well, (00:02:16): been providing help to family members who have loved ones struggling with substance (00:02:20): abuse or mental health and don't want help. (00:02:23): And more recently PALS, which stands for Parents of Addicted Loved Ones. (00:02:27): And so I provide knowledge forums and write articles (00:02:30): for them as well. (00:02:31): So just really enjoy getting out there and spreading mental health awareness. (00:02:35): One of the things that I did also see that stood out in your book, (00:02:39): which is really nice is a lot of the reviews that it was like a really easy read. (00:02:43): It didn't feel like overly. (00:02:45): Cause it, I know for me, um, having two parents in one sober, one, not it, it's very emotional. (00:02:53): And to know that something's an easy read is very comforting because it can almost (00:02:58): provoke anxiety. (00:03:00): Just. (00:03:01): that on the other side as the person who's sober wanting to get the other person (00:03:05): because you never know how they're going to react. (00:03:08): So knowing that your book is labeled as very well, (00:03:11): it's easy to read, (00:03:13): you know, (00:03:13): it's not it's going to teach you different leverages and you know how to kind of go (00:03:18): into that accepting mode, (00:03:19): which is again, (00:03:21): it's the mental health of the other side to not just the addict, (00:03:26): but the loved one helping them. (00:03:29): Yeah, exactly. (00:03:30): And if I may share where the book sort of came from, (00:03:34): it was because people that it's a very common question, (00:03:37): like, (00:03:37): you know, (00:03:37): you know, (00:03:39): where the impetus to write the book or, (00:03:41): you know, (00:03:43): what was the driving force behind that and where it was with all those different things. (00:03:48): Venues where I would speak, (00:03:50): whether it be in treatment centers, (00:03:51): helping family members, (00:03:52): helping people navigate through their early recovery or sobriety and through the (00:03:58): support groups that I had provided or even talks that I give, (00:04:01): whether it be a church or a company business. (00:04:03): And a lot of the questions during the Q&A portion of it was that they were out of solutions. (00:04:11): They didn't really they felt very helpless. (00:04:13): And a lot of these questions were very, very consistent in terms of the topics or the content. (00:04:20): And as well as my interventions and recommendations were all so very consistent and thematic. (00:04:25): And so I decided that putting this in some consolidated form, (00:04:30): in a form of a book or a self-guide, (00:04:35): would really help people out there fill what I believe is a void. (00:04:40): And I always talk about this because, (00:04:42): you know, (00:04:42): in my field, (00:04:43): substance recovery, (00:04:44): mental health have been around for decades. (00:04:46): And I truly thought that there was something out there already, right? (00:04:50): And then when I find, (00:04:51): when I'm asking individual clients and family members or people in support groups (00:04:56): or people of different (00:04:58): recovery groups. (00:04:59): I said, (00:04:59): is there anything like that, (00:05:01): like a manual that provides a step-by-step process to get their loved one to a (00:05:06): point of maybe accepting, (00:05:08): increase the probability of accepting help? (00:05:09): But they said, (00:05:10): no, (00:05:10): we have maybe a book on setting healthy boundaries, (00:05:13): a book on self-care, (00:05:14): a book on (00:05:16): and such and forth regarding that, but nothing comprehensive. (00:05:20): And so that's where I started to write the book. (00:05:22): And I also sort of to your comment was I wanted a timeless, (00:05:26): easy to read manual where someone as young as 12 years old can read and comprehend it. (00:05:32): And so you're not going to find a lot of medical terminologies. (00:05:34): You're not going to find a lot of research dates. (00:05:37): And because I want it to be a timeless manual because depression 30 years ago will (00:05:42): look like depression 30 years from now. (00:05:46): You know, (00:05:46): and so will substance addiction, (00:05:49): so will anxiety, (00:05:50): trauma, (00:05:51): the treatment approaches, (00:05:53): maybe the medications may change, (00:05:55): but the entity, (00:05:57): the disease itself will pretty much be the same. (00:05:59): And so that's kind of where that came from. (00:06:01): But another unique way that you kind of go about the perspective is in an exercise form, (00:06:08): the Brazilian jujitsu. (00:06:10): and how that's incorporated into um because you know our whole podcast was built (00:06:17): off of we couldn't find comedy recovery and we love comedy and there is a sense of (00:06:24): a almost dark humor in some of the links we went to and how it sounded so okay in (00:06:31): the moment and then you get sober and you're like (00:06:34): How did I think that that was normal? (00:06:37): Um, but you don't know till you're out of it. (00:06:41): Um, (00:06:41): so I think exercising is just, (00:06:43): uh, (00:06:45): equally as a different path as a way to like, (00:06:48): enjoy the recovery. (00:06:50): Actually my whole family, my wife and my daughter and my son and myself. (00:06:55): are all trained and my son and I actually compete in Brazilian jiu-jitsu. (00:07:01): And so there are so many metaphors, (00:07:04): especially with any sports or anything that we do that's pretty arduous and tough. (00:07:11): But there's a lot of metaphors that I use in my clinical practice. (00:07:15): and that guide it in terms of what happens on that mat. (00:07:18): And the mats are a place designed to showcase not only your strengths, (00:07:22): but to highlight a lot of your deficiencies and weaknesses. (00:07:26): And how do you navigate through those? (00:07:28): And will you navigate through those by thinking of solutions and starting to get (00:07:33): comfortable in those really, (00:07:34): really uneasy places. (00:07:36): And that is one of the most critical approaches for dealing with (00:07:42): conditions that involve anxiety or even phobias is you get comfortable to a level (00:07:48): of being exposed to those entities that are causing a great deal of distress. (00:07:53): And so, (00:07:54): yeah, (00:07:55): I think there's just metaphors are, (00:07:56): you know, (00:07:57): like I said, (00:07:58): it just challenges you in every way. (00:08:00): And then back to your point, (00:08:01): exercise or movement, (00:08:02): you know, (00:08:03): I believe there's five critical areas in a person's life and physical, (00:08:08): mental, (00:08:10): Social career and spiritual are what I believe the five areas of life that we have (00:08:15): to assign 20 percent importance to. (00:08:18): And the physical part is critical is because there's so much interlinked with what (00:08:22): we do with our bodies, (00:08:23): what we put into our bodies, (00:08:24): how we treat our bodies. (00:08:26): And so exercise is one of those avenues to help facilitate healthier living. (00:08:33): Well, (00:08:33): I was going to say, (00:08:35): as you were saying of the physical activity part of it, (00:08:38): I know that's really when I started to kind of get back into my tennis roots