See How These People got to Recovery from Multiple Addictions


Lisa Smith is a former practicing lawyer and the author of Girl Walks Out of a Bar, her memoir of addiction and recovery in the world of New York City corporate law. She works with law firms and other organizations to break stigma and address substance use and mental health disorders in the workplace. Smith has been in recovery from alcohol and cocaine addiction since 2004, when she went into in patient treatment and she credit that and out patient treatment, a 12 step recovery program and a combination of therapy and medication for her depression.

lisafsmith.jpg Lisa Smith – Lawyers Who Struggle With Mental Illness Shouldn't Be Afraid to Seek Help


Alcohol and cocaine fueled the start of Smith’s career, but getting clean—and sharing her story—propelled her forward.

By Dylan Jackson

Lisa Smith started her day April 5, 2004, the same as any other: unbearably hungover and propped up on a mix of booze and cocaine.

That particular routine had been standard for eight months. The heavy drinking started a decade earlier. The life of a young attorney in New York City was hard for everyone, she reasoned. A long day was washed down by a glass of wine or two. Colleagues flooded the bar after closing a deal or winning a big hearing.

Her work was outstanding. She excelled in law school and landed a coveted associate position at New York law firm Shearman & Sterling.

Her addiction came as a series of compromises: “I’m not an alcoholic; I don’t drink during the day,” she would tell herself until she began coupling her lunches with a few beers. “Ok, well I don’t drink during the morning,” kept up the illusion for awhile. Eventually, her hangovers were so rough that she started drinking in the morning. She found it smoothed her out. When even the alcohol wasn’t enough to straighten her out for work, she added cocaine to the routine.

She had long known she was an alcoholic. But she didn’t care. She ceased contributing to her retirement at 32 because she thought she wouldn’t live past 40. She worked from home to hide her addiction.

But that Monday morning, her body decided it had enough. Walking out of her door, she was hit with the sudden feeling of being overwhelmed. Her world was spinning. She thought she was dying.

She wasn’t dying. It wasn’t an overdose or a heart attack. She had a panic attack.

Faced with what she thought was certain death, Smith had a change of heart.

“For all the times leading up to that where I would wake up in the morning and wish I hadn’t woken up,” she said. “In that moment when I actually thought, ‘this is it, I am dying,’ something snapped in me, and I said, ‘no, I want to live.’”

Doctors diagnosed her with clinical depression and put her on medication. Outpatient rehab treatment and a 12-step program followed. Looking back, Smith saw her depression intertwined with her descent into addiction.

“By nature, I was always a gloomy, anxious kid,” she said. “Kids would be lining up for a roller coaster and be all excited, and all I could picture was the cart crashing to the ground.”

At an early age, Smith found reprieve in food, sneaking away to gorge on sweets. Alcohol came into her life by way of high school, and she took to it immediately. She developed a reputation for partying hard and blacking out, although she always thrived academically.

The trend followed her to an undergraduate degree at Northwestern University, then to law school, where she made editor-in-chief of the Rutgers Law Review.

She began drinking nightly her first year as an associate. Practicing law is stressful. The hours are long, and there’s always an adversary, she said. The legal industry is drowning in alcohol. Drinking lubricates conversations at stuffy galas; clients are won over wine.

Two things set Smith apart: Her then-undiagnosed depression and a genetic predisposition. Her maternal grandfather died of alcoholism. Alcohol, not networking, brought Smith to legal events. She would organize her day around drinking, planning out the hours she had to be in meetings so she knew when she could get away. She was regularly vomiting blood. Her blase attitude toward her addiction was fueled by suicidal tendencies.

Smith kept working while in recovery but kept a low profile. In her last three years at Shearman she began working in practice development. By the time she bottomed out in 2004, she had taken a client development position at Pillsbury Winthrop Shaw Pittman. A year after hitting her lowest point, she moved to Patterson Belknap Webb & Tyler as marketing director. She didn’t bring up her sobriety when she interviewed at the firm. It wasn’t their business, she felt, and she shared her story with a select few.

Smith said that she was lucky that sobriety stuck. It helped that her doctor correctly diagnosed her the first time, which is rare.

“I felt relieved,” she said.

She takes her medication “religiously,” although she still experiences depressive episodes. She was also fortunate that she was able to come home each day to a nice apartment and hold on to a lucrative job. For many, recovery comes with court dates and fees, an imploding social life. She wasn’t forced to quit drugs and alcohol; she wanted to.

She wrote privately about her experience. She found it cathartic. Deep into a bender, she would always tell herself she would write a book. And after arriving at Patterson in 2005, Smith compiled her writing and landed a book deal for her memoir, “A Girl Walks Out of a Bar.”

While she was elated, she knew the truth would have to come out. She made her way from partner to partner to share her story. During those conversations, her fear melted away.

