West Glamorgan Council on Alcohol and Drug Abuse Ltd

  
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ALISON'S STORY

For as long as Alison can remember, alcohol was part of her family life and ever present in the family home. She recalls camping trips during her childhood where her parents would spend time in the pubs allowing Alison a glass of shandy. However, it wasn't until Alison was fifteen that she began drinking with her friends; this coincided with Alison starting work.

Over her teenage years, Alison describes her drinking as "proper sort of teenage drinking". Being small for her age, Alison was unable to get served in pubs. However, by the time she was 18, Alison and her friends would frequently go to pubs. She remembers making sure that she had one drink more than everybody else, especially at closing time.

Alison also enjoyed smoking the occasional joint [cannabis].

"I've had a puff here and there. Nothing else. Again I count myself lucky that I'm as old as I am and I don't mean that in a patronising way. But when I was a teenager, drugs weren't that readily available. Quite possibly if I'd been ten years younger… I don't know. Who knows?"

During this time, Alison met a guy and began a relationship. This relationship lasted three years and the break-up caused problems.

"… the alcoholism really took hold then. Oh, it was the end of the world, you know?… all I had to do was drink. I'd given up work at the time because he could afford to keep me. So I mean, I had nothing else to do."

Her drinking escalated to roughly two or three bottles of wine a day.

"It was just drinking to oblivion. It was good, we [Alison and her friends] were having fun… when I went home I could just go straight to sleep and not think about the 'poor me's'."

Alison continued to drink this way for a year until she "cleaned up" her act and got back into work.

"… just going out on weekends with the girls, normal sociable drinking… that carried on for a while…"

As Alison and her friends were going out drinking on the weekend (and possibly one night during the week), she did not feel that alcohol was affecting her life. However in hindsight, Alison feels that she was constantly "preoccupied" - waiting for the weekend so that she could go out and get drunk.

"It [alcohol] gives confidence, which had been knocked when the relationship broke up."

When Alison was twenty-nine, she began dating Steve.

"… then it started, the drinking every day, in the evenings… we'd go to the pub straight from work and then we'd go home about nine, ten o'clock in the evening."

When Alison's father fell ill, she gave up work to help her mother look after him. Her mother was an alcoholic.

"… so there was the added bonus then of being able to drink with her. You know, 'There's nothing wrong with me. I'm just keeping her company.'… Not so much waking up and wanting a drink first thing in the morning, but I was going round to my mum's about lunchtime. We'd have a drink, 'She deserved it having to look after my father and I was keeping her company' - my excuse."

When her father died, Alison and her mother hit the drink hard. Within eighteen months of her father dying, Alison's mother also passed away. Again, Alison's drinking escalated.

"… I was completely off my rocker all the time…"

Alison cannot remember exactly how much she was drinking at this time. She would drink cans of cider and lager. She also made sure she had half a bottle of whiskey a day.

Although Alison has a sister, she was not available to Alison at this trying time.

"She's the type of person, she'd wash her hands - she didn't want to know… and, I suppose I was abusive as well towards her… There was a lot of jealousy at the time surrounding my sister because she had a good marriage, lovely house, beautiful kids, good job. There was a lot of jealousy there, but there was also a lot of resentment there. Because I was in the 'poor me's'. I was the one looking after my parents… she could just turn up at the funeral looking gorgeous..."

Alison continued drinking chaotically until she was thirty-seven years old when she gave birth to a boy, James, which prompted her to look at her drinking.

"I cleaned up my act for about three years… drinking every day but only very moderately. I'd just have a couple of cans in the evening when he [James] was in bed but I still had to have those couple of cans…"

Alison's partner also continued to drink.

"… he was lucky. He could drink - he wasn't alcoholic. He could go out four times a week and drink a lot but it never affected him… He could lay off it for weeks…"

When James started nursery, Alison would meet her friends in the afternoon and go to the pub.

"… we'd go for a drink while the babies were in nursery. And like any other alcoholic, you mix with alcoholics or people that drink like you did."

She continued to drink in the evenings as well. Once again her drinking escalated. Social Services became involved and James, aged seven, was taken into care.

Alison tried detoxing three times in Cefn Coed hospital [local psychiatric hospital]. She also tried numerous home detoxes. However, Alison had no intention of staying off the alcohol.

"… just to give my body a break and go back out there… No intention to stay off it… I didn't think I had to… you know, let my liver recover and be nice to Social Services and they'll give me James back."

Alison was sober for six months when Social Services gave James back to her.

