Latest / Finding New Waters / From Duke Medicine to Private Practice: Jeff Georgi’s Mission
Transcript
- 0:00Addiction eats at the very core of who we are as a species, and
- 0:05I believe we are. And I think a a got it right.
- 0:09It's a spiritual disease because we are spiritual beings.
- 0:13Becky has a good friend that talks about we are spiritual
- 0:17beings having a human experience and I think we should take that
- 0:22in into consideration. And then on top of that, you've
- 0:25got experience itself, like trauma, all that conspires to
- 0:32make the disease happen. Welcome back everybody to
- 0:36another edition of Finding New Waters.
- 0:38My name is Bea Reeves. I'm the Director of Business
- 0:40Development here at New Waters Recovery in Raleigh, sitting
- 0:43here with our very special guest today, Mr. Jeff Georgi.
- 0:47Welcome. Thank you.
- 0:48Nice to be here. Man, it's so good to see you.
- 0:50Thank you for being here in person, which is a rarity these
- 0:52days. That's true.
- 0:55Well, let's, we'll start the way I first knew who you were was
- 1:01when I was newly sober and a friend of mine who won't be for
- 1:03anonymity purposes, we won't say his name, but a good friend of
- 1:08mine who helped me, has helped me a lot help me, especially in
- 1:11his early days was, was working as a recovery coach right for
- 1:17Bluefields or something? Tell us about.
- 1:20Tell us about that to start. Well, Bluefield was.
- 1:23Bluefield, sorry. An effort Becky and I, my wife
- 1:27and I put together as because it was simply nothing in the area
- 1:34that really helped college students as they, as they were
- 1:38coming back to their university of choice after they've had to,
- 1:42had to leave on a medical leave. And because Becky had a lot of
- 1:49experience in secondary education and saw high school
- 1:53kids get in trouble. The, the, the hope was that if
- 1:56we created a program for college kids, whether it was UNC, North
- 2:02Carolina State, University of Chapel Hill, any of the other
- 2:08colleges in North Carolina Central, we had, I've forgotten
- 2:12the exact number, but we had something like 80,000 students
- 2:17in this area going to school. Well, if you do the math in
- 2:21terms of this disease, you know, there are a lot of kids that are
- 2:25hurting. And what happened too often was
- 2:29they'd get in trouble, their grades would bottom out and
- 2:34they'd either get kicked out or they'd leave and they'd give up
- 2:38and dive deeper into the addiction.
- 2:42So our hope was to get a residential option.
- 2:47So not only could we work with the addiction and help them get
- 2:52back on track there, but work with the families, integrate
- 2:57that with their academics, work with universities to kind of
- 3:02help them clean up some of the academic messes that this
- 3:06disease causes. And then get back on track and
- 3:10eventually graduate from the. You know, if you've, if you're a
- 3:13kid in North Carolina and you've you've spent your whole life
- 3:17imagining going to UNC and all of a sudden this illness starts
- 3:22taking you away from you, That's tragic.
- 3:27Our, our hope. And what Bluefield was all about
- 3:30was giving that hope back. Yeah.
- 3:32Well, I mean, as you're talking about that, you know, both of my
- 3:35parents did go to UNC. I did not get into UNC Chapel
- 3:39Hill. They appeared on my 4th step,
- 3:43which I was able to get over as a resentment.
- 3:45But but what I'm really thinking about here is how much I could
- 3:48have used a service like this when I because I did exactly
- 3:51what you said. I, you know, drugs and alcohol,
- 3:54you know, were my priority. And then after not going to
- 3:59class for two weeks, I would miss enough where I was in
- 4:03academic jeopardy basically. And I didn't have the, there was
- 4:06not that I didn't have the wherewithal.
- 4:07The resources weren't there. If I knew, if they were, I
- 4:09didn't know about them to kind of do what you said were like,
- 4:12hey, like I'm struggling here. I need some help not just to
- 4:17bail me out, but to help me not to not as a handout, but to help
- 4:20me, you know, and I and I just, you know, and that that's what I
- 4:23did, you know, eventually I got it together and graduated when I
- 4:27was 25 years old, but it took, took a while.
- 4:29Well, the very first person call him a kid, he we had was AUNC
- 4:36student. Again, for anonymity purposes, I
- 4:39won't mention his name, but he hadn't gone to class in an
- 4:45entire semester. I know how it goes.
- 4:47And he literally had stayed in his dorm and drank and the only
- 4:51time he went out was to get alcohol and his family
- 4:55discovered it. They freaked out.
