Bold Voices for Bold Health

The conclusion of a very intense and personal story from our own Dr. Katie Hirst, MD. A star doctor who comes face to face with her own postpartum depression and anxiety that leads to debilitating addiction. We so often see addiction as an affliction of the poor, of the other, of anyone but us. What happens when we take our blinders off and really look at the addiction issue. We find that it hits everyone, regardless of class status, race, gender, education and anything else. This is an extraordinary story of struggle, self realization, and overcoming mighty obstacles to get her life back. Interviewed by BOLD Health colleague Dr. Thomas Paulus, this incredible story shows the ease at which an addiction develops and the strength it takes to get your life back.

BOLD VOICES Ep. 4 – Dr. Katie Hirst, MD – Part II
BOLD Health

Podcast Transcript

00:05 – The truth is that addiction is a killer, and you can defeat it by facing what you’ve been avoiding.

00:09 – It’s high time to get real about the feelings you ignore,

00:11 – but you can’t do that alone.

00:13 – Form an alliance with the best.

00:13 – Team.

00:18 – Up with the doctors at Bold Health to build your capacity to bear those painful feelings.

00:20 – Get strong.

00:23 – Face the truth. Author. Your life.

00:27 – Bold health located in Encinitas, California.

00:32 – Or visit us online at Bold health Inc.com.

00:39 – If I belong on a following, your lead,

00:43 – a thought gets thrown up.

00:51 – Hey, everybody, this is Tom Paulus, and you’re listening to Bold Voices, a podcast about mental health, addiction and the human condition.

00:55 – Today we’re going to be listening to part two of the Katie Hurst Podcast.

00:59 – Well, the Katie Hurst interview, let me say it that way.

01:05 – So far in the interview, Katie’s described an addiction that she’s got going.

01:09 – But also the process of denial.

01:16 – She’s right at the point of deciding whether or not she admits to herself and other people that she’s got a problem.

01:20 – Let’s find out what she does from it.

01:25 – So I’m I’m getting this little addiction going, starting to realize, okay, this is this is unusual.

01:33 – Like, I think I think I’m developing a problem, but really being forced into not being forced into it, but forcing myself into denial

01:41 – because I’m sitting with a group of people who tell the doctors who get caught or who ask for help what to do.

01:42 – And what am I going to do?

01:45 – Come before my peers and admit that I have a problem?

01:49 – You know, my ego totally was not going to let that happen. So,

01:53 – going forward a couple more years, I have another child.

01:56 – I end up using, opioids during her pregnancy.

02:01 – Because, you know, I had an excuse for some round ligament pain, which, like

02:06 – every pregnant woman, has and does not need opioids for.

02:11 – But I was able to kind of, you know, just get access to those,

02:17 – prescribed, and then, end up delivering this, baby girl.

02:22 – Really? Because I went into withdrawal, about a few weeks before her due date.

02:28 – It took me a really long time to try and taper myself off, and I was only taking probably 4 to 5 of the

02:35 – the Vicodin or Percocet at the end of the pregnancy, a day which, you know, sounds is actually quite a lot.

02:38 – But I could not get myself to taper off.

02:43 – And when I finally got off of them, I was only off for about two days before I think I started going into withdrawal.

02:45 – And that triggered labor.

02:49 – And so I delivered, heard about 37 weeks.

02:54 – And thankfully she was fine, but I had an even higher tolerance than normal at that point.

03:00 – And so postpartum, I’m requiring these huge high doses of painkillers for my post-operative pain.

03:04 – And on top of that, I’m just requiring huge high doses because I like how it feels.

03:10 – And, you know, it’s some inappropriate laughter there, but it’s just like, it’s just the two different stuff.

03:13 – I mean, I was in pain, but I also just wanted to feel a little high.

03:16 – And so

03:21 – after we went home with her, it turned out I was on such high doses that I was essentially putting her to sleep

03:26 – because of the exposure in my breast milk. And so I had to quickly taper off.

03:30 – She kind of woke up after some days on formula.

03:34 – I went back to being able to breastfeed her once I was off.

03:38 – But even then within you know, a couple weeks after that I was back to taking

03:43 – maybe one a day, maybe 1 or 2 a day, because now I didn’t have just eight weeks off.

