EP169 - Comprensión del trastorno por consumo de alcohol - Adiós Adicción

Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
The information shared in this podcast isfor informational purposes only and does not attempt
to be a substitute for diagnostic adviceor medical treatment of any kind. Therefore,
consult your doctor or other health careprofessional if you have any questions about
your health or your health condition,how to treat your addiction. Welcome.

(00:29):
Welcome once again, my name ison Gregory Chiñas and, as always you,
I welcome a new episode of goodbyeaddiction, an episode that is being
recorded on Sunday 24 March of theyear two thousand twenty- four. Well,
what I' m going to betalking about today' s understanding of
alcohol consumption disorder. You and Iare going to be doing some kind of

(00:54):
experiment of answering a few questions tosee where in the spectrum you remember that
the question of the week was whetheralcoholism or alcohol disorder was a spectrum or
not. So let' s alsogive, let' s even read the
answers to that question. But let' s do that exercise together. So,

(01:15):
b please, pencil and paper toknow how many questions you' re
going to answer yes, how manyyou' re going to answer no.
It' s not a lot offabrics. I read and at the end
we will talk about which part ofthe spectrum, whether there is a slight
level, whether it is a moderatelevel or an intense level. I hope

(01:37):
you' ll do an objective analysisof your situation, because that' s
going to be very important to knowwhere you fall, too, part of
what I' m going to besharing with you today includes forgiveness, a
part of medications, behavioral treatments,support groups, etc. And now,
to finish the episode, we're also going to be talking about the

(02:00):
questions and remains put to the pastepisodes in the Spotify part. As you
know, Spotify gives us the opportunityto put questions to which you can answer,
also to put surveys with which youcan participate. And I, as
I' m very grateful that you' re taking the time, I also
give myself the time to be ableto read that in episodes comes out in

(02:21):
case, in any case, you' re in Spotify and if you don
' t hear it there, youknow you could do it there. But
as always too, even if youdon' t want to hear it in
Spotify, listen to it wherever youdo it. You know you can send
me an email to Gregory Arroba Godaddiction already and we will gladly be communicating
now. You know, as always, what I' m offering is to

(02:43):
be able to listen to you,be able to maybe, tell you something.
You know, if it' sdeeper, what you need. No
doubt, as I say at thebeginning of each episode, he resorts to
a specialist who can support what Ido. What I offer you is a
shoulder, a friendly hand, aperson who, with all confidence, even
if you don' t know herface to face. You know anything you

(03:04):
tell me will stay with me.Nothing more. As a result of what
I have always said, privacy isimportant and sometimes we just want to get
it out of what we have intruth, then give it that chance.
If, in any case, that' s what you want, but if
you can also put yourself in andwant to contact me to offer to record
an episode or to answer the questionsby electronic choir, whether I read them

(03:30):
or you in turn, already,once you see them already, once you
see them you would like to participateby recording an audio episode. You know
you' ll also be more thanwelcome so you can participate. Then it
' s good now. Finally,in this part of the entry, please,
I ask you if, in anycase, you have not subscribed to
the YouTube page, do so.I' ve been posting some episodes at

(03:53):
least the entry to the introduction tothe episodes I' ve been posting on
video. Also, as you know, my intention is to make more pris
live episodes and also record episodes exclusivelythere. Right now, I' m
on long tablecloths, as we say, because I' m celebrating that I
' ve reached five thousand one.There are five thousand subscribers to the YouTube

(04:14):
page, which, in fact,I very much appreciate and I think those
people also deserve not only to receivethe audio as such, but also to
be a video platform. I'm sure the time will come to keep
posting more episodes of video or relativelyshort comments, if I compare them to
a long, long episode of audio, right, like the one we'

(04:34):
re used to. But we finallyget into matter, so what is the
understanding of alcohol consumption disorder? Andthis information I' m taking, this
information I want to share with you, I' m taking it rather from
the National Institute on Alcohol and Abusein Alcohol Abuse and Alcoholism. This is
a U S institute that, byits acronym, is n IH. It

(04:58):
' s good for you to knowthat I' m not even making it
up, let alone taking it froman authority in this case of alcoholism.
So understanding alcohol consumption disorder, whichin the past, that past is denied,
has been defended yet and does notwant to go. And in that
past, which that disorder is knownas alcoholism, right, and that'

(05:24):
s why the question was actually alcoholic. Sometimes it' s black or white,
hot cold, like it doesn't give you the chance to say
you' re half an alcoholic,like in an episode I published in June
of the two thousand and twenty-one called almost an alcoholic. In that
episode, which is number seventy-five. If you want to hear it,

(05:45):
if not that you haven' t. Leo shares an article from Harvard
University where, to cite a coupleof examples, the University analyses whether those
people were alcoholic or almost alcoholic inthat exercise that the Universe was made.
The two examples he gives I don' t know if they' re real
or not. I think if theywere real, the two people fit into
the almost alcoholic, then there sometimeswe will want to hold on to that

(06:11):
and say I' m not analcoholic, I' m almost an alcoholic,
but still we' re self-diagnosing. You don' t think
so right now. We' regoing to do it too, but already
in a much more way. Let' s say we aim to fall into
a spectrum, to decide ourselves ifwe are in the mild, moderate or
intense part, which might serve something. After all, what matters most is

(06:32):
how we feel inside. Not maybe, you' re going to fall into
the light part, but you feelreally bad and you need to make a
change in your life. Well,you' re better off falling into the
intense part, but you still don' t have that desire to want to
change, but at least, hopefully, that' ll serve as a reference
to say ah gee. I amalready in that part where I should do

(06:54):
something true, but well let's start with the definitions by the National
Institute in alcohol abuse and alcoholism,which commented on the following. Alcohol consumption
disorder or AUB for centuries in Englishis a medical condition characterized by the diminished
ability to stop or control alcohol consumption, despite adverse, social, occupational or

(07:15):
health consequences. It covers conditions thatsome people know as alcohol abuse, alcohol
dependence, alcohol addiction, and theterm colloquial alcoholism. Considered a brain disorder,
AUD may be mild, moderate,or severe. Lasting changes in the

(07:41):
brain caused by alcohol abuse perpetuate AUDand make people vulnerable to relapses. The
good news is no matter how seriousthe problem is. Evidence- based treatment
with behavioral therapies, mutual support groups, and/ or medications can help people

(08:03):
with ajud to reach and maintain recovery. According to the national survey on health
and drug use of two thousand twenty- two twenty- eight, point eight
million adults aged eighteen and older presentedto you at two thousand twenty- two

