Monday, June 16, 2014

Unmotivated

A client who's been with us on and off for a year admits she used heroin Saturday night.

"I don't know what happened," she explains. "The next thing I knew I was high."

Because she's had a chronic bad attitude and has relapsed twice in the last month the staff discharges her. At some point we must take a position, regardless of what the client says about wanting to stay clean.

In the case of this client she'd had a negative attitude for a few months. She refused to get out of bed in the mornings. She missed groups. She didn't take part in house activities. In spite of several staff interventions she wouldn't change. Thus, her discharge.

It's difficult to give up on someone as long as there's a possibility they’ll change. But in the face of excuses, such as her explanation that she didn't know "what happened," the choice was inevitable.

One thing we know about relapse is that it doesn't just "happen." When we relapse we're an active part of the process. No one holds us down and sticks a needle in our arm. Or pours alcohol down our throat. Or forces us to take a handful of pills.

We're always an active part of our relapse. Just as we are active participants in our recovery.

Click here to email John