“I was nervous. I didn’t know how I would be perceived,” Smith said. “What I found in that process was that inevitably people would say before I finished my story, ‘oh, my cousin. My roommate. My neighbor.’ Everybody knew somebody. And a lot of people I told had questions. They have this issue in their lives in some form. And they want to help.”

Smith is not advocating to abolish booze from the profession. Instead, she wants attorneys who are too afraid to ask for help to come out into the open. She wants law firms to look at addiction from a risk-management perspective. At the very least, she wants an open conversation. A person is only high-functioning for as long as they can keep up the illusion and avoid catastrophic mistakes, she said.

“They’re high-functioning, but also high-risk,” she said. “You’re high-function until you miss a big hearing, or mess up a contract.”

Smith has also found that, while successful, alcohol held her back from reaching her full potential. All of the days she worked from home could have been spent in the office brainstorming with colleagues.

Smith is now a deputy executive of client relations at Patterson, a job she was elevated to five years ago. She has been sober for 15 years. And sobriety has become part of her identity. She co-hosts a podcast, Recovery Rocks, and tours the country giving speeches at law firms, bar associations and law schools.

“It’s important for us to raise our hands and put a name and a face to it,” she said. “It shouldn’t be incumbent on the people who struggle with these issues to find the solution.”

This story is part of a special report on mental health and the legal profession from Minds over Matters.

Investigative Report: Mental Health Issues and Substance Abuse Threaten the Legal Profession


We wanted to help delve into why depression and substance abuse are so pervasive in the legal industry.

by Kristin Johnson

Ervin Gonzalez, was a top Miami civil lawyer, beloved partner of the prominent Coral Gables law firm Colson Hicks Eidson, and renowned for not only his charismatic and warm demeanor but as “a trusted, go-to trial attorney.” Despite his stellar reputation and an enviable record of 33 verdicts of at least $1 million or more, Gonzalez committed suicide in June 2017.

At 38, Lisa Smith was living in a bright, beautiful New York City apartment and had a high-powered job at the prestigious Manhattan firm Pillsbury Winthrop. She also drank day and night and turned to cocaine to “straighten up enough” to perform her duties at the firm.

Experts say that Gonzalez and Smith aren’t isolated cases. Not by a long shot.

A Johns Hopkins University study of more than 100 professions revealed that lawyers are 3.6 times as likely to be depressed as people with other jobs, while the landmark 2016 American Bar Association (ABA) and Hazelden Betty Ford Foundation study determined that 28% of licensed, employed lawyers suffer depression. The study also showed that 19% demonstrate symptoms of anxiety and 21% qualify as problem drinkers.

Attorney Patrick R. Krill, lead author of the ABA/Hazelden study and a recognized authority of addiction and mental health issues in the legal profession, says the data “paints the picture of an unsustainable professional culture that’s harming too many people.”

Krill points to the impact of the experience of the profession, which begins even before the J.D.’s are awarded. And Smith, now Deputy Executive Director and Director of Client Relations at Patterson Belknap Webb & Tyler LLP and author of the addiction memoir, Girl Walks Out of a Bar, can attest to that, highlighting the very different dynamic of law school.

“Instead of being in school with friends, we found ourselves pitted against each other all the time, particularly with the use of the Socratic method,” Smith says. “We were constantly being ranked and there was this sense of ‘my gain is your loss’ that permeated our entire experience. It was a different kind of pressure to succeed and a much more pronounced level of stress than I had previously faced.”

That stress skyrockets when graduates are launched into practice. Smith by her own admission had always done “everything right.” An exemplary high school record lead to admission into Northwestern University. After receiving her B.A., she then went off to the Rutgers School of Law, where she served on the Editorial Board of the Law Review, graduated at the top her class, and ultimately landed a job at a prestigious law firm in New York City…along with 90 other highly qualified first-year associates.

“I was a perfectionist, and I always did well. And now [at the firm] I was competing against all of these people whose credentials were equally as good as mine,” she recalls. “It was a very charged, very competitive environment.”

Not to mention demanding. Deadlines, long hours, excessive workloads, and client pressures together make the practice of law one of the most stressful careers.

This unrelenting pressure, Krill notes, puts lawyers at odds with the types of things one does to support mental health, such as rest (actual sleep or downtime for recharging), exercise, and quality social connections.

The tendency to prioritize winning and achievement rather than well-being and happiness also compromises mental health.

Yet, despite the deficit in mental health, lawyers are not feeling sufficiently supported to seek help. According to Whitney Hawkins, a licensed psychotherapist in Miami, the majority of lawyers continue to feel isolated and shameful when they are unable to measure up to unreachable standards in the legal community.

“Lawyers are fearful that if they share they’re struggling with anxiety, depression, or substance abuse they will be seen as incompetent or unable to complete their duties at work,” she says.

Smith concurs. While she has since gone public about her addiction and depression, she only did five days of detox before returning to work.