(08:24):
twenty- eight point eight million people. The sample has been taken in the
United States, as I tell you, which is a country of about three
hundred million. We' re talkingabout about ten percent. Well, in
fact it says there are eleven pointtwo percent in the United States have presented
one somewhere at this time that hadfallen somewhere in that spectrum of mild moderate

(08:46):
intense among young people. It isestimated that seven hundred and fifty- three
thousand adolescents between twelve and seventeen yearsof age or two point nine percent of
that group presented UD during the periodone point two. I don' t
know what one point two is,but anyway, in this case we'
re talking about almost thirty million peopleto give you a closed number in the

(09:11):
United States near the I think thatten percent or so of the total population
of a country like the United States, but that can serve us as a
reference doesn' t seem to you. I' m Mexican, as you
already know, and in Mexico Idon' t know how many millions we
' re in. I think abouthalf maybe less than half as much as
in the United States, and Idon' t have such a recent statistic,

(09:35):
but I remember seeing that it wassomething to a certain extent similar,
where also the part of adults oryoung adults was where they are most seeing
that consumption. Now there are countrieslike Ahorita, where I am today,
which is Canada, where, fortunately, from my point of view, young
people, young adults who are entering, who are finishing the career, who

(09:56):
are entering that career or entering thejob market, say, are being a
little more aware and are actually reducingconsumption. Then it does not mean that
it has disappeared much less, northat it is going to disappear without a
doubt, a more consciousness. Let' s say the offer has also been
enlarged in matters of drinks that donot contain alcohol. However, I believe

(10:20):
that, at the end of theday, the position of the alcohol industry
is very powerful. It' sstill everywhere publicized and very accessible. Let
' s say there are also lotsof shops in many parts. But anyway,
going on with this, something thatmight seem trivial and for you something

(10:41):
you' re telling me. Iknow that, well, let' s
repeat it however it is, notthat it increases the risk at best.
You already did that internal analysis andyou say you know it was me because
I saw him in the house.I went because my life went bad.
It was either me or already orfor me it' s because I have

(11:01):
one that' s hereditary, mydad was my grandfather, my uncle was.
Then let' s understand quickly basedon high school. What it tells
us is that it increases the riskof alcohol disorder. First drink alcohol at
an early age. I think wetake that for granted. A recent survey,
carried out nationally among people aged 26and over, found that those who

(11:24):
started drinking alcohol before age 15 werethree times more likely to report having presented
to you the previous year than thosewho waited until age twenty- one or
more to start drinking alcohol. Therisks for women in this group are higher

(11:46):
than for men. Two very importantpoints here, which I want to talk
to you about. One. Inthe vast majority I do not have the
data as such, but in thevast majority of people who have participated in
addiction goodbye in this podcast, thevast majority started before the age of fifteen.
I almost always ask that question,but always, when the interview goes

(12:09):
more or less to its beginnings,I ask the participants at what age you
started, what was your first contactwith the substance or, in this case,
with alcohol. And in the vastmajority I don' t want to
say that everyone and I counted myselfinside one of them, I started consuming.
Let' s say routinely, constantly, when I was more or less

(12:31):
training at the age of twenty withoutthe ones we are at the age of
twenty- one. Also then thetruth that even being before or starting more
or less at twenty or twenty-one, you are not guaranteed that it
will not affect you in the waythat it will become a very severe problem.
He doesn' t say he hasthree times more chances. However,

(12:52):
as long as you are in contactwith a substance with alcohol, no matter
how old you are, you willalways have that chance of becoming a person
with a disorder or becoming an alcoholicis not good. Genetics, which has
recently been debated, is put bythis institute as the second genetic choice and

(13:16):
family history of alcohol problems. Genetics, they say, has an important role
to play, with approximately sixty percentbeing by inheritance. However, as in
other chronic conditions, the risk ofaud is affected by the interaction between the
genes of the person and his/her environment, those for the alcohol consumption

(13:37):
patterns of the parents can also affectthe probability that a child will one day
develop to you good, because Isay that genetics was or has been debated
and not so much because it isnot necessarily a valid concept. I again,
taking back my idol, Dr Gabormate, he wants to debate or he

(14:01):
wants to nuance what when they referto genetics, he says that the genetic
being, that it' s someof your bloodline, that someone, your
father, your mother, had it, doesn' t necessarily mean that his
that you' re a hundred percentalready predestined that that' s going to
happen to you, that you're not even going to put up resistance.

(14:24):
It generates a certain propensity, butit doesn' t mean you'
re doomed to do it. Sowhen we start to think that we have
no escape or that there is nothingwe can do, because yes, necessarily,
our parents were the truth and Ithink we might have to rethink ourselves.
Yeah, that definitely affects, butI think it affects a lot more.

(14:48):
As you go to everything I've already been able to investigate over
six years. The environment is farmore important than genetics as such. From
my point of view From my pointof view, it does not mean that
it is not important, but Iwant to say that the environment that has
surrounded you still is more important.Nor does it mean that it is a

(15:11):
fundamental part of the main reason whyyou are going to develop an alcohol disorder,
because there have also been people inthis podcast who have said no.
My life was good. My parentsnever mistreated me. There was always food
on the table, all the quiet. However, I don' t know
what happened there to me, Idon' t know what happened there,

(15:31):
to my mouth and to my teeth, to my tongue. However, that
person or persons have also developed.So it' s a combination of the
environment of what you do, ofgenetics, of inheritance, of if companies
early, if companies later, butalso the end point of this institute,
of what it can, what itcan influence. They put as mental health

(15:54):
conditions and a history of trauma,a wide variety of psychiatric conditions. They
comment as stress depression, post-traumatic and attention deficit hyperactivity disorder or also
known as ADHD due to its ciha in English, are like comorbidities of

(16:15):
the disorder' s aud, alcoholconsumption and are associated with an increased risk
of developing this disorder. So,those who have kindly answered the previous question
that it was in Spotify, thatif there was something that affected the way
you are, right now a previousevent in your life that has affected the

(16:36):
or that has defined the way youwere or the way you are in the
vast majority. Also good that weresome questions, but the vast majority,
let' s say more than fiftypercent referred to something that happened to them.
When infants may have been sexual abuse, physical abuse, emotional abuse,
or even the person who commented thatit had affected him positively, because it

(17:00):
was also when they were young,you really know what not. Me.
In fact, the affectation was positive, but it almost always indicates what happens
to us when we are children,certainly very important already as adults, perhaps
depression, post- traumatic stress orsomething obviously very tragic, maybe it has
happened to us. It is areaction that our mind that our brain,

