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4:46:30 PMJul 30, 2010

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You have done a great disservice by only presenting one side of thepicture when it comes to addictions and pres cribed medications.Your story fails to mention that over half of people with addictionshave co-occurring m ental illness es which require careful treatmentwith medications. One of the most horrible aspects of AA and other 12step programs is the idea that these people only need to work stepsin order to get better. Sometimes such people are even told theyaren't "really sober" if they take their medications. I was in AA for several years and know of several people who killed thems elves or relapsed after going off their medications with encouragement fromother AA members.

12:14:09 PM

Jul 31, 2010

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MonaLisa, excellent point. Anyone who doubts the point should

Google "midtown group" aa It will bring up information, includingarticles from Time and The Washington Post about an AA groupwhich urged people to go off medication for depression, etc. Severalnearly killed themselves. Also, I think the columni st's comm ents arecontradictory because AA (lots of family members have gone throughit) keeps claiming it's not a religious organization and that sponsorsaren't supposed to tell people what to do.

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DR.DAVE: Johns on s aid that the mos t profound pain left when the s ubstance, gambling,sex or binge eating is gone, is the lack of em otional supportive connections to others.

BILL: I know that I got my own life back through working AAs 12 Steps -- goi ng back insobriety to apologize and make whatever amends I could to the people I hurt.

DR. DAVE: These recons tructive acts are p ractical -- they relieve the emotional pain thatotherwise can lead to relapse. But in time the process becomes so s piritually profoundthat before this amends process is half-way through, says AAs Big Book, therecovering person will find their God.

BILL: Or G.O.D.

DR. DAVE: My hope is that physicians reading us will come to understand no prescriptionthey can write can deliver the emotional peace and balance the addict is looking for.

BILL: And for any adventurous docs, or just plain readers who want to learn more, justclick: The Promises .

Dr. David Moore is a licensed psychologist and chemical dependency professional whois a graduate school faculty member at Argosy Universitys Seattle Campus. Bill Manvilleis a Book of the Month novelist; he teaches Writing To Get Published at http://www.writers.com/manvi lle.html His m ost recent non-fiction work, Cool , Hip &Sober, is available at online b ookstores.

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12:18:06 PMJul 31, 2010

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Many people drink and use other drugs to self medicate because of trauma. Trauma causes physical reactions and changes within thebody. And it really messes with the sleep cycle because the body isoften on high alert even when there's no danger. PIlls might helpsome people, religion might help som e people. But what's probablymost effective is addressing the trauma with a good therapist andfiguring out coping skills. But that can be difficult to do with both thestigma of s eeking help from a therapist and the cost. I'm not makingexcuses for Lohan, but it seems there was a pretty bad familysituation growing up. I remember reports of the police being called i nat one time. And that's only what made the news. I'm guessing therewas s ome violence and that family and she's dealing with theaftermath of trauma. I think there should be a mutlifaceted approachto dealing with trauma. Try the non-drug methods first such asmedi tation, yoga, relaxation im agery, etc. Then if they

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