Charlie Sheen HIV Still Drinking

Sheen admits to Still Drinking

Charlie Sheen being HIV positive is not exactly earth shattering news. No one seems as focused on the most important part of the story: that this well known alcoholic/addict, despite his HIV diagnosis, is still drinking.

Alcohol is a Drug 

This morning (Nov 17, 2015) The Today Show featured an interview with Charlie Sheen by Matt Lauer. After Sheen’s announcing his news that he was diagnosed HIV positive four years ago, Matt eventually asked a couple direct questions pertaining to Charlie’s substance abuse. 

Matt Lauer: “Are you still doing drugs? 
Charlie Sheen: “No, I’m not.” 
Matt: Are you still drinking? 
Charlie: “I’m still drinking a little bit, yeah.” 

For whatever reasons, people still tend to separate alcohol abuse and drug abuse, creating the dangerous illusion of a distinction in the mind of an addict. When it comes to addiction, alcohol is a drug. Drug addicts are wise to abstain from alcohol as well as other drugs. Yet due to the societal influences which create the distinction, drinking too often slips into a gray territory so easily manipulated by the drug addict. 

Alcoholics Drinking “A Little Bit”

Speaking from the world of addiction recovery, those on the other side of the illness would argue the reply to Matt Lauer’s question “Are you still drinking” requires a one word answer: yes or no. Adding the “a little bit” only points to the attempt to defend the behavior, as if to justify it is okay based on the quantity. In truth, that is the slippery slope of addiction. The mental obsession leads the untreated addict to justify “a little bit.” That “little bit”, however little, opens the door to the physical aspect of the addiction which entails the compulsion for more. 

Imagine if Matt were to ask Charlie “Are you still having unprotected sex with prostitutes” and his reply were to be “A little bit, yeah.” Risky behavior is risky behavior. The point is, that a self-admitted drug addict who is still engaging in drinking is an active addict, regardless of how they may present in the moment. It’s a game of Russian Roulette - it’s a matter of when, not if, someone will get hurt. 

“The idea that somehow, someday he will control and enjoy his drinking is the great obsession of every abnormal drinker. The persistence of this illusion is astonishing. Many pursue it into the gates of insanity or death.” -Alcoholics Anonymous, p. 30. 

Against Doctor’s Orders? 

Sheen’s doctor explained to Lauer that his “biggest concern with Charlie as a patient is his substance abuse….. more than what the HIV virus could do in terms of shortening his life.” 

Let’s take a rational look at whether or not Charlie Sheen, as the example here, should be drinking. If you’re an alcoholic, it’s not a healthy choice to drink. If you’re not an alcoholic, not drinking shouldn’t be an issue for you, right? If you can take it or leave it, go ahead and leave it if your doctors suggest that. Charlie’s doctors are very concerned about his substance abuse history and the fact that his health with HIV diagnosis relies on his ability to take consistent actions daily. 

If Charlie drinks a little, and a little eventually leads to more, and he goes on a bender… not only are we talking about his behavior putting himself at risk for his HIV viral load to increase, but his recklessness would likely extend to harming others as well. 

Leading by Example 

A little later in the interview, Matt goes on to say, “A lot of people might say: ‘Charlie, you should stop drinking; you say you’ve stopped doing drugs- you need to stop drinking as well.’” 

Charlie: “Well, perhaps the freedom of today might lead to that as well.” 

We can only hope that to be true. As the saying goes, “you’re as sick as your secrets”. Only Charlie himself knows his true motivation for coming out with this information, whether entirely just to put an end to the “shakedowns” resulting from his shady encounters, or to genuinely come clean and make a fresh start. 

Sheen claims that he will continue to speak to raise awareness about HIV. While that is an admirable intention, that fact is that speaking as a still-drinking addict with HIV, Charlie may be doing more harm than good.

Reasons for Recovering Alcoholics to Avoid Sugar

Alcoholic / Addict or not, sugar is not healthy for any of us based on the many health reasons to avoid sugar. “Living Sober” and some of the other AA literature actually encourages the newly recovering alcoholic to utilize sugar (candy, cookies) in times of physical cravings for alcohol. 

This alternative - sugar - is obviously a better choice than picking up a drink! However, many of us recovering alcoholics and addicts develop a habit of continuous sugar use and abuse well beyond those early days in sobriety, when the physical cravings have long since passed.

Take two minutes to read the list below about how sugar affects our health and wellbeing. When we educate ourselves to understand WHY something is unhealthy for us, we are much more likely to avoid the unhealthy substance!

The following list of reasons to avoid sugar is from Dr. Victor Frank, founder/creator of Total Body Modification. 