- 4:58They somehow knew Becky, they're in touch with her, and he was a
- 5:02very first student. And it is one of those stories
- 5:06that, I mean, it makes me want to cry.
- 5:08It was so powerful because he not only did he, he graduate, he
- 5:15was a great big guy. He was, he was, he, he was about
- 5:195-10, I think, I think 610 rather.
- 5:22And Becky's about 55515 maybe. So he's short.
- 5:29And I, we've got this picture be of of this this student just
- 5:37after he's graduated. Well, let me tell you a story
- 5:39before I get there. He'd never been to a UNC
- 5:45basketball game his entire life, never been to a college
- 5:48basketball game as a student at UNC.
- 5:52So once he gets into our program and gets stable, he puts his
- 5:57name into the lottery system. And lo and behold, I'm going to
- 6:03I am going to call out this one. He he gets a ticket and it's to
- 6:08the Duke UNC game. It was one of those years where
- 6:14Duke was an absolute prohibitive favorite and everybody knew that
- 6:19UNC was going to lose, but he was still excited about going.
- 6:23So he goes. And as you can often know, it
- 6:29doesn't go the way people thought.
- 6:32And UNC won. So Becky and I were on duty that
- 6:37night. We had 24 hour a day coverage
- 6:39and so we were the house parents.
- 6:41That night comes back in and he stands at the door and he says,
- 6:54I now know what it's like to be a college student.
- 6:56Oh my God. And he broke into tears.
- 7:01Wow. And I've got a picture of him
- 7:06after he graduated, still in his academic robes, and he's hugging
- 7:11Becky and all you can see is the top of her head.
- 7:17And it's just such a powerful picture.
- 7:20He's gone on to be a very respected journalist in
- 7:25Scandinavia of all places. It's a long story, but if we did
- 7:30nothing else with Bluefield, that one young man would have
- 7:35made it worthwhile. We were lucky to have a lot of
- 7:39those young men and it was a powerful program.
- 7:45I love how you said that too, but just that one story would
- 7:47have made it all worthwhile. I mean, I, I, you know, that's
- 7:50why we do this. That's why we and I want to
- 7:52speak at a meeting. If I just say a little prayer,
- 7:54if I can just help just one person, I mean, that's
- 7:57beautiful. And I mean, I think it probably
- 7:59ties in to this book you've just published called Beyond Shame,
- 8:05Healing the pain beneath the surface of addiction put up to
- 8:09the camera here. You know, I remember pretty
- 8:14early on in my recovery hearing that trauma was the original
- 8:19gateway drug. And then, you know, kind of tied
- 8:22in with that is shame. So will you talk about the
- 8:26genesis of this book and kind of what what it's all about?
- 8:29Sure. We were extraordinarily
- 8:35fortunate years ago to we got a phone call from South Carolina
- 8:42and it was a man I didn't know at the time, or at least I
- 8:44didn't know I knew. And his name was Bob Toomey and
- 8:48he was the head of the South Carolina Department of Substance
- 8:52Use Disorders for, for treatment.
- 8:55And basically what he said was, Jeff, I've seen you talk
- 9:01somewhere, I don't even remember where, but I remember the liking
- 9:04what you said. And I run programs in pretty
- 9:11much every county in my state. They all have a different diet,
- 9:16a different definition of addiction.
- 9:18They're doing different things. And some of them don't really
- 9:23have a foundation of any kind of academic understanding of, of
- 9:28the complexity of this illness. Would you come down and train
- 9:33our state? Train our state, yes.
- 9:36Train our whole state and and I look at Becky and I go this is
- 9:39this is nuts. But we did first.
- 9:45I went down and we worked to open an adolescent, a really
- 9:49neat adolescent program called called White Horse.
- 9:54And then we worked in a woman's program.
- 9:58At this point I'm realizing I am way above my head and I got
- 10:03Becky involved, who's a family therapist and she so she thinks
- 10:07systems and she looked at what I was doing and saw the
- 10:11opportunity really to to change the state.
- 10:15And we came up with this treatment and slash training
- 10:18program that lasted about 8 years.
- 10:24And, and we were able to take clinicians who didn't have a
- 10:31foundation in, in, in the academic appreciation of what
- 10:35addiction is, give them that solid foundation and
- 10:38understanding, while at the same time help them learn an
- 10:43intervention called modified interpersonal group
- 10:45psychotherapy, which gave them the opportunity in Becky's
- 10:51language, to move from competence to confidence.
