Latest / Finding New Waters / How Addiction, Recovery, and a PHD Built a New Life with Dr. Zach Miller
Transcript
- 0:00Now it's very different with the fentanyl, right?
- 0:02They don't get 345 chances sometimes.
- 0:05So I started studying that in what I was really interested in
- 0:10was health insurance. Does is health insurance a
- 0:14predictor of repeated non fatal overdoses?
- 0:17So my entire topic came to be, you know, looking at people with
- 0:23opioid use disorder in Florida who have experienced at least
- 0:27one non fatal overdose. Does the severity of anxiety,
- 0:32severity of depression, and the type of health insurance they
- 0:35have predict the frequency? All right.
- 0:39Welcome, everybody. My name is Bea Reeves.
- 0:42I'm the Director of Business Development at New Waters
- 0:44Recovery, sitting here with our CEO, Justin McClendon.
- 0:47And our special guest today is now Doctor Zach Miller, who
- 0:53recently completed his PhD. And welcome, Zach.
- 0:59Thank you, super glad to be here.
- 1:03So yeah, man, what? What?
- 1:05Exactly what? What exactly do you do and where
- 1:07do you do it? Well, I mean I definitely do a
- 1:11lot of different things, wear a lot of hats, but my main hat is
- 1:17Co founder of Solutions Healthcare.
- 1:19That's our parent company. We have 3 current locations.
- 1:24We are all levels of care detox res PHP with housing in Central
- 1:33Florida and we're currently in the process of licensing our 4th
- 1:39program. So I would say by the end of
- 1:41this year, we'll be right around 200 beds.
- 1:46Wow, wow. How did you how did you find
- 1:50yourself into this line of work? Man, you know, I talk about this
- 1:57sparingly over the years and, and every time I think back on
- 2:00it, the story definitely changes a little bit.
- 2:02You know, it's like hindsight's 2020 and the narrative shifts
- 2:07the further I get down the road. Really, when I look back, it it,
- 2:11if I'm honest, complete happenstance.
- 2:15You know, it's just one of those things where the universe kind
- 2:19of threw me into this situation and for whatever reason, in
- 2:24spite of myself, I was able to capitalize on some opportunity.
- 2:29When you go all the way back, I had, this was in 2009, I had it.
- 2:37The the irony is I have never been to actual like real
- 2:40treatment like as we have it now.
- 2:43You know, like my extend of treatment was like the 10 month
- 2:46work camps. So I went to this one in
- 2:50Asheville called first at Blue Ridge free to go to you work six
- 2:55days a week for room and board. You're in a 8 by 10 room with
- 2:59eight other dudes, you know, and and that that was just normal.
- 3:04No therapy. You're lucky to get to some kind
- 3:08of support meeting in the community, right.
- 3:10The line would be 80 people long and only 15 would get to go.
- 3:16So it wasn't really like treatment.
- 3:19It was more of like you don't have anywhere else to go and you
- 3:23don't really want to be homeless, right.
- 3:25So that this is an option. So I went there and I actually
- 3:28did pretty good. You know, I, I, I did pretty
- 3:31good and I have been to some other little treatment type
- 3:35things like it's funny, I went to my first IOP when I was 12
- 3:39years old. I got caught with marijuana in
- 3:42school with my best friend and neither one of us would rat each
- 3:46other out. So they made us go complete this
- 3:49little community IOP. But it was 212 year olds in a,
- 3:55in a room with a bunch of like 30 year old men, you know?
- 3:59But anyways, I'm ADD I'll skip around.
- 4:01So I had been introduced and when I was in the military, I
- 4:06got a couple DU is and and I got an honorable discharge.
- 4:09But they pushed me out on my re enlistment and they made me do
- 4:13like a little alcohol class, like a 40 hour class to check
- 4:17the box right to cover their liability.
- 4:20But my first kind of treatment was this first at Blue Ridge
- 4:23Place. And you know what, I did pretty
- 4:25well there. I mean, I made it 5 months.
- 4:27Five months for me was a lot. That would probably the longest
- 4:30I had ever been sober since I was introduced to opioids when I
- 4:35was about 1314 years old. And I was an IV opioid person at
- 4:4214, right? It was very, very quick
- 4:44progression for me. And then kind of once you go
- 4:47there, you never really go back, right?
- 4:49It's, it's one of those things and, and if you've experienced
- 4:51that, you know what I'm talking about.
- 4:53So it was really fast for me. So I'm in this place, you know,
- 4:58and I'm doing pretty good. I'm, you know, I'm doing what
- 5:01they ask. I like structure.
- 5:03Military was good for me too. I like structure, right?
- 5:05I do, I, I, I hate structure, but I thrive in structure, if
- 5:10that makes sense. So I, and, and I think there's a
- 5:13lot of men out there that can associate with that.
- 5:18So I end up meeting this girl, right?
- 5:20And of course, we all know how that story goes.
- 5:23So I end up getting kicked out of this place.
- 5:26We don't have to go too much into details about that.
- 5:28We know what happened, right? I got kicked out of this place
- 5:30and I'm homeless in Asheville in 2009.