again. (00:08:41): Yeah. (00:08:42): was when we became sober, (00:08:45): it was like, (00:08:46): what is something that I can do that I associate with being sober? (00:08:50): Because I played tennis all my life and childhood. (00:08:54): And that's kind of like one area of my life where it wasn't triggered with drugs or alcohol. (00:09:00): And so I can kind of tap into that childhood fun or excitement again. (00:09:04): And (00:09:05): that's really what helped me and getting back into doing a lot of that because I (00:09:10): never really associated that with drinking. (00:09:12): So it was like, what's an old, you know, hobby that I can do again and relate to. (00:09:18): And that really helped me just kind of get endorphins going in a, you know, a good, healthy way. (00:09:25): It's it's kind of known within at least like recovery communities. (00:09:29): January is a heavier month of people in meetings because it's, you know, new year, new me. (00:09:36): And and that's great. (00:09:37): Like it does work. (00:09:38): January is the biggest birthday month of all the months. (00:09:43): But my question would be. (00:09:46): about i know for me i've been like it's january 1st i'm in and like maybe i'm like (00:09:51): okay i'm gonna finally kind of get help but then january 2nd rolls around and i've (00:09:56): changed my mind and kind of this is probably where your book would be a great (00:10:03): resource to kind of come right in at where maybe someone's in accepting and then (00:10:08): they change their mind because i have to assume that happens quite often (00:10:13): Yeah, that's actually a very good point. (00:10:14): I actually did a... (00:10:16): I mentioned that in one of my media coverages, (00:10:19): the difference between resolutions, (00:10:22): New Year's resolutions, (00:10:23): for example, (00:10:24): and goal settings. (00:10:25): And just to let you know, (00:10:26): in my therapy a lot, (00:10:28): these last four months of the year, (00:10:29): I start preparing my clients probably around September-ish or so, (00:10:37): or even October's because... (00:10:40): There's just an assumption that this last quarter of the year means something very (00:10:49): widely accepted, (00:10:49): which is celebration and fun and happiness and joyfulness, (00:10:54): jubilation, (00:10:55): family unification, (00:10:57): indulgence. (00:10:58): However, one thing I like to give clients permission that it's a big struggle. (00:11:02): A lot of people, the holidays mean something very different. (00:11:04): Some people may have lost a loved one. (00:11:07): Someone may have (00:11:08): had a traumatic event happen, and some of people's worst use came during the holidays. (00:11:14): And so what I like to do with people instead of a New Year's resolution is that's (00:11:17): exactly what happens. (00:11:18): You want to quit smoking a pack of cigarettes a day, (00:11:21): but what's going to happen is I'm going to smoke like two packs a day for the month (00:11:25): of December and start clean in January, (00:11:28): or I'm going to quit alcohol, (00:11:30): get completely dry and sober January 1st, (00:11:32): but I'm going to have a bender the last two weeks of December. (00:11:37): And (00:11:38): New Year's Eve and you create this bad habit, essentially. (00:11:43): And then when you come January 1st, (00:11:46): It's like this steep hill. (00:11:47): And then when you have a lapse or relapse, then it starts to cycle all over again. (00:11:54): You feel helpless and hopeless. (00:11:56): And what's the purpose? (00:11:57): And the cycle starts all over again. (00:11:58): I rather have people, (00:11:59): for example, (00:12:00): if they want to stop smoking cigarettes, (00:12:02): come November, (00:12:03): you're going down to maybe two less cigarettes a day to maybe come December 31st, (00:12:09): you're down to three cigarettes a day. (00:12:11): Come January 1st, I'm going to cut down to one cigarette a day and so forth. (00:12:16): So it's momentum rather than this brand new beginning. (00:12:20): It's momentum that I've already created. (00:12:22): And it's just January 1st will be just momentum. (00:12:24): For example, for someone in meetings, man, I've been psyching on meetings. (00:12:27): I've been going to meetings four days a week. (00:12:29): I'm going to do five days a week this time, right? (00:12:32): And so that's what I like to do. (00:12:34): And you see a lot more success when people are just building on momentum that (00:12:37): they've already created. (00:12:39): You know, that's a good point because, yeah, I never thought of it like that. (00:12:41): But I do know anytime we were preparing to quit anything that night or two before (00:12:47): it was go all out because it's like we're going to go out with a bang before we (00:12:51): give up anything. (00:12:52): And, (00:12:53): yeah, (00:12:53): it's just going to make it harder to quit when it comes time to make that actual (00:12:58): jump because you just spent the last 48 hours getting used to, (00:13:02): you know, (00:13:02): going hard. (00:13:05): Well, not to mention the hangover and then relief from the hangover. (00:13:09): Exactly. (00:13:09): Yeah. (00:13:10): And so, yeah. (00:13:11): It's like now I have to because I feel so bad that, (00:13:14): you know, (00:13:15): if I'm just going to get to normal so I can work or do anything normal, (00:13:19): then I need it. (00:13:21): Well, (00:13:21): and I also think you I've seen people that it they don't enjoy the recovery part (00:13:28): because now they're like just fisting trying to get through the week and they're really, (00:13:33): really struggling where it's like you can actually enjoy. (00:13:36): It can be a happy time. (00:13:39): Like for us, (00:13:39): it was like getting new glasses, (00:13:41): like we got to see the world again and it doesn't have to be a. (00:13:47): like you're just so stubborn you're not gonna you know you're and then you make it (00:13:50): to the end of the month and then again you go hard and you're like i'm gonna make (00:13:53): up for this whole month i didn't drink and exactly i don't know what you say to the (00:13:59): patients that are like hey uh so yeah i've been holding out now i went overload and (00:14:04): now i'm back in square one yeah it's the mind games that what i what i call the (00:14:09): disease that's all the mind games it's set up yeah you know as you know it's a (00:14:13): setup and yeah so um but yeah (00:14:16): That's what I've been navigating through with a lot of clients. (00:14:19): And, (00:14:19): uh, (00:14:19): you see a lot of people enter treatment, (00:14:21): you know, (00:14:22): beginning of the year and, (00:14:24): and then so, (00:14:25): but, (00:14:25): um, (00:14:25): but I'm glad you recognize that as well. (00:14:28): So in California, do you have trouble dealing with like the legalization of marijuana or weed? (00:14:34): Like, does that play a hard time into your practice? (00:14:37): If people are like, (00:14:37): well, (00:14:38): I'm not drinking, (00:14:39): but maybe they're smoking and they're like, (00:14:41): well, (00:14:41): it's legal here. (00:14:42): And, you know, in Texas, it's not legal where that's where we are. (00:14:45): Well, even before the legalization, it's been a rising issue. (00:14:50): I just think accessibility makes it a little bit, (00:14:54): and