03:49 – Now, I had planned this four month maternity leave, and so it was even longer than I was going to be away

03:54 – from, you know, all of the kind of justification for my existence that my work provided.

03:59 – Had you consciously put all this together at that time about how hard it was for you

04:08 – after the birth to go without the validation and know, oh my gosh, this was all sort of still unconscious, totally unconscious.

04:11 – Yeah. Yeah. I had done really no work.

04:15 – Whatsoever to understand any of this.

04:17 – Yeah. Gotcha.

04:17 – Yeah.

04:22 – And had not really ever been in therapy.

04:24 – Yeah. Yeah.

04:27 – Just hadn’t really thought about it very much.

04:30 – Knew that I was doing something that was wrong.

04:34 – But at the same time that I was able to push that thought down when it popped up,

04:39 – and replace it with all sorts of other things like, well, I’m functioning really well.

04:43 – You know, I haven’t crossed any really real lines.

04:47 – I mean, I was using while I was pregnant and breastfeeding. I think that for most women that’s a line.

04:52 – But there’s actually a lot of women out there who struggle to admit that that was true for them.

04:56 – Because when we’re in our addiction, we’re prioritizing, you know what feels good.

04:56 – Right.

05:02 – And we’re not prioritizing, you know, what is actually healthy for us or healthy for a little human inside us.

05:03 – Yeah.

05:10 – Did you ever have moments of being kind of scared over the dependance on this stuff early on?

05:11 – Yeah.

05:16 – And I think that that, you know, the fear that that brought up was just as quickly pushed down.

05:19 – Because again, you know, what would that mean for me.

05:24 – And since you know, I was married at this point I had one and then two children.

05:30 – But like that was not enough to define me as a person who brings meaning to the world.

05:35 – My career is really what I was using to define myself. And,

05:39 – and you know, what would happen to my career if I asked for help

05:45 – and which is even more messed up because, you know, I had sat on this committee and seen people come in, get help,

05:50 – take some time off of, you know, three months off from work, go to treatment and then go back and resume their careers.

05:57 – In very healthy ways without all of these crazy consequences that I imagined happening.

06:01 – But, you know, I saw myself as different from them.

06:06 – And that if I took a few months off to go get treatment, you know, I was going to lose everything.

06:11 – And so I just, you know, you don’t think clearly. Right.

06:15 – There’s just no there’s not logic. I’m not rational at that point.

06:21 – So things really got bad when my second daughter

06:26 – was about 8 or 9 months old and the cravings were just so intense.

06:29 – I had gone back to work.

06:31 – I was getting busy.

06:33 – You had your own clinic at this point, couldn’t you?

06:35 – Yeah. Maternal health. Right.

06:35 – We skip that.

06:37 – So we did.

06:41 – So, ironically, I was running, a clinic.

06:46 – I was essentially practicing in the field of women’s mental health, so I was seeing pregnant and postpartum women.

06:49 – And this was a very successful thing you started. Right?

06:54 – I mean, you had done very well of that. And I yeah, I was I was really good at it.

06:56 – And, we just did this next round of. Thank you.

07:01 – I know, but that’s my better way to go. Yeah. I mean, because I see,

07:04 – I just want you to like me right now.

07:05 – Okay.

07:10 – No. But, I mean, that’s an important piece because you’re it’s captures.

07:15 – I mean, you were it’s probably what fell into the denial because you could look and see.

07:19 – I mean, only you can now, but, like, look, I’m doing all this other stuff.

07:20 – Like you were still right.

07:23 – No, I was totally still really good at my job.

07:28 – And and so that seemed to be functional enough, right?

07:34 – My husband, keep in mind, had no idea that he knew that I was taking some pain meds.

07:41 – You know, maybe once a day when I was pregnant with my second one, he knew that I had been on to Harvard.

07:45 – An amount after I thought that it was just because my tolerance was so high.

07:49 – He didn’t know any of the other use that was coming in.

07:53 – And so, you know, I could pull it off, right? Yeah.

07:58 – Because, because beyond having to ask for help and then potentially hurting my career,

08:04 – it was having to ask for help and then really exposing myself as this flawed human being to my husband.

