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Since I am professionally engaged in floods and mass movements, I allow myself to add a few words to the notion of flood hazards on Squamish River. The graph below that shows annual flow maxima on Squamish River at the Brackendale gauge only tells part of the story (previous post). I am a attaching a paper that is now a bit outdated, but which tells a very different story, namely that magnitude, duration and volume of extreme floods have been trending higher on Squamish River over the past 60 years or so. This observation is in tune with climate change theory which predicts an increase of extreme hydroclimatic events in a warming climate. Those who are interested in this topic are encouraged to read the latest report from the International Panel for Climate Change (IPCC, 2014) which can be downloaded here: https://www.ipcc.ch/report/ar5/ The significance and importance of climate change and how it is affecting BC Rivers is also nicely summarized in the Association for Engineers and Geoscientists Guidelines for Legislated Flood Assessments in a Changing Climate which I co-authored and which can be found here: https://www.apeg.bc.ca/getmedia/18e44281-fb4b-410a-96e9-cb3ea74683c3/APEGBC-Legislated-Flood-Assessments.pdf.aspx. In evaluating the response of the Elaho fire on flood magnitude, arrival times or frequency, one should keep in mind that Squamish River upstream of the inhabited upper Squamish Valley has an approximate area of 2500 km2 (total watershed about 3600 km2) while the area that burned this year is 125 km2 (12,500 ha) so only roughly 5 percent of the total. There is a large body of literature out there how wildfires affect debris flow and flood frequency and magnitude in small watersheds with a larger percentage burned, so the effect of wildfires on floods and debris floods is well described and quantified. However, in the case of Squamish River, I personally doubt that the fire had a very significant effect on the flood magnitude or duration. It will, however, lead to a lot of sediment discharge into Elaho River from tributary landslides and debris flows. This time of the year is particularly sensitive to flooding because the lack of a snowpack that can absorb some of the rain and typically very high freezing levels that are associated with subtropical moisture flows (known as Hawaiian Expresses or Tropical Punches around here). For those interested in how climate change is affecting debris flows in southwestern BC I am attaching a paper that I co-authored with a climate scientist a few years back. In short, it is very likely that in a warming climate (which is now inevitable for the next century at least) floods will become more severe on rivers like the Squamish. Whether or not the frequency of such events will also increase is still not fully answered. At the same time, further drying during summer is also predicted by most global climate models for our neck of the woods which means lower low-flows during summer and, unfortunately, a higher likelihood for forest fires. On top of this, we are in the beginning of a so-called El Niño period, which implies a drier-than-normal and warmer-than-normal winter in BC, but also often more extreme storms. I know that those are all not good news at all, but in my opinion it’s better to be aware of those changes and plan for them, than being surprised by them. To be clear, in no way do I wish to belittle the valley newsletter below. I am most grateful to receiving those messages. Nonetheless, given that his topic is within my professional domain and given that I have a cabin in the valley, I thought that there may be some interest in the flood behaviour of Squamish River by those copied. Should there be lots of interest beyond the literature that I provided, I could set up a meeting one day and invite some experts on the subject (Prof. emeritus Hickin from SFU as well as Prof. Church from UBC). Attached Documents Rate of floodplain reworking in response to increasing storm-induced floods, Squamish River Geomorphology – Climate change effects on landslides along the southwest coast of British Columbia Jodrey Family We moved here the summer of 2011 to the Peacock Farm. We have 2 children Marlon and Harvey that are both going to wreck havoc on our neighbourhood when they get older and for the life of us we can't figure out how to control them now. Yasmine and Devin both work in the IT industry and are currently administrating the Upper Squamish Valley website...we love it here, some days more than others. Related posts October 1, 2015 High Water Event – September 20, 2015 Read more Leave a Reply Cancel reply You must be logged in to post a comment. © Upper Squamish Valley 2015. All Rights Reserved. Discover Residents Our Weather The Canadian Internet Registration Authority (CIRA) manages the .CA top-level domain, Canada's online identifier, on behalf of all Canadians. A Member-driven organization, CIRA also facilitates the development of a better Internet for all Canadians, and represents the .CA registry internationally. CIRA has provided funding to the Upper Squamish Valley Community to enable the completion of the installation of a wireless bridge that allows the community a reliable connection to a land-based high-speed internet system. CIRA has also provided the funds for the creation of this community website. We would like to thank CIRA for recognizing how important this project is to our community. "); $("#wx").html("" + temp_f + "°C"); }, complete: function (msg) { } }); } function waterchart1() { var data = { labels: label, datasets: [ ] }; data.datasets.push({ label: 'rgba(0, 0, 128, .5)', fillColor: 'rgba(0, 0, 128, 1)', strokeColor: 'rgba(0, 0, 128, 1)', pointColor: 'rgba(0, 0, 128, 1)', pointStrokeColor: "#fff", data: level }); $("#river1").removeClass("loading"); var c1 = new Chart(makeCanvas('river1')).Line(data); } function waterchart2() { var data = { labels: label, datasets: [ ] }; data.datasets.push({ label: 'rgba(0, 128, 128, .5)', fillColor: 'rgba(0, 128, 128, .5)', strokeColor: 'rgba(0, 128, 128, .5)', pointColor: 'rgba(0, 128, 128, .5)', pointStrokeColor: "#fff", data: discharge }); $("#river2").removeClass("loading"); var c2 = new Chart(makeCanvas('river2')).Line(data); } function query(params) { return new Promise(function (resolve, reject) { var data = new gapi.analytics.report.Data({ query: params }); data.once('success', function (response) { resolve(response); }) .once('error', function (response) { if (response.error.errors[0].reason = "userRateLimitExceeded") { } reject(response); }) .execute(); }); } function makeCanvas(id) { var container = document.getElementById(id); var canvas = document.createElement('canvas'); var ctx = canvas.getContext('2d'); container.innerHTML = ''; canvas.width = container.offsetWidth; canvas.height = container.offsetHeight; container.appendChild(canvas); return ctx; } function generateLegend(id, items) { var legend = document.getElementById(id); legend.innerHTML = items.map(function (item) { var color = item.color || item.fillColor; var label = item.label; return '

Ahmaud Arbery Homicide Trial Virtually Didn’t Occur, and It May Nonetheless Go Horribly Fallacious - 𝟙𝟙𝕥𝕙 ℍ𝕠𝕦𝕣 ℕ𝕖𝕨𝕤 Skip to content December 3, 2021 𝟙𝟙𝕥𝕙 ℍ𝕠𝕦𝕣 ℕ𝕖𝕨𝕤 Primary Menu NEWS U.S POLITICS BUSINESS TECH CORONA VIRUS WORLD HEALTH Search for: Home 2021 November 1 Ahmaud Arbery Homicide Trial Virtually Didn’t Occur, and It May Nonetheless Go Horribly Fallacious U.S U.S. News Ahmaud Arbery Homicide Trial Virtually Didn’t Occur, and It May Nonetheless Go Horribly Fallacious 14 min read 1 month ago zynamusic9899 Final Could, as the US grappled with a cascading and more and more lethal pandemic, a stomach-churning video of three males chasing and capturing down a Black man on a Georgia road went viral. The incident, which had occurred 70 days prior and was caught on digicam by one in all Ahmaud Arbery’s alleged murderers, prompted protests for racial justice. Anger solely grew louder with the data that no one had been arrested within the 25-year-old’s slaying regardless of damning video proof and 911 calls pointing to the trio of alleged perpetrators. However the delay in justice in Arbery’s demise one way or the other stored getting extra brazen. Two district attorneys rescued themselves from the case—one has even been charged criminally for his or her response to the episode—whilst they and different law-enforcement officers confronted credible accusations of corruption in an space marred by a protracted legacy of police and official misconduct. In the meantime, a number of controversial Civil Struggle-era statues appeared to, not less than partly, open the door for authorized justification of the grotesque killing many have described as a “lynching.” Police physique digicam video exhibits the lined physique of Ahmaud Arbery, a 25-year-old Black man, who was shot and killed whereas operating in a neighborhood outdoors of Brunswick, GA. Glynn County Police by way of AP Now, a trial for the three males—Gregory McMichael, his son Travis, and their neighbor William Bryan—charged with Arbery’s homicide has lastly begun in Glynn County. However the early levels of the method are serving largely to gas fears that the viral video that helped reinvigorate the Black Lives Matter motion even earlier than the homicide of George Floyd might not be sufficient to safe a conviction. “From a authorized standpoint, this trial shouldn’t be as open and shut as some folks may imagine,” J. Tom Morgan, a former DeKalb County district legal professional, instructed The Every day Beast. “I can see why each district legal professional on this space didn’t wish to contact this.” Consultants consulted by The Every day Beast pointed to a messy jury selection process as the most recent looming impediment for the already-complicated case. Since Oct. 18, prosecutors and protection attorneys have questioned over 100 Glynn County residents to be a part of this trial, the place the trio of defendants are going through a slew of fees, together with malice and felony homicide. They’ve pleaded not responsible. Travis McMichael and Gregory McMichael attend the jury choice of their trial on October 27, 2021 in Brunswick, Georgia for the killing Ahmaud Arbery in 2020. Pool To this point, quite a few jurors have admitted to Choose Timothy Walmsley they have already got sturdy opinions of the case, personally know the defendants, or are terrified about the potential for rendering a verdict which may have social and authorized penalties on the group. “I feel it will be naive to assume there couldn’t be real-world repercussions,” one female resident reportedly said this past week. The sluggish tempo has made it tough for the court docket to even provide you with the 64 residents wanted to finish the preliminary spherical of jury choice. Afterward, prosecutors and the protection might want to undergo the method of questioning every one to substantiate the 12 jurors and 4 alternates wanted for the trial. As of Friday afternoon, 53 potential jurors certified to advance to the following spherical—pushing again the preliminary deadline for the primary section of the jury choice course of into not less than one other week. William “Roddie” Bryan attends jury choice within the trial of the boys charged with killing Ahmaud Arbery on the Glynn County Superior Court docket on October 26, 2021. Elijah Nouvelage/Getty Photos Morgan famous that if the gradual tempo of simply the primary spherical of jury choice continues, Walmsley could be pressured to conclude that the McMichaels and Bryan can’t get a good trial in Glynn County. That, in flip, might additional delay one of the closely-watched trials for the reason that April conviction of George Floyd’s assassin, former Minneapolis police officer Derek Chauvin. “All eyes are on this case and they’re on this case for a lot of causes,” Ronald Carlson, a professor within the College of Georgia College of Regulation, instructed The Every day Beast. “This case has had many issues from the beginning, and additional delay within the case would solely be met with outcry.” “The citizen’s arrest regulation is an inherently racist statute that was created across the Civil Struggle.” — Ronald Carlson Those that knew Arbery have a tendency to explain the 25-year-old former high-school football star because the sort of one who “would provide the shirt off his again in the event you wanted it.” “Ahmaud was an amazing individual. Somebody that put others earlier than himself,” Akeen Backer, one in all his childhood pals, instructed The Every day Beast. “A giving individual. Caring individual. A loving individual.” After briefly enrolling at South Georgia Technical School, Arbery lived together with his mom a couple of mile and a half away from Satilla Shores—an upscale neighborhood in Brunswick, Georgia. To clear his thoughts throughout this time of transition, Arbery went on long jogs almost daily, normally taking a route that handed the predominantly white neighborhood. Nonetheless, some Satilla Shores residents had been on excessive alert after a sequence of break-ins within the subdivision had been reported. Amongst them was Gregory McMichael, a 64-year-old former police officer and retired investigator with the Brunswick District Legal professional’s Workplace. According to a police report, the elder McMichael occurred to be in his entrance yard shortly after 1 p.m. on Feb. 23 when he noticed Arbery “hauling ass” after leaving a house beneath development. The development web site proprietor, Larry English, has previously said it seemed like Arbery was on the lookout for water and had not taken something from the house, in line with motion-sensor cameras. However Gregory McMichael insisted to police after the incident that he believed Arbery was the person who had been concerned in a number of of the latest break-ins and ran inside the home to inform his son—and seize his .357 Magnum. “Travis, the man is operating down the road, let’s go,” Gregory stated, in line with the report, which additionally notes that Travis grabbed his shotgun as a result of, the duo claimed, they “didn’t know if the male was armed or not.” The daddy and son then obtained into their pickup truck and drove down Satilla Drive to chase after Arbery, the place they unsuccessfully minimize him off. Their neighbor, William “Roddy” Bryan, then joined the pursuit in his personal truck and started to report the notorious video of the encounter. Authorities say Bryan additionally unsuccessfully tried to “pin” Arbery, prompting Gregory McMichael to leap into the mattress of the truck whereas his son drove and aimed a shotgun out of the motive force’s aspect door. Throughout the chase, Gregory McMichael instructed police, he yelled at Arbery to “Cease, cease, we wish to discuss to you” earlier than pulling up beside him. “Travis [McMichael] exited the truck with the shotgun”, the daddy stated, and Arbery “started to violently assault Travis and the 2 males then began preventing over the shotgun, at which level Travis fired a shot after which a second later there was a second shot.” Bryan’s now-infamous footage confirmed Arbery was shot in the chest. The footage additionally confirmed that whereas Travis McMichael and Arbery had been in a scuffle, Arbery was shot one other two instances. As Arbery laid on the bottom with a number of gunshot wounds, Travis McMichael called Arbery a “fucking n—–,” the Georgia Bureau of Investigation (GBI) later stated throughout a preliminary listening to. Attorneys for Travis McMichael and Bryan didn’t reply to a request for remark, however the former’s attorneys have previously said in a statement that their consumer “has been vilified earlier than his voice might even be heard.” Frank Hogue, who’s representing Gregory McMichael, instructed The Every day Beast that whereas jury choice “is labor-intensive in a case like this,” his workforce has confidence a “truthful and imperial jury” shall be seated in Glynn County. Hogue added that he doesn’t anticipate the alleged slur to be introduced up at trial “as a result of this isn’t a ‘hate crime’ and the State’s concept shouldn’t be that Travis killed Ahmaud Arbery out of racially motivated hate however, as an alternative, that he didn’t have enough grounds to have believed that Arbery was fleeing in an try to flee seize from a felony he could have dedicated within the neighborhood.” “Whereas no one is aware of, in fact, what verdict a jury will attain, if any, we expect {that a} truthful and neutral jury ought to acquit the McMichaels. We expect Greg’s chances are high good,” Hogue added. A number of minutes after the capturing, Glynn County law enforcement officials arrived on the scene. Arbery was nonetheless alive and seen making an attempt to breathe in released bodycam footage. However the officers didn’t present help to Arbery as he lay on the bottom for a number of minutes and as an alternative spoke to the elder McMichael. “He had no selection,” Gregory McMichael is heard telling an officer a number of instances within the footage about Travis, seemingly organising the protection that his son was evoking his proper beneath the state’s so-called Stand Your Ground regulation, which permits Georgians to make use of lethal drive in the event that they imagine they’re danger of bodily damage or demise. Carlson, the professor on the College of Georgia regulation college, believes that the McMichaels instantly insisting that Arbery was the perpetrator of the latest break-ins gave them grounds to invoke the state’s citizen’s arrest regulation. Just like the so-called Stand Your Floor provision, the Citizen’s Arrest statute—which was largely neutered by lawmakers amid uproar over the capturing—would be the crux of the protection’s case for the McMichaels and Bryan. “The citizen’s arrest regulation is an inherently racist statute that was created across the Civil Struggle,” Carlson stated. “And whereas it was principally repealed final 12 months, it was alive and effectively throughout Arbery’s homicide. And understanding Gregory McMichael’s regulation enforcement previous, I’m positive he knew about it and Stand Your Floor.” Morgan, a former metro Atlanta district legal professional who’s now a felony protection lawyer, added: “[Gregory McMichael] labored within the DA’s workplace, he knew the regulation. He knew what to do and say.” Court docket paperwork recommend that elder McMichael leaned on his law-enforcement ties instantly after the incident. Prosecutors state that one in all Gregory Michael’s first calls was to Brunswick District Attorney