- 5:34And at that time there was like this crazy winter there.
- 5:38It's snow to foot iced and then snowed another foot and I had
- 5:42this little car. It was like this $400.00 car and
- 5:48it did it only had third gear. It's super funny.
- 5:51Anybody that knows me when I first got sober to remember this
- 5:53car, you couldn't start it uphill and Asheville's in the
- 5:57mountains. So it and it had no reverse.
- 5:58So everywhere I parked, I had to make sure that I can get out and
- 6:03at least be flat because it, it would not start uphill.
- 6:06So I was living in this car in an IHOP parking lot and I
- 6:10randomly meandered my way into this support meeting in the
- 6:14community. And I met this guy named Kevin,
- 6:16who's still a friend of mine today, who gave me a free place
- 6:19to stay, right? He was like, Hey, you really
- 6:21want to be sober? And I'm like, I don't want to be
- 6:24homeless, you know, like I, I didn't want to be sober, but I
- 6:27didn't want to be homeless, right?
- 6:28It was cold outside. And so he gave me a place to
- 6:31stay. And that was kind of my
- 6:34introduction because the requirement was that I engage in
- 6:37his community. And looking back on it, I think
- 6:40that's about the most he could have asked of me in that moment
- 6:43that I would have said yes to because I, I kind of choose the
- 6:47harder way of life versus putting these rules on me, you
- 6:52know? So looking back, it was, it was
- 6:55divine for sure how it all happened, that happenstance.
- 6:58And then if you ask me how did I get into this field, I had a
- 7:03fifth DUI that I had to go home to and I was looking at 12
- 7:07months, right? They were going to give me an
- 7:09habitual offender. You know, I was going to do 8
- 7:12months in prison. I go home, I said in court all
- 7:15day, they release me another crazy thing, right?
- 7:19And I end up moving back to Asheville and I'm sleeping on my
- 7:22sponsors futon in this little 300 square foot round debt
- 7:27because I, I knew if I had stayed back home in Sanford, I,
- 7:32I wouldn't have made it. And I kind of, I wanted it,
- 7:35right? There was this little part of me
- 7:36that kind of wanted this different life.
- 7:38I had been introduced to this different way of living that I,
- 7:43I didn't know existed before this time.
- 7:46And and it was intriguing, right?
- 7:48I wasn't all in yet, but I was intrigued enough to kind of go
- 7:52back. So I literally, I'm looking for
- 7:55a job. And before I had to the military
- 7:57and then I was a welder. I did industrial construction.
- 8:01I traveled around the country and did power plants and Hardy
- 8:04board plants and things like that.
- 8:06So my skill set wasn't really Asheville.
- 8:09I didn't have an Asheville skill set, right?
- 8:11Asheville is you're drinking lattes or you're serving lattes,
- 8:15right? I wasn't, I wasn't very service
- 8:18type. I was missing my front teeth.
- 8:20You know, I looked rough. I had all these shoddy tattoos.
- 8:25Yeah. I didn't look the best.
- 8:28And so I literally looked on Craigslist and I found this job
- 8:32working wilderness therapy with adolescence.
- 8:37And I had heard about it, you know, I didn't know enough about
- 8:40it and I gave it, I went and interviewed for it and I got the
- 8:44job and I fell in love. I, you know, that was like the
- 8:48first time I had been around master level therapist that
- 8:52loved what they did. And I watched these 1617 year
- 8:58old boys change and I could really relate to that
- 9:00opportunity that I didn't have at that age.
- 9:04And you know, the rest is kind of history, just one foot in
- 9:07front of the other, capitalizing on opportunities.
- 9:11You know, I had a GED, right? I've been out of school since
- 9:14the 8th grade. I went to 9th grade, but that
- 9:16was when I got out was 9th grade and I got a GED and went into
- 9:19the the Coast Guard at 17. So I started school back because
- 9:25I knew a GDGED wasn't going to cut it and I knew that I had the
- 9:31business part already. Just logically that makes sense
- 9:34to me. It's easy.
- 9:35But I knew I needed the clinical component if I ever wanted to
- 9:39really do anything in this field.
- 9:41So I started chopping away at the credits, you know, 1 by 1.
- 9:45And then, you know, Fast forward 15 years later and I literally
- 9:49just completed my PhD last week. It was accepted and which is a
- 9:54pretty big deal, you know, but at the same time, I'm like,
- 9:57what's next? What's next?
- 9:59So that's the story in about four minutes.
- 10:04Well, you sounds great. Nicely, that's amazing.
- 10:06Yeah, it is amazing. Congratulations, by the way, on
- 10:08the PhD that's that's huge. One of the hardest things I ever
- 10:12did, honestly. I.
- 10:15Believe it. How long did it take you to do
- 10:17the extra just the PhD piece? I did it so fast because I'm
- 10:22very blessed right now with time and when I I had this really
- 10:27great in in in terrible quality that when I hyper focus on
- 10:31something, it's all I can see and I I lose a lot of other
- 10:35things around me in those moments, but I can accomplish
- 10:39like amazing things. So my professor has been a
- 10:43chair, that's what you call, for 19 years.
