Munn wrote this book because, as a nonbeliever, he felt the 12 steps of AA didn’t fully translate into a workable program for atheists or agnostics. This inspired him to develop the Practical 12 Steps.
I stumbled upon Staying Sober Without God while searching for secular 12-step literature for a client who identifies as atheist. Jeffrey Munn, the book’s author, is in recovery and also happens to be a licensed mental health practitioner.
Munn wrote the book because as a nonbeliever he felt the 12 steps of AA didn’t fully translate into a workable program for atheists or agnostics. (For example, the traditional version of Step 3 directs the addict to turn his/her will and life over to the care of God as they understand him. If you don’t believe in God, how can you put your life into the care of him? Munn notes that there’s no feasible replacement for a benevolent, all-knowing deity.)
The whole “God thing” frequently turns nonbelievers off from AA/NA. They’re told (by well-meaning believers) to find their own, unique higher power, such as nature or the fellowship itself. (The subtle undertone is that the nonbeliever will eventually come around to accept God as the true higher power.)
In Staying Sober Without God Munn asserts, “There is no one thing that is an adequate replacement for the concept of God.” He adds that you can’t just replace the word “God” with “love” or “wisdom.” It doesn’t make sense. So he developed the Practical 12 Steps and wrote a guide for working them.
The Practical 12 Steps are as follows:
Admitted we were caught in a self-destructive
cycle and currently lacked the tools to stop it
Trusted that a healthy lifestyle was attainable
through social support and consistent self-improvement
Committed to a lifestyle of recovery, focusing
only on what we could control
Made a comprehensive list of our resentments,
fears, and harmful actions
Shared our lists with a trustworthy person
Made a list of our unhealthy character traits
Began cultivating healthy character traits
through consistent positive behavior
Determined that the best way to make amends to
those we had harmed
Made direct amends to such people wherever
possible, except when to do so would cause harm
Practiced daily self-reflection and continued
making amends whenever necessary
We started meditating
Sought to retain our newfound recovery lifestyle
by teaching it to those willing to learn and by surrounding ourselves with
The Practical 12 Steps in no way undermine the traditional
steps or the spirit of Alcoholics Anonymous. Instead, they’re supplemental;
they provide a clearer picture of the steps for the nonbeliever.
Before delving into the steps in Staying Sober Without God, Munn discusses the nature of addiction, recovery, and the role of mental illness (which is mostly left untouched in traditional literature). He addresses the importance of seeking treatment (therapy, medication, etc.) for mental disorders while stressing that a 12-step program (secular or otherwise) is not a substitute for professional help. In following chapters, Munn breaks each step down and provides guidelines for working it.
The last few chapters of the book provide information on
relapse and what the steps don’t
address. Munn notes that sustainable recovery requires more than just working
the steps, attending AA meetings, and taking a sponsor’s advice. For a
balanced, substance-free lifestyle, one must also take care of their physical
health, practice effective communication, and engage in meaningful leisure
activities. Munn briefly discusses these components in the book’s final chapter,
“What the Steps Miss.”
Staying Sober Without God is well-written and easy to read. The author presents information that’s original and in line with current models of addiction treatment, such as behavioral therapy (an evidence-based approach for substance use disorder). Working the Practical 12 Steps parallels behavioral treatments; the steps serve to modify or discontinue unhealthy behaviors (while replacing them with healthy habits). Furthermore, a 12-step network provides support and meaningful human connection (also crucial for recovery).
In my opinion, the traditional 12 Steps reek of the moral model, which viewed addiction as a moral failure or sin. Rooted in religion, this outdated (and false) model asserted that the addict was of weak character and lacked willpower. The moral model has since been replaced with the disease concept, which characterizes addiction as a brain disorder with biological, genetic, and environmental influences.
The Practical 12 Steps are a better fit for what we know about addiction today; Munn focuses on unhealthy behaviors instead of “character defects.” For example, in Step 7, the addict implements healthy habits while addressing unhealthy characteristics. No one has to pray to a supernatural being to ask for shortcomings to be removed.