The 78 reasons to avoid sugar:

1. Sugar can suppress the immune system.
2. Sugar can upset the body's mineral balance.
3. Sugar can cause hyperactivity, anxiety, concentration difficulties, and crankiness in children.
4. Sugar can drowsiness and decreased activity in children.
5. Sugar can adversely affect children's school grades.
6. Sugar can produce a significant rise in triglycerides.
7. Sugar contributes to a weakened defense against bacterial infection.
8. Sugar can cause kidney damage.
9. Sugar can reduce helpful high density cholesterol.
10. Sugar can promote an elevation of harmful cholesterol.
11. Sugar may lead to chromium deficiency.
12. Sugar may cause copper deficiency.
13. Sugar interferes with absorption of calcium and magnesium.
14. Sugar may lead to cancer of the breast, ovaries, prostate, and rectum.
15. Sugar can cause colon cancer with an increased risk in women.
16. Sugar can be a risk factor in gall bladder cancer.
17. Sugar can increase fasting levels of blood glucose.
18. Sugar can weaken eyesight.
19. Sugar raises the level of a neurotransmitter called serotonin, which can narrow blood vessels.
20. Sugar can cause hypoglycemia.
21. Sugar can produce acidic stomach.
22. Sugar can raise adrenaline levels in children.
23. Sugar can increase the risk of coronary heart disease.
24. Sugar can speed the aging process, causing wrinkles and gray hair.
25. Sugar can lead to alcoholism.
26. Sugar can produce tooth decay.
27. Sugar can contribute to weight gain and obesity.
28. High intake of sugar increases the risk of Crohn's disease and Ulcerative Colitis.
29. Sugar can case a raw, inflamed intestinal tract in person with gastric or duodenal ulcers.
30. Sugar can cause arthritis.
31. Sugar can cause asthma.
32. Sugar can cause candidiasis (yeast infection).
33. Sugar can lead to the formation of gallstones.
34. Sugar can lead to the formation of kidney stones.
35. Sugar can cause ischemic heart disease.
36. Sugar can cause appendicitis.
37. Sugar can exacerbate the symptoms of multiple sclerosis.
38. Sugar can indirectly cause hemorrhoids.
39. Sugar can cause varicose veins.
40. Sugar can elevate glucose and insulin responses in oral contraception users.
41. Sugar can lead to periodontal disease.
42. Sugar can contribute to osteoporosis.
43. Sugar contributes to saliva acidity.
44. Sugar can cause a decrease in insulin sensitivity.
45. Sugar leads to a decreased glucose tolerance.
46. Sugar can decrease growth hormone.
47. Sugar can increase total cholesterol.
48. Sugar can increase systolic blood pressure.
49. Sugar can change the structure of protein causing interference with protein absorption.
50. Sugar causes food allergies.
51. Sugar can contribute to diabetes.
52. Sugar can cause toxemia during pregnancy.
53. Sugar can contribute to eczema in children.
54. Sugar can cause cardiovascular disease.
55. Sugar can impair the structure of DNA.
56. Sugar can cause cataracts.
57. Sugar can cause emphysema.
58. Sugar can cause atherosclerosis.
59. Sugar can cause free radical formation in the bloodstream.
60. Sugar lowers the enzymes' abilities to function.
61. Sugar can cause the loss of tissue elasticity and function.
62. Sugar can cause liver cells to divide, increasing the size of the liver.
63. Sugar can increase the amount of fat in the liver.
64. Sugar can increase kidney size and produce pathological changes in the kidney.
65. Sugar can overstress the pancreas, causing damage.
66. Sugar can increase the body's fluid retention.
67. Sugar can cause constipation.
68. Sugar can cause myopia (nearsightedness).
69. Sugar can compromise the lining of the capillaries.
70. Sugar can cause hypertension.
71. Sugar can cause headaches, including migraines.
72. Sugar can cause an increase in certain brain waves, which can alter the mind's ability to think clearly.
73. Sugar can cause depression.
74. Sugar can increase insulin responses in those consuming high-sugar diets compared to low-sugar diets.
75. Sugar increases bacterial fermentation in the colon.
76. Sugar can cause hormonal imbalance.
77. Sugar can increase blood platelet adhesiveness, which increases risk of blood clots.
78. Sugar can increase the risk of Alzheimer's Disease.

Clearly, sugar has a wide array of adverse effects on our health. Recovering alcoholics and addicts in particular need to be educated on the influence of this substance so commonly consumed inside and outside the rooms of 12 step meetings and rehabs. Clearly, there are an abundance of reasons to avoid sugar in recovery.

Nutrition in Alcoholic Myopathy Treatment

Role of Nutrition in Alcoholic Myopathy 

Upon reviewing the research on the treatments and the causes of alcoholic myopathy, there is an obvious relationship between malnutrition and alcoholic myopathy yet little can be found regarding specific nutritional recommendations in the treatment of chronic alcoholic myopathy for those interested in addressing this important factor.