Jackie Johnson, the place he left a voicemail searching for recommendation. Jackie Johnson, the previous district legal professional for Georgia’s Brunswick Judicial Circuit, after she turned herself in to the Glynn County jail in Brunswick, Ga, on Sept. 8, 2021. A grand jury indicted Johnson on fees of violating her oath of workplace and obstructing police in her dealing with of the February 2020 killing of Ahmaud Arbery. Glynn County Sheriff’s Workplace by way of AP Whereas it isn’t instantly clear whether or not Johnson known as him again, the previous DA recused herself from the investigation on Feb. 27, when she revealed that Gregory had been a longtime investigator for her workplace. On the time, Johnson referred the case to Waycross District Legal professional George E. Barnhill—a transfer that Morgan stated was the primary “main misstep within the investigation.” Hogue denied that Gregory McMichael known as Johnson searching for particular remedy in an effort to keep away from arrest or fees. “[Johnson] was operating for re-election, Greg knew that the incident would turn out to be main native information, that it will be part of the story that he as soon as labored for DA Jackie Johnson, so he needed to present her a courtesy name to be ready for inquiry from the media about him as quickly because the story broke,” Hogue stated, including that his consumer “assumed that she would instantly recuse herself.” Morgan believes Johnson ought to have instantly really helpful the case to a particular prosecutor, and never Barnhill. “This can be a small DA’s workplace. It’s not a giant city space. The second that she knew this case concerned somebody [Gregory McMichael] that was a former investigator for her workplace, she ought to have put up a Chinese language wall and recused herself. However she intervened and didn’t observe protocol,” Morgan, who admitted that he was not “a giant fan of Jackie Johnson,” stated. “Then, when she lastly did recuse herself, she didn’t even ship it to an unbiased individual. These are huge errors right here.” An indication calling for justice for Ahmaud Arbery and the recall of DA George Barnhill Sr. sits outdoors the Glynn County Courthouse on July 17, 2020. Sean Rayford/Getty Photos “We’re speaking about South Georgia, the place everybody is aware of everybody else. If she had adopted the protocol from the beginning, we wouldn’t be having this dialog,” Morgan added. On Sept. 2, Johnson, having already lost a re-election bid, was indicted on a number of fees—together with obstructing police—after allegedly serving to to defend the McMichaels from the Arbery investigation. This allegedly included directing officers to not arrest the pair after the incident. The indictment states that Johnson confirmed “favor and affection” to Gregory McMichael and did not deal with Arbery’s household “pretty and with dignity” when she recused herself from the investigation. Johnson has not yet entered a plea in her case, and her attorneys couldn’t be reached for remark. However whereas Johnson was charged months after she had handed off Arbery’s case to Barnhill, Morgan argues that the latter made his personal errors within the case. In early April 2020, Barnhill recused himself as effectively, noting in a letter that his son labored in Johnson’s workplace, and had even labored with Gregory McMichael on a prosecution involving Arbery. However earlier than fully relinquishing management of the case, Barnhill wrote a letter to the Glynn County Police Division arguing that there was “inadequate possible trigger to subject arrest warrants” for Bryan and the McMichaels. The letter detailed the DA’s reasoning in opposition to prosecution, stating that it appeared the trio’s intent “was to cease and maintain” a housebreaking suspect till regulation enforcement arrived, and their citizen’s arrest actions had been “completely authorized” beneath Georgia regulation. Barnhill added that Travis McMichael and his father had been inside their rights to hold their firearms that day beneath Georgia’s open-carry regulation—and that the shuffle between the youthful McMichael and Arbery gave him grounds “to make use of lethal drive to guard himself” beneath state regulation. “There is no such thing as a means the jury won’t see a younger Black man operating for his life earlier than being fatally shot.” — Benjamin Crump Morgan believes Barhill’s choice to offer his opinion in regards to the case he was recusing himself from “was a violation of the Georgia Code of Ethics.” Barnhill didn’t reply to The Every day Beast’s request for remark. The Georgia Bar has not reported any public self-discipline in opposition to Barnhill. “In case you recuse your self from the case, you retain your mouth shut,” Morgan stated. “He made a public assertion in a case that he has been concerned—and supplied a blueprint for a protection. As soon as he recused himself, his opinion is not any completely different from my opinion from my classroom in North Carolina.” The GBI additionally introduced within the spring of 2020 that the company was investigating whether or not Barnhill mishandled Arbery’s case. By April 13, 2020, the case had been transferred to its third prosecutor, Atlantic Circuit District Legal professional Tom Durden. Lower than two weeks later, the graphic video of Arbery’s killing was launched to the general public by a criminal-defense lawyer who had briefly consulted for the McMichael household—prompting the Georgia Bureau of Investigation to take over the case at Durden’s request. On the time, the lawyer later instructed The New York Occasions, they launched the video to dispel rumors in regards to the incident. As a substitute, it spurred a nationwide outcry over what critics known as one of the blatant acts of racial injustice captured on digicam. The McMichaels had been arrested simply two days later, and Bryan two weeks after that. On the finish of Could 2020, the state’s attorney general appointed Joyette Holmes of the Cobb County Judicial Circuit, making her the fourth prosecutor to supervise the case. By March 2021, Georgia had gutted the citizen’s arrest regulation, with some lawmakers citing Arbery’s demise because the inspiration. A month later, the McMichaels and Bryan had been indicted on federal hate-crime fees—an necessary step, for the reason that state didn’t have the same statute of their very own. “The footage of Arbery’s demise is true up there with the Rodney King video and the George Floyd video. It has aroused the identical nationwide response,” Carlson stated. “And the video is a crucial part within the prosecution’s case. There was no video within the Trayvon Martin incident, the place Stand Your Floor was additionally used, and the surviving member of that individual incident was capable of set forth an account of it that was favorable to his case.” If consciousness of the video has already triggered snags in jury choice, Carlson and Morgan agree that prosecutors have a protracted street forward to win a conviction on this case. “The protection will wish to expose to the jury that beneath Georgia regulation, because it existed at the moment, the McMichaels and Bryan had been residents that had been entitled to present chase and detain a suspected individual once they had been in scorching pursuit,” Carlson stated, suggesting they’ll merely say: “They’d possible trigger, they believed Arbery had dedicated a housebreaking.” Morgan added that prosecutors must show the capturing “was motivated by race and never by justice” to indicate Arbery’s killers weren’t following the letter or spirit of the regulation. The McMichaels’ authorized workforce has insisted that the incident was not racially motivated—regardless of proof launched from the GBI that attributed earlier racist social-media exercise to Travis McMichael. “The video is the important thing to this, it clearly exhibits Ahmaud was actually lynched in 2020,” civil rights legal professional Benjamin Crump, one of many Arbery household attorneys, instructed The Every day Beast. “Despite the fact that the protection goes to attempt to do every thing to assault his character, to attempt to justify the unjustifiable, there isn’t any means round hiding that video to the jury. There is no such thing as a means the jury won’t see a younger Black man operating for his life earlier than being fatally shot.” Regardless of the assorted obstacles, Crump added, Arbery’s household stays optimistic in regards to the trial. For Baker, Arbery’s childhood who stated he shall be on the proceedings, the chance stays to see that justice be served “to all of those monsters.” “Racism received’t be tolerated and [we] are going to battle again in any respect prices,” Baker added. Source link Continue Reading Previous Depart Machu Picchu to the Vacationers. Go See Colombia’s Pristine Misplaced Cities. Next Shiv Lastly Sticks the Knife in Kendall More Stories 2 min read Scouted U.S Coway Airmega 250 Air purifier Overview 39 mins ago zynamusic9899 2 min read Media U.S Martin Clarke Steps Down as Each day Mail On-line Editor and Writer 2 hours ago zynamusic9899 5 min read U.S U.S. News Ethan Crumbley’s Mother and father James and Jennifer Crumbley Charged in Wake of Oxford Excessive Faculty Taking pictures 3 hours ago zynamusic9899 Leave a Reply Cancel reply Your email address will not be published. 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total views <% if ( today_view > 0 ) { %> , views today NOW IS THE TIME - Roxanne - 444 Prophecy News Skip to the content Search 444 Prophecy News Contact Newsletter Support Help Orphan Children 444News App YouTube Spiritual Warfare Free NKJV Bibles Water Purifier On The Go Heavy Metal Detox T-Shirt Shop Contact Newsletter Support Help Orphan Children 444News App YouTube Spiritual Warfare Free NKJV Bibles Water Purifier On The Go Heavy Metal Detox T-Shirt Shop Prophecy NOW IS THE TIME – Roxanne Posted by 444 Prophecy News on 2021/11/03 Pngtree.com Read Next → Warning Be Ready MY Children – Lynne Johnson America The Dismantling of a Nation – Glynda Lomax Warning I change the wind, the sun, moon and stars that I hung – Edward Umling NOW IS THE TIME November 3, 2021 11:59 AM Roxanne warningfromabove.wixsite.com/warningfromabove Message received November 1, 2021 The year is almost through. What have you done with it? My children, procrastination will only bring regret and heartache. What have you done with the extra time I have allotted you? Being a good steward includes time, time provided. Be a good steward in all things. Time is short. The days are evil, the people are out of their minds. Yet, they blame it all on something else. Every part of the world is world is being restricted in order (meaning how much repentance is found in that region) of its lack of repentance. But you oh America, yours is still coming. You have not seen anything yet. (Then a chorus popped in my head, “You aint seen nothing yet”, I looked up the group, BTO and lyrics, another part says “its gonna be something your never going to forget, you ain’t seen nothing yet.”) To those countries that are experiencing a lull or a period of quiet, you aint seen nothing yet. Denial of your sins is even worse. I have seen very little repentance. No country laws have been repealed, therefore your judgment will equate to the evil you commit as a country on a daily basis. The churches will fall. Many are hiding, they think they can get by with their false teaching. As though I do not or will not notice. I notice everything. In the end, my will be done on Earth as it is in heaven. Judgment is upon my churches and upon her Congregants. I will not tolerate false teaching or false doctrine. No no!!!! Prepare yourselves for my coming. Armor up for the coming battles. The devil has but a short time. My People perish for lack of knowledge. I do not wish this for my children. Put on the full armor of God so you can stand up to the wiles of the devil. He is angry and wants to have you for lunch. Ephesians 6:10 – 20. Be of good cheer. Do not fear. Test out your new found weapons. You will soon go to war with great once you understand your weapons and how to use them. You will look forward to the times of slaughter. The enemy will flee at the mere presence of your name. This also means anyone close to you who is not serving me or has sin in their lives will become very uncomfortable around you. They will lash out and start arguments for seemingly no reason. This is the new found fire that resides in those who truly serve me. You will walk in greater power and authority. Pay attention to how this affects those around you. I have given this to you. Use it wisely, do not abuse it, use it. Those who have used this time wisely will see them the way I do. ( He is talking about the people around you, anyone, nurture them, bring them to the saving knowledge of my son.) Proverbs 15:1 AMP A soft and gentle and thoughtful answer turns away wrath, But harsh and painful and careless words stir up anger. Continued: Walk in the same humility, power and authority He did. Watch the world around you change. Ask for discernment, words of knowledge. You will need this in the coming days. Especially, those who are round a lot of people. Do not become discouraged. Some will become visibly agitated just by your presence. Now do you see why I ask you to pray without ceasing? I have opened up the spiritual realm so my people can work in this manner . I have intended for them to do so. Do you see it? Now it is all starting to come together. Now you are seeing my plans for you become unsealed, revealed. Now you see. Now is the time to use great great wisdom in your daily walks. Now is the time. Now is the time to walk in silence. Listen to the Holy Spirit and speak my words. I will give you the words to address every situation and every person. Pause, ask and listen. Doing so will give you the practice you need as the world spins out of control. As the signs of wonders are revealed by me in the coming days, there will be many questions, I have many answers. Peace be still, Trust me, use me during this time of trials and tribulation. I am here to restore souls, hearts and minds. The coming days will stir great fear in man’s heart. I will give them a recollection of the conversations they had with my children. It will be “Showtime” for you. Be ready, these are the days you have trained for. Many of you have waited your entire lives to fulfill. I will give you the answers. It will even surprise some of you because your questions will be just like theirs. Lo, I come quickly, even at the very door. I am here, I am waiting to fulfill the promises I made too many of you. This will reawaken the entire inside of you. Now is the time to engage with me children. Now is the time. See them the way I see them. (He is referring to anyone you come in contact with, no matter how nasty they are. Just as you were once unsaved. 2 Peter 3:9 AMP The Lord does not delay [as though He were unable to act] and is not slow about His promise, as some count slowness, but is [extraordinarily] patient toward you, not wishing for any to perish but for all to come to repentance.) Message continued: See them the way I see you. Given with the word: Philippines 4:16 – 20 16for even in Thessalonica you sent a gift more than once for my needs. 17Not that I seek the gift itself, but I do seek the profit which increases to your [heavenly] account [the blessing which is accumulating for you]. 18But I have received everything in full and more; I am amply supplied, having received from Epaphroditus the gifts you sent me. They are the fragrant aroma of an offering, an acceptable sacrifice which God welcomes and in which He delights. 19And my God will liberally supply (fill until full) your every need according to His riches in glory in Christ Jesus. Proverbs 9:10 – 11 10The [reverent] fear of the LORD [that is, worshiping Him and regarding Him as truly awesome] is the beginning and the preeminent part of wisdom [its starting point and its essence], And the knowledge of the Holy One is understanding and spiritual insight. 11For by me (wisdom from God) your days will be multiplied, And years of life shall be increased. ACTS 4:33 33And with great ability and power the apostles were continuously testifying to the resurrection of the Lord Jesus, and great grace [God’s remarkable lovingkindness and favor and goodwill] rested richly upon them all. Daniel 9:13 – 15 13Just as it is written in the Law of Moses, all this tragedy has come on us. Yet we have not wholeheartedly begged for forgiveness and sought the favor of the LORD our God by turning from our wickedness and paying attention to and placing value in Your truth. 14Therefore the LORD has kept the tragedy ready and has brought it on us, for the LORD our God is [uncompromisingly] righteous and openly just in all His works which He does–He keeps His word; and we have not obeyed His voice. 15“And now, O Lord our God, who brought Your people out of the land of Egypt with a mighty hand and who made for Yourself a name, as it is today–we have sinned, we have been wicked. Matthew 9:22 – 31, 37 22But Jesus turning and seeing her said, “Take courage, daughter; your [personal trust and confident] faith [in Me] has made you well.” And at once the woman was [completely] healed. 23When Jesus came to the ruler’s house, and saw the flute players [who were professional, hired mourners] and the [grieving] crowd making an uproar, 24He said, “Go away; for the girl is not dead, but is sleeping.” And they laughed and jeered at Him. 25But when the crowd had been sent outside, Jesus went in and took her by the hand, and the girl got up. 26And the news about this spread throughout all that district. 27As Jesus went on from there, two blind men followed Him, screaming loudly, “Have mercy and compassion on us, [c]Son of David (Messiah)!” 28When He went into the house, the blind men came up to Him, and Jesus said to them, “Do you believe [with a deep, abiding trust] that I am able to do this?” They said to Him, “Yes, Lord.” 29Then He touched their eyes, saying, “According to your faith [your trust and confidence in My power and My ability to heal] it will be done to you.” 30And their eyes were opened. And Jesus [d]sternly warned them: “See that no one knows this!” 31But they went out and spread the news about Him throughout that whole district. 