08:08 – And isn’t that the most vulnerable that we can be.

08:13 – Totally right is to actually admit to the person you’re closest to. Right. Yes.

08:15 – If they reject you.

08:16 – Right.

08:20 – So I couldn’t like that wasn’t even a possibility. Yeah.

08:22 – And so what ended up happening?

08:26 – Well, I mean, the first part and what really got bad was the.

08:34 – I was just thinking over and over again, I had this euphoric recall of just remembering over and over again how good the opioids felt.

08:39 – Now, I would frequently, you know, once I got my hands on some take a bunch of the pills,

08:43 – they kick in and I remember thinking, oh, this is all I was thinking of.

08:47 – Like, it was never as good as that first or second time, you know?

08:52 – But that power of the euphoric recall is really strong.

08:55 – And it was this craving of I need relief.

08:59 – I need relief because I’m trying to do too much.

09:05 – In my career, it is really hard to be a wife and a mother of two young kids.

09:09 – You know, and trying to be perfect and all of it.

09:14 – It’s very hard. It’s very hard. Right? And in fact, some would say it’s impossible. Right. Right.

09:17 – That we all have to ask for help and the different parts of our life.

09:20 – And what I, what my mind wants to say is suffer.

09:24 – But it’s not suffering, right? It’s just being human. Yeah. And it’s being normal, right?

09:26 – Dinner is not always on the table. Homemade.

09:27 – Right.

09:31 – The kids, you know, the kids don’t, you know, wear matching outfits?

09:33 – Well, actually, they often wore matching outfits, but,

09:37 – you know, but, like, I had to let some of that go and.

09:42 – Yeah, and yet I just couldn’t, because then I’d give up that that image that I had cultivated.

09:50 – Wow. And I would very carefully admit to having faults or, you know, getting behind on things because then I wasn’t too perfect.

09:56 – It is a calculated imperfection, like in those, old artists.

09:59 – Yes. Like, architectural works for the for the floor and, you know. Right.

10:04 – I’m a very calculated, manipulative person.

10:05 – You know.

10:09 – So, so moving forward, this cravings were getting overwhelming.

10:14 – And I remembered that, you know, at that point, you could call in Vicodin over the phone.

10:17 – And they weren’t checking IDs when you picked it up.

10:22 – And so I started calling in prescriptions under family members names and picking them up myself.

10:28 – And all of a sudden I had three family members who were in intense chronic pain.

10:32 – And because I had changed my name at marriage, they had different last names than I did.

10:40 – And I could very easily go pick them up at the local pharmacy and within about six weeks went from taking, you know,

10:48 – nothing to taking 30 to 40 of the, you know, ten milligram strength pills till you like, figured this thing out that you could do this.

10:49 – Yeah. Yeah.

10:54 – And I was kind of managing the pharmacy, you know, the pharmacy situation and and also very worried about getting caught,

10:59 – starting to get kind of paranoid, like, I’m taking huge quantities of these pills,

11:07 – which requires frequent refills for these family members who do not actually have pain, nor do they even live in San Diego.

11:12 – And I’m starting to worry that, you know, somebody’s going to join us.

11:13 – Right.

11:18 – And I’m also worried because, you know, once you’re up to that high quantity, you know, clearly

11:23 – I was going into withdrawal, and I was taking like, 8 or 9 pills at a time, a few times a day.

11:27 – And I could not get myself off of them.

11:31 – I tried to go cold turkey, and that withdrawal was horrible.

11:37 – I tried to taper, but like, every time a, you know, I try to taper, I had, I would write it all out on my phone and the notes,

11:44 – and then I just couldn’t comply with it because I knew that I was not going to get the same high that I was hoping for.

11:45 – And it was my solution.

11:50 – Work was getting busier, and I was being asked to create a new clinical program

11:55 – to potentially move to a new clinic site, to hire people to come on and work with me.

12:00 – And instead of saying no, saying I have this life threatening illness that I really need to get help for,

12:04 – I would just say yes, because then I get more praise and feel more important.

12:08 – So at some point, I recognized

12:13 – I couldn’t do it on my own and called and set up an appointment to get put on Suboxone or buprenorphine.