As there is a need for more studies on this sparsely researched topic, it is difficult to predict what specific effects on alcoholic myopathy may be expected from nutritional interventions. However, to get this dysfunction in the first place, one must drink alcohol excessively; and since heavy or chronic drinking leads to malnutrition, it is wise to consider nutritional therapy regardless of whether it will have a definite effect on the myopathy itself. Nonetheless, in determining a nutritional approach it makes sense to first consider the known deficiencies associated with myopathy…

Protein, Amino Acids in Alcoholic Myopathy Treatment

Since protein deficiency has been directly linked to myopathy, it is a good place to start. A nutritionist or health coach may be able to guide you in evaluating your protein intake to ensure you are getting the proper support of that key macronutrient involved in muscle health. While protein deficiency might have been a contributing factor to the myopathy, adequate protein intake is certainly necessary in the recovery from muscle atrophy.

Amino acids are the building blocks of protein, which is synthesized to build muscle. Some suggest that supplementing with amino acids may help accelerate the repair of muscle damage in myopathy.

Alcohol use disrupts the production of growth hormone, which also plays a major role in muscle development. Research suggests that decreased levels of growth hormone may also contribute to the myopathy of skeletal muscles, as with alcoholic myopathy. Certain amino acids stimulate the pituitary gland to produce and release growth hormone.

Prime™ Ultra Secretagogue is an excellent amino acids supplement recommended by many doctors to naturally and safely stimulate the body’s natural production of human growth hormone. It helps build protein to build lean muscle, in addition to offering a multitude of other health benefits. Be sure to scroll down when you check out the Prime™ Ultra Secretagogue page to learn more about the research, ingredients and benefits.

Antioxidants in Alcoholic Myopathy Treatment

There is evidence that suggests free radical damage in the pathogenesis of alcoholic myopathy. Free radicals are unpaired electrons, aka reactive oxygen species, which cause a chain reaction of damage of cells as they attempt to steal their missing electron from any nearby source. Antioxidants are able to replenish the unpaired electrons thus ending the cycle of damage. However, without sufficient antioxidants to combat the abundance of free radicals, the damaging process continues - and can affect any area of the body, including muscle tissue. Free radicals are caused by many factors including environmental toxins, alcohol, smoking, and physical and emotional stress to name a few.

Active and recovering alcoholics arguably have even more oxidative stress (free radicals) than the average person, and thus would benefit from antioxidant supplementation regardless of the potential benefit in the treatment of myopathy. Specific antioxidants called OPCs are awesome free radical fighters that also are known to help maintain normal muscle and nerve function – OPCs are potentially beneficial not only for myopathies but neuropathies as well; and some research suggests peripheral neuropathy may co-occur with alcoholic myopathy in 72% of cases!).

We also know that alcohol promotes inflammation in the body. Regardless of the type of myopathy, an effective antioxidant can address any inflammatory issues likely present in the recovering alcoholic (and definitely present in the active alcoholic!). Certain OPCs can act as a natural anti-inflammatory agent and are also known for a multitude of other health benefits.  Read more about the amazing benefits and science behind a highly absorbable and powerful OPC supplement ideal for recovering alcoholics.

Calcium and Alcoholic Myopathy Treatment

Research suggests chronic hypocalcemia (deficiency in calcium) may contribute to the increase in muscle damage in alcoholic myopathy. Everyone knows calcium is important in bone health, but it is also crucial in muscle function. Calcium is the most abundant mineral in the body, crucial to many health functions. All muscle fibers use calcium. Alcohol impairs the absorption of calcium!

Some other factors affecting your calcium levels…
Myth: “I drink milk, so I get plenty of calcium”. Fact: the calcium in most dairy products we consume is not bioavailable (we don’t absorb it!). You are better off skipping the pro-inflammatory dairy products, and increasing your green vegetables which have calcium that you will actually absorb.

Smokers – studies have shown that smoking interferes with efficient calcium absorbtion. Soda drinking (regardless if caffeinated or not, diet or regular) depletes calcium. Coffee and caffeine deplete calcium.

Also, those deficient in vitamin D are at risk for calcium deficiency as well because vitamin D is necessary for absorption of calcium… and many myopathy sufferers have been found to be deficient in vitamin D!

There are a lot of poor calcium supplements on the shelves. Many contain the wrong form, wrong amounts, and/or not the correct additional ingredients necessary for calcium absorption (ie vitamin D3 and magnesium) in the proper amounts. Individuals with alcoholism in particular have done damage to their digestive systems, so it is imperative to take the most absorbable form of a high quality calcium supplement.  Get more information on the best calcium supplement we have found (see label).