37Then He said to His disciples, “The harvest is [indeed] plentiful, but the workers are few. END – https://warningfromabove.wixsite.com/warningfromabove/post/now-is-the-time Follow Like this: Like Loading... Related Share The News more more 444 Prophecy News Read Next → Warning Be Ready MY Children – Lynne Johnson America The Dismantling of a Nation – Glynda Lomax Warning I change the wind, the sun, moon and stars that I hung – Edward Umling SUBMIT COMMENTS, TESTIMONY, PROPHETIC WORDS, DREAMS, AND VISION 444News@protonmail.com Please include a date that these were received Please specify if your name should be used All submissions will be read but we will share only the ones the Lord leads us to. Subscribe to 444News via Email Enter your email address to subscribe to this blog and receive notifications of new posts by email. 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Thank you for visiting our website! Please join our Newsletter for more information and updates on Africax5.tv Subscribe News — Investment Banking Home / News / Investment Banking February 04, 2021 Black Development: Ulta Beauty Announces $25 Million Investment To Drive Equity, Appoints Tracee Ellis Ross As Diversity Advisor Ulta Beauty wants to invest in Black-owned beauty brands. The beauty retailer announced that it will invest $25 million into driving more access to the industry for BIPOC brands as well as provide more Black-owned brands on the store shelves. The company has also appointed Tracee Ellis Ross to serve as its new Diversity and Inclusion Advisor. In her new role, the actress and hair entrepreneur will “provide counsel and insight, and drive accountability to Ulta Beauty–with a specific focus on BIPOC brand development, diverse leadership development, and supplier diversity.” “I look forward to formalizing an already existing dialogue and partnership around diversity and inclusion with Mary Dillon and the Ulta Beauty team,” the black-ish star said in a press statement. “This work requires commitment and accountability from Ulta Beauty to ensure measurable goals are achieved. I am hopeful and optimistic our work together will create foundational change.” Ulta also announced that it will feature more inclusive branding in its marketing campaigns with dedicated beauty initiatives geared toward different marginalized communities. “As the country’s beauty retail leader, we believe we have the power to shape how the world sees beauty and as such, we have a responsibility to inspire positive change and drive greater diversity, inclusivity, and equity. We are deeply committed to leading purposefully with and for underrepresented voices across retail and beauty on our D&I journey,” said Mary Dillon, CEO, Ulta Beauty in the statement. “Authenticity as an inclusive brand with welcoming experiences for all and an approachable assortment are tenets of how we champion diversity at Ulta Beauty,” continued Dillon. “We have mapped these commitments to impact every facet of our work. We look forward to sharing more as we continue on this journey with steadfast commitment from our teams and our newly established advisory Tracee Ellis Ross, who brings passion, experience, and perspective to this important work.” Read more 0 comments Tags: africa economy, africa growth, african america, black investments, black owned, Investment Banking, Ulta beauty January 30, 2021 Feature News: Hope Wiseman Quit Her Investment Banking Career To Become Youngest Black Woman To Own Cannabis Dispensary Just about the time her state was about legalizing the commercialization of marijuana, Hope Wiseman quit her career as an investment banker to venture into cannabis cultivation, making her the youngest African-American woman to own a marijuana dispensary in the state of Maryland. Her decision to go into cannabis cultivation was backed by research. As a finance person, Wiseman would monitor the markets and trends and foreshadowed that cannabis was going to be the next big thing in the U.S. and across the globe in the next few years. According to a Marijuana Business Daily report in 2017, only four percent of African Americans were business owners and founders of cannabis dispensaries with women of color occupying a little over five percent of senior roles in the industry. Through a series of research, she uncovered the lack of research on how African Americans and other minority groups have been disproportionately affected by the war on drugs. Also, not only did she see the economic potential of cannabis cultivation but also how she was going to profit from something people who look like her have been arrested for. As if by divine design, she founded Mary and Main and was licensed to grow marijuana about five minutes down the street where she went to High School. “It’s our community that we’re really a part of. I think that’s exciting, to be able to serve the patients that are going to be coming into our store are going to be people that I know. So, I think that’s really exciting to be able to directly serve the community that I grew up in,” she told Essence. Wiseman is seeking to establish her firm as the premier dispensary in Maryland and to make sure that her firm is known in the state for great customer service, and for amazing varieties. “We also have some ideas for some proprietary products that we would like to create, and maybe partner with some of the manufacturers here in Maryland, to make them.” Wiseman comes from a family of matriarchs. Her grandmother was an entrepreneur and her mom, Dr. Octavia Simkins-Wiseman, is also an entrepreneur and a dentist. Entrepreneurship runs in their family, according to her. The 28-year-old paid a glowing tribute to her mom, who she convinced to join her business as a co-founder. “My mother and I have always had a very healthy mother-daughter relationship. I always say I think my mother has been grooming me for this my whole life, and we just didn’t know,” she says. “Even when I was a very young girl… she started her dental practice the year I was born. I used to go to work with my mother when she [began] her entrepreneurial journey. We’ve always kind of worked together in our own little way and it’s very natural. My mother is the brains behind everything…She’s still teaching me every little thing that I need to know.” Wiseman attended Spelman College in Atlanta after High School, majoring in economics. She worked for SunTrust Robinson Humphrey after completion, where she sold stock research to fund managers. However, she lost her job after nine months. Wiseman’s decision to open a cannabis dispensary means she is playing a pioneering role for other African-American women to venture into an industry that’s traditionally dominated by men and comes with its own prejudice. Read more 0 comments Tags: Black Lives Matters, black woman, Hope Wiseman, Investment Banking About Africax5 is an Independent source of news and views sourced by our interlinked online communities worldwide. Our Aim is to allow for a better understanding of current affairs and complexed issues in our community. Parrallel to that to nurture and celebrate our history and identity. Footer menu Search Connect Facebook Twitter Instagram YouTube Newsletter Subscribe to our Newsletter for weekly updates! Subscribe Now AFRICAX5 American Express Apple Pay Diners Club Discover Google Pay Maestro Mastercard PayPal Shop Pay Visa View Cart {{#items}} {{!-- We use one tag here because we want the styling of one multi-line paragraph, not three paragraphs. 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Having really enjoyed Jay Hogan’s Digging Deep when I read it last summer, I was eager to read more of her work. First Impressions – the first in her Auckland Med. series – is her début novel (recently republished), an enjoyable enemies-to-lovers romance with an element of suspense/crime drama thrown in. The central characters are engaging and strongly drawn but flawed, and the chemistry between them is fantastic; plus there’s a nicely rounded-out secondary cast, and I thoroughly appreciated the vibrant, laid-back New Zealand setting, which made a refreshing change. After a tragic event which sent him into a downward spiral of drink and depression, Los Angeles-based ER doctor Michael Oliver took the opportunity to relocate to Auckland as part of a two year exchange program. He’s been in New Zealand for six months and he loves it; he loves his work, he’s made some really good friends and is more than happy with his revolving door of bed-partners. His personal life went tits up around the same time his professional life imploded, making Michael more certain than ever that relationships aren’t his thing. We first meet him when he’s out cruising, making his move on the hot guy he’s decided is going to be his for the night, when his plans are interrupted by a raid on the club and he’s confronted by six-foot-four of scorching hot, snarky cop, an ansty German Shepherd glued to his side. K-9 officer Josh Rawlins doesn’t have time for the mouthy, arrogant guy obviously checking him out, and has shut down his attempts to flirt when all hell breaks loose and shots are fired. While Josh and his dog, Paris, are involved in the fight to stop the shooters from escaping, Michael jumps in to help an officer who has been shot, keeping him alive until the paramedics arrive. Josh and Michael take an instant dislike to each other and Michael takes a particular delight in deliberately needling Josh by attempting to flirt with him. But Josh is having none of it. His priority is his eleven-year-old daughter, and what he wants most is to make a loving home and family for her – but following his last long-term relationship, which ended after Josh discovered his partner had been cheating on him throughout, Josh has been wary of getting involved again. He certainly isn’t prepared to put himself and his heart on the line for someone like Michael who, Josh thinks, has impermanence written all over him, no matter how tempted he may be. And Michael Oliver is most definitely tempting. Josh has to admit he’s funny and sexy and smart, and that something about him turns him on “like a fucking switch” . When the two of them at last give in to the intensity of the attraction between them, things get steamy pretty fast and Michael is surprised to find himself craving the space to just… let go that Josh offers. They agree to a NSA fling, but somehow things don’t stay that way and ‘casual’ soon develops into something neither man had anticipated. Josh doesn’t think Michael can ‘do’ relationships, and Michael has labelled himself the same way; he deliberately destroyed his last relationship when he was in that drink-fuelled downward spiral and has convinced himself he’s not cut out for anything long-term. But as the men spend more and moretime together, they are forced to confront the fact that their first impressions of each other were completely wrong and that perhaps they really do want the same things from life. The problem is admitting that – to themselves and each other. I really liked both characters, even though Michael is a bit of a dickhead to start with, and their relationship is very well developed. The chemistry between them is explosive, and they have a lot of sex, but they laugh and talk and just hang out, too; they enjoy each other’s company and open up to one another, both feeling safe to let themselves be vulnerable when they need to, and I loved seeing that trust build between them. I was also relieved that the author didn’t take an obvious turn down Big Mis Lane at a point later in the story. There’s a great secondary cast, too – Josh’s daughter is a fairly believable eleven and their relationship is nicely done, as is that with his sister, and his friend and fellow cop, Mark; and Michael’s friend and colleague Cam Wano, a gloriously femme, snarky charge-nurse is a highlight – his story is told in the next book in the series. The crime drama storyline I mentioned at the beginning is perhaps distributed a little unevenly throughout the book – it sort of disappears for a bit in the middle before resurfacing towards the end – and there’s another sub-plot revolving around Josh’s homophobic parents which is quite heart-breaking – and quite honestly, I wanted Josh to tell them where to get off rather earlier than he did! I also had issues with the ending; it’s difficult to say too much without spoilers, but while I understood why Michael did what he did, I nonetheless found it rather selfish and needlessly hurtful. Still, First Impressions was an engrossing read and one that I got through in only a couple of sittings, which is always a good indication of my engagement with a book. In spite of my reservations about certain aspects of the plot, the central relationship and romance are really well done, the characters are likeable and if you’re looking for a contemporary romance set outside the US, it’s definitely one to consider checking out. Buy it at: Amazon Visit our Amazon Storefront or shop at your local independent bookstore Caz Owens Website | + posts Queer romance, romantic suspense and historicals - romance, mysteries, fiction - are my genres of choice these days, and when I haven't got my nose in a book, I’ve got my ears in one. I’m a huge fan of audiobooks and am rarely to be found without my earbuds in. Caz Owens https://allaboutromance.com/the-agora-at-aar/profile/cowens/ 12/03/2021 Custody Battles by Gregory Ashe Caz Owens https://allaboutromance.com/the-agora-at-aar/profile/cowens/ 11/25/2021 The Wrangler and the Orphan by Jackie North Caz Owens https://allaboutromance.com/the-agora-at-aar/profile/cowens/ 11/24/2021 The Cuckoo's Call by Lily Morton Caz Owens https://allaboutromance.com/the-agora-at-aar/profile/cowens/ 11/22/2021 Coming Soon – The Romances We’re Most Looking Forward to Reading in December 2021 Buy First Impressions by Jay Hogan: Book Details Reviewer: Caz Owens Review Date: December 14, 2019 Publication Date: 11/2019 Grade: B Sensuality Warm Book Type: Contemporary Romance Review Tags: Auckland Med series | enemies to lovers | Male/Male romance | New Zealand | Queer romance | single dad Recent Comments DiscoDollyDeb on Waiting for the Flood by Alexis Hall Caz Owens on Waiting for the Flood by Alexis Hall Caz Owens on Waiting for the Flood by Alexis Hall Caz Owens on Custody Battles by Gregory Ashe Caz Owens on Custody Battles by Gregory Ashe Carrie G on Custody Battles by Gregory Ashe Carrie G on Waiting for the Flood by Alexis Hall WendyF on Waiting for the Flood by Alexis Hall elaine s on Custody Battles by Gregory Ashe Caz Owens on Waiting for the Flood by Alexis Hall Login Label {} [+] Name* Email* Website Label {} [+] Name* Email* Website 15 Comments newest oldest most voted Inline Feedbacks View all comments Dabney Grinnan(@dgrinnan) Admin 12/18/2019 8:23 am The ebook links are back up for this book! 0 Reply Caz Owens(@cowens) Author Reply to Dabney Grinnan 12/18/2019 6:21 pm Updated! (And for Digging Deep too!) 0 Reply Jay Hogan Guest 12/14/2019 3:05 pm Thanks Caz. Will do. 0 Reply KesterGayle Guest Reply to Jay Hogan 12/14/2019 6:33 pm And please consider bringing them to audio! Those of us with impaired vision deeply appreciate having audio books at our disposal. Thanks!! 0 Reply Jay Hogan Guest 12/14/2019 12:34 pm Jay Hogan- Author here guys ! Hi there. Such a good review and this is bad timing as it appears Dreamspinner have been super prompt in taking down my books from Amazon on the day I get my book rights back. First Impressions was released on ebook Nov 1. However my Dreamspinner rights just came back to me just today Dec 13 BUT I will be rereleasing again *sigh* by Jan all my books and First Impressions will be the first. Have a look in a week or so. I have a new series starting late Jan as well 0 Reply Caz Owens(@cowens) Author Reply to Jay Hogan 12/14/2019 1:22 pm Thanks for dropping by to explain that – and I’m sorry the timing didn’t work out! I think you’ve got my email address (from when you sent me the book), so if you’d care to email me once you have the titles for sale again, I’ll come back and fix all the links. (I assume the same is true of Digging Deep, so if you send me the details for that, I’ll fix those links as well). 0 Reply Maria Rose Guest 12/14/2019 9:45 am Yeah, the Kobo and BN links don’t work and the amazon link (to amazon.ca for me) only goes to the paperback so I suspect it’s not available in any e-format while the author and publisher figure out the rights (I’m thinking the author has asked for her rights back due to the financial problems at Dreamspinner and Dreamspinner isn’t allowed to sell it). Hopefully the author will be able to self-publish it in the future. 0 Reply Maria Rose Guest Reply to Maria Rose 12/14/2019 9:49 am Also, from looking at reviews on Amazon, it appears that this book was first published in digital format in 2018 and the paperback came out Nov 1, 2019. So it was in digital for quite a while before now. 0 Reply Caz Owens(@cowens) Author Reply to Maria Rose 12/14/2019 1:24 pm It’s happened, literally, within the space of a week! I think the original publisher closed down and then the book was picked up and republished by DSP this year. 0 Reply KesterGayle Guest 12/14/2019 5:33 am It sounds like a good story. Does anyone know if it will become available on kindle, or better yet, audio? It’s only in (expensive) paperback on Amazon right now. Also, I could not get the Amazon link to work. 0 Reply Dabney Grinnan(@dgrinnan) Admin Reply to KesterGayle 12/14/2019 8:39 am Fixed the link. She was on Dreamspinner, I think, so it’s possible there’s some issue with erights. 0 Reply KesterGayle Guest Reply to Dabney Grinnan 12/14/2019 10:57 am I hope they get the rights figured out. It sounds like my mind of book, and I’m sure it will sell better with an ebook option. Thanks for fixing the link! 0 Reply Caz Owens(@cowens) Author Reply to KesterGayle 12/14/2019 1:25 pm See below for the author’s comments – she’s planning to republish in January. 0 Reply Caz Owens(@cowens) Author Reply to KesterGayle 12/14/2019 9:04 am That’s odd – when I input the review over a week ago, I definitely used a Kindle link. As Dabney says, maybe there’s a rights issue. 0 Reply Nan De Plume Guest Reply to KesterGayle 12/14/2019 11:35 am Did you try asking your local public librarian to purchase a copy? I have found that local librarians are really good about listening to patron requests, especially if they have the budget. In the past, some libraries didn’t buy romance, pulp fiction, etc. on the grounds of edifying the public, but that attitude has thankfully gone by the wayside in most places. Two libraries in WorldCat have “First Impressions” so far, so libraries could definitely add this 2019 title to their ordering list. I recently asked my library to please buy “Undercover Justice” by Nico Rosso, a Harlequin Intrigue title. And they did. So it never hurts to ask!

