In this episode, we examine the most shameful of all addictions, sexual addiction. We will define addiction, identify how addiction impacts family members, and the addicted person. A case example is presented to highlight these issues
This shows describes the deadliness of fentanyl, a highly potent opioid which is killing off the population of young adults at an alarming rate. With all the information on the “heroin epidemic”, there is little information about this deadly and apparently very available drug.
The daughter of the mayor-elect in New York has had alcohol/drug/depression issues and had come forward to help others. Very useful, very powerful, very hopeful message.
ESPN football analyst and former NFL player Robert Smith shares his story on alcoholism.
He is very candid and talks about the need to admit you have a problem and do whatever it takes to get sober.
This blog is a special one. I am lucky to have a guest blogger who is a friend of mine for over 20 years and an expert in the treatment of compulsive gamblers. NJ recently passed a law legalizing on line gambling. In addition, one of the major changes in the new DSM V relates to compulsive gambling. It has gone from an “Impulse disorder” into a diagnosable addiction similar to alcohol or drug addiction. To explain all of this in more detail, is Lenny Brazer
Most research suggests that when the public has access to the availability of gambling the number of people who gamble will increase. This is not rocket science. The concern of professionals who treat problem and pathological gamblers is that with the increase in the number of people who gamble the proportion of those who will encounter problems or become pathological gamblers also will increase as well. Once again in New Jersey there is going to be a significant increase the amount of gambling that takes place. Gov. Christie recently signed legislation that will legalize online gambling. What this means is that virtually any person who has a computer or access to the Internet will be able to gamble in the comforts of their home. This will include gambling machines table games and any other type of gambling that goes on in the casino.
There are many caveats as well as benefits that go along with this new legislation. On the positive side the legislation will enact for the first time a significant source of funding for the treatment of problem/pathological in the state of New Jersey. Casinos in order to be licensed will have to pay an annual fee of $150,000 and it is anticipated that eight casinos will apply for the license. Portions of that money will be divided between treatment and prevention/education via the Council on compulsive gambling of New Jersey Incorporated. One anticipated difficulty in spite of some sophisticated language and controls will be monitoring whether underage (people 18 years of age and younger)will be able to access a site and gamble illegally.
The American Medical Association recently published its Fifth edition of the Diagnostic and Statistical Manual of mental disorders(DSM V). An important departure from previous diagnostic manuals is that the substance related disorders chapter has been expanded to include Gambling Disorder this change reflects the increasing and consistent evidence that some behaviors such as gambling activate the brain’s reward system with similar effects to those of drugs of abuse and the fact that gambling disorder symptoms resemble substance use disorders to a certain extent.
In order to diagnose gambling disorder one must have a persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress as indicated by the individual exhibiting four or more of the following in a 12 month period.
1) Needs to gamble with increasing amounts of money in order to achieve the desired excitement
2) Is restless or bored when attempting to cut down or stop gambling
3) Has made repeated unsuccessful efforts to control cutback or stop gambling
4) Is often preoccupied with gambling e.g. having persistent thoughts of re-living past gambling experiences, handicapping or planning the next gambling venture, thinking of ways to get money with which to gamble.
5) Often gambles when feeling distressed e.g. helpless guilty anxious depressed.
6) After losing money gambling, often returns another day to get even “chasing” one’s losses.
7) Lies to conceal the extent of one’s involvement with gambling.
8) Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling.
9) Relies on others to provide money to relieve desperate financial situations caused by gambling (bailout).
Gambling behavior is not explained by a manic episode.
When making the diagnosis one can differentiate between
Episodic:meeting diagnostic criterion at more than the one time point with symptoms subsiding between episodes of gambling disorder for at least several months.
Persistent: experiencing continuous symptoms to meet diagnostic criteria for multiple years.
It can also be classified as in Early Remission:
after full criterion for gambling disorder were previously met none of the criteria for gambling disorder have been met for at least three months but for less than 12 months.
Sustained Remission would suggest that after full criterion for gambling disorder were previously met none of the criteria for gambling disorder have been met during a period of 12 months or longer.
Severity can also be monitored now, ie mild 4 to 5 criteria met; moderate 6 to 7 criteria met; severe 8 to 9 criteria met.