"… but that's all I'd done, I'd cleaned up… I hadn't changed any of my thinking or anything like that at the time… I hadn't learnt anything in the detox …"

Alison was attending a harm-reduction agency, where she was encouraged to control her drinking at this time.

"Oh, it was giving me license to drink, wasn't it? You know, as long as I show up on time… it was good."

At this point, Alison didn't consciously acknowledge that that her drinking was different to anybody else's.

"We all drink, everybody drinks. But I suppose in the back of my mind I knew, but you don't want to admit it."

James was home six months when Steve had a stroke in the middle of the night. Steve was diagnosed with brain cancer and given five weeks to live.

"Oh, if anything could give me a license to drink, that did… It was a wonderful license to drink, it really was."

Alison visited Steve in hospital every day while under the influence of alcohol. She would justify her drinking to herself.

"I'd have about two cans in the morning for breakfast to give me the strength to go up there because I didn't know what I was going to face. Even though I'd phoned the hospital to make sure he was still alive, he could be dead by the time that I got there. So I needed the courage… I'd always take a couple of cans with me. Stash them in the hospital, in the toilets or something."

Steve was in hospital for four months before Alison was allowed to take him home. At this point, she was drinking cider as lager was no longer giving her "a quick enough kick".

"… then it was back and forth everyday for chemotherapy… So the more the pressure was on, the more I was drinking. Not thinking about how it must be for Steve… wanting to have him at home, 'I could look after him… No one else can look after him like I can do it,' you know? And how selfish I was…"

Again, Social Services became concerned about James's welfare. Eventually, James was taken off Alison. Friends of Steve and Alison's volunteered to foster him. Alison was allowed supervised contact with James, once a week.

"They were talking about adoption. It was that bad, and in my way of thinking he'd be better off with them. They had more money than I did. They could look after him better. They had transport. They went on holidays abroad. They had a private house. I was in a council house. Better way of life for James, you know?"

Inevitably, Steve had to go into a nursing home.

"… that was it then… the anger came out. The drinking more. All sorts of excuses, very much the 'poor me's, poor me's' all the time. But needing the alcohol to get me through, to face things, to give me the strength to get up in the mornings."

When Steve died, Alison weighed just six-stone. With Steve gone and James in care, she felt as if her life had 'collapsed' and began to question, 'What have I got to live for?'

Steve's funeral was on a Friday and Alison went into Cefn Coed hospital on the following Monday to detox. Her detox lasted ten days. However, once again she turned to alcohol.

"It [alcohol] just blotted everything. It made me function, or so I thought."

When Alison relapsed, she "didn't feel anything."

"I didn't feel guilty… To be honest, you know, I needed that drink."

For Alison "a detox was just a detox".

"I didn't know anything about attempting to stay sober. I made no attempt to stay sober. I just thought, 'Well this is my life. This is it. This is the way my life's going to go - sober up for a couple of months and then…

When I picked up [alcohol] again after detoxes, I didn't dream that it would take me back there. I thought I could drink normally after a detox, like everybody else drunk normally. I didn't realise that I couldn't drink normally. I did on occasions think, 'Oh God here I go again' but not for long because it [alcohol] took hold of me and you don't think of those things then."

Alison did try other ways of controlling her drinking.

"I tried in the house on my own, controlled drinking. But as an alcoholic you can never control your drinking, it always creeps back up on you."

She also tried changing her drinks.

"If I have a bottle of Sherry - get drunk quicker. But because it was so strong I'd only need a little bit… One small glass of sherry would do the job of two large cans. You know, so the bottle would last longer - ha ha!"

She also tried to rationalise that she couldn't be an alcoholic because she drank whiskey and Martini, not only cheap lagers and ciders.

"… and I don't drink neat, you know? That was another thing. If I put a little ale or something in whiskey, you know not so bad."

"I would drink Martini or Bacardi with coke in a long glass, I wasn't drinking as much [pause]. There's all sorts of rationalisations and, 'Oh, I'll just have one now and that'll be it until tea time'. And then teatime started getting earlier… changing routines as well, it seems as if there's logic…"

Alison felt there were "always excuses" for drinking.

"… the sun's shining, 'Oh, a nice cool Bacardi and coke then!'"

She was grateful for the "marvellous" invention of Coca Cola!

"… coz you could hide so much in it. Go out and sit in the garden and talk to my neighbours with a glass of coke. Plenty of lemon in it so it would disguise the smell. That was another favourite reason for changing drinks - disguising the smell. Of course everybody says vodka doesn't smell. [laughs] It's not the vodka that smells, it's the after-effects in your mouth."

