Improving quality of life: substance use and aging.

This seventh Substance Use in Canada report explores alcohol and drug use in older adulthood (age 65 and older). Specifically, it:
• Considers the impact of the aging population and increasing problematic substance use among older adults on health outcomes and the Canadian healthcare system;
• Identifies gaps in knowledge about the harms associated with substance use and their impacts on healthy aging; and
• Summarizes the best available evidence on effective ways to prevent, detect, assess and treat problematic substance use in the older adult population.

Can 12-step mutual aid bridge recovery resources deficit?

The profile of abstinence-based recovery has been heightened in recent UK national strategies (1 2 3), with renewed attention falling on one of the best-known and most widely implemented programmes for achieving this goal – 12-step ‘anonymous’ mutual aid fellowships such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). This hot topic keys into what qualities have preserved 12-step as the dominant model, despite its reliance on a ‘higher power’ and abstinence clearly not suited to everyone, what conclusions can be drawn about its effectiveness given the tensions inherent when ‘faith meets science’, and the extent to which confidence in the 12 steps comes from “consistency with established mechanisms of behavior change” as opposed to some of its more distinct components.

The 12 Steps were created by the founders of Alcoholics Anonymous to establish guidelines for the best way to overcome an addiction to alcohol. The program gained enough success in its early years for other addiction support groups to adapt the steps to their own needs.

There are many 12-step programs for various addictions and compulsive behaviors, ranging from Cocaine Anonymous to Debtors Anonymous—all using the same 12 Step methods.

Although the 12 Steps are heavy on spirituality, many nonreligious people have found the program immensely helpful. The language emphasizes the presence of God as each participant understands him, allowing for different interpretations and religious beliefs.


Hands on Peer Education, is a front-line service in Dublin’s north inner city, where those suffering with addiction and their families can get access to much needed support and treatment options. H.O.P.E. facilitates and advocates for recovery through abstinence. We also offer a wide range of advocacy services. H.O.P.E.’s free and confidential drop-in clinic is open from 10am ‘til 1pm, Monday to Friday.

Now That You’re Here

We love to get feedback, it helps us improve our service to the community. If you have a minute, we would greatly appreciate it if you write a few words about our service. Follow the link below to see our reviews on Google. Click ‘write review’ on the right hand side to add your own.

Many thanks from the team in H.O.P.E.

Unlocking the Past is Fundamental to Recovery, by Thomas Beck on Sober Nation

This story first appeared on Sober Nation, Online, August 23rd 2017

Life experience and addiction are intrinsically linked. It’s an unquestionable fact, yet many substance users fail to make the connection before a condition spirals out of control.

The reality is that we learn cycles of behavior and thought early in life through our interactions with people and the environment around us. As these factors continue to influence the way we think and act, it becomes increasingly difficult to see past learned behaviors. And sometimes, life events and experiences can lead to the development of unrealistic and harmful thought patterns of self and society.

For instance, children who witness or experience physical abuse while growing up often develop their own ideas for why it happens. They may feel responsibility or blame themselves for the inappropriate actions of others. While these beliefs are not grounded in reality, they can have a dramatic impact on how children view the world.

Or, consider how some children learn behavior from their parents. If a child watches a parent drink alcohol to manage anger or stress, this behavior may appear as an acceptable coping skill. As such, a child who learns this behavior may repeat it as an adult.

Negative life events, a skewed sense of reality or learned behavior can play a significant role in the development of a substance use disorder. If not identified early or treated properly, a person’s past may continue to haunt them, leading to a desire to escape painful feelings through misuse of drugs or alcohol. Consequently, making the connection between life events and addition is critical to successful recovery.

Life Events and Addiction: The Connection

Suppression, the conscious act of eliminating a thought pattern, is a fundamental contributor to behavior that leads to substance abuse. People who suffer from addiction commonly use drugs or alcohol to aid in suppressing painful memories, traumatic events or feelings of guilt and shame.

Often, suppression becomes a roadblock to addiction recovery. The more we ignore our past, the further we move from reality. Addiction then becomes a disconnect from rational thought processes, which hinder our ability to remember and address life events in a healthy way. Substance users may become increasingly confused, contributing to feelings of anger, shame and guilt, and ultimately creating a vicious addiction cycle.

Effective recovery from addiction requires a baseline understanding of life experience to keep this cycle from exacerbating. For this reason, we ask patients to write out their life story as a first step to recovery. Once a patient understands his or her past, he or she can break down life experiences, compartmentalize them and begin processing events that have influenced thought patterns.

Every life story is different, and triggers of substance abuse come in many forms. Without this baseline understanding, treatment is less effective in holistically treating the individual and helping them develop healthier thought patterns and behaviors.

