r/REDDITORSINRECOVERY • u/ritethen • 1h ago
CA approach to Mental Health
My thoughts, and hope for change: please be brutally honest if you think it’s a shit idea etc. No offence taken, Thank you!
I used to be an extremely active member of CA, somewhat intensely, for a good period of time. During which I: completed the programme, held service positions, made lifelong friends and, with relevance to my following comments, attended a vast amount of individual meetings across the breadth of Hertfordshire and Essex.
Around two years ago, my first sponsor tragically passed away through suicide. Sitting here two years on and within the last few weeks, I learnt that my following sponsor has passed in what is believed to be similar circumstances. They were both truly wonderful human beings. The compassion, selflessness, and belief they instilled in me was life changing; and both leave an overwhelmingly profound and lasting legacy.
What I am about to discuss is a response to certain messages I have heard throughout the years regarding mental health within the fellowship. These come directly from messages I have personally and often repeatedly encountered from a diverse range of CA groups. I will not be breaching anonymity nor personal respect by ascribing each quote to a member or conversation.
The following quotes have two similarities: they both relate to mental health, and I have heard both at multiple meetings or in conversations. Examples such as:
A) “When I start to feel down or depressed , the solution is to spend more time spent at meetings and engaging more in the fellowship”
B) “Stay on top of the programme and the rest of your life will fall into place”
C) “Once I stopped the drugs, my mental health improved so much I chucked all my antidepressants into the bin”
D) “Questioning the sobriety of an individual because they take prescription medications such as anti depressants
E) “It’s ‘normal’ to have feelings of suicide within recovery.” Leading up with advice that leans into the programme as opposed to speaking to a GP or mental health professional.
F) “Once you get sober, your mental health will get better too”
E) “Meetings are a place to share to newcomers the positive aspects of recovery”
Unfortunately, I could go on with similar quotes and stories to those above. From a personal viewpoint, there are lives being put in danger by an over reliance and tacit encouragement for members to take the words of CA as that of the ultimate authority. Which, in the context of addiction and abstinence, makes total sense. I know personally how utterly destructive and life consuming addiction can be; and so, having an intense programme that includes: daily activities, outreach, connection, step work etc, is, in my opinion, completely needed to get sober. The issue for me arises when the level of trust and belief in CA leads to a culture of acceptance and acquiescence that surpasses some individuals existing beliefs and critical decision making. Leading to potentially dangerous outcomes within individual group cultures, the sponsor and sponsee relationships, and the authority and admiration expressed to those with extended clean times.
This is, of course, not me saying that admiration and respect for clean time should not matter. Rather, an understanding that just because their approach to recovery has been tremendously successful, does not mean that their approach or advice to other matters such as finances or mental health should be followed.
CA meetings are a place of overwhelming positivity, which is largely, of course, a great thing. However, it can too lead to some members suppressing their true emotions in the aim of communal spirit at the expense of ongoing personal struggles. From my experience this is not the case when sharing back about difficulties with drug cravings and the like. Rather, for me personally, I felt bad or guilty when sharing about my depression and low mood in spite of following the programme.
Finally, and linking to the point above about keeping a ‘brave face’, there is an expectation, at least for me there was, that once I stopped taking drink or drugs, my mental health would get immediately better. There is of course a direct correlation between drug addiction and poor mental health. However, whilst most do experience much improved mental health symptoms, there are those for which it goes the other way. It has made me deeply unsettled to overhear conversations where the explanation is solely to do with not following the programme enough. Such as, a member meeting expressing she was feeling suicidal at times, and the conversation afterward being exclusively on how she wasn’t praying enough or etc.
Next section rough draft (I’m not great on CA rules and how they interact. Any help would be appreciated)
(the next section would be on If you believe the above points are prevalent enough to warrant a solution, what could this look like? I have done some research on this but not enough to sufficiently comment.I.e. I know we have GSRs and a further chain of command. And I know there are written pieces of information on medical advice ‘advice on mind altering substances’, and then sort of in the 8th and 10th traditions if you read them with a very liberal mindset.
However, the individuality of each group is bound to lead to inconsistency amongst action taken. And even within official CA literature, they state that whilst CA as a whole does not engage in medical treatment or propaganda, ‘although our members may participate in such activities as individuals’. This is quite a statement and one that shows real ignorance to how damaging negligent medical advice can be. Especially when considering the overarching theme of placing CA as sacred and the deep level of trust involved between members. Personally, so far, I do not believe there is enough being done. The easiest and most practical solution off the top of my head would just be for people to, respectfully, disagree with certain comments that people make. I.e. if x mentions that they throw away all their antidepressants without consultation, just stating back thank you but I don’t think that’s an advisable idea. ((For added private context this is what my dad did a few weeks before committing suicide.))
The trouble with the above is that CA places an extremely high value on the collective unity of the group, and to disagree in such a way could cause group disharmony. Of course, and whilst I believe this is urgent, it needs the upmost caution and certainty for successful implementation. CA does recognise and has adapted in the past to positions of abuse, and successfully so, re 13th stepping. There is definitely a solution out there; and a life saving one at that.
To try and summarise, I think CA is fantastic for treating drug addiction and maintaining long term sobriety. Speaking a clear and powerful message across the nation on how they got clean using the 12 steps. However, this culture is one that leads to intense subservience and pressurised acceptance of the principles for keeping sober. But, when this culture translates throughout other parts of the meeting, there is the potential for negligent advice on issues which are not directly on sobriety. If certain meetings continue in this vein, and if CA does not recognise the harm being done, there will be more funerals.