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Are 12-steps right for me?

How to recognize if you have an addition problem



Alcoholics Anonymous, gay news, Washington Blade
Alcoholics Anonymous, gay news, Washington Blade

Twelve-step groups are abstinence-based, but the only requirement for joining is a desire to stop using.



Like most of my friends, I guess you could say I have a couple of addictions. I usually get really drunk on weekends. I frequently use recreational drugs including K and sometimes even Meth when I’m going out or having sex. Maybe I’m addicted to hooking up because I like the rush it gives me and do it regularly.


It feels weird to think of any of this as problematic because it seems like the norm in my social group. But I have to admit that I am almost irresistibly drawn to all of these behaviors and don’t think I could just cold-turkey stop any of them.


You often write that Alcoholics Anonymous and other 12-step groups are helpful for dealing with addiction. I know I could use some help but I don’t have any idea how these groups are supposed to work. I hear there is a religious angle, which I’m not interested in. Also, when I hear acquaintances talking about “The Program” and “working the steps,” it sounds like some kind of cult. And I’m not interested in living a life of deprivation.


I wonder if you could explain how these groups are helpful?



Michael replies:


I’ve seen 12-step groups literally save the lives of friends and clients and I think they work in two main ways.

First, attending meetings gives you support and a feeling of community. You’ll meet others who are working to be sober, hear their stories and share your own struggles with them. You’re likely to feel less alone in your effort to stop using, learn tools for staying sober and make friends you can reach out to when you’re feeling vulnerable. You’ll also have a sponsor, your guide and advocate in the program, whom you talk with regularly.

Second, the program lays out “12 steps” of recovery that are a path to greater self-awareness and personal growth. Like good psychotherapy, the steps give you a framework for looking at your behavior patterns and taking responsibility for yourself. I see them as tools for learning how to live with integrity and for understanding what leads you toward compulsive addictive behaviors. I often hear from people in the program that working the 12 steps and practicing principles such as honesty provide a feeling of serenity that helps them deal with the stressors of life without overreacting or falling back into addictive behaviors.

A few more points to keep in mind: twelve-step groups are abstinence-based, but the only requirement for joining is a desire to stop using. Don’t worry; groups for sex addiction such as Sexual Compulsives Anonymous don’t define abstinence as celibacy, but as stopping compulsive sexual behaviors and figuring out your own definition of healthy sexual behavior.

While 12-step groups’ traditions, slogans and rituals can seem cult-like, they actually have a very open, diverse membership and are not at all about mind control. To the contrary, they can help you break free of active addiction and that is a very powerful form of mind control.

Like you, many of my clients have told me that they aren’t interested in attending a 12-step group because they don’t believe in God. Yes, there are many references to “God” in the steps and recovery literature, but God is defined simply as a “higher power,” something bigger than yourself, not a biblical deity. It’s a spiritual, not religious program, and many members are atheist.

Finally, while I get your concern about not wanting a life of deprivation, the experience I’ve most often heard from people in recovery is of having a life that is fuller and richer than they ever thought would be possible.

Getting past addiction is extremely tough and there is no easy way to do it. And a 12-step group may not be for you. There are also harm reduction programs that some people utilize to moderate their substance use and minimize consequences. What I like best about the 12-step model is that it gives people strong support and helps them develop the internal strength to deal with life without self-medicating. If you are intrigued, the best way to learn more is to actually attend several 12-step meetings.  There are many in our area, including LGBT meetings.

If you feel like you can’t control your substance use and hookups, I hope you will look for support. Your life, like other LGBT lives, is far too valuable to be squandered in addictive behaviors.

Michael Radkowsky, Psy.D, licensed psychologist, specializes in LGBTQ individual therapy and couples counseling in Washington, D.C. He can be found online at All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].


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1 Comment

1 Comment

  1. Steve Boese

    September 10, 2014 at 8:53 pm


    If I needed cancer treatment, and found the best-qualified surgeon, but s/he refused to acknowledge the existence of competent oncologists or radiologists, I would find a new surgeon. It would not be out of line to expect that my surgeon, while not needing to be an expert on chemo, would be happy to consult and collaborate with other cancer experts who are at the top of their related fields.

    In that context, I was extremely hopeful, on reading the "Are 12-steps right for me?" headline. "Excellent," I thought, "Michael took my careful, thoughtful response to his prior piece on Aug 28 seriously. As a well-rounded mental health professional, he must have looked up 12-step alternatives, especially SMART Recovery and the evidence supporting it. It only makes sense that a seasoned professional would be eager to promote healthy recovery over a favorite or familiar program."

    But, no, I am sadly disappointed. And, I don't get it. Great surgeons want their patients to get better, even (or especially) when surgery is not the answer. They want their patients to make fully-informed choices about how surgical options tie in with other evidence-based treatment options.