with the legality of it, (00:14:56): it makes it more accessible. (00:14:57): But we were seeing a lot before the legalization, a lot more marijuana-dued psychosis, right? (00:15:03): You know, marijuana, 30 years ago, people wouldn't, as they're... (00:15:08): you know, (00:15:08): um, (00:15:09): DOC would not be marijuana 30 years ago, (00:15:12): you know, (00:15:13): it would, (00:15:14): but nowadays that's their primary drug. (00:15:17): And you're seeing, (00:15:17): like I said, (00:15:18): a lot of, (00:15:18): um, (00:15:19): um, (00:15:20): sub marijuana induced psychosis, (00:15:22): uh, (00:15:23): presenting and that being their only drug of choice. (00:15:26): And so, (00:15:26): uh, (00:15:27): one of the things that I like to tell people and I do write about it is because I (00:15:30): get this question a lot is that the (00:15:34): I'm not against things like THC and alcohol and opiates. (00:15:39): Of course, the illegal more. (00:15:41): Right. (00:15:42): Yeah. (00:15:42): I was like, yeah. (00:15:43): Against like the heroines and the meth and crystal and all that stuff and cocaine. (00:15:47): But because there are people who can engage in substances and not be a problem. (00:15:51): And there's people that can have a glass of wine with their seafood and be able to manage that. (00:15:57): There's people who could smoke THC for anxiety or through cancer treatment or for insomnia. (00:16:01): Yeah. (00:16:02): and not overindulge. (00:16:04): And so there's a people that can take a regimen of opiates for a shoulder surgery (00:16:09): and not transition to heroin or anything else. (00:16:12): And so the reality is though, (00:16:14): is that if someone has a certain risk factor is that they have a family history of (00:16:19): addiction or they themselves have a history of addiction or substance use, (00:16:25): they have a underlying mental health condition, (00:16:31): Is that a mind-altering substance, such as the ones I told you, can put this person at risk. (00:16:36): It will make them more sensitive to an underlying condition, (00:16:41): bring about the condition sooner or later, (00:16:43): or it can exacerbate existing symptoms. (00:16:45): And so that's kind of where it battles that argument. (00:16:48): I get a lot of people like, well, THC is natural. (00:16:51): Yeah. (00:16:51): You know, and so forth. (00:16:52): I said, yes, but you fall under a certain risk factor. (00:16:55): Right. (00:16:57): And that you have to be very mindful of. (00:16:58): And that's what I believe it is. (00:17:00): It's a risk factor. (00:17:01): There's no absolute. (00:17:03): But it's more. (00:17:04): Oh, no, I've seen people drink normally. (00:17:06): I mean, I'm always I used to be baffled by it. (00:17:08): I've seen it. (00:17:09): I've seen people that can just party one time and. (00:17:13): Or even walk away from it, you know, and that's not my experience, but I've seen it. (00:17:18): Yeah, there's there's there's there are I would say those people who all of a sudden can just. (00:17:24): wake up and that's it, and I'm done. (00:17:26): I believe those are what we fall under the outlier range. (00:17:30): Sometimes a triggering event, (00:17:33): maybe a near life experience, (00:17:35): maybe a family member or a medical condition, (00:17:39): going to jail, (00:17:40): that could be their triggering moment. (00:17:42): But I would say those are more on the rare side. (00:17:46): Most of the people who end up, (00:17:48): it all depends too, (00:17:49): I believe, (00:17:50): in how extensive their use was, (00:17:51): the drug of choice that they use, (00:17:54): family dynamic support system. (00:17:55): There's a lot of determining factors. (00:17:58): But most of the people that I've worked with in treatment and going on almost 15 (00:18:03): years was most of them there were put in a situation where they had to make a choice. (00:18:07): Their spouse was saying, hey, we're going to divorce. (00:18:11): You can't see the kids. (00:18:12): You're going to jail or you're going to treatment. (00:18:17): All those type of scenarios. (00:18:18): Or you drink some more, your liver is going to go kaput and you're going to die. (00:18:24): And sometimes they don't care. (00:18:25): And, you know, that's the thing. (00:18:26): Sometimes they don't care. (00:18:27): Someone at one of the groups that I attend where they were in the hospital and were (00:18:33): a few days from passing away just because they were told, (00:18:37): you know, (00:18:38): you can't drink anymore. (00:18:40): You're going to die. (00:18:41): Your kidneys are going to shut down and die if you drink anymore. (00:18:44): And they were a few months sober before they ended up drinking again and back in the hospital. (00:18:50): And it's just a weird thing. (00:18:52): Like you said, (00:18:53): you get this dilemma where it's like, (00:18:55): you can't do it anymore or else this is going to happen, (00:18:58): whether it's a divorce, (00:18:59): not see the kids or even just death. (00:19:02): Like you think that would be the biggest reason to stop. (00:19:06): And yet for some addicts, (00:19:09): the disease in us is just saying, (00:19:11): no, (00:19:12): he probably like, (00:19:14): what does he know? (00:19:15): people where they absolutely are completely disconnected and apathetic towards life (00:19:19): where they want to die, (00:19:22): so to speak. (00:19:23): Where I try to teach families is that sometimes a lot of things that they could do (00:19:32): on their front, (00:19:32): and that's where I talk about (00:19:34): Putting your loved one to a point of desperation Now let's assuming that there's (00:19:37): still a part of them that wants to live that still that that don't want to not live (00:19:43): anymore is Sometimes we put someone in a level of desperation That that when (00:19:49): they're desperate they'll do anything to relieve of that desperation That's kind of (00:19:53): where the strategies come from in my book. (00:19:55): You can't love someone out of their disease and you're right (00:19:59): You know, (00:19:59): you can't tell someone, (00:20:00): well, (00:20:00): hey, (00:20:00): you have kids, (00:20:01): you know, (00:20:02): or you have a job, (00:20:02): you have a career, (00:20:03): you have a spouse, (00:20:04): when they're really, (00:20:05): really deep into it and they've been completely shut off. (00:20:08): And sometimes you put them in a level of extreme desperation and you give them a choice, (00:20:13): an option. (00:20:14): You're not telling them what they can and cannot do. (00:20:16): You're just giving that option. (00:20:17): What I find is many, many people truly can't do real prison or jail. (00:20:23): People can't do true homelessness. (00:20:27): And I'm talking about homelessness, (00:20:29): dumpster diving, (00:20:32): you know, (00:20:32): on that street, (00:20:33): living under park benches, (00:20:35): homelessness. (00:20:37): And a lot of people really can't do psych facilities. (00:20:40): I mean, it's really long-term. (00:20:41): Yes, there's homeless people that couldn't do it. (00:20:44): And there's people who can do jail and prison. (00:20:47): But I'm assuming for the most part, they'd rather be somewhere else than there. (00:20:52): And so that's what I help families strategize is you give them the option and (00:20:57): choice