Identifying, Letting Go and Creating New Patterns

Many substance users who have suppressed thoughts over time find it difficult to remember the past. In these cases, it helps to write a timeline of 10 to 15 events that led them to where they are today. Often, this exercise brings more memories to the surface and allows you to fill in the gaps of your life story. Then, you can better break down and simplify overwhelming amounts of past knowledge.

For instance, grief and loss is often a trigger of substance use, yet many people fail to make the connection. If you write out a timeline of events, you can see where an addiction formed or got out of control, and subsequently identify its association to a grief and loss event. Once identified, you can work with a counselor to better address the underlying trigger of addiction, process the painful event and establish a way forward.

The best setting for writing out a life story varies. Some patients feel overwhelmed by a group setting at first and are best suited to start the process of identifying the past through individual counseling. Others may be more apt to progress quickly in a group setting. Ultimately, all patients can benefit from life story groups, as this framework helps substance users learn from each other, gain confidence and grasp that they are not alone in their struggles.

The process of identifying life events and letting go of destructive thought patterns takes time, but it is the first step to healing. Once we begin verbalizing our pain and learning from past experiences, we can then begin letting go of painful memories and thoughts we want to suppress. It is at this stage that new patterns of behavior are possible.

Every life story is categorically unique; our individual experiences shape our existence and are incomparable to others. The journey to recovery begins with our life story. By looking back, we can understand the triggers of addiction, address guilt and shame and ultimately, create a new way of thinking.

This story first appeared on Sober Nation, Online, August 23rd 2017


Hands on Peer Education, a.k.a. H.O.P.E., is a front-line service in Dublin’s north inner city, where those suffering with addiction and their families can get access to much needed support and treatment options. H.O.P.E. facilitates and advocates for recovery through abstinence. We also offer a wide range of advocacy services. H.O.P.E.’s free and confidential drop-in clinic is open from 10am ‘til 1pm, Monday to Friday.

Now That You’re Here

We love to get feedback, it helps us improve our service to the community. If you have a minute, we would greatly appreciate it if you write a few words about our service. Follow the link below to see our reviews on Google. Click ‘write review’ on the right hand side to add your own.

Many thanks from the team in H.O.P.E.

The Habits of Long Term Sobriety by Kelly Fitzgerald on

This story first appeared on the Recovery Village, Online, 17th June 2016 

Getting through addiction treatment may be one of the hardest things you ever do.

It’s like learning how to do life all over again, but this time, you get an instruction manual. Once you graduate from rehab it will be up to you to take what you’ve learned and make it work in the real world.

It can be done, but there are daily recovery behaviors you should practice that will help lead you to long-term sobriety. Incorporate these things into your daily practice and you’ll be on your way to avoiding relapse and living a successful life in sobriety.

1. Honesty

To be sober, you have to be rigorously honest with yourself and others. Chances are if you’ve been through rehab already, you’ve heard this phrase before.

When I went through the 12 steps the first time and heard that I had to be completely honest, my first thought was, “oh crap.” Being honest about everything wasn’t my forte, but it became a way of life in sobriety. It’s almost like being sober and being honest go hand-in-hand. When you embark on your new life after addiction treatment, it’s imperative you keep being honest.

Honesty will help keep you sober.

2. Attending support groups

Whether it’s the 12 step, SMART recovery, Refuge Recovery, Women for Sobriety, or any other of the countless addiction support groups that are available, I recommend you find one as soon as you leave rehab. This will keep you accountable to your sobriety and offer you a support group in your area where you live.

There’s nothing that supports long-term sobriety better than a sober support system. You’ll be able to meet others who have been through similar situations you have and are also recovering from addiction. If have a problem or struggle in the future, these are groups of people you can turn to.

3. Meditation

I’ll be honest, I never meditated in my life before getting sober. It wasn’t something I ever thought about or would consider because I didn’t think it worked. When I sober and learned about what meditation is and that it never has to be done perfectly, like many of us think, I gave it a shot.

It’s amazing the calmness and peace that comes through a short meditation. All you have to do is quiet the mind and everything becomes much more manageable. Lived meditation is just being in the moment and not wishing you were somewhere else or someone else.

These are key aspects to successfully living in long-term sobriety; using your coping mechanisms at the right time and asking for guidance through meditation.

4. Exercise

Another seemingly simple behavior that is imperative to long-term sobriety is exercise. Exercise was always a part of my life, but it was something I had to do, not something I wanted to do.

When I got sober exercise took on a whole new role.

It gives me natural endorphins that make me feel good. It’s also a healthy outlet for my emotions. It keeps me sane. It also helps keep me on a schedule. You’ll be more likely to succeed in sobriety if exercise is part of your recovery plan.

5. Giving back

You might hear this in 12 step meetings, “you have to give it away to keep it.” This means sobriety, and what you’ve learned, should be given back.

Helping others has been an integral part of my recovery.