    So, what is stopping you from saying the words "SMART Recovery," noting that its meetings are widely available in the DC metro, that it is 100% abstinence-based, has been in operation for 20 years, and is under the direction of well-credentialed professionals?

    Seriously, for anyone reading Michael's admitted wisdom here based on his long experience… if you came to this piece because the 12 Steps haven't been right for you, don't let that slow down your path to better health. Google "12 step alternatives", get connected to SMART online or at a local meeting, pick up books written by seasoned professionals. Being resistant to the 12 steps is not the same as being resistant to better health and recovery, no matter how much some folks imply as much.

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Working from home is taking over our lives

We need to create boundaries and return to offices



working from home, gay news, Washington Blade

Back in the late 1980s when I was a young financial analyst at a New York bank, I’d leave the office at five and go home to my little Upper West Side studio. With no cable, internet, or cellphone, a landline was my only connection to the outside word till I went back to work the next day.

What was it like? Tranquility is the word. Surrounded by Manhattan, I was as isolated as a monk in a cell, with uninterrupted hours to read a book, cook, or listen to an album. And of course I could go out on the town without a work crisis reaching out to ruin my plans.

I’ve been thinking back to those days a lot, lately. Working as a psychologist, I’m hearing more and more clients complain lately about how much time they’re putting into their jobs. Folks have been working from home for a year now, and as the months have gone by, many of us are spending more and more hours on the job.

What’s going on? I hear a few justifications.

First, many people tell me that they don’t feel they have an excuse not to reply when they get a text or email from a boss or colleague after normal work hours. After all, what else would they be doing? This is especially true of my single clients who don’t have children. Even dinnertime isn’t off limits.

Second, as the pandemic drags on and most of us have so few sources of fun and stimulation, people are turning more and more to their jobs for something — anything — to keep them occupied.

And, of course, there’s the reality that we’re working from our homes. There’s no physical boundary keeping work at work.

So while it’s great not to have to commute or wear pants, working from home is making it even easier for our jobs to take over our lives than they already were. Put bluntly, this sucks.

We all need a break from work. Every day. Your job likely isn’t paying you for 16-hour days. Even if it is, you need to have some fun, rest, and recharge your brain.

Of course we can’t shut ourselves off from the world as completely as I did in those pre-internet/cellphone days. But we need to draw a boundary, even if it means disappointing our employers and colleagues by doing so. I’m not talking about not doing your job. I’m just talking about setting a limit on how much of your life you are willing to give to your work.

Standing up for your own well-being can be scary. There may be real risks in terms of job security and compensation. Only you can decide for yourself when it is vital to say “no.” But advocating for yourself is necessary at times. To quote Hillel, an ancient Jewish sage: “If I am not for myself, then who will be for me?”

Taking action on your own behalf is also a skill you want to develop, because it will help you in all areas of your life. If you can’t say “no” in order to eat dinner uninterrupted, watch a movie you’d like to see, spend time with someone you love or get a good night’s sleep, you’re going to get chewed up and spit out by others, quite a lot.

Recently, I’ve been reading that D.C.’s downtown is in danger of financial ruin. As many people may not be be returning to the office after the pandemic, some believe that the whole web of service businesses may collapse.

I’m hoping that the doomsdayers floating this theory are wrong, and that as the pandemic ends many of us will head back to the office, at least much of the time. We need to get back to setting a stronger boundary between work and the rest of our lives.

Yes, we’ll be helping our city rebound. And we’ll also be making a big step toward taking care of ourselves, by re-constructing a life that’s about way more than work.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with gay couples and individuals in D.C. He can be found online at

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ADVICE: Despair vs. resilience in trying times

Coronavirus lockdown has many down but you’re stronger than you think



As the COVID-19 crisis goes on without our having any clarity about how or when this crazy situation will improve, most everyone I know is super-anxious about getting sick, fed up with being locked down or both. Is there a way for us to get through this any easier? 

Here’s a start: Acknowledge that there are no guarantees in life.

When we accept that life is going to throw all sorts of challenges at us and that there is sometimes nothing we can do to stop these challenges from coming, that leaves us with one great option: Work on becoming more resilient so we can better deal with the hard stuff, including the very hard stuff.

This is called resilience. Being able to pick ourselves up, dust ourselves off and keep going forward. Cliché, yes, but it’s what we need to do if we don’t want life to beat us down.

Good news: resilience is a trait we are born with. As I’m writing these words, I’m watching my 4-month-old, who recently learned to turn from his back onto his belly, trying to turn from his belly onto his back. He’s been at this for days, and has succeeded just once. He keeps crying and trying. He won’t give up. That’s resilience.

