Sheila Nevins | 10/03/2009 6:00 am
Jeremy Hit Rock Bottom, by Sheila Nevins
What do you do with a child, relative or friend who is an addict?
Is addiction a moral failure?
Is it a treatable disease?
Is addiction a moral failure?
Is it a treatable disease?

© Shutterstock
I went to a funeral today. The dead person was a 19-year-old boy. He had overdosed on cocaine and alcohol. He fell against a bathroom sink during a cocaine seizure, lapsed into a coma and died in the hospital four days later. Someone had dialed 9-1-1 too late and disappeared. The sink detail was in the police report. All names are changed in this sad story for obvious reasons. This beautiful child was dead forever. We’ll call him Jeremy.
His mother, my good friend, wept uncontrollably. Six months earlier, after seven rehabs, AA, NA* and CA* meetings all to no avail, my friend Marcie had decided to throw Jeremy out of the house. She told me that he had exhausted her patience as well as her finances. She had been advised to let him hit rock bottom. She wept, curled up on my lap sobbing, whispering hoarsely that she had herself been overdosed on the prevailing diagnosis of being unduly complicit in her son’s addiction. She had been advised that by sheltering him, she had been an enabler – allowing her son to continue his abuse. "I’m letting him go," she said one day, surprising me. "That’s what I’ve learned to do." She now blamed herself.
Marcie said she was left with one child, her daughter, Mandy. Mandy turned 17 three days before her brother’s funeral. I had known Mandy since she was 6 lb. 3 oz. – a perfect baby girl. Then Mandy started having seizures and was later diagnosed at five as epileptic. Marcie and I went to many neurologists together. Finally Mandy was put on some seven various medications and they seemed to mostly work. Her seizures were milder and, though slightly tremulous at times, Mandy led a relatively normal life. She was high school valedictorian, had a solicitous boyfriend, lots of girlfriends and bragged outrageously over her Ivy stripes – with early admission to Radcliffe.
Jeremy was another story. He had always been a difficult child. Handsome, funny and – in spite of it all – sweet. At an early age he was diagnosed with ADD*. Jeremy had tantrums, was completely disorganized and totally unpredictable. Little things would set him off. At 13 he was smoking and drinking and lying about it. By 15 he was doing illegal drugs – alcohol, cigarettes, then ecstasy and soon speed. Nothing helped. Jeremy’s father was remarried and Marcie was unable to get her ex to help her with their only son. She tried. A single parent, a working mom, she went to Al-Anon where she found like-minded mothers that had successfully taken a hard- line with their kids.
She decided to follow their m.o. She changed the locks and tossed Jeremy out of the house. "If you can’t come home clean," she said, "don’t come back!" And when she slammed the door she felt uneasy but correct in her behavior.
Marcie hadn’t heard from Jeremy for the six months. She was worried sick, sleepless and fearful. And then one evening, the tragic phone call … "Mrs. Hanratty?" "Yes, this is she." "This is Sergeant Adams and I’m sorry …"
I held her hand at the cemetery. Jeremy was buried next to his adoring grandmother and grandfather. They had lived to 80 and 85. Long lives. I wondered in my heart if Jeremy was responsible for his addiction? Was it treatable? Had Marcie given up too soon? Was enabling a bad thing if it brought more time to live life and more time for hope? Was addiction Jeremy’s moral failure? Did he suffer some mental disorder? Mandy’s epilepsy was deemed neurological and not her fault. Was addiction a disease, possibly genetic, a mental illness, treatable?
I don’t know – but what I do know was that tough love had allowed Jeremy to hit rock bottom and in this case it meant no more.
*NA = Narcotics Anonymous
*CA = Cocaine Anonymous
*ADD = Attention Deficit Disorder
His mother, my good friend, wept uncontrollably. Six months earlier, after seven rehabs, AA, NA* and CA* meetings all to no avail, my friend Marcie had decided to throw Jeremy out of the house. She told me that he had exhausted her patience as well as her finances. She had been advised to let him hit rock bottom. She wept, curled up on my lap sobbing, whispering hoarsely that she had herself been overdosed on the prevailing diagnosis of being unduly complicit in her son’s addiction. She had been advised that by sheltering him, she had been an enabler – allowing her son to continue his abuse. "I’m letting him go," she said one day, surprising me. "That’s what I’ve learned to do." She now blamed herself.