- 10:57And when a clinician is confident that that gets picked
- 11:01up by the patients and, and all of a sudden they started seeing
- 11:06their outcomes were better, which it just fed on itself.
- 11:11And that's how it got started. In the process, we, a friend of
- 11:18ours did a study paralleling all this activity and discovered
- 11:23that 50% of the services provided in South Carolina, and
- 11:30they're not unique in this 50% of those services was delivered
- 11:37by a clinician who had less than three years experience.
- 11:42So they didn't there'd be no way they could really have a sense
- 11:46of what they were doing in terms of, of again, the dealing with
- 11:49the complexity of this illness. So that's what this book is.
- 11:53It's really, I mean, I think families can use it.
- 11:56I think patients can use it. But it was really written for
- 11:59the young clinician who once who wants to really know what
- 12:04they're treating and once kind of a guidebook into into that
- 12:09treatment process. Well.
- 12:12I on the book jacket. I'm just going to read quickly.
- 12:16So Jeff and his his wife Becky, who is also a friend of ours and
- 12:21a friend of the program, do a lot of their not all of their
- 12:24work together. Most of the work together, but
- 12:26the book is written by Jeff with Becky.
- 12:27But I'm just going to read since Jeff's sitting here just about
- 12:30the about the author Jeff Georgi, master of divinity
- 12:35Master. What is mAh again?
- 12:37Master of allied health. Allied Health LCMHCLCASCCSCGP
- 12:44has worked in the addiction treatment community for 40
- 12:46years, having helped thousands of individuals and families, and
- 12:49continues in private practice today.
- 12:51He's the former clinical director of the Duke Addictions
- 12:55Program, has served in Duke University Medical Center's
- 12:58departments of Surgery and obstruct.
- 13:01Say it for me, Please Obstetrics, obstetrics, and is
- 13:04currently a consulting associate in Duke's Department of
- 13:07Psychiatry and Behavioral Science.
- 13:09How did you get into this field and what was your trajectory in
- 13:14terms of like the educational part, What was that like?
- 13:18Well, I would, I would. So much of it was lucky and I, I
- 13:22got into the field shortly after my own recovery and I started in
- 13:28a little funky methadone program working with this wonderful Duke
- 13:32position, Charlie Llewellyn, who wanted to, to make that program
- 13:40more than just a little adjunct to what was going on in the rest
- 13:45of the of the state. So he, he was looking this is,
- 13:49this is back in the, this is back in 1983, long time ago.
- 13:55And, and back then the vast majority of people were who
- 14:01were, who were providing care were, were men.
- 14:06They were in recovery, but they were, they didn't have academic
- 14:11degrees. And he wanted, he was interested
- 14:14in me because I had the academic background and I was now in a
- 14:18position to take that and make it integrated into the recovery
- 14:23experience. And you were in recovery?
- 14:25And I was in recovery. So we we started.
- 14:30The most important thing I've ever done in terms of this field
- 14:33is not write that book. Most important thing I've ever
- 14:37done is work with a wonderful guy named Gary S and I.
- 14:42And we started Narcotics Anonymous in Durham, NC and we
- 14:47started it not because either one of us had a had a narcotics
- 14:53issue. Alcohol was my dominant drug of
- 14:55addiction. We started it because we were
- 15:00tired of going to meetings with a bunch of old people like me,
- 15:05like I am now, you know, So, So what we thought, and it did, it
- 15:10attracted younger people. And, and that was the time when,
- 15:16when there's just a lot of energy around the field.
- 15:20And I went from there to into the criminal justice system.
- 15:28I was the United States probation officer and I was one
- 15:31of their treatment specialists and all that good stuff.
- 15:33And but what was important in all of that was eventually I
- 15:38ended up I ended up at Duke and I had I'm still learning.
- 15:48One of the things Charlie Llewellyn was so clear with me,
- 15:51with Jeff, don't ever think you understand this illness.
- 15:57There's always more to learn. And so when I finally got to do
- 16:01full time, I had access to some of the the best scientists, the
- 16:09best researchers. And I, I use them to help build
- 16:14a program, the Duke addictions program with people like Paul
- 16:18Naggy and a bunch of other people.
- 16:21Our medical director was Roy Matthew was just a wonderful
- 16:24program. And then one day and I this,
- 16:29this wonderful program. I mean, it lasted for 20 years.