(17:22):
which our body also needs or moreneeds to do and that we begin to
say to medicine with the substances tostop feeling that depression, to stop feeling
so intense that post- traumatic stressor even stress in general, or also

(17:45):
to say get lost in our thoughts. If that' s what we need,
three more important points, then thatthe National Institute for Alcohol Abuse or
Alcoholism gives us to see alcohol earlyage, genetics and family history of alcohol
problems and also mental health conditions andhistory of traumas comes out Now we'

(18:10):
re going to go into defining accordingto this scale that has been realized,
which, in fact, is ascale that is also shared by the World
Health Organization. It' s nothingmore for this institute, but God.
I don' t know who wasfirst, whether it was the World Health

(18:33):
Organization first and this whether you're adopting it or vice versa, or
how that part works. Hence,but here we are commented on this article.
Medical care professionals use the criteria ofthe fifth edition of the Diagnostic and
Statistical Manual on Mental Disorders of S- 5 to assess whether a person has
alcohol- related disorder and to determineseverity if the disorder is present. Gravity

(19:00):
is based on the number of criteriaa person meets based on their symptoms.
It takes two to three criteria orwhat' s the same thing in what
we' re going to do.Right now two to three answers yes to
the questions I' m going toask you next. If you answer two
or three, you' re mild, if you answer four or five,

(19:22):
you' re moderate. If youanswer like this, you answer yes to
more than six, six or more. You' re on the side of
heavy alcohol abuse disorder. Then therewe are. If you answer like that.
If he answers yes, I don' t know our job. If
you answer yes to one, twoand up to three, no problem.

(19:45):
Slow down do your best, changes, adjustments in your life to your habits
at best and you' ll beout of danger. If you' re
in four or five or five timesanswer that you' re moderate. You
may need a little more work,but you can still probably even say that
only by changing habits to your routines, at best of days, of weeks,

(20:06):
maybe that' s enough. Butalready when we come in to answer
yes to six or more, that' s where we' ll probably have
to rethink everything we' re doingand well think seriously about resorting to a
psychological help group. Or you'll see below, what are the proposals
that the institute makes. It's good here you go, you'

(20:29):
ve got paper, you' vegot pen or pencil that you have to
occupy to remember how many. Yousaid yes. Remember that here the questions
are going to be asked based onthe previous year. It' s also
something that' s being debated ifit' s something that might have to
be done the past for a monthfor three months for a week. You
give him the courage you need.The questions come out based on a year,

(20:52):
but here we go with question numberone. You' ve had times
when you' ve lived longer orlonger than you originally wanted there again.
You' ve had times when you' ve drunk more or longer than you
originally wanted. For me that questionis immediately that answer forgiveness is that yes,

(21:18):
you have wanted to reduce your consumptionmore than once or stop drinking,
or you have tried, but youhave not been able to. Again,
you' ve wanted to reduce yourconsumption more than once or stop drinking,
or tried, but you couldn't. Actually, I' ve been

(21:40):
doing that for six years Good,number three. You have spent a long
time drinking or feeling sick after drinkingor recovering from other effects of drinking.
Simple answer is yes, number four. Have you wanted to drink so much

(22:00):
that you couldn' t think ofanything else? Have you wanted to drink
so much that you couldn' tthink of anything else? Strange as it
may seem in me Not really.I don' t think so, and
I' m exposing as much objectiveas I can. I don' t
want to put myself in a situationthat I want to say to everything that

(22:22):
I do to make an example ofthe good or the bad or I don
' t know, but I don' t want to say something that doesn
' t really feel applies to methen definitely. In number four, I
' ll say no. Number fivehas found that drinking or feeling sick from
drinking has often prevented him from takingcare of his home or family, or

(22:45):
has caused him problems at work orat school. The truth is that to
that question number five I have totell you that if I spend sick days
sick when I give myself those muggingsor s u s so five days you
have to pass which affects my workwithout a doubt. No doubt, sometimes
I can' t go to work, I' m no longer in school

(23:07):
time, but certainly when I leastwork or stay in bed for full days
sometimes, then I want to saythat it also obviously affects my home or
my family. Number six. Youhave continued drinking, even though you caused
problems for your family or friends.Yes, definitely yes, the next one

(23:30):
you have abandoned or reduced to activitiesthat seemed important, interesting or that gave
you pleasure in order to drink here. The truth is, I' m
half- hearted, but I'm more convinced it' s no.
And what happens and because I sayit' s not because remember that mine

(23:52):
is sporadic what happens to me sometimesevery month, two, three, four,
up to every five months, thenI can really experience up to a
certain point months or weeks of normality. Then I don' t necessarily have
to prevent anything and sometimes prevent anything, not lose anything. And what happens
is that when I get those momentsof weakness, where I can and not

(24:14):
where I miss forgiveness and I can' t master the compulsion to drink,
in most cases it' s likeup to a certain point, a little
planned. I' m honest withyou, so I don' t think,
I don' t think I've already abandoned, not at the
moment, at least not permanently.I' m honest. Well, let
' s go to the next one. More than once you have been involved

(24:37):
in situations during or after drinking thatincreased your chances of harming you such as
driving, swimming, using machinery,walking in a dangerous area or unsafe sexual
behavior. Actually, I want totell you that I haven' t behaved

(24:57):
much more, although I' veprobably been in the area. There'
s a little half- grey Let' s say sometimes I' m still
at best or a little bit feelingsick or maybe when I' m starting
to see, I' ve probablydriven, but still with a certain limit,

(25:18):
let' s say, but notdefinitely when I' m drunk.
Well, the next one is he' s continued drinking, even though doing
so made him feel depressed or anxiousor made another health problem worse. Or
after having had a mental gap relatedto alcohol consumption, I certainly do expect
this as nothing more counts for one, but I could answer all the mini

(25:41):
questions that yes mental gap the worstof the worst, obviously compared to the
physical and emotional pains that that causesyou. Well, in the next question
is you' ve had to drinka lot more than other times to get
the desired effect. Or he hasfound that his usual number of alcoholic lives

(26:03):
had a much lower effect than before, that is, you drink more than
you did before to feel drunk orthat you get a little bit when you
least feel dizzy or what it is. In other words, you' ve
developed more tolerance in the last year. I don' t know if he
' s lucky or unfortunate. Idon' t get drunk as fast as

(26:25):
ever, or even faster, whatin quotes I wanted the last question.
You have found that when the effectsof alcohol were dissipating, you have had
some symptoms of abstinence, such asdifficulty sleeping tremors, agitation, nausea,
sweating, rapid pulse, dysphoria,which is the feeling of discomfort or unhappiness,