Vitamin D in Alcoholic Myopathy Treatment

Research has concluded that low vitamin D levels are related to muscle fiber atrophy, and vitamin D deficiency itself may induce myopathy. Low vitamin D levels are frequent in alcoholics. Studies show that vitamin D stimulates growth of muscle fibers. Regardless of whether the vitamin D deficiency caused the myopathy, vitamin D is helpful in recovery from the muscle atrophy. Experts estimate that most of the population is deficient in vitamin D. If in doubt, ask your physician for a blood test to evaluate your 25-hydroxy vitamin D levels; levels should be above 50 ng/ml (125 nmol/L) year-round. Read more about the research, benefits, and FAQ on a high quality vitamin D supplement.

In conclusion, hopefully more will be revealed in the future on this topic of nutritional supplementation in the treatment of alcoholic myopathy sufferers. In the meantime, as individuals seek to integrate a nutritional approach to treatment of alcoholic myopathy, a few important supplements to consider include: Prime™ Ultra Secretagogue, OPC-3, Calcium Complete, and Vitamin D.

Alcoholic Myopathy

What Is Alcoholic Myopathy?

Type 2 muscle atrophy

Myopathy means muscular disease, and generally refers to a disorder in which muscle weakness develops due to some malfunction of the actual muscle fibers. In addition to muscle weakness, symptoms of myopathy may also include muscle cramps or spasm and muscle stiffness. While some recovering alcoholics may have never heard of alcoholic myopathy, it more common than one may think. Some research indicates that about one third of heavy long-term drinkers, aka alcoholics, develop skeletal myopathy.

The history of the myopathy related to alcoholics can be traced back to the 19th century, when there were reports of “alcoholic paralysis” which is believed to be referencing the muscle disease known today as alcoholic myopathy. Most specifically, in the mid 1800's, Magnus Huss wrote Alcoholismus Chronicus in which he reported identifying muscular weakness in patients resulting from alcohol use. Later, in the 1950’s and 1960’s, researchers went on to discover two distinct types of alcoholic myopathy: acute alcoholic myopathy and chronic alcoholic myopathy.

Acute Alcoholic Myopathy

Acute alcoholic myopathy develops suddenly, during an episode of binge drinking or immediately following during withdrawal. Acute alcoholic myopathy is also called “alcoholic rhabdomyolysis”. It can come on rapidly over the course of a few hours and can advance over a few days before receding over the week, given the individual abstains from alcohol. Acute myopathy can present mild to severe symptoms as a result of myonecrosis, the breakdown of muscle tissue.

Symptoms of acute alcoholic myopathy may include muscle pain and swelling in addition to the classic weakness. Often the acute symptoms are reported upon awakening from an alcoholic stupor; they may also accompany withdrawal symptoms and delirium tremens. Tests have revealed that acute alcoholic myopathy affects type I muscle fibers, which can heal rapidly; however type II muscle fibers are involved in chronic alcoholic myopathy.

Typically, full recovery from acute alcoholic myopathy occurs in a matter of days or weeks; however, in extreme cases when kidney failure or hyperkalemia (abnormal potassium level in the blood) occur, the alcoholic may actually die during the episode of acute myopathy. Otherwise, research has shown it takes about 7 to 10 days for the serum creatine kinase levels (reflecting the health of the muscle) to return to normal range.

Chronic Alcoholic Myopathy

In contrast to the acute form, chronic alcoholic myopathy develops much more gradually and lasts far longer. While the acute version may include muscle pain, chronic alcoholic myopathy is usually painless. The absence of pain and gradual onset may explain why it is frequently overlooked and not diagnosed until the symptoms have been present for several years. The recovery time for chronic myopathy is slower and can take many months (again, given the patient abstains from alcohol use).

Chronic alcoholic myopathy is associated with long term alcohol abuse (i.e. years of daily alcoholic drinking). It evolves slowly, over weeks or months as opposed to its acute counterpart which can develop in a matter of hours or days. The main symptom of chronic alcoholic myopathy is muscle weakness and atrophy. It affects proximal muscles, and type 2 muscle fibers. Interestingly, long term corticosteroid use can lead to similar type 2 atrophy as well, a.k.a. “steroid myopathy”.

Other disorders which may co-occur with chronic alcoholic myopathy include peripheral neuropathy. While with myopathy the primary dysfunction exists within the muscle itself, with neuropathy the dysfunction pertains to the nervous system (i.e. nerves or brain). Some research suggests peripheral neuropathy is associated in 72% of cases.

What Causes Alcoholic Myopathy?

Studies have linked the damaging effects of toxic ethanol (drinking alcohol) to alcoholic myopathy. The injurious effects of acetaldehyde as well as ethanol have been directly linked with alcoholic myopathy. Interestingly, acetaldehyde is also a prime suspect in the cause of hangover symptoms.

