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Navigating Triggers in Recovery Laura Wesson MA, LCAS, LCMHCA, NCC Dilworth Center Family Counselor [email protected]

Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

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Page 1: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Navigating Triggers in Recovery

Laura Wesson MA, LCAS, LCMHCA, NCC

Dilworth Center Family Counselor

[email protected]

Page 2: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

What are

TRIGGERS?

Page 3: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings
Page 4: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Triggers:▪Are reactions in the present moment to past events.

▪Are automatic responses to some one or some thing

(usually negative & intense).

▪ Impact our thoughts, emotions, actions, and body sensations.

▪Can be predictable or unpredictable.

▪Can vary in strength, duration,and frequency.

Page 5: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

TRIGGER

Page 6: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Who gets triggered?

• Addicted Person/Patient

• Loved Ones/Family Members

Page 7: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Triggers - to name a few…

FAMILY MEMBER

Is triggered by the

ADDICTED PERSON

and

SUBSTANCE

ADDICTED PERSON

is triggered by the

SUBSTANCE

and

FAMILY MEMBER

Page 8: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

What is

Codependency?

Page 9: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Codependency is:▪An Obsessive-compulsive addiction to People, Behaviors, and Things.

▪ The mistaken belief that we can control our inside feelings by

trying to control (or use) outside things such as people, places, things, & events.

▪A relentless struggle to fill the great emotional vacuum within oneself through

another person, substances or things such as money, food, sex, exercise, or work.

▪Multigenerational in nature.

The object of dependence may change but the misery is still present.

Ex: alcoholic father, workaholic son, compulsive spending grand-daughter.

Love is a choice – Recovery for codependent relationships – Hemfelt, Minirth, Meier

Page 10: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

PEOPLE Codependence

This was great at first…

But now I can’t even

go to the bathroom alone…

Page 11: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Obsessive-Compulsive use of: Alcohol, Chemicals, Porn, Work, Money,

Food, Exercise

I know this will make me feel all better and whole again

This isn’t what I had in mind…

BEHAVIORS & THINGS Codependence

Page 12: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

What is

Enabling?

Page 13: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Enabling is:The mistaken belief that we can control

OTHER PEOPLE’S inside feelings by trying to

control outside things such as people, places,

things, and events.

Love is a choice – Recovery for codependent relationships – Hemfelt, Minirth, Meier

Page 14: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Enabling is also:Doing something for a person that they are

capable of doing for themselves.

Note:

The person may not WANT to do something,

but they are CAPABLE of doing it.Love is a choice – Recovery for codependent relationships – Hemfelt, Minirth, Meier

Page 15: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Enabling is about…Codependency is about…Trying to

control things so that

“I” do not feel

bad

Trying to control things

so that

“YOU” do not feel

bad

● Many codependents enable others because the codependent feels bad if others feel bad.

● “It makes me feel bad to watch you struggle, so let me just fix it for you so we can both feel better.”

● This is a short term fix to make the immediate feeling go away but it does not create long term results.

Page 16: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings
Page 17: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings
Page 18: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

A TRIGGER:causes an INTENSE and usually NEGATIVE

AUTOMATIC RESPONSE in THOUGHTS,

EMOTIONS, ACTIONS, & BODY SYSTEM

Love is a choice – Recovery for codependent relationships – Hemfelt, Minirth, Meier

Page 19: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Triggering Situations

can bring about

Automatic Responses

in our...

Emotionsusually the driver…

Thoughts

Actions

Page 20: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

TRIGGERING

SITUATIONS

COULD BE

LURKING

ANYWHERE...

Page 21: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

The Dinner Table...

Page 22: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

THINK ABOUT A COUPLE OF SITUATIONS WHERE YOU ARE TRIGGERED ...

Page 23: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

TRIGGERING Situations

▪ P EOPLE

▪ L OCATIONS

▪ A CTIONS (of others)

▪ T IME (of day, week, holiday, date of...)

▪ E XPOSURE to substance

▪ S ENSES (sight, sound, smell, touch, taste)

▪ T HOUGHTS/WORDS (of others)

▪ H UNGER/CRAVE (food, drug, etc.)

▪ E MOTIONS (of others)