(26:48):
general malaise, general feeling of discomfort, discouragement or seizures, or you
have perceived things that were not presentin those. Another one of the questions
that is just a cy but couldgive a lot of cs to all that.
Hence the mere truth. Well,I have to make my account.
It is one, two, three, four or five, six, seven,

(27:11):
seven answers that yes, One,two or three, four four answers
that not, according to the classificationof the Institute, not only of the
Institute, but at once says herethe hearing exhibitions, edition of the diagnostic
and statistical manual of mental disorders ofs m five, as, by the

(27:32):
way, it is used or ispublished on the page of the World Health
Organization. These are the standard questionsthat someone would be asking you if you
want to follow that method to seven. I have answered yes, in that
objective exercise, where I am nottrying to deceive myself by responding to those
four that not that in the endof change, in the end, forgiveness

(27:53):
as it does not change much,because I am in the seven. But
still I think it' s worthit that you also consider doing it objectively
think it' s if you wantto do it as such in the last
year three hundred and sixty- fivedays. But you' ll know if
you want to shorten it to makeit a lot more personal, because if

(28:15):
that' s what' s happeningto you, then you' ll know
if you want to do it everysix months or what you did last month.
You come out asking yourself what's more valuable to you than me.
Then I remember this. I'm on the intense level. Remember,
the intense level starts at six.The mild level one, two or

(28:38):
three, moderate level, four andfive. Intense level six, seven,
eight and nine. And from thereup comes this is to remember to give
you the spectrum, to give youwhat part of that alcohol consumption disorder you
' re in if you want togive him a chance not to be using

(29:00):
the word alcoholic or almost alcoholic orhalf alcoholic or at the beginning of my
alcoholism. Or am I already anintense alcoholic, or am I already an
alcoholic? Without that, whatever youcall it, if you want to adopt
this new terminology, you know thatI have a mild alcohol consumption disorder,
I have a moderate alcohol consumption disorder, I have an intense alcohol consumption disorder.

(29:26):
You' ll know if you wantto use that part. I'
m not taking anything away from you, by the way, to the term
as such, alcoholism others. Butit is only for those of us who
want to define ourselves in a differentway, where we feel that the term
alcoholic as such does not define usbecause that perception that we have is not

(29:48):
necessarily what I identify with myself,yes, I can definitely identify myself more
without detracting from the term alcoholism.I do want to decide definitely by my
way of consuming, how I doit, when it happens, how I
react to the days I do,and so on. I definitely feel like
I' m getting more of ahand in thinking I have a drinking disorder,

(30:08):
intense alcohol abuse. However, thereis still not too far away,
from my point of view. Forme, a chemical dependence, a physiological
dependence, even a psychological dependence alsoon alcohol. However, when it happens

(30:29):
to me, it does happen tome, like many others. Now,
part of all this, part ofthis article, also wants to make you
understand what are the types of treatmentfor that disorder and will be addressed in
a general way, medications, behavioraltreatments and mutual support group. There'

(30:51):
s going to be a little bitof information here that, maybe you can
say, let' s say,hand it, at least, align your
thinking with what I can possibly doa solution. They comment. There are
several evidence- based treatment approaches availablefor alcohol abuse disorder. Not all treatments
are suitable for all people and whatcan work for one may not work for

(31:15):
another. The treatment can be outpatientand/ or hospitalised and can be provided
through specialized programs, therapists and healthcare providers very important, special truth and
specialized programs therapists and health care providersAnd here honorary mention, because I don

(31:37):
' t want to take away valueand we will see it in maybe a
little bit later. Anonymous alcoholics certainlya tool that we all, maybe we
have at hand and I think that, maybe that should be our first choice,
if we want to try to knowat least, in which light we

(31:59):
are coming out if you are foryou, you have the possibility in the
country where you are, to reachout to medicines or some therapists, psychologists
or others. I also believe thatit is worth putting on the table truth
and then occupy what is most possiblefor IT medicines. There are currently three

(32:21):
drugs approved by the U S Foodand Drug Administration or FDA, for centuries
in English, to help people stopor reduce their alcohol consumption and prevent them
from re- using alcohol. Oneis Naltrex sona. I' ve already
talked, I think about them awhile ago, I buy sato and they
' ll dissipate. Now it isimportant to recognize that if you are not

(32:45):
even given this as an immediate optionin the United States itself, you have
to go through a lot of thingsso that you can be assigned or given
that medication. In Canada, whereI am, I definitely haven' t
even heard it. I' veseen a documentary about a person who had
to, in fact, travel tothe United States for a prescription there.
Then it' s not something youcould do. Unfortunately, maybe I'

(33:07):
ll give it a hand to say, I' ll go to the pharmacy.
I' m going to buy itand then I' ll take it
and hopefully it' ll be takenoff. It' s true that,
unfortunately, it' s not likethat yet. But I hope, I
hope, the longer the time passesand the more benefits are seen. Hopefully,
there will be more arrangements to getthat medicine, not just in the
United States, but everywhere. Butwhat we can do most if it'

(33:29):
s not the medication that maybe requiresmuch more effort, although the medication also
if bad, I don' tremember in this documentary that I saw is
also not very cheap, that let' s say, don' t leave,
very cheap, it is very face- to- face. So the
truth is that what you can mostshake hands with is behavioral treatments, going
to therapy, behavioral treatments, alsoknown as conversational counseling or therapy and provided

(33:49):
by certified therapists, can change drinkingbehaviors. Examples of behavioral treatments include short
interventions and effort- based approaches,motivational treatments, and skills to deal with
or prevent re- consumption of alcohol, and full- conscious or mindfulness-

(34:10):
based therapies. As he is known. It' s also not on one
occasion. There have been several occasionswhere people who have contacted me where they
say I go to therapy and thelast thing they end up talking about is
alcohol. However, my relationship withalcohol has been completely erased. I practically
went thinking that God had to talkabout my alcoholism like that, but he

(34:35):
let it go being that we endedup talking about anything else with the therapist,
not anything else. I imagine thatthe therapist carries what, in the
end, is important for people thatalcohol as such is not even a fundamental
part of the conversation, but thatproblems are attacked. Remember that we have
also talked on many occasions about alcoholism, alcohol consumption in alcohol consumption disorder,

(34:55):
substance consumption in many situations, aswe are dealing with the real problem we
have, as I also talked aboutin the episode of The Beauty Food Boy,
or you will always be my son, who also put it in Spanish,
comes out is practically like you andlike me, we have been dealing
with a problem that is probably muchmore intense or much more. I don

(35:19):
' t know if far hidden,what do I know that has so evident
to us all that we need towork. It' s how we'
re dealing with our problem, ifit' s anxiety, if it'
s stress, if it' sloneliness, if it' s depression,
etcetera, etcetera. It' show we' re dealing with it.
So, that' s why Ithink people who have gone to therapy,
who have told me at least youknow what. From the last thing that

(35:40):
ends up talking about alcohol, wereally approach other kinds of situations, which,
in fact, makes me see thatalcohol is not necessary also comes out
already. Finally, the Institute mentionsthe following. Mutual support groups. Mutual
chicken groups offer peer support to stopor reproduce alcohol consumption in most communities.

