Explainer
Addiction
Change
Mental Health
11 min read

Resolutions: the addict’s guide to making a change

Don’t give up on giving up something. Lauren Windle explains how to arm yourself best for success.

Lauren Windle is an author, journalist, presenter and public speaker.

Three signs attached to a fence read: Don't Give Up, One Day At A Time, and Your Mistakes Don't Define You.
Road side encouragement in Lehi, Utah.
Ann Schreck on Unsplash.

I remember the talk we had on ‘giving things up’ every year in my primary school. The same doddery old vicar from a local church tottered down to tell two-hundred children what it meant to sacrifice something we enjoyed in order to feel better down the line. He explained that he could give up kippers, but that would be no sacrifice, as he didn’t even like kippers! How we laughed. 

We were young for a lesson on restraint, but down the line, it would prove to be the biggest challenge of my life. The concept is huge for 4-11-year-olds but, as adults, we all know that sacrifice comes with rewards – although many of us resist the idea. It’s very unsexy in a world of ‘you do you boo’, but the fact is, discipline is making a comeback. I read plenty of self-development, smart-thinking and spiritual books, and am gob-smacked by some of the wisdom on offer. The greatest minds of our day are now suggesting taking a full day of rest every week. They are extoling the virtues of honesty to our neural pathways. And they are encouraging fasting as a route to greater mental and physical health. This advice is so sage that it almost sounds biblical. 

The world is finally catching up with what the birthday-boy Jesus has been saying for so long. A life of prayer, meditation, bounded connection, outward-focused living, honesty, non-judgement and discipline will lead to the peace and sense of fulfilment that so often eludes us. 

We’re not so different you and I. We are all weak. We all live in a world tailored to give us short-sharp dopamine hits when our soul yearns for sustained, hard-earned rewards. 

As an active drug addict, I had none of this peace. I didn’t want it. Live fast, die young. The highest of highs faced by the lowest of lows that could be chemically rectified. My assumption was that everyone was miserable, I had just found something to get me through. If anything, I was the one who was winning. But from the cage I had built around me, there was no way to see the freedom I could be enjoying.  

It was on 22 April 2014 that I finally gave up cocaine and alcohol after handing over every good thing in my life in service to their attainment. I thought I was trading the misery of addiction for the misery of abstinence. But, what I would slowly learn was that the incredible weakness I had exhibited could be transformed into a strength of such magnitude, it exceeded any dream or hope I had for myself. I had decided to deprive myself for long-term good of my life and unlike Father Brown and his kippers, the cost would be great. 

I have a degree in neuroscience. This surprises both people I meet at dinner parties and other students who were on my course – one of which asked if I was lost on my way to beauty therapy. Since getting sober I have added a Master’s in Addiction Studies from King’s College London to my resumé and five years of heading up a recovery programme for people struggling with all sorts of addictions. I have mentored, coached and sponsored scores of people to freedom. In the process I’ve learned a thing or two about ‘giving things up’. 

The best time is right now. Before you’ve had one last ‘treat day’, one last party or one last flutter. The best time to make a change is the moment you realise you need to. 

There are two points I’d like to address before we get into the nitty gritty. Firstly, yes this is relevant to you. This isn’t an addict’s sob story where you get to voyeuristically bask in my pain before returning to your cushty life safe in the knowledge that you’ll never sink so low. Addiction is at the top end of a scale of idolatry that we all teeter on the brink of. If you think you can’t relate to my story, turn your phone off for three days and note how you feel every time you go to reach for it. We’re not so different you and I. We are all weak. We all live in a world tailored to give us short-sharp dopamine hits when our soul yearns for sustained, hard-earned rewards. We all have something we could afford to give up or moderate.  

Second, New Year’s Day is not the best day to give something up. Neither is the first day of the month, or next Monday, or even tomorrow morning. The best time is right now. Before you’ve had one last ‘treat day’, one last party or one last flutter. The best time to make a change is the moment you realise you need to. That said, I do know plenty of people who gave up smoking for Stop-tober and never looked back and there are plenty of resolutions that have resulted in lasting change. Also - we are conveniently placed at the start of a new year, so let’s strike while the iron is hot. 

If you have decided to give something up this year, here is how I, a recovering addict, believes you can arm yourself best for success.

Set clear goals 

Leave the shades of grey to E. L. James. When it comes to making a positive change in your life this is a black and white business. ‘To be on my phone less’, ‘to read more’, ‘to drink less’… these are too vague to be achievable. Instead try: ‘to turn off my phone at 9pm and not turn it back on until 9am’, ‘to go to bed half an hour earlier and read 10 pages of a book’ or ‘to only drink on two days a week and have no more than three drinks.’ 