When you’re in an addiction recovery program, the pathways to meet goals is to prepare you adequately for what’s waiting for you when you leave the comfort of treatment. Relapse prevention and an aftercare plan implementation should be in place as soon as you begin treatment. Evidence-based treatment requires that after-planning is an integral part of each step of your treatment. Relapse is a gradual process that has specific stages. In treatment, you learn to recognize those early stages. When you can identify them proactively, you’ll have a higher chance of successfully navigating your life in recovery. At our treatment center, we uniquely do things. We have a version of relapse prevention where we work to help you hold mental space for future scenarios. Then, when you face these situations in the real world, you’re prepared. With that in mind, below, we’ll talk a little more about relapse prevention in general and how building pathways in your brain can help you meet your goals. What is a Relapse? When you’re in treatment, it’s a safe environment. You have the support of our staff and your peers. You have resources available, and there are few if any triggers. Having that controlled environment is essential in those early days of your recovery. That type of environment can’t last forever, though. You are ultimately preparing to re-enter the world but to do so without drugs or alcohol. With the real world often comes triggers, including people, places, and things. Stress, problems in relationships, financial difficulties, and other adverse situations are all part of our daily lives. For someone in the early stages of recovery, coping with these stressors can be difficult. While we can sometimes view relapse as inevitable because of the high rates, the reality is it’s not. Most people who often relapse either didn’t receive evidence-based treatment initially or stopped following their treatment plan. The work you do in treatment is what you can lean on when things get tough in your life, and maintaining your treatment plan can help you avoid relapse. Relapse is a return to using drugs or alcohol following a period of sobriety. The particulars can vary depending on the person. For some people, drinking just once is a relapse. For others, someone falls deep into their substance use once again. The three stages of relapse are emotional, mental, and physical. During the emotional stage of relapse, you might find that you’re not participating in self-care practices, or you’re beginning to dread your recovery meetings. You might hide what you’re feeling or become withdrawn from friends and family. When you reach the mental stage of relapse, you could be having cravings or glorifying when you were using drugs and alcohol. Physical relapse is when you use drugs or alcohol, even just one time. Relapse Prevention and Personal Action Plans There are a few primary concepts that are important in relapse prevention and your pathways to meet goals. The first is what we talked about above—relapse is a gradual process occurring in stages. Again, in treatment, you should learn to recognize the earliest stages. The second is that recovery is about personal growth, where you’ll achieve milestones. The third is that the main tools you will rely on for relapse prevention are mind-body relaxation and cognitive therapy. You work beginning in treatment to change your negative thought patterns. You also learn specific, healthy coping skills. The fourth element of relapse prevention is that a few core rules explain most of these scenarios. When you receive education in these rules, you learn to focus and prioritize what you need to be doing. Recovery isn’t one event that ends when you’re sober. Recovery is a process that requires changes in how you think, react to situations, and cope with varying emotions. Mindfulness and consistency are critical, and you should work on approaching your recovery in a strategic, thoughtful way. Creating a Relapse Prevention Plan While the specifics may vary depending on your individual needs, some of the steps that go into creating a relapse prevention plan include: Set goals for your recovery. Your goals can be anything meaningful and relevant to you, from improving relationships to growing spiritually. Identify triggers. You’ll work in treatment to identify what your triggers are, and you’ll begin to think of them as your enemy, needing to be dealt with accordingly. Be offensive in your thinking rather than defensive. Know the warning signs and red flags for yourself. Have pre-defined recovery tools. For example, conflict resolution, problem-solving, and relaxation techniques may be part of your recovery toolbox. List the specific actions you’ll take when you see warning signs. Neural Plasticity and Recovery When you’re participating in treatment with us, we work on a version of relapse prevention that focuses on you visualizing future scenarios. These are detailed situations that you’re likely to experience in recovery. Then, as part of that visualization of future problems or triggers, you’ll begin to outline how you’ll deal with them proactively. There’s a reason this is going to help you immensely. You’re building the pathways to meet goals in your brain through this visualization, so you’ll be ready to deal with these situations when they happen. When you’re proactively visualizing what you’ll do, then when the actual situation occurs, you’re going to feel like you’ve already dealt with it. You’ll be less likely to be overwhelmed with stress or emotions that could increase the risk of relapse. Elements of this relapse prevention approach build on the idea of neural plasticity. You can rewire your brain, which is a dynamic process. When you rewire your brain, you change the relationship and interaction between it and your body. You can change millions or even billions of connections in your neural pathways. When you focus on certain things, whether it’s happiness or remaining strong in the face of adversity, you’re strengthening the pathways that correspond with emotions and situations. Once you know how to develop and strengthen your neural pathways, you gain so much control over your habits and who you are. Also, research shows us that as you create new pathways, you’re simultaneously weakening old ones that are no longer getting your attention. Each time you work on visualizing, for example, what your life will look like in recovery, you’re weakening those pathways that might glorify your days of substance abuse. Otherwise, without taking action to change your neural pathways, you’re more likely to keep following the familiar, worn paths in your brain. When you’re in treatment for addiction, that’s the last thing you want to do. With visualization, you turn hope into something that guides you. Your brain can’t always determine what’s a memory and what’s a vision of the future. That means envisioning what your goals are is going to help you create them in your life. The more you consciously focus on building new pathways, the more you will make healthy new habits through repetition; aftercare at Anchored Tides Recovery can help aid this process. If you’re looking to learn more and develop a support group of people who successfully understand the process, call us at 866-600-7709. Pathways to Meet Goals relapse prevention Liminal Space: Learning to Transition Previous How Long Does Tramadol Stay In Your System? Next Recommended Posts How to Identify Toxic Positivity Just for Today: Overcoming Cravings One Day at a Time Coping with Substance Abuse Disorder During the Holidays Childhood Trauma and Addiction: Codependent Issues Sign up for news & advice. Instagram Facebook-f Youtube Sitemap HOME ABOUT TREATMENT TOUR CONTACT PRIVACY POLICY Get In Touch 866-329-6639 19126 Magnolia St Ste 101, Huntington Beach, CA 92646 admissions@anchoredtidesrecovery.com To contact The Joint Commission should you have a quality care and patient safety concern, please click the below Gold Seal to be directed to the appropriate website. ©2021 Anchored Tides Recovery. All Rights Reserved. Call Now Button {{ itemDataObject.badgeText }} Bunny & Murphy Registered Emotional Support Animals Bunny is a 3yo male French Bulldog and Murphy is a 6yo female Shiba Inu. Both of these pups have been raised at Anchored Tides and grew up handing out love and support to our clients. They have the wonderful ability to sense when a someone needs a little extra love, some playful puppy time, or just a companion to sit and hold space while they are processing something. Murphy’s favorite treatment activities are Lunch, Reiki, Process group, and sitting in on individual sessions. Bunny’s favorite activities are Lunch, DBT, and also sitting in on individual sessions. When they aren’t working, Murphy likes to play with her little brother (who is not a support animal), go on hikes, dig holes, sleep and eat. During Bunny’s time off, he likes to destroy squeaky toys, play with his nerf dog-gun and sleep. They (and we) believe that animals are essential in providing emotional support. Studies have shown that some of the benefits of having an ESA include enhancing calm and relaxation, alleviating loneliness, enhancing social engagement and interaction, normalizing heart rate and blood pressure, and reducing stress, pain, anxiety and depression. They are an important part of the holistic approach at ATR to make everyone feel loved and comfortable as they walk through their recovery journey. Katie van Heerden Clinical Therapist I am Katie van Heerden, licensed marriage and family therapist, currently conducting individual and group therapy at ATR using CBT and EMDR modalities. My passion for working with those struggling with addiction and mental health is a personal one. I, myself, grew up in a family system of addiction and mental health issues with little knowledge of what to do or how to recover. This drove me to further my education of mental health disorders, first by obtaining my BA in psychology from Cal State University Fullerton, then my masters in clinical psychology from Pepperdine University. While the knowledge I have obtained in school is extensive, my personal journey through life and all of its struggles have led me to the conclusion that anyone can recover if given 2 things: resources and support. When asked what keeps me going in this field, after 10+ years, I typically respond; “I am merely a farmer. I plant the seeds, nourish when necessary, and give space to allow growth.” Watching clients transform into better versions of themselves is not only rewarding, but inspiring. It is a “job” I never take for granted. Macy Miller Admissions Coordinator Being the first point of contact for women seeking aftercare for their recovery in alcohol and drug addiction; I am driven & passionate about helping them with their next steps. I have always been passionate about helping others & this position allows me to see those dreams come to life. You can always find me in nature during my self care time, usually hiking, roller skating by the beach, or surfing the waves. I enjoy music to feed my soul & get grounded. I lead a healthy & holistic way of living that I enjoy sharing with others. Heather Black-Coyne Clinical Director Heather Black-Coyne holds a Master of Science in Clinical Psychology and works as the Clinical Director for Anchored Tides Recovery. Heather is a woman in long-term recovery and an astute Addiction Counselor who has partnered with addicted individuals in residential and outpatient facilities for over a decade, creating a space of learning for both the clients and her peers. Heather participated on the CDPWS Board as Secretary, helped launch the annual NAADAC Conference in Seattle, and has participated in developing Continuing Education Courses for Clearly Clinical. Heather has worked in various direct care and leadership capacities treating substance use, always with the foundational beliefs that everyone is worthy of a meaningful life, and individuals need help along the way. She works in treatment to help others be curious about themselves and their possibilities. She is passionate about creating a safe space where individuals can explore their growth experientially, and collaboratively. Tonia Stephens Social Worker I was born and raised in Orange County, California. I found myself needing substance abuse treatment in 2010. After learning tools of recovery and receiving treatment I was able to go back to school at age 41 and earn a Bachelor’s Degree in Human Services and a Masters in Social Work with an emphasis on Community Mental Health from California State University Fullerton. Getting clean and sober opened the door to a life full of opportunity and hope. I am currently pursuing licensure in the State of California to become a Licensed Clinical Social Worker. I have the unique opportunity to work as an Associate Clinical Social worker in a treatment setting. My role is to assist with helping each Client master Dialectical Behavior Therapy skills that allow them to emotionally regulate, tolerate distress, live a more meaningful life, and improve their ability to effectively communicate. I come alongside the Clients and help them address life issues that range from food assistance, legal matters, tax issues, creating resumes, budgeting, medical and dental appointments, organizing, studying skills, applying to schools, and finding employment. I assist them with integrating their recovery tool belt with the stressors of life in order to set them up for success once they leave treatment. I wished that I had a social worker when I was in treatment. Some of my most difficult times were trying to take care of anxiety provoking adult tasks in early sobriety. I am passionate about my role in these human’s lives and I see it as my honor to be part of their bref journey here at Anchored Tides Recovery. I love my job and I love teaching individuals how to be sober, navigate life, and enjoy being themselves maybe for the first time. Megan Twohig Therapist Hi! My name is Megan Twohig and I am an Associate Marriage and Family Therapist working with Anchored Tides Recovery as a Primary Therapist. I am currently being trained in EMDR trained and have worked in the field of Substance Abuse and Mental Health for 9 years. When I’m not working I love the beach, my dog, and my dog at the beach with me. I honor getting to fight alongside clients in the battle for their lives. I’ve witnessed miracles in recovery and believe we all have a chance at salvation. Michelle King Operations Manager Michelle has been a part of the Anchored Tides family since 2018. Michelle is an empathetic individual who finds connection with each client. Her goal is to help women feel understood and see that long-term recovery is possible. Michelle obtained a bachelor’s degree in sociology from Brandman University and is working towards her masters in social work. Michelle is passionate about helping others and considers it an honor to be a part of a treatment team who believes the client’s care is the first priority. In her spare time Michelle loves going to concerts, camping, and road trips. Jessica Trinidad Program Manager Jessica has been a part of the Anchored Tides Family since 2017. She is the Program Manager at ATR and has worked in treatment for 6 years. She specifically enjoys working with women in recovery as she is passionate about helping women begin their healing journey and find their truest most authentic selves. Jessica’s personal experience with recovery at a young age helps her identify with other young women seeking treatment and a new way of life. Dawn Navaez Dietician Dawn has been providing individual nutritional counseling and group counseling for more than 20 years. Her approach has been to work beyond education and training, focusing on real-life practical applications and tools. Through it all, Dawn creates an open and encouraging environment to help her clients process successes and overcome setbacks by helping them establish new habits of their own that don’t disrupt their regular lifestyle. Dawn enjoys working with her clients because “walking through a season of life with another is an honor and privilege.” Kelli Easley Director of Marketing & Admissions Kelli Easley comes to Anchored Tides bringing with her over seventeen years of experience in the field of addiction. Her unwavering passion to help others stems from her commitment to give back after overcoming her own 17-year addiction. She holds certifications in both Chemical Dependency and Family Development.Kelli had the good fortune of training under a well-respected interventionist, and therapists this has only strengthened her expertise in working with both individuals and families. Kelli is currently working towards a degree in Business Administration along with being a loving mother to her husband, and two sons. In her free time, Kelli is active in the recovery community and lends her support to nonprofit organizations to help those in underserved communities. – “Hardships often prepare ordinary people for an extraordinary destiny” – C.S. Lewis Tracy Dunn Interventionist / Relationships & Co-Dependency Tracy Dunn is a National Interventionist and Addiction Coach who has received training at the Crossroads Recovery Coaching Academy of Seattle Washington and The Addiction Academy in Miami Florida. As the daughter of Roger Dunn of the Roger Dunn Golf Stores , Tracy knows all too well the dramatic impact that fame and addiction can have on the family system. Her professional training partnered with over 32 years of sobriety has led Tracy to being deeply committed to both saving and changing the lives of those struggling with addiction and alcoholism and their families. As a group facilitator, she works collaboratively with her clients to help them focus on the action they will need to take to recognize the vision they will have for themselves. As an interventionist she has helped many families to overcome the paralyzing grip of addiction by teaching accountability, compassion and the other tools needed to break the cycle of addiction and maintain sobriety. Tracy works with the media, treatment facilities, interventionists,therapists, addiction psychiatrists and consults with treatment facilities.Her dedication to saving lives has given a dynamic voice of recovery to those who had previously given up hope,and the belief that they are able to create their own successes. Garret Bracken ReNu Fit My name is Garrett Bracken, Owner and Operator of ReNu Fit (Recovery Nutrition and Fitness). I am a personal trainer, sports nutritionist and man in recovery from drugs and alcohol. ReNu Fit’s Mission is to bring fitness and nutrition into clients’ everyday recovery. ReNu Fit fitness groups are one hour long full body workouts aimed specifically at teaching our clients the proper technique, form and fitness routines to keep them safe & help them achieve their fitness goals. All groups include stretching, abdominal work, light resistance band training and safe leg exercises. Our goal is to be effective and useful to your clients in the safest and most fun way possible. Nate Lawler Above Water Above Water Adventures was created to provide a fun, healthy, and constructive outlet for young adults, corporate employees, and those in early recovery. We strive to facilitate a safe and (often) exhilarating setting to push through boundaries and break down barriers. Recovery is not for the faint of heart, it requires courage, willingness, and an innate desire to change. We’re here to offset some of the inherent weight carried during the initial steps of that journey. Our mission is bolster support and fellowship — and above all, help clients recognize that adventure, fun, and zest for life starts in recovery — not the other way around. Jona Genova Reiki Master & Group Healing Jona Genova is an intuitive healer and teacher of Sustainable Compassion Training (SCT) bringing more than 25 years of devoted study and practice to her work. In 2015, Jona was invited to work with a preeminent residential treatment facility for adolescents. Overtime she developed the Samadhi for Peace Healing Method, a trauma informed and individualized approach to energy healing designed to allow space for clients in residential and outpatient levels of care to explore what is beyond words. Today, she is the founder of Reiki Collective, an alternative healing service provider bridging the gap between energy medicine and western healthcare systems. Jona is committed to providing compassionate care that is safe for clients and for her team so she developed a rigorous internship modeled after that of other clinical professions. Healers receive ongoing learning centered around seeing others in their deepest dignity as well as licensed support for managing triggers that arise during sessions. Reiki Collective healers use the Samadhi for Peace Healing Method and are the only energy healers trained specifically to work with clients in treatment for mental health challenges and co-occurring disorders. Jona is grateful to provide a gentle and nurturing space for clients to explore and restore their intuitive nature while restoring relational trust. William Nephew Rock To Recovery William Nephew has been a singer/songwriter for over 20 years. He achieved some notable success early in his career with emo/rock band Jack’s Broken Heart, which won a San Diego Music Award in 2001, toured the continental United States, and shared the stage with acts like The Mars Volta and Jimmy Eat World. Having a strong passion for the arts, William earned a B.A in Cinema production. Following completion of his degree at San Francisco State University, William worked on film/tv projects for major Hollywood production companies including Sony and Universal Pictures. Williams addiction began at an early age and followed a slow and steady progression. Eventually, William knew he had to make a change. With the help of drug and alcohol treatment, William got sober on May 26th, 2014. He has been sober ever since. William’s talent as a singer/songwriter, passion for the healing power of music, and the struggles of his past make him an outstanding program administrator for Rock to Recovery. He believes in the strength of creative expression as an extremely effective tool to cope with overwhelming emotions in early sobriety because William was actually in Rock to Recovery groups as a CLIENT before he became a program facilitator. William is also a certified CADC-I drug and alcohol counselor by the state of California. Amy Dutton Co-Founder Amy moved to California from Florida in 2011 to begin her journey into a life of rovery. Amy started to gain her spirit back while helping others and that’s when she found her life’s purpose. Amy graduated with a bachelor’s degree in psychology and a minor in sociology from Chapman university. Amy has also completed her CAADAC degree at Centaur university. She truly believes being outside and in touch with nature helps self-destructive behaviors, which she considers to be the key to her personal recovery. After years of owning and operating a successful women’s sober living Amy really saw the need for gender specific aftercare and teamed up with Becca Edge to create Anchored Tides Recovery. Alisa Client Service Coordinator Alisa brings a high level of dedication and compassion to her work as the Client Service Coordinator. A certified addiction treatment counselor (CADC-II), Alisa has seven years of experience working in the substance abuse field. Alisa has a passion for both helping others in recovery and guiding women through the process of rebuilding a valued life and increasing their self-worth. She embraces her strengths of empathy and patience to help others develop upon their inherent set of skills and seek purpose based on their own abilities. Currently, Alisa is working towards a bachelor’s degree in Psychology, with hopes of becoming a therapist. When not at work or school, Alisa enjoys fitness, watching the Boston Red Sox, and spending quality time with family and friends. Rebecca Edge President / Co-Founder Becca Edge is originally from Birmingham, Alabama. No stranger to mental health and substance abuse issues in her family, she herself also struggled with addiction and moved to California to commit herself to treatment. She has been in long term recovery since 2010. After much success in the corporate world, she started a sober-living as a “passion project” to provide women a safe place as they re-enter the world as sober members of society. She noticed that there weren’t many aftercare programs dedicated to women’s sobriety or supporting them with the various co-occurring disorders that pop up once women are free from drugs and alcohol. So in 2016 she partnered with Amy to create a safe, therapy-focused place where women can heal from their addictions, trauma, and other issues while growing into who they were always meant to be. Becca is passionate about helping women realize their worth and supporting/helping them navigate the next steps of their lives, all while helping them feel secure on their road to long-term recovery.

