A Conversation about Being Sober and Becoming Happy with John MacDougall

John MacDougallDr. John MacDougall spent 30 years drinking and using drugs every hour of the day before he found sobriety in 1989. He worked at Hazelden Betty Ford Foundation for two decades as the director of spiritual guidance and now works as the spiritual care coordinator at The Retreat, a treatment center grounded in the 12-Step principles. He will present on June 23 in Northbrook and June 24 in Aurora based on his lectures and book, “Being Sober and Becoming Happy.” Gateway spoke with MacDougall about the lessons he’s learned through a life and career in recovery.

What is the “spiritual condition” for people recovering with substance use disorder?

Basically, spirituality consists of a set of three relationships: how well we’re getting along with our higher power, with ourselves, and with other people. You really can’t pull them very far apart. For example, I don’t think it’s possible to love God, be at peace with yourself, and treat other people like dirt. So any improvement in one of the three relationships improves the other two; any breakdown in any of the three relationships brings the other two down.

Before you found your sobriety, what was your relationship like with the “spiritual condition”?

My attitude was I’m the center of the universe and you exist only to the extent that you can help me get what I want.

What clicked for you, so to speak, when you found your sobriety, or what worked for you to strike a balanced “spiritual condition”?

I thought I was just a heavy drinker and used a lot of drugs and that I wasn’t an alcoholic because I had a job, an address, a wife, a car—what I now call “scavenger hunt recovery.” When I finally figured out I was an alcoholic and a drug addict, I carefully detoxed myself over a six-week period, I went to AA (Alcoholics Anonymous), and I asked this guy to sponsor me. He said to me, Here’s “The Big Book.” He opened it and basically said, Here’s chapter five: it’s how it works. Here’s chapter six: it’s it in action. The 12 Steps are contained in these two chapters. If you read these 12 Steps and you do what they say, you will never drink or use again. And at that point, I had been drinking and using drugs every single hour of the day for 30 years in a row. I read them and never drank or used again. So I did a very literal application of “The Big Book.” The things it says to do are really spiritual in nature: honesty, hope, faith, courage.

What made you wake up one morning and say, I need to write my own guide?

I worked 20 years at Hazelden and I gave a lot of lectures. My wife said to me, You’ve got to write this stuff down. I said, No, no, I’m a talker, not a writer. And she said, No, no, you’re getting old. This stuff will be lost. You’ve got to write it down. So the lectures I’ve done made the basis of the book.

If someone could only hear one lesson from your book and from your lectures, maybe someone who is initially struggling with their sobriety, which lesson would you tell them?

I see guys relapse at my meeting after 10, 15 years, not because they’re not working the steps, but because they’ve been working them and every aspect of their life has gotten better—marriage, job, home, finances. They look at the fact that their life got better and they go, So I’m better.

Because this is a brain disease, our brain resets every night to alcoholic. So I need to take the first three steps of AA in the first minute of my day. My simplified version is this:

Step 1: Good morning, John. You’re an alcoholic. Pay attention.

Step 2: There’s a God; it’s not me.

Step 3: I need a fresh decision today to turn my world and my life care to God. And then carry step three all through the day.

MacDougall will speak from 9 a.m. – 3 p.m. June 23 at Techny Towers Conference and Retreat Center in Northbrook and on June 24 at Prisco Community Center in Aurora. For more information and to RSVP to the Northbrook event, click here; for the Aurora event, click here

Effective Alcoholism Treatment

The differences between support groups and treatment programs

Paul Getzendanner, JD, LCSW, CADC
Program Director for Gateway’s Chicago West and River North Alcohol & Drug Treatment Centers

No single treatment is appropriate for everyone. gateway provides personalized treatment based on the extent and nature of a person's alcohol abuse.

No single treatment is appropriate for everyone. gateway provides personalized treatment based on the extent and nature of a person’s alcohol abuse.

Oftentimes people aren’t clear about the difference between 12-step programs, offered by groups such as Alcoholics Anonymous, and treatment programs, which are what Gateway Alcohol & Drug Treatment Centers provides.

The primary difference between the two is that Alcoholics Anonymous essentially provides a support group as opposed to an integrated treatment program. The distinction between support and treatment is an important one to make.

How does a support group work?

12-step support groups provide people a roadmap to sobriety, with steps that everyone is expected to complete in the same manner. It’s more of a one-size-fits-all solution. Alcoholics Anonymous is a peer-based group, where members of the group encourage each other and provide guidance based on their own experience.

How does treatment work?

At Gateway, alcoholism treatment is evidence-based and flexible. It is provided by professionals who are trained, educated, licensed and accredited and who specialize in substance abuse counseling. We seek out current information and will try new things based on what research tells us is proven to work. This is a key factor that distinguishes us from 12-step support programs as well as the vast majority of treatment providers.

Gateway’s treatment programs are personalized, using what evidence tells us will work for each particular person. We assess and diagnose individuals, collaborate with them and devise a treatment plan that will meet their needs.

Among the resources we use in alcoholism treatment are dialectical behavior therapy, cognitive behavioral therapy, medication-assisted treatment, psychotherapy, art therapy and our own mindfulness based sobriety curriculum. Our programs also treat co-occurring disorders that include depression, anxiety, and other mood disorders.

Treatment and Support Groups Working Together

Gateway supports involvement in 12-step programs and, as part of our therapy, introduces clients to the concept, hosts meetings for them to attend as part of their therapy, and recommends that patients take part in Alcoholics Anonymous or a similar 12-step offering following discharge.

12-step support groups play a valuable role in alcoholism treatment and many people are helped by them. Gateway believes the most benefit can be derived from experiencing both evidenced-based treatment and support.

To learn more about treatment options for alcoholism, or our free consultation, call Gateway Alcohol & Drug Treatment Centers today at 877-505-HOPE (4673) or visit Recovergateway.org

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