Latest / Recovering Out Loud / Is Alcohol the Problem? The Honest Answer About Addiction
Transcript
- 0:00I am. I get really triggered and tired
- 0:03when I see people demonizing alcohol.
- 0:06Sure alcohol is bad on a fundamental level.
- 0:08It is ethanol. It causes breast cancer in
- 0:11women. It causes other cancers.
- 0:13There is no safe amount of alcohol to be drank, drank and
- 0:18drunk per week. That has been proven now.
- 0:20So there's this big anti alcohol movement.
- 0:23Where I get upset is when people go on this tirade of pointing
- 0:29blaming alcohol is the problem and if alcohol wasn't around it
- 0:33wouldn't be an issue. I have an alcohol problem.
- 0:36It's not a thinking problem, it's a drinking problem.
- 0:39I disagree with that sentiment because if alcohol was my
- 0:43problem, if drugs were my problem, I would have stayed
- 0:47sober after rehab. I wouldn't have needed recovery
- 0:51spaces to go to. I wouldn't have needed therapy
- 0:53after rehab. I would have been sober from the
- 0:55first time I went to rehab until now, which was back in 2015.
- 1:00I wouldn't have relapsed because alcohol was my problem thinking.
- 1:03My thinking is my problem today. I firmly believe that I am the
- 1:08one with the problem. I don't know how to turn it off.
- 1:12I don't know how to shut it down.
- 1:14Everybody else is going home at the end of the night when the
- 1:16party's done and I'm still going.
- 1:18I don't know. I don't have an off button.
- 1:20It's like playing Russian roulette when I drink, I don't
- 1:22know what's going to happen next.
- 1:23I might stop after three drinks. I might party for three weeks
- 1:27and end up in a trap house or a motel somewhere doing copious
- 1:30amounts of drugs and drinking until all the hours of the night
- 1:33by myself. All right, we're back.
- 1:35Hey everyone, welcome back to Recovering Out Loud podcast.
- 1:38I'm your host, Anthony. I'm an alcoholic, an addict,
- 1:42been in recovery since 2015. I had 7 1/2 years, had a
- 1:46horrible relapse at around the seven-year mark, 7 1/2 year
- 1:49mark. And now I'm celebrating almost
- 1:52coming up to a year and a half now.
- 1:55I'm a counselor. I work at a treatment center
- 1:57halfway through my schooling doing that.
- 2:00And I do these episodes to bring information to you.
- 2:02This is my perspective. This is not me talking on a
- 2:05spiritual hilltop. I'm not better or worse than any
- 2:08of you. We are all equal.
- 2:10I got prompted by a message on my Instagram at recovering out
- 2:13loud pod where I love when you guys message me.
- 2:15I read every single one. This person messaged me the
- 2:19other day and said something along the OR no, she they
- 2:22commented on my video and said something along the lines of I'm
- 2:25sick of this shit. Alcohol is the problem.
- 2:28I am not the problem. You are not the problem.
- 2:31It is not the person that is the problem.
- 2:34And of course this fired me up because I'm a firm believer that
- 2:39I don't know, maybe I, I would. I think what I want to do with
- 2:43this episode is let you decide for yourself.
- 2:46Is it a personal problem of powerlessness in addiction and
- 2:51alcoholism, a disease, whatever you want to call it?
- 2:54I talked about that at length in my episode about Is alcoholism,
- 2:58addiction a disease or a choice? I think fundamentally beating up
- 3:03on alcohol and trying to this big alcohol movement, it just
- 3:07waste a lot of energy. For me, it's a it's a
- 3:09expenditure of energy that I don't need.
- 3:12Alcohol is bad for you. That's been proven fine.
- 3:15There are millions of people around the world that are
- 3:18controlling their drinking and enjoying it, actually letting it
- 3:21them benefit them that are not in recovery, that don't need to
- 3:25be in recovery, that can enjoy it.