that, (00:20:57): hey, (00:20:58): we want to be part of your life and we'll always love and care about you. (00:21:02): It's just this is what we're going to support and not support. (00:21:04): And I've seen it countless times where family members still come from a loving place. (00:21:10): And it's those connections that they make with people that when they're at that (00:21:15): point where it's time to make a choice, (00:21:19): They'll remember a lot of those connections and they'll give them a reason to want (00:21:26): to desire and get better. (00:21:27): I mean, and he was too when we got sober. (00:21:30): And, you know, I thought as a mom, I was like, oh, I have a child now. (00:21:35): Like, this is going to make the disease go away. (00:21:38): you know and um that i stayed sober during pregnancy that yeah there were all these (00:21:43): things and it thankfully i just took that moment of clarity i had and ran with it (00:21:48): and my mom waited till who she's 10 years sober um i i was willing to do anything (00:21:55): to change and she's like are you willing to do anything and (00:21:59): that's how we ended up getting help now that we're parents the bars so that will (00:22:04): keep us sober but then we brought the bars to us and you know we made our house the (00:22:10): drinking spot because we still had friends that would come over and drink heavy (00:22:14): till three four in the morning while he was asleep and we would you know just drink (00:22:22): all the time at the house you did was you lowered your (00:22:25): the risk factors. (00:22:27): And so, you know, one thing I talk about is the risk factor curve. (00:22:32): And I don't know if you remember, (00:22:33): speaking of COVID, (00:22:34): Dr. (00:22:35): Fauci always talked about, (00:22:36): we've got to flatten that risk curve. (00:22:38): What he was saying is that, (00:22:41): you know, (00:22:41): the way to lower your getting infected by COVID is there's certain things you have (00:22:46): to do, (00:22:47): right? (00:22:47): Is you wear a mask, you (00:22:49): social distance you wash your hands you you know take vaccine and that's that's (00:22:57): what I tell people but did he say that that curve will ever be completely flat and (00:23:02): non-existent no we're always going to have that risk and same thing with I believe (00:23:06): in in dealing with addiction or mental health is there's going to be that risk (00:23:11): factor but our job is to flatten that risk curve as much as possible such as (00:23:16): One thing you mentioned is people you're hanging out with, (00:23:19): if they're drinking a lot, (00:23:21): they're not in recovery, (00:23:22): your risk factors dramatically skyrocket because fellowship is critically important. (00:23:29): And of course, you're right. (00:23:30): You weren't access to bars and sometimes money was an issue. (00:23:34): So you lower those risk factors. (00:23:36): And so that's the goal. (00:23:38): I believe in people's recovery and the strength of their recovery is meaning that (00:23:43): they have obviously lower risk factors and a high level of protective factors. (00:23:47): Protective factors are basically the antithesis of the risk factors, (00:23:51): such as healthy fellowship, (00:23:52): meetings, (00:23:53): therapy, (00:23:53): mindfulness techniques, (00:23:55): working the steps and all those things. (00:23:57): And so that's kind of what the goal is. (00:23:59): Are we lowering our risk factors and are we increasing our protective factors? (00:24:05): Absolutely. (00:24:06): And I wanted to ask, (00:24:08): as far as I saw on your website, (00:24:10): which we're going to link in the show notes, (00:24:13): do you work with people only in California? (00:24:15): Are you Zoom-based? (00:24:17): Like if someone's listening to the show and they're like, (00:24:19): wow, (00:24:19): this sounds like something I would like to inquire or maybe work with you one-on-one, (00:24:24): are they able to book that service? (00:24:25): Well, it depends on what type of service. (00:24:26): As a licensed psychologist, (00:24:28): like if I was to see someone as a client and working one-on-one with them and (00:24:33): on some interventions and more of a psychological based type thing then I would (00:24:40): only be able to see clients in that capacity under my California license so only (00:24:45): California license but educating family members on things like that I can work a (00:24:52): Yes. (00:24:52): And your book. (00:24:54): Anyone can order your book. (00:24:55): And I saw that it's available everywhere. (00:24:57): So, I mean, you can. (00:24:59): That's a great tool. (00:25:00): And again, it has amazing, amazing reviews. (00:25:03): And the coaching. (00:25:04): Yeah. (00:25:04): So that level of coaching, (00:25:06): I'm able to work with people on that level because it's more of a psychoeducation (00:25:10): and so forth rather than like an individual or type of psychotherapy. (00:25:15): One thing, if I may say, you highlight a couple things is I do talk about 25 must-knows. (00:25:19): I don't know if you came across that. (00:25:22): And those are what I believe are the 25 most essential knowledges. (00:25:27): And a lot of those knowledge was based on those questions, (00:25:31): those challenges that these families were dealing with. (00:25:35): And so the 25 must-knows, (00:25:37): whether it be you're brand new to mental health or subs addiction or you've been (00:25:41): navigating through years as a family member, (00:25:43): you're a therapist an educator who is a graduate student or undergrad or you've an (00:25:48): expert yourself it is what i believe the most essential knowledge is i talk about (00:25:53): things like the myths of suicide i talk about the reason why someone uses a (00:25:58): substance to cope is simply because it works right you wouldn't be using it if it (00:26:03): didn't work for what it was originally intended but of course (00:26:07): As you get tolerant, it becomes counterproductive, dysfunctional. (00:26:10): But one of the things I do mention is the first must know is you have to have hope, (00:26:15): whether it be that's a person struggling or the family members who feel helpless is (00:26:20): because hope is this belief that something can change or something good can happen (00:26:24): is because I've worked with some very, (00:26:26): very (00:26:26): down and out cases and people who attempted suicide, (00:26:30): you know, (00:26:30): just 48 hours prior to coming to treatment or people who were wandering the street (00:26:34): homeless and psychotic hearing voices to people who had a drug overdose and they're (00:26:39): able to get back on track and live healthier life. (00:26:41): And so I like to tell these people, family members, people struggling is there is still hope. (00:26:46): You just have to change the strategies because what you've been doing hasn't been working. (00:26:50): And the last thing, (00:26:51): too, (00:26:51): that it's really important is I talk about the different phases of the recovery process. (00:26:55): And the phase one is 30 to 90 days. (00:26:57): That's where you see most people struggle, (00:27:00): family members disband and give up, (00:27:03): or the person relapses is because they're going through, (00:27:07): whether it be withdrawals, (00:27:08): the post-acute