- 10:46And she said that I am the fastest student she had ever
- 10:49had. I did it in 11 months start to
- 10:52finish and that's 140 page dissertation.
- 10:57Wow, that's unbelievable. That is amazing.
- 11:00That's amazing. Well, Zach, the way the way I've
- 11:02met you. Go ahead.
- 11:05No, you go ahead on here. Well, I was just going to say
- 11:07that I'm very passionate about what I was writing about, you
- 11:11know, and what I realized in my residencies is that people that
- 11:16weren't very invested in their topic, right?
- 11:19They just kind of chose this topic because they thought it
- 11:22was a good topic. They really struggled in the
- 11:26process. And the people that knew what
- 11:29they wanted to study it, it seemed like it was a lot easier
- 11:33for them, if that makes sense. It does.
- 11:36It's also interesting because you said something I related
- 11:39relate to a lot is I hate structure, but I also thrive in
- 11:43it, you know, But before I got sober, I had no discipline.
- 11:47You know, when I was in school, I mean, there was structure and
- 11:50I did well in school. But when I got to college and,
- 11:52you know, basically when I was, you know, 18 and up until I got
- 11:55sober, the structure wasn't really there and I didn't really
- 11:58thrive necessarily. But then after getting sober, I
- 12:01have structure that is some self-imposed, some, you know,
- 12:05imposed by the, you know, sponsorship, whatever it is.
- 12:10And I do well in structure, but also, you know, theoretically
- 12:15I'm opposed to it, but I do well in it.
- 12:17But it sounds like with the PhD, you didn't even really need the
- 12:22structure and you did it faster than anybody this woman's ever
- 12:26seen. Is that is that accurate?
- 12:29Yeah, yes. But I would also say that if you
- 12:32would have asked me to do this ten years ago, I wouldn't have
- 12:35been able to do it in that way right now.
- 12:37I I don't, I don't need really structure in my life today to
- 12:42complete tasks that I wanted to, you know what I mean?
- 12:4510 years ago, very, very different 15 years ago today, if
- 12:49I want to come, if I want to figure something out, I just, I
- 12:53have this drive that can kind and sometimes I can't always
- 12:57click it on either, right? It'll click on without me
- 13:00wanting it to click on. But once it's on, it's like, I
- 13:03can't stop it. You know, and I'll tell you
- 13:05this, the hardest part about a dissertation is there is no
- 13:10structure. You know that, that the colleges
- 13:12don't care, right? You're in this dissertation
- 13:16course and, you know, you might talk to your chair once every
- 13:21two or three weeks, but it's on you, right?
- 13:25You're either working on it or you're not, right?
- 13:27Like we all know universities are big business now, right?
- 13:30And that's a whole nother topic. But they don't care if it takes
- 13:34you three years, right? They're just collecting their
- 13:36quarterly checks, you know? And so that to me, I knew I was
- 13:41paying $1500 a month to be in this class, so that that money
- 13:46is just ticking by. And that bothers me, right?
- 13:50So I want to get the most out of it.
- 13:54I hear you. What was your topic?
- 13:56So it evolved to many times I wanted to start I looked at so
- 14:01the problem this the social problem.
- 14:03You start with the problem right?
- 14:04What is the social problem? The social problem is the opioid
- 14:08crisis, the opioid epidemic, whatever you want to call it
- 14:11because that's me right 19992000 introduced to the Oxycontin's in
- 14:17trailer park North Carolina, right.
- 14:19It's like that show dope sick, except the mountains is in the
- 14:22middle of North Carolina. Like that's the town I grew up
- 14:24in. And so I've always from an
- 14:28academia perspective, been tied to that process, that opioid
- 14:34crisis. And so I I've studied it
- 14:36throughout my college career in in many different ways.
- 14:40So I knew I wanted to do it on that.
- 14:43And then when I started digging, I kind of fell in love with this
- 14:48population of people that is the repeated non fatal overdoses,
- 14:53right? Like we all know those guys who
- 14:55have or, or gals who have 7-8 non fatal overdoses.
- 15:00And I'm one of those people, right?
- 15:01I've overdosed 5 * 2 of them. I was hospitalized.
- 15:05Three of them I wasn't. So I, I, I was one of those
- 15:09people in, in that time. But now it's very different with
- 15:12the fentanyl, right? They don't get 345 chances
- 15:15sometimes. So I started studying that in
- 15:19what I was really interested in was health insurance.
- 15:23Does is health insurance a predictor of repeated non fatal
- 15:27overdoses? So my entire topic came to be,
- 15:31you know, looking at people with opioid use disorder in Florida
- 15:36who have experienced at least one non fatal overdose.
- 15:40Does the severity of anxiety, severity of depression, and the
- 15:44type of health insurance they have predict the frequency?
- 15:50Right. So what we did was we looked at
- 15:53their severity of anxiety, their severity of depression, and then
- 15:56I separated their insurance into 4 categories and then I did a
- 16:00logistical regression analysis to does that predict how many
- 16:06non fatal overdoses they have? What was the what was the
- 16:13outcome or the conclusion regarding the insurance?