- 3:27I just, I don't think that we need to be focusing all this
- 3:29energy on big alcohol and alcohol is the problem.
- 3:34I'm not the problem. I think we need to do the inner
- 3:36work. I need to do the inner work and
- 3:38find out what alcohol does for me.
- 3:40Why do I drink and how do I live life successfully without
- 3:42needing to pick up? Those are the two things that I
- 3:44learned in rehab from a fundamental high level view.
- 3:47Today I have to remind myself of that.
- 3:50So is alcohol addictive? Is it the substance or the
- 3:54person? If alcohol is just a drink, how
- 3:57come some people can pick it up and put it down?
- 3:59How come some people can just enjoy a few after work once a
- 4:02week or once a month? Or don't go into spirals like we
- 4:06did? How come my friends can drink
- 4:08normally now after years of partying with me?
- 4:11A lot of people that I used to party with would go close to his
- 4:14heart as I would go at times. Not towards the end because a
- 4:18lot of people didn't do the things that I used to do towards
- 4:21the end. The the patterns of using and
- 4:24and behavior that I would portray that I would exhibit to
- 4:28get my drugs and alcohol. The things I would do to lie,
- 4:32steal, manipulate from people to get my fix.
- 4:34A lot of people didn't do that and I think I know you know what
- 4:37I'm talking about comes to a point in your addiction,
- 4:41alcoholism, where anything sort of goes and there's really
- 4:45nothing you won't do to get that drug or or drink because you're.
- 4:50So I'm so caught in the cycle that I'll do whatever.
- 4:53I'll go to any lengths to escape myself because it's painful.
- 4:57And when you're in the middle of it and you're in that cycle, the
- 5:00craving is so strong that I'll move mountains to get my
- 5:03cocaine, to get my mess, to do get my drink.
- 5:06When I'm in it, it's very hard to get out.
- 5:08And so if drugs and alcohol are my problem, then all you have to
- 5:12do is remove me physically from drugs and alcohol for long
- 5:15enough where the craving goes away, the physical craving goes
- 5:19away, the physical allergy is gone.
- 5:22But that's not how this thing works.
- 5:24And I think a lot of you know, that is my thinking is the
- 5:28problem. I think that this time will be
- 5:30different. I think that I can just go and
- 5:32have one. I think that alcohol will
- 5:35magically solve my problems. Drugs will will I'll be able to
- 5:39control it. The great obsession of every
- 5:41abnormal drinker and, and drug addict is one day it'll be
- 5:44different. I will control it this time I
- 5:46will drink or use like gentlemen, like other people.
- 5:50It is not the case. And you will try every form of
- 5:53experimentation and suffering and to, to get to that place.
- 5:57But you just, you never get there.
- 5:58If you're like me, you never get to that place of happy,
- 6:01contented one or two drinks, 3 drinks.
- 6:05It just never comes. And we'll chase it into
- 6:07oblivion. 1 is too many. 1000 is never enough.
- 6:10So in this episode, I'm going to go into one of the most argued
- 6:13questions in addiction. Is alcohol the villain or is the
- 6:17person holding the glass? Who is responsible for this?
- 6:22It's not a trick question. Both sides have real signs
- 6:24behind them and how you answer it affects everything about how
- 6:27you recover. So let's get into it.
- 6:29Alcohol is a central nervous system depressant depressant.
- 6:33It hits the GABA resectors which causes a calming and suppressing
- 6:38glutamate. Glutamate.
- 6:40That's why it relaxes you. It's a depressant.
- 6:42That's also why withdrawal can kill you.
- 6:45Your brain compensates by running hotter and then alcohol
- 6:48leaves and it can't self regulate.
- 6:51Alcohol and benzodiazepines are two of the only in my knowledge
- 6:56substances that you can die from for from withdrawal.
- 6:59Heroin you won't die. It'll be painful and exhausting
- 7:02and you won't ever want to go through that again.
