Coming Up for Air — A Toolkit to Help with Your Loved One's Recovery from Addiction & Mental Illness

In a sort of CRAFT primer, our hosts define and discuss "agency" -- the sense of control you have -- and how it works for your loved one and for you. The goal is to feed positivity so they feel agency and can make better decisions. You foster agency in someone else by calming down and gaining more agency of your own.

It’s important to CRAFT that you become a complex thinker – not just black/white or good/bad, but looking at a bigger picture to see a range of possibilities and hold more than one truth. To, as Kayla says, “heal into wholeness,” it’s important to become more yourself by experiencing all the feelings and thoughts you may have, to hold them and see your perspective and the other person’s. The bigge...

You hear it a lot -- "allow for natural consequences." But what does that really mean? Natural consequences are the things you sometimes shield your loved one from -- whether it's a small conversation with someone who's upset with them, or something much larger. If something endangers life or well-being, different rules apply. But allowing the consequences of your loved one's...

Our hosts discuss and offer advice on two stories and questions covered in the Allies in Recovery blog. First is a look at a woman who took a stand with her older sister -- who then dropped out of sight. Second is a family whose loved one experienced seizures during withdrawal, but wanted to stay alone while detoxing.

You can become an agent of change by changing yourself. How do you step back, take space, change the dance from the usual interactions? You can't do that if you're moving too fast to assess things. Remember that change starts slowly; make small changes, and let them accumulate over time. Crisis that happens all the time is actually chronic behavior, and no longer crisis in the same sense....

In part 1, our Allies member discussed intimacy and its role in applying CRAFT in a romantic relationship. In part 2, she discusses how she's handled issues related to kids, CRAFT, and talking to them about substance use disorder.

In the first of two episodes with an Allies member, our hosts discuss her experience with her former husband, and issues of intimacy -- how does it function as part of the CRAFT framework? Is it, should it be a reward?

We intend to be supportive and helpful, and keep our loved ones safe. But our words aren’t always perceived that way. It’s important to become more aware of how we’re coming across, and to gain the tools to soften the message, hear when they feel upset, and shift things so that we can go back into connection. The result is building the relationship so things can come out more clearly, and the pers...

"Functional analysis" means figuring out what's happening -- to your loved one or to you -- in the moments before, during, and after a particular behavior. It might be a challenging or a positive behavior. It's a tool to help you understand the thoughts, emotions, and external factors that go into these moments, and to go from being unconscious and reactive, to conscious, to havi...

Presume you’ll have moments in a relationship that feel like gigantic rifts, or like uncomfortable separation and disconnect. That’s not a problem, but an opportunity to show that you’re changing and working on your part. Take full responsibility for your part, whether they do or not. Keep doing it over and over, so you become a safe person -- the person who’s there when they decide they’re ready...

Some things get said a lot. Do they hold truth? Two get examined in this episode: "There's nothing to be done until they hit bottom," and, "To get day two abstinence, you need day one." Both bring our hosts back to the same emphasis: being present in the moment. You're not waiting for a "rock bottom" moment, because it's hard to define and may not be the m...

Don't just use CRAFT now and then, or come and go from the practice. Learn the tools; let them get under your skin. Learn one thing at a time, and take it one day at a time. You don't have control over the big picture, but you do have control over what you're learning, practicing, and taking in. It's okay if it doesn't work immediately. Practice the skills consistently, and cha...

Does your loved one see things in terms of victimhood, in terms of what's done to them? Do you see your loved one's actions that way? Feeling victimized means you're being passive, having things happen to you. It can feel like things are not fair, like you've been dealt a lousy hand of cards. It's important to shift your perception, focus, and behavior to remember that you have...

Sometimes, people say the person with substance use disorder "has to want" recovery before it will happen. Others even say they must want it more than their family members or allies. In truth, people are often ambivalent; the process is often subtle. It's up to us to provide options, be open to their process, and discover our part, changing our own behavior rather than trying to chan...

Being an ally for a person with substance use disorder means stepping up beside them. Work with yourself so you can better see the opportunities to be a change agent -- for slow, methodical change. If your role is too large, you need to be just another player, waiting for your chance. Be a good "dance partner."

How do we move away from expecting perfection from ourselves? Through patience, compassion, and practice. Change is an incremental process. Embrace "beginner's mind," and don't be afraid to fail. Allow yourself to make mistakes and learn from them; practice until the tools become automatic.

To build new muscle, identify what you need to change. Begin with self-awareness, gained through pausing to consider what you want to do differently. Practice in small ways frequently, until it becomes habit. This self-awareness leads to self-care – accidentally/on purpose. Taking care of yourself changes who and how you are, but also changes your relationship with your loved one. In true CRAFT st...

When you're beyond the fatigue of burnout, you're hitting the wall. Stressors have accumulated, and your emotions feel unmanageable. Step back. Claim your emotions, but state them briefly, making it clear you're going to go take care of yourself. Ask yourself how bad things are, and how much help you need. Allow yourself the compassion and patience to take a break.

Do things feel one-way in your relationship to your loved one? Reframe it. You're taking your power back -- not to change them, but to change yourself, to grow and learn. If you're bringing your best self to the relationship, you'll inevitably change the dynamic, helping the other person heal.

Your loved one goes to treatment, and often a call follows -- a call saying the place is terrible, or the people aren't good, or for some other reason they want to come home. Your job? Hold the line. Don't be part of that conversation; don't be part of an exit plan, even if they can leave on their own. Let them be uncomfortable. Give them the message that they can handle it, and can ge...

When you're dealing with difficult circumstances and the actions of others, it's important to shift focus from external to internal, to pause and check in with yourself and ask yourself what you need and want. Take your power back. We believe that taking care of yourself in this way has a positive impact on the other person. It's a demonstration of boundaries and self-care.

When it comes to hope, trust, and expectation, what's our part, and what's the part of others? Hope is ours. It's internal, doesn't damage anyone, and is loose, open, and a way to stay positive. It's also ours to accept -- to say this is how things are and soothe ourselves. What not ours? Trust. It's the other person's job to become trustworthy for themselves. Expectati...

Having expectations for others can be a difficult trap. When we have ideas about how things should go, we often try to manifest those expectations and have other people do what we want them to do. Instead, learn to manage your nervous system, to calm yourself and have tools to make requests of others. Be careful not to superimpose your expectations on others -- it might not be what they want, need...

Alex Ribbentrop joins the Allies in Recovery hosts to discuss intergenerational trauma, substance use, the importance of family, and finding connection. Alex is a Licensed Clinical Social Worker, Qualified Supervisor, EMDR Trained Clinician, and Certified Family Trauma Professional, practicing in Virginia, Maryland, and Florida.

How do you handle that difficult time when your loved one comes home from treatment, and is back in an old environment, complete with old triggers? It can be a time of depression and anxiety. Think about reconnection -- being present and engaged, making things fun when you can, and using the CRAFT communication tools to leave doors open.