- 16:15I'm really interested to hear this.
- 16:17Now I got to read this thing. It's it's man, I'll tell you
- 16:20like I'm lucky with my outcomes because sometimes you put all
- 16:23this work in and then your outcomes are like garbage,
- 16:26right? Like, because it's real world,
- 16:28right, Like it's real world outcomes.
- 16:31It's not, you know, doctored in any way, like a lot of academic
- 16:36journals out there, right? They'll, they'll kind of pick
- 16:39what they want. So, you know, I was a little
- 16:42scared when I ran my analysis. I found that depression in my
- 16:46population, in my population. So let's start there, right?
- 16:50And the population that I have, which was around 100 people, is
- 16:56depression was not a predictor. Anxiety was not significantly
- 17:03sufficient, you know, but it was, it was very close.
- 17:06It was right over the the line is .05 and anxiety was like .064
- 17:12like it was very, very close. But insurance was bam bam bam
- 17:17right? It was a statistically
- 17:20significant. And then so I ran a post hoc
- 17:23analysis which kind of broke each insurance carrier down and
- 17:27all of them were except one were significant.
- 17:31And basically I broke them down into 4 categories, uninsured,
- 17:35Medicaid, Obamacare, marketplace, right, same thing.
- 17:40And then private employer, right.
- 17:43So like your Cigna use your Aetna's, you know, all those the
- 17:46jihad. So, and what I found was if you
- 17:51have the one of the most interesting findings is the
- 17:54better your insurance, the less non fatal overdoses you have on
- 17:59average, right. And then here's the really weird
- 18:03part is that if you have Medicaid, on average you have
- 18:079.96 non fatal overdoses. That's crazy. 10 non fatal
- 18:12overdoses. If you're uninsured, your
- 18:15average is only 6. Marketplace was like 2.6 and
- 18:21private insurance was like 1.8. Don't quote me on those, but
- 18:25they're they're very, very close.
- 18:29So the conclusion is if people have insurance, they're more
- 18:32likely to play with fire because they think they can go sort of
- 18:36reset and do it all over again. Is that kind of what the
- 18:38conclusion? Is so the better insurance you
- 18:42have, the less the the least number of non fatal overdoses
- 18:48you have. So it insinuates a lot of
- 18:51things, right? Can it prove anything
- 18:53specifically? No more research needs to be
- 18:55done, but it opens the door and and I discussed that in my
- 18:59chapter 2 the the literature review.
- 19:01The problem is there's very little research out there on
- 19:06commercial insurance. It's like non existent because
- 19:09those are private companies. They they keep that data very
- 19:12close. They don't let people run
- 19:16studies on it, right. But Medicaid, that is federal
- 19:19dollars. So that is public data.
- 19:21You, you can go access that data set right now for free.
- 19:24So there's all these studies on Medicaid populations, but
- 19:29there's no studies comparing outcomes for the Medicaid
- 19:34population and the commercial insurance side.
- 19:37So what mine says if it insinuates that that more than
- 19:42likely quality of care is better, which will then lead to
- 19:47a least number of non fatal overdoses, right?
- 19:52That's one of the insinuations. Another is if you have Medicaid,
- 19:57more than likely your severity of addiction is probably higher.
- 20:01And then because I did Florida, Florida is not an expansion
- 20:05state in Medicaid dollars, right?
- 20:07We're very RedState. We don't take the expansion
- 20:10money when they did the parity back in 2017.
- 20:14So that's why Medicaid pays so much lower here, which probably
- 20:18leads to the lower quality of care, which then leads to.
- 20:22The higher number of non fatal overdoses.
- 20:26Very interesting. Yeah, that is very interesting
- 20:30yeah. I mean, you're, I feel like we
- 20:32could do the, we should do that. We should have you come back,
- 20:35Zach, we're going to do another one straight on insert insurance
- 20:38because when we eat, breathe and sleep this stuff and you know,
- 20:42it's, it is, it's always been very interesting to me.
- 20:45As you said, there's, there's just not a lot of research out
- 20:47there that puts, you know, insurance and, and, you know,
- 20:52efficacy and, you know, the correlations between insurance
- 20:56and certain outcomes under the microscope.
- 21:00So I get really excited when we start talking about this stuff,
- 21:02man. So that's awesome.
- 21:03I'm glad that you were able to contribute to, to the, you know,
- 21:07Bank of insurance, Bank of data that we have out there.
- 21:11Man, I'd love to read it. Can you send us?
- 21:13Do you mind send us the link for the?
- 21:14Is there somewhere we can check out the dissertation?
- 21:17Yes. So yes, I can send it to you.
- 21:21It'll be like another two or three days before it's public,
- 21:24but I paid the extra money to have it public.
- 21:27I'm just waiting for them to send the link.
- 21:30That's cool man, I look forward to checking it out.
- 21:33That's really cool. What do you other than enhancing
- 21:36your already, you know, your professional life as it is?
- 21:39What do you plan to to do with the PhD?
- 21:43Make people call me Doctor, right?