12:22 – And in this moment of absolute rare honesty, my husband happened to text me while I was in the waiting room of this doctor’s office.

12:27 – And I was probably only honest because I was in kind of a mild to moderate withdrawal in so many patches for town.

12:30 – And he just said, hey, how are you doing?

12:33 – And I said, well, I’m in a doctor’s office waiting to be put on Suboxone.

12:34 – And right.

12:36 – He knew nothing and he knew nothing. Right.

12:42 – And I think that like, his head exploded and, you know, he was working about ten minutes up the road

12:49 – and, you know, immediately drove there and was coming face to face with, oh my God, what?

12:53 – You know, what have you been doing? Like what has happened?

12:58 – And the next, year and a half for really this process.

13:01 – Well, and I mean really since then, that was six and a half years ago.

13:06 – This process of, you know, kind of slowly revealing to him the truth of how much I had

13:11 – deceived him, all the different ways that I manipulated my way into getting those.

13:17 – But that it actually took another year and a half after starting on the Suboxone because I was abusing that.

13:23 – He would be in charge of giving it to me, and he’d try to hide it from me.

13:25 – And, you know, again, he’s not sneaky.

13:28 – He’s a very honest, straightforward person.

13:34 – And so his idea of hiding something from me was like, not at all adequate in terms of hiding.

13:39 – So I would find it and then take extra because I was still trying to get high off of that.

13:42 – Would you get high, would you feel. Yeah. Oh totally. You know. Totally.

13:43 – Oh yeah.

13:51 – And so trying to taper off the Suboxone over the next year, taking myself off of it, relapsing.

13:55 – Then he caught me once, I mean relapsed.

13:56 – Back on the pills.

13:57 – It was a really painful year.

14:04 – But during that whole time, still working full time, hiring people on starting an intensive outpatient program.

14:09 – Right. Like total insanity. Total insanity.

14:14 – Because my ego just could not handle saying no.

14:17 – And not having that oncoming praise.

14:22 – And so I just needed to be doing more and more so that I could justify my existence, feel more important.

14:25 – And I remember actually going over to a friend’s house,

14:31 – and the only thing that I could think to talk about was how excited I was about the new clinic site.

14:38 – We were moving into, the furniture I was buying like nothing in of actual substance or thoughts about me for you.

14:39 – Yeah.

14:45 – And we had told a couple close friends and we had told my family, what was going on.

14:49 – But they didn’t know kind of the ins and outs of it.

14:53 – And so I got off the Suboxone in June of 2013.

15:00 – I had actually prescribed myself some extra, extra Valium because I was really worried about the jitteriness and the the restlessness.

15:05 – So it took me another probably 3 to 4 weeks to kind of clear from that.

15:09 – I lasted maybe 4 to 6 weeks with nothing in my system.

15:12 – And then I remember sitting, in my car

15:17 – outside of my kids school, thinking of all of the notes I had to write that night, all the things that I had to do.

15:23 – And, realizing I just didn’t have the energy to do it.

15:27 – And I needed to feel different somehow. I needed to manage it somehow.

15:32 – And so starting to abuse an over-the-counter drug, for several weeks

15:39 – and finally going, to treatment because I had called in meds to detox myself one last time.

15:45 – The pharmacy had started an automated call system, so they called my sister to let her know that her prescription was ready.

15:50 – And she you know, lives in San Francisco and not San Diego.

15:54 – So it was not anticipating a call from a San Diego pharmacy.

16:00 – So she immediately called me and said that she knew what was going on, called my husband and I had essentially agreed.

16:04 – You know, if this happens one more time, I’ll go to an inpatient place.

16:09 – And what I really had agreed to in my mind was if you catch me one more time. Right.

16:12 – Because there was no way I was voluntarily asking for help at that point.

16:13 – But I did.

16:17 – I went, I went for 30 days, and then it turned into 90 days.

16:20 – And an inpatient treatment center.

16:26 – I lied to my work and told them, you know, that I was going up, that my mom and sister had been in a car accident

16:29 – and that I was flying up to the Bay area to stay with them and help them.

16:33 – Of course, you know, lives don’t work very well long term, you know.