Alison was prescribed valium. However, she was not taking them as prescribed by her doctor. She would ensure that she had one in the morning, if she did not have any alcohol, to prevent alcohol withdrawal.

During the six months after Steve died, WGCADA (West Glamorgan Council on Alcohol and Drug Abuse), a voluntary sector treatment agency, became involved with Alison. Although she cannot remember exactly when, Alison knows she was forty-six at the time. She thinks that it is highly likely that the initial contact was made via the detox ward at the local psychiatric hospital.

"… more than likely Dave [Community Support Worker] came up there, like I see him do to so many other people now… he's got some invisible perception and he seems to think, 'Right that one will make it. It's worth saving that one'. And he just got hold of me and never let me go, you know? He just seemed to think I was worth going that extra mile for…"

WGCADA provides outpatient treatment for people with alcohol and drug misuse problems. WGCADA's 12-Step approach is based on the Minnesota Model of addiction, with additional emphasis on Glasser's concept of "Reality Therapy." Addiction is viewed as a medical disease, which can be treated with one-to-one counselling, family therapy, group therapy and involvement in 12-Step self-help groups such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).

Alison described herself as "a poor helpless little waif with nothing going for her" at the peak of her drinking.

"I didn't care, I couldn't be bothered. I was dirty. I didn't bother washing. Didn't bother eating. I was the person no one wanted to talk to. Even my drinking friends, the majority of them had deserted me. I was an embarrassment. I was very, very lonely. Very lonely."

Alison would spend most of her time on her own.

"I suppose I've always been a bit of a loner. I've always had friends but never a specific girl friend then. It's always been crowds, five or six of us. But I used to spend a lot of time on my own… I didn't have any girl friends at the time. I hadn't worked for years, so I had no work mates that I was friendly with. The ones I had been friendly with had all moved on…"

She did spend time drinking with Steve's friends.

"I knew I'd get a drink off them because of what I'd been through, you know, because I was Steve's missus… so they weren't friends. And I suppose a lot of them were out for what they could get. But touch wood, I was never promiscuous. So I've got that to be thankful for… they did put me in taxis and send me home. They didn't leave me on the streets. So I was very, very lucky there. But for the grace of God, probably if I'd carried on… I realise now that there were plenty of yobs out there, you know, things that could've happened but they didn't happen and I'm grateful for that."

WGCADA arranged for Alison to go to Broadway Lodge. Broadway Lodge is a non-profit making organisation and registered charity, which operates treatment and counselling services for alcohol, drug dependency, eating disorders and co-dependency. In addition they offer individually tailored detoxification programmes. They also advocate the Minnesota philosophy of addiction.

At this point, even though Alison was aware that she had a problem with alcohol, she looked upon her impending time at the Broadway Lodge as "a holiday"

"… going into the Lodge, I knew I was going in for a while - 'It's a holiday innit?' [laughs] 'It's a break, I deserve it!' … I remember thinking, 'It'll be nice to get away. I could do with a break'."

Although she knew she was going into Broadway Lodge, her drinking remained the same. She did not have much money and therefore had to sell some of her possessions. She also began to sell or swap her prescribed valium so that she could obtain alcohol.

"… it wasn't taking me much to get drunk or to get to where I wanted to be… so I probably wasn't drinking that much in the end coz I didn't need it. You know, there was so much in my system, it was just… topping up all the time."

Towards the end of her drinking, Alison would drink approximately six cans of lager or cider a day.

"I couldn't take anymore. I was just passing out or blacking out. But, you know, still had to have all those cans just to give me the strength…"

The six months between Steve dying and Alison going into Broadway Lodge are completely vague to her.

"I've been told that I blacked out in the village. I blacked out in the park. I've been told all these things but I don't remember them. I can remember moving [house]. I can remember helping out for this place [WGCADA] in Oystermouth Castle when they had a function on down there. But to be honest with you, I don't know if I can remember it or that I've been told so much about it that I think I remember."

"I've been told I came up to outpatient's treatment but they had to take me home or send me home coz I was so off it."

Alison spent twenty-one weeks in Broadway Lodge. The Lodge is a 39-bed residential centre providing Primary Care, with an additional 25 places in adjacent houses for those needing Secondary Care.

Alison detoxed before going in to Primary.

"You start Primary while you're detoxing. They don't mess about!… You're up seven o'clock in the morning. You're down for your meals and everything is done by the bell. Very regimented. It's like being in boot camp with the bonuses of detoxing. You're not allowed to isolate. You're not allowed to be on your own."

Primary Care lasts for eight weeks and during this time it aims to help patients face the reality of their addiction; change the behaviour associated with it and achieves the foundations for recovery.

