“[T]he realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination and other social inequalities affect both people’s vulnerability to and capacity for effectively dealing with drug-related harm.” (emphasis added) — Principles of Harm Reduction Addiction is defined as physical and/or psychological dependence on a substance or behavior. Physical dependence leads to tolerance, where more of a substance… Read More
Survival Tools
Gain Awareness of Dissociation
Like denial, dissociation protects us from overwhelming input. Where denial distances us from a thought or feeling, dissociation distances us from our own felt experience and body. Dissociation can be short-term, such as listening to headphones and spacing out during a dental appointment, or long-term, such as feeling floaty and disjointed for months after a… Read More
Behind the Curtain of Obsessive Thoughts
Whether we’re struggling with our bodies, our relationships, our addictions, or some other intractable problem, many of us find our thoughts covering the same painful ground again and again. We’re not gaining new insights, and we can’t seem to stop the cycle. The thoughts themselves become a topic of worry and self-judgment. Peeking behind the… Read More
Tell a Story about Denial
Denial, the refusal to acknowledge a painful fact, thought, or feeling, has a bad reputation these days. Being “in denial” is thought to be contrary, regressive, and the opposite of healing. We are urged to confront the truth, lose our illusions, and stop running away, all in the name of getting healthier. Denial is protective… Read More
Calm Your Inner Critic
Have you noticed an ongoing commentary in the back of your mind that points out every mistake, omission, and fault you’ve made or might make? Most of us have it, commonly labeled the Inner Critic. You may have already noticed that arguing with your Inner Critic only leads to louder criticism, possibly about how self-critical… Read More
The Gift of Resistance
Resistance is often seen as a problem, or even a character flaw. Instead, it can be seen as a gift of information from our deeper selves. Changing the focus At the beginning of a session, a client courageously announced, “I didn’t want to come today.” When I invited him to explore his feeling further, he… Read More