I once worked with a woman who set herself some simple goals around food: not to eat while she was cooking, not to eat in the supermarket, not to eat in her car and not to eat in her bedroom. This is far easier to attain than just a generic diet.  

If you want to change your clear goals, you absolutely can… after a three-day cooling off period. If you want to up your drinking days to three per week, do it. But it will start next week, not this one when you’ve already drunk on Wednesday and Thursday and someone brings round some beers on Saturday night. You want to turn on your phone an hour earlier every morning, definitely do. But that will start in three-days-time, not on a low day when you’re fighting in bed and decide ‘what’s the harm?’ 

It's half about the lower screen time/alcohol consumption etc. and half about your ability to play by the rules, to exercise discipline and to make a decision today that will benefit you tomorrow. This is about looking after yourself as you would someone else who was your responsibility. You must enforce boundaries to help your charge develop well. Only this time, your charge is you.  

Tell people 

Social pressure is a helpful tool. Did you know those flyers that they drop through your door saying: ‘90% of your neighbours have completed their tax return by now’ are far more effective than the ones saying: ‘File your tax return’? How others perceive us matters to us. 

Research shows that the more people you tell about your new resolution, the more likely you are to keep it. If you’ve announced to the Jones’ that you won’t be drinking and then pour yourself a cheeky snifter, you don’t just disappoint yourself but you run risk of a loss of respect from those you informed of your decision. Keeping up with the Jones’ can be a powerful motivator. 

Expanding on that premise, and taking it from a threat to an encouragement, there’s also evidence that doing things in a group greatly increases everyone’s chances of success. If you’re reducing phone time, why not set up a WhatsApp group where you drop a message to your comrades just as you turn off your phone. That way everyone will have a record of the time each person logged off, you could then catch up in the morning and say how you used the time instead. If your plan is to exercise more, head to the same class every Tuesday morning with a friend and grab coffee afterwards. If you’re making pledges around food or alcohol patterns, why not agree them with your partner as you’re likely to share many meals together? 

For the sake of your friendships though - make it clear to whoever you tell if you expect them to challenge you if you fall short or if you want them to leave you to it. Don’t expect a friend to police you without their prior agreement. Equally don’t expect them to stand by as you break your resolution without saying anything, unless you’ve made it clear you don’t want their intervention.  

Observe yourself 

There will be times when sticking to your resolution is easy (usually the firs two days of January). But unless you’ve gone for the kippers option, there will be times when it is incredibly hard. Observe yourself in those moments, ask yourself questions and understand what it is about those times that present a challenge.  

Many people reach for their comforts when they’re happy, hungry, angry, lonely or tired. How do you respond when you feel these emotions? What brings you most comfort? Is there a healthier option that could support you instead? 

You see, if you’re giving up something that has become an idol, that takes your attention and satisfies that dopamine craving when you most want it, you’ve left a vacuum. The void could mean you are more drawn to your crutch of choice than ever. Or it could mean that you select something equally unhelpful to get you through. Identify these crevices as they arise and come up with a plan to protect yourself in those moments.  

I’ll kick you off with a few examples: 

  • You would usually pour yourself a glass of wine to mark the end of a working day? Get outside for a walk. 
  • You would usually fiddle on your phone on the commute? Bring a book with you.  
  • You get distracted during prayer/meditation time? Take a notepad with you, jot down any thought and then get back to your practice.  
  • Connect with friends over booze at the pub? Host a games night.  
  • Give yourself a little treat of chocolate or cake after a long day? Get a nice selection of teas and hot drinks.

Personalise the above as required.

Don’t beat yourself up 

Lifestyle changes involve failure. Sadly, most things that are worth having involve accepting some level of failure. It doesn’t make you weak. It doesn’t make you evil. It doesn’t make you anything other than human. ‘The measure of a person isn’t how they fall, but how they pick themselves up.’ – said some over-quoted person like Gandhi, Theodore Roosevelt or Marylin Monroe probably. 

 Discipline is a muscle that needs work, and if this is your first time seriously embarking on something like this, you’re in the equivalent of the beginners’ Zumba category. Slipping up does not signal the end. It signals a slip. If I were cycling from London to Brighton and I fell off my bike around Horsham, I wouldn’t pick it up, walk it back to London and start again. I get to remount the bike exactly where I fell. I get the benefit and experience of the last 30 miles of road. It is an opportunity to strengthen my resolve and recommit myself, not to give up until next year.  

