“I never have a headache.”
“If I have a headache, it goes away as soon
as I (eat something) (get moving) (sleep a little longer).
“Tired? Oh, maybe a little, but by
afternoon I’m out Frolfing.”
I’m talking here about typical alcohol
hangovers, but all attempts to get something for nothing via other drugs also
extract usurious interest rates for the “instant-cash advance” on unearned good
feelings.
In my first job as an addiction counselor,
I ran an eight-week program for clients, mostly college students, who had
picked up a Second-Offense Driving Under the Influence conviction. This was
easy to do in a small college town, so most did not meet the then-current “Alcohol
Dependence” criteria for a more intense Outpatient Treatment recommendation.
The group members met with me first for an
individual session so I could get to know them and to sign a “contract” that
included a commitment to abstinence for the length of the program.
The clause was intended to allow them to
test their ability to refrain from drinking, but something at least as useful came
out of it as well. I am sure that not all of them honored their vow, but all
had assured me that they were by no means daily drinkers, typically stating
something like, “I only drank on Friday nights, to blow off steam after a
stressful week.”
We then met for six weekly group sessions,
with one of the topics being, “how is this not drinking going for you?
Difficult on Friday night? Bored?” Few found the new regimen all that tough and
some even stated surprise at how much more energetic they felt. The real
surprise came at the end of the program when we had an individual “exit
interview.”
A spontaneous admission that repeatedly
emerged was, “my grades have never been better.” It seemed to be more than a
time issue, as they still dated or went to movies and such on Friday night,
plus they spent an evening a week in group. I began to drill down to see if I
could determine the “why?”
I started asking how their week nights
compared with their experience the previous semester and that is when the
lights began to come on for both of us.
“Last semester I promised myself I would go
to the library or study in my room every night and put in the time needed to
get the grades I knew I was capable of, but that usually didn’t happen. I’d
decide to watch a favorite TV show and wind up watching the next one and the
next, or someone would come in my room or I’d drop by theirs and the next thing
it was ‘too late to get anything done anyway, I’ll hit it hard tomorrow night,’
and that happened a lot. Even when I was studying, I didn’t feel sharp. Stuff
wasn’t sticking, especially later in the week when I’d feel kind of hyper and
starting to focus on weekend plans. This semester, I’m already in the library
by Sunday night and I stick to my study-hours most of the week.”
It wasn’t only students who reported a
difference in their week nights. A thirty-something woman with teenage
daughters said, “come to think of it, my daughters never used to come home
until it was bedtime. Now they spend some evenings at home or come home before
they are required to. I got to looking at that and realize I am a lot easier to
get along with, not as grumpy and critical of them. I think I’m in a better
mood in general and they like to be around me now.”
A salesman in his forties reported that he
always had intentions to get up early and get into the businesses he sold
supplies to, before they got busy and didn’t have time to listen to his pitch.
“Now, I even buy breakfast for some of them and have their complete attention.”
I thought of my pro football team, the ones
that were Super Bowl contenders on paper every year, then wound up leading the
league in DUI’s and seeing their hopes fade away. Getting blown-out on the
plane flying home Sunday evening was dulling their focus and reaction time in
practice, all week long, as well. Blown plays the next Sunday gave them
something to drink over after that game too. (North Dallas Forty) I decided that if I were a General Manager, I’d
require the entire team to commit to a no-drinking policy for the entire season
and watch the team step it up a notch, instead of down, for that reason alone.
When you hammer your brain and body on
Friday, the effects aren’t gone a day later. The Medical Aspects
of Alcohol video, widely shown in treatment programs, used an example to help you
see that. “You hit your thumb with a hammer and throw away the hammer. Your
thumb-hammer level is now zero, but the pain lingers on.” The human brain is
the most complex structure in the known universe. Just like a dragster is more
complex than a basic automobile and needs to be treated more delicately, the
more complex anything is, the less resistant to abuse it tends to be.
Getting “hammered” on Friday night is
similar. Your Blood Alcohol Level might be zero by noon, but the delicate
mechanism of your brain is swinging wildly, like a child’s mobile with a piece
removed, trying to reestablish equilibrium. Signals of distress are heading towards
your already confused brain, an externally induced depression settling in,
magnifying any natural tendency you have in that direction.
The gut microbiome you flooded with poison
is trying to repopulate itself and get back to helping you extract the nutrients
from your food that your system has come to depend on.
Your internal EPA, also known as your liver,
is trying to clean up the toxic spill, so it can get back to its many natural
functions.
By the time all that settles down days
later, it is time to “blow off some steam.” Steam that might be put to better
use exercising for the endorphin rush that is a byproduct of that useful
behavior.
Now I know what I was doing to my brain every time I said "I got hammered". Very insightful post Pete and I never did get to see The Medical Aspects of Alcohol. Probably wasn't around back when I was in college.
ReplyDeleteThanks Rich! I saw the video in 1985. It was updated and released on DVD. Some centers like to bring in a "flesh and blood" doc, but I liked the graphics and the thorough coverage. I had to explain this wasn’t meant to enable us to remember every detail. It was meant to overwhelm us with the totality of what it does to the body and brain (Parts I & II). I’d preview it and review it to make a few points stand out: Like the five ways alcohol compromises the immune system. Explained why I had a cold for a year before treatment, in spite of dropping more Vitamin C than you find in an average citrus grove.
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