▪ M OTIVATION

▪ E NERGY LEVEL

▪ S ELF-CARE

Page 24: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

automatic

Emotions…

Page 25: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

SAD MAD SCARED Guilty Remorseful

Ashamed Stupid

Depressed Inferior

Lonely Isolated

Bored Apathetic

Tired Sleepy

Hurt Distant

Hostile Sarcastic

Angry Frustrated

Selfish Jealous

Hateful Irritated

Critical Skeptical

Confused Bewildered

Rejected Discouraged

Helpless Insignificant

Submissive Inadequate

Insecure Embarrassed

Anxious Overwhelmed

JOYFUL POWERFUL PEACEFUL Excited Daring

Sensuous Fascinating

Energetic Stimulating

Cheerful Amused

Creative Playful

Hopeful Optimistic

Faithful Confident

Important Discerning

Appreciated Valuable

Respected Worthwhile

Proud Successful

Aware Surprised

Content Relaxed

Thoughtful Pensive

Intimate Responsive

Loving Serene

Trusting Secure

Nurturing Thankful

Page 26: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

automatic

Thoughts…

Page 27: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Automatic Thoughts

Page 28: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Thinking Errors

1. All Or Nothing / Always or Never

2. Over-generalizing

3. Discounting Information That Does Not Support Your Opinion

4. Jumping To Conclusions

5. Labeling

6. Magnifying or Minimizing

7. Should or Must

8. Emotional Reasoning – If I Feel It, It Must Be True

9. Excuses, Blaming, Justifying

10. Pity Me, Pet Me, I Am The Victim

11. Diverting Attention Away From The Problem

12. Lying To Avoid Responsibility

13. I Am Unique

14. Making Fools Of Others To Feel Powerful And In Control

15. Assuming Without Checking

16. Pretending To Be Cooperative & Helpful

17. Anger To Manipulate & Control Others

18. Keeping Secrets, Keeping Score

Page 29: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

➔ I’ll just have one

➔ This is only impacting me

➔ No one else will know

➔ I deserve it

➔ I’ll say it differently this time and they will get it

➔ I can control it - I know what is best for me

➔ I can control them - I know what is best for them

➔ Their life is over if they experience a negative consequence

➔ If I don’t drink/use they will think I am weird & I won’t have any friends

➔ Well it is legal - I have a prescription etc..

Lies we tell ourselves...

Page 30: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

automatic

Actions…

Page 32: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

early recovery

Emotional Hitting

Emotional Vomiting

“YOU...”

vs

using tools of recovery

Advocating for Self

“I...”

Page 33: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

summary…

Triggering Situations can bring about Automatic Responses in our...

Emotions

Thoughts

Actions

Page 34: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

● Stop...

● Breathe...

● Think...

● Breathe...

● Act...

Page 35: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

HEALTHIER Situations

▪ P EOPLE

▪ L OCATIONS

▪ A CTIONS (of others)

▪ T IME (of day, week, holiday, date of...)

▪ E XPOSURE to substance

▪ S ENSES (sight, sound, smell, touch, taste)

▪ T HOUGHTS/WORDS (of others)

▪ H UNGER/CRAVE (food, drug, etc.)

▪ E MOTIONS (of others)

▪ M OTIVATION

▪ E NERGY LEVEL

▪ S ELF-CARE

Page 36: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Healthier

Actions…

Page 37: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

❏ Go to a meeting

❏ Call a Dilworth group member,

❏ Call an AA friend with more sobriety

❏ Call sponsor

❏ Exercise

❏ Reading Big Book

❏ …...

Things I can do to retrain my brain...

Page 38: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings
Page 39: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Healthier

Thoughts…

Page 40: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

AA and Al Anon Slogans▪ One day at a time

▪ Meeting makers make it

▪ GOD = Good, Orderly, Direction

▪ HOW = Honesty, Open-Mindedness, & Willingness

▪ KISS = Keep It Simple Stupid!

▪ NUTS = Not Using The Steps

▪ STEPS = Solution To Every Problem in Sobriety

▪ This too shall pass

▪ How important is it?

▪ Expectations are premeditated resentments

▪ One drink is too many & a thousand is not enough

▪ You are as sick as your secrets

▪ Serenity isn’t freedom from the storm, it is peace within the storm

▪ If you do what you always did, you’ll get what you always got

▪ Nothing is so bad that a drink won’t make it worse

▪ Nothing is so bad that trying to control someone else won’t make it worse

▪ When all else fails, follow directions

▪ Change is a process, not an event

▪ Sick and tired of being sick and tired

▪ More to be revealed

▪ Before you say I can’t, say I’ll try

▪ Bring the body and the mind will follow

▪ Do the next right thing

▪ “Grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.” ~ AA p. 40-41

▪ “As we go through the day we pause, when agitated or doubtful & ask for the right thought or action.” ~ AA p. 87

Page 41: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

last to change

Emotions…

Page 42: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

SAD MAD SCARED Guilty Remorseful

Ashamed Stupid

Depressed Inferior

Lonely Isolated

Bored Apathetic

Tired Sleepy

Hurt Distant

Hostile Sarcastic

Angry Frustrated

Selfish Jealous

Hateful Irritated

Critical Skeptical

Confused Bewildered

Rejected Discouraged

Helpless Insignificant

Submissive Inadequate

Insecure Embarrassed

Anxious Overwhelmed

JOYFUL POWERFUL PEACEFUL Excited Daring

Sensuous Fascinating

Energetic Stimulating

Cheerful Amused

Creative Playful

Hopeful Optimistic

Faithful Confident

Important Discerning

Appreciated Valuable

Respected Worthwhile

Proud Successful

Aware Surprised

Content Relaxed

Thoughtful Pensive

Intimate Responsive

Loving Serene

Trusting Secure

Nurturing Thankful

Page 43: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

In Summary…

▪You started treatment at Dilworth with triggers.

▪You will end treatment at Dilworth with triggers.

▪Triggers cannot be totally avoided.

▪ Some triggers may lessen with time.

▪Prepare in advance for known triggers.

▪When an unexpected trigger arises, take action.

▪Triggers remind us that we have some work to do on ourselves.

Page 44: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

The Present

Page 45: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Your goal as patients and family members…

- be AWARE of your triggers,

- ACCEPT them as such, and

- take ACTION towards recovery.

Page 46: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

Now…

take a deep breath...

let it out...

and smile...

Laura Wesson MA, LCAS, LCMHCA, NCC

Dilworth Center Family Counselor

[email protected]

Page 47: Navigating Triggers in Recovery · Codependency is: An Obsessive-compulsive addiction to People, Behaviors, and Things. The mistaken belief that we can control our inside feelings

the end…

Navigating Triggers in Recovery

Laura Wesson MA, LCAS, LCMHCA, NCC

Dilworth Center Family Counselor

[email protected]