16:41 – And so they found out where I was and while I was in treatment, a lot of consequences came about, just from you taking that break.

16:47 – Well, the treatment like things just I mean, I think if I had been honest, perhaps it wouldn’t have been as bad.

16:49 – But I wasn’t.

16:56 – And so when they figured out what was going on, you know, I had lied to some people who I’d been very close to at work,

17:03 – and I was very appropriately reported to the DEA for having stolen a couple of prescriptions from one person

17:05 – and then for essentially what was going on.

17:10 – And this was the clinic that you started. These people ended up turning me away.

17:12 – Well, you know, it was one person,

17:17 – was worried about that person’s own license

17:22 – because, sure, you know, legally and ethically, that’s what needed to be done.

17:27 – Yeah. And, you know, of course, I had a lot of anger

17:32 – towards, you know, that person, towards that whole system for feeling like they had really thrown me under the bus.

17:38 – But the truth was that, I mean, ultimately they saved my life because, wow, had I

17:44 – had no consequences and really just gone back to work, you know, I hadn’t changed anything.

17:48 – I would have just gone right back into the same game that I was playing

17:53 – where everybody else, you know, told me that I was good enough and I didn’t feel it inside.

17:59 – And I didn’t even recognize that I had my own anxiety, that I didn’t feel good about myself.

18:04 – Because I was not far detached from, from where I was.

18:10 – So I actually sounded pretty narcissistic and full of myself when I was in rehab, because I was so busy

18:17 – telling everybody that I was, smart and important and that I had no problem with self-esteem or self-worth. Wow.

18:21 – Yeah. Which, was quite the opposite, it turns out.

18:25 – So I ended up, you know, getting my DEA prescribing permit revoked.

18:30 – I ended up with criminal charges and was a convicted felon for a year and a half.

18:37 – And I also have to recognize, you know, I was telling this story to a group of, medical students at Stanford,

18:47 – and very clearly had to mention there and, and actually in other talks as well, that I recognize that I got a really good deal

18:52 – because they had 38 instances in which I had called in fraudulent prescriptions.

18:54 – And with each of those,

18:59 – there was a burglary charge that could be attached, because I’d entered that pharmacy with the intent to commit a felony.

19:03 – So I was potentially facing 76 felony charges.

19:11 – And because I am a very well-educated, well-spoken white woman physician, I was able to have a very nice lawyer

19:17 – and I was able to only be convicted and, you know, only have to plead guilty to two felonies, serve no time.

19:23 – And after a year and a half of successful probation, be able to get it reduced to a misdemeanor and expunged.

19:28 – And I think that were I not of the probably gender and race

19:33 – that I am, where I not at the education and socioeconomic level, I would have gone to jail.

19:38 – And I think that’s what happens to so many people who are caught up in their addiction,

19:42 – which is a whole, you know, you can have another 16 podcast without discussion.

19:46 – Of course, what we’ve done to society, without criminalization.

19:49 – But I got off easy. Yeah. Really easy.

19:56 – And so to some extent, I’m really open with my story because, other people can’t be.

20:01 – And because we’ve got to work on getting rid of the stigma around this.

20:02 – Right.

20:07 – If other people can see me and identify with me and go, oh man, if that happened to a doctor

20:10 – who looks like she kind of has her stuff together right now. Yeah.

20:12 – That’s one of the things I’m noticing. Yeah.

20:17 – I mean, this really cuts across, looks in a way.

20:20 – But the the effects are different for different people.

20:22 – They are, they are, you know. Yeah.

20:28 – And so during, you know, that was I took a couple years, I took a few years off of work.

20:31 – Wasn’t able to work.

20:34 – Because when you’re a convicted felon, you’re not really supposed to be practicing medicine.

20:39 – So in the medical board says appropriately. And then I was so lucky.

20:47 – Lucky to, you know, doctor Lamm, Christy Lamm stayed in touch with me because we had been friends, and colleagues.

20:54 – And so she invited me to come back and start teaching mindfulness classes of old and then start seeing patients.

21:00 – Wow. And that whole, you know, this makes it sound like it’s been an easy time coming up on five years in November.

21:02 – You know, everything continues the way it’s going.