- 7:05But alcohol and and benzodiazepines they act on the
- 7:08GABA receptors they calm you down, they reduce anxiety.
- 7:10This is anti anxiety medication is benzodiazepines.
- 7:13I had a problem with with benzos for a long time because I would
- 7:17get too high on stimulants then I would use benzos to come back
- 7:19down. Terrible place to be.
- 7:21There's blackouts happening all the time, the withdrawal and the
- 7:23anxiety. It's lethal and it's also very
- 7:26tiresome and annoying and depressing and sad and anxiety
- 7:30ridden. So every drink triggers A
- 7:33dopamine hit in the nucleus accumbens, the brain's reward
- 7:36center. This is the same pathway
- 7:39hijacked by heroin, cocaine, gambling.
- 7:42The brain doesn't know alcohol from any other reward.
- 7:45It just knows that felt good. Let's do that again.
- 7:47That relieved my anxiety. I need that again.
- 7:50Any time I feel anxious. Let's do that again.
- 7:54Let's drink, let's use. That'll solve my problem.
- 7:57Because when you're in that, your brain thinks you're dying,
- 8:00right? Like it's that's that's what's
- 8:02happening here is you are in a fight flight or freeze motion.
- 8:06Your nervous system is acting up, your body thinks you're
- 8:09dying, so you'll do anything to get that to stop to to calm
- 8:13down. And the problem is I always say
- 8:15this. Alcohol and drugs, they work
- 8:16until they don't. With repeated use, the brain
- 8:19down regulates its own dopamine receptors.
- 8:21Now you need more alcohol to feel normal.
- 8:24Not even to feel good, just to feel OK baseline.
- 8:27That's the trap. At this point.
- 8:29It's not a choice anymore in any meaningful sense.
- 8:31I've lost the power to choose. I always say this, but I choose.
- 8:36I chose to relapse. If I go and drink today and I go
- 8:38down outside, walk outside my door, go to real sports bar and
- 8:42grab a beer, that is my choice because I am far enough removed
- 8:46from the craving, from the addiction cycle.
- 8:49It has been my experience that it is my choice when I'm in it.
- 8:54When I am a week into addiction or after, after I take that
- 8:58first one, I lose all power and choice in the matter.
- 9:01It's like playing Russian roulette.
- 9:03That's why you always hear people say just don't take that
- 9:05first one. It's so annoying and obvious and
- 9:07simple, but it's true. It worked.
- 9:09Like just don't pick up that first one.
- 9:11Just don't pick up the first drink gets you drunk.
- 9:15So this is from the World Health Organization.
- 9:17Alcohol is responsible for 5.3% of all deaths globally.
- 9:22It's the leading risk factor for disease burden among 15 to 49
- 9:27year olds. So the DSM 5, the medical
- 9:30diagnosis, I don't know what it stands for right now off the top
- 9:33of my head, but it's the book that tells you what diseases are
- 9:35classifieds. Alcohol use disorder AUD as a
- 9:39diagnosable condition with 11 criteria.
- 9:43Physical dependence, including withdrawal, is a core feature of
- 9:47this diagnosis of this disease, of this disorder.
- 9:51Alcohol withdrawal is one of the few that can be fatal without
- 9:54medical supervision. Don't detox alone.
- 9:57I can remember countless times being in the cycle of active
- 10:00addiction when I thought that I was choosing to use.
- 10:03I thought that I was deciding to keep going and I had a choice in
- 10:08the matter. But when you're in it like that,
- 10:10your brain is so hijacked by the drug your your dopamine.
- 10:15The a normal. I always say this, but a normal
- 10:18dinner didn't get it for me. A steak didn't do it for me.
- 10:21I had to eat chips and ice cream and candy for dinner to get any
- 10:25sort of dopamine rash because the things that I used to like
- 10:28when I'm in the middle of active addiction, I don't give a shit
- 10:31about any of that. My brain doesn't respond to that
- 10:35at all. I want high palatable items.