The Practical 12 Steps exude empowerment; in contrast, the
traditional steps convey helplessness. (The resulting implication? The only way
to recover is to have faith that God will heal you.) The practical version of
the steps instills hope and inspires the addict to change. Furthermore, the
practical steps are more concrete and less vague when compared to the
traditional steps. (This makes them easier to work!)
In sum, Munn’s concept of the steps helped me to better understand the 12-step model of recovery; the traditional steps are difficult to conceptualize for a nonbeliever, but Munn found a way to extract the meaning of each step (without altering overall purpose or spirit). I consider the practical steps a modern adaptation of the traditional version.
I recommend reading Staying Sober Without God if you have a substance use disorder (regardless of your religious beliefs) or if you’re a professional/peer specialist who works with individuals with substance use disorders. Munn’s ideas will give you a fresh perspective on 12-step recovery.
For working the practical steps, download the companion workbook here:
Note: The workbook is meant to be used in conjunction with Munn’s book. I initially created it for the previously mentioned client as a format for working the practical steps. The workbook is for personal/clinical use only.
Diabetes can take a toll on anyone. Michele Renee was diagnosed with type 2 diabetes at the age of 22. In this post, she describes her experience with the disease, including how it affected her mental health. She also shares the key to finding peace with her illness.
Diabetes can take a toll on anyone, if not taken care of properly. When it comes to mental health though, diabetes is known to affect certain aspects of day to day life.
Guest Post: The Toll Diabetes Takes on My Mental Health
I first found out I had diabetes type 2 when I was 22 years old. I was overly stressed and eating my feelings way more than I should have. The stress and unhealthy lifestyle were what triggered my diabetes symptoms.
I have always dealt with depression and low self-esteem, but once my symptoms were triggered, I started to deal with memory loss, and a foggy brain. The best way to describe that experience is like you learn something that doesn’t quite make sense, but you could see where the concept is headed but you still can’t figure it out.
Then five minutes later you completely forget the meaning of the concept and where it was headed. I dealt with this constantly. I was in college during this time, and I ended up failing quite a bit of classes because I just couldn’t understand what I was learning. Also, on a test day, I would forget almost everything that I had studied.
HOW I MANAGE DIABETES DAY TO DAY
I started having to keep an ongoing list of “To Do’s” and would have to revisit the list four or five times before I remembered to finish the “To Do” item.
This crossed over into my conversations with my friends and loved ones as well. Some days I wouldn’t remember what I said in a conversation from the day before. The short-term memory loss was horrible!
But once I started eating according to a diabetes diet, the fogginess and memory loss started to go away.
I also dealt with insomnia and poor sleep, and in a lot of ways that was a result of the foods I was eating. Once I changed my diet, and started exercising more, I slept a lot better.
Diabetes & Other Mental Health Issues
On top of diabetes, I also have a few other mental illnesses. One of them being bipolar disorder, rapid cycling. My highs would go for a week, then I would feel normal, then I would be low for another week, in terms of mood.
During my highs, I would often forget to eat, and that would leave me feeling shaky (a result of low blood sugar) and anxious. Some days, I would forget to eat for hours because I wanted to finish whatever inspiring project I was working on at the minute.
On my low mood swings, I would feel so depressed and sad, and sometimes even numb that I would binge eat. The binge eating would either be fast food or sugary foods (both of which I HAVE to avoid). This would cause me to feel nauseous and I would often get horrible migraines (a result of high blood sugar).
Insecurities From Diabetes
Dealing with both diabetes and my other mental health issues caused me to gain a ton of weight in the last fours years. I have gone through times where I lost the weight, then gained it back six months later.
It left me feeling very insecure, and like I had a bigger body than I actually do. I stopped taking photos of myself, and was mortified everytime I took a group photo with my friends. I found myself disgusted by my looks.
This led me to judge myself harshly when I deviated from my diet, and honestly probably pushed me to deviate more and more. The bad food was my comfort from my harsh criticism. It became a vicious cycle.