21:11 – You know, that skips over a whole huge section of, well, how do you go from being so involved

21:18 – and high all the time and desperate to feel good about yourself, to feeling good and happy and sober?

21:23 – Yes. And and so we, we should probably break this up

21:28 – into two sections, because this is, this is another piece that I want to spend some time on.

21:33 – So we’ll will, you know, why don’t we just create it?

21:37 – Why don’t we create a little space for you to go into that section now?

21:41 – Okay. Yeah. I mean, so, I mean, you’ve you’ve kind of brought us through,

21:48 – the really difficult part and set it up and helped us see how this developed.

21:54 – What’s, I mean, and I’m thinking about the person that’s listening to this that may be more in that part of their journey.

22:01 – What’s the other side of this like, is there another side.

22:02 – Oh my gosh.

22:09 – It’s I, I was sitting with somebody the other day and disclosed my own history, to that person.

22:14 – And the person looked at me and was shocked like, oh my God, you’ve gone through this.

22:15 – I never would have guessed.

22:23 – And said that, you know, you seem so calm and just, you know, kind of just at peace with life.

22:27 – And I said, yes, and that is what you can have.

22:31 – And that is what, you know, real recovery is.

22:36 – And it brings tears to my eyes because of, I think, really the joy and the gratitude

22:46 – that comes with the opportunity I have, which is to live a whole new, you know, next part of my life without needing to,

22:54 – first of all, use drugs to feel good about myself and accomplish things, but also without needing to rely on other people to make me feel good.

23:02 – You know, I’m I’m able to wake up in the morning and know that even if I do not have a place to work,

23:09 – even if I do not have, you know, patients waiting to see me or, you know, I don’t know, even kids waiting to be woken up,

23:16 – then I can just exist and that I get to be a human being, and then I can have gratitude for that,

23:19 – and that I don’t have to have anybody tell me they’re happy to see me.

23:21 – That’s a lovely thing.

23:26 – And that comes with feeling good and calm and serene about myself and who I am.

23:32 – But that I can just, you know, work every day to be a good person,

23:38 – to make wise choices, and to bring compassion to myself.

23:41 – But also to other people.

23:41 – Yeah.

23:45 – There’s so real simplicity in that. Yeah. It’s really, really. Yeah.

23:47 – So it really means changing.

23:49 – It meant changing my whole life.

23:50 – Wow. Right.

23:55 – To really make my life revolve around my own self-care, which sounds really selfish.

23:59 – But if I don’t think about this,

24:02 – if I don’t take care of myself, how can I take care of my kids?

24:06 – How can I take care of my husband or my patients?

24:13 – You know, how can I take care of my colleagues and taking care in that way of just being around other humans in a kind, compassionate way?

24:15 – Yeah.

24:21 – I mean, I often think like that we can’t really give ourselves in an authentic way if we haven’t really accepted ourselves

24:23 – and, and integrated.

24:27 – And cared for that gift of our existence. Yeah.

24:28 – And then.

24:31 – Yeah. Then, then we can move on to caring for other people.

24:34 – But it has to be in that order. Exactly.

24:35 – Exactly.

24:39 – You what would you say to somebody?

24:44 – In the middle of, of struggling, with this and hasn’t quite

24:49 – moved on to this, this last chapter where they’re putting their life back together?

24:52 – Somebody who’s struggling still with being in the midst of that.

24:53 – Yeah.

24:57 – A lot of ambivalence maybe about about their addiction.

25:00 – And, Yeah, maybe.

25:03 – Yeah. I mean, I guess it depends on the person, but is there some.

25:05 – Yeah. I mean, what do we, What?

25:10 – Well, see, I mean, there’s no way to motivate somebody else to care for themselves, right?

25:10 – Right.

25:15 – And that’s why, you know, we work so hard here to remind ourselves that, you know, I,

25:21 – I can try as I might to get somebody to walk in our doors and accept going to treatment.

25:25 – If they don’t want to be there, then there’s just not much that we can do.

25:26 – That’s right.

25:36 – And so, you know, a lot of this is making it okay for people to ask for help making it okay for them to be struggling.