When I am of service to others – whether it’s my blog readers, other 12 step group members, or chairing a meeting at a rehab, I always find ways to give back. This 100 percent helps keep me sober. It allows me to come in contact with others who need help or might benefit from hearing my story. It reminds me where I came from and where I’m going.

I find that being of service has been one component of my successful sobriety and I believe it will stay that way for years to come.

These daily recovery behaviors will help you stay on the path to lifelong sobriety. A successful recovery program is made up of many different elements and it looks different for everyone. Find what works for you and put your recovery plan into action.

This story first appeared on the Recovery Village, Online, 17th June 2016 

Recovery 2.0

Recovery 2.0 is a global movement that embraces a holistic approach to recovery from addiction of all kinds. The community honors all effective paths to recovery and emphasizes the importance of mind-body practices such as yoga and meditation, athletics, nutrition and community as part of an effective path to recovery and joy in life.

Recovery 2.0 offers two free-to-attend online conferences each year, which are attended by tens of thousands of people and are likened to attending a University of the Recovery Arts.

Click here to automatically sign up for the Free Recovery 2.0 Online Conference now

This year’s official lineup:

Wednesday, September 14th

Joe Polish – Discourse on Connection, Authentic Power and Success

Seane Corn –  Finding and Walking your Unique Path

Therese Jacobs Stewart – A Kinder Voice: Mindfulness and The 12 Steps

Dr. Gabor Maté – The Return to Truth: Surviving a Toxic Culture

David Wagner –  Mars and Venus Revisited: New Roles and Rules for Men and Women

Thursday, September 15th

Holly Whitaker – Hip Sobriety: Breaking the Stigma of a Life in Recovery

Rob Weiss – Dying for Connection: Sex, Love and Porn Addiction

Jamison Monroe – My Kid is in Trouble: Addiction and Recovery Primer For Parents

Meadow Devor – True Wealth: Financial Sobriety and Abundance

Herb Kaighan – The 12 Steps and Spiritual Awakening

Friday, September 16th

Nikki Myers – The Root of Our Problem

William Moyers – Spotlight on Addiction and Recovery in the US in 2016

Linda Fischer – Perfectly Imperfect: Finding Acceptance, Love and Compassion

Guru Singh – Buried Treasure: The Journey From Where You Are to Who You Are

Dr. Peter Przekop – The Connection Between Chronic Pain and Addiction

Saturday, September 17th

Guruprem – The Yogi and The Porsche

Rolf Gates – Best Practices to Find and Sustain Recovery

Anna David – Staying on the Path: Suiting Up, Showing Up and Letting Go

Ahmed Eid – An Addiction Counselor’s Perspective on Recovery Today

Jeremy Brook – What the spine can tell us about Recovery

Sunday, September 18th

Anand Mehrotra – Eastern Wisdom for Healing the Addictive Mind

Debra Silverman – The Missing Element

Ramdesh Kaur – The Body Temple: Healing Body Image and Eating Disorders

Durga Leela – Ayurveda and The Yoga of Recovery

Greg Williams – Generation Found: Young People in Recovery

Click here to automatically sign up for the Free Recovery 2.0 Online Conference

SOBERNATION 6 Natural Highs That Give You A Healthy Buzz

I won’t lie, I loved getting high.

During the height of my addiction my number one goal was to stay lit around the clock. However, years of addiction took their toll–and like Icarus with his waxed wings I fell to earth. While drug treatment was able to restore my body and mind I was doubtful that I could find natural ways to cop the buzz I felt with drugs and alcohol. Fortunately, I learned there were many natural highs I could incorporate into my daily routine that could keep me feeling fine without regret.

A New Way of Thinking

Believe me, finding new ways to get the high I desired without the aid of chemicals seemed far-fetched. For many years I was accustomed to getting euphoria from drugs and alcohol. Once I made the commitment to getting clean and sober the concept of the natural high was akin to diet soda. While I knew I couldn’t go back to using substances, I just didn’t think it was possible to feel good about life without those familiar crutches.

As my sobriety grew, I listened to my counselors and my recovering peers and I learned ways to dip into the brain’s natural pharmacy and get the buzz I desired without the hangovers and the guilt.

The following are six natural highs that have helped me keep smiling on the inside.

The Best Natural Highs


The most common way to achieve a natural high in recovery is through good ol’ exercise. The benefits of exercise in recovery are enormous. First and foremost, exercise releases endorphins which is your brain’s “feel good chemical.” Exercise helps create a euphoric relaxation response which helps you hit the reset button in your brain. Not only will you look good and feel great, you can bring a friend along for added fun and motivation. Additionally, it is easy to create you own personalized exercise regimen that best fits your personality. Whether it is the extreme rush of Crossfit, banging plates at the gym, biking, or just taking a leisurely stroll around the neighborhood–there is a physical activity that you can find and enjoy.

