Early Recovery: Overcoming Feelings of Emptiness and Loss

In previous articles about early recovery, I addressed problems with making major major adjustments to life to maintain sobriety (see my articles: Early Recovery: Focusing on the People Part of "People, Places and Things," Overcoming the Temptation to Use "Liquid Courage" to Cope With Social Situations and Early Recovery: You've Stopped Drinking. Now What?.  In this article, I'm addressing another common issue that people in early recovery experience, which is overcoming the feelings of emptiness and loss after you give up your addiction.

Early Recovery: Overcoming Feelings of Emptiness and Loss 

Many people in early recovery will say that one of the hardest things they had to do in order to get sober was give up the one thing they felt they could rely on--their addiction of choice.

For anyone who is unfamiliar with addiction and early recovery, these feelings of emptiness and loss for an addiction might seem confusing.

But as a psychotherapist in private practice in New York City, who has worked with people at all stages of addiction, I know that this sense of loss and emptiness is common and understandable.

After all, if the addiction, whether it's to alcohol, drugs, compulsive gambling, compulsive sexual behavior or any other addictive behavior, didn't serve a need, the person with the addiction wouldn't persist in it.

For many people, who are contemplating giving up an addiction, one of the most daunting aspects of attaining sobriety is the thought they won't have what feels to them as a "friend" who has served a need--whatever that need might be.

The need could be a way to relax, socialize, to temporarily forget problems, to elevate a mood, to feel empowered, and so on.  And if the addiction of choice didn't "work" in some sense, even temporarily, it would have been given up long before it became an addiction.

For someone who is unfamiliar with addiction, it would be hard to imagine just how scary and how courageous it is when someone who has an addiction gives it up.  Many people, who are not educated about addiction, think that the person with the addiction "should just stop."

But aside from the fact that there might be a physical danger to "just stopping" for many addictions where a detox is necessary, the person contemplating giving up the addiction is also taking a leap of faith that they will be able to survive physically and emotionally with the addiction.

This is why there's a high rate of relapse for people struggling to stay sober, especially if they try to do it without sober support and, eventually, working through the underlying emotional problems that led to the addiction in the first place.

What Will Take the Place of the Addiction for the Person in Early Recovery to Fill the Emotional Void?
Without the addiction, the person in early recovery will usually become aware of an emotional void and the sense of loss.

Early Recovery: Overcoming the Feelings of Emptiness and Loss

Since isolation and loneliness is often a part of addiction, many people in early recovery find support in 12 Step meetings like Alcoholics Anonymous or Gamblers Anonymous.

They discover that there are people in these self help meetings in all different stages of recovery--from early recovery to many years in recovery.

They also discover that they have much in common with the people in these self help rooms, including a continuing struggle to avoid relapse and to maintain the values and principles they learned in those rooms.

I usually recommend that people in early recovery give 12 Step meetings a chance by going to several beginners meetings to see if they find a particular meeting where they feel comfortable and where they can also find a sponsor to help them work the 12 Steps.

There is no one-size-fits-all approach to recovery, so I also understand that for some people in early recovery the 12 Step model doesn't resonate with them or they find the meetings too overwhelming after they've tried several meetings (see my article: The Early Stage of Recovery: What to Do If 12 Step Meetings Are Too Overwhelming For You?).

So, many people in early recovery prefer to go to structured treatment in either an inpatient or  outpatient substance abuse program, if they have health benefits that recovers this treatment, where they can also get group support from people with similar problems.

Other people seek out psychotherapists who have experience working with people in recovery, including early recovery.

For psychotherapy option to work well in early recovery, the psychotherapist needs not only to be familiar with addictions, she must also know how to assess the timing and what the client can tolerate in terms of working on the underlying issues.

It's essential that clients in early recovery have sufficient sober time, the coping skills and necessary internal resources to deal with the underlying emotional issues in therapy, so it's psychotherapists need to help clients to develop these internal resources before delving deeper (see my article: Developing Internal Resources and Coping Strategies).

All of these modalities--12 Step meetings, structured substance abuse programs, and psychotherapy--all have the potential to help clients to remain sober.

In addition, in many cases what's also needed is something deeper that will fill the void that's left from no longer engaging in the addiction.

Some people find meaning by discovering or rediscovering a sense of spirituality.

Spirituality doesn't necessarily mean religion, although it could (see my article: A Search For a Meaningful Life and Spirituality: Are You Contemplating Your Faith of Origin in a New Light?).