withdrawals, (00:27:10): or they're going through just unhealthy relationships, (00:27:14): toxicity, (00:27:15): unraveling traumas. (00:27:17): But you've got to get them through that first phase of 30 to 90 days because (00:27:20): there's a lot of amazing healing that can take place, (00:27:22): whether it be on a medicine level, (00:27:25): an abstinence level, (00:27:26): talking about their trauma level, (00:27:28): creating new fellowship level. (00:27:31): And so that's why I can tell family members, (00:27:33): just hang in there and do whatever you can to keep them in, (00:27:36): especially in that first 30 to 90 days. (00:27:38): Yeah, 100%. (00:27:40): And I can... (00:27:43): again from experience um what helped me and i mean it can be pretty much anyone is (00:27:49): i got a sponsor and filtering some of those questions that my head manifested it's (00:27:56): almost like i thought of you know a dog trying to get out of like a guarded fence (00:28:01): you know like (00:28:02): You're literally looking for any hole in it. (00:28:05): It's not that it had anything to do with me. (00:28:07): It was the addiction is like, it's going to try and manifest its way. (00:28:12): It's normal. (00:28:13): Like that's, it's a, it's a drug. (00:28:16): That's what it, (00:28:16): you know, (00:28:17): if you're at the point of addiction again, (00:28:19): I'm not talking about someone who. (00:28:22): has a glass or two of wine. (00:28:24): I'm talking like we were drinking like Handlesworth. (00:28:27): And, (00:28:28): you know, (00:28:28): your brain's going to try and rationalize in circles and running that by someone, (00:28:34): which was my sponsor, (00:28:36): saying it out loud, (00:28:37): working through it. (00:28:38): is really what helped those first 90 days um it's again it doesn't have to be a (00:28:44): sponsor it could be therapist husband but sometimes just saying it out loud so you (00:28:49): get it out of your head um but it's hard there's this t it's just i know from the (00:28:55): other side is you can feel a little crazy and i tell people i work with as sponsor (00:29:01): sponsee i'm like there are no crazy thoughts in your first couple of months because (00:29:08): someone else has had them you're not the only one you know and uh that's yeah i (00:29:15): just i guess that's my kind of (00:29:18): My side of being the one addicted is sharing, whether that be with whoever. (00:29:26): Again, psychologists would be the top priority. (00:29:30): That would be the best option. (00:29:31): But even so, (00:29:34): I think that's kind of like the advocating of asking for help, (00:29:37): but that's like the hardest. (00:29:39): the thousand pound phone you know it's it's so heavy and so hard to call but if you (00:29:45): just pick it up um it'd be amazed what you see on the other side (00:29:51): Yeah, and that's what people don't realize. (00:29:53): You highlight, again, a good important point. (00:29:56): And so three factors that I talk about that's critically important for a recovery program. (00:30:00): And so if I can talk real quickly, (00:30:02): recovery is, (00:30:03): the first thing we think about recovery is, (00:30:05): oh, (00:30:05): what substance or what medical condition are you recovering from? (00:30:09): The reality is, I believe we all have our own version of a disease. (00:30:13): A disease can be, of course, a medical condition. (00:30:16): It could be a psychiatric condition, a substance addiction. (00:30:19): But it could be any entity or entities that causes some challenges in our life. (00:30:23): Selfishness, racism, materialism, hedonism. (00:30:27): All of those things can cause challenges in our life. (00:30:30): And if it's hard to break free from and manage, then that's our version of disease. (00:30:34): So we're all in some form of recovery, (00:30:36): which is just in a general sense, (00:30:38): a healthier strategy or plan for better, (00:30:42): healthier living outcomes. (00:30:44): And so, but I talk about recovery. (00:30:46): a lot of these elements that differentiates from what I've seen, (00:30:50): a strong versus a weaker recovery program. (00:30:52): And so some of the three elements of it are structure, (00:30:56): routine, (00:30:57): and what you mentioned, (00:30:58): accountability. (00:30:58): Accountability are those entities that are going to hold you accountable. (00:31:02): And that could be (00:31:04): a a child that could be a spouse that could be a career that could be a family (00:31:08): member that could be a lot of different things and when people ask me like hey dr (00:31:13): brian why do i have to go to that meeting they always talk about god you know they (00:31:17): always talk about you know their their their newcomer stories and it triggers me i (00:31:22): said hey (00:31:23): You know, (00:31:23): if there's one word that I could summarize why you'd go to a meeting, (00:31:26): why you see a therapist, (00:31:28): why you would go to a job. (00:31:30): If there's one word I can only use to define it, it's accountability. (00:31:33): Right. (00:31:33): And you are there. (00:31:34): Yes, there's a lot of great elements that come with going to a meeting. (00:31:37): There's fellowship, there's commitments, there's sponsorships, there's. (00:31:41): speakers there's education but accountability you know is a form you are there at (00:31:46): least accountable for that hour or hopefully for that day that you are being held (00:31:49): accountable and so so it's really really critically important to the point where I (00:31:54): tell people that are leaving treatment let's say they were there for like 30 to 90 (00:31:58): days you need to have at least five entities that are going to hold you accountable (00:32:01): and usually these are five human beings right that will hold you accountable not (00:32:07): curb their recommendations based on emotions they will these are the ones that will (00:32:12): tell you that okay what are you doing get back on track you're slipping and so so (00:32:18): yes i just wanted to really highlight how important accountability is (00:32:22): Is there one substance that you kind of deal with more in when it comes to recovery (00:32:27): or addiction or one that's on the rise recently? (00:32:31): Well, definitely, I would say the most pervasive ones. (00:32:35): Well, there's quite a few, but I would say alcohol, of course. (00:32:39): Yeah, all of them. (00:32:39): But alcohol definitely is because it's been around. (00:32:44): It's available and it's cheap, right? (00:32:48): Yeah. (00:32:48): You can buy a handle for what, like eight bucks? (00:32:50): Yeah. (00:32:51): Not the best quality. (00:32:52): Yeah, it depends on the quality, but yeah. (00:32:55): Some rough. (00:32:58): Oh, I'm so glad it worked over. (00:32:59): Oh, God. (00:33:00): Yeah. (00:33:01): So, alcohol definitely is a very pervasive one. (00:33:04): Then we got the benzodiazepines, which are the anti-anxiety meds, such as the Xanax, Ativan's. (00:33:10): You've got the THC, that's huge. (00:33:13): Of course, fentanyl. (00:33:14): Meth, right? (00:33:16): And I can tell you this, though. (00:33:19): Based on my work, meth seems to have some really, really challenging... (00:33:27): post acute withdrawals um yeah it really does you know meth is just just bad news (00:33:34): not to say those other drugs aren't but um