I have a new mission now to follow the principles of Harm Reduction over completely quitting my various vices. My friend Mikiki has a good paragraph explaining Harm Reduction on his facebook, it goes:
*Basic Principles of Harm Reduction:
Harm reduction philosophy considers risk taking behavior as a natural part of our world and suggests that our work should be focused on minimizing the harmful effects of these behaviors rather than focusing on the cessation of the behavior.
Harm reduction philosophy supports the involvement of individuals in the creation and/or delivery of programs and services that are designed to serve them. These programs and services must be offered in a non-judgmental and non-coercive manner.
Harm reduction philosophy recognizes the impact of issues such as poverty, classism, racism, homophobia, social isolation, past trauma, and other social inequities on both people's vulnerability to and capacity for effectively dealing with risk taking behavior.
I think one of the main problems I have noticed being a mental health consumer is this constant PUSH for us to quit using drugs and alcohol completely. I understand the reasoning behind this: it means your meds don't work as well. BUT at the same time, why single us out? Alcohol will work as a depressant for anybody, not just persons suffering a mood disorder.
I'm thinking about it a lot ever since Luke came back from the Saskatchewan Hospital. He's in the group home system and he's not allowed to drink at all. And even his nurse wants to ask his doctor for permission to let Luke go have a few drinks once a month at someone else's house. When I was in the group home system, I just hid my stash at someone else's house and still smoked everyday.
And now my nurse says I am doing well and see how good life can be when you stop using? Only I haven't, I still toke and drink and abuse tobacco. I've realized something about myself: I just really like getting crunk!
And a LOT of people like it. I mean, my god, that's what happens at art events all the freakin' time. Most of my socializing is with supposedly sane types who love nothing more than boozing it up and having a big fat joint. I just talk honestly about it. Mostly because my desire to party has been pathologized by psychiatric nurses. Ironically, not by my actual psychiatrist. She has always said it would be good if I cut back or quit, but she's never pressured me, never denied me proper care because I am a drug/alcohol user, basically has just accepted that I will take risks and still be pretty much compliant with the treatment she has set out for me.
Ugh, COMPLIANT. Friggin psychworld speak.
So it's a tricky thing. My profile got disabled on facebook, and I am not sure if it was because of drugs or because I was telling this crazy story about a neighbor in Bad Manors who didn't pay his sex worker and she screamed for an hour outside his door about his dirty scaly dick. Facebook is pretty prudey really, case in point the transman whose profile was disabled when he posted post chest surgery shots. It sucks that we have to follow the rules of Palo Alto. At least they let us say when we are married to someone of the same sex.
Anyway, to friends who thought I unfriended them on unfriend day, no I didn't, facebook hates me. Or someone on facebook hates me. The day my profile was disabled someone sent me this vicious private message saying I shouldn't talk about psychiatric meds if I am using drugs and alcohol. WTF?????? Pretty pissy, and I was wondering if SHE reported me, but I really don't know.
Anyway, I like being bad sometimes. I still want to quit smoking, and that would probably be the best thing I could do for myself. But the rest of it, ah heck, as long as I don't hurt people I think it's okay. I try to be good about it. I'm not a mean drunk or anything, and I don't drink or smoke and drive, and I don't get stoned or drink before I go to school or work. So I think I am going to accept myself as I am. Not every former psych patient has to be a friend of Bill W.
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