Now, I try not to judge myself as harshly anymore. After beating myself up for so many years, I came to realize that I can find peace in this illness. I have managed it with diet alone and that is honestly a huge feat.
Most people who are diagnosed have to take either insulin shots or an insulin pill. I have pushed myself to find a healthy lifestyle that works for me. Once I did that, I started practicing accepting my flaws.
That is the hardest part of learning to love yourself, in my opinion. I also gathered a really strong support system that I go to almost every day when I am feeling super low or when I am feeling extremely insecure.
I also remind myself that no one is perfect, and we are all a work in progress. I have started putting little affirmations anywhere I can; I even made wallpaper affirmations for my phone!
Mental health is hard to handle when you are diabetic, but if you learn to love yourself, the process of managing it gets easier.
What happens to your mind and body when you’re sleep-deprived? Poor-quality sleep is linked to a variety of health conditions, including obesity and heart disease. Poor sleep leads to cognitive impairment and poor judgment. A lack of sleep can even lead to schizophrenia-like symptoms! Learn why sleep is essential for health and well-being.
According to the American Academy of Sleep Medicine, about 10% of Americans struggle with chronic insomnia and up to 35% of Americans experience insomnia at least occasionally. I’m part of the 10%. I’ve spent countless nights tossing and turning, dreading the obnoxious sound of “quantum bells” (my cell phone alarm) as daylight slowly creeps in. Due to this, I’ve done quite a bit of research on the subject. (And as a clinician, it’s important for me to know the relationship between restful sleep and mental health so I can educate my clients.)
Sleep recharges us; it makes it possible for us to remember what we learned throughout the day.
We all know that basic sleep hygiene is essential (i.e. having a regular sleep schedule, refraining from watching TV or reading in bed, avoiding alcohol before bedtime, etc.) And if you struggle with insomnia, you’ve probably heard of sleep medications and supplements like Ambien, trazodone, or melatonin. We also know how vital sleep is to health and wellness. Sleep significantly impacts mood, energy levels, and overall well-being. Sleep recharges us; it makes it possible for us to remember what we learned throughout the day.
Knowing how crucial sleep is for both physical and mental fitness, I set out to explore what happens when we don’t get enough. What exactly does a lack of sleep do to a person? I sifted through the research to learn more about the impact of sleep deprivation. This post explores how sleep deprivation affects physical health, perceptions, memory, and critical thinking.
SLEEP AND YOUR PHYSICAL HEALTH
Sleep deprivation is associated with signs of aging
Sleep deprivation has been linked to aging skin. One study found that poor-quality sleepers had more fine lines, uneven pigmentation, and reduced elasticity.
It makes sense that chronic sleep deprivation is associated with signs of aging; sleep is needed for overall rejuvenation (mind and body), which includes skin cell renewal. For smooth and supple skin, high-quality sleep is essential.
A 2016 study looked at the relationship between sleep characteristics and body size/weight. Snoring was associated with having a higher BMI, a larger waist, and more body fat. (It should be noted that snoring doesn’t cause obesity; the two are simply related.)
Poor sleep quality and shorter durations of sleep were linked to larger body size and more body fat. The relationship between sleep and obesity is further explored in the next few paragraphs.
Sleep deprivation is related to weight loss and appetite
If you’re dieting, you’re more likely to lose body fat when you’re getting adequate sleep. Researchers studied participants who slept for either an average of seven and a half hours or five and a quarter hours per night over a 14-day period. Calorie consumption was the same; participants lost similar amounts of weight. However, when participants slept more, they lost more body fat; in fact, about half of the weight they lost was fat. Sleep-deprived participants lost only a pound of fat; the other five pounds were fat-free body mass. Furthermore, it was found that sleep helps with appetite control; this is due to ghrelin, a hormone that stimulates appetite and promotes fat storage. Sleep-deprived participants had higher levels of ghrelin.
If you’re watching what you eat, incorporate healthy sleep habits to maximize your efforts; adequate sleep is needed for optimal weight loss.