"Basically, I was just gonna do the eight weeks in Primary and that was it. I was going home then. I was gonna have my son back. Done my treatment, done my time… But after about three or four weeks something clicked… and if the chance to go to Secondary was there I would take it."

The Primary Care treatment programme is holistic in nature, incorporating audio and video presentations, lectures, stress management, relaxation sessions and aerobics, alongside counselling, group work and medical support. A further and very valuable aspect of treatment is the importance given to the patient community themselves as a resource for helping each other.

During Primary Care, patients work through the first five steps of Alcoholics Anonymous and five treatment phases:

  1. Denial - confronting denial in order to help recognise and accept addiction;

  2. Hope - recognising an ability to change and the 12 Steps as the vehicle for change;

  3. Trust - commitment to change;

  4. Review - reflecting on past behaviour and acknowledging an ability to lead a life of abstinence;

  5. Maintenance - regular and committed involvement with the 12 Step Fellowship programme.

    "… you work it 24/7… so you live, eat and breathe the Steps. And as I said about half way through realising, 'Right, if I'm going to do this recovery, I'm going to do it properly.'"

Towards the latter part of treatment, patients are encouraged to explore their continuing needs beyond Primary Care and the options available to them. Secondary Care treatment programmes provide continued help and support for recovery, as well as a safe and supportive environment where longer-term recovery strategies and rehabilitation planning can be considered and implemented. The continued goal of treatment is that of abstinence.

The Secondary Care programme is residential and usually lasts for 13 weeks. It is designed to provide the necessary stepping-stone between the completion of a Primary Care programme and returning to the wider community. The programme combines group therapy, one-to-one counselling and personal assignment work. Secondary Care is a therapeutic community which also involves all residents taking part in the active running of the houses and household activities - shopping, cooking, budgeting and household management. Residents are also encouraged to become involved with voluntary work within the local community.

"… Secondary gives the opportunity to live in the real world while still cocooned. You still have your fall back if anything goes wrong."

"It's like Primary, you're living in a goldfish bowl. You're all wrapped up in cotton wool. There's staff on hand twenty-four hours a day. Secondary is like being in the swimming pool… You're living in normal houses and you do everything yourself - cook, clean, wash, iron. The staff are in office hours. You've got the nurses next door in the Lodge so if anything happens in the nights there's staff there. And then coming home is like being in the ocean. That was the way you looked at it."

When Alison left Broadway Lodge, WGCADA and Social Services continued to support her. She also attended Alcoholics Anonymous [AA] meetings.

"… ninety meetings in ninety days… coz I didn't have James at home, obviously I could do what I liked when I got home and it was scary. It was really scary…"

Alison also had some family support

"I was very lucky. One of my cousins who has always been on the periphery would call in two or three times a week… if I wanted to go up there on the weekend, I could go up with her on weekends. So I wasn't on my own."

Three months after Alison came home from Broadway Lodge, James was coming home more often. As she began to stand on her "own two feet more", she cut down on the time she was spending at the Centre (to twice a week) and at AA meetings (to three times a week). At the Centre, Alison engaged in the diversionary activities, i.e. computer classes, cookery and gardening.

Alison views recovery as an ongoing process. Aftercare is an integral part of the Broadway Lodge's programme. It is seen as a bridge between completion of a treatment programme and settling back into home life. Client's return to Broadway Lodge for aftercare once a month. The aims of Aftercare include:

  • safety at a time of vulnerability;

  • guidance and affirmation to you as you take the first steps in re-establishing a chemical free life;

  • an opportunity to talk through any problems that may arise;

  • discussion and help with decision making and problem solving;

  • a reminder of the reality of addiction - an opportunity for more learning through lectures, groups and 1:1 counselling;

  • further insight to self and how to fulfil your potential;

  • continued support with Relapse Prevention Strategies.

Initially Alison tried aftercare at WGCADA. However, this did not work out for her and she decided to return to Broadway Lodge to receive her aftercare.

"… because of the nature of the treatment and the people that were in aftercare in Broadway, they were people that I'd gone through group with, knew everything about me, like I knew everything about them… So to me, I was getting more out of aftercare in Broadway. So after about three here [at WGCADA] I didn't come anymore. But that was my choice because I didn't know anyone in the groups. I had no one I could identify with… Whereas people in Broadway Lodge knew where I was coming… So that's the only reason I stopped coming to aftercare here. But I had all the other support that if I needed counselling it was here for me, still is if I want it."

Even though Alison went into residential rehab, she is very grateful to WGCADA.