Further good news: If you’re LGBT, you likely have already done some work in this area. All the difficulties that we experience as we grow up — struggling to accept an identity that’s stigmatized, teasing, rejection and worse — and here we are. How? All of us found a way to keep moving forward in our lives rather than letting circumstances defeat us.

Of course, this is pretty much true of anyone who has been through tough times and survived. Many of our elders who experienced the Depression, wartime, or worse tell us that they aren’t fazed by the virus or having to stay at home. Having endured previous struggles, they know they can do their best to endure this one.

That’s what all of us must keep in mind now. Knowing that we have had the resilience to get through past difficulties can support us in getting through this new hard time.

Another important point to keep in mind: When we give our suffering meaning, it helps us endure the suffering. Reminding ourselves that striving to endure this tough period will make us even more resilient can actually help us to more easily endure it.

Other ways we can strengthen our own capacity for resilience: 

Do our best to take care of ourselves, of course. When we eat well, find a way to exercise, get adequate sleep and take breaks from virus-worrying through meditation or just focusing on something pleasant or uplifting, we’re less anxious and better able to keep calm. The ability to soothe ourselves is key to being resilient.

Stay connected to people around us so that we don’t wind up feeling isolated and alone, which can deepen feelings of hopelessness. We all need supportive friends and family whom we can ask for assistance when we really need it to survive. Knowing that they are there is part of feeling resilient. And if we’re able to help others in some way — dropping off groceries for an elderly relative or neighbor, or simply being willing to listen — we’re likely to feel stronger and more able to cope.

Appreciate what we have. This can include a roof over our head, food to eat, people and companion animals we love and simply being alive right now. Doing will serve us much better than lamenting.

While none of us will live forever, we all want to stay in the game as long as we can. Striving to be resilient can help us keep going forward through life with the belief that if it’s possible to survive, we have a good shot at doing so. And that belief can give us hope, determination and a positive outlook.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with gay individuals and couples in D.C. He can be found online at

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ADVICE: Nerves easily fray while social distancing

Look within to avoid unnecessary tension with your significant other



social distancing advice, gay news, Washington Blade

For many years, I’ve told couples I work with that being in long-term relationships is like taking a long journey by ship in a very small stateroom. You know, the kind where the couch unfolds to be a bed, you have to step over your partner’s legs to get to the bathroom and there’s no place to stow the suitcases. You have to find a way to stay calm, not drive each other crazy and enjoy the voyage.

I’d never actually traveled by boat, so this was just my theory. So when my husband and I were lucky enough to take a journey by ship up the Norwegian coast a few years back and had a cabin exactly as I’d envisioned (i.e. teeny), I discovered I was right. Despite the unbelievably gorgeous scenery right out our porthole, after a few days we could see how easy it would be to get irritable with each other.

Now here we all are in a much more difficult situation. We’re stuck at home, on top of each other, trying to do our jobs while taking care of companion animals and children, attempting to avoid an invisible enemy that could be anywhere.  We can’t go out on deck to watch Norway float by. Instead, we’ve got the television to look at, keeping us posted about all the bad and scary news.  

So it’s natural that as our nerves fray, we’re going to get irritated by our mates. They’re in the way. We don’t like their tone. They aren’t doing enough or responding when we ask a question. We feel like we’re the one doing everything.  

Sound familiar?

It makes sense that we react like this at such a stressful time, but when we do, it’s all downhill from there. In our current predicament, we don’t have the usual escape outlets that let us take a break and come back to our spouses calmer and with a refreshed attitude.  

What to do? Here are some simple strategies to help you, your significant other and your relationship through this extraordinarily miserable period:

Don’t point fingers: Think about what you can do to make the situation better rather than focusing on what your spouse should be doing. And then do it. This is a great strategy even in normal times. Remember, we have very little power to get another person to do something, but lots of power over our own behavior. So if we want things to change, we should look first to ourselves.

Be generous: Does your spouse feel strongly about something? Now is likely not the time to get into a struggle over whose say goes. Unless you have good reason to go in the other direction, be generous. Again, this is a policy worth adhering to when we get back to normal (soon, I hope!).

Take responsibility for soothing your own anxiety: This is always a great idea, but especially now. Yes, when we’re worried about something it feels great to get a hug and be told everything will be OK. But right now, your partner is just as anxious as you are and likely without the bandwidth to soothe you. Moreover, none of us really know that everything will be OK. 

So the best thing you can do when you’re anxious is look to yourself to find ways to keep as calm as you can, under the current circumstances: Meditation, slow deep breaths, whatever exercise you can find to do, striving to be in the present, working to accept uncertainty — these are all ways you may be able to help yourself feel even a little more calm.

And if you’re able to reach out and offer your spouse some loving reassurance — even if none of us know how this will end — so much the better.  Giving your partner emotional support is always a good move.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with LGBT couples and individuals in D.C. He can be found online at All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].

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