Spirituality can take on many different forms aside from formal religion.  For instance, many people feel a sense of spirituality when they volunteer to help others, including volunteering at 12 Step meetings or in schools or a local community program.  Others discover a sense of spirituality in nature and find a connection to nature a transcendent experience.

The important aspect of spirituality in whatever form it takes is that it is meaningful, fulfilling and transcendent.

I believe this applies to everyone--not just people in early recovery.  Whether you call it "spirituality" or something else, without a sense of meaning, purpose and transcendence, you're just living from day to day and it can feel empty.

Many people who don't struggling with addiction but who focus only on material things will often feel a sense of emptiness in midlife when money and possessions no longer serve elevate their moods.

Usually, midlife brings an awareness that money and material things, although necessary to a certain extent to meet basic needs and give some comfort, are never enough to fill up a sense of emptiness.

This is why many people in midlife, especially those who have more years behind them than ahead of them, recognize that they need to make changes (see my articles: Midlife Transitions: Part 1: Reassessing Your Life, Midlife Transitions - Part 2: Living the Life You Want to Live, Is That All There Is? When "Having It All" Leaves You Feeling Empty  and Redefining Happiness and Success For Yourself).

Conclusion
The early recovery stage presents certain challenges, including dealing with the sense of emptiness and loss that often occurs after giving up the addiction.

Early Recovery: Overcoming Feelings of Emptiness and Loss

Aside from the physical aspects of getting sober and maintain sobriety, people in early recovery need to find healthy and meaningful ways to fill the void.

Sober support from 12 Step meetings, substance abuse programs and psychotherapy offer various options for staying sober and, in the case of psychotherapy, working through the underlying emotional problems that led to the addiction in the first place.

Beyond these options, people in early recovery need to find a sense of meaning and purpose in their lives.  I refer to it as "spirituality," but it doesn't have to involve a formal religion or even a belief in a higher power.

Without a sense of meaning and transcendence, people in early recovery often struggle with the sense of loss and emptiness that usually follows after they become sober.

Getting Help in Therapy
Many people choose to attend psychotherapy to address underlying emotional issues at the core of their addiction (see my article: The Benefits of Psychotherapy).

As previously mentioned, it's important to find a psychotherapist who has an expertise in addiction and who can work with you in a way that feels emotionally manageable for you (see my article: How to Choose a Psychotherapist).

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist (see my article: The Therapeutic Benefits of Integrative Psychotherapy).

I work with individual adults and couples.

I have helped many clients in all stages of recovery to maintain their sobriety and work through the underlying emotional problems that were at the root of their addiction.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

The Early Stage of Recovery: What to Do If 12 Step Meetings Are Too Overwhelming For You

Generally speaking, as a psychotherapist, I recommend 12 Step meetings, especially during the early stage of recovery.  But I also know that for many people, especially people who have a history of emotional trauma, going to 12 Step meetings can be too overwhelming during the initial stage of recovery.

Early Stage of Recovery: What to Do If 12 Step Meetings Are Too Overwhelming For You

12 Steps Meetings Have Saved Many Lives
The 12 Steps, which are principals for living life, provide a structured step-by-step philosophy that many people describe as having been life saving for them.

Many of these people struggled in isolation and shame with their addiction before they began attending 12 Step meetings. But when they began going to meetings, they discovered that they were not alone.  This provides many people with a sense of comfort and safety.

12 Step Meetings Have Saved Many Lives

In most 12 Step meetings, many people in early recovery can find mutual support among other people who are also struggling with addiction.  There is also an opportunity to find a sponsor who can help with working through the 12 Steps.

For Many People With Emotional Trauma, 12 Step Meetings Are Too Overwhelming
But there are many other people, who have a history of emotional trauma, who find the meetings to be too overwhelming, especially when they hear stories in the meetings that triggers their trauma.

When people feel triggered during the early stage of recovery by hearing stories that are overwhelming, they can feel like drinking or drugging (or gambling, overeating and so on, depending upon their addiction).

Many people, who get emotionally overwhelmed override their own sense that they are making themselves too emotionally vulnerable to relapse because they feel that there's something wrong with them if they can't tolerate being at the meetings.

After all, they think to themselves, many people have told them that going to 12 Step meetings is good for them.  So they continue to force themselves to go and continue to get triggered and retraumatized because they're not ready to hear other people's traumatic stories in the meeting.