On a molecular level, the exact mechanism behind how alcohol produces myopathy remains elusive. Various studies and theories have been presented. Impaired IGF-1 signaling, protein deficiency, vitamin and mineral deficiencies, and other factors have been considered. For example, some research results suggested that protein deficiency and ethanol contributed to muscle atrophy in rats given alcohol and those underfed protein had the greatest myopathic effect.

Research suggests that ethanol consumption and malnutrition can lead to alcoholic myopathy, and most likely it is a combination of both working synergistically to produce the myopathy. The long term effect of alcohol abuse itself tends to cause malnutrition, so long term daily drinkers set themselves up to be malnourished, and thus also more vulnerable to the possibility of chronic myopathy.

Treatment for Alcoholic Myopathy

If the root of alcoholic myopathy is ethanol consumption and malnutrition, obviously abstinence from alcohol and proper nutrition are the best place to start. Alcoholic myopathy generally begins to reverse once the individual achieves complete abstinence from alcohol. So if you are a newly recovering alcoholic experiencing chronic myopathy, it is important to know the recovery typically takes many weeks or several months.

As the recovery time frame varies, proactive steps such as nutritional interventions may help to accelerate the recovery process. Physical therapy and acupuncture are sometimes utilized as well to target the effects of chronic myopathy.

Here is a quick response from a neurosurgeon who answered an online inquiry from an individual who asked: is there any treatment for alcoholic myopathy? The MD answered…

“Alcoholic myopathy is a tough condition:
1. stop alcohol
2. correct liver dysfunction
3. get a muscle biopsy to be sure the dx is correct.
4. See a nutritionist
5. Be followed carefully by a darned good neurologist
6. slow rehab with careful attention to enzyme changes.”

There seems to be little information on specific nutritional information to benefit individuals suffering from alcoholic myopathy. After further research, a follow up article is posted with more detailed suggestions for a proactive holistic approach to potentially accelerating recovery from alcoholic myopathy - check out article on "Nutrition in Alcoholic Myopathy Treatment".

PTSD in Sobriety

Connection between PTSD and Alcoholics/Addiction

PTSD (Post-Traumatic Stress Disorder) and alcoholism / addiction often go hand in hand. Self-medicating symptoms of anxiety and depression associated with PTSD can lead to substance abuse. Also, active alcoholics or addicts may be more susceptible to experiencing certain types of trauma based on circumstances and potential risky behavior sometimes associated with addiction. Therefore while people who have endured trauma are more likely to have drinking problems, people with drinking problems are also more likely to have experienced psychological trauma of some kind.

What is PTSD

Post Traumatic Stress Syndrome can develop after exposure to an event that causes psychological trauma. The exposure can involve actually experiencing the event or witnessing the trauma. Symptoms of PTSD may include nightmares or flashbacks, sleep disturbances, avoidance or negative responses to associations with the trauma (i.e. people, places, situations), emotional numbing, anger, hypervigilance, or anxiety. The symptoms must be present for more than a month after the event, otherwise it may be “acute stress disorder” which is short-term. Untreated, the symptoms of PTSD can be experienced for years beyond the initial trauma. Finally, for the official diagnosis of PTSD, the set of symptoms must impair normal life functions i.e. in work or relationships. Note: “unmanageability” comes to mind.
People commonly associate PTSD with individuals who have suffered an obvious major trauma such as with combat veterans and abuse or rape survivors… Indeed, there is a prevalence of PTSD in those populations but it is certainly not limited to those.

ACOA and PTSD

PTSD is not always caused by a single traumatic event; it can be from a series of intense or even more subtle traumatic experiences. Adult Children of Alcoholics (ACOA) are an example of a subgroup that may be particularly likely to have endured traumatic events in childhood leading to PTSD as an adult. Abuse, neglect, or other psychological trauma may be experienced as the result of growing up in an alcoholic environment, in which one or more parents or caregivers were untreated alcoholics / addicts.

Many recovering alcoholics and addicts are also ACOA. Adult Children of Alcoholism in particular should consider ruling out PTSD if suffering any of the symptoms associated with post-traumatic stress. While they may not recall one particularly traumatic event, an ACOA may have experienced a series of less intense but traumatic experiences which can lead to PTSD alike.

Which Came 1st: the PTSD or the Addiction?

It’s sort of a “chicken or the egg” situation. Trauma can lead to unhealthy coping mechanisms in an effort to numb the pain, and thus lead to substance dependence. By the same token, when engaging in behaviors that accompany an addictive lifestyle, an alcoholic or addict is more likely to be in a situation where trauma can occur. Or both may be the case; some alcoholics may experience traumatic events prior to active addiction as well as during their active years. Binge drinkers may even not recall exposure to a traumatic event if it occurred during a blackout!