yeah but there's even even adhd (00:33:39): medications you know the adderals the redolins you're seeing a lot more people (00:33:43): present as that drug of choice so i think the gamut cocaine is coming back or has (00:33:49): been coming back (00:33:50): for a while. (00:33:53): I would say the whole gamut is out there. (00:33:55): The problem is the accessibility. (00:33:57): You can literally buy substances. (00:34:00): Kids can buy substances, be mailed to their door. (00:34:03): We need a lot of work with (00:34:07): um, (00:34:07): supervise oversight that's going out there in the e-commerce world, (00:34:11): because I know people that have been buying THC lace stuff, (00:34:14): fentanyl stuff, (00:34:15): kids, (00:34:16): teenagers. (00:34:17): Well, (00:34:17): and the, (00:34:18): to get like the THC and a vape cartridge and stuff is becoming pretty easy to get. (00:34:23): And I guess I didn't think about that with the internet and everything. (00:34:27): Cause it's, (00:34:28): It wasn't so accessible, (00:34:29): I think, (00:34:29): when I was in high school, (00:34:30): but it definitely seems like it's just getting more and more accessible as the (00:34:35): years progress to get whatever you want. (00:34:39): Well, (00:34:39): there's also the factor of connection and it's like they just as we spoke to a guy (00:34:45): who he works with teenagers and he goes and speaks at high schools about addiction (00:34:49): and (00:34:50): you know it's all about connection and they're like oh if i go smoke this vape or (00:34:56): go weed like i can make a friend and it's like you can also make sober friends but (00:35:00): yeah it doesn't seem like you can present it at the time again it's inclusion and (00:35:07): connection and (00:35:10): Sorry. (00:35:10): Go. (00:35:10): Yeah. (00:35:11): I was like, at least that's what I find or hear. (00:35:14): But acts are resourceful. (00:35:17): They're so resourceful. (00:35:19): We were. (00:35:19): Yeah. (00:35:20): I mean. (00:35:21): In the ways where people can do it through Snapchat, (00:35:24): through, (00:35:25): you know, (00:35:25): there's a lot of ways where people can go under the radar and sell. (00:35:29): And so it just challenges have always been there. (00:35:33): And, (00:35:33): you know, (00:35:34): we have to as parents or peers or sponsors, (00:35:39): we have to be educated as well and and have that level of accountability in place. (00:35:45): Yeah. (00:35:45): And I think another thing the meeting kind of gives that hits your pillar is the (00:35:48): hope because you see a lot of hope in the room. (00:35:53): And I know that the God thing, (00:35:56): man, (00:35:56): I know I get that's the number one like thing that people complain about or they (00:36:03): say like they don't fit in with. (00:36:06): But when I was told in a meeting, (00:36:08): like look for the similarities and not the differences, (00:36:11): like look with a (00:36:13): a happy mind, you know, say, oh, I can identify with that. (00:36:16): And then if you don't identify, (00:36:18): you're just like, (00:36:19): OK, (00:36:19): that person's entitled to their opinion, (00:36:21): you know, (00:36:23): going from that, (00:36:24): like looking at a glass half full versus half empty. (00:36:28): in a meeting really made a difference for me because the there are people and you (00:36:35): don't there's no rules or restrictions around meetings um if you find one and you (00:36:40): don't like it there's another one around the corner that is like a 180 of the one (00:36:44): you just went to some are more conservative some are more lax um i would never (00:36:51): suggest i think the rule is try five you know and (00:36:55): Not just one and be like, okay, that one could have been a bad day. (00:36:59): It could have been a bad topic. (00:37:00): It could have... (00:37:02): whatever it was um but the hope and the accountability and um you know the (00:37:08): connection the seeing other people smile it might have been a minute since you've (00:37:13): seen someone genuinely smile or laugh like i remember being in the meeting and (00:37:19): being like i thought it was gonna be like a people in a dark alley in a room with (00:37:22): coffee and it's not these people are well put together they're they get their life (00:37:26): back (00:37:28): And one thing that's really important is though, (00:37:29): especially for your listeners, (00:37:31): is that 12-step recovery is definitely a way and there could be a great deal of success, (00:37:39): but it's not the only way, (00:37:40): right? (00:37:41): It's not the only way. (00:37:42): And what I usually tell people as well, (00:37:44): because in the treatment that I worked at, (00:37:46): 12-step was part of the recovery process. (00:37:49): It wasn't 12-step based, but it was (00:37:51): part of the process and when they struggled with that I said well if you don't have (00:37:56): the God component in your life is that (00:37:59): Do you believe in any entity greater than you? (00:38:01): And that entity could be outer space. (00:38:03): It could be mother nature. (00:38:04): It could be the ocean. (00:38:06): It could be one person finally said, it's my better self, right? (00:38:10): That's his greater power, better self. (00:38:12): And so you go into it because a lot of times people, (00:38:15): especially when they want to resist something, (00:38:16): they'll deconstruct everything. (00:38:18): You know, (00:38:18): the people, (00:38:19): I mean, (00:38:20): not to take anything away, (00:38:21): but the people who deconstructed a lot of the 12 steps were people who were in this (00:38:26): level of education where, (00:38:28): you know, (00:38:28): give me an explanation to it or I'm going to philosophize this, (00:38:33): you know, (00:38:35): deconstruct it all the way to its basic atom and find a reason to resist it. (00:38:41): And yeah, just any entity that's greater than you that you can... (00:38:45): believe that's just bigger than you. (00:38:47): A hill can be bigger than you. (00:38:49): And that gentleman who did that because he was very resistant, (00:38:51): he just said, (00:38:52): okay, (00:38:54): my healthier self right now is going to be... (00:38:56): And I've seen it happen before. (00:38:57): I've seen people who are atheists when they leave treatment. (00:39:01): It's like, okay, maybe there is something out there. (00:39:04): People who are agnostic. (00:39:06): they okay maybe there's a god and people who were very connected with their god had (00:39:10): a closer relationship and so i've seen that happen uh before in many levels and so (00:39:17): just yeah there's it's not the only way you know there's smart recovery and there's (00:39:20): all those different different models some churches have their own modalities some (00:39:25): religions and so forth so um it is one element because of what it provides right (00:39:31): with (00:39:32): Also therapy. (00:39:33): Like, I mean, I work right now. (00:39:35): I work with my therapist on a deeper level and doing some different like CBT (00:39:40): methods and working on the trauma that maybe I drank at. (00:39:44): Now, again, I got sober through 12 steps, but you learn that beyond recovery is... (00:39:52): there's different levels. (00:39:53): So like you said, (00:39:53): that first, (00:39:54): like, (00:39:54): you