Of course, there are also a multitude of success stories in the meetings about how people have achieved years of sobriety and many stories about hope and transcendence.

But, for many people with a history of emotional trauma, it only takes one difficult story to overwhelm them and then they relapse.  They're just not ready, at that point, to attend 12 Step meetings.

Getting Triggered is a Common Experience For People Who Have Been Traumatized
There is no reason to feel ashamed about this.

Getting Triggered is a Common Experience For People Who Have Been Traumatized

Getting emotionally triggered is a common experience for people who experienced trauma.

Just like a veteran who returns from war can get triggered when he or she hears the backfiring of a car which sounds similar to an war time explosive, anyone who has trauma can get triggered when they're in particular situations.

Getting Help in Therapy
If you are in the early stage of recovery and you're finding it too difficult to attend 12 Step meetings, you can get help by working with a licensed mental health professional who has expertise in working with clients in early recovery who have a history of emotional trauma.

An experienced therapist can help you to develop the necessary coping skills to deal with early recovery issues as well as relapse prevention.

Many people who are in the early stage of recovery want to rush into dealing with their trauma before they're ready.  They feel that they've wasted too much time and they want to make up for lost time by rushing into things.

But usually this isn't a good idea during the early stage.  You need to learn coping skills and develop internal and external resources before you begin to deal with trauma.

Getting Help in Therapy

Once you have developed coping skills and the therapist assesses that you're ready, then you can begin to work on the underlying emotional trauma.

Being safe, both physically and emotionally, is the first priority.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist who works with individuals and couples.

I have worked with many clients who are in recovery.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

People Who Abuse Alcohol Often Don't Get the Help They Need

People who abuse alcohol or who are alcohol dependent frequently don't get the help they need to overcome their alcoholism for variety of reasons.  For one thing, people who abuse alcohol are often in denial about their alcoholism.  They often don't admit their problem to themselves or to others who can help them.  Shame is a major factor in their denial.  They often tell themselves, "I can stop whenever I want to," which keeps them from admitting their problem or from getting help.

People Who Abuse Alcohol Often Don't Get the Help They Need

People with Alcohol Problems Are Often Good at Hiding Their Drinking
Even when people who abuse alcohol admit to themselves that they have a problem, they're often very invested in hiding their problem from loved ones, their employers, and even their doctors.

People With Alcohol Problems Are Often Good at Hiding Their Drinking

Doctors usually don't have the time and many are not knowledgeable enough about the signs of alcoholism to ask the right questions during routine exams (see link to article below).

Families Often Collude and Enable People with Alcohol Problems
Families often, either knowingly or unknowingly collude in the problem by enabling the person who is abusing alcohol.

People Who Abuse Alcohol Often Don't Get the Help They Need:  Family Problems

More than one spouse, who was married to a husband who abused alcohol, has told me that she would rather buy him the alcohol and maintain peace in the household rather than have the husband create havoc because he's craving alcohol he doesn't have.  One person told me, "Once he has his beer, he goes in the den, drinks, and he doesn't bother anybody."  Often, this sad state of affairs can go on for many years.

Employers Often Collude and Enable People with Alcohol Problems
It's not unusual for employers, who might recognize that an employee has a drinking problem, to look the other way.  When I was a human resources manager and I asked managers why they allowed a certain employee to continue to come to work drunk, I was often told something along the lines of, "Well, Joe is a good guy.  I didn't want to get him in trouble."

Untreated Alcoholism Can Cause Serious Medical Problems
What people often don't realize, and this includes the person who is abusing alcohol and the people in his or her life, is that untreated alcoholism can cause serious medical problems.  It can even be fatal.  Late stage alcoholism can include severe memory problems and other cognitive impairments.

Alcoholism can lead to heart attack, stroke, and kidney and liver failure.  Alcoholism also often destroys families.  It is also one of the main causes of car accidents and vehicular homicide.  It costs companies millions in lost productivity.

Alcoholism is a Medical Condition--Not a Moral Issue
Even though we now know that alcoholism is a medical condition, many people, including people who abuse alcohol, still see alcoholism as a moral issue.  They think that it's a moral failure and a failure of will on the part of the person with alcohol problems.   But this couldn't be further from the truth.  We don't moralize about other medical conditions--like diabetes.  But people with alcohol problems are still blamed, and they blame themselves, for their medical condition.  This creates a great deal of shame, which keeps the person with alcohol problems from getting help.