- 21:47Like Bill Cosby. You know, at the end of the day,
- 21:50people ask me all the time or like teachers or classmates or
- 21:54whatever, like, why are you doing this?
- 21:55And I mean, one vanity, right? Like it just the sake of doing
- 22:03it and knowing that it's the top that I could possibly get,
- 22:07right? Like less than 2% of the world
- 22:09hold a PhD, right? So there's that and then #2 is
- 22:14like, you know, the goal is to, to eventually sell our business,
- 22:18right? Anybody that that opens in our
- 22:20field, your goal is to is to sell.
- 22:22It's definitely a cell industry down the road.
- 22:25And and like I love teaching, right?
- 22:28Like I probably have 20,000 hours of group hours and I enjoy
- 22:33that psycho educational component.
- 22:36So maybe, you know, in my next life, I go and I teach at a
- 22:40Community College. I don't think I'd ever want to
- 22:42be like a tenure professor and put up with the bureaucracy and
- 22:45hypocrisy of academia. But I think I would enjoy
- 22:49teaching like an abnormal psychology class, you know, in a
- 22:52small university or something, you know, And I definitely, I
- 22:55want to write a book, you know? And so a lot of these things you
- 22:59got to, you don't have to have your PhD to do it, but it helps,
- 23:04right? So there's a couple reasons, but
- 23:06at the end of the day, vanity is probably the top.
- 23:09Right. Well, I appreciate you being so
- 23:12honest about that. I get it.
- 23:14It'd be nice to have those letters.
- 23:16No question about it. That's.
- 23:18Cool. That's very cool.
- 23:20What I was saying earlier, the way we met is I didn't.
- 23:24So you had been the previous clinical director and a part
- 23:28owner of my first job in the field and you had recently gone
- 23:33to Florida and opened up a treatment center with another
- 23:35guy, your current partner, Justin, correct?
- 23:38Yes, correct. And, and so the first time we
- 23:41actually met was over Zoom when we were talking about working
- 23:44together just from two different treatment centers.
- 23:46And then I've had the pleasure of meeting you and seeing you a
- 23:49few times a year in person at different events.
- 23:53And it's just been a really cool thing to see, you know, somebody
- 23:57who was sort of, you know, not I wasn't not a predecessor because
- 24:01I didn't have the same role, but a little bit, you know, I got to
- 24:03the to the, to the treatment center where you had just left
- 24:06and then getting to work together and then be able to see
- 24:09you. And then in the meantime, you
- 24:11know, learn a little bit about you.
- 24:12And you know, like you've told me, you're like, Hey, I'm just,
- 24:14I'm from Sanford and I, you know, you told me your a little
- 24:17bit of your story, what you shared with us today.
- 24:18And then, you know, I mean, I remember first when, because I
- 24:21knew your name and knew your role, and then when I first met
- 24:23you. Like this guy's the clinical?
- 24:25Director. And then and then just getting
- 24:28to know you, I was like, this guy's like a, just a diamond in
- 24:32the rough. And then here you are, you know,
- 24:33a few years later with your PhD. And that's what, you know, I
- 24:37mean, I've always liked you, but part of the reason I wanted to
- 24:40have you on here is just because it's just such an unbelievable
- 24:43story and a true story of what can be accomplished when we
- 24:48change, when all we have to do is change everything, you know.
- 24:53And so I just wanted to say thank you for being a great
- 24:56example to people, you know, not just in our field, but in in
- 24:59this world to show what can be done, you know, with, with with
- 25:04turning it over and, and, and working in the confines of some
- 25:07structure, you know, through recovery and just that what can
- 25:10be achieved. And so tell us a little bit
- 25:15about, you know, kind of what how you got, you know, I know
- 25:19there's a guy we both have worked for and or with who
- 25:22you've mentioned before as a mentor and kind of how he helps
- 25:25you along that path. Talk about Chad.
- 25:28Yeah, yeah, man, I've been so blessed.
- 25:31Oh my God. I, I mean, in reality, right,
- 25:34Like when I, when I step back, because I do a lot of like
- 25:40introspective thinking, right? I'm an overthinker.
- 25:44So I, you know, I, I, I, I think a lot and I, I, I've looked back
- 25:49over my life many times, especially, I mean, I feel like,
- 25:52I, I feel like about every five years we kind of enter a new
- 25:56period in our lives and everybody that, that timeline is
- 25:59a little bit different. Maybe they get stuck or they
- 26:02Fast forward through a part, but really about every five years
- 26:05we're turning over like a new component of our life.
- 26:09And when I look back, I, I've been so blessed to be surrounded
- 26:15with the right people. And this is something I preach
- 26:19anytime I get to run groups or anything like that.
- 26:22Like I, I have this group that I run that's called plus 1 -, 1,
- 26:27right? And it, and it's an interesting
- 26:29concept. There's nothing I created,
- 26:31right? I mean, I kind of coined the
- 26:33plus 1 -, 1, but it, but it's just like the laws of
- 26:36attraction, right? Show me your 5 closest friends.
- 26:39I'll show you your future. So when I look at my own life,
- 26:44really all I did was internally understood this idea plus 1 - 1
- 26:50And what that means is this right?
