I walked around angry and sad for years. I walked around with a monkey on my back that was tugging at my hair, pounding on my back, and blocking me from the sunlight of the Great Spirit. The monkey was vodka. Vodka was also my God. I worshipped vodka around the clock.
I had another monkey on my back that occasionally caused me to be either deeply depressed, or highly manic. The two monkeys are evil twins, although not identical. This second monkey is named manic-depression, or what is now known as bipolar disorder.
Today I am 39 days sober. And of my manic depression, I am symptom free. The monkeys are off my back and hiding somewhere in the darkness waiting for me to let down my guard. Psychiatrists have named the twin monkeys Bipolar 1 with Co-occurring Substance Abuse Disorder. I am the type of alcoholic that the Big Book of a twelve-step program I am working reads “There is the manic-depressive type, who is, perhaps, the least understood by his friends, and about whom a whole chapter could be written.”
When I would have bipolar episodes of either mania or depression, I would often self-medicate with booze when prescribed medications failed me. Alcohol could mask or exacerbate the symptoms. I’d often lie to my psychiatrist when he asked if I used alcohol, causing him to scratch his head in wonder as to why medications were not working.
Manic-depression and alcoholism have amassed much havoc in my life. I was a tornado in the lives of others as well. I had lost jobs, friends, vehicles, family and a whole lot of dignity. By the time December of last year rolled around, I was homeless too. My drinking entailed swallowing 1.75 liters of vodka over a 24 hour period.
I was lost, alone, and afraid.
I had crashed my last vehicle into a ditch in Camptonville, California and was arrested for a D.U.I. After I got out of jail the next morning, I went straight to a bar and spent the afternoon throwing back long island ice teas, then straight Stolli. I was soon, mercifully, hammered again.
I spent months couch-surfing at the homes of friends. Then, when I felt my welcome was wearing thin, I’d resort to staying with other practicing alcoholics and addicts where I wouldn’t stay long because no one cared. Finally, a friend, a good friend, my ex-roommate Jen, offered her home up for a few days. She was shocked over how much I was drinking. She left me alone one morning and I slugged back nearly half of a 1.75 bottle of vodka in record time for me, and ended up having great pain in my chest. I could hear my heart pounding in my ears. I thought that maybe another drink would take away the delirium tremors, but the pain was new and different for me. I stumbled across the street to a Chevron on South Auburn Street in Grass Valley, California where I had collapsed before I could even utter the word help. I found myself next at Sierra Nevada Memorial Hospital, admitted to a room, with and I.V. in my arm, and oxygen under my nose. I would stay there for five more days before a living guardian angel, William W, arranged for a bed in a treatment facility for me.
When I entered the treatment center’s, door, Pathways in Marysville, California, the first person I ran into was a homeless person from back in Nevada City, California who looked pretty good for himself. This man, who I will call Bob, was arrested 156 times for being drunk in public. He was arrested in front of me at least twice. He was the cause of public nuisance over and over, and could be seen panhandling for booze outside Bonanza Market as soon as the store opened every morning. My own cousins took him in once, and after a few weeks, had to ask Bob to leave as he was drunk all the time. Bob made no attempt to quit.
I was in disbelief when I ran into him in treatment. I was happy to see him sober! I was so happy to see him looking great and speaking with coherency. I thought him an intelligent man – a kind man, a well mannered man.
Fast forward to last night, day 38 of my sobriety. I was volunteering at a warming shelter for the homeless in downtown Nevada City. The temperature outside was in the low 30’s and the skies had begun spitting out snow. Our curfew is 10:00 P.M. and I had begun to lock the doors, and dim the lights. Then, someone knocked on the door. I was horrified to find Bob outside, dripping wet, and stinking of booze. What had happened? I was instantly depressed. I had such high hopes for Bob. But I knew this was the vicious cycle of the chronically homeless.
When we were in rehab, I had shared with Bob that I suffered from a mental illness, and he relayed that he did as well. He suffered from Borderline Personality Disorder. When I had begun to feel symptoms of my own illness begin to manifest, I asked the treatment center’s doctor for a medication adjustment. I was told that I needed to focus on my sobriety and to talk with my doctor after I graduated from treatment.
It is clear how Bob fell through the cracks of the system. Currently there are very few alcohol and drug treatment centers that treat both addiction and mental illness at the same time. I feel that residential drug and alcohol treatment programs should be denied of any state funds unless they offer treatment for co-occurring mental illness as well. It’s a what-comes-first, the chicken-or-the-egg situation. Does mental illness cause alcoholism, or does alcoholism make mental illness worse? They go hand in hand, and it’s not rare at all for people to suffer from both, in fact, its common.
Today, I walk around with a heavy heart, and angry thoughts even though as an alcoholic I can’t afford resentments now, or ever. For Bob, I’m hoping for the best but expecting the worse; jails, institutions, and death. Today, I only ask one thing of the Great Spirit; to save Bob. The Great Spirit can move mountains, but unfortunately, he will still expect Bob to show up with a shovel. I just don’t think that’s going to happen.