Gonna switch gears for a second to tweet about the problem with Dryuary and other self-imposed periods of 100% abstinence since I’ve now read 5 different tweets about people “failing” their Dryuary goals bc 2021 is currently a dumpster fire and people want to drink. (1/?)
2. First of all, goals like Dryuary for a month free of alcohol are actually quite admirable and probably a good practice for most of us. A break never hurts. And they can be a chance to reboot and get perspective on our patterns of use, role of alcohol in our lives, etc.
3. BUT these kind of goals can also be a troubling set up for a lot of us because these kinds of efforts actually require a bit more conscious planning and preparation than most of us do in advance. And they require us to practice different strategies in the moment.
4. What kind of preparation? I mean things like, planning for what you will do instead. If anxiety is a drinking trigger, I should probably plan for how to cope anxious feelings in January. As a harm reductionist, I always say- “Don’t take away what you can’t replace.”
5. And these kinds of strategies will vary from person to person. Some will only work sometimes and some will work every time. It can be a bit of trial and error kind of thing.

And the thing with alcohol is that most of us use it to celebrate AND to commiserate. It’s complex.
6. It also helps to have the people in your inner circle available to help support you and maybe even for loving accountability. (Even so they are prepared not to offer you a drink.)
7. You also have to prepare for the month by preparing activities and a schedule for yourself that fills the times when you would be drinking. That means a new after-work or “nightcap” practice, a new or modified weekend plan.
8. An ingredient we ALWAYS forget for these months is KINDNESS. A bit of kindness and grace for ourselves.

31 alcohol-free days is ambitious. 25 is solid. 15 are great. 10 is progress!

Any alcohol-free days are a good thing when done consciously.
9. 31 days is possible, though. And maybe they don’t need to match a calendar month. But they can be an accumulation over a few weeks. And maybe you can built up by reducing one or two drinking days a week before trying a full stretch.
10. Now although I used alcohol as an example, we can substitute that word with a lot of other things we would like to cut down (sugar, cigarettes, other drugs, etc.).

We can also use this approach to things we want to introduce, like exercise, healthy eating, etc.
11. We can also reframe the “slips” as lessons and teachable moments as well. We don’t have to view them as signs of personal failure. If anything, “blame it on the plan.” My plan to not drink had a loophole, was missing an important component, didn’t account for x scenario.
12. And maybe we should think about why we feel we need to do these kinds of diets at all.

What is it about my drinking that got me to the place where I had to stop cold turkey for a month?

Maybe instead, the goal should be to be a more mindful drinker in my day-to-day life?
13. And being a more mindful drinker could mean:
- counting my drinks every time I drink,
- planning for drinking by making sure I’ve eaten beforehand,
- having a safety plan for when I drink,
- being attuned to when and why I often want to drink, etc.
14. It may also mean I need some rules for myself:
-I’m allowed to get drunk sometimes as long as I have a safety plan and it doesn’t happen more than x times a month,
- I won’t have more than x drinks on the average sitting,
- I’ll try to allow x days between drinking days, etc
15. Enough of my rant. Be kind to yourself. The world is on fire. We are all just trying to cope. You’re still doing great. Hang in there. FIN.

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More from @MyHarmReduction

4 Jan
The NYC Dept of Health and Mental Hygiene (@nycHealthy) released some 2019 overdose death data and preliminary 2020 overdose death numbers for the first quarter of the year. It's not good news. A thread 🧵🧵🧵
1) Overdose deaths remained high in 2019; similar to 2018 rate of 21.2 per 100,000. Opioids involved in 83% over all overdose deaths, fentanyl most commonly involved drug in overdoses (in 68% of deaths). You can read more here:

www1.nyc.gov/assets/doh/dow…
2) You can see here that the overdose death rates in NYC increased in recent years. Not a coincidence that we saw this jump after fentanyl entered our heroin supply. Image
Read 9 tweets
8 Dec 20
A lot of really important and interesting myth-busting studies, articles, and papers have been released lately about people who sell drugs.

Here's a thread highlighting them and some key themes (1/?)
1) Just today, @Talkingdrugs ran a piece on a small study with 13 dark net drug sellers, which found many were motivated to keep customers safe and informed of drug risks, including harm reduction education talkingdrugs.org/consider-the-d…
2) A few days ago, @SessiBlanchard wrote a piece for @Filtermag_org based on leaked FBI documents showing they knew drug sellers were selling customers new syringes and fentanyl test strips, as well as testing their own meth supplies for fentanyl: filtermag.org/fbi-dealers-ha…
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11 Nov 20
Drug courts are not:
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- a panacea; or
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I was a drug court representative for years. I know.

A THREAD 🧵🧵🧵....
1. Drug courts cherry-pick their participants so few are eligible. Most have very strict criteria (first-timer, no mental illness, no felonies, no violent charges, etc.) so people with most severe problems who arguably have most to gain are usually INELIGIBLE for services.
2. Judges and non-clinical team members can weigh in on treatment decisions. Drug courts have a terrible track record when it comes to medications like methadone and buprenorphine. A judge can say you need a weekend in jail after your most recent relapse to "teach you a lesson."
Read 11 tweets
29 Sep 20
.@MayaSchenwar opening by discussing the 'alternative to incarceration' that many talk about - electronic monitoring. "We shouldn't have to choose between prison and prison-lite." They "widen" the net. Same with probation- classist, ableist, and racist system. Set many up to fail
.@MayaSchenwar now referencing drug courts as a common alternative to incarceration and the current overdose crisis. "Giving people the choice between prison and treatment is...essentially, mandating it." And although these have gained bipartisan support, are deeply problematic.
Read 10 tweets
29 Sep 20
Really powerful piece in the New York Times today about the intersection of the overdose crisis and #COVID19. Some thoughts and observations in a thread below: nytimes.com/2020/09/29/hea…
1) I actually LOVED the title of the piece - "The Drug Became His Friend."

As a harm reductionist, I spend a lot of time talking abt the fact that drugs work. They WORK. They meet physical needs, emotional needs, spiritual needs, so many others. We need to be reminded of this.
2) Harm reductionists spend a lot of time trying to create space to talk about how and why drugs work for people. The role they play. The purpose. The meaning. "Don't take away what you can't replace" is a mantra we use a lot. And focusing on abstinence negates this process.
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25 Sep 20
Tuned in to #PharmFest panel right now, "Decolonizing Drugs from the South."

First presenter: Thembisa Waetjen, : “Apartheid’s War on Cannabis.”

You can join us here: uwmadison.webex.com/uwmadison/j.ph… Image
Interesting parallels between marijuana prohibition and demonization in Apartheid SA and US - painting its use as something that would radicalize young white users ( who should support the military) and make their brains "spongey."
Marijuana policing increased dramatically after apartheid implementation and election of their party. It was clearly a prioritized domain of policing and social control. Despite crackdowns, people continued to use and engage with markets. Image
Read 11 tweets

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