When you’re a woman going through addiction treatment and beginning your life in recovery, you already face immense challenges. Being a mother can compound those because you may want to repair the damage you feel occurred during active addiction. You may also want to make up for the lost time. Simultaneously, the recovery process is hard work, so prioritizing is critical as you navigate parenting in a new world for you. The most important thing you can remember is that no one is a perfect parent. Despite your struggles with addiction or mental health, if you show your children love, that’s ultimately what will stand out to them throughout their lives. You have to show love and compassion for yourself, too, particularly as you are navigating a new situation and new season in your life. The following are some things to know about being a parent in recovery from a substance use disorder and how to become a positive role model. How Addiction Affects Families While it’s emotionally challenging, a big part of true recovery recognizes how your addiction affects your loved ones. Loved ones can include your children, mainly if they are old enough to understand what’s happening. When you can confront these psychological effects head-on, you’re in a much better position to begin to work through them. Once you leave treatment, you hope you can put the past behind you. While you may be able to put your substance abuse behind you, it’s essential to recognize the lingering effects of being an addicted parent and work to repair those as part of your recovery journey. It’s challenging to maintain a peaceful or loving home when you’re experiencing alcohol or drug addiction. There may be a lot of conflicts, erosion of trust, and communication can become frustrating. Along with these effects impacting your children, they could also affect your spouse or partner and other people who love you, such as your parents or siblings. You might have behaved in a way that would otherwise be out of character for you when you were under the influence of drugs or alcohol or exhibiting addictive behavior. Psychology Today estimates 1 in 5 children grow up in a home with a parent who abuses alcohol or drugs. Exposure to substance abuse is a form of trauma, and children who grow up experiencing substance abuse in the home are more likely to develop their substance use disorders when they’re adults. Children’s personalities are developing during this time and are highly susceptible to what’s happening around them. When you decide to get treatment, that’s an essential thing you can do to change these dynamics. As you choose a rehab program like residential treatment, look for one specifically for women and mothers. These programs will allow you to participate in therapy that focuses on rebuilding your relationships with your children and family and reducing the trauma they might have experienced. Look for a facility that emphasizes relationships and helps you connect with the resources you need to be a great parent in recovery. Too often, mothers become discouraged. They feel the damage is done, and there’s nothing they can do; that’s untrue. While substance abuse by a parent can affect children, they’re also highly resilient. You ultimately want your kids to see you as someone who worked hard and overcame challenges. That’s what you have the opportunity to demonstrate after treatment. Below are some practical tips to be a better mother in recovery. Forgive Yourself Understanding the impact of addiction isn’t about continuing to hate yourself or feel shame, and parents in recovery have to know this. Instead, it’s about recognizing past challenges and then being able to move forward through that honestly. To be the best version of yourself for your children, forgive yourself. If you participate in a program with a 12-step foundation, there is a path to make amends for past behavior and start again as part of your addiction recovery. When you can forgive yourself, you aren’t just helping your children and family dynamic. You’re also reducing your risk of relapse. Shame and guilt are so interwoven with substance use and addiction. You have to work to rebuild your self-esteem and understand that you are more than your mistakes and addiction. Set Boundaries If you feel guilt for things in the past, you might try to be too permissive in your parenting. Permissive parenting is problematic for children, particularly as they get older. Not having firm, healthy boundaries can put your children at a greater risk of developing their own SUD. Rather than making up for anything by eliminating boundaries, create a loving and healthy relationship with your children that centers on limits. Your children need that discipline and structure. You want to be a role model rather than a friend. Along with setting boundaries, resist the urge to try and buy affection with gifts. Your children are going to thrive when they have stability and consistency. You can create routines that focus on spending quality time together rather than buying affection. Rebuild Trust If your children are older, they may have lost trust in you during your active addiction. You may have been unable to keep your word, or you might not have been around or shown up for your children in the way they needed you to when dealing with a drug or alcohol use disorder. Now is when you can start to rebuild that trust. Again, consistency is key here. You should also show up when you say you will and prioritize family time. Consider going to counseling with your children, so you can relearn how to bond with one another. Take Care of Yourself Practicing self-care is vital in recovery. Parents in recovery may be dealing with so much physically and mentally during this time. Self-care isn’t selfish. Self-care gives you the chance to take care of yourself to give more to your children. When you practice self-care, you’re also setting an example for your kids about healthy coping skills. Self-care is one of the critical life skills you can and should integrate into your daily life. Be Mindful Mindfulness is something that every parent can benefit from practicing—it’s not exclusively beneficial if you’re in recovery. When you’re a parent, no matter the specifics of the situation, it’s stressful. You may have so many worries about the past and the future. Practicing mindfulness brings you back to the moment. You’re able to remember how important it is to focus on one day at a time. Everyone practices mindfulness differently, but bringing yourself back into the moment if you’re struggling is one of the best coping mechanisms you can learn in recovery. Being mindful is suitable for managing things that come your way in everyday life and dealing with symptoms of mental health issues. Ask For Help Finally, there’s certainly no shame in asking for help when you need it, particularly for single parents. Maybe you have parents or friends who are willing to give you the support you need, even if it’s just providing a listening ear. Don’t be afraid or embarrassed to ask for help. Over time, the more you put the steps above into practice, the more confident you’ll feel as a parent and the stronger your relationship with your children will be. In your parental role, you want to model healthy behavior and life experiences for your children, and knowing when to reach out for help is part of that. If you’re ready to start your recovery effort, please contact the team at Anchored Tides Recovery by calling 866-600-7709 to learn more about our specialized treatment center for women. parent in recovery Recovery relapse prevention support in recovery Liminal Space: Learning to Transition Liminal space is a term coming from the Latin word “limen.” We find that liminal space is a powerful phrase in addiction treatment and recovery. So, why is that? Limen means threshold. A threshold is any place of entering or beginning. The idea is that liminal space exists in the time between what was in your life and what’s next. There’s a sense of uncertainty in this season of waiting and transition. While that uncertainty can create anxiety, there can be power in this time. Without liminal space, we’re unable to transform. You’re moving out of the familiar and into the unknown. You’re leaving your old world behind but perhaps unsure of what your future existence looks like. It’s only within liminal space that you can genuinely emerge with a sense of newness. When you don’t accept liminal space or encounter it, you’re going to be stagnant. Your old life or world becomes what you see as normal, so you can’t move forward in recovery. The Thresholds of Recovery Liminal space or liminality can feel like a free fall in some cases. You could be looking around thinking, “what now,” or “what’s next.” You might be shifting in terms of not just active addiction to recovery. Other shifts can include your relationships, your career, or perhaps the logistics of your life, such as where you’ll live. It’s incredibly unsettling to enter these transitional spaces. You have to walk through the doorways available to you to reach the moments that will ultimately define your life. Along with addiction and recovery, other examples of liminal spaces in our lives include job changes, a sudden loss like a death or divorce. Those events are inherently not positive and are devastating, but you do have the opportunity to move forward and make a positive shift. Often, with addiction, we tend to tie our drug or alcohol use to who we are. That’s our identity. The use of substances shapes everything we know and believe about ourselves. In a rehab program, you work to give up that old identity, leading to grieving, which is normal. You’re not only giving up the person you believed yourself to be and grieving that loss, but you also grieve the loss of drugs and alcohol. Through that grieving, liminality becomes the space to decide who we will be and what our lives will look like going forward. After completing treatment or when you begin recovery, you may only know that life won’t be the same and that you’ve gone through a shift as a person, but you may specifically know what that’s all going to look like. You stop being on autopilot in your life, however. You can change your perspective of yourself and the world and truly break those old thought patterns. Navigating the Unexpected Recovery is a challenge. We won’t sugarcoat that for you. There are going to be significant ups in your sober life, but also downs. Some days are going to feel harder than others, and you’re also going to have to accept the reality of the unexpected. Going to treatment should help you learn healthy ways to work toward unexpected scenarios. To deal with the time, you spend in that liminal space and to approach the unexpected healthily, remember the following: Acknowledge how you’re feeling. It’s okay not to have all the answers right away, nor should you. You should have a sense of preparation that you’re going to navigate what life throws your way. That preparation comes from the coping skills you learn in treatment, which is why it’s crucial to choose a rehab program that’s going to give you what you need for the future. Ask for help. We can work with you to create a support plan if you find yourself in a potential danger zone during rehab. Too often, people leave treatment with the misconception that they no longer need help or support from others and can be strong and do it independently. This is a mistake, and when you know when to ask for help and who to turn to, you’re going to be able to deal with unexpected or unpredictable situations more effectively with various lifestyle support options. Develop a routine. As you leave rehab and re-enter daily life, having a routine helps you avoid potentially harmful situations and make healthy choices. Having a pattern gives you a sense of control, even when things around you might not be within your control. Know what your triggers are. Our treatment team works a lot on this with everyone who comes through our doors. You have to learn what your triggers are to put in place ways to respond to them. Develop a new mindset. Your mentality needs to center around health and wellness. Prioritize those things that are part of this wellness-driven lifestyle. For example, prioritize eating well, exercise, sleep, and attending therapy and meetings. Set realistic expectations for yourself, especially in those earliest days of recovery. Don’t be too hard on yourself, and make sure that you’re creating small, achievable goals along the way. ​​ Continuing Care As Part Of Your Treatment Plan Again, we can’t emphasize enough how important it is that your treatment plan includes aftercare. If you don’t go to an evidence-based treatment center and you’re thrown back into daily life without a solid aftercare plan, your chances of relapse are high. Your treatment team should have already developed a customized plan for aftercare. You should have an idea of your triggers and how you’ll confront them with specific methods that work for you. Your team may help you assess your living environment before treatment and see how it contributed to your substance abuse. You might move into a sober living house, or your treatment team could help you determine another supportive option for a new living environment. Continuing care beyond your living environment can include participation in ongoing therapy. You might do outpatient rehab, for example, or perhaps an intensive outpatient program. You could also do family therapy. Continuing care may include assistance with employment and housing, as well as education or parenting classes. If you started a 12-step program during treatment, you could continue that or another type of addiction support group. Overall, expect a period of adjustment after rehab and in recovery. Continue to focus on recovery as your top priority, and know that you’re well on your way to achieving your long-term goals despite being in that transitional, liminal space. If you haven’t received treatment, we encourage you to call 866-600-7709 and explore the programs at Anchored Tides Recovery, which help you achieve both short and long-term goals. Addiction Recovery liminal space Recovery Signs of Love Addiction The signs of love addiction can be hard to spot at first. If you’re someone with love addiction, you may initially just see yourself as someone who loves love. While that’s not always a problem pathological love can lead to negative consequences and destructive relationships for some people. There are similarities between love addiction and other types of addiction, including substances like drugs and alcohol. Disorders That Occur Along with Love Addiction Love obsession tends to be a co-occurring condition. When you have a co-occurring disorder, you have symptoms of two or more mental health conditions. For example, you might feel that you show signs of being addicted to love in addition to depression or anxiety. Substance abuse is also a relatively common co-occurring disorder with pathological love. We should point out that this condition is controversial. Some experts feel that everyone has an element of “addiction” when they love someone. Romantic relationships can and often do have periods where you might feel emotional distress. However, a true compulsion to love goes well beyond what we see as usual in a relationship. For example, if you’re in a relationship where you’ll give up everything else for that person, it could be a problem. The most significant complication of experiencing this type of compulsive romantic behavior is that you may find yourself in an abusive or toxic relationship. What is Pathological Love? Love addiction or pathological love isn’t as medically well-defined as some other types of addiction. When someone is experiencing disruptive or harmful symptoms or consequences because of their romantic relationships, their mental health care provider has to distinguish these from other conditions. For example, in borderline and dependent personality disorders, the symptoms can overlap with pathological love. Suppose you’re someone with an addiction to love. In that case, you can become fixated on the person you’re interested in at any given time and develop emotional dependencies or a lack of control. You might behave compulsively toward or about that person. You can then act on unhealthy behaviors because of your fixation. What Type of Disorder Is Pathological Love? There’s not a current agreement on what type of disorder love addiction really is. For example, pathological love can be considered an impulse-control disorder. With an impulse-control disorder, you are always seeking new experiences and behaving impulsively to get them. Some researchers believe pathological love is more in line with a mood disorder. For example, you have feelings similar to mania when you’re in the early stages of love or beginning a new relationship. Then, as the relationship progresses, you might experience symptoms of depression. A third possibility is that being addicted to love could be part of the obsessive-compulsive spectrum. You may experience intrusive, repetitive thoughts just as someone with OCD would, but they’re about your romantic partner or finding love. Of course, as the name implies, having a compulsion to find love can be most like a behavioral addiction too, such as gambling; you don’t have to take a substance, but the characteristics are similar. Early on in a relationship, you might have intense pleasure and euphoria. Then, over time, those experiences might become dull. You might need more of these love experiences to feel anything similar to a dependence on drugs and alcohol. What is Sex Addiction? Sometimes, we talk about sex addiction along with love addiction, it’s not currently in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Despite not being included in that, it’s still diagnosable. This offshoot occurs when someone seeks out multiple sexual partners to the extent that it interferes with their daily life, activities, and functionality. If you have a sex compulsion, you might not be able to control your behavior, despite severe consequences. Your sexual relationships are your primary focus, and your sexual behavior can become more extreme over time. Sexual addiction can occur along with love addiction, but it doesn’t have to. Characteristics of Sex and Love Addiction Always looking for your soulmate Constantly searching for an intimate relationship Thinking the intensity of sex or the newness of a relationship is the same as love or real intimacy A chronic pattern of seduction, sex, or manipulation to get the interest of potential romantic partners Having an intense fear of abandonment Breaking promises to yourself about not returning to harmful relationships Choosing partners that require a lot of attention or you to fill a caretaker role Always needing to be in love Being happiest during the so-called honeymoon phase of a relationship Obsessing over the idea of romance or romantic interests Putting romantic partners on a pedestal The inability to be alone Requiring emotional comfort from a partner and extreme dependency Having cravings to be with your partner Experiencing euphoria or emotional highs when you’re with a partner When you begin a new romantic relationship, it’s normal to feel excited about being with the person, and you may miss them when they’re away. You may obsess over your partner to the point that it causes harm to your relationship or your well-being. You develop dysfunctional patterns. For example, you may seek out the affection of someone who isn’t responsive to you emotionally. You could also find yourself more likely to be in abusive relationships. Why Do People Have Love Obsessions? As is the case with other mental health disorders, including substance use disorder, the underlying factors of love addiction are probably complex. Again, we all need and desire to feel love, but what is it about some people that makes this problematic for them? Trauma, genetics, family history, and environment all probably factor in. Someone with an obsession to finding love or keeping it may also stem from low self-esteem. For example, if you have low self-esteem, you may seek out your sense of self-worth from romantic partners. You could also deal with the signs of love addiction because