When you missed your appointment, I was worried. I checked in with you once or twice to see if you wanted to reschedule, but I also wanted to respect your privacy.
I understand that there is more than one path to recovery.
Many choose to follow the spiritual path of complete abstinence. This is a huge commitment and if you have given up medication assisted treatment, the last thing you need is a doctor’s office calling you over and over.
While I hope that you always continue to do well and move forward, my greatest fear was that you relapsed. The most important thing that I want for you is that you do not go back to drugs. I don’t want you to suffer like that again. Yet, I know how difficult it can be to have an addiction. Relapse can happen to anyone.
So, seeing you back in the office again was a huge relief.
I didn’t want to make a big deal about it, but I was extremely happy and relieved to see you in the room, in front of me. You look physically healthy. I know that you are not happy about what happened. You relapsed, but you also made it back. I am grateful to see you back, alive and safe. Welcome back.
Please, don’t beat yourself up over what happened.
It is part of the condition. It happens to a lot of people. There is no treatment for this that has a 100% success rate. Then again, it depends on how you define success. In a way, I consider it a success that you survived to come back again.
Now that you are back to continue treatment, it is time to get back to normal life with your family and work. You can relax and stop obsessing over where the next drug will come from so you don’t have to feel sick. I know that you don’t want to do this forever. You just want to get back on track. It will take time.
The medical treatment gives you a safe place to prepare for the next step.
Therapy will help you to heal and figure out what you need to change in your life. One thing that needs to change is certain, you need to get as far as possible from the drugs.
Changing jobs, changing friends, deleting phone numbers, whatever it take to make it as hard as possible for the drugs to find you again. Avoiding alcohol and marijuana will help as well. These drugs can lead you back to the deadly drugs that brought you here in the first place.
Thank you for having the courage to pick up the phone.
You should never be ashamed or embarrassed to come back again. As they say in recovery, there is no shame in coming back, the only shame is in staying out there. Welcome back.