"… fair play to WGCADA they really worked hard with me. But some of us need to be locked up, for want of a better expression… I didn't feel I had enough going for me and… I was home and what the eye couldn't see… you know, I'd be drinking at home and I'd be coming in here [WGCADA] and lying through my teeth. So I needed Broadway Lodge… they call it 'The House of Miracles' and it is…"

Alison's main reasons for remaining abstinent are herself and her son.

"I couldn't put my son through what he's been through another time. And I certainly don't want to go back there. I feel I've got a lot to give back now. And not just in recovery but I can help other addicts who have had problems with Social Services… been there, been at the worst end of the stick with them - arguing and bargaining."

James spent approximately three years (on-and-off) in care.

"… there's plenty of reasons for staying sober these days. Millions of them. Basically myself, I am worth it and I'm worth it for my son. But gotta remember that it's me who's got to stay sober before my son. So unless I stay sober I'm going to be no good to him. So I've got to come first. Although he's first, if you know what I mean?"

Alison is dedicated to "giving back" by helping other alcoholics and addicts. Currently, she volunteers at WGCADA four days a week. These days she spends approximately seventy percent of her time with other recovering addicts and alcoholics. She also feels comfortable socialising with people that Steve and she used to drink with.

"I get so much support from them… I can mix with them and I know that I'm safe. You know, if anybody tried to spike a drink, they'd be lynched… You know I've got all my friends from Mumbles who are not addicts or alcoholics that I do mix with. Go round for coffee and things like that, a really normal life you know outside recovery."

Alison no longer describes herself as "lonely".

"I've always got something to do… I try too be as presentable as I can, you know, I look after my body, my personal hygiene, all that sort of thing… my house is still my home. That's one thing I would love to improve on but I never will. You know, I couldn't care less if anybody comes in with muddy boots - that's me! You know, I see other people who are perfectionism personified. Always cleaning and things like that. And I think, 'Well do I want to be like that? No I don't!' [laughs] I want to be able to put my feet up in my house. You know, if James spills a drink on the carpet, so what? It's not the end of the world.

I like to think I'm someone people get on with… no, I know I'm someone people like to get on with and like to be with these days… I feel worthwhile…"

Alison has not had a compulsion to drink since she left Broadway Lodge.

"But I also know that I mustn't become complacent coz that could be dangerous. I'm doing all the right things in my own quite little way, you know? I try not to preach to others, you know… I'm there for them if they need me."

Having lived through these experiences, Alison is "very surprised I made it."

"… I also think my Higher Power now is looking after me. I couldn't see it at the time coz I went through stages of hating my Higher Power. But it seemed that he always rewarded me."

Alison believes that with every change comes a gain and a loss.

"Like when my parents died it was as if he [her Higher Power] gave me James for all the hard work I'd put in… I didn't have time to look after a child when they were alive so now was the right time to have him… and Steve' dying took me to my rock bottom so that I would get into recovery properly so that I could look after my son… my Higher Power obviously saw fit that I'm the one that's going to survive and there is a purpose for me other than looking after James, but that will come further down the line, whatever that purpose is. Just take each day as it comes at the moment."

Alison has been sober for two years. She now enjoys a 'brilliant' relationship with her son.

"I make a good dad… Oh, brilliant relationship. Best friends. He has come through it so unscathed, at the moment. He's eleven… Whether I'll have any problems with him in the next year or two when he goes through puberty, whether I'll get anything thrown back in my face? But it doesn't seem like that at the moment.

He knew I drank… He would try to stop me. You know, and I'd hide it from him and everything but at the time, you know the alcoholism is so bad, you don't think of things like that…

He teases me. I had a glass of ginger beer the other day… he says, 'You can't drink that, it's beer.' [laughs] I said 'It's ginger beer!' 'I know that!' he said. [laughs] Yeah, we have a brilliant relationship."

Recently, Alison and her sister have talked through their differences.

"… she doesn't recognise this as an illness and I've had to accept that. And although she will never completely trust me, she realises that I have worked hard to get to where I am today. Now she supports me both emotionally and financially."

Alison describes life without drink as "brilliant". Her son has been back at home living with her for about 18 months.

"Life is - you notice everything… Learning to live clean is good coz there's lots of things you think you can't do but you can. And its brilliant looking out in the morning, the sun is shining, you know? The smile on my son's face."

"… recovery is about learning to live properly, not properly, live as we're meant to live… like following the Ten Commandments in a way without it being religious, you know? … something clicks and suddenly, 'Yes, I am worth living. I am worth a decent life. I am a good person.'"

 

Rebecca Hancock

 

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