Sleep affects our food choices
Other studies have examined specific the ways sleep deprivation affects food choices and calorie intake. Sleep deprivation is associated with especially poor food choices the day following poor-quality or no sleep. One study found that sleep deprivation led to strong cravings for junk food. The researchers measured increased activity in the part of the brain that responds to rewards, but decreased activity in the “decision-making” part of the brain. Study participants choose unhealthy items (i.e. pizza, donuts) over fruits and vegetables.
Another study looked at total calorie intake; sleep-deprived participants consumed an extra 385 calories per day. They also ate higher-fat foods. Additionally, researchers found that a sleep-deprived person purchased items that were higher in calories when grocery shopping.
A 2016 study looked at the relationship between sleep deprivation and the consumption of high-calorie, sugar-sweetened caffeinated beverages in a sample of 18,000 adults. It was found that adults who averaged less than five hours of sleep per night were more likely to consume sugary drinks like soda or energy drinks than their well-rested counterparts. The researchers weren’t able to determine whether drinking caffeinated beverages caused people to sleep less or whether being sleep-deprived caused people to crave more sugar and caffeine; it’s likely that both are true.
Without high-quality sleep, it’s difficult to lose body fat.
Regarding obesity, sleep deprivation plays a significant role. A lack of sleep causes us to feel hungry. We crave junk foods and consume more calories. At the same time, sleep deprivation promotes fat storage while decreasing our energy levels. Without high-quality sleep, it’s difficult to lose body fat.
If you struggle with chronic insomnia, make an active decision to make healthy eating a habit; you’ll be less likely to submit to your cravings. Visit the grocery store only when you’re well-rested. Know that you may not feel like exercising; practice determination. Be mindful to counter some of the health risks associated with sleep deprivation.
Sleep deprivation is related to heart disease, hypertension, and stroke (especially if you’re a woman)
In addition to obesity, sleep deprivation is associated with heart disease, high blood pressure, diabetes, and stroke. A lack of sleep takes a toll on the heart. In a recent study, researchers looked at 24-hour shift workers. It was found that sleep deprivation led to a significant increase in cardiac contractility, blood pressure, and heart rate. Furthermore, study participants experienced thyroid changes and an increase in cortisol (the stress hormone).
Research also indicates that chronic sleep deprivation and disrupted sleep are linked to an increased risk of developing or dying from coronary heart disease or stroke. Diabetes and hypertension are associated with sleep deprivation as well.
A lack of sleep may impact women more than men. Researchers found that women who got less than eight hours of sleep per night were at a higher risk of heart disease and other heart-related problems when compared to men who got the same amount of sleep.
Chronic sleep deprivation is related to reduced immune function
Have you ever noticed that you heal slowly or get sick more often when you’re sleep deprived? According to research, chronic sleep deprivation is associated with reduced immune function. If you’re not regularly getting at least six to seven hours of sleep, you’re more susceptible to illness. Your immune system won’t be as effective at eliminating viruses and bacterial infections.
Sleep even affects your bones. One study found that chronic sleep deprivation was associated with a loss of bone mass (in rats, at least). The rats underwent sleep restriction measures for three months. A lack of sleep led to significant decreases in bone density, volume, and thickness.
SLEEP AND YOUR BRAIN
Sleep deprivation is associated with increased pain sensitivity
The first part of this post examined sleep’s impact on physical health; the next half will explore how sleep affects the mind, including the way we sense and perceive the world around us. Research indicates that sleep deprivation and/or disruption increase sensitivity to pain. Interestingly, in one study, stimulants like caffeine had the ability to “normalize” the pain sensation (meaning it would feel the way it would with adequate sleep).
In addition to the sensation of touch, sleep deprivation affects the perception of sound. A lack of sleep impairs central auditory processing (CAP). CAP is crucial for aspects of hearing such as language comprehension, identifying sounds, and recognizing patterns.
In one study, participants took a longer time identifying sounds after being deprived of sleep for 24 hours. It appeared there was a “transfer delay” (from hearing to identifying and then interpreting). To be effective, CAP requires alertness and concentration.