Getting Help:  Alcoholics Anonymous (A.A.)
Rather than blaming themselves and trying to "white knuckle it" through, people with alcohol problems need to talk to other people who understand what they're going through.  I am a big proponent of Alcoholics Anonymous (A.A.)

Sober people who attend A.A. understand the challenges involved with giving up alcohol and leading a sober life.  They're there to offer support when the person who is contemplating sobriety takes his or her first tentative steps to getting sober.  They know it's hard, but they also know that it can be done.

I usually recommend that people who are new to A.A. attend a beginner's meeting.  There are often people there who volunteer to be interim sponsors to people who are new to the program because they know that it's hard for newcomers to ask for help.  They can help new people to work the 12 Steps, starting with the first step, often the hardest for many people, to admit powerlessness over alcohol.

Sometimes, A.A. isn't enough and the person who wants to get sober might need to go to either an intensive outpatient program or an inpatient program.  In NYC, I've found, over the years, that both the Parallax Center, which also does outpatient detox, and Inter-Care are both very good outpatient programs.  Both of them offer intensive treatment.

If you have an alcohol problem, don't wait until you've "hit bottom" and you've lost everything.  Get the help that you need.  I've included resources below that you might find helpful.

Resources:
Alcoholics Anonymous:  http://aa.org

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR and Somatic Experiencing therapist.  

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Maintaining a Balanced Life During Early Recovery

Early recovery can be challenging.  It's not unusual for people in early recovery from alcohol or drugs (or other addictive behaviors) to struggle with how to maintain a balance between their recovery activities and life in general.

Maintaining a Balanced Life During Early Recovery

This assumes that individuals are ready to attend 12 Step meetings.  For many people, who have been traumatized emotionally, hearing some of the stories of other people's loss and trauma, can be retraumatizing of them.   For those people, attending therapy with a licensed mental health professional who has expertise with substance abuse and trauma is preferable.

Other people, who are in early recovery and who aren't triggered by going to meetings, are relieved to have a place in 12 Step meetings where they feel understood and they gain a new sense of hope and renewal.


But sometimes, by focusing only on 12 Step meetings, they neglect their primary relationships and responsibilities. The result is that their lives become unbalanced and this often causes conflicts with their families.

Early Recovery Requires Commitment

It's easy to see how things can become so unbalanced.

Early recovery involves a big commitment of time and energy. For many people in early recovery going to 12 Step meetings on a daily basis is the only thing standing in their way to keep them from acting on their cravings for alcohol and/or drugs.

 For them, the 12 Step slogan of "One Day at a Time" might be more like "One Minute at a Time" or "One Second at a Time" as they struggle not to give in to those cravings.

The 12 Step meetings, the fellowship in the meetings, and their sponsors are like life lines. If they're already suffering from substance abuse-related health problems, early recovery activities could be all that's keeping them from death's door.

But the toll this can take on family and close relationships can be huge.

Initially, spouses or partners of people in early recovery are usually so glad that their loved one stopped abusing substances and gotten help. These family members might have been asking and pleading with their loved one to get help for years. But when they see that early recovery activities seem to have taken over their loved one's life, they often feel disappointed and alienated from their loved one.

Whereas before their loved one wasn't available to them because of the substance abuse, now they feel he or she isn't around because of early recovery activities. This can be very disappointing and frustrating. It can lead to arguments as family members ask for more time and attention.

 People in early recovery, in turn, often feel that spouses and family members don't understand. They might begin to shut down emotionally even when they are around their spouses and families. All of this can lead to further alienation and a sense of hopelessness for everyone involved.

Repairing Relationships During Early Recovery

What can be done to repair these relationships and to achieve balance?

Well, to start, the person in early recovery can benefit from talking to people in the 12 Step rooms who have a lot more experience and success in recovery and who have learned to achieve balance in their lives.

Learning to achieve this balance can be a challenge, especially if the person new to recovery might never have led a balanced life before.

A seasoned sponsor can help someone in early recovery to navigate through this challenge to help achieve this balance.

With more experience in recovery, this often happens more easily, as compared to the early stages of recovery.

Spouses and loved ones of people in early recovery can benefit from attending Al-Anon to get support and a sense of hope. Sponsorship is also available to them in Al-Anon.

Getting Help in Therapy
A licensed therapist with expertise in substance abuse and trauma can help clients in recovery to develop the necessary coping skills to maintain a balanced life.

