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CBC The Nature Of Things (2017.06.24) Wasted

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Filmmaker Maureen Palmer set out to make a documentary following her partner Mike Pond — a psychotherapist and an alcoholic five years sober — as he searched for the best new evidence-based addiction treatments. The intent was to help others battling substance use disorders

But to the couple’s shock and dismay, shortly after filming began, Mike drank again. In Wasted, Mike and Maureen’s attitudes and assumptions about addiction are tested in real time as the couple search for a treatment that will work for Mike. A theoretical journey becomes very real and deeply personal.

There is urgency to their quest. Mike had already suffered one life-threatening trip to rock bottom; he likely wouldn’t survive another. In his past life, Mike spent two decades as a successful therapist in Penticton, BC, helping others battle addiction. Then he succumbed to one himself. Mike lost his practice, his home and his family to alcoholism, ending up homeless on Vancouver’s notorious Downtown Eastside. For two years before he got clean, Pond bounced between the streets and rundown recovery homes. The only treatment offered him: Alcoholics Anonymous.

But Mike was never successful at working the program. And he’s not alone. In fact, AA does not work for the majority who try it, leaving many to feel like failures. Remarkably, most medical doctors still believe it’s the only effective treatment for addiction, insisting their patients attend meetings while they ignore — or remain ignorant of — therapies proven to help addicts and their families.

In their documentary, Wasted, Mike and Maureen discover a revolution in addiction research and treatment. They reveal tantalizing clues to what causes addiction and focus on compassionate evidence-based treatments that pick up where AA leaves off.
Mike Pond with partner and filmmaker Maureen PalmerMaureen Palmer with Mike Pond in Vancouver

“I’d have two water bottles: one with Gatorade and one with Gatorade and vodka.” At Stanford University Mike met Dr. Rob Malenka, one of the scientists credited with discovering how alcohol and drugs hijack our brain’s reward circuitry. He explained why, even when mountain-biking, Mike’s brain had to have booze.

“I can relate to those rats.” Mike travels to the University of Cambridge to visit Dr. Bianca Jupp and her specially bred population of incredibly impulsive rats. Dr. Jupp determined impulsive rats are way more likely to compulsively use and abuse alcohol and drugs. She reveals how that relates to humans.

“The brain doesn’t lie.” At the Medical University of South Carolina, Mike undergoes alcohol cue testing. Strapped in an MRI, Mike is shown a series of pictures of both alcohol drinks and non-alcohol drinks. He rates how much each image creates a craving: mild, moderate or severe. Mike says he didn’t feel much of a craving at all. His brain scans suggest otherwise.


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“Just that constant restless edginess and it’s a craving.” After a motorcycle accident lands Mike in the Emergency Department, he is suddenly overcome with feelings of shame. During his trip to rock bottom, Mike estimates he visited hospital ERs 31 times, where he received lots of humiliation and very little care. Memories flood back and so do the cravings. Mike drinks again. AA hadn’t worked for Mike in the past so Mike and Maureen know they have to try something else. As the cameras roll, Mike begins one of these new evidence-based treatments, not yet available in Canada. It doesn’t work for everyone. Will it work for Mike?

Facts About Addiction

  • AA's own 2014 survey suggests that 27% of patients are sober after one year of treatment.
  • A 2005 article estimated the natural rate of recovery at 24.4% — people who just stopped drinking.
  • Research shows that addiction is approximately 60% inherited and 40% environment.
  • People with a substance abuse problem are three times more likely to have a mental illness.
  • Between one and 10% of Canadians receive evidence-based treatment.

Mike’s relapse becomes a disturbing filming opportunity as the documentary’s challenge to our culture’s notion of “sober” is now also deeply personal. For 80 years, we’ve accepted the standard set by Alcoholics Anonymous: success=total abstinence. So when someone like Mike drinks again after a long period of abstaining, they feel crushing defeat.

Dr. Bill Miller, Professor Emeritus at the University of New Mexico and one the world’s foremost addiction experts, argues for a radical shift in our thinking: “I did one study combining huge data sets to see what are the outcomes of alcoholism treatment in America. And about one in four people stayed abstinent for a year after treatment. That’s 25 per cent. So let’s take them out of the picture and look at the other 75 per cent who have drunk during the year. Their alcohol consumption is down by 87 per cent.