Sleep deprivation affects the formation of memories
We know that sleep deprivation causes cognitive impairment; the brain can only store so much information before it must recalibrate. During sleep, memories are encoded; the brain “consolidates” memories by strengthening them and transforming them from short-term into long-term memories. Without sleep, long-term memories can’t form. Short-term memories are lost and/or altered. Even procedural memories are impacted by sleep deprivation. A lack of sleep leads to forgetfulness and an inability to retain new information.
Sleep affects the way we interpret emotions
Sleep deprivation impairs your ability to interpret facial expressions. A recent study found that a lack of sleep made it difficult for participants to recognize the facial expressions of happiness or sadness. Interestingly, the ability to detect anger, fear, surprise and disgust was not affected. This suggests we’re biologically wired to recognize the emotions related to survival. The researchers hypothesized that the brain preserves functions that perceive life-threatening stimuli while sacrificing functions associated with empathy, bonding, and friendship.
“Real life” implications: If you’re majorly sleep-deprived, you could misinterpret the intentions of others, negatively impacting relationships with co-workers, family, friends, and others. Furthermore, you could read people wrong or miss important social cues; you might not respond appropriately or you could seem lacking in empathy.
When someone is sleep deprived, they’re slower to adopt another’s perspective
In addition to perception and memory formation, sleep deprivation impacts decision-making skills and thoughts, including the ability to accurately assess a situation.
If you have chronic insomnia, you might experience interpersonal problems.
Sleep deprivation affects moral judgment. In one study, participants were sleep deprived (awake for 53 continuous hours) and then faced with moral dilemmas. They had difficulty solving the dilemmas and making appropriate judgments. Other studies support this as well; a lack of sleep is related to decreased moral awareness. When you’re faced with a tough decision, especially one that involves ethics or morals, be sure to get adequate sleep. You can’t always trust your moral compass.
Sleep deprivation is linked to impaired decision making
Moral decisions are taxing if you’re sleep deprived… the opposite is true with risky ones. Sleep deprivation alters areas in the brain that assess positive and negative outcomes; sensitivity to rewards is enhanced while attention to negative consequences is diminished.
If you’re not getting enough sleep, you could lose your ability to remain positive-minded. Research indicates that individuals with insomnia have lower rates of self-esteem and optimism. In 2017, researchers found that sleep-deprived study participants were less likely to focus on positive stimuli. An inability to think positively is also a symptom of depression.
A lack of sleep can lead to schizophrenia-like symptoms
Sleep deprivation can lead to perceptual distortions, cognitive disorganization, and anhedonia (an inability to feel pleasure).In a 2014 study, participants experienced psychosis after staying awake for 24 hours. The sleep-deprived individuals reported attention deficits and being more sensitive to light, color, and brightness. They exhibited disorganized speech, which is a common symptom of schizophrenia. Participants also reported an altered sense of time and smell. Some of them actually believed they were able to read thoughts; others noticed an altered body perception. Implications? If you miss a night (or two) of sleep, don’t be surprised when you hear voices or when your reality is somewhat altered.
In conclusion, sleep deprivation, especially when it’s chronic, is detrimental to your health. Based on my review of the research, poor-quality sleep can adversely impact your skin, your weight, your cardiovascular system, your immune system, and your bones. (It should be noted that I barely skimmed the surface of an immense body of scientific data on sleep.)
Sleep is also related to brain health. Sleep deprivation impairs sensory perceptions, memory formation, the ability to assess your environment, moral awareness, critical thinking skills, and mood. Sleep deprivation can even induce psychosis.
If you’re like me (the one out of 10 Americans with chronic insomnia), in addition to practicing good sleep hygiene, go ahead and Google “CBT for sleep.” Research suggests that for some, CBT is more effective and longer-lasting than sleep medication. Do a little bit of research. CBT is not a quick fix for insomnia, but it’s worth a try; and your health and wellness are definitely worth it!