- 26:51Say I got a group of people that are like, and, and, and will
- 26:55hear this every now and then. They'll be like, oh, I just keep
- 26:58getting the same people in my life, or I keep getting the same
- 27:02relationships or I keep getting the same jobs or my friends keep
- 27:06screwing me over. What?
- 27:07Whatever the narrative is, right?
- 27:09And that's all it is. It's just a story, right, that
- 27:11we tell ourselves, but kind of I'll be like, OK, perfect time
- 27:15plus 1 - 1 and I'll pull out a board and I'll say what is
- 27:18everything that makes up who we are?
- 27:21Let's go and list like our physical appearance, our
- 27:23education, our values, our family of origin, our substance
- 27:29abuse issues, our non issues, our mental health, our ability
- 27:33to earn, our characteristic, you know, our level of humor, blah
- 27:37blah blah blah blah. Right?
- 27:38Like what are all these things we can think of that kind of
- 27:43make up a person? And then let's go and have some
- 27:47introspection and, and look and say, OK, let me grade myself on
- 27:52a level on, on a one to 10 scale of each one of these, right?
- 27:57And then take a look at that. And, and I think then we average
- 28:02those all together and we get our number, right.
- 28:05And so I, I usually piss a lot of people off in the group cuz
- 28:07I'll be like, what do you think your number is zero to 10, you
- 28:11know, and I'll have people telling me 8-9, I'm a 10, you
- 28:15know, and all. And I, they're setting in a
- 28:17substance abuse treatment center with no car, no job, and nowhere
- 28:21to live. And they're a freaking 10.
- 28:24Like this is the story they're telling themselves.
- 28:27They're an 8 1/2, you know, and they're 75 lbs overweight, no
- 28:33job, no education, no ability to learn.
- 28:36And their family hasn't spoken to them in nine months, right?
- 28:40And this is, this is, this is an issue, I think as a therapist
- 28:44and as a person, right? And, and, and I'm getting to the
- 28:47point of, of my own life be in a second.
- 28:49But it, this is the lens in which got me to where I am,
- 28:53right? And it happened organically.
- 28:56So we'll kind of go through and I'll say none of you are above a
- 29:00four. If you're sitting in this group
- 29:02on a Wednesday at 10 AM in the morning, you're not above a
- 29:06four. And then we talked about math,
- 29:09right? Math is very simple, right?
- 29:11The math ain't math in on your 9.5, right?
- 29:15If we go through and we list all these things out, right, you're
- 29:19going to have some low scores. And then we talked about the law
- 29:22of averages. I'm in a math class.
- 29:25I have 5 tests, right? On my first Test, I get an 82nd.
- 29:29I get an 83rd. I get a 34th.
- 29:32I get a 95th, I get an 80. The teacher tells me I can
- 29:36retake one of those tests. Which one am I going to do?
- 29:40Right, the 30. Why?
- 29:42Because if I turn a 30 into a 60, it's better than turning an
- 29:4680 into a 90 for my average, right?
- 29:50So I think a lot of people come into treatment and, and not even
- 29:54people in treatment, I think just people I meet day-to-day,
- 29:57right? A lot of people love to focus on
- 30:00the things they're already good at, right?
- 30:04When there's very little bandwidth there to of growth,
- 30:07there's very little area of growth versus taking an accurate
- 30:12account of where I'm at in this moment, not where I was three
- 30:17years ago, not where I think I'm going to be in four or five
- 30:20years, right? Where am I at today on each one
- 30:24of these components, right? And then pick three of my lowest
- 30:28ones and go work on them, right? And then if I give myself six
- 30:34months and I do that with some vigor, right?
- 30:39And some, and then I learned to be efficient and effective over
- 30:42time, I'm going to increase that score.
- 30:45And so the whole point of plus 1 -, 1 is if I'm a five, I am only
- 30:51going to attract fours to sixes. That's it.
- 30:56Maybe I can trick an 8 for a couple weeks.
- 31:00And we see this with our sober living guys, right?
- 31:03They have no money, no education, no car, and they'll
- 31:06get some nurse on Tinder to take them out to dinner and even pick
- 31:10them up from the house. But how long does that last?
- 31:14Right? And it and if it does last,
- 31:17what's her number, right? Yeah, she might have a good job
- 31:21in an apartment, but she made she probably bipolar 1 and
- 31:24doesn't like to take her meds, right?
- 31:25Or, or whatever the issue might be.
- 31:27My point is we attract this plus 1 -, 1 this is our friendships,
- 31:33this is our jobs, right? If I'm A5, I can't go get a nine
- 31:38job, right? I'm going to get a four to six
- 31:41job. So and then in our personal and
- 31:44intimate relationships. So for whatever reason, I kind
- 31:48of figured this out early. Hence my education, right?
- 31:52I'm good at a lot of things. I have high into my intelligence
- 31:55is very high, right? Like it's that part is not an
- 32:00issue. The part is I never put time
- 32:01into going to college. So when I got sober, I seen that
- 32:05right. I don't need to go to the gym.