- 10:38I want dopamine. I'll do anything to get that
- 10:40dopamine fix. Research shows heritability, so
- 10:45hereditary heritability of AUD. Alcohol use disorders around 50
- 10:49to 60%. Children of parents with AUD are
- 10:53four times more likely to develop that themselves, even
- 10:56when raised in different environments.
- 10:58Adoption studies. These are done from adoption
- 11:01studies. This isn't about weakness.
- 11:03The biological starting point is different for some people.
- 11:06Around 37% of alcohol abusers have at least one serious Co
- 11:11occurring mental health disorder.
- 11:13So anxiety, depression, PTSDADHD, alcohol doesn't cause
- 11:18all of these, but it it gets used to manage them.
- 11:21It manages these things, then it starts causing them after a
- 11:24while. Most people who drink never
- 11:27develop alcohol use disorder. In fact, about 30% of Americans
- 11:31don't drink at all. And you see the numbers?
- 11:33It's going down. Less people are drinking today,
- 11:37and among those who do, only 14% meet criteria for alcohol use
- 11:42disorder at some point in their lives.
- 11:44This is the statistical reality that fuels the just drink like a
- 11:50normal person argument and why it's so damaging to those who
- 11:53can't. So 12 Step Recovery uses the
- 11:56word allergy not in a literal medical sense, but as a
- 11:59metaphor. Most people can eat peanuts.
- 12:02Someone with a peanut allergy can't.
- 12:04The peanut isn't evil, but for the person it's off the table,
- 12:10the model sidesteps. This model sidesteps the
- 12:13morality debate entirely. So is the peanut the problem, or
- 12:17is the person that's allergic to the peanut on the other side of
- 12:20things? The critics of the allergy
- 12:22model. So the people that don't believe
- 12:24in the allergy model say it removes accountability entirely.
- 12:29Supporters say it removes shame that blocks people from getting
- 12:32help. Both have a good point.
- 12:34I'm of the belief I'm of the camp.
- 12:36I subscribe to the fact that it removes shame.
- 12:39If I have a disease, if I have an allergy, it doesn't remove
- 12:42blame, it removes shame. I need to remove shame.
- 12:46Shame is such a deep dark rooted problem in addiction.
- 12:50It stops so many people from getting help and asking for help
- 12:54and doing the things that they need to do to find help.
- 12:57I must be a bad person. Shame.
- 12:59The difference between guilt and shame, so I can feel guilty
- 13:02about doing something. Guilty is the action.
- 13:05Shame is I'm a bad person. Guilt is I did something wrong,
- 13:08I did that thing I should have done that.
- 13:11Shame is I'm a bad person because I'm doing these things.
- 13:14I'm less than. So in Camp A, alcohol is the
- 13:18problem. Camp Alcohol is a toxic,
- 13:21addictive, carcinogenic drug that is normalized and legally
- 13:26sold. If it had been discovered today,
- 13:28it would never pass regulatory approval.
- 13:30You hear that a lot on social media.
- 13:31A lot of people say that if alcohol was invented today, it
- 13:34would never be legal. It would be illegal before
- 13:37lunchtime. The substance itself creates
- 13:39dependence regardless of who drinks it.
- 13:41Remove the substance, Remove the problem.
- 13:43Can't be is the person is the problem.
- 13:46So I am the problem. My thinking is the problem.
- 13:48My reaction to life is the problem.
- 13:50My perspective is the problem. My perception is the problem.
- 13:53Alcoholism is a disease of perception.
- 13:55You hear that sometimes. I love that one.
- 13:58I'm looking at things wrong. It's perception is reality and I
- 14:02am the one that is framing this as my magical solution, my
- 14:05higher power, my end all be all solution to all my problems.
- 14:10Millions drink without issue. The issue isn't alcohol, it's
- 14:14the predisposed individual who lacks coping skills, has
- 14:18unresolved trauma, or has a brain wired differently.