(36:02):
Group meetings are available at a verylow or free cost and at convenient times
and locations, even with increasing availabilityonline. This means that they can be
especially useful for people at risk andstop relapses into alcohol consumption. In combination

(36:23):
with medications and behavioral treatment provided byhealth care professionals, mutual support groups can
offer valuable additional support by taking intoaccount the following. People with aud or
severe alcohol disorder may require medical helpto avoid withdrawal if they decide to stop

(36:45):
drinking. Alcohol withdrawal syndrome is alife- threatening process that can happen when
a person who has been drinking copiouslyor means a lot over a prolonged period
stops drinking abruptly. Doctors can prescribemedications to treat these symptoms and make the

(37:07):
process safer and less distressing. Eye. Eye? Watch out, alert if
you listen to me right now anddrink in a substantial way practically every day
and maybe you answered yes to allthe questions and you' re even in
eleven of the eleven and stop drinkingalcohol just like that overnight. Maybe something

(37:34):
is going on very intensely inside youthat you have the willpower. Everything that
gives you that you' re evenable to do. Be very careful,
because there are people who die becauseof that shock your body has and remember
that there is that physical dependence.You remember physical dependence and chemical dependence on

(37:55):
alcohol in your crow. I haven' t heard of any other drugs I
' m honest with you, nomatter how common it is if crack and
methamphetamine, if heroin, if cocaine. It doesn' t matter. I
' ve seen good and in fact, tamara is evidence that she, I
think she did coltr here too true, without medication or anything, suffered a
lot, because she didn' treally die, fortunately and in her case,

(38:20):
as she didn' t tell usin her episode, I think it
was heroin. If I remember correctly, then, but with alcohol. Very
careful, because there are people whodie in those days, because the truth
is and requires medical treatment. Ifyou' re at that level of eleven
out of eleven of probably living abottle of alcohol a day, although beers

(38:43):
seemed to do a lot, rememberthat the alcohol content is practically five percent.
We are talking about amounts already fortyfifty or even sixty percent of alcohol
in maybe a standard drink, whichare seven hundred fifty thousand liters, although
there are bigger bottles also if youare living a thank you a day and
you have done it for the pastfew months or even years, be very

(39:05):
careful if you want to stop visals, certainly a doctor who will do it
so that they can give you thehelp you need. It comes out good
and the question of the million dollarsof euros pesos of how you want to
put it can be recovered people whopresent a disorder by consumption of alcohol.

(39:28):
There' s evidence and maybe youknow someone or maybe you' re evidence
that that can be answered with ayes. But let' s read what
the Institute by National Institute of AlcoholAbuse and Alcoholism means to all of us.
They say many people with a disorderbecause alcohol consumption recovers, but setbacks

(39:52):
are common among those who are beingtreated. Seeking early professional help can help
prevent them from returning to alcohol consumption. Behavioral therapies can help people develop skills
to avoid and overcome triggers, suchas stress, that can lead to drinking.

(40:14):
Medications can also contribute to inhibiting alcoholconsumption at times when people may be
at greater risk of re- usingalcohol, such as in the event of
a divorce or the death of arelative, etc, etc. So,
in other words, as I alreadywant to say, yes, yes,
there are alternatives and if there isa solution, if there is hope and

(40:39):
if there is that light at theend of the tunnel that requires a lot
of work. Even the Institute hascommented. From my point of view,
the combination of all of them,of all the factors, of the combinations
of a behavioral group, a groupof help, forgiveness, therapy and medication.
I think that' s what couldguarantee you that it' s a

(41:00):
higher percentage and, at least,that you can ensure that you can overcome
that problem. There were people whoallowed to repeat what nothing else. We
focus on willpower and it' spretty complicated. No, in fact,
the Institute does not even mention willpoweras an option. To quit you have

(41:22):
to start with a treatment, eithera group or medication. So, if
there' s a group in yourhands, only a group because, maybe
there' s no specialist therapist or, maybe there' s no money either,
because that also represents a true expense. And now, perhaps, medicine
is not even available where you liveor is very expensive. Also that it

(41:44):
becomes quite complicated to get it.So, what I think we' re
going to in the vast majority,a large percentage is to those help groups,
true to the groups and whether they' re anonymous alcoholics. In other
countries there are very similar things thatare also life tests at the governmental level,
which are virtually free or require relativelysymbolic spending. He remembers that at

(42:08):
the time he could have had theopportunity in episode number one, which was
quite malicious in matters of audio,but he can talk with Dr Sánchez Huesca
and he kept his last name.Actually, I don' t know why,
but I kept his last name forever. It' s been more than
six years, already or almost sixyears, but Dr Sánchez Huesca talked about
youth integration centers, and that's in Mexico and he, to my

(42:29):
question of what, how much doesit cost? He told me that it
is symbolic and hopefully, after sixyears it still remains so, because it
was practically an institution that was originatedby a private, in fact, a
person, let us say altruistic,who was in charge of promoting it and,
fortunately, I think he had thepossibility of having certain resources. I

(42:50):
don' t know if it's government, no, but in the
end, it' s well known, or it should be better known.
Still in Mexico youth integration centers opennot only to young people, but to
anyone who needs them. Please,if you are in that possibility that if
you want to go to something differentthan even in the interview, if you
listen to episode number one, hecomments that also for that part of group

(43:14):
therapy they use the standard that givesanonymous alcoholics or a group of twelve steps.
It comes out. But good isthen in relation to the article published
on the website of the National Institutefor Alcoholism and Alcohol Abuse, by the
United States. I hope then thatthis information has been useful to you that

(43:39):
without any doubt you also share thatright now I will read you the answers
in Spotify. You share that foryou the problem with alcohol should fall into
a spectrum. I do share it. I' m honest with you.
I do. I don' ttake him away, I don' t

(44:00):
take the truth away from him.I don' t minimize the problem,
I haven' t said it manytimes. I don' t minimize the
problem by simply believing the truth ofobjectively believing that either you are or you
don' t know is I don' t necessarily believe. In that I
think that since there are many circumstancesthat may already be debated, because sometimes