- 32:07I'm already physically fit. I need to go to school, you
- 32:11know, I don't need to do this. I already know how to do that.
- 32:14I need to go learn this or our focus on this.
- 32:18And, and I think taking an accurate reflection and, and
- 32:22I'll also say that the people that I got surrounded with, I
- 32:27would say some of the, the, the community support programs out
- 32:33there, they're one of those places where plus 1 -, 1 doesn't
- 32:37always exist, right? Like you, you can have a friend
- 32:40that is well beyond your number in those places.
- 32:44And I think that helped me a lot is be, you know, attracting
- 32:49myself to people that were would be traditionally way out of my
- 32:54number, you know, and growing into that.
- 32:56I mean, it's like golf, right? If I go play with three terrible
- 33:00people, I'm probably not going to shoot my best round, right?
- 33:04But if I go play with three scratch golfers, I'm probably
- 33:07going to play pretty good. I think that's life too.
- 33:11And I think that a lot of my success is dedicated to the
- 33:15people that I was able to surround myself with.
- 33:18Kevin Short early on, Doctor Brack Jeffries, right?
- 33:22This dude was the first guy who ever said I think you'd be a bad
- 33:27ass clinician Dude, you know, let's go.
- 33:29Let me help you get your C SAC. Like I see something in you,
- 33:32your ability to to relay and and and kind of talk to people in in
- 33:36words they might not hear before instrumental in my decision to
- 33:41go the clinical route. Chad Husted right like that dude
- 33:45was the first guy outside of the the community support groups
- 33:50that was like, hey, man, I see something in you, right, Like
- 33:54it's not normal, right? Like come over here, listen to
- 33:56what I have to say. You know, let me let me show
- 33:59you. I would not be successful in
- 34:02Florida had I left real recovery when we sold and tried to come
- 34:07to Florida and start what I started.
- 34:11I I I think I would have fell sharply on my face if I hadn't
- 34:17had that three years with Chad. You know what I mean?
- 34:21I don't think, I don't think we would have been nearly as
- 34:24successful as we had without that, that time with that
- 34:27mentor. And, you know, I've had a lot of
- 34:30other, I've been very blessed in the people I've been able to
- 34:34surround myself with, you know, over the years.
- 34:40I hear that's, I've never heard it explained like that about the
- 34:43plus 1 -, 1, but that does make all the sense in the world.
- 34:46I like that. Yeah.
- 34:48I mean, we, you know, we can out kick our coverage and, you know,
- 34:52for lack of a better word, trick some woman, you know, to into
- 34:57our orbit. But eventually, you know, the,
- 34:59the, you know, the, the mass comes off at some point.
- 35:04That's really that's, that's such a great way to look at
- 35:06things. And, you know, and I've heard
- 35:09what you said said in kind of different ways, but not that
- 35:11part. So I, I appreciate that, yeah.
- 35:15Yeah. Yeah, I really like that.
- 35:17It's crazy. So, and I'd be, I'd be curious.
- 35:22So how did so I know you mentioned when you kind of run
- 35:24this group that, you know, people kind of get upset when
- 35:27you're questioning that they're not nines and 10s when that's
- 35:30what they're kind of identifying with.
- 35:31How does that land with them though?
- 35:33When you when you deliver the the kind of punchline if you
- 35:36will, do people kind of get on board with that or what's the
- 35:39typical response that you see? The people that were nines and
- 35:4310s are apologizing afterwards, right?
- 35:46Like they're like, you know, like it's like that.
- 35:52But. Then the problem is 30 minutes
- 35:56later, they think they're nines and 10s again, right?
- 35:58And this is, this is part of our, this is part of our
- 36:01industry though, man. This is what we tell people,
- 36:03right? We tell people they're way
- 36:05better than they are. And it's one of the faulty
- 36:08components of Sud treatment. You know, in in a sense, right?
- 36:14Kumbaya. Listen, Kumbaya talk about how
- 36:16great it is. Yeah, yeah.
- 36:19And talk about how great it's, it's right.
- 36:21You're exactly right. And as you said that, so I'm a
- 36:24clinician myself and you know, I do a lot of administrative stuff
- 36:28and now, but, you know, spent many, many years in the
- 36:30trenches, you know, working with working with individuals
- 36:33clinically. And as you mentioned that I kind
- 36:35of had a flashback to, I couldn't tell you how many
- 36:37groups it was just kind of like, it still is almost a running
- 36:40joke, right? And I'm sure Zach, you can
- 36:42attest to this as well. But you got you got a group, you
- 36:45run in a group, there's some good stuff happening.
- 36:48You know, a lot of spiritual movement tears are being shed.
- 36:52You know, people are, are present and they're, they're
- 36:54being real and they're being raw about what they want out of
- 36:56life. And then exactly what you said,
- 36:58you know, they get done, they walk out to the, to the smoking
- 37:01pit and like, you know, they're dropping F bombs and they're
- 37:05like, they're right, exactly back to how they were before we
- 37:07had that group. And I think there's a couple of
- 37:09things you could take away from that.