you have abandonment fears from your childhood. If you feel like you have an emotional void, you could use romantic partnerships to fill that. You may think that being in love brings value and excitement to your life. Unfortunately, that puts a lot of pressure on your partner. You may not have boundaries, and you’re more likely to find yourself in a codependent relationship. Love and Substance Abuse As we talked about above, love addiction can and often does occur with other mental health disorders. You may be searching for love in unhealthy places. You might also seek the highs that love can bring, making you more likely to find similar experiences through substance use. Additionally, if you have a relationship that falls apart or consistently in unhealthy relationships, you could cope with the negative feelings with drugs or alcohol. Over time, you may experience a void and a sense of shame. There are many elements of being addicted to love that you can’t fix on your own, but treatments like cognitive-behavioral therapy can be beneficial. If you or a loved one struggles with love or sex addiction along with a substance use disorder, we encourage you to reach out to the Anchored Tides Recovery team at 866-600-7709 to learn about our treatment options. We approach treatment holistically to help put you on the best path to recovery, a fulfilling life, and healthy relationships. Love addiction Recovery Creating an Alternative Identity to Being an Addict When you struggle with drug abuse, it can feel like you lose your identity, and the world just views you as “an addict;” you may even view yourself this way. However, you are more than the mistakes you have made; that’s why when you’re in recovery, building an alternative identity to being an addict is so essential. You are more than your addiction, and when you’re in recovery, you can start to find who you are once again. You might have lost your sense of self along the way, but it’s exciting to get to know who you are without the stigma of addiction. What is Your Identity? We all have questions about who we are. For example, you may question what you are presently and who you’d like to see yourself as in the future. Our identity is incredibly complex. Our identity includes our relationships, who we were as a child, as a parent, and who we are as a partner. It can also involve those characteristics we can’t control, such as our appearance. For many people, identity encompasses religious beliefs, moral attitudes, and political beliefs as well. How Drugs Affects Your Identity Our identity is already complicated; adding a drug habit to that makes it even more so. There are several key ways addiction can affect your identity. First are the short-term effects drugs or alcohol have on your feelings, actions, memories, and behavior. Over time with drug and alcohol use, you may also start to experience declines in your self-worth because you’re not moving forward or progressing in your life the way you’d like to or the way you expected to. When you have a substance use disorder, you may start to internalize your symptoms. Those become who you are, in your mind. Rather than identifying yourself as a complex person, you might only see yourself as a drug abuser. Self-identifying only or primarily as a drug user is going to make you fall deeper into your addiction. You may not believe you’re worth anything more because you believe that is just who you are, and that can serve as an excuse for you to keep using substances even with increasing negative consequences. Your addiction may be part of your self-identification for years because everything in your life eventually revolves around the substance or substances in which you’re addicted. As you work to get treatment and overcome your disorder, what can actually happen is that you feel like you’ve lost part of yourself because of how many substances were your identity. Some of the beliefs that could come along with your disorder include: The idea that sober people are boring The priority is getting high or drunk You’re more creative when you use substances Some types of music may be associated with the use of substances You don’t trust health care or mental health professionals You celebrate with substance use People often hold an “us against them” mentality with substance use disorders Not comforting to society or even criminal behavior are something to be admired in this mindset Why You Need an Alternative Identity to Being an Addict When you stop using drugs or alcohol, you may go through what’s sometimes described as a grieving process. That’s because you feel as if you’ve lost part of yourself, which was the drugs. A big part of your recovery depends on rebuilding a new identity and letting go of that identity. You may have a hard time finding who you are again. It can make you feel vulnerable, especially when the people around you seem to have a clear sense of identity. It’s okay to acknowledge that you feel confusion or even embarrassment or shame. That’s a good starting point that you can use to start rebuilding who you are. When you’re honest with yourself about what you’re feeling, it gives you the chance to start making decisions about what you want to become. It’s also okay to feel like there’s a void in your life when you’re in recovery, at least initially. How to Create an Alternative Identity to Being an Addict While everyone’s journey is going to be unique, some of the things that you might keep in mind as you leave behind your “addict” identity and explore who you truly are, including: Consider who you surround yourself with. You might meet new people who are also sober when you’re in treatment or through a support group. The people that we surround ourselves with make a significant impact on our lives and who we are. Our self-identity, in some ways, comes from the people we’re around. This is why when you’re in recovery, you may have to find a completely new social circle. You want to spend time with people who will be a healthy influence on you and begin defining your identity. Along with social relationships, particularly with sober people, maybe you want to think about how you can rebuild relationships with your partner, your children, or your family. For example, you might begin to focus your identity on being a caretaker to your children. What is your career field? Is it time to think about making a change? When you come out of a treatment program, you might work with career counselors who can help you get on a path toward a career that’s more fulfilling for you and that can very much become part of your identity. It’s likely that after you go to treatment and you begin your life of recovery, you find you have a lot of time on your hands. That’s that that was probably before focused on using substances and recovering from their effects. Now, you can start to redefine how you use that time. You can begin to explore hobbies, interests, and passions. The things we’re interested in are part of what makes us unique individuals. Volunteering is a great way to define your identity and move toward a more positive path in your life. When you volunteer, you’re not just helping other people. You’re helping yourself, and you’re giving yourself a sense of purpose. Try to practice self-love and self-care every day. Substance abuse creates such a sense of shame, and you have to re-learn how to love yourself and care for yourself. What’s the biggest takeaway we hope you get from this? No matter where you are in your journey, you are more than your addiction. You’ll have to learn more about yourself and who you are without the influence of substances, but that’s such an enriching part of the addiction recovery process. While at first, you may mourn what you feel like you’ve lost, you’ll eventually start to celebrate what you gain as you become the person you envision, rather than someone trapped in a specific identity by an addiction. Shedding the Stigma of “Being an Addict” Getting back to living a normal life when you are in recovery is a process. There are aspects like feeling judged or not being able to live down your past that can make sobriety even harder. Anchored Tides Recovery believes you are not your mistakes; you are who you are, and for any woman looking for help shedding the identity of “being an addict,” we encourage you to reach out to us for help at 866-600-7709. addiction in women Addiction Recovery Alternative Identity to Being an Addict Recovery Benefits of Having a Social Worker in Your Support Group Your support group is one of the most important resources you have in recovery; you will have a better chance at maintaining long-term sobriety if your group is strong. Most people on your team will be friends, family, or even other people in recovery who understand your struggles, but don’t you agree it would be good to have someone on your side that can help with issues beyond cravings. One professional who can play a valuable role as you’re navigating recovery is a social worker. Social workers are trained to help you solve and cope with problems in your everyday life. The benefit of a social worker being in your support group is that they can also serve as a resource for you to rebuild your life and to thrive. Anchored Tides Recovery Center has social workers on our staff to help with issues beyond the basic addiction troubles. Situations like career-related issues, custody, living arrangements, and more. These are the sorts of services that help us stand out from all of the other treatment centers, in a good way. What Does a Social Worker Do? A social worker has a degree in social work and is trained to work with individuals to solve, and cope with, problems that arise in their daily lives. A clinical social worker can also diagnose and treat behavioral, emotional, and mental health issues. In general, some of the specific things a licensed social worker might do includes: Determining the needs and strengths of individuals then help them develop goals Assisting clients to adjust to challenges that exist in their lives, including addiction recovery Referrals to community resources like healthcare and childcare services Crisis response during mental health emergencies Continual follow-up with clients to check in and see if they’re meeting their goals and their lives are improving Providing therapy services Within the larger category of social workers are other areas of specialty. For example, bachelor’s social workers (BSW) and (MSW) will work with community organizations and policymakers to create programs that benefit the community on a more significant level. Both have degrees in social work education, a BSW has a bachelor’s degree and a MSW has a master’s degree; once an MSW has a certain amount of hours of clinical experience they can become a (CSW) and a (LCSW). A clinical social worker (CSW) or licensed clinical social worker (LCSW) require a master’s degree and can provide individual or group therapy. They can work with clients and other health care professionals to create customized treatment plans. Some social workers specifically help people with mental illnesses and substance use disorders; they can help their clients find support groups and other programs and rebuild their lives. The Consequences of Addiction on Daily Life Social workers are multifaceted as far as their services and the benefits they can provide to clients. This is important when discussing a substance use disorder because of how far-reaching the effects are on every aspect of a person’s life. Once you go to treatment, you may find that there is a lot of work to do to get your life back on track the way that you envision it. Some of the ways that addiction can affect your life include: You may be facing legal problems; if you’re charged with a crime because of your substance use disorder, you may have to go through the court system and pay fines or face other punishments. You might have family-related legal matters; for example, you could have lost custody of your child, or you may be going through a divorce. You may have financial problems or have lost your job as well. Your relationships may have been deeply affected by addiction; Your loved ones may be hurt by what happened during your active addiction, and they might have lost faith in you or trust. You could be dealing with chronic health issues resulting in, and you may need regular medical care and treatment. You may have ongoing mental and emotional side effects from your addiction, even if you’re sober. Many people with a substance use disorder have a co-occurring mental health disorder. Co-Occurring Mental Health Disorders It’s worth talking about co-occurring mental health disorders and substance use disorders on their own because this highlights the benefits of a social worker. A co-occurring disorder is when someone has two or more either mental or physical health disorders. Substance use disorders are strongly correlated with mental health disorders. Around half of the people with substance use disorder will develop at least one mental health disorder in their lifetime, and vice versa. There are three reasons that doctors and researchers believe this might be true. The risk factors for substance use disorders and mental health conditions often overlap with one another: For example, trauma exposure, abuse, and genetics play a role in substance use disorders and mental health disorders. Self-medicating: Someone with a mental illness might use substances to deal with their symptoms. Changes in the brain stemming from substances: The parts of the brain most affected by the use of substances are associated with the areas that relate to mental health disorders. The Benefits of a Social Worker in Addiction Treatment and Recovery The above factors highlight the benefits of a social worker in treatment and recovery from substance use disorders. Social workers are educated in mental health, and they can also specialize in helping clients with substance use disorders. An addiction social worker understands psychology and psychiatry, biology, and physical health. They are also connected with the safety net of social services in the community where they work. A trained social worker knows a balance and connection between mental health, behavior, and physical health. They can also oversee the different services included in an addiction treatment plan like counseling and medication. Specific benefits of a social worker in addiction include: Assessment: Before a social worker begins treatment, they will conduct a complete evaluation that will help them understand each of the factors that contributed to someone’s addiction and its effects. This allows them to create a very tailored treatment plan. Treatment plans: Social workers can oversee treatment plans that last for months or even years. Social workers collaborate with other providers in the delivery of treatment plans. Coping skills: Working with a social worker can help someone in addiction recovery learn new coping skills, such as stress management and conflict resolution. Resource connections: Social workers are well-versed in the various resources and systems available. They work within the system to help with bureaucratic or legal issues you might face; they can even connect clients with employers who are hiring. Social workers can be beneficial and empowering if you are dealing with addiction or you’re in recovery. They are part of a continuous aftercare plan for many people following treatment, and they can help you set and meet your goals. Seeking Help Long-term sobriety is a marathon, not a sprint; the process of getting sober and staying sober can sometimes last a lifetime. The quality of the skills and resources you develop on your road to recovery directly relates to your chances of maintaining sobriety. Anchored Tides Recovery has the aftercare and resources, like social workers and group therapy, that will help you at any stage of recovery. Call us today for a consultation and take the first steps towards long-term happiness. Recovery Social Worker Substance Abuse support groups 8 Steps to a Happy Life Did you know you are worth a happy life? Everybody deserves to be happy and in good mental health, but this may seem impossible for someone with chronic drug addiction. Taking steps to a happy life can be a real challenge if you also are struggling with drug and alcohol addiction. However, anyone battling addiction can overcome their struggles by using the right tools and knowing their self-worth. Regardless of how you have fallen into the drug addiction trap, you can recover. You can be happy living a life free from drug addiction by being understanding, loving, and compassionate. Whether you have been in recovery for years or are just starting on your journey, here are eight steps to a happy life that can help you become the person you were meant to be. 8 Steps to a Happy Life 1. Eat a Balanced Healthy Diet Healthy eating is part of a balanced recovery plan. It not only helps your body repair itself after a time of abusing alcohol and drugs, but it also helps keep your body healthy so you can remain abstinent. The recovery process is a long journey. Make it easier on yourself by eating lean meats, fresh fruits and vegetables, whole grains, and of course, plenty of water. 2. Exercise Regularly If you want to eat healthier, sleep better, and rise more refreshed in the morning, regular exercise is an essential part of a healthy lifestyle. Exercise can help curb cravings, reduce stress, and give you higher energy levels. A few adjustments to diet and exercise can help lead the way to success. You won’t regret spending time exercising regularly. 3. Practice Mindfulness Research shows that mindfulness can help people recover from addiction by overcoming negative feelings of guilt, anxiety, self-doubt, and stress. Mindfulness can also help people stay on track when they experience temptation. Meditation, journaling, breathing exercises, and other activities that can help you take an honest inventory of your journey toward sobriety will set the stage for a brighter future. 4. Explore New Hobbies Life is full of activities that could spark great feelings within you. Do your part to discover new hobbies to replace harmful old hobbies. You don’t even need to spend money, try to take up a new sport or activity that you think is interesting. Positive hobbies can help you form friendships with positive role models. Examples of hobbies that are proven to help people feel happier and be helpful in the early stages of recovery are: Gardening Photography Scrapbooking Journaling Hiking Knitting Painting 5. Learn Stress Management Techniques Good mental health is a work in progress, and living a happier life doesn’t always come easily. It’s crucial to have a plan in place, when you’re feeling stressed or have negative thoughts, to reduce the risk of relapse and cope with your negative emotions. Many recovering addicts use a technique called HALT. HALT refers to the following four situations that can lead to relapse: Hungry Angry Lonely Tired It’s also a good reminder when you’re feeling any of these things to take care of yourself, not to experience stress overload. 6. Make a Daily Schedule and Stick to it Daily habits have a significant impact on your overall productivity. When you know what needs to get done, making a schedule for your day is an easy way to get it all done. From squeezing in extra time to work out to manage your time away from work and school, a good schedule regularly has a profound, positive effect on your life. 7. Use Self-Love Affirmations Learning to love again after experiencing trauma can be difficult, especially when you’re learning to love yourself. Positive affirmations for self love are a great way to remind yourself of your worth. When you’re feeling down, recovery affirmations can go a long way in lifting your spirits, try to use this tool at least two times a day. Some examples of affirmations are: I am strong enough to choose sobriety; My recovery is working; I have what I need inside me to get sober; I am filled with love; I am stronger than my addiction. 