Use the tools 

There are an outrageous number of tools available to help you in your quest for progress. Don’t be too proud to use them. There are tracker apps, accountability programmes (like covenant eyes for those who want to cut out porn), books, podcasts, charities, anonymous meetings, medications, therapists, doctors, family, friends, churches and many others who can be with you. They can help while you mull on any challenges and strategize solutions that will help you grow.  

Self-efficacy is key 

There’s a study that I promise exists, even though in my in-between-Christmas-and-new-year haze I can’t find the reference for it. It was research on cannabis. Formerly cannabis was most commonly found as a secondary addiction for those whose primary focus was cocaine, heroin, Benzodiazepine or alcohol. But with the increased potency of street-level cannabis and the invention of synthetic-cannabinoids like Spice, more people are dying at the hands of marijuana, and therefore there are increasing budgets for research. 

Unlike heroine, Benzos or alcohol, there is no medical intervention to support those coming off cannabis. So the study looked at the primary factors that supported long-term abstinence from the drug. The strongest predictor of successful recovery was self-efficacy i.e. participants who were most likely to get and stay clean were those who started the process by saying they believed they could. 

 You can make any positive lifestyle change you want but it takes time and perseverance. But if you make a declaration believing you probably won’t stick to it or that you’ll see how it goes – you’ve lost before you’ve started.   

It won’t feel good 

There’s an unspoken expectation that taking steps towards better, more nourishing clean-living feels good. Some people think that they will start waking up before their alarm, well-hydrated, with enough energy for a quick round of squash before a bracing ice bath and hearty breakfast. This is not my experience. 

There are times when, in order to stick to my resolve, I had to just stay in bed. Not moving or facing the outside world. There were times when the agony of rejecting my crutches felt unbearable. Anything felt better than continuing on that difficult path of discipline. Achievement, to-do lists and even the notion of ‘a calling’ are reserved for those lucky enough to be functioning that day. The rest of us just have to survive. 

The feeling of pain won’t last. It never does. For some it will be a few days of discomfort, followed by smug boasting that they ‘don’t even think about caffeine anymore’. While for others, the loss will sting and it will take time before they feel any benefit. But those benefits are coming. They are worth holding out for. In a world of 10-15 minute Deliveroo meals, let’s take an hour to cook ourselves a good dinner. In a world where every movie is a few remote clicks away, let’s read a book. In a world where you can plough on, getting things done, let’s boot one thing off our checklists and pause to pray instead. In a world of quick solutions, let’s take the long, restrained route. Let’s allow the process to run its course. Let’s become better, stronger people who are more equipped to carry life’s burdens and help others along the way too. 

Article
Ageing
Care
Change
Death & life
6 min read

A Tolkien poem helps a nurse understand the ravages of dementia

'Not all who wander are lost.'

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

An elderly woman wearing headphone looks up and to the side with a big smile.
Playlist for Life

Not all who wander are lost.

Often written on a care home wall, on an inspirational poster, these words are usually set against a forest background, or compass, for added effect. They have also been used as the title of a conference paper discussing so-called smart trackers for people with dementia, whilst, Not all who wander need be lost is the title of a concise guide to navigating the heartbreaking challenges when a loved one is diagnosed with Alzheimer’s disease or other dementia.

As a care home nurse for more than ten years, I have seen residents wander - not lost but “walking with purpose”, as it is sometimes known in the caring community. “Nobody gets up and walks without a reason,” says Suzanne Mumford, Care UK's Head of Nursing, Care and Dementia; perhaps they are easing pain, or boredom, or looking for something that they can’t describe. I remember residents exploring, enquiring into self-made mysteries solvable only by themselves, examining everything from door handles to another resident’s buttons, even escaping with surprising speed. Walking with them, often in silence, can bring a sense of relief, comfort and companionship.  

What I didn’t know was that this is a quotation from a poem by JRR Tolkien, published in The Fellowship of the Ring seventy years ago. The actual line is - “Not all those who wander are lost”. 

All that is gold does not glitter, 
Not all those who wander are lost; 
The old that is strong does not wither, 
Deep roots are not reached by the frost. 
 
From the ashes a fire shall be woken, 
A light from the shadows shall spring; 
Renewed shall be blade that was broken, 
The crownless again shall be king.” 

We first hear this poem in Chapter Ten of Book One, as Frodo reads it in the postscript of a letter from Gandalf. As I read it, the imagery of being lost, withered, frost-bitten, in darkness, burned and broken, speaks something, in poetic picture language, of the ravages of dementia, the harrowing losses, the valley of tears. It brings to mind residents unaware of familiar objects or surroundings, looking straight through loved ones without a flicker of recognition, losing also language, continence, mobility and the ability to swallow. 