- 16:35Somebody in in the higher up at Duke decided that one of the
- 16:42dominant healthcare systems in North Carolina was no longer
- 16:48going to treat the number one cause of preventable illness and
- 16:53death in this country, IE addiction, and they closed it,
- 16:58which is why I feel so powerfully about your program.
- 17:03I mean, we need if, if you go to the, if you go to one of the
- 17:09Duke emergency rooms. And again, Duke has expanded
- 17:12well beyond Durham. But if you go to one of the Duke
- 17:15emergency rooms and you need substance abuse treatment, they,
- 17:24they will refer you immediately to some county agency or some
- 17:28other place, sometimes even just a urgent care.
- 17:35And that's not what you need. And it is astonishing to me that
- 17:42this, this elegant system that has done so much for so many
- 17:47people and still does, is blind to this, this one illness which
- 17:53speaks not just of Duke, but it speaks of the of the stigma that
- 18:00the whole country has in terms of the treatment of this
- 18:03disease. Well, you said something really
- 18:05interesting a second ago about in 1983 when you were just
- 18:09starting to work with Gary S and you said there was so much
- 18:12energy around the field. And I was, you know, six years
- 18:17old in 1983. But just from being alive for as
- 18:22long as I've been alive and been recovery for the time I've been
- 18:24in recovery, just kind of looking at it the way it is now
- 18:27and what it was like growing up. It seems like while the stigma
- 18:32is lessened now and there are plenty of treatment centers, but
- 18:37somehow like to back to that comment on the, the energy is
- 18:41not quite there. Like it's almost like there's
- 18:44more lip service than there was. And then and then it's OK to
- 18:48talk about an OK to be, you know, an addict or an alcoholic
- 18:51and in recovery, but maybe not like the the, the focus is sort
- 18:55of left like and evidenced by Duke not having their addiction
- 18:59programming. Is that fair?
- 19:01I think that's, I think it's fair.
- 19:04I'm not sure the stigma, the stigma is that much less, OK,
- 19:13only 10% at best of the people who get who, who, who are, who
- 19:20have been struggling with this disease at whatever level that
- 19:24is, get any treatment at all, even even defining treatment as
- 19:30a conversation with their primary care doc.
- 19:34So, so only 10% get even close to a program like yours.
- 19:40And the vast majority of people just keep on suffering.
- 19:43And that's tragic. And you know, I, I would like to
- 19:48say that the stigma has gotten better.
- 19:51But when I do training still, I will ask this annoying question.
- 19:55You know, if you've got, if you got Dave out there and you know,
- 19:59he's, he's smoking a little marijuana and he's using and he
- 20:04drinks a little bit too much during a Duke Carolina game.
- 20:07And but the drug that's tearing his life apart is
- 20:12methamphetamine. We call that methamphetamine,
- 20:16his drug of and then if I'm talking to an and it doesn't
- 20:19matter whether it's an audience of professionals or lay people,
- 20:24everybody virtually will say drug of choice.
- 20:28So then I take a deep breath and then I asked the audience,
- 20:33what's your cancer of choice? And then there's this big kind
- 20:39of sigh and people realize that we've introduced volition into a
- 20:46disease. I mean, you know, this nobody,
- 20:49nobody chooses addiction any more than they choose cancer,
- 20:54right? Yeah.
- 20:56I mean. What did you call it earlier?
- 20:58But when you said alcohol is my dominant, what did you say?
- 21:01A drug of addiction Drug. A dominant drug of addiction.
- 21:03Yeah, you're right. I mean, it's, it's just one of
- 21:05those probably no one who the first person to say that
- 21:09probably didn't have any kind of ill intent, but it is the exact
- 21:12opposite of what it means. Exactly because it's in, in the
- 21:17same way that nobody, nobody chooses cancer, although,
- 21:22although there are certain behaviors that we all engage in
- 21:26that could lead us in that direction, right?
- 21:28I mean, I've met a lot of people who smoke cigarettes, but I
- 21:31never taught anybody who was smoking a cigarette in order to
- 21:36get cancer. I mean.
- 21:38That just doesn't. Happen.
- 21:39No, I mean, and the way you've put it, it's so everything
- 21:43you're saying is exactly true. Everybody can relate to it.
- 21:46But yet somehow with with this disease, with addiction, it's
- 21:50somehow treated so differently, right.
- 21:52You're right. Well because again, not
- 21:56everybody who smokes gets cancer.
- 21:59The silly example I often use are my 2 grandfathers.
- 22:02I had, like all of us, 2 grandfathers.