- 37:11One is that like, like you said, unfortunately, like I think this
- 37:14is a shortcoming. The other thing is that it, it
- 37:18takes a lot of practice, you know what I mean?
- 37:20And and it doesn't, I don't think that's just my opinion.
- 37:23Doesn't mean that that group wasn't good, doesn't mean that
- 37:26there wasn't some real stuff that was taking place there.
- 37:28But they just don't have the skills yet to be able to have
- 37:31that translate into what happens on the smoking Patty or when
- 37:36they're walking down the pathway with their buddy or like
- 37:38whatever it is, or what happens when they get back home in their
- 37:41in their home environment. And I think that's just a, you
- 37:43know, a testament to what what really works in recovery.
- 37:46And that's consistently consistency, right?
- 37:49Being honest, being real, making changes.
- 37:51But we got to do that over a long period of time in order for
- 37:54it to start sticking. Sorry, I'll get off.
- 37:56No, I agree. I'll get off the podium now.
- 37:58No, I agree. And also it's yeah.
- 38:02And it's all, it's kind of another way of talking about a
- 38:05fearless and searching moral inventory without the moral part
- 38:09necessarily. But still, it's an honest
- 38:10appraisal of what we're really like if, if we're willing to be
- 38:14honest about it, to kind of get that score and say, hey, you
- 38:16know what? Instead of hanging out with
- 38:18these knuckleheads, maybe I can, I can't just go magically get a
- 38:23whole new group of friends, but start maybe changing one
- 38:26behavior that might leave to attracting other people, right?
- 38:29And then all of a sudden we're A5 instead of a four.
- 38:31So we can go. Yeah, I love that concept.
- 38:34You know, a little bit higher. Stealing that Zach.
- 38:35Yeah, me too. Yeah.
- 38:36Man, it's yours, you know what I mean?
- 38:38Like 100% like it's, I'm not saying anything that we don't
- 38:42know. It's just different words.
- 38:44And I kind of have that gift of, of using weird words and
- 38:47metaphors. So it's all yours, you know?
- 38:51Yeah, I love that. Appreciate that.
- 38:53You ever read the Laws? What do you?
- 38:55Either of y'all read that laws of the spirit?
- 38:58No, I don't think so. I don't know.
- 39:00Grab that, Dan Millman. It's it's.
- 39:03It is. Dan Millman.
- 39:05I love Dan Millman. Love and peaceful warrior saga,
- 39:08right? Like, yeah.
- 39:09Great book. Yeah, but he talks about when
- 39:12you were talking about that group, right?
- 39:14He, he use it in this book is just one giant metaphor, you
- 39:17know, like laws of the spirit. And one of them he talks about
- 39:21this green walnut, right? And and I literally, I used to
- 39:24do this at real recovery. I would bring in a bunch of
- 39:27green walnuts and hammers and I would try to have the clients
- 39:31open a green walnut. I don't, I don't know if you've
- 39:34ever attempted this, but it's physically impossible.
- 39:36It's like a little rubber ball, right?
- 39:38Like it, it will not open. You cannot open it with a
- 39:42sledgehammer. Like it'll just go shoot off.
- 39:45It's like rubbery. And I think those moments in
- 39:48Group you're talking about, those are some of my, I've had
- 39:51moments in Group like that surreal feeling where everything
- 39:55slows down, where it's like the most present.
- 40:00I mean, it's like a godly feeling, right?
- 40:02Not like I'm God, but then like I'm with God.
- 40:05Like this like surreal moment where everybody is present.
- 40:10And I think those are our green walnuts for the clients.
- 40:13Like they put them in their pocket and, and you know, maybe
- 40:17six months, maybe three years, maybe 7 years down the road,
- 40:21that green walnut will ripen. And what happens, it opens on
- 40:24its own right? And something else happens in
- 40:27their mind clicks to that group. And goes, fuck, that's what we
- 40:32were talking about that day, you know, and I've had that
- 40:35experience so many times over the last 15 years.
- 40:40And sometimes it's a week later when it, when I get hit,
- 40:43sometimes it's 5 minutes, sometimes it's two years, you
- 40:48know, and I'll go, where was I when I had that?
- 40:51I get it now, you know, like I, I understand.
- 40:55So it's, it's a beautiful thing, psychology, you know, it's a.
- 40:59Oh, you're beautiful. Absolutely.
- 41:01I think that's a great place to to end it.
- 41:04What? How do people find you and find
- 41:06solutions, Zach? Yeah, I mean, so we are our
- 41:10parent company solutions healthcare.
- 41:13You can look at SHC dot Health on Instagram.
- 41:18My Instagram handles better than I deserve 22.
- 41:21I think I'm actually going to be changing that and starting a new
- 41:24Instagram here soon. More will be revealed, but yeah,
- 41:28we're out there. Solutions Healthcare Central
- 41:31Florida. Need help.
- 41:33Give me a call. Awesome, Zach.
- 41:36Thank you so much, Justin. Thank you so much.
- 41:39If you liked what you heard today or just want to know more,
- 41:42give us a call on 9196708119 or visit us at
- 41:47newwatersrecovery.com. Thank you.