The TV presenter Fiona Philips recalled an agonising decline in her mother as she succumbed to Alzheimer’s, describing how, in the final stages, her mother “spent whole chunks of time just sitting and staring ahead, only able to give out a series of sounds”. Fiona herself now lives with dementia. “'It’s devastated my family and it’s the biggest health and social care challenge we face as a country,” she says. 

I once interviewed retired doctor Jennifer Bute, who lives with dementia. She talked of time travel (perceiving herself as living in a time from her past); disorientation to place and person; frightening hallucinations when old memories are seemingly ‘unlocked’; and ‘emotional unzipping’ when agitation and anxiety increase, often in the late afternoon or evening in something poorly understood as a symptom, known as ‘sundowning’. 

Yet there is something more to this poem – each of the pains has a promise – not all who wander are lost; the old that is strong does not wither; and, most poignantly, deep roots are not touched by the frost. In dementia, it is true that deep roots are untouched, that an enduring aspect of a person’s identity never truly withers, though it may be mostly unseen. Something remains. Oliver Sacks the famous neurologist emphasised that, even in the late stages of Alzheimer’s, the person is still ‘alive inside’ (the inspiring documentary with this title is recommended). In stunning real-life stories, he has shown how music appears to ‘call back the self’, awakening moods, memories and thoughts that had seemingly been lost. He refers to music’s extraordinary ‘neural robustness’ and describes one man, unable to tie his tie or find his way to the stage, yet able to perform a perfect piano solo. In one life-affirming, must-watch, tear-jerking video, gospel music was shown to enliven, calm, focus and engage a man simply known as Henry.    

Watch Henry

Singing can “provide islands of arousal and awareness like nothing else can”, according to Alicia Clair, Professor of Music Therapy. I’ve seen singing bring the person into the present for a passing moment, illuminating a face that seemed far away. One otherwise-silent lady completed the chorus of ‘Daisy, Daisy’ before descending into dementia again. Others have laughed, clapped, danced, embraced and even shed a silent tear during music therapy sessions, when music elicits memory. Doll therapy meanwhile has sometimes restored and revealed a sense of nurture, purpose, care and pride, with residents feeding their new friend before accepting their own food, folding its clothes and taking care of it cradled in their arms. Though it divides opinion, a doll can preserve dignity if it de-escalates agitation or engagement in physical or verbal abuse; a sense of dignity also comes from the person being able momentarily to give care rather than receive it. 

“From the ashes a fire shall be woken, A light from the shadows shall spring; Renewed shall be blade that was broken,” continues Tolkien's poem, and, though not the original intention, these powerful images of renewal and restoration paint a picture of something known as “paradoxical lucidity”, or unexpected cognitive lucidity and communication in some patients with severe dementia, especially around the time of death (though sometimes long before).  

Anecdotes are recorded of “unexpected, spontaneous, meaningful, and relevant communication or connectedness in a patient who is assumed to have permanently lost the capacity for coherent verbal or behavioral interaction due to a progressive and pathophysiologic dementing process”.  Some scientists are seeing them as a paradigm shift in the understanding and perhaps even treatment of dementia. I will never forget when a woman in the late stages of dementia, with little spoken language, was brought back to the nursing home weeks after hospital admission; she had been perilously ill. With bright eyes, she took my arm and, as if the mist had cleared for a moment, spoke warmest words of thanks to me for helping her on the day she collapsed. In another fleeting and irreproducible moment, a lady wished me happy birthday, before continuing her silent walk around the home. Witnessing such an event is ethically and emotionally transformative. 

The concept of remaining ‘alive inside’ even when abilities, language and memory are eroded by dementia is taken to the next level in Christianity, which teaches that life continues even after death itself. The Bible speaks of new life beyond the grave; the fire shall be woken, a light shall spring. And there will be a crown (and the gold will glitter). The Crown of Life is referred to, being bestowed upon "those who persevere under trials." Dementia is one of life’s severest trials; a cross to bear. In the 1912 hymn “The Old Rugged Cross”, another cross is spoken of, being the cross of Christ at his crucifixion. Clinging to that cross, living out a Christian life, the hymnwriter wrote of “exchanging the cross for a crown” at life’s end. After ashes, hope awaits the Christian. 

 

Playlist for Life is a charity encouraging people to create playlists for people living with dementia.