- 22:04My maternal grandfather smoked 2 to 3 packs of cigarettes a day.
- 22:10Died at the age of 54 of lung cancer.
- 22:15My paternal grandfather smoked and they both were smoking
- 22:18unfiltered. My maternal grandfather smoked
- 22:22Camels. My paternal smoked Pall Malls. 2
- 22:25to 3 packs of unfiltered cigarettes every day.
- 22:30He washed it down with a fair amount of bourbon, died at the
- 22:35age of 89, his death certificate said.
- 22:39Old age. Now, what's the difference?
- 22:45My paternal grandfather was just lucky.
- 22:48And and that's what people don't get.
- 22:51They don't realize that there are some people that have both.
- 22:55It's a complicated disease and they don't realize that, that
- 22:59it's got a biological component, some people, and what that means
- 23:03is that some people are biological, biologically
- 23:06resilient to it, while others are biologically vulnerable to
- 23:10it. It's got a psychological
- 23:12component. That's the shame.
- 23:14It's got a social component. That's the context as well as
- 23:18the social shame and judgment that that your patients deal
- 23:21with just like mine do. It's got a spiritual component,
- 23:28addiction. Addiction eats at the very core
- 23:32of who we are as a species. And I believe we are.
- 23:35And I think a a got it right. It's a spiritual disease because
- 23:40we are spiritual beings. Becky has a good friend that
- 23:44talks about we are spiritual beings having a human
- 23:48experience. And I think we should take that
- 23:52in into consideration. And then on top of that, you've
- 23:55got experience itself like trauma, all that conspires to
- 24:01make the disease happen. So if, if, if some of those
- 24:06variables have some kind of positive or resiliency factor,
- 24:12you may still be using a lot, but you may not cross that line
- 24:16into active addiction, right? And something I talk to people a
- 24:20lot. I'm sure you've encountered way
- 24:21more people like this and I have, but kind of doesn't matter
- 24:25how we cross that invisible line into addiction because sometimes
- 24:29we get somebody in new waters who had a had an injury and
- 24:35they, you know, maybe never even had a drink.
- 24:37And the next thing you know, they're addicted to opiates.
- 24:40Or, you know, a little old lady who was prescribed Xanax by her
- 24:43psychiatrist 35 years ago, didn't never taken a drink, but
- 24:47they both crossed that invisible line in different ways.
- 24:51Because somebody like me, I think this is where it gets
- 24:53complicated sometimes for people is, you know, like I was one of
- 24:57those college kids who would have been well served by
- 24:59Bluefield, you know, but I was, but I was by choice kind of
- 25:06partaking and, you know, drink too much drinking.
- 25:08And so it's like the more traditional route to crossing
- 25:12the line. But then when people cross the
- 25:13line in another way where it's not that traditional route of
- 25:15just, you know, being aware of what what 1 is doing, you know
- 25:19what I mean? And so then that's where I think
- 25:21people get caught up is like what I, I just got hurt.
- 25:27I'm but I'm now I'm a now I'm an addict.
- 25:29It's like, well. Yeah.
- 25:31And I even a little bit challenged the idea in your case
- 25:36that that that it was a choice. Right, right.
- 25:39I mean, I'm not saying it was, I'm just saying it look, it
- 25:45looks like outside. It looks like it because the
- 25:48vast majority of what we know, what we know is the vast
- 25:51majority of Americans occasionally will drink.
- 25:54It may be, it may be, it may be ceremonial, maybe at a wedding
- 25:59and it but the vast majority of of people drink and they have no
- 26:03problem with it. Right.
- 26:06Millions of people take opiates. They have no problem with it.
- 26:12So they look at at somebody with a severe alcohol use disorder
- 26:17and they say, well, just stop because they can.
- 26:22I, I, I try not to be judgmental of how it gets misunderstood
- 26:27because it, it makes sense to me that it would.
- 26:31What we need, I believe, is a, a, a continued push, not just at
- 26:37the brain aspects of addiction, it's the whole person illness.
- 26:41And we've got to help people understand the disease and
- 26:45realize that if they that there are doors for them to come
- 26:53through like your program that give them a start and that,
- 27:00that, and they walk into that, into that environment and a for
- 27:05the first time, perhaps they're not feeling judged, they're
- 27:10feeling at home. Today I met a client who just
- 27:15got there yesterday to New Waters yesterday, met him having
- 27:18breakfast this morning and we've been talking to this guy, you
- 27:22know, an interventionist was involved and one of those just
- 27:25high functioning, you know, breadwinner doing well.