- 14:21Focus on the person, not the substance.
- 14:23I am in this camp. I find it a lot easier and just
- 14:27more settling to fall into this camp because then it means that
- 14:30there's a solution. There's a program of recovery
- 14:33that I can develop in the form of habits that only take place
- 14:37on a day, one day at a time. A daily reprieve contingent on
- 14:40the maintenance of my spiritual condition.
- 14:42But if you're not spiritual, the maintenance of your physical
- 14:46condition, emotional condition, any of those things, it's a
- 14:49daily reprieve. That's what recovery does for
- 14:53me. The American Medical Association
- 14:55classified alcoholism as a disease in 1956.
- 14:58The AM, AAS, AM and WHO, the World Health Organization all
- 15:04support the disease model. It says that alcohol use
- 15:07disorder, AUD is a chronic relapsing brain disorder, not a
- 15:11moral failing. This has improved access to
- 15:14treatment, insurance coverage and reduced stigma in clinical
- 15:17settings, some people argue. Some people argue the disease
- 15:21model inadvertently removes agency.
- 15:23If it's a disease, you have not. If it's a disease you have, not
- 15:28a behavior you do, where's the motivation to change?
- 15:31Well, if I have a disease and what's the point of all this?
- 15:33Philosopher and addiction researcher Dr. Nick Heather
- 15:36argues for a complex learning disorder model that preserves
- 15:40both biology and agency. So I want to ask you, what did
- 15:43you believe yourself when you were drinking, and how has that
- 15:48changed over time? Did you ever tell yourself I'm
- 15:52the problem, there's something wrong with me?
- 15:54How did that feel versus how sobriety helped you see it
- 15:56differently? For me, yeah, absolutely.
- 16:00For a long time, it was like, well, I'm no good.
- 16:02I'm never going to get back into recovery.
- 16:04I'm never going to get sober. What's wrong with me?
- 16:05Before I relapsed, when I first came in and I was 20, in my 20s
- 16:09and I was using cocaine every day, I just didn't know what was
- 16:12wrong with me. I could see the way my friends
- 16:15were leaving it alone and I was partying until all hours of the
- 16:18night. I couldn't go home.
- 16:19I had to keep doing more. I was after party Anthony,
- 16:22always looking for more parties. My dad said to me, Anthony, all
- 16:26you care about is the next party.
- 16:28And that was true for a long time.
- 16:29I didn't know what was wrong with me until I came into
- 16:30recovery and started educating myself.
- 16:33Today I see it as I was caught in a vicious cycle of addiction.
- 16:38I don't know whether my brain is different than the next guys,
- 16:40the average person. I think it is because when I
- 16:43relapsed, I couldn't stop. If my brain wasn't wired
- 16:48differently, I would have been able to catch myself in that
- 16:51relapse and say, oh boy, that was that was close.
- 16:54I better get back into recovery. I was out there for about a year
- 16:57and then four months of heavy using a party.
- 16:59I had to go back to rehab again and get physically removed from
- 17:03alcohol and drugs. I was caught in the addiction
- 17:05cycle today. As long as I don't pick up that
- 17:08first one today, I'm going to be OK.
- 17:11No matter what happens in my life, no matter what problems
- 17:13occur, what circumstances, what depression, what anxiety, as
- 17:17long as I don't pick up that first one.
- 17:19If I have one problem today and I pick up a drink, I now have
- 17:23two problems and then many more problems after that.
- 17:26I guarantee it. It's happened to me so many
- 17:28times before. If you believe you're broken,
- 17:32shame leads to relapse, risk going up.
- 17:36If you believe alcohol is purely to blame and you have 0 agency
- 17:41in the matter, it's alcohol's fault.
- 17:43If alcohol wasn't around, I'd be fine.
- 17:46You may not do the inner work. You may avoid the best part of
- 17:49recovery and doing the healing and the recovering.