(44:23):
it is compared to being a disease, let' s say alcoholism, tera,
which is sometimes compared with the day, with diabetes, or it is
compared to occasions like cancer, whenwe are talking about being in treatment that
it is not only by force willand so on. Could someone also tell
me, well, there you do, or you have diabetes or you don

(44:45):
' t have diabetes, or youhave cancer or you don' t have
cancer? Then perhaps it would besubject to some debate. But in this
case, as from my point ofview, although I do share that part
that art alcoholism, which is morecommon the term insists this work. Not
calling him that is a mental illness. It' s possible that it definitely

(45:08):
does make more sense to me thathe, that he had to have certain
spectra, how you see him maybe, even autism, that there are several
levels, that I hope there's nobody going to bother me and get
angry about this. But at theend of the day, we' re
here to keep learning, even frommistakes, if I' m making one
right now. The question in Spotifyrelated to this topic that I told you

(45:30):
I wanted to talk about was asfollows. Alcoholism has several levels, yes
or no. Practically, although Igave three options, yes no or even
the option is is or I don' t know is no. There were
seventeen votes, sixteen people said yes. Alcoholism has several levels or spectrum and

(45:52):
one person said it is or Idon' t know it' s black
or white, hot cold comes outso I think that this, although not
perhaps, is not a representative sampleof what the world thinks what, at
least if it' s a representativesample of that for me of the people
who actually participate sixteen or seventeen votes, the truth is that it' s
enough. Within my own standards ofwhat' s published in Spotify, then

(46:16):
sixteen people said yes. It shouldbe then you' ll know. If
you know anyone, the questions I' m going to post in the episode
notes. Please, if you wantthem and if you want, go to
the notes of the episode and makeSpotify in any application you have you will
see it there, in case youwant to do it again in tranquility,

(46:37):
being calm, without noises around,yours maybe, pen paper remember it is
made for a year. You haveto answer this. If you want to
do it based on the method,it has to be a year. However,
the truth is that I do nottake away validity. I think it
' s richino, it' snot valid for me. If I do

(46:58):
this at best, something I wouldhave to do every month or, every
six months, because I know thatmy behavior really maybe what happened a year
doesn' t necessarily reflect the realityI' m seeing. Right now.
So, if I want to thinkabout anything else in the last three hundred
and sixty- five days. Butwhen I went bad it was last month
that the truth didn' t stopI drove drunk, I crashed my car,

(47:21):
I fought with the woman, etcetera, etcetera. I think it'
s worth it maybe giving it thatdimension comes out good. And then continue
with the question. That was thesurvey, but the question from the previous
episode related to this is also analcoholic or addicted person. It' s
that what, and then let's start with the first person who participated.

(47:45):
José Luis Moreno coyazo says the following. When you don' t control
when you stop. I don't take every two or three months,
I don' t have anxiety,I don' t feel like it.
But when I take I don't stop until it' s over the
other day with minimal mental gaps.My dear José Luis, thank you so

(48:09):
much for participating in the Spotify comments. Look exactly José Luis, and that
' s why when we sometimes talkhere that we think we' re the
only truth that no one maybe hasthe same thing going on with us.
When we realize that there are peoplewho happen exactly the same as us,

(48:29):
as in this case José Luis,it is practically where I was a few
years ago. And I say Ifound myself because I can tell you that
in my case I may have evolveda little bit more, because in my
case it is also not controlling whenI start, I do not control when
I go to stop. It doesn' t happen to me every day,

(48:50):
it doesn' t happen to meevery week, it happens months, too,
one, two, three. Lasttime I was five months every six
months of abstinence. What I wassaying might be different, or also the
mental gaps. By the way,what might be a little different that,
maybe I didn' t have roomto say it in your message or not
one day isn' t enough forme one day, one day would be

(49:14):
fine, I' ll feel badand maybe the mental gap, etcetera,
but I' d be enchanted bylife maybe, but mine really has already
been derived in at least three days. It' s almost by default,
though sometimes if time allows it,because if it' s a vacation,
it' s a long weekend thatif this if the other one has taken
it includes five days that for somepeople to say ah that' s not

(49:37):
even that bad. I wind itfor months at a time. Well,
perfect. All right, for you. That' s for me, it
' s that I five days issomething for me, because, after all,
when I was one, I wasn' t that bad when there were
two, Geez, Geez, whenthere were three, and I' m
already passing is a five, Imean, ay evolved. It' s
also evolved. I am sincere toyou the time that passes between ours and

(50:00):
another. But well, if it' s another story, maybe we'
ll talk later about the next chanceL comment. One. Six, six,
one Comment on the following question toan alcoholic or addicted person. Is
that what those actions put at riskthe lives and the lives of others?
Those actions put the lives and thelives of others at risk? Without a

(50:21):
doubt, a person who puts himselfat risk is fine as part of it,
like sometimes it' s okay withyou. I mean, it shouldn
' t be, but when weput others at risk, it' s
even worse. No. An alcoholicor addicted person is one who, according
to Oscar Beltrán, has problems whenhe drinks and despite suffering them, he
drinks again compulsively, he cannot stopwithout any doubt my dear Oscar and thanks,

(50:47):
by the way, because, asI said to him, it is
not that it is for you,because I know that, perhaps, Oscarito
would have put a definition a littlemore in line with that of anonymous alcoholics,
but thank you Oscar for saying itthis way quite synthesized and quite to
the point. Also an alcoholic oraddicted person is one who has problems when

(51:07):
he drinks and despite suffering them,he re- drinks compulsively, not being
able to stop. For Lisa Isabelgil Jiménez, Elisa a greeting and a
strong hug. Where you find theperson who arranges everything by drinking good news.
Drink bad news. Baby' ssad. Drink cheerful Drink clear,

(51:29):
the excuse can be anyone. Whatmatters is drinking. Now how important Perhaps
Elisa would be best, if notjust drinking, because I also know of
those who just drink two or threeand are fine by the day already celebrated
or already removed the stress, butthey do it daily. Not then where
the spectrum would fall perhaps. No, because if you answer, I remember

(51:52):
giving the questions we' ve talkedabout before is maybe something still a little
gray, not to say good.It is true that perhaps I answer yes,
to only two or three, becausethen the truth. I don'
t drive drunk or forget things,because nothing else is two or three,
but it' s every day.For any excuse. If you want,
then interesting, interesting, the truthstill the things we have to learn from