- 27:29He's the guy who, you know, like high functioning sales guy and
- 27:33never been any kind of treatment was scared out of his mind.
- 27:37Yeah, you know, and then I and I saw him in person today and he's
- 27:41like, man, I had no idea it was going to be like this in here.
- 27:44And that's something that's so hard, whether it's new waters or
- 27:47somewhere else that is maybe not as you know, quote UN quote
- 27:49nice, whatever. Like when I went to treatment, I
- 27:54didn't spend a lot of time thinking about what the word
- 27:56detox meant. But if I did hear that word, I
- 27:59had this image of being handcuffed to a radiator.
- 28:01I don't know why that was what I thought about and told to sweat
- 28:04And they were maybe like put a plate of white bread sandwich
- 28:07under the door in a glass of water.
- 28:09But where I went was was not new waters.
- 28:12It wasn't open yet, but but it but it was it was great.
- 28:16It was fine. You know, in the my point is we
- 28:19have these images and that were detox.
- 28:20I have to remind myself that like, that's what I thought
- 28:24about this not that long ago and this is what most people will
- 28:28probably have some similar image, that this is some really,
- 28:31really scary thing. Well, it's, and it is
- 28:37independent of how, how and independent of of the way the
- 28:43treatment program works. It's still terrifying because
- 28:46because from the, from the point of view of the patient, their
- 28:50drug of addiction is what gets them from a Monday to a Tuesday.
- 28:55They may hate it. And this is where I get somewhat
- 28:57exercised. Nobody, nobody wants that damn
- 29:01drug. Whatever it is, whether it's
- 29:03alcohol or or or or heroin, it doesn't matter.
- 29:07It takes over their life and they hate it.
- 29:10And yet at the same time, they are convinced they can't make it
- 29:14through a day without it because they've often tried and they've
- 29:20gone through hell. They've gotten to the other side
- 29:23and within weeks, even after a tough, perhaps even self induced
- 29:28detox, they find themselves back in the grip of the disease and
- 29:32they're using again and they're and they realize where they come
- 29:35to the conclusion that the only way they can deal with the shame
- 29:39that they feel is to continue to use that drug of addiction.
- 29:44So it's not just the idea that they're going to be going to a
- 29:48weird place to get help. It's it's I I can't do this.
- 29:54Yeah, it's like my arch enemy, my best friend, my lover, my,
- 29:57you know, crutch everything on one this this drug, whatever it
- 30:01is, it's. Both my lover and my and I hate
- 30:03it. Yeah, yeah.
- 30:05And it's and it's, it's vicious. It's cruel and unforgiving.
- 30:11Well, back to shame and, and the word vicious, you know, was so
- 30:16somebody's got some kind of shame from the past, whether
- 30:19something they could control or couldn't, but there's something,
- 30:23but then there's substances on top of it to quiet that shame,
- 30:29let's say. And then by then this is where
- 30:32that vicious cycle can start is their shame to cover up the
- 30:37shame, their substances. And then then they act of
- 30:40covering it up with drugs and alcohol.
- 30:43More shame is kind of created. The only way to cover that up is
- 30:47more substance. And so it's just this like
- 30:49exponentially expanding spiral of shame.
- 30:54Well, yeah. And if, if imagine if you're, if
- 30:57you're a kid and, and whatever the trauma is tragically, let's
- 31:09say that you're one of those kids who who get sexually
- 31:12assaulted in school and, and, and he's not going to talk about
- 31:17that. He's going to hide it and but
- 31:21what that communicates to him internally is I wasn't
- 31:27worthwhile enough to be kept safe.
- 31:30My parents didn't love me enough to keep me safe even though they
- 31:34didn't have anything to do with it and they would have done
- 31:37anything to keep him safe. But what we all know is we can't
- 31:41be with our kids 24/7 and some bad things can happen when
- 31:47trauma happens, whatever time it is in your life, the internal
- 31:51messages must be my fault. Somehow.
- 31:55I've I deserved it. So the other side of that gets
- 31:59communicated. I wasn't worth keeping safe.
- 32:02I'm not worthwhile, I'm not important, I'm not good enough.
- 32:06Those are the voices of shame until you take that first hit of
- 32:13cocaine or you had that first slug of alcohol.
- 32:17And if you've got the right brain chemistry, it is magic
- 32:22that shame disappears. And for the first time you feel
- 32:26whole. And that's the most wonderful
- 32:29feeling in the world. And that's what tragically, all
- 32:34people, I believe with this illness remember.