Marcie said she was left with one child, her daughter, Mandy. Mandy turned 17 three days before her brother’s funeral. I had known Mandy since she was 6 lb. 3 oz. – a perfect baby girl. Then Mandy started having seizures and was later diagnosed at five as epileptic. Marcie and I went to many neurologists together. Finally Mandy was put on some seven various medications and they seemed to mostly work. Her seizures were milder and, though slightly tremulous at times, Mandy led a relatively normal life. She was high school valedictorian, had a solicitous boyfriend, lots of girlfriends and bragged outrageously over her Ivy stripes – with early admission to Radcliffe.
Jeremy was another story. He had always been a difficult child. Handsome, funny and – in spite of it all – sweet. At an early age he was diagnosed with ADD*. Jeremy had tantrums, was completely disorganized and totally unpredictable. Little things would set him off. At 13 he was smoking and drinking and lying about it. By 15 he was doing illegal drugs – alcohol, cigarettes, then ecstasy and soon speed. Nothing helped. Jeremy’s father was remarried and Marcie was unable to get her ex to help her with their only son. She tried. A single parent, a working mom, she went to Al-Anon where she found like-minded mothers that had successfully taken a hard- line with their kids.
She decided to follow their m.o. She changed the locks and tossed Jeremy out of the house. "If you can’t come home clean," she said, "don’t come back!" And when she slammed the door she felt uneasy but correct in her behavior.
Marcie hadn’t heard from Jeremy for the six months. She was worried sick, sleepless and fearful. And then one evening, the tragic phone call … "Mrs. Hanratty?" "Yes, this is she." "This is Sergeant Adams and I’m sorry …"
I held her hand at the cemetery. Jeremy was buried next to his adoring grandmother and grandfather. They had lived to 80 and 85. Long lives. I wondered in my heart if Jeremy was responsible for his addiction? Was it treatable? Had Marcie given up too soon? Was enabling a bad thing if it brought more time to live life and more time for hope? Was addiction Jeremy’s moral failure? Did he suffer some mental disorder? Mandy’s epilepsy was deemed neurological and not her fault. Was addiction a disease, possibly genetic, a mental illness, treatable?
I don’t know – but what I do know was that tough love had allowed Jeremy to hit rock bottom and in this case it meant no more.
*NA = Narcotics Anonymous
*CA = Cocaine Anonymous
*ADD = Attention Deficit Disorder
Read more about: Addiction, Al-Anon, Alcoholics Anonymous, Death, Drugs, Family, Health, Narcotics Anonymous, Parenting, Relationships
























132 Reader Comments (so far…) Sign In or Register to comment
I am sorry that this family lost Jeremy, a teenager, but I am equally sorry for the families out there that lose any family member to addiction. My grandmother died of alcoholism/anorexia and the toll on my parents was unending and still is today. They tried hard love and isolation as a last resort but that just made her attempts at control over the family more desparate. In the last two months of her life, she was in a hospital and would only drink liquor, not even eat anymore. When she died at the fairly young age of 59, there were worries over the should have’s and could have’s but that didn’t change anything. I don’t have any memories of when my grandmother was "normal" before the addiction but I do have memories of the bad times. As a young child in a full house, I think my parents did the right thing to throw my grandmother out.
This is also the best choice for an addicted child. It’s not just the influence on myself and my younger siblings that would have been a problem or the drunken fits but the time that my parents had to spend babysitting my grandmother while my siblings and myself watched this behavior. And while tough love was a tough choice, it wasn’t the first. First is always the invention, the couseling, the rehab, the promises, the lies, and repeat. Last decision was the isolation.
I know that my parents still suffer for the choices they made and how they hated losing a mother, but I feel as if they gained a better life for myself and my siblings. A life free from substance abuse and focused on raising a family.
What a sad story—I loved my Grandmother so much I just can’t imagine that both of you lost out on a special relationship.
I do agree that if you have small children around it makes the situation different for all.
Unfortunatly most have families and many have small children.Thats the cycle of it all.
I am sure your parents suffered because they did all they could—it was not their fault they didn’t cause it,
Actually it shows what kind of people you come from that they would try the very best they could to get her help.
The whole point here is there are choices now—
there didn’t used to be-
now that medical science is starting to treat addiction like the disease it is and educate the public
maybe that will give Hope that sometime things do not have to end badly.
Drinking gallons of alcohol is not a illness. It is something people do to feed their addiction. How did they become addicted? By drinking gallons of alcohol.
Do all of you have the same feelings for Rush Limbaugh? I bet some of you don’t. I’m sure many Obama supporters have lashed out at Limbaugh because of his painkiller addiction. What happened.
Lessons learned: As the sister of an addict (who was born with the disease because his biological mother was too selfish to stop drugging while she was pregnant - yes he is adopted) I can tell you it’s about LETTING GO. If you are in a relationship of any kind with an addict, you are learning at least one lesson in life about how to let go.