8. Surround Yourself with Positive People Addiction is a powerful force, so choosing your friends wisely is an essential part of recovery. During the first years of sobriety, it’s best to surround yourself with positive and supportive people—people who will help you stay motivated on your journey. Even if they aren’t around you all the time, they will be there for you during challenges and hard times. Leading a Happy Life is a Choice you Make The most important thing you can do for yourself is to choose to live a happy life. Life is filled with millions of choices, but yours will ultimately determine how comfortable you are. Happiness is not the outcome of a good or bad situation but rather the result of our reactions toward negative or positive events. To lead a happier life, keep your thoughts and feelings in check, practice self-love, and find happiness in the small things surrounding your everyday life. Having positive thoughts about yourself can help you feel good and fulfilled. Despite alcohol or drug addiction, you are worthy of love and happy life. You are welcome here at Anchor Tides recovery Center for a better way of life. We offer the most comprehensive outpatient treatment programs for alcoholism and drug addiction in one location. We emphasize early intervention and education to create lasting recovery results. Our holistic approach to substance abuse recovery includes individualized treatments, eating disorders assessment, holistic therapies, recreation programs, and support groups. Please share our goal of helping you find your happiness through sobriety and call us at 1-866-753-5865 and choose to stop your cycle of addiction. Life in Recovery Recovery steps to a Happy Life Women in Recovery Relapse Definition: Part of the Addiction Cycle? The Relapse Definition The “Relapse” definition is commonly explained as using a drug after a period of sobriety, or the continued use of a substance despite it having been previously stopped. Falling back into the addictive behaviors of drug or alcohol addiction means you will have to begin the addiction treatment process again. Relapse prevention and coping skills skill can improved upon with time, effort, and relapse and training. This article will go into more detail about these coping strategies. Is Relapse Part of the Addiction Cycle? Relapse is a common part of addiction recovery, but is it an expected part of the addiction cycle? According to statistics, anyone who has recovered from substance use disorders will likely have a relapse. Most relapses in addiction occur in the first year. People in recovery must be aware of the most common triggers for relapse. How many people in the United States relapse after drug addiction treatment? A recent survey concluded that 35.8% of people who had received treatment for their drug addiction reported having used again while in early recovery, or within one year of quitting. One-third of those who return to active addiction was able to stay sober for only 90 days. But there are ways that we might be able to reduce the numbers and help addicts. Relapse Triggers Reviewing the possible triggers that may lead to relapse will help a person avoid those triggers and prevent a relapse into unhealthy behavior. Regression usually occurs because of one or more of the following reasons: Withdrawal symptoms Underlying mental health issues Keeping in the company of drug users Poor self-care Boredom and isolation Uncomfortable emotions Stages of Relapse The relapse process is a cyclical one; if you are not educated about the stages of relapse, you will not be aware of the warning signs and find yourself giving into cravings eventually. There are three stages through which drug addicts usually go through when they relapse. These stages vary from addict to addict, but there are common factors present in all of them. Emotional Relapse Emotional relapse usually occurs when you remember your first relapse as a drug and alcohol user. The SUD to drugs and alcohol is immediately triggered by a memory of using the substance for the first time in a particular environment or situation. It usually happens with recovering addicts who use drugs and alcohol in social situations, such as family, friends, parties, etc. Signs of Emotional Relapse Include: Suppressing emotions Attending meetings but not engaging Skipping meetings or group therapy sessions Focusing on other’s problems Isolation Over or undersleeping Eating problems Knowing how to avoid emotional relapse is the best way to stay successful after rehab. Recovery from drug or alcohol abuse is nearly impossible unless you know how to prevent emotional relapse and keep your body safe from addiction. Mental Relapse Mental relapse is a war within the mind. One side wants to eliminate negative emotions by using drugs and alcohol, while the other side doesn’t want to relapse. Resisting addiction relapse at this stage becomes more and more difficult as the sufferer retreats deeper into denial and isolation from their loved ones, mimicking relapse definition. Signs of Mental Relapse Include: Reminiscing about past drug and alcohol use and addict lifestyle Craving drugs and alcohol Lying or bargaining Thinking of ways to control drug and alcohol use Seeking out opportunities to relapse Planning a relapse Mental relapse is the most challenging time in recovery for the addict. They go through feelings of hopelessness and depression. It appears like they have lost everything. This is the time when they are at their most vulnerable and will need the support of their family and friends to help them get back on track. Physical Relapse Physical relapse is the act of returning to drug-seeking behaviors and may be accompanied by compulsively using drugs regardless of consequences. The ability to resist the compulsion can be impaired from prolonged drug abuse, repeated relapses, and episodes of being sober. The most obvious form of physical relapse is a return to drug use, but in some cases, it may occur in the form of a process not directly related to obtaining drugs. Experts say that physical progression is much more likely to happen if you “forget” to take your medications or otherwise get off your treatment program. This is often called “slipping” or going to “another level.” Breaking the Cycle of Addiction The road to recovery is not an easy one, but it is possible. And one day at a time, you’ll begin living a life you may never have thought possible. Deconditioning oneself from an addictive behavior requires commitment, motivation, and inner strength. Breaking the cycle of addiction is a tough job, but it can be done. The important thing to remember is that heroin addiction is not just a physical problem; it’s also an emotional one. It’s not unusual for someone who has become addicted to heroin to want to get clean and stay clean, yet find themselves unable to do so because they haven’t first dealt with all of their problems with love and support from family members and friends. If you are struggling with substance abuse or just considering whether treatment is right for you, it’s important to understand the benefits of choosing help. The risks of not getting treatment can be devastating – financially, morally, socially, and even physically. Anchored Tides Recovery offers support groups that focus on relapse definition and prevention. Please contact us today at 1-866-524-6014 and get on the road to recovery. Our program will help you, or your loved one, find alternatives to replace unhealthy behaviors and learn life skills to maintain long-term sobriety. Addiction recovery Resources Addiction Resources Recovery relapse definition The Power of Women Recovering Together Substance abuse, along with mental health disorders, will affect each gender differently. There are studies that show treatment has a better success rate when programs are tailored to gender-specific needs. These programs can remove some of the barriers and distractions that can arise from being around members of the opposite sex. It allows clients to feel more focused and comfortable and recover around peers of the same gender, allowing them to relate over experiences that are specific to gender. Barriers to seeking addiction treatment are usually gender-specific. Women and men can have different feelings when it comes to treatment, how the disorder affects the body and the stigma that is associated with treatment and substance abuse. Women are more likely to feel guilty for seeking addiction help and those feelings can create a bigger barrier to treatment. Women are also more likely to have experienced trauma leading to substance abuse or mental health disorders. Due to this, women need to undergo trauma-informed care. By choosing a gender-specific treatment, it gives a setting that is supportive, sensitive, and non-discriminatory. Women may be more unlikely to develop drug and alcohol problems but when they do, the process is usually quicker. Women tend to enter treatment programs with more severe medical, social, behavioral, and psychological problems. This has implications on the needs of treatment. There is a difference when it comes to gender and sex in regard to substance abuse. For example, men have an enzyme that breaks down alcohol in the liver and stomach and due to this, men don’t absorb as much alcohol in the bloodstream. This means a man’s alcohol concentration will likely be lower than a woman’s. It Removes Expectations Addiction recovery requires that you be vulnerable. Many women find it easier to be vulnerable and speak more candidly about the issue they are facing while in the presence of members of the same sex. There is no need to put up a façade to cover up feelings when you are with other women. Fosters Honest and Open Discussions An honest discussion about life’s highs and lows will help women understand they aren’t alone in the experience. Gender-specific addiction treatment reduces the shame and judgment and leads to more understanding and compassion. Many people will feel uncomfortable discussing traumatic and painful life experiences in a mixed group. It’s easier to feel comfortable around people that are similar to you. Feeling safe and comfortable in addiction recovery is important since true healing will only happen if you make yourself vulnerable and share your experiences. It Reduces Distractions The main benefit of addiction treatment is that it allows people to focus solely on getting better. When there are other genders then there are distractions, such as romantic ones. Although a romantic relationship can serve as a welcome distraction from what you are going through, it can actually be a distraction that takes the focus off of what you really there for. When women are with women, it reduces the need to keep up with appearances and feel the need to impress the opposite sex. For many, the gender-specific addiction treatment gives one less distraction so the focus is on just healing. Focus on Gender-Specific Issues Both women and men face pressures related to work, family, self-esteem, and relationships but those pressures can be different. With gender-specific addiction treatment, clients are surrounded by others who know from personal experience and what it is like to experience addiction as a woman, along with dealing with cultural and societal pressures. Clients are able to focus on a woman’s experience instead of having to split focus. For example, in women’s specific treatment, topics can include pregnancy, motherhood battles, and past trauma. Creates a Safe Environment Without a safe environment, treatment won’t be as successful. If a woman has suffered trauma caused by a man then they will not feel comfortable sharing in groups with men. Mothers who have an addiction will benefit from sharing expenses with other mothers since women are usually the caretakers of the family and home. It can be hard to be away from children but with the support of others like them, women are able to share in these experiences. It Helps with Bonding With gender-specific treatment, women can bond over shared experiences. There is also the opportunity to bond over new ones. Having a strong peer network is important for maintaining sobriety and preventing relapse after treatment. Gender-Specific treatment can incorporate activities that strengthen necessary connections outside of traditional group therapy. Importance of Women’s Treatment Programs Since women in addiction treatment are more likely to have experienced physical or sexual abuse, there is power in women recovering together. Women in treatment are less likely to have a high school diploma or employment. Women are also more likely to have to deal with childcare and the complications of drug or alcohol use during pregnancy. If you or a loved one you know are struggling with addiction, reach out to us at Anchored Tides Recovery. Addiction Addiction Recovery Recovery Women Women in Recovery Sign up for news & advice. Instagram Facebook-f Youtube Sitemap HOME ABOUT TREATMENT TOUR CONTACT PRIVACY POLICY Get In Touch 866-329-6639 19126 Magnolia St Ste 101, Huntington Beach, CA 92646 admissions@anchoredtidesrecovery.com To contact The Joint Commission should you have a quality care and patient safety concern, please click the below Gold Seal to be directed to the appropriate website. ©2021 Anchored Tides Recovery. All Rights Reserved. Call Now Button {{ itemDataObject.badgeText }} Bunny & Murphy Registered Emotional Support Animals Bunny is a 3yo male French Bulldog and Murphy is a 6yo female Shiba Inu. Both of these pups have been raised at Anchored Tides and grew up handing out love and support to our clients. They have the wonderful ability to sense when a someone needs a little extra love, some playful puppy time, or just a companion to sit and hold space while they are processing something. Murphy’s favorite treatment activities are Lunch, Reiki, Process group, and sitting in on individual sessions. Bunny’s favorite activities are Lunch, DBT, and also sitting in on individual sessions. When they aren’t working, Murphy likes to play with her little brother (who is not a support animal), go on hikes, dig holes, sleep and eat. During Bunny’s time off, he likes to destroy squeaky toys, play with his nerf dog-gun and sleep. They (and we) believe that animals are essential in providing emotional support. Studies have shown that some of the benefits of having an ESA include enhancing calm and relaxation, alleviating loneliness, enhancing social engagement and interaction, normalizing heart rate and blood pressure, and reducing stress, pain, anxiety and depression. They are an important part of the holistic approach at ATR to make everyone feel loved and comfortable as they walk through their recovery journey. Katie van Heerden Clinical Therapist I am Katie van Heerden, licensed marriage and family therapist, currently conducting individual and group therapy at ATR using CBT and EMDR modalities. My passion for working with those struggling with addiction and mental health is a personal one. I, myself, grew up in a family system of addiction and mental health issues with little knowledge of what to do or how to recover. This drove me to further my education of mental health disorders, first by obtaining my BA in psychology from Cal State University Fullerton, then my masters in clinical psychology from Pepperdine University. While the knowledge I have obtained in school is extensive, my personal journey through life and all of its struggles have led me to the conclusion that anyone can recover if given 2 things: resources and support. When asked what keeps me going in this field, after 10+ years, I typically respond; “I am merely a farmer. I plant the seeds, nourish when necessary, and give space to allow growth.” Watching clients transform into better versions of themselves is not only rewarding, but inspiring. It is a “job” I never take for granted. Macy Miller Admissions Coordinator Being the first point of contact for women seeking aftercare for their recovery in alcohol and drug addiction; I am driven & passionate about helping them with their next steps. I have always been passionate about helping others & this position allows me to see those dreams come to life. You can always find me in nature during my self care time, usually hiking, roller skating by the beach, or surfing the waves. I enjoy music to feed my soul & get grounded. I lead a healthy & holistic way of living that I enjoy sharing with others. Heather Black-Coyne Clinical Director Heather Black-Coyne holds a Master of Science in Clinical Psychology and works as the Clinical Director for Anchored Tides Recovery. Heather is a woman in long-term recovery and an astute Addiction Counselor who has partnered with addicted individuals in residential and outpatient facilities for over a decade, creating a space of learning for both the clients and her peers. Heather participated on the CDPWS Board as Secretary, helped launch the annual NAADAC Conference in Seattle, and has participated in developing Continuing Education Courses for Clearly Clinical. Heather has worked in various direct care and leadership capacities treating substance use, always with the foundational beliefs that everyone is worthy of a meaningful life, and individuals need help along the way. She works in treatment to help others be curious about themselves and their possibilities. She is passionate about creating a safe space where individuals can explore their growth experientially, and collaboratively. Tonia Stephens Social Worker I was born and raised in Orange County, California. I found myself needing substance abuse treatment in 2010. After learning tools of recovery and receiving treatment I was able to go back to school at age 41 and earn a Bachelor’s Degree in Human Services and a Masters in Social Work with an emphasis on Community Mental Health from California State University Fullerton. Getting clean and sober opened the door to a life full of opportunity and hope. I am currently pursuing licensure in the State of California to become a Licensed Clinical Social Worker. I have the unique opportunity to work as an Associate Clinical Social worker in a treatment setting. My role is to assist with helping each Client master Dialectical Behavior Therapy skills that allow them to emotionally regulate, tolerate distress, live a more meaningful life, and improve their ability to effectively communicate. I come alongside the Clients and help them address life issues that range from food assistance, legal matters, tax issues, creating resumes, budgeting, medical and dental appointments, organizing, studying skills, applying to schools, and finding employment. I assist them with integrating their recovery tool belt with the stressors of life in order to set them up for success once they leave treatment. I wished that I had a social worker when I was in treatment. Some of my most difficult times were trying to take care of anxiety provoking adult tasks in early sobriety. I am passionate about my role in these human’s lives and I see it as my honor to be part of their bref journey here at Anchored Tides Recovery. I love my job and I love teaching individuals how to be sober, navigate life, and enjoy being themselves maybe for the first time. Megan Twohig Therapist Hi! My name is Megan Twohig and I am an Associate Marriage and Family Therapist working with Anchored Tides Recovery as a Primary Therapist. I am currently being trained in EMDR trained and have worked in the field of Substance Abuse and Mental Health for 9 years. When I’m not working I love the beach, my dog, and my dog at the beach with me. I honor getting to fight alongside clients in the battle for their lives. I’ve witnessed miracles in recovery and believe we all have a chance at salvation. Michelle King Operations Manager Michelle has been a part of the Anchored Tides family since 2018. Michelle is an empathetic individual who finds connection with each client. Her goal is to help women feel understood and see that long-term recovery is possible. Michelle obtained a bachelor’s degree in sociology from Brandman University and is working towards her masters in social work. Michelle is passionate about helping others and considers it an honor to be a part of a treatment team who believes the client’s care is the first priority. In her spare time Michelle loves going to concerts, camping, and road trips. Jessica Trinidad Program Manager Jessica has been a part of the Anchored Tides Family since 2017. She is the Program Manager at ATR