Month: February 2020

Things I wish I knew before my husband went to rehab

I intend to write in detail about my perspective of Handsome’s inpatient experience after he returns home, but in the interim I thought it might be useful to someone to put some of this down in my blog right now. I should clarify up front that although Handsome is a sex addict, he went to inpatient care for his mood disorders, trauma, and to endeavor to manage his medications including new medication for ADHD.

In no particular order, here are things I wish I knew beforehand:

1. I did not know that he would have extensive contact with women. While he is not in an SA program, the fact that he’s a SA is woven throughout the intake materials. The facility did put him in the housing unit for men, but that is also where they put all the women who create too much trouble in the women’s housing unit or the co-ed housing unit. (That fact continues to blow my mind.) His daily group meeting was also 6 women, plus Handsome and one other guy. Handsome is over two years sober, and by the account of his therapist he maintained good boundaries, but I’m told it’s not unusual for these process group folks to keep in contact after they leave. That’s awkward since one of our boundaries involves Handsome not texting, emailing, or calling women outside of work, childcare, or relatives.

2. I did not know how little time he would have to communicate with anyone. I knew he’d be on literal lock down when he checked in, but I figured things would loosen up afterwards. Not really. In the 3rd week he earned the ability to use his cell phone 2x day for about 20 minutes. Given that one of those sessions is when I’m at work and the kids are at school, that leaves 20 min or less a day to read some news, take care of “life stuff”, work, and family. And that’s only if the class he has before his media time ends on time.

3. I did not realize how iffy a discharge date can be. We were under the impression that Handsome was pre-approved for 30 days. Nonetheless, on day 25 the insurer did a review and could have cut off his coverage that day. They didn’t – and in fact they authorized an additional week of treatment – but Handsome watched others in his unit get sent packing early because their insurance ended coverage earlier than expected. (People were pulled out of meals and classes and told “Hey, your insurer cut you off so you can switch to self-pay or you will be discharged right now.” Like pack-your-bag-and-don’t-say-good-bye-to-anyone kind of right now.) My advice? Don’t buy a return ticket that isn’t easily refundable or changeable.

4. I did not know how hard the limited communication he could have with us would be on me (and at least one of my kids). I’m not sure what I expected, but the first two weeks he sounded miserable. Angry. Withdrawn. He actually sounded worse than before he left. I hadn’t expected that, and it was awful and disheartening. I cut our calls down to once a week (just me, he could still call the kids). It didn’t help. I’m not sure if I was expecting to hear something that I didn’t hear or if he was just drugged (they were certainly adjusting his meds regularly) but I ended up being a ball of anxiety after each call. My daughter held out a bit longer and then asked me if she had to do the calls. I asked her to try once a week. Handsome was devastated, but it might have been the wake up he needed because things seemed to turn a corner after that.

5. I did not know what an IOP is. If you’re like me, an IOP is an intensive outpatient program. After an inpatient program, they like to discharge patients to the care of an IOP as a step-down process. Broadly speaking, most are about 3 hours a day, 4 to 5 days a week. It sounds like it would be helpful BUT the burden of finding such a program seemingly falls to the family at home and, to a lesser extent, on the patient’s home therapists. Through my involvement in that research I learned a lesson about the single biggest issue with IOPs. If your loved one is coming out of an inpatient program, especially a good one with highly trained staff, they are likely to be (at best) gravely disappointed and (at worst) possibly set back by the way many IOPs are run. Very often there is no discernment between substance and process addictions so the treatment isn’t individualized. Also, it seems to be the case that much of the care is provided by interns working towards their degrees. After investigating every option within a 50-mile radius of our home, Handsome’s therapists opted to develop a Plan B – a custom plan that they would coordinate among themselves that would involve individual, group, and marriage counseling as well as EMDR.  I am honestly not sure how well this will work, but time will tell.

More to follow…

The Backslide – Anger

Handsome is off at an inpatient rehab. More on that to follow in a week or three.

I’m putting pen to paper because suddenly, I am experiencing my own two-steps-back in my recovery. Even though Handsome did not relapse and he went mostly willingly to rehab, I am angry at him. Like really, really mad as hell. I thought that I had worked through and processed my anger after all of the DDays. I thought that I had worked through and dealt with my anger at all of the screw up and bombs in between. Yes, there were occasional flares of what seemed mostly like exasperation and frustration, but not like this. Yet, this is where I find myself recently.

I’ve noodled it for a few days. Why now? Why is the anger back with such force? I have come up with a few theories:

1. Yes, he’s in a locked down medical facility, but he’s also playing with horses and going on hikes and singing songs around a campfire while I am breadwinner, chef, taxi driver, washer woman, dog walker and homework helper. There’s some resentment there. While I know it isn’t helpful it also isn’t unjustified. He’s the addict and yet the burden of this treatment falls squarely on me and my kids. That sucks.

2. I’ve never really had the luxury of letting my anger come out before. Yes, I cursed at him under my breath and out of earshot of our kids for weeks after DDay 1, but after that life simply had to go on. Our kids needed me to not be a banshee in front of them. My anger took a back seat to preserving our family. Once it became clear he was a sex addict, my anger seemed somewhat inappropriate (you wouldn’t scream at a schizophrenic for their disorder, so how do you scream at a SA, I thought). I’m sure I was angry – I was devastated, so it was surely in that mix – but I shifted to trying to get him appropriate help and giving him space to work his recovery. I marched on and plastered a smile on my face. Life went on. Without him around every day though, it’s like a pressure valve has been released. It’s all coming out. I tried to change our cat litter last week (a task that I’d never done before in my life) and managed to overturn the garbage can and dump dirty litter all over our laundry room. An hour of clean up, bleaching,  and repeated carpet shampooing later and I’m pretty sure that I wished him death in a fire-filled pit of kitty poop hell. I was alone, so the anger poured out without consequence. So did the tears.

3. He simply isn’t here. While it’s clear something is missing, it’s not all bad. Far from it, in fact. Our kids are helping out and literally getting along better than I’ve ever seen them. I’ve rolled up my sleeves and found time to clean and to clear clutter that hadn’t been touched in years. I’ve made such a dent that one thing became evident – Handsome did nothing around our house other than laundry.  Before he fell back into his addiction he would dust and vacuum, polish woodwork, mop and things like that. It’s clear to me that hasn’t happened in forever. Given what I’ve been able to accomplish in a few weekends on my own even with working full time + and all my other inherited tasks, any reason he has for not helping is pure BS. I always gave him the benefit of the doubt about being busy (among other things) but the reality is that it’s just another example of how I made my needs small to cater to him. I am dedicated to ensuring that doesn’t happen again.

That is what I think leads to the main root of my anger. I am living a nice, normal, hectic but happy life right now. With Handsome temporarily out of the picture I see clearly how devastating his behavior was both during the throes of his addiction and at the lowest points during his recovery. I am happier and less lonely than I was for the last six months, and yet HE IS NOT HERE. I miss him, but not the “him” I’ve seen since last May, and certainly not the “him” I saw during his acting out.

What I thought was tolerable when I was in the fish bowl with him is clearly intolerable from outside. Addicts can suck all of the oxygen out of a room and, in our case, I see how much he sucked out of this family. I’m really angry at him for that, but  I am almost equally mad at myself that I couldn’t see that in real time and that I allowed it to happen.

Before Handsome left for rehab I made it clear that upon discharge he wouldn’t be coming straight home. He can spend a week or three in a tiny AirBnB or economy hotel while he reintegrates into his job and our family. He needs to meld to our new normal. Not the other way around. One good thing to come from this anger is a hard commitment by me to ensuring that things don’t go back to the way they were before.