Dealing with PTSD in Sobriety

Regardless of when the trauma occurred - before or during active addiction - untreated PTSD is sure to affect an individual after starting the process of addiction recovery. As most therapists will tell you, you have a much better chance at healing your psychological traumas if you first put down the alcohol and drugs. Once the initial fog lifts and you are sober, it can be your first time really experiencing the effects of PTSD if you have been self-medicating with booze or drugs for years.

In early sobriety, previously numbed anger or anxiety associated with PTSD may surface. The alcohol and drug use could have masked sleep disturbances otherwise present with PTSD, thus resulting in sleep difficulties or insomnia in recovery (see related article on dealing with insomnia in sobriety). Certainly anger, anxiety and sleep problems can only aggravate the daily struggle to stay sober in early recovery. These symptoms alone do not necessarily equate to PTSD but it is a good idea to consider ruling it out.

“You’re as sick as your secrets.” Intrusive thoughts regarding old memories can surprise the newly recovering alcoholic who may have thought he/she had dealt with the memories or left the past in the past. Consider how many people relapse in anticipation of step 4, or when between step 4 and 5. Imagine uncovering memories of old traumas which trigger heavy emotions… leading to the danger of picking up a drink or drug before sharing it all with a sponsor.

Even when the recovering alcoholic with PTSD makes it through the 5th step with a sponsor, he/she may be disheartened by a lack of relief that may have been anticipated based on the experiences shared by others who successfully complete the 5th step who do not suffer from PTSD and thus may find more relief from the steps alone.

Treatment for PTSD in Sobriety

Clearly if there are concerns of potential PTSD in sobriety, it is crucial to seek treatment. The 12 steps are a great tool that will help support the process of addressing the PTSD, but outside help is recommended for recovering alcoholics/addicts who may suffer from post-traumatic stress. Remember, A.A. literature states: 

“God has abundantly supplied this world with fine doctors, psychologists, and practitioners of various kinds. Do not hesitate to take your health problems to such persons.”

The ideal treatment for any disorder is one which treats the underlying cause of the disorder. Let’s face it: PTSD is not a deficiency of medication… although sometimes people suffering from PTSD can end up on anti-depressants or anti-anxiety drugs from their primary physician or psychiatrist. 

Medication alone is not appropriate treatment for PTSD; the drugs only serve to medicate some of the symptoms in that case. This is why the typical recommendations for treatment of PTSD involve psychotherapy (not psychiatry), typically in the form of a cognitive behavioral therapy.

A particularly effective and clinically supported modality in this field is EMDR (Eye Movement Desensitization and Reprocessing). EMDR has been rated by the APA in the highest category of effectiveness and research support for treating trauma, based on the extensive clinical research performed validating it as a significantly effective treatment modality for PTSD in particular. EMDR can safely accelerate the healthy processing and healing from the traumatic memories underlying PTSD. To learn more about this effective modality, visit the EMDR Institute.

Emotional Freedom Technique (EFT) is another effective method used by therapists as well as coaches and holistic practitioners to help clients deal with the effects of PTSD. Similar to EMDR, EFT utilizes is a mind-body modality but that can be utilized for self-care in addition to guided sessions with certified practitioners. Research on EFT supports it's efficacy in the treatment of PTSD including with combat veterans; and a published review of recent research concluded: 

"According to published reports, systematic reviews of the published evidence, a meta-analysis of seven RCTs, and practitioner consensus, most cases of PTSD are remediated in ten EFT sessions or less. As a safe, efficacious, and easily learned self-help method, EFT should be offered to clients as an initial treatment option immediately after diagnosis." 

Note: the long term emotional stress of PTSD can contribute to physical stress on the body as well – see related article on nutritional support during stress to address the physical aspect.

In summary, when present PTSD is a crucial component to address in sobriety. Whether newly recovering or sober for a number of years, whenever this becomes evident it is necessary to address. You need not suffer silently with PTSD, and the symptoms can put you at risk for relapse. As with alcoholism, there is a solution! Utilize all the tools and outside resources available to effectively deal with PTSD in sobriety, and subscribe to this blog for more health information pertaining to recovering alcoholics and addicts.

PAWS in Sobriety

PAWS is not some cute AA acronym that stands for something like Please Act Wisely Sober; PAWS is actually a diagnostic term for a set of symptoms called Post Acute Withdrawal Syndrome that can occur for a long time after you put down the alcohol or other addictive drugs. Research has suggested that up to 95% of recovering alcoholics and addicts when tested show the presence of brain dysfunction. 

Essentially, that is PAWS – symptoms from a dysfunction in the nervous system after quitting booze and drugs. Not to be confused with Wet Brain Syndrome, PAWS is a temporary condition. Do not panic, this too shall pass! However, you can take positive action to help get through it faster and with more ease!