- 32:38They remember that initial sense of, oh, I am OK.
- 32:45Sadly, that leaves pretty quickly as they move toward
- 32:48addictive illness. But the memory stays.
- 32:52And so it becomes literally the drug of addiction, becomes their
- 32:56way of coping not only with the initial shame, but now the
- 33:00layers and layers and layers of shame on top of that associated
- 33:05with the disease. Yeah.
- 33:07Right. And that's the, you know,
- 33:08sometimes it can be this sort of like little T trauma.
- 33:12Yeah, that by the time the person hopefully get some help
- 33:15has been covering it up. But you know, these layers you
- 33:18talk about. Yeah, it's it's a vicious cycle.
- 33:23So Becky and you tell me about how you kind of work together
- 33:29and or independently at all if you do.
- 33:31Well, we, we train together, as I say, she, she, she's a, a
- 33:37family therapist as well as a, a substance abuse professional.
- 33:41And we, we, we both do this modified interpersonal group
- 33:46psychotherapy. We'll do, we'll, we'll train
- 33:48that model for, for, for people, which is really powerful.
- 33:52It, it focuses on, on connection and, and helping, helping people
- 33:58realize that they're not alone in their own shame.
- 34:02And, and again, it, it, it, it allows people to, to embrace
- 34:08each other, not physically necessarily, but emotionally in
- 34:11a way that begins to chip away at the shame.
- 34:15Clinically, Becky sees patients. I see patients, when we deal
- 34:20with families, we see them as a couple and, and we see a lot of
- 34:25families and, and we find that just really meaningful because
- 34:31as you know, it's not just the patient that suffers, it's the
- 34:36whole family system. And if, if Beck was here, she'd
- 34:40be saying, and often the family is even sicker than the person
- 34:45who has the primary illness, you know, and, and it's because
- 34:48they, they inherit the shame of the patient.
- 34:52So they become ashamed, they start covering up, they start
- 34:55hiding, they get kind of nutty. I mean, the whole system goes
- 34:59crazy and, and, and So what we get to do as a couple is kind of
- 35:05model that communication and, and, and work with the entire
- 35:10family system to begin to challenge those messages of
- 35:15shame. So we help them understand the
- 35:17illness, but we also help them address some of the pain that's
- 35:23already there. And it's incredibly rewarding
- 35:27and, and, and we both thoroughly enjoy working together and
- 35:32working with families because when the family gets better, the
- 35:36patient gets better. When the patient gets better,
- 35:38the family gets. It's just such a privilege to
- 35:41watch that happen and you see it in your program.
- 35:43Yeah, and I was about to say to me, it's such a beautiful thing
- 35:45too, when the families, you know, sometimes we see it where
- 35:49they're pretty, you know, motivated to to get better.
- 35:54But it's so often, especially at first, the family of the of the
- 36:00addict alcoholic or the person in treatment, they the attitude
- 36:05is, wait a minute, like I'm not the one who was getting DU is
- 36:08and wrecking the why do I have to do this?
- 36:11And you know, once they can kind of get over that hump and start
- 36:13to open up and realize that this is a gift for them too.
- 36:17A lot of times, you know the family will be able to get find
- 36:20this their own serenity and own recovery without having to, you
- 36:23know, hit the rock bottom of an active addiction or alcoholism,
- 36:28you know? Well, and as corny as it sounds,
- 36:32the only thing I know that is more powerful than shame is
- 36:37hope. I love that.
- 36:40And that's what you guys offer. That's what we offer patients.
- 36:45That's what a a offers is a is a is an Ave. out of the darkness.
- 36:50And as again, as corny as it sounds into, into a, into a life
- 36:55that it's exciting, that is alive, that is full of
- 37:01possibility. And, and they get to encounter
- 37:06wonder and awe again. And it's just, it's just one of
- 37:09the it's to to help a family reconnect like that.
- 37:14I mean, it's such a privilege as as a clinician.
- 37:17So Becky and I feel just, I mean, when we are invited into
- 37:22that pain, it's sad and painful, but we also know that we got it.
- 37:29We got to go into that fire in order to help them begin to put
- 37:35out the energy of shame and find that hope.