About Me

I am a licensed NYC psychotherapist who provides psychotherapy services to individuals and couples, including contemporary dynamic talk therapy, EMDR, clinical hypnosis, and Somatic Experiencing.

Helping clients with substance abuse and emotional trauma are among my specialities.

To find out more a out me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Early Recovery: You've Stopped Drinking. Now What?

Early recovery can be a challenging time for a person struggling with alcoholism and his or her family. Putting the alcohol down is a positive step which, in itself, can be difficult.

Early Recovery: You've Stopped Drinking. Now What?

For many people, who suffer with alcoholism, alcohol represents a "friend" who is always there to comfort and soothe. The thought of giving up drinking can be very scary during the early stages of recovery. But, beyond that, once you've made the decision to stop drinking, you'll need emotional support and the tools of recovery to help you cope with the challenges that most people face when they're newly sober.

So, what are the challenges of early recovery? 
Well, to start, once you're newly sober, you might find that drinking might have been a maladaptive way of self medicating depression, anxiety or other emotional problems. Alcohol might have done a "good job" of masking a mood disorder that is now more readily apparent.

Early Recovery: You've Stopped Drinking.  Now What?

Early on, when you first experience the discomfort of these feelings, you might be tempted to pick up again. But, before you do, recognize that many people have successfully stopped drinking and have learned new ways of coping with an underlying mood disorder that was masked by excessive drinking.

During early recovery, don't try to go it alone:
Aside from psychotherapy, getting social support in Alcoholics Anonymous (A.A.) or Rational Recovery is often the first best step in getting help to overcome the challenges of early recovery. Meeting other people, who have successfully navigated through the challenges of early recovery and who maintain their sobriety, can feel like a life line. "One Day At A Time" is not just an empty slogan--it's an important coping strategy. Getting phone numbers from A.A. members, reading the literature, attending meetings on a regular basis, and getting a sponsor are all important aspects in recovery.

Psychotherapy with a therapist who has expertise in early recovery can be helpful in dealing with the underlying emotional issues that often come to the surface when you stop drinking. An experienced therapist can help you to learn new coping skills to overcome a mood disorder and face life's challenges as a newly sober person. Beyond psychotherapy, you might need medication for a period of time to help you with the biochemical changes to the brain that alcoholism often causes.

Repairing your relationships:

Once you've stopped drinking, you and your loved ones might need to repair your relationships. Your spouse and children might be very happy that you've put down the alcohol, but they might also have resentments for the emotional damage that has been done by your drinking. Making amends isn't easy, but it's an important part of recovery. It's important to listen to what your family has to say and to take responsibility for your actions. Repairing these relationships begins by listening in an non-defensive way, not making excuses, and then expressing a heartfelt apology. Repair doesn't happen over night. You'll need to regain your family's trust over time. But taking these first steps are crucial.

Early Recovery: Repairing Your Relationships 

Beyond that, even though your spouse might have wanted you to get sober, when you do become sober, this is a change for you and your family. Change, even positive change, can be difficult and stressful. For instance, when you were actively drinking, your spouse might have been the one to make major decisions about money or child rearing. But now that you're sober, you want to participate in the decision making. For your spouse, sharing these responsibilities with you now, after years of doing this on her or his own, isn't easy. And you might need to develop certain skills that you missed developing while you were actively drinking.

Al-Anon for family members:

I usually recommend that spouses of people in alcohol recovery attend Al-Anon to get their own support. It's easy to under estimate the challenges of this stage in a relationship. Developing internal resources, coping skills, learning to overcome codependent behavior, and getting social support are part of what Al-Anon is all about. A relationship is a two-way street. Often, it's easy to point the finger of blame on the person struggling with alcoholism. It's usually harder to see the role of the spouse in this dynamic.

The rewards of getting sober:

The challenges of early recovery can be difficult but not insurmountable. The rewards that come with living life as a sober person usually outweigh the challenges. A healthy sense of pride, an increase in self esteem, and an overall sense of well-being are among the benefits you can experience when you decide to stop drinking and get healthy.

About Me

I am a licensed NYC psychotherapist. 

I provide psychotherapy services to individuals and couples, including talk therapy, hypnotherapy, EMDR, and Somatic Experiencing.

I have worked with many individuals and couples to help them to successfully overcome addictive and codependent behavior.

To find out more about me, visit my website:  Josephine Ferraro, LCSW - NYC Psychotherapist

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also see my article:
Asking for Forgiveness: The Power of Making Amends