Riverview Manor advises on dealing with addiction during the festive season

The festive season can be particularly difficult for those struggling with addiction – those who have not yet come to terms with their substance abuse, the recently rehabilitated as well as the families of addicts. But being prepared is the best way to navigate through the season of excesses.

According to Des Wilkinson, Clinical Psychologist at Riverview Manor, a specialist clinic in the Southern Drakensberg that is dedicated to the professional treatment of drug and alcohol addiction and dependence, eating disorders, anxiety, depression, trauma and stress, the best way to deal with the festive season is to be prepared.

That way, both addicts and their families and friends can avoid the pitfalls of overindulgence, remove obvious temptations such as alcohol and be on the lookout to help those who are most vulnerable.

As he explains, the festive seasons gives people time to sit back and review the year. For many, 2021 has been even more difficult than 2020 with the protracted Covid-19 pandemic leading to the loss of loved ones as well as jobs and businesses and the looting and violence in July in KwaZulu-Natal and Gauteng also causing significant financial loss and sparking anger and fear.

In 2021, there was a marked increase in the number of people seeking help at Riverview Manor. The abuse of alcohol as well as prescription and over the counter medication grew as more and more people became overwhelmed by the loss of loved ones, their jobs and perhaps even rising levels of debt.

Those who are most vulnerable at this time of year are those who are isolated, warns Wilkinson.

“Christmas is a time to relax, to celebrate, to engage meaningfully with friends and family. There is an expectation of gatherings, celebrations and indulgence. Where these expectations are not met either through bereavement, family conflict or separation due to translocation, Christmas can be lonely and depressing. There’s nothing more disheartening than witnessing others joyfully preparing for the festivities. Everywhere you go your space is invaded by lights, the sounds of carols and smiling and laughing groups,” he explains.

But those who are struggling with isolation and dependence may start to fantasize about replacing family and friends with indulgence in alcohol or drugs to anaesthetize the feelings of loneliness, isolation and despair. Active substance abusers will submit to the temptations willy-nilly, he warns.

Some are in recovery and for whom Christmas is a tremendous temptation.

Wilkinson says those actively engaging in recovery programs such as AA, NA or the Smart recovery program will benefit from redoubling their efforts to maintain recovery. The festive season could even invite a re-commitment to the process.

His advice to recovering addicts is: “Avoid triggers as much as possible, make sure there is something to do, or attend, or watch to distract from temptation. Attend as many meetings as possible especially those who meet on the holidays. If you have a sponsor, keep in constant contact.”

He adds that families and friends of addicts possibly face even more challenges. These extend beyond simply removing obvious temptations.

“It is difficult to love an addict and ostracising him or her may seem the easier choice. But there is an alternative. Try including the addict in as many of the activities as possible: in the conversation, in the games and in the rituals whilst always being mindful of the whereabouts and the behavioural patterns of the addict,” Wilkinson advises.

Referring to the Ted Talks presentation “Everything you think you know about addiction is wrong”, Wilkinson notes that the opposite of addiction is not sobriety but actually a connection. “It is inherent to the human condition that we bond. We bond with our family, our job, our sports club or our hobbies/interests. If we do not succeed in connecting with any of these, we may seek out substances that mimic the sensation of bonding. This however is an illusion and leads to the very dangerous “go to” habits such as consuming alcohol, narcotics, eating or gambling. This usually results in further isolation resulting in a destructive vicious circle: consuming more which leads to further isolation.”

He emphasises that the temptations of the festive season live on after the party is over. “Watch out for the tell-tale behavioural signs that could indicate the return to old destructive habits. This could include the addict’s starting to isolate or sneak off. It could include depression or agitation. Be encouraging and empathic when these behaviours are present and affirm the person’s successes over the festive holidays.”

Most of all, be patient and as soon as the Christmas lights are back in the box and it is business as usual, seek out professional help such as the assistance offered at Riverview Manor.

About Riverview Manor

Located in Underberg, in the Southern Drakensberg, Riverview Manor is a private specialist clinic treating psychiatric disorders with a dual diagnosis of drug and alcohol addiction and dependence, eating disorders, anorexia, bulimia, anxiety, depression, trauma and stress. However, due to the complexities of modern-day living, it has constantly extended its programmes to address closely related dual diagnosis problems and addictions that now include everything from substance abuse (crystal meth, heroin and cocaine) to prescription medication and even gambling and sex addictions.

Riverview Manor’s Treatment programme for gambling addiction includes:

Weekly, psychotherapy by trained and registered clinical psychologists.
Assessments, follow-ups and medication prescribed by trained and registered psychiatric nurses, nurses, general practitioners, and psychiatrists.
Weekly lectures for clients to strengthen their self-help and self-care techniques and mechanisms and help them to identify underlying factors contributing to their gambling. Lecture topics include lifestyle and diet, pharmacology and sleep, cognitive behavioural therapy and boundaries, relapse prevention and anger management.
Addiction counselling groups are offered by outside members committed to associations of addiction recovery.
Family sessions to increase support systems.
Weekly facilitated group therapy.
Weekly facilitated art therapy.
Weekly step program to assist clients in formulating a recovery plan unique to their gambling disorders.
Weekly yoga and mindfulness workshops.
Multidisciplinary activities involving psychiatrists, psychologists, nurses, psychiatric nurses, occupational therapists, spiritual counsellors, dietitians and equine therapy to assist with recovery.
Weekly outings (golf, waterfall visits, hiking, country club walks or client soccer/cricket, museums and site seeing.)

Riverview Manor website: http://www.riverviewmanor.co.za/therapies/depression/