THE CHART OF ADDICTION AND RECOVERY
Dr. E. M. Jellineck The British Journal of Addiction vol. 542 Read from left to right
Occasional relief drinking/drugging en lightened & interesting way of Constant relief drinking/drugging commences life opens up with road ahead to Increase in alcohol/drug tolerance higher levels than ever before Onset of memory blackouts group therapy & mutual help continue Su rreptitious drinking/drugging increasing tolerance of others S increasing dependence on alcohol/drugs rationalizations recognized T urgency of first drink/hit contentment in sobriety A Feelings of guilt care of personal appearance R unable to discuss problem confidence of employers T memory b lackouts increase first steps towards Decrease of ability to stop using when others do economic stability Drinking/drugging bolstered with excuses increase of emotional control Grandiose and aggressive behaviour application of real values Persistent remorse facts faced with courage Efforts to control fail repeatedly rebirth of ideals Pro mises and resolutions fail new circle of stable friends Tries geographical escapes new interests develop Loss of other family & friends Interests RECOVERY appreciate efforts Family and friends CRUCIAL PHAS E adjustments to Avoided family needs Work and money natural rest & sleep Troubles desire to escape goes Unreasonable resentment realistic thinking Neg lect of food return of self-esteem Loss of ordinary regular nourish ment taken Willpower fears diminish Tremo rs and early appreciation of possibilities Morn ing drin ks of new way of life Decrease in tolerance start of group therapy Physical deterioration onset of new hope Onset of lengthy intoxicat ions physical overhaul by doctor Moral deteriorat ion CHRONIC PHAS E spiritual needs examined Impaired thinking right thinking begins Drinking/drugging with in feriors assisted in personal stocktaking Indefinable fears meets former addicts normal & happy Unable to initiate act ion stops using alcohol / drugs Obsession with drinking told addict ion can be arrested Vague spiritual desires learns alcoholism/addiction is A ll alibis exhausted an illness Co mp lete defeat admitted honest desire for help
OOO
Obsessive drinking / drugging continues in vicious circles