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A unique list of 37 ideas for personal growth; simple (and fun!) ways to lead a a more fulfilling and meaningful life.
If we don’t strive to meet our goals and improve on a regular basis, we become stagnant. And if we aren’t growing and learning, our minds become lethargic. This is an article about 37 simple things you can do to prevent stagnation for a more meaningful life.
1. Emotional—Coping effectively with life and creating satisfying relationships
2. Environmental—Good health by occupying pleasant, stimulating environments that support well-being
3. Financial—Satisfaction with current and future financial situations
4. Intellectual—Recognizing creative abilities and finding ways to expand knowledge and skills
5. Occupational—Personal satisfaction and enrichment from one’s work
6. Physical—Recognizing the need for physical activity, healthy foods, and sleep
7. Social—Developing a sense of connection, belonging, and a well-developed support system
8. Spiritual—Expanding a sense of purpose and meaning in life
Find additional SAMHSA links in the Links section of this site. SAMHSA is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.
In order to maintain balance and live a meaningful life, it helps to have a variety of wellness strategies in your toolbox. The following list is comprised of 37 ideas for personal/professional development, self-improvement, and creating healthy habits.
37 Simple Things You Can Do for a More Meaningful Life
1. Read one inspirational/motivational book per month or
2. Read one wellness article per week for a more meaningful life.
3. Take advantage of free classes offered at the library or through Coursera. (Coursera provides universal access to education by partnering with top universities and organizations.)
4. Take part in a new activity or event to step outside your comfort zone. (Examples: Join a book club, take a cooking class, attend a Meetup, etc.)
5. Make time for an old friend for a more meaningful life.
6. Develop an exercise routine, write it down, and then stick with it. No excuses!
7. Walk your dog (or borrow one from a friend!)
8. Complete household tasks and chores on a daily basis. Create a chore list. Don’t procrastinate!
9. Stay informed on the latest science and health news/research with sites like Science Daily.
10. Attend a workshop to learn about a topic you’re unfamiliar with.
12. Improve your posture. (And yes, there are apps for that!)
13. Read a non-fiction book.
14. Take a daily inventory; assess your attitude, productivity, etc. before going to bed.
15. Drink more water, green tea, and black coffee. (And drink less wine, beer, sugar-sweetened beverages, and soda!)
16. Practice active listening.
17. Overcome a fear.
18. Identify your “blind spots” by soliciting feedback from a trusted friend or loved one. They can help you to recognize areas for improvement by sharing their observations. (Example: You may not realize how often you complain until someone points it out for you.) Make a commitment to change.
21. Live a meaningful life with daily meditation and mindfulness. Spend a few quiet moments alone every morning, drinking a cup of coffee. Or journal before going to bed. Reflect on your day and think about what you’re grateful for. Practice deep breathing exercises or listen to guided imagery scripts. Create your own unique ritual.
22. Dress up, style your hair, apply makeup, get a manicure/pedicure/facial, wear sexy shoes or your favorite jacket… Alternatively, you may prefer to put on your comfiest clothes, sweatpants or a fuzzy sweater. Whatever makes you feel good!
23. Be optimistic. Catch yourself if you start complaining and reframe your thoughts. Always assume positive intent.
24. Complete a task you’ve been putting off.
25. Watch a TED Talks.
26. Cook and enjoy a healthy meal.
27. Learn to juggle.
28. Learn a foreign language (or sign language).
29. Practice random acts of kindness, give a spontaneous gift, or help a stranger.
30. Create a vision board.
32. Be a tourist in your hometown. (Free walking tours are often available in larger cities!)
33. Donate blood or plasma.
34. Memorize the lyrics to a song (or rap) of your choice.
35. Find a Pinterest project that interests you. Pin it and then do it!
36. Pick up trash in your neighborhood.
37. Write and mail “thinking of you” cards/postcards.
Additional ideas for a more meaningful life: Run a 5K (or 10K!) Adopt an elderly pet that needs a home.
Comment with your best ideas for living a more meaningful life.