Discussions during the development of these new criteria suggested that the reclassification of pathological gambling from being an impulse control disorder to a behavioral addiction will help those who have been suffering from this disorder gain access to treatment. It was also suggested that more insurers would recognize gambling disorders as treatable and third party reimbursement for treatment would increase. That is yet to be seen. Given the potential proliferation of gambling that will be happening in New Jersey, this therapist certainly hopes for the aforementioned to become realities.
Leonard Brazer Ed.S. CCGC
300 West Main Street
Rockaway,New Jersey 07866
Leonard Brazer, Ed.S., M.A., CCGC is a New Jersey Licensed Marriage and Family Therapist. He is also a certified New Jersey School Psychologist and a Certified Compulsive Gambling Counselor. He completed a one year internship in Clinical Psychology at Monmouth Medical Center. His professional degrees are from Seton Hall University. Mr. Brazer worked for two years in a Mental Health Center prior o entering the field of addictions in 1980. He has developed comprehensive Chemical Dependency Rehabilitation Programs for adults and adolescents. Mr. Brazer also founded and supervised the Pathological Gambling and Money Disorder Programs at Saint Clare’s Hospital, and at Hackettstown Hospital.
Mr. Brazer has appeared as a guest on the Sally Jessie Raphael, Joan Rivers, Good Day New York, News Talk New York, Channel 12 News, The O’Reilly Report and Caveat Venditor, and on various radio talk shows as an expert, offering information on gambling and money disorders. He has written articles for several major New Jersey newspapers, and authored a chapter for a text “I Shop, Therefore I Am, Compulsive Buying and the Search for Self”. He has consulted with 48 Hours and the Oprah Winfrey shows on feature stories regarding gambling and spending. As well, he has lectured at most major statewide conferences and East Stroudsburg University, Montclair State University, and New Jersey City University.
Mr. Brazer has been a private practitioner and consultant since 1983.
Here is a piece that I wrote for the Expert Beacon website:
Feel free to share this with people in need of getting sober
If all addictions are shame based, then female sexual addiction is the “shame de la shame” of all addictions.
Here is a nice piece done by a Vancouver News station about female sexual addiction:
If this video struck a chord please look at this assessment:
Feel free to contact me if you would like to discuss your answers. The shame only continues if you keep it a secret.
Roger Ebert a long time movie reviewer with Chicago Sun-Times died yesterday after a long battle with cancer.
Roger was also a recovering alcoholic who in August 2009 told his story about his recovery. His blog should be titled “AA 101” because he tells about how AA works from his own perspective. There are AA program related materials as well as you tube videos that accurately describe alcoholism and recovery in movies.
Read the blog here
“The Beast and the Angel”
Adam McKay and Shira Piven
Los Angeles, CA
As the teenage leader of the popular 1960s Detroit band, The MC5, Wayne Kramer is a pioneer in America’s punk rock music scene. Rolling Stone magazine listed Kramer as one of the top 100 guitarists of all time. Kramer and The MC5 believed that the power of music could change the world, but personal issues and drug addictions tore the band apart, and their dream died.
In the mid-1970s, Kramer pled guilty to a cocaine-dealing charge and spent two years in federal prison. The Clash wrote a song about Kramer during this time called JAIL GUITAR DOORS. During this devastating time for him, Kramer turned to music to heal his anger and pain. When he was released, Kramer continued to play music and perform, and then he co-founded Jail Guitar Doors USA as a way to continue to heal his pain and rehabilitate prison inmates by allowing them to communicate in non-violent ways through music.
But this is a difficult journey for Kramer. As much as he wants to put aside his past, he knows that in order to achieve his goal of helping others like him, he must enter a place he never wanted to return to, and somehow use his skills and his pain to reach current inmates through music to help them heal.
Kramer must now fight with prison administrators for access and convince prisoners to trust him. If he succeeds, Kramer will take a path that combines music and tragedy to reach the goal he’s had since he was a teenager: to show how music can change world for the better—one inmate at a time.
For more information: www.waynekramer.com
Kramer talks about how he made this significant change in his life:
change is possible
A great video that explains how people will self-medicate to treat their illness