- 37:38Yeah. Well, as you were talking about
- 37:40how, you know, with the word hope that hope is more powerful
- 37:44than shame, I was just thinking about how they're hope is
- 37:47associated with with is the principle associated with Step
- 37:502. There's no, there's no step
- 37:52associated with shame. And then the other thing you
- 37:55said right after that is that there is a way out, which was
- 37:58the original title of the big book Alcoholics Anonymous, but
- 38:01until they realized there were too many other titles, but
- 38:03that's what it is. Excuse me, It's a it's a way
- 38:05out. Right.
- 38:06And you know when it opens the door and when you think of the
- 38:10first three steps of a A, those are the first three steps we all
- 38:14have to take to get any help from a medical problem.
- 38:18We first got to recognize we can't do it on our own, step
- 38:21one. And, and our life is completely
- 38:24out of control. Step 2 is I'm not going to go
- 38:28see a physician if I'm absolutely convinced they can't
- 38:31help me, right? So I've got to believe that
- 38:33there's help out there and that this particular physician can
- 38:38can actually do that. And then step three, I got to do
- 38:43what that physician tells me to do, even though it's hard.
- 38:48Those are the first three steps of a A So it's it's no, if
- 38:52people would just look at it, they would realize that there's
- 38:56that the approach into recovery is no different than any other
- 39:00treatment process. It just, it just looks a little
- 39:05bit different, but it's the same, it's the same dynamic.
- 39:09Right. I mean, so much of life is like
- 39:10that. I mean, I even think about it
- 39:12like with with golf, it's like if I go to take a lesson, you
- 39:15know, I am, I'm asking for help, which is hard, but you know, I
- 39:20mean, and I'm in this case paying somebody for help, but
- 39:22then what good is any of that if I don't receive the help and
- 39:26accept the help? Yeah, if you keep doing it the
- 39:29way you've been doing when you came in.
- 39:31I, I, I'm not a golfer. I'm, I, I attempt.
- 39:33It's Becky is a real tennis player.
- 39:36She actually is, is good, but but I'm a hacker.
- 39:39But I I try and every time I take a lesson if I really will
- 39:44not only do what the the pro told me, but then practice it.
- 39:48Exactly. I actually get better.
- 39:51It's kind of exciting. Well, exactly.
- 39:52And I'm sure you can attest this you, you go take a lesson, you
- 39:56start doing what the guy or woman, you know the pro told you
- 39:58to do. And then he goes away or she
- 40:01goes away and then hitting some bad shots.
- 40:04And you were. You're so tempting to go back to
- 40:07our old ways, which we know isn't just right, but we know it
- 40:10works. And but we was just a way to get
- 40:12by. And but then, yeah, exactly.
- 40:15Well, we are so lucky to have you and Becky in our community.
- 40:22Will you tell us and tell our listeners and our viewers, this
- 40:27is the book. I'll show it again beyond shame.
- 40:29But how do how do people get in touch with you and Becky?
- 40:32Well, I mean, we've got a website if you go to either Jeff
- 40:36Georgi and Associates or Georgi Educational and Counseling
- 40:40Services, that's our website. You can get with us through
- 40:44through that. We've got a wonderful practice
- 40:48manager, Jill Collins and and her her telephone number is
- 40:52accessible through those those websites and and people can we
- 40:57are we, we see patients, we see families.
- 41:01We are still committed to that clinical side of things.
- 41:05And again, we've also got a broader vision of hoping to do
- 41:09what we did in South Carolina and bring some of that training
- 41:13up to North Carolina because for those, those eight years, we
- 41:17pretty much disappeared from North Carolina.
- 41:20We were living here and we were seeing patients here, but we
- 41:24were traveling, we were commuting back and forth to
- 41:26South Carolina. So in a lot of ways, we we fell
- 41:30off the map. And so I guess one thing and why
- 41:33I so feel privileged to, to, to be doing this kind of thing with
- 41:36you, it, it's, it's kind of our way of announcing ourselves back
- 41:41to North Carolina. Hey, guys, we, we're, we're
- 41:43here, we're back, we're back, we're back.
- 41:45And and and you know, both, you know, Becky doesn't age, but but
- 41:52I've, I'm putting on a few years and, but I still, I, I don't
- 41:58know anything more exciting than recovery.
- 42:01I hear you. I agree.
- 42:04I completely agree. Well, let's leave it there.
- 42:06That sounds like a good place to stay.
- 42:08Yeah, thank you so much for. Being here.
- 42:10Oh, you're welcome. Thank you, B.
- 42:12Yes, Sir. If you liked what you heard
- 42:13today or just want to know more, give us a call on 9196708119 or
- 42:19visit us at newwatersrecovery.com.
- 42:22Thank you.