Discharge Against Medical Advice.

AMA is another notation. It means against medical advice. Some patients who are in an acute hospital or residential program may get the urge to leave thinking “I’ve got this.”

Famous last words. Although you may have the right to discharge yourself it may not be in your best interest or the best for public safety either. If you want more information about the pros and cons you’ll find this link of value. https://www.verywellhealth.com/right-to-leave-the-hospital-3969768 .

Our beliefs and values play a huge part making this decision. Permission-granting beliefs can be the undoing for a person with a drug problem or alcohol problem. You may be having cravings for your drug of choice.

When you follow these and urges leading to relapse, the outcome can be deadly. Leave too soon and you put yourself, your family and society at risk.

All the progress and work you did – all that you accomplished in treatment can be wiped out with just one bad decision. Relapse is similar to being re-infected in today’s Coronavirus environment.

Alcohol is the third leading preventable cause of death in the United States – historically. But this could change. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics.

Similarly, re-opening businesses to soon, AMA, and too many people out and about is potentially causing a resurgence of the disease. Just like a relapse. As of this writing 58,000 Americans have died out of the 1,000,000 cases. Nuff already!

Here’s more information about that. https://www.usnews.com/news/world-report/articles/2020-03-25/who-warns-of-reopening-businesses-schools-too-soon-amid-coronavirus-pandemic .

Covid-19 has surpassed the number of deaths during the war in Viet Nam.

Quality Assurance regarding treatment for SUD, Substance Use Disorder, requires fidelity in the use of Evidence Based Best Practices. Coronavirus has set its own rules and time table. It does not treat people differently in different states. It wants us all. It wants us dead. And it wants us now!

Just as alcoholism is a deadly and progressive disease, C-19 is devastating.

Following the C-19 mitigation advice of science professionals like Dr. Fauci could be a wise decision for individuals and municipalities.

If you are in an outpatient treatment program or getting residential services, the same is true for you. Go with the science of Evidence Based Best Practices.

Be safe. Stay healthy. Stay alive.

Get help with recovery from alcoholism.

This Paschal Easter greeting – Christ is Risen is a rich source for CBT, Cognitive Behavior Theory exploration. The statement reflects beliefs and values of many who inhabit the earth. Additionally, it is a powerful and timely beating death metaphor for the Coronavirus challenge facing us all now.

Followers of other beliefs and faiths have different names for the same figurehead as well as different seasons and timelines.

Some strongly believe this person has not yet arrived. 

Each group left to their own does well. Only when we force our wills and beliefs on others’ we have conflict. These conflicts can lead to an imbalance creating a slippery slope for relapse.

Different strokes for different folks. In this time of need to fight this disease globally, ironically, the Christian, Jewish and Muslim calendars choose this month for great holy days. Ramadan, Passover and Easter are celebrated.

This disease does not recognize different strokes or folks.

It wants us all – Dead! How do we come together to fight the invader?

The framers of modern psych theory explained in a nutshell that, it’s our beliefs, values, thoughts and feelings that lead to our behavior. We have all the strengths and resources to resolve our own issues in a healthy environment. This is as true for recovery as it is for mitigating the C-19 threat.

Today with the Coronavirus Pandemic threatening our existence we need to pull together nationally and globally to create this healthy environment. Let’s find some common, sensible ground for agreement.

Our outcome or fate will be determined by our behavior choices. C-19 has been in charge so far. Do we want to rush it? Or do we extend our timeline with proper testing, prevention and treatment?

You cannot rush recovery from alcohol or other substance use disorders. It’s a day at a time. It’s the same with the virus: we beat death one day at a time.

Some believe it’s more important to reopen the economy knowing we will sacrifice human lives in doing so. Others say that opening too soon will lead to a resurgence of C-19. People are literally using a cost-benefit analysis with human lives and a rebounding economy as a barometer: e.g. beliefs and values

At this point logic, science and best practices are the strengths and resources we already have to resolve this issue. To mitigate the threat of this virus our differences must be put aside. Our survival calls for working together. We need scientific, smart goals that reflect our collective human life and survival values.

Do we want our civilization to be left to the crows? No!