Symptoms of PAWS

When you first detox off alcohol and/or drugs, acute withdrawal is experienced. After a week or two of continuous abstinence from alcohol and drugs, Post Acute Withdrawal Syndrome may be experienced and can last for 3 months to 2 years into sobriety. For most people, PAWS is regenerative - meaning over time and with proper care the symptoms will diminish and damage can be repaired.

Symptoms of PAWS can include difficulty solving simple problems, reacting either overemotionally or having emotional numbness, sleep disturbances, memory problems, inability to think clearly at times, difficulty managing stress, and sometimes problems with physical coordination may present as well. 

The cognitive symptoms can lead to diminished self-esteem as well. Note, not all of these symptoms may occur and each does not happen constantly but rather periodically. The severity and length of occurrence of PAWS varies individually; it does not look the same for everyone.

What Causes PAWS

Damage to nervous system from the alcohol and/or drugs causes the physiological nature of PAWS, in combination with the other component of PAWS which is the emotional stress of having to deal with life without the old coping mechanism of drugs or alcohol. How much brain dysfunction your addiction has caused + how much psychosocial stress you experience in sobriety = the severity of PAWS. With proper care, it can be reversed.

Taking Action Against PAWS

“… and courage to change the things I can.” This is one of those things you can take positive action to help get through it more rapidly and in a healthier manner. PAWS causes symptoms that are not particularly conducive to your sobriety. In fact, recent research supports the belief that PAWS can contribute to incidents of relapse. 

As part of a relapse prevention strategy, it is important to address the physical aspects of your alcoholism which includes taking proactive steps to treat PAWS. Your first couple years sober are difficult enough without the added challenges of PAWS symptoms like sleep disturbances and trouble thinking clearly.

Education is always a good start (Education leads to proper Action which leads to Results!). Getting a better understanding about PAWS can ease some of the anxiety and confusion, and help prevent self-esteem problems that can result in the absence of such awareness.

Next, find healthy ways to manage your stress. Stress can be caused by PAWS and also stress exacerbates the symptoms of PAWS so stress management is key. Working the 12 steps with a sponsor is not only the best method for relapse prevention in general, but also a great component to stress management. Meditation is highly recommended. Find what works for you, it can be as simple as setting time for deep breathing daily. Specific nutritional recommendations can really give you the edge on managing stress as well.

Last but not least, get educated about ways to improve your physical health most specifically in terms of your nervous system. If you do just one thing physically to support your nervous system, supplement with a high quality B vitamin Complex. Bill Wilson, A.A. founder, was a big proponent of supplementing with B vitamins to support recovery! 

You are not powerless against PAWS. Post Acute Withdrawal Syndrome can be treated by applying the recommended actions listed above, and you can enjoy a long healthier life sober!

Liver Health and Nutrition

Alcohol use affects the health of your liver, as everyone knows.  Both quantity and frequency of alcohol use can have a serious impact on your health, especially the liver - a vital organ.   If you are a recovering alcoholic, perhaps you have wondered how your drinking days have affected your liver.  Whether you were a weekend warrior binge drinker or a daily drinker, your liver had to process your excessive alcohol intake. 

Binge Drinking vs. Daily Drinking Effects on Liver

Obviously, binge drinking is harmful to your liver- in addition to other areas of your body.  Researchers have also investigated the impact of daily drinking on liver health.  A recent study found that long-term daily drinking, rather than weekly binge drinking, is by far the biggest risk factor in serious liver disease. Generally, patients with alcoholic cirrhosis have been drinking heavily for 10 to 20 years.

Alcoholic liver disease is one of the most serious medical consequences of chronic alcohol use.  Chronic alcohol abuse can cause fatty liver, cirrhosis and alcoholic hepatitis.  Alcohol is a leading cause of liver cancer in the western world.  Among heavy drinkers, up to 100% show evidence of fatty liver, an estimated 10-35% develop alcoholic hepatitis, and 10-20% develop cirrhosis.

For those who have been fortunate enough to escape liver disease, chances are you still did some damage during your active alcoholism/addiction. 

Normal Liver Function

First, consider the fact that normal liver function is essential to life. It filters blood, removes and destroys toxic substances; helps digest and absorb fats; and it is involved in many of the metabolic systems of the body. The liver stores vitamins; synthesizes cholesterol; metabolizes or stores sugars; processes fats; and assembles amino acids into various proteins, some for use within the liver and some for export. The liver controls blood fluidity and regulates blood-clotting mechanisms. It also converts the products of protein metabolism into urea for excretion by the kidneys.