25:42 – Not feeling like, having to go to quote unquote rehab or treatment,

25:49 – you know, means that they’re a failure because ultimately, I mean what a mark of success in somebody’s personal life when they can actually ask

25:56 – for help before the huge crisis happens, right before they end up in jail or,

26:02 – you know, hurting other people and unintentionally, and along with that goes,

26:07 – This idea

26:13 – of taking care of ourselves as human beings and taking care of others.

26:21 – And I just totally blanked on what I was going to say, which either means that I’m in KPD writing or the thought was not worth carrying on.

26:26 – I’m guessing there’s some money, some unresolved selling, some like there, some good there.

26:28 – We’ll go with that theory.

26:31 – But, it is 10:00. I’m not sure.

26:33 – A patient meditation class to teach.

26:41 – Okay, well, there may have to be a follow up on this, Katie, because, I clearly see that you have had a really authentic path.

26:44 – I’m sure you still have your knots and your struggles so far.

26:45 – Yeah.

26:50 – But, just to be engaging authentically with where we really are.

26:52 – I think that’s what we’re all about here. Called.

26:53 – Yeah. That’s so hard.

26:57 – I mean, it’s a frustration for me, but, yeah, in a new patient comes in.

27:00 – Look, you know, you can just tell us the truth about where you are. Right.

27:04 – And that actually is what I was going to say earlier, which is the stumbling. Right?

27:07 – Getting my path to being where I am today.

27:09 – And I can’t say my path to recovery

27:14 – because, like, I’m not using drugs today and I’m not doing anything that’s harmful to myself at this moment.

27:19 – But, you know, I do really believe that it’s one day at a time.

27:20 – Very strongly.

27:20 – Yeah.

27:25 – And my path to recovery has had a lot of stumbles and missteps along it.

27:30 – And we are so focused on letting people stumble

27:35 – if that is what they need to do, but then welcoming them up after that stumble.

27:36 – Yeah. That’s it.

27:43 – None of this, you know, I, I, I have really benefited from 12 step programs, but I also feel,

27:51 – that when people, you know, quote unquote, slip or go back and use once, you know, let’s welcome them back in

27:57 – without having to shame or humiliate because they’re already harder or harder ourselves, then, I mean, that’s maybe why it’s hard to be honest.

27:58 – Yeah.

28:04 – The striving in this whole story like that, that need to be, you know, acceptable.

28:04 – Yeah.

28:09 – And like, it’s okay for me to stumble in, you know, eat an entire bag of hint of lime Tostitos.

28:14 – Yeah, because I was super stressed out the other night, but I don’t have to, you know, not to myself as a newcomer.

28:16 – Yeah. Anywhere. You know. Yeah.

28:22 – And so that, yes, is different from taking drugs, but at the same time, that’s just my current drug of choice.

28:25 – Yeah, right. It’s binging on salty food. Yeah.

28:30 – And then gaining 5 pounds of water right overnight and coming in with swollen eyes, which is how you know, how I now

28:33 – look for the swollen up.

28:34 – Yeah.

28:37 – Katie, thank you so much. You’re so welcome.

28:37 – Yeah. Yeah.

28:40 – Awesome. Have a great mindfulness class. Thank you very much.

28:42 – It’ll be as it is

28:47 – also.

28:51 – Thank you so much for tuning in to another episode of Bob voices.

28:55 – Thank you, doctor K Herz for sharing your story.

28:58 – Let me offer my usual shout out. Thank you, Deb professional for the music.

29:03 – Thank you, John Drexler, for more music. Here’s your problem.

29:05 – Thank you also for music.

29:08 – Paul Flores, thanks for your help, man.

29:10 – Appreciate the help with the set up.

29:14 – More support, etc., etc..

29:16 – Finally, thank you to our listeners.

29:20 – I hope you’ll tune in for our next episode.

29:25 – See you next time.

29:32 – Hey, dude.

29:33 – Hey, check out bro.

29:35 – Hey, Chuck B.

29:36 – What’s up?

29:40 – Hey, I got you on the the speakerphone here.

29:40 – Oh, really?

29:41 – Yeah.

29:47 – I’m wondering, how do you know you had an unlocking of the unconscious in any amount of detail you’d like to share?

29:51 – Well, just essentially, it’s an experience of dreaming while you’re awake.