know, (00:39:54): 30 to 90 days, (00:39:57): you're just kind of getting your footing, (00:39:58): you're learning the game, (00:40:00): you're the support support, (00:40:02): but then, (00:40:02): you know, (00:40:03): again, (00:40:04): you grow, (00:40:04): there's different and not everyone who grows the same rate. (00:40:08): There is no, (00:40:10): um, (00:40:10): and what works for you might not work for someone else, (00:40:13): but it might, (00:40:14): it might not. (00:40:15): why don't like after um you know i'm going through the a and working the steps and (00:40:21): getting sober that way then going back and looking at it past already i'm already (00:40:27): quote unquote recovered or alcohol is not a big issue for me but re-looking at (00:40:32): those steps it became more of oh this is kind of like a blueprint on how to live (00:40:36): life to be a successful human being (00:40:39): to just be, you know, a good person. (00:40:42): And it's like if I had would have had this in place growing up as a teenager, (00:40:46): you know, (00:40:47): this would have been a really good structure blueprint to have going forward (00:40:52): because I didn't have that. (00:40:53): And I just kind of went through life half assing a lot of different things. (00:40:58): and using drugs and alcohol to fall back on as, (00:41:02): you know, (00:41:03): the you know, (00:41:04): to use that as, (00:41:05): oh, (00:41:05): I'm blaming. (00:41:06): I use I would blame things on certain things because I was drunk or but I would (00:41:11): also use that if I succeeded at anything. (00:41:14): So it was just this weird fallback plan to always get drunk. (00:41:19): But the steps all of a sudden became this good blueprint of how to live life. (00:41:24): and that's what again give it to something other than yourself because i think um (00:41:30): as bill says in the book you know we like to control and it's i think typical of (00:41:34): addicts that you know we think we can do it differently that's what relapse is is (00:41:38): we go out and we're like this time's not going to be like last time and you get to (00:41:45): that again it's just that uh they call the wash cycle you know it's over and over (00:41:50): but um (00:41:53): For this time of year. (00:41:54): Yeah. (00:41:54): I guess one of the things that we'd say, (00:41:57): go to your website, (00:41:58): you know, (00:41:59): you have a lot of good resources. (00:42:00): Your book is widely available. (00:42:02): So if you're in this hearing this and you're having someone who's a loved one reach (00:42:09): out to you, (00:42:09): just, (00:42:10): you said, (00:42:11): first off, (00:42:11): remember there's hope. (00:42:13): And you write and share about that hope in the different 25 strategies and steps, (00:42:19): like a blueprint to helping your loved one. (00:42:22): And thankfully Amazon is next day. (00:42:24): So, I mean, you don't have to wait very long, but, or even like, I think I saw Kindle as well. (00:42:30): Kindle. (00:42:30): I, I've had people, um, (00:42:33): Ask me a couple things. (00:42:35): Audio, right? (00:42:36): I've had some Spanish people ask me if you can get it translated. (00:42:39): But I think the next on the docket is doing a workbook. (00:42:42): I know a lot of people in recovery like workbooks. (00:42:44): So I've got a lot of people. (00:42:46): Love it. (00:42:46): We love workbooks. (00:42:47): I loved homework at first. (00:42:49): Because your mind hasn't been working for so long that you're like, (00:42:54): it's nice to remind you of what you're capable of in something as simple as... (00:43:01): filling out a 10 questionnaire, it's like, Oh my God, I can do this again. (00:43:06): Because when you're drinking as often as we were, (00:43:08): it's like that looked as, (00:43:11): um, (00:43:12): it's just, (00:43:13): you know, (00:43:14): you get this book and it's like, (00:43:15): okay, (00:43:15): workbook is, (00:43:16): it's a little bit shorter version. (00:43:18): It's to the point and it's, there's things you can write down. (00:43:21): So, so that's probably going to be my first thing. (00:43:25): the writing part is the you know it gets out of your head like my emma was a (00:43:29): therapist in um santa monica and she was 20 years there and she always told me um (00:43:35): if i really wanted to get deep in my answers was writing with my left hand you (00:43:39): write with your non-dominant hand and it can pull out a different part of your (00:43:43): brain and i mean there's a part to writing your inventory and step four again (00:43:49): The similarity is not the differences. (00:43:51): It's 100 years old. (00:43:52): Yes, it was not wrote by people that studied it as much. (00:43:58): I'm sure they wish they had more time. (00:43:59): I know Bill did. (00:44:01): It's, again, a great tool. (00:44:03): It saved my life, but... (00:44:06): There are so many ways to get help. (00:44:09): And if you're, (00:44:10): if you just ask, (00:44:11): I promise you'll have a hundred resources in front of you within minutes. (00:44:15): Like you see on Twitter, (00:44:17): someone's shares that they're like 10 days sober and it has thousands of likes and (00:44:21): you know, (00:44:21): it's like, (00:44:22): yeah, (00:44:22): we do recover and we'll help. (00:44:24): You just got to share it. (00:44:26): And there's other ways to get. (00:44:27): And there's other, there's so many different ways. (00:44:29): One way. (00:44:30): No, no, it's not. (00:44:31): And there are some people that will tell you, (00:44:33): yeah, (00:44:33): it's, (00:44:34): if you don't do AA, (00:44:35): you'll be a dry drunk. (00:44:36): And that's just not true. (00:44:37): It's not true. (00:44:39): Um, and we're speaking as someone who's come from, you know, working the steps. (00:44:43): Yeah. (00:44:44): Um, (00:44:45): But just if I may add to, (00:44:47): you know, (00:44:47): so that book was originally designed for families in crisis. (00:44:51): They're like, my God, if my loved one doesn't get help, something bad is going to happen. (00:44:55): They're going to die. (00:44:55): They're going to harm someone. (00:44:57): They're going to put them put themselves in a situation they can't recover from. (00:45:01): So that's what it's really designed for. (00:45:02): I also highlight what I found as the most robust attributes of a strong recovery program. (00:45:09): There's like 15 or so, whether it be the structural accountability. (00:45:14): I talked about the three non-negotiables that family members should hold no matter (00:45:19): what if they're going to support their loved one. (00:45:20): I talk about spirituality is critical and all those different elements. (00:45:24): So someone who's out of recovery and looking for phase four that I call, (00:45:28): which is two years plus of recovery, (00:45:30): those are the attributes that differentiate people who continue to progress in (00:45:34): recovery and people who didn't. (00:45:36): And so it could be helpful for maybe someone who has navigated through their own (00:45:40): treatment and maybe want to help someone else who's having trouble and challenges. (00:45:43): question actually i just thought of because i've had so much outreach about it and (00:45:48): this is something i don't necessarily deal with other than people keep asking about (00:45:54): um