Step Up Your Diet Game

When finding ways to feel awesome in recovery, the role of one’s diet cannot be overlooked. Creating a well-balanced diet is absolutely essential in maintaining one’s physical and psychological health. When I think about my recovery diet, I need to remember to include plenty of fruits and vegetables, as well as plenty of protein. I also have made it a point to significantly reduce or eliminate processed food, sugars and caffeine from my diet. Additionally, I also try to eat several smaller meals spaced throughout the day.

Get to Know Mother Nature

Perhaps there is no natural high as powerful as the one provided by nature. When I hike a forest trail, traverse alongside a raging river or stand on top of a mountain, the majesty and scope of Mother Nature often takes my breath away.  Nature is everywhere you turn, and it is easy to take a few moments to soak in its grandeur. Ponder the glory of a sunrise or sunset. Feel the power of a summer breeze. Take in the sights and sounds of a beach on a June afternoon. The euphoria of nature is waiting for everyone.

Immerse Yourself in the Arts

Another excellent way I have found to lose myself in bliss is to engage in the creative arts. I love to bang on a bass guitar, write poetry or in my daily journal, and I also have been known to sketch out some mad doodles. I find that immersing myself in creative pursuits takes my thoughts and feelings to places that I wouldn’t have thought to explore. If you don’t think of yourself as the creative type, there are still plenty of ways to immerse yourself in the natural high of the arts. It can be as simple as creating a playlist of your favorite jams or attending an outdoor music festival. You can also feel the natural high of art by going to a great movie, reading an enthralling novel or even attending a gallery exhibit.

Be Grateful

In order to feel the natural buzz of euphoria, our mindset must be positive. In my opinion, practicing gratitude is one of the best natural highs I can experience. Gratitude in recovery is one of the most powerful natural highs because of the expression of thankfulness and appreciation for what sobriety gives me on a daily basis. Even if I am experiencing difficulty, having a sense of gratitude allows me to change the negatives to positives–and I can learn to grow from those obstacles. You may be surprised on how good you truly feel when you say thank you.

Stay In The Here and Now

Do you want to know the secret to getting and staying naturally high? It’s simple really–keep you mind in the present and focus on the here and now. If you think about it, our daily lives throw many curves at us, and we often get pulled in a million different directions. When you are able to stop yourself, wade through the static of distractions and look at this moment right now–the world stops. You see things for what they are and you see people for what they are. Take time to devote your undivided attention to yourself and those you love. When you feel the love come back to you, that is the best high ever.

Follow Your Own Path

This list of ways to get your natural buzz on is by no means an exhaustive list. Take the time and explore what makes you truly happy on the inside. Don’t be afraid to try new things and explore those avenues which are healthy and positive. The way that you will truly grow in recovery is to step outside your comfort zone. Go out there and truly find those natural highs that will keep you healthy.

[SOBER NATION 15 07 16]

A New HOPE for the community.

Last night the Taoiseach, Enda Kenny and the Minister for Public Expenditure, Pascal Donohoe, paid a visit to the HOPE project.

A new hope.

It was a very positive meeting and Enda & Pascal showed great interest in the community.

Enda and Pascal were very interested in the process of recovery. There was even talk of new recovery initiatives. We’re very excited.


All the boys were very excited to see our Enda.

It was a very exciting meeting. We feel very positive and are very excited for the community. We at HOPE would like to say a big thanks to Minister Donohoe and an Taoisigh for coming down to the project and talking


Did you know that the brain can heal itself?

Not only can the brain heal itself, it can do a pretty good job at it too! That is of course once it is provided with the right materials and time to heal. Dr. Constance Scharff in Psychology Today highlights how it was once considered a fact, that the once the brain was damaged, it could not be repaired. However, breakthroughs in neuroscientific research have proven that this is in fact, not true.

Though individual neurons might be damaged beyond repair, the brain attempts to heal itself when damaged by making new connections or new neural pathways as work-arounds for the damage. This is called neuroplasticity,  neuro (brain/nerve/neuron) and plasticity (moldability).

Based on the latest neuroscientific research Dr. Scharff argues that abstinence is the best choice for recovery because the old neuropathways, the old links between addiction and pleasure are still there… It doesn’t take much to jump start the old habit.

The brain gets trained to do a particular behavior – use drugs or alcohol or gambling – eventually to the exclusion of all else.  BUT, in treatment, we can retrain the brain, that is develop a new pathway that supports recovery. With intensive[…] interventions, we strengthen the new “recovery” loop within the brain. The brain then learns to enjoy recovery, those things that give us pleasure in our sober lives – family, work, interpersonal interactions. We retrain the brain and thus change our lives.

Alta Mira has produced a very informative infographic detailing neuroplasticity in terms of addiction and recovery.

Rewiring the Brain Infographic
Rewiring the Brain Infographic