Only unity will save the world. Now – as we put aside our historic differences – we can defeat the common enemy.

Christ is Risen!

Help with Substance Abuse (SUD) and Work Performance

Do you need help with alcohol, other drug or behavior problems? You, your family, employees or employer will benefit from these services.

The same problems that keep you stuck in the substance abuse rut are hurting your work performance.

Employers can use these training methods to improve performance and the bottom line.

These are the same methods clinicians learn to help clients improve their lives. Employers will see and understand how this will help their businesses too.

Counselors and therapists will benefit from using this program. You can use this for professional development, CEUs or both.

NAADAC Approved CEUs are available for all clinicians. NAADAC Approved Education Provider #192679, Expires 3/1/2022

Call me now at 808 385 4550.


Let’s be clear. If you are a first time explorer for a first or one time substance abuse problem then one on one concierge counseling can work for you. I won’t sell you dreams.
If you have had serial chronic problems and you find yourself in trouble with your spouse, partner, family, friends, employer and the law you just may need a full time-out. A quality residential program may really be what you need regardless of your vanity or shame.
“I’ve tried and tried to stop, but I’m stuck. I keep going back to the bottle, pipe or needle.” If this is you – get into a residential program or call me for a Individual Intensive Outpatient Treatment protocol.
Hazelden may be for you. Betty Ford and Hazelden are connected. You may need to be isolated from your people, places and things that take you there and are contributing to your cognitive and behavioral problems. Go far away if you can. https://www.hazeldenbettyford.org/
Limiting permission-granting beliefs, values and irrational thinking lead to negative feelings and emotions. It is these feelings and emotions that pretty much predict your behavior outcome choices. Being away from your negative influences is a good idea while you work out your other challenges. This includes romantic relationships while in  treatment.
Negative thinking leads to depression, anger and all sorts of not good responses. If you think that by some miracle all this will change with no work on your part you are selling yourself dreams.
I will not sell you dreams. Don’t fool yourself either. “You can fool the whole world down the pathway of years and get pats on the back as you pass. But your final reward will be heartache and tears if you’ve cheated the Man in the Glass. (Author unknown)


There’s no such thing as failure. If you are not getting the results you want with your sobriety, recovery, relationships or work you are receiving feedback. What you are doing is not working. Maybe you should try something else: Anything Else.

As you learned in the last post, perspective is everything. When you moved an unpleasant image farther away it did not feel as bad. You were desensitized. When you moved the pleasant image closer you felt better.

You can use your five senses to help you get the outcomes you desire. Especially the visual, auditory and kinesthetic (the see, hear and feel) senses.

Make a picture of you ‘over there’, maybe across the room or even across the street. Analyze that person just like he/she were someone else. What is he trying  to do? What do you see going wrong? Correct the error. Maybe it is just adding a resource like confidence, just being able to ‘say no’ to slippery people, places and things. This is called a refusal skill.

When you can strengthen or add refusal skills you increase your chances of staying clean and sober, staying out of trouble or just being more successful in general.

Try this. Give that person over there the strength of confidence. See that person chin up with his head held high, feeling great that he could finally say No! to those people who have always dragged him down. You know – some people just don’t want you to get better or healthy. They will enable your drinking or using.

They’re called enablers and they are not your friends even if they are family or other loved ones. Sometimes your marital partner or significant other does not want you to heal. You are too much of a threat. It would mean they too may have to clean up, get sober or whatever term you choose.

Look at that person over there again. Ask him, how does it feel being able to ‘just say No? You can see how it looks. You can hear how great it sounds. How does that feel to you? If you like that person and that feeling just step into that image now. Because, it’s you isn’t it?

Put your arms around the New You. Pull him in. Own it. If you need to make the image even more effective try making it bigger, brighter, warmer and hear a soothing sigh of relief. You see, hear and feel the New You.

So you see, there is no such thing as failure. It’s feedback. And, you do have the resources within you already, don’t you? They are your five senses. And you can use them to give you great power. The power that is already locked up inside you. Set it free. Awaken the strengths and resources you already have as Carl Rogers mentioned. This has been Recovery Theme 11.