(52:15):
our own attitudes. Well, analcoholic or addicted person is the one who,
according to Adrian Rosas is, oncehe starts, he can' t
stop. This is being done asyou can already see, because the issue
is not really the inability to controloneself, the inability to stop. That
is one of the great common factors. What makes my head break, is

(52:38):
what I just said in Lisa's comment, to say and that there
are those who can actually stop atleast in daily consumption. I mean,
they don' t need to getdrunk, but they have to do it
every day. That' s actuallysomething I don' t know yet,

(53:00):
I don' t know what tothink. I think that part too deep
inside me, that drunk guy whowants not to be a bad drink,
keeps asking himself why we can't be like that person, why we
can' t do things that nomore two or three and look he already
has a certain effect. No,but that' s not how far that
hope always exists. But anyway,thanks Adrián, an alcoholic or addicted person

(53:25):
is the one who, according tosomeone who already realizes forgiveness someone who no
longer realizes when it should stop thatdrinking causes him problems and still does it
when you already hurt and still cannot stop. We read the same thing,

(53:45):
not being able to stop part ofall this is that compulsiveness. Those
wishes do not stop, as wehave said on many occasions, One is
too two are enough for us.The first one you have is the one
you have to avoid, the firstone that, maybe it takes you on

(54:07):
that road that you won' tbe able to have is the most important
one, that' s the oneyou have to say no to, because
then there' s no way.Two, three, four or five won
' t be enough to quench thatdesire you have. One is too two
is not enough. Well, analcoholic or addicted person is one who,

(54:31):
according to Hector, two, two, eight, six, that person whose
priority is alcohol, above his family, work, friendships, healthy, rest,
etcetera. Right. I think here, in part, is what it
means to us in I don't know if you' ve seen it.

(54:55):
It is a TV game where peopleare asked certain questions and they answer
and sometimes they answer mainly because basedon their experience and according to the number
of people who respond, the personwho participates, because they have to reach
a certain number of points. Today' s exercise is practically that It'

(55:21):
s not saying what it means toyou, because in part I' m
sure that what you' ve respondedto defines you is what you live.
That definition that applies to your situation, or applied to your situation, and
I' m sure that maybe,but in all of them applied the same

(55:43):
way when at least one approach wasthere and in part that doesn' t
serve as an experience to see thatthere are many people who can go through
the same thing as you and thatthere are also many people who could help

(56:05):
you, because they understand the problemthat you' re going through, that
compulsiveness of not being able to stop, that possibility of putting your life or
that of others at risk, thatof putting alcohol on top instead of your
family, your job, truth,when you no longer realize or you don
' t want to realize, youwant to ignore completely that you already hurt

(56:29):
others that you don' t careabout, but that others too. To
all this, there is one lastanswer that is put last in a moment,
to which I thank Chris the saucahe wants to comment on the question.
An alcoholic or addicted person is onewho cannot manage emotions. He'

(56:53):
s an ultra- sensitive person.And why I didn' t necessarily wait
at the end to read it aboutChris, because, after all, it
' s the last comment, becausethat also again defines me as well as
maybe I' m defining Chris andI certainly feel identified with the other comments.

(57:14):
To say, you cannot stop withthis particular crisis comment, to be
sensitive, ultra sensitive and not beable to manage our emotions. It'
s worth asking yourself, yes,for that, that one is too much
and two isn' t enough.Answer this for that first What leads you

(57:34):
to say yes, to that firstone and to a large extent I'
m sure it' s because wedon' t know how to manage those
emotions and because we' re ultrassensitive people. I' ve talked about
it before in another episode. Thoseof us who have a problem with substances
in the vast majority are very sensitive. I do not say that at the

(57:58):
time I quoted it from another source, but I also give it validity and
because I also identify the truth.I' m a very sensitive person.
And I don' t mean toget angry too quickly or to start crying
about any little thing or that I' m offended. That' s not
what I mean. I mean thesensitivity to the things that happen around me,
to the sensitivity to the emotions inwhat wakes me up. In those

(58:22):
things you only know it, you? If you' re sensitive, you
know what I mean, I insistyou don' t have a short fuse
and you' re pissed off aboutanything. That' s not what I
mean. I' m interested inpissing you off. By the way,
I' m going to start using, although this podcast will not be vetoed
to any kind of conversation or wordor ideological, as long as it doesn

(58:45):
' t offend anyone else or goagainst any other way of thinking that anyone
else has, it will always beopen to expressions. However, sometimes I
' m going to have to startat the best, to put vip to
certain words, because I don't want that because that' s why,
since right now certain services, alreadytranscribe what the text, what the

(59:08):
words are saying you can also read. I don' t want to lose
visibility, that these services sanction ina certain way, because I know why
there' s a word for thebest. Then I would not want it
to lose visibility and not reach thepeople who had to arrive, because perhaps
that service would not be offering him, because he thinks that the best is

(59:32):
vulgar or that I do not knowthat it is true that it has happened
to me on many occasions, eitherto me or to the people who participate.
However, if you listen to anyBIEB from time to time that'
s the explanation comes out, it' s not honestly censorship on my part.
Rather it is to prevent platforms likeSpotify, Apple or any other service
from offering podcast as such to otherpeople who may need it. For thinking

(59:55):
that, perhaps there is some riskin matters of words that should not be
there. It' s good.Thank you very much to the people who
participated in the question of the week. Also, in fact, I want
to give the opportunity to respond toforgiveness, to share Oscar' s response,
which was the last. Perhaps Ichanged the question the truth on several
occasions because I saw that nothing elsegenerated any answer. But here we were

(01:00:21):
to the question I put in theepisode of Manuel, where he shares his
relapse, the experience with relapse,the answer to the question what steps he
must follow to recover from a relapse. Oscar' s answer is as follows.
Call for help. Don' tbe so hard. With yourself understanding
that it' s part of aprocess not to think about what the end
is, not worth less, raiseyour head and come back with more strength,

(01:00:45):
is everything going to be okay?And, in fact, thank you
very much, Oscar. I knowthat you did this practically in the morning
today and the truth that I thankyou very much because, in the end,
this comment includes anything that I toocould say. I wish, and
anyone else would probably say the samething. Call for help. Don'

(01:01:07):
t be so hard on yourself tounderstand that it' s part of the
process, don' t think aboutwhat' s the end, you'
re worth less to have fallen,raise your head and come back with more
strength, everything' s going tobe fine. It' s very complicated
to go through those first days,as Manuel told us in his episode and
as you do, the best thingyou know every time you have to start