"Now for any other chronic condition, a 25 per cent complete remission and an 87 per cent reduction in symptoms for everybody else would be astonishingly successful. We really disadvantage ourselves by saying you’re a failure if you have even a single recurrence of what was the reason why you were admitted in the first place.”

All experts in the film, including those who are big supporters of Alcoholics Anonymous, argue for a new definition of success in battling addiction, one based on social and emotional wellbeing; one that accepts that addiction is a chronic illness and the severely addicted are very ill. Like anyone else who’s severely ill, the addicted are deserving of compassionate, evidence-based treatment.

Six years ago, Mike could not have imagined a relapse — never mind letting it play out in public. Mike’s gripping odyssey makes a powerful case for an expanded tool kit to treat our number one public health care problem.

https://anon.to?http://www.cbc.ca/natureofthings/episodes/wasted

Comments

I quit smoking and drinking all on my own, with nothing but the sheer will to quit. This is after decades of being told that quitting smoking is harder than quitting heroin, the cravings never go away, take it one day at a time, blah blah blah blah fucking blah. It turned out to be easy once I decided I'd had enough. I was bitchy for about a week after quitting smoking, but that just made me more determined.

As for the booze, I stopped because I didn't want to get drunk and start smoking again. I don't think I was an alcoholic, but I sure liked to get shit faced a couple of times a month, blowing money I didn't have, blacking out, buying drinks for strangers who are suddenly your friend, etc. It was sometimes fun, sure. But I didn't realize how much I hated myself for getting sloppy drunk until about 6 months after I quit. Then all this emotion I'd suppressed since my childhood because of my insane drunk parents came bubbling up to my conscience, but I was now equipped to deal with it. Funny how our minds work to protect our egos with self denial and thought suppression...

There are thousands of people out there who will lie to you for their personal gain. They see addicts as easy marks to suck their money and/or emotions. They are usually the nicest ones but they're the fakest. Real friends don't sugar coat. How many times have we pushed the real friends away and hung out with the fakes?

Simple, irrefutable, and unignorable facts:

  1. Quitting is impossible without the will to do it. Nobody can make you quit but you.
  2. If you really want to quit, willpower is all you need.
  3. Cold turkey is the fastest and least painful way to quit.
  4. Quitting on your own means you get to take the credit and feel good about yourself instead of giving the credit to someone else and feeling helpless.

When people want to quit they usually have little self-confidence and are thus vulnerable to manipulation by people who want to keep them weak. Getting that monkey off your back gives a nice healthy boost to self-confidence at a time when it's needed the most. Think about that the next time someone tells you that you can't do something!

I am woman, hear me roar!!! Actually I'm a male homeless human catbox with a WiFi enabled Etch A Sketch. Heed my bleatings at your peril!

I also quit smoking and drinking.. a few times. Before going off completely.

Smoking was quite difficult. Every smoke is another fine string in the habit process. Put them all together and you got some pretty big cables. Even though I made my own wines and beer for years, I found drinking was not as hard. The most important thing I'd say was developing the proper mindset.

One has to become completely disgusted with these health robbing habits to the the point of developing personal mantra(s) like I fukin hate smoking. Drinking sucks, it's unhealthy, expensive, and stoopid etc. to the point where your body begins to get the picture. As you truly develop the disgusted, abhorrence type mindset these bad habits become weaker and easier to break.

Don't try to do it all at once. If you're quitting smoking or drinking treat yourself. Extra eating for a while comes naturally and any extra weight will fade.

Switching brands, labels, times of indulgence unnecessary smokes and drinks and temporarily avoiding people who are truly hooked up doesn't hurt either.

Last thing you need is all the "It's an addiction and it's a sickness" poor me bullshit. That just generates helplessness, relieves personal responsibility and strengthens the chains that bind you to what are essentially dangerous ingrained bad habits that become learned responses over time.

Think about not smelling like an ash tray and what you can do with all the dough you'll be saving.. not to mention impaired charges.

One has to become completely disgusted with these health robbing habits to the the point of developing personal mantra(s)

Determination is key to willpower which is the key to quitting, so disgust is a great motivator for sure; it was key with my smoking.