The only thing you can control is yourself.
Being in a relationship with an addict will give you the biggest learning opportunity for letting go you’ll probably ever have in your life.
People will confuse what I’m saying here so I’ll explain quickly that there are degrees of letting go. One does not have to walk away or shut someone out of their life. But, you can allow yourself to let go of guilt, shame, disgust, fighting, worry, allowance, etc. You fill in the blanks.
I don’t believe anyone really knows what to do to help an addict. My personal experience is these "experts" are like the blind leading the blind. I don’t buy into half of the stuff they pass on. I do believe they are doing their best, but that they just don’t know what to do really. This is because it is out of their control. Only the addict can decide.
Forgiveness is the hardest part of it. People forget that forgiving someone isn’t done for the person you are forgiving, but for yourself. It allows you to let go. You don’t have to forget what they’ve done either. But, you can move forward then without hanging on to emotions that won’t serve you or the addict. This is probably the most difficult part of the process. I’m still working on it.
Thank you for reading this post.
I agree with Frank Somsel NA is not good if you already quit. That is my opinion. Get in with a more positive group, not poor me, poor me a drink type people. Ask a person who helps others like wounded soldiers, volunteer at a hospital or soup kitchen. In NA they reinforce that they are sick, stinking thinking. they say I am an addict every single day year in and year out. If it works for you then god bless. Others troll for drugs of newcomers to buy off of them. Some get right into a relationship which triggers a lot of feelings they are not ready to handle, and they relapse, get violent, and some have success and get married which some do last. i know a couple who have been married for fifteen years now but, they are the exception.
Many of them are newly diagnosed with HIV, some do not know yet and have sex and pass it on. I’ve seen it happen. They are dropping like flies in these meetings. They say they have low self esteem. They say they are no good. They tell them that all drugs are bad even if they need them for a number of real neurological reasons.
Once off drugs there is a lack of serotonin and dopamine in the brain, and send them into a depressive spin. I had a friend who would still be alive if he didn’t go to NA where they forced him through guilt, to get off methadone which he just started. So he got off all the drugs and they all clapped and he struggled so hard, he was a suicidal mess, his girlfriend through him out so he went to live with father and was having a very hard time for his father was an alcoholic, but they said no, don’t go back on methadone. His mother ran away, and his family didn’t know where she was, and then I heard he died of a heroin overdose, it hurt me so very bad, I cried and cried, and then his sister who I also tried to help also went to NA got off the methadone, and she died of a heroin overdose for she loved her brother so much. I saw it in the paper. She worked for David Lettermen eighteen years ago as the Girl on the street talking to people before the show. She had so much to live for. Another older friend who was in the news, holding his teddy bear, was featured as a recovered addict. He got into a relationship and died by hanging himself a year later. He needed meds. It was a never ending thing, every other week people were dying because they could not cope with the lack of dopamine, and serotonin because that is what the drugs give you, so your brain can’t make it for months or years. It was never a choice of NA that they may have needed to stay on a program, or take medication for these neurological reasons. I recently learned that benadryl enhances all the other drugs like Oxycontin, Vicodin, Codeine, Xanex, Valium, and makes the respiratory system slow down that much more.
There is a new drug called suboxone which gets you off of all i mentioned without withdrawal and takes the urge away, and is not addictive but, they don’t tell anyone about it because the drug companies and the methadone clinics will lose money. Warning… you must take subetex first, and now all doctors can prescribe it. If you try to take it on your own without the subetex first for three days you will go into immediate withdrawal. So go to the doctor and ask for it. Read about it on-line. How do I know so much about these drugs is because I used to dispense medication to violent mentally ill drug addicts before one of them attacked me and i had flashes at night of the faces. I had to resign.
I said all this so maybe it will help someone reading here.
You have my condolences, Lesley and Marcie. Please forgive yourself for you were being a good mother, and taking the best advice you could.
Good for you another great story of how another way can work for some and is much needed. My son took Campral (?sp) It also stopped the urge and he quit drugs and alcohol.
AA should never be involved with medical issues.
many addicts need anti depressants for that lack of seratonin transfer—some need anti anxiety medicine.
The stats tell us a very high % of addicts have psychological underlying issues….manic depressive-bi polar-anxiety disorder -ptsd-clinicaal depression it goes on and on……..
I always tell others if you go the medical way the addict has to have a full physical and psych eval after at least 3 days inpatient to get thru Dts. I had my son tested for HIV-hepatitis-everything under the son—-eye exam—-psych eval…..you cannot do it alone.
and boy is it hard to find a Doc who wants to treat addicts!!!!