(01:01:28):
over with a new attempt is verycomplicated. However, we' re still
here You' re still here.I' m sure you' ll keep
trying. Then relapses are necessary.It was the survey. It was five
votes for some reason I don't know. Tell me, please,
if you heard the episode of Manuel, the last one published, the episode
number one hundred and sixty- eight. Tell me if there was anything there

(01:01:50):
that might have taken away your motivation. There was something that, perhaps,
did not encourage you enough, maybeit diminished that desire to participate, because
it was also, in fact,notoriously low to what we are used to.
But anyway, thanks are due tothe five people who voted for relapses
are necessary. Three say yes,one said no and one even dared to

(01:02:15):
say that relapse is failure. Thenthere are many ways of thinking. Use
what serves you if for the personwho responded that relapse is failure. The
truth I fervently hope that if youhave gone through or if you are going

(01:02:37):
through a relapse, that the truthwill open up the possibility not to consider
it that way that it is nota failure that is if we sometimes use
it in a very easy way tosay that it is part of the process
and sometimes we allow ourselves more thanwe should. However, when you'
re doing it with all your heart, you just know if you' re

(01:03:00):
doing it as if that' sreally something you want and you' d
change a lot in your life,if you could not, not consume I
mean. If that' s yourfervent wish, then please, I hope
you open the possibility in your mindand heart not to feel failed, that
it' s part of that processif you' re using it just to

(01:03:21):
say no, because to allow meto suck from time to time, because
I say it' s part ofmy process. After all, I'
m trying. Maybe that would besubject to us talking about it and discussing
it probably. But if it's for you to fail, please,
please, please, give yourself achance not to see it that way.
I understand and share what Beltrán isabout. Said I say it again,

(01:03:44):
ask for help not to be sohard on yourself to understand that it is
part of a process. Don't think it' s the end.
You' re worth no less tofall back and raise your head and come
back with more strength. It's gonna be okay. Sale I also
want to give opportunity to the commentthat came that, although it is already
an episode that has already been closedas such, I am going to accommodate

(01:04:06):
all the people who participate, sobe it, from episode number one to
the episode where you listen at thismoment. If you comment here, then
you' ll be in Spotify,episode number sixty- six. What event
in your life has left you markedand may have influenced your way of being.
Chris la Sauga, who also participatedin the comments of the previous episode,

(01:04:28):
comments on the following. My father' s death? My father'
s death? When I was sixyears old and we go back to the
same thing the events that define usfor the most part as the adults that
we are happen when we are infants, and that still strengthens my conviction that
Dr Gabormate. If you' reright, right, then I' m

(01:04:50):
so sorry, Chris, that youlost your father when you were six.
The truth is, I' msure that' s something that, in
fact, I don' t understand. I mean, not having lived,
it' s very difficult to understand, so you' ve had to go
through. However, my sympathy andempathy with you, because losing a loved
one I think no matter how oldit is is one of the strongest,

(01:05:13):
strongest things we have to go throughif not the most not, but well,
there we are then with today's episode. What part of the
spectrum you' re going to haveto ask is what I' m going
to leave when you ask in Spotifytoday for all those who want to participate
and I hope those who respond willmake real sense. No. Which part

(01:05:39):
of the spectrum you fell on youcan share the number with me or you
can share the level with me.According to the method, remember that slight
is one, two or three.If you answered yes to one or two
or three of the questions, you' re mild, you' re moderate,

(01:06:00):
if you answer this four or five, and if you answer six or
more, you' re intense.It' ll be nice if you shared
with us. I' m goingto put there when I say it,
I got seven, I got seven, cis four us and I fit into
the intense. I' ll leaveit there as a question of the week
so I hope and you can tellme what. If you want to share

(01:06:20):
it, remember here you don't judge if you want it, if
you want to mail it to me. If you mean you know what it
is you don' t. Idare put it in Spotify. Don'
t think I mean, I'm eleven and people are gonna judge me.
And okay, I get it.Send me an e- mail to
Gregory arroba das addiction. Share withme how much you got, how much

(01:06:41):
you said yes. Sorry, whenyou got it, it' s a
grade to how many you answered yes. By default, you understand how many
you said no. And now,obviously, I' ll calculate the level
and share it honestly. A personwho sent me an e- mail fell
into this. I won' tavoid names. I' ll avoid anything
you think can happen to you inany situation you think you don' t

(01:07:02):
want to go through, come out, then there' s an e-
mail. So Gregory throws god addictionat me as well as what level you
fell on, if you' reout there if you want to participate,
remember that door, if it's still open. I say it too
we never know when you can changehis life. Ale even when you'
re going to change someone' slife because maybe something you tried and maybe

(01:07:23):
it worked out with you, maybeit can' t help someone to maybe
give them an idea to say"golly" to maybe. I can try
the same thing, or maybe Ican say," Wow, I don
' t have to wait for whatshe did or what he did. Then
maybe I have to make changes rightnow, if you' re in a
position to do it, please doit. Get in touch with Gregory Arroba

(01:07:45):
Goodbye addiction com and then we'll be communicating. And if it'
s just to say hello, thenI thank you very much, too.
True remember then you can subscribe yourself, you can go to the YouTube page.
YouTube com Diagonal Goodbye addiction. Ithink we need to put up a
robbery. I had to try itbefore. I think so, YouTube com
Diagonal Arroba Adios addiction I' mgoing to leave the leagues, as I

(01:08:10):
always do, no matter what youwant to check there I have unthinkable to
put precisely one episode this week.Now it does have true true true or
lightning there is going to be anepisode in the middle of the week on
YouTube still thinking if it is sentgood, but I keep working nothing more
on the setup and practicing a littlemore so that it is done more.
Let' s say simple to do, but finally the invitation there is.

(01:08:33):
Remember then what people, what theylove you. Remember that there are people
who want to see that superre isyour addiction. Don' t turn your
back on them, face them andask them for help. You' d
be surprised to see how many peopleare ready to help you, to give

(01:08:55):
you that hand you need so much. If you' re in a position
to help someone else, please don' t refuse to do it. There
' s a lot of value inyou being part of this solution. If
you have someone there, either infront of you, either by your side
or at a distance, give yourselfa chance to help that person, because

(01:09:16):
you never know when you can changehis life. Here we are, then
we hear each other in the nextepisode. My name is Gregori Chiñas and
this was an episode more Dadio addictiondo the caution

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EP169 - Comprensión del trastorno por consumo de alcohol

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.css-14f5ked{margin:0;word-break:break-word;display:-webkit-box;-webkit-box-orient:vertical;box-orient:vertical;-webkit-line-clamp:2;overflow:hidden;}EP169 - Comprensión del trastorno por consumo de alcohol