29:53 – I mean, that’s the only way to describe it.

30:02 – And I’ve never been high on LSD or used any other psychotropic kind of substance.

30:08 – But the experience I had with the unlocking seemed like it was probably similar.

30:11 – Wow. And,

30:15 – the circumstance was

30:23 – I got into dealing with a conflict with someone important in my life, and I was driving in my car

30:31 – trying to experience my anger versus using defenses of devaluing or going getting really anxious with, say, smooth muscle anxiety.

30:35 – I was really trying hard to block my defenses and regulate anxiety.

30:39 – I kept oscillating between smooth muscle anxiety and defense.

30:43 – Self attack, for example. And

30:46 – after about

30:52 – 5 to 10 minutes of doing that while I was driving, my mind started to get these images

30:55 – that that just kept building.

30:59 – And the images were perfectly consistent with my upbringing.

31:08 – And the setting was the baseball field of my high school, which is the source of tremendous conflict for me.

31:11 – So I’m

31:15 – paying attention to my anger, and it’s deepening, and these images start to come into my mind.

31:22 – Conscious mind, of course, while you’re driving, while I’m driving, I’m awake and my my physiology starts to,

31:27 – you know, feel like I’m on fire or something, or like this lightness, this, like, euphoric feeling.

31:29 – I guess it’s a better way to describe it.

31:35 – Kind of like, Nirvana is what I’m looking for.

31:43 – So the more I deepen that, I just kind of fall into this trance, and I, and I get this image of.

31:50 – So I’m at the baseball field of my high school in Canyon City, Colorado, my hometown, but it’s just me.

31:55 – But then I start to see my dad, these images of my dad wearing his baseball hat,

32:01 – wearing his shirt of our team, the Kansas City Tigers baseball team.

32:03 – You can see all this, like, clearly.

32:06 – Oh, so clearly.

32:10 – It’s like I’m there. It’s like I’m just dreaming. Yeah. It’s,

32:15 – the his physical movements, his facial hair, just like everything is there.

32:20 – He’s walking down the sideline in this, you know, next to the fence.

32:24 – And like, I’ve seen him do hundreds of times before.

32:26 – And then.

32:30 – So this really clear image of my dad in his baseball hat

32:35 – and his shirt and him walking down with his camera because he’d always bring the camera.

32:44 – And then it jumps to he and I sitting on the bleachers together having a conversation.

32:51 – And just like reporting a dream, it’s it’s really hard to convey the images and the the emotional tone.

32:52 – Sure, the images.

32:56 – So recounting it right now, I’m already like, yeah, it’s not even doing it justice.

32:58 – Just like when you have a real dream.

33:04 – So, but we’re sitting there on the bleachers and I feel so safe with him.

33:08 – It’s an experience I’ve never had with my father. And.

33:11 – And my conscious, my conscious life. I’m great.

33:17 – I’m crying because I feel so much joy over finally getting to meet the real

33:22 – dad, the dad who was safe and available to me on the baseball field and

33:25 – just while I’m driving.

33:29 – It’s it’s a total integration between my unconscious and my conscious life.

33:34 – I’m literally feeling the safety with him for the first time.

33:37 – But it’s the images from the unconscious.

33:43 – It’s my dad’s not actually there with me in the car, but my unconscious historic dad is.

33:46 – But in a in a in a healthy way.

33:49 – And so I’m just I’m just communing with my dad there on the bleachers.

33:51 – He’s really quiet, like he always has been.

33:55 – My dad’s a quiet guy, but.

33:58 – I hope you enjoyed that little preview of Paul’s story.

34:03 – Tune into the episode on Unlocking the Unconscious to hear the rest of Paul’s story.

34:09 – See you next time.

34:18 – The truth is that addiction is a killer, and you can defeat it by facing what you’ve been avoiding.

34:20 – It’s high time to get real about the feelings you ignore.

34:24 – But you can’t do that alone.

34:25 – Form an alliance with the best.

34:31 – Team up with the doctors at Bold Health to build your capacity to bear those painful feelings.

34:33 – Get strong.

34:36 – Face the truth. Author. Your life.

34:43 – Bold health located in Encinitas, California or visit us online at Bold health Inc.com.