and has worked in treatment for 6 years. She specifically enjoys working with women in recovery as she is passionate about helping women begin their healing journey and find their truest most authentic selves. Jessica’s personal experience with recovery at a young age helps her identify with other young women seeking treatment and a new way of life. Dawn Navaez Dietician Dawn has been providing individual nutritional counseling and group counseling for more than 20 years. Her approach has been to work beyond education and training, focusing on real-life practical applications and tools. Through it all, Dawn creates an open and encouraging environment to help her clients process successes and overcome setbacks by helping them establish new habits of their own that don’t disrupt their regular lifestyle. Dawn enjoys working with her clients because “walking through a season of life with another is an honor and privilege.” Kelli Easley Director of Marketing & Admissions Kelli Easley comes to Anchored Tides bringing with her over seventeen years of experience in the field of addiction. Her unwavering passion to help others stems from her commitment to give back after overcoming her own 17-year addiction. She holds certifications in both Chemical Dependency and Family Development.Kelli had the good fortune of training under a well-respected interventionist, and therapists this has only strengthened her expertise in working with both individuals and families. Kelli is currently working towards a degree in Business Administration along with being a loving mother to her husband, and two sons. In her free time, Kelli is active in the recovery community and lends her support to nonprofit organizations to help those in underserved communities. – “Hardships often prepare ordinary people for an extraordinary destiny” – C.S. Lewis Tracy Dunn Interventionist / Relationships & Co-Dependency Tracy Dunn is a National Interventionist and Addiction Coach who has received training at the Crossroads Recovery Coaching Academy of Seattle Washington and The Addiction Academy in Miami Florida. As the daughter of Roger Dunn of the Roger Dunn Golf Stores , Tracy knows all too well the dramatic impact that fame and addiction can have on the family system. Her professional training partnered with over 32 years of sobriety has led Tracy to being deeply committed to both saving and changing the lives of those struggling with addiction and alcoholism and their families. As a group facilitator, she works collaboratively with her clients to help them focus on the action they will need to take to recognize the vision they will have for themselves. As an interventionist she has helped many families to overcome the paralyzing grip of addiction by teaching accountability, compassion and the other tools needed to break the cycle of addiction and maintain sobriety. Tracy works with the media, treatment facilities, interventionists,therapists, addiction psychiatrists and consults with treatment facilities.Her dedication to saving lives has given a dynamic voice of recovery to those who had previously given up hope,and the belief that they are able to create their own successes. Garret Bracken ReNu Fit My name is Garrett Bracken, Owner and Operator of ReNu Fit (Recovery Nutrition and Fitness). I am a personal trainer, sports nutritionist and man in recovery from drugs and alcohol. ReNu Fit’s Mission is to bring fitness and nutrition into clients’ everyday recovery. ReNu Fit fitness groups are one hour long full body workouts aimed specifically at teaching our clients the proper technique, form and fitness routines to keep them safe & help them achieve their fitness goals. All groups include stretching, abdominal work, light resistance band training and safe leg exercises. Our goal is to be effective and useful to your clients in the safest and most fun way possible. Nate Lawler Above Water Above Water Adventures was created to provide a fun, healthy, and constructive outlet for young adults, corporate employees, and those in early recovery. We strive to facilitate a safe and (often) exhilarating setting to push through boundaries and break down barriers. Recovery is not for the faint of heart, it requires courage, willingness, and an innate desire to change. We’re here to offset some of the inherent weight carried during the initial steps of that journey. Our mission is bolster support and fellowship — and above all, help clients recognize that adventure, fun, and zest for life starts in recovery — not the other way around. Jona Genova Reiki Master & Group Healing Jona Genova is an intuitive healer and teacher of Sustainable Compassion Training (SCT) bringing more than 25 years of devoted study and practice to her work. In 2015, Jona was invited to work with a preeminent residential treatment facility for adolescents. Overtime she developed the Samadhi for Peace Healing Method, a trauma informed and individualized approach to energy healing designed to allow space for clients in residential and outpatient levels of care to explore what is beyond words. Today, she is the founder of Reiki Collective, an alternative healing service provider bridging the gap between energy medicine and western healthcare systems. Jona is committed to providing compassionate care that is safe for clients and for her team so she developed a rigorous internship modeled after that of other clinical professions. Healers receive ongoing learning centered around seeing others in their deepest dignity as well as licensed support for managing triggers that arise during sessions. Reiki Collective healers use the Samadhi for Peace Healing Method and are the only energy healers trained specifically to work with clients in treatment for mental health challenges and co-occurring disorders. Jona is grateful to provide a gentle and nurturing space for clients to explore and restore their intuitive nature while restoring relational trust. William Nephew Rock To Recovery William Nephew has been a singer/songwriter for over 20 years. He achieved some notable success early in his career with emo/rock band Jack’s Broken Heart, which won a San Diego Music Award in 2001, toured the continental United States, and shared the stage with acts like The Mars Volta and Jimmy Eat World. Having a strong passion for the arts, William earned a B.A in Cinema production. Following completion of his degree at San Francisco State University, William worked on film/tv projects for major Hollywood production companies including Sony and Universal Pictures. Williams addiction began at an early age and followed a slow and steady progression. Eventually, William knew he had to make a change. With the help of drug and alcohol treatment, William got sober on May 26th, 2014. He has been sober ever since. William’s talent as a singer/songwriter, passion for the healing power of music, and the struggles of his past make him an outstanding program administrator for Rock to Recovery. He believes in the strength of creative expression as an extremely effective tool to cope with overwhelming emotions in early sobriety because William was actually in Rock to Recovery groups as a CLIENT before he became a program facilitator. William is also a certified CADC-I drug and alcohol counselor by the state of California. Amy Dutton Co-Founder Amy moved to California from Florida in 2011 to begin her journey into a life of rovery. Amy started to gain her spirit back while helping others and that’s when she found her life’s purpose. Amy graduated with a bachelor’s degree in psychology and a minor in sociology from Chapman university. Amy has also completed her CAADAC degree at Centaur university. She truly believes being outside and in touch with nature helps self-destructive behaviors, which she considers to be the key to her personal recovery. After years of owning and operating a successful women’s sober living Amy really saw the need for gender specific aftercare and teamed up with Becca Edge to create Anchored Tides Recovery. Alisa Client Service Coordinator Alisa brings a high level of dedication and compassion to her work as the Client Service Coordinator. A certified addiction treatment counselor (CADC-II), Alisa has seven years of experience working in the substance abuse field. Alisa has a passion for both helping others in recovery and guiding women through the process of rebuilding a valued life and increasing their self-worth. She embraces her strengths of empathy and patience to help others develop upon their inherent set of skills and seek purpose based on their own abilities. Currently, Alisa is working towards a bachelor’s degree in Psychology, with hopes of becoming a therapist. When not at work or school, Alisa enjoys fitness, watching the Boston Red Sox, and spending quality time with family and friends. Rebecca Edge President / Co-Founder Becca Edge is originally from Birmingham, Alabama. No stranger to mental health and substance abuse issues in her family, she herself also struggled with addiction and moved to California to commit herself to treatment. She has been in long term recovery since 2010. After much success in the corporate world, she started a sober-living as a “passion project” to provide women a safe place as they re-enter the world as sober members of society. She noticed that there weren’t many aftercare programs dedicated to women’s sobriety or supporting them with the various co-occurring disorders that pop up once women are free from drugs and alcohol. So in 2016 she partnered with Amy to create a safe, therapy-focused place where women can heal from their addictions, trauma, and other issues while growing into who they were always meant to be. Becca is passionate about helping women realize their worth and supporting/helping them navigate the next steps of their lives, all while helping them feel secure on their road to long-term recovery.

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Expansion of T follicular helper-T helper 1 like cells through epigenetic regulation by signal transducer and activator of transcription factors | Annals of the Rheumatic Diseases Skip to main content Subscribe Log In More Log in via Institution Log in via OpenAthens Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * Forgot your log in details?Register a new account? Forgot your user name or password? Basket Search More Search for this keyword Advanced search Latest content Current issue Archive Authors Podcasts About Search for this keyword Advanced search Close More Main menu Latest content Current issue Archive Authors Podcasts About Subscribe Log in More Log in via Institution Log in via OpenAthens Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * Forgot your log in details?Register a new account? Forgot your user name or password? BMJ Journals You are here Home Online First Expansion of T follicular helper-T helper 1 like cells through epigenetic regulation by signal transducer and activator of transcription factors Email alerts Article Text Article menu Article Text Article info Citation Tools Share Rapid Responses Article metrics Alerts other Versions You are currently viewing an earlier version of this article (May 31, 2018). View the most recent version of this article PDF Basic and translational research Extended report Expansion of T follicular helper-T helper 1 like cells through epigenetic regulation by signal transducer and activator of transcription factors Xiaoxue Ma1,2, Shingo Nakayamada1, Satoshi Kubo1, Kei Sakata1,3, Kaoru Yamagata1, Yusuke Miyazaki1, Maiko Yoshikawa1, Yukihiro Kitanaga1,4, Mingzeng Zhang1,5, Yoshiya Tanaka1 1First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan 2Department of Pediatrics, The First Hospital of China Medical University, Shenyang, China 3Pharmacology Research Laboratories I, Research Division, Mitsubishi Tanabe Pharma Corporation, Yokohama, Japan 4Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Japan 5Department of Hematology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China Correspondence to Dr Yoshiya Tanaka, The First Department of Internal Medicine, School of Medicine, University of Occupational & Environmental Health, Kitakyushu 807-8555, Japan; tanaka{at}med.uoeh-u.ac.jp Abstract Objectives T follicular helper (Tfh) cells are critical in the development and progression of systemic lupus erythematosus (SLE). To assess the characteristics and mechanisms of differentiation of Tfh cells, we investigated the phenotype of T helper cells in patients with SLE and underlying epigenetic modifications by cytokine-induced signal transducer and activators of transcription (STAT) family factors. Methods Peripheral blood mononuclear cells from patients and healthy donors were analysed by flow cytometry. CD4+ T cells were isolated and cultured under various stimulations. Expression of characteristic markers and phosphorylation of STATs were analysed by flow cytometry and quantitative PCR. Histone modifications were analysed by chromatin immunoprecipitation (ChIP)-PCR. Results Differentiation of CD4+CXCR5+CXCR3+Bcl-6+T-bet+IL-21+IFN-γ+Tfh-Th1-like cells was induced by interleukin (IL)-12-induced activation of STAT1 and STAT4 simultaneously. The loci of Bcl-6 and T-bet at STAT binding sites were marked by bivalent histone modifications. After IL-12 stimulation, both STAT1 and STAT4 directly bound on BCL6 and TBX21 gene loci accompanied by suppression of repressive histone mark trimethylated histone 3 lysine 27. Levels of serum IL-12 and interferon (IFN)-γ, expression of IL-12 receptors and proportion of CXCR5+CXCR3+ activated Tfh-Th1-like cells were increased in patients with SLE. Furthermore, the level of pSTAT1, pSTAT4 and T-bet were higher in activated Tfh-Th1-like cells than non-Tfh-Th1 cells. Conclusion Our findings suggest that IL-12-mediated co-activation of STAT1 and STAT4 alters histone modification, resulting in differentiation of Tfh-Th1-like cells that are characteristically expanded in patients with SLE. This could be one of the underlying mechanisms responsible for expansion of Tfh-Th1-like cells and potentially helpful towards development of cell-specific treatment for SLE. systemic lupus erythematosus t cells cytokines http://dx.doi.org/10.1136/annrheumdis-2017-212652 Statistics from Altmetric.com systemic lupus erythematosus t cells cytokines View Full Text Footnotes Handling editor Josef S Smolen Contributors XM and SN designed the study. XM conducted the experiments, analysed the data and wrote the manuscript. SK, KS, KY, YM, MY, YK and MZ helped to conduct the experiments and YT created the research concept and supervised the research and writing of the manuscript. Funding This work was supported in part by Research on Rare and Intractable Diseases and Research Grant-In-Aid for Scientific Research by the Ministry of Health, Labor and Welfare of Japan, the Ministry of Education, Culture, Sports, Science and Technology of Japan and the University of Occupational and Environmental Health, Japan and UOEH Grant for Advanced Research (H23-Q-916). Competing interests YT has received consulting fees, speaking fees and/or honoraria from Daiichi-Sankyo, Astellas, Pfizer, Mitsubishi-Tanabe, Bristol-Myers, Chugai, YL Biologics, Eli Lilly, Sanofi, Janssen, UCB and has received research grants from Mitsubishi-Tanabe, Takeda, Bristol-Myers, Chugai, Astellas, Abbvie, MSD, Daiichi-Sankyo, Pfizer, Kyowa-Kirin, Eisai, Ono. SN has received speaking fees from Bristol-Myers, UCB, Astellas, Abbvie, Eisai, Pfizer, Takeda and has received research grants from Mitsubishi-Tanabe, Novartis and MSD. All other authors declare no conflict of interest. None of the material presented in our manuscript has been previously submitted or published. Patient consent Not required. Ethics approval The study was approved by Institutional Review Board of the University of Occupational and Environmental Health. Informed consent was obtained from each subject. Provenance and peer review Not commissioned; externally peer reviewed. Data sharing statement No additional data are available. Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways. Copyright information: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. Read the full text or download the PDF: Subscribe Log in Log in via Institution Log in via OpenAthens Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * Forgot your log in details?Register a new account? Forgot your user name or password? Read the full text or download the PDF: Subscribe Log in Log in via Institution Log in via OpenAthens Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * Forgot your log in details?Register a new account? Forgot your user name or password? Content Latest content Current issue Lay summaries Archive Browse by collection Most read articles Top cited articles Responses Journal About Editorial board Sign up for email alerts Subscribe EULAR textbooks Thank you to our reviewers Authors Instructions for authors Submit an article Editorial policies Open Access at BMJ BMJ Author Hub Help Contact us Reprints Permissions Advertising Feedback form RSS Twitter Facebook SoundCloud YouTube Website Terms & Conditions Privacy & Cookies Contact BMJ Cookie Settings Online: ISSN 1468-2060Print: ISSN 0003-4967 Copyright © 2021 BMJ Publishing Group Ltd & European Alliance of Associations for Rheumatism. All rights reserved.

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Show Deal View Older Coupons & Deals (they probably still work) code`; div_row+=` ` if(expired_coupons[i].en_promo_text) { div_row+=` `+expired_coupons[i].en_promo_text+""; } div_row+=` `; div_row+=expired_coupons[i].en_title; div_row+=` `; div_row+=expired_coupons[i].en_desc; div_row+=` Show code `; if(expired_coupons[i].en_long_desc) { div_row+=` Show detail `; div_row+=expired_coupons[i].en_long_desc; div_row+=` `; } div_row+=` `; outputStr=outputStr+div_row; } $('#expired').html(outputStr); $('#expired').after($('#expired_coupon_show_element')); $('#expired_coupon_button').text('Show more'); if (data.expired_coupons_count < 10){ $('#expired_coupon_show').val(Number(expired_coupon_limit_value)+data.expired_coupons_count); var end=true; } else{ $('#expired_coupon_show').val(Number(expired_coupon_limit_value)+10); } console.log(end); if(expired_coupon_limit_value<=10) { $('html, body').animate({ 'scrollTop' : $("#expired").position().top, }); } else if (~end) { $('#expired_coupon_button').remove(); } else if(expired_coupon_limit_value>=30){ $('#expired_coupon_button').remove(); } }, }); } }); }); asaan © 2021 Asaan Asaan is reader-supported. When you buy something using a link on this site, we may earn a small commission. This will not incur additional cost to you. Asaan is reader-supported. When you buy something using a link on this site, we may earn a small commission. This will not incur additional cost to you.

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You can check all the Modanisa voucher code related information right below the code link at the Asaan portal. code`; div_row+=` ` if(expired_coupons[i].en_promo_text) { div_row+=` `+expired_coupons[i].en_promo_text+""; } div_row+=` `; div_row+=expired_coupons[i].en_title; div_row+=` `; div_row+=expired_coupons[i].en_desc; div_row+=` Show code `; if(expired_coupons[i].en_long_desc) { div_row+=` Show detail `; div_row+=expired_coupons[i].en_long_desc; div_row+=` `; } div_row+=` `; outputStr=outputStr+div_row; } $('#expired').html(outputStr); $('#expired').after($('#expired_coupon_show_element')); $('#expired_coupon_button').text('Show more'); if (data.expired_coupons_count < 10){ $('#expired_coupon_show').val(Number(expired_coupon_limit_value)+data.expired_coupons_count); var end=true; } else{ $('#expired_coupon_show').val(Number(expired_coupon_limit_value)+10); } console.log(end); if(expired_coupon_limit_value<=10) { $('html, body').animate({ 'scrollTop' : $("#expired").position().top, }); } else if (~end) { $('#expired_coupon_button').remove(); } else if(expired_coupon_limit_value>=30){ $('#expired_coupon_button').remove(); } }, }); } }); }); asaan © 2021 Asaan Asaan is reader-supported. When you buy something using a link on this site, we may earn a small commission. This will not incur additional cost to you. Asaan is reader-supported. When you buy something using a link on this site, we may earn a small commission. This will not incur additional cost to you.