How Exactly Does Alcohol Damage the Liver

There are many mechanisms by which alcohol injures the liver.  The most advanced form of alcoholic liver injury is alcoholic cirrhosis.  Before the 1970's, the cause of alcoholic cirrhosis was believed to be nutritional deficiencies from heavy drinking. Overwhelming evidence subsequently proved that alcohol itself is toxic to the liver. It is now believed that nutritional effects and direct alcohol toxicity interact in such complex ways that the influence of the two cannot be separated.  Other Factors include: genetics, free radicals & acetaldehyde, liver metabolism, gender (women may be more susceptible), and environmental factors (i.e. medications, exposure to pollution).

Other Ways we Damage the Liver

In addition to alcohol use, you may have also used other recreational drugs; perhaps you are currently taking over-the-counter or prescription medication, or have been on medications in the past; currently or previously engaged in unhealthy eating habits, or have been obese.  All of these factors further tax the liver and contribute to your need for a liver cleanse and nutritional supplementation.

Vitamin Deficiencies from Liver Damage

Once liver function is compromised, your body's ability to use vitamins is significantly reduced. The liver is no longer able to process, store or utilize many of the water-soluble vitamins such as thiamin, B6 and folate, and your body is no longer able to use fat-soluble vitamins A, D and E.

Remember also that your liver is also crucial in the transportation of minerals throughout your body.  If it is damaged, the minerals can't get out of the liver. This can result in mineral deficiency throughout your body, as well as a potentially toxic buildup of minerals in the liver. 

Help Your Liver Recover

Recovering alcoholics & addicts, you have already detoxed off of alcohol & drugs.  Whether it was days or years ago, you should absolutely give your liver its own detoxification cleanse!  Use this simple 7-day system to cleanse your liver.  This particular system not only cleanses and detoxifies the liver but also cleanses the digestive system and colon at the same time. It is recommended to cleanse first, then follow up with a liver support protocol that will be better absorbed and utilized due to cleansing first.

For a superior daily multivitamin/mineral formula that is easily absorbed, click here. *Note: choose the without iron version unless you know you are anemic.

For ongoing support of normal liver detoxification activity and overall liver health, two great supplements are Curcumin and Hepatocleanse.  Curcumin has multiple health benefits in addition to liver support, including promoting neurological health, cognitive health, and a strong immune system to name a few. Hepatocleanse contains milk thistle and other safe natural herbs that help to detoxify the liver and blood, supports a healthy liver and gallbladder, and helps excrete the toxins that accumulate over time. Use the links provided to read more about the research and benefits of the best supplements that support liver health and may be especially beneficial for active and recovering alcoholics.

You can also lower your chance for liver disease with healthy eating habits.  For liver health and overall health, eat foods that are high in fiber and low glycemic.  To get a complete education for life on how to incorporate the healthiest eating plan, check out this great health guide and journal.   With these simple yet advanced strategies, you can take charge of your liver health and nutrition to continue to truly recover in BODY, as well as mind and spirit.

Omega-3 Depression Help

Can Omega 3 help depression?  

New research on the Mediterranean diet provides further evidence that Omega-3 can indeed help fight depression. 

Oct 8, 2009 the New York Times reported:

Eating a Mediterranean-style diet — packed with fruits, vegetables, legumes, nuts, olive oil and fish — is good for your heart, many studies have found. Now scientists are suggesting the diet may be good for your mental health, too.  A study of over 10,000 Spaniards followed for almost four and half years on average found that those who reported eating a healthy Mediterranean diet at the beginning of the study were about half as likely to develop depression.

Why is Mediterranean Diet is Good

This is not surprising news considering that the Mediterranean-style diet is low in Omega 6 fatty acids (pro-inflammatory) and higher in Omega-3 fatty acids (anti-inflammatory).  Rapidly growing research points to effectiveness of Omega-3 fish oils in the treatment of depression.  Just visit pubmed.com and search “omega 3 depression” to reveal hundreds of clinical studies detailing the effectiveness of Omega 3 fatty acids in the treatment of depression.

The Mediterranean-style diet also tends to be low glycemic. Low glycemic foods do not spike blood sugar and insulin and thus help you stay lean, and provide steady energy and brain focus, and prevent mood swings. Recovering alcoholics and addicts can benefit from a low-glycemic eating plan such as the TLS program. 

Antioxidants are also plentiful in Mediterranean-style diet via the fruits, vegetables, and of course red wine…  Never fear, recovering alcoholics can get far more benefit than wine anyway in a power packed supplement called Resveratrol which has just the concentrated antioxidants without the alcohol!

Help Depression via Omega-3 Supplementation

For those of you who do not eat lots of fish daily, or want to be sure you are getting a beneficial amount of Omega-3, you can supplement with Omega-3 fish oils.  Beware the majority of inferior omegas on the market (you get what you pay for), which tend to contain lower amounts of fish oil in each, and which may contain mercury, lead, PCB and other harmful metals. The highest grade omega 3 are available online.  Enjoy the multitude of benefits from Omega-3 supplementation including help with depression!