27 years later, I would like to have a drink

December 27th, 1987 was the last time I had alcohol in my system. The night ended with me starting the process of me building a new life for myself. I was 17 years old and scared. This past weekend, 27 years after having that last drink, I had a fleeting thought of “I would like to have a drink”. A thought which sounded an alarm inside me. A thought which undressed could lead me on a path of possible self destruction. I am often asked if I still crave alcohol and drugs. And I would like to think I am able to address these fleeting thoughts before they grow into a full blown craving cycle. To understand this process you must understand the disease of addiction. 

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.-http://www.asam.org/for-the-public/definition-of-addiction

Craving is a natural part of the addiction and recovery process. However I don't believe a thought of wanting to have a drink constitutes a craving cycle. Maybe it derives from my sometimes desire to be “normal” or like others who can have a drink of alcohol for whatever reasons and not trigger off an addiction cycle. I know I am incapable of this. I will never be able to just have a drink. 

An urge to drink can be set off by external triggers in the environment and internal ones within yourself.

External triggers are people, places, things, or times of day that offer drinking opportunities or remind you of drinking. These "high-risk situations" are more obvious, predictable, and avoidable than internal triggers.

Internal triggers can be puzzling because the urge to drink just seems to "pop up." But if you pause to think about it when it happens, you'll find that the urge may have been set off by a fleeting thought, a positive emotion such as excitement, a negative emotion such as frustration, or a physical sensation such as a headache, tension, or nervousness.-http://rethinkingdrinking.niaaa.nih.gov/toolsresources/copingwithurgestodrink.asp

My fleeting thought, which was very random, is a reminder that I am not “cured” of my disease. I am blessed to have the insight and ability to quickly address my symptoms and continue on the path I started 27 years ago. 

B