relapsed dreams and i i have none of my own because i always have my tattoo in (00:46:00): my dreams and i've had nightmares about him relapsing and coming home drunk um but (00:46:07): a lot of people are asking like (00:46:11): don't know like they just like i guess they get freaked out even and maybe it (00:46:15): causes some like heightened anxiety insomnia of like it felt so real yeah that it (00:46:22): almost scares them and i've had a few people message like oh i'd love to if you (00:46:25): guys talked more about dreams and i'm (00:46:28): Like, I don't really have any. (00:46:29): Um, I said great. (00:46:31): I'm not a dream analyst, so to speak, but you know, as you know, I, um, specialize in insomnia. (00:46:35): And so what I had find a lot were a lot of sleep conditions or sleep disorders, (00:46:40): whether it be nightmare disorders or relapse, (00:46:42): um, (00:46:43): relapsed dreams is that there's some type of either stress or conflict going on, (00:46:49): a high degree of stress or a high degree of conflict. (00:46:52): And when I say conflict, we're using dreams. (00:46:55): There's usually a lot of people in early recovery are in conflict. (00:46:58): Do I want to be sober or not? (00:46:59): Do I want to drink or not? (00:47:00): Do I want to use or not? (00:47:02): And so those manifest itself in stress levels, anxiety that can manifest in dreams. (00:47:06): And so I know those dreams are very real, (00:47:08): People wake up and thought, (00:47:10): holy crap, (00:47:10): I need to get tested or UA'd because I feel like I just used. (00:47:14): And so those are very real, very normal. (00:47:16): But if you're familiar with the post-acute withdrawal terminology, (00:47:20): those changes that take place when you stop engaging in a substance and dreams are normal. (00:47:26): And as you get healthier and sober, those using dreams... (00:47:30): diminish over time, (00:47:31): at least the intensity, (00:47:32): but doesn't mean I've had people still have them every once in a while. (00:47:36): And so, so, so, so that's a very normal part of the process. (00:47:40): And it's the best thing you can do is manage your stress levels as best as possible. (00:47:47): And, and hopefully those using dreams will relapse. (00:47:49): Yes. (00:47:50): It's not abnormal because again, I, I, (00:47:53): I want to say when I had it was definitely early on when I would have a couple and (00:47:59): it was right. (00:48:00): Yeah, I would wake up in the first 30 seconds of me being up. (00:48:03): I was like, oh, my God, what did I do? (00:48:05): What happened? (00:48:06): And then it took me a while to realize I'm in bed. (00:48:08): I'm OK that that didn't happen. (00:48:11): I was like, this is it's five in the morning right now and it takes a while to sink in. (00:48:16): But yeah, I think it's when you're in some early conflict mode. (00:48:21): And you got to recognize if engaging in a substance for a long period of time, (00:48:24): it changed a lot of your neurochemistry as well. (00:48:26): So a lot of stuff's going on in that process, memories and stuff. (00:48:30): And so your brain is healing. (00:48:31): And that's why those first 30 to 90 days are critically, critically important. (00:48:35): And that's where people struggle. (00:48:36): It's like, oh, screw this. (00:48:37): Getting sober is a lot worse than using. (00:48:40): Right. (00:48:40): But that's that's the fallacy of the disease. (00:48:42): Right. (00:48:42): Oh, God. (00:48:45): You know. (00:48:47): I'm like, (00:48:47): and that's where you learn, (00:48:49): like, (00:48:49): and I'm learning this in post in school more rather is even like looking at, (00:48:56): you know, (00:48:57): MRIs of knowing that when you look at like a cocaine, (00:49:00): like cocaine, (00:49:01): if you've done it before, (00:49:02): you see it on the screen, (00:49:04): even in a movie, (00:49:05): which is why a lot of treatment centers don't recommend you watch like drug using (00:49:09): movies is you can highlight, (00:49:11): I mean, (00:49:12): your brain, (00:49:13): your dopamine receptors, (00:49:14): epinephrine will look like go off and. (00:49:17): To me, (00:49:17): I'm like, (00:49:17): oh, (00:49:17): my God, (00:49:18): that that's kind of why they don't have it at treatment centers, (00:49:22): because you can still activate it or the memory sense of it while you're leveling out. (00:49:29): I've had to do articles on which California is big on on doing the safe treat or (00:49:35): safe use houses and the pros and cons on that and like the doxin. (00:49:40): And I've had to do lots of research on those and kind of present. (00:49:46): pros and cons to it um which i still i don't personally know how i feel i'm like (00:49:52): i'm pretty i feel both are there's good arguments for both sides um and probably (00:49:59): towards the safe use side but it is a little weird to know you know um things even (00:50:04): exist i know but i'm glad because there are if people use them properly it gets (00:50:09): them the help they need (00:50:11): Again, these are all tools. (00:50:12): Harm reduction is definitely like anything else. (00:50:15): It's an option out there. (00:50:16): It doesn't work for everyone. (00:50:18): Usually the people that were focused for my book is that they've tried harm reduction. (00:50:24): They've microdosed. (00:50:25): They've done all types of their own regimen and blueprints, and it obviously didn't work. (00:50:29): So harm reduction, it's an option out there. (00:50:32): We've done the whole list. (00:50:32): It's the same thing as passing out condoms. (00:50:35): to teenagers you know and i know there's all kinds or even passing out clean (00:50:41): needles i mean there's places that pass out clean needles right and i mean there's (00:50:45): that there's that there's that whole aspect of it see it but (00:50:50): well thank you and i again i'll link everything in the show notes so that way (00:50:54): people i make it very easy i don't make you work i want to be able to just let you (00:50:58): click on the link and it'll take you right where you need to go and because that is (00:51:03): another thing the attention span is lessening and i'm learning that on the (00:51:09): psychology side on even just doing (00:51:12): digital media of how we can get attention to people in addiction because there's a (00:51:19): very small window and, (00:51:21): and you want to take advantage of that window. (00:51:23): So, um, learning that kind of stuff in school right now. (00:51:26): So yes, yes. (00:51:28): Thank you so much. (00:51:29): I was very, very, um, grateful for this. (00:51:33): Cause I was like, yeah, this is kind of stuff I would have done in school. (00:51:37): So it's cool. (00:51:38): Thank you for what you're doing as well. (00:51:39): So, um, (00:51:41): No. (00:51:42): Evan, do you want to say bye? (00:51:43): Bye. (00:51:44): Yeah. (00:51:45): Yeah, he's my now one. (00:51:47): I'm like, my amend to him was to never take a drink again. (00:51:50): That's good accountability. (00:51:54): Yeah, exactly. (00:51:56): And it just came with time. (00:51:58): Do you want to say thank you for listening to Sober Banter? (00:52:00): Thank you for listening to Sober Banter. (00:52:04): There we go. (00:52:05): All right. (00:52:07): He's great. (00:52:08): Bye. (00:52:09): Bye. (00:52:09): Bye.