- 17:51The healthiest recovery frameworks both hold both
- 17:55truths. The substance is genuinely
- 17:57addictive and you have the capacity to change your
- 18:00relationship to it. The most honest answer to is
- 18:04alcohol. The problem or the person is
- 18:07yes. Alcohol is powerful, physically
- 18:09addictive substance that rewires brains, and some people are
- 18:13neurologically genetically and experiment experientially more
- 18:18vulnerable to that rewiring like myself.
- 18:22These aren't completing competing truths, they are the
- 18:26whole picture. Two things can be true.
- 18:29So is alcohol addictive Clinically, yes.
- 18:32Is it the substance or the person?
- 18:34It was never either or. The most compassionate and
- 18:37scientific accurate answer is both.
- 18:40Again, I like to stay away from the camp of alcohol is the
- 18:44problem because then I don't know it just it just seems so
- 18:47petty to me. It seems like I waste so much
- 18:50energy trying to take down the alcohol industry for what
- 18:54There's always going to be another new drug dealer out
- 18:58there. Now you see gambling
- 18:59commercials. I talk about peptides in my last
- 19:01episode. Peptides was is gonna be it's
- 19:04just there's the drug dealer takes all forms.
- 19:06The devil takes on new forms as we grow, as we move through
- 19:11life. There will always be a new bad
- 19:14guy. I would rather change what I can
- 19:17control in my life. Focus on what I can control.
- 19:20My life, in my behaviors, my actions, my daily reprieve.
- 19:23Then focusing on taking down alcohol and casting all the
- 19:27blame onto the people that are making money off of it.
- 19:30Let them, as Mel Robbins says, or stole from somebody else
- 19:33famously. Let them.
- 19:35Who cares? It's out of your control.
- 19:37So this week coming up, I'm going to have a lot more guests
- 19:41in the studio. I'm looking forward to that.
- 19:42I'm going to get back to the schedule of having more guests
- 19:45on, you know, figure out the money thing.
- 19:47I don't know, I, I just, I have this passion to get this podcast
- 19:50back up with guests. And I want to introduce all the
- 19:53crazy, heroic, amazing stories of addiction that I've met from
- 19:58people that I've met in the recovery rooms over the years
- 20:00and recovery. I want you to know that I've
- 20:03seen a lot of shit in recovery. I've seen a lot of people come
- 20:06back from a lot of terrible, terrible things and a lot of
- 20:09terrible consequences. If you think you're too far gone
- 20:12at this point, trust me, you're not.
- 20:13There's always a solution. There's always a way out.
- 20:16There's always somebody that has it worse than I do.
- 20:18There's always somebody that has experience with something that I
- 20:22have had experience with. At least that's what I've found
- 20:24in recovery. If you stick around long enough,
- 20:26you're gonna find somebody that knows what you're going through
- 20:29and is gonna be able to help you and possibly save your life, and
- 20:33then you can do that for the next guy.
- 20:35If you've had a terrible experience in your life that you
- 20:37would rather not share about, just think about this.
- 20:40There's somebody out there right now going through exactly what
- 20:43you are going through as we speak.
- 20:46You can be that person to lift them out of the Canyon.
- 20:50You can be the person to drop the ladder down so that they can
- 20:53get out of the hell hole that they're in right now because you
- 20:56remember how hard it was to climb out on your own and you
- 21:00remember the person that threw the ladder down for you.
- 21:03Recovery is like a pyramid scheme without the scheme.
- 21:06Just keep giving back, keep being of service.
- 21:08Your life will change if you focus on others more than you
- 21:12focus on yourself. If you liked what you heard
- 21:14today, please rate, like, subscribe, follow the podcast.
- 21:18I appreciate every single one of you.
- 21:20Send this to a friend if no one's told you this yet.
- 21:22Today I love you. And remember, recovery is
- 21:25simple, not easy.