“I was really terrified of the stigma,” she says. “The day I checked into detox, I told work I had a medical emergency and would be out for five days. I knew that because of HIPAA, I could safely be out for five days without a doctor’s notice. Any longer would require that I admit to what was really going on.”

Although Smith had been privately struggling with addiction and depression for 10 years, she was still highly regarded as a respected, trusted, and smart member of the team.

“I couldn’t risk becoming someone, who in their eyes, was weak, deficient, and unreliable,” she says.

Today, however, momentum is building around lawyer mental health and well-being, particularly in response to The Path to Lawyer Well-Being: Practical Recommendations for Positive Change from the National Task Force on Lawyer Well-Being, which was prompted by the ABA/Hazelden study.

The Path to Lawyer Well-Being is a 72-page report by the National Task Force on Lawyer Well-Being that outlines recommendations around what needs to be done in order to address and improve lawyers’ well-being. The report’s recommendations focus on five central themes:

“Identifying stakeholders and the role each can play in reducing the toxicity in the legal profession; eliminating the stigma associated with help-seeking behaviors; emphasizing that well-being is an indispensable part of a lawyer’s duty of competence; educating lawyers, judges, and law students on lawyer well-being issues; and taking small, incremental steps to change how law is practiced and how lawyers are regulated to instill greater well-being in the profession.”

Since its publication, the report has been carefully reviewed across the country and states are starting to form task forces to roll out recommendations. The Florida Bar, for example, has already launched a new Special Committee on Mental Health and Wellness.

Also, last month the American Bar Association’s House of Delegates adopted a resolution “urging bar associations, law schools, lawyer licensing agencies, and legal employers to step up efforts to help attorneys with mental health and substance abuse issues.”

Krill is hopeful.

“After decades of refusing to acknowledge our profession’s problem with depression and addiction, we finally seem to be moving in the right direction,” he says. “Truly improving lawyers’ well-being requires long-term culture change. At the end of the day, lawyers are humans. We must focus on their well-being.”

12 Women-Led Recovery Podcasts to Listen to on Your Commute


These podcasts will leave you feeling inspired, informed, and less alone

by Irina Gonzalez

One of the most important parts of my recovery has always been to keep learning. I continue to expand what I know about sobriety and how to handle my new life sans alcohol. Although everyone comes on the sobriety journey for different reasons, there’s one thing that I bet all of us can agree on: the importance of learning about sobriety and recovery.

That’s where listening to a great recovery podcast (or 12!) can come in.

We sober folks are major beneficiaries of the podcast boom because there are so many great shows that focus on life after alcohol and drugs. This growing medium is a powerful way to hear other’s recovery stories and learn from their journey.

The best part, though? You can do it all from the convenience of your own home or during your commute to work… or any other time that you need a little time to escape. Below are some of our favorite recovery podcasts that you simply have to check out and subscribe to.

1. Seltzer Squad

Jes Valentine and Kate Zander are two friends who gave up drinking and started a podcast. This fairly new venture was started because they were sick of going to a bar and watching their friends get drunk. So, instead, they’re on a mission to create a community about getting sober, talking shit and, yes, drinking seltzer.

We love this podcast so much that we’ve featured Valentine and Zander on Saturday Scaries!

Recommended episode: “13- Princess Fomo And The Babysitters Club”

2. This Naked Mind

Annie Grace, the author of The Naked Mind: Control Alcohol, Find Freedom, Discover Happiness & Change Your Life, hosts a podcast of the same name. In the 150-plus episodes of the show (so far), Grace gives listeners insightful information on how to stay sober, answers reader questions and features stories by This Naked Mind coaches, and members of her community.

Some of the episodes discuss alcohol withdrawals, the link between drinking and binge eating, how to deal with loneliness and so much more.

Recommended episode: “EP 130: Reader Question – How to deal with loneliness?”

3. Recovery Rocks

Tawny Lara, founder of SobrieTea Party, and her friend/mentor, Lisa Smith, got together to create this podcast to talk about recovery and rock ‘n roll. That’s right, rock ‘n roll!

The really exciting thing about this podcast is that the two friends come from different generations—one is a Gen X lawyer in 12-Step recovery, and the other is a millennial who found recovery through blogging—which gives them plenty to talk about as they discuss the issues for those of us who struggle and recover. They have different perspectives, of course, but also find much in common—and you’ll find much in common with them as you listen.

Recommended episode: “Episode 14: Sober Sex”

4. Editing Our Drinking and Our Lives

Another great buddy podcast on our list is the EDIT podcast hosted by Aidan Donnelley Rowley and Jolene Park. In this podcast, the two friends aim to talk about why they made an “Early Exit” from the drinking life as well as what it means when you live inside of the gray area of drinking.

They also discuss the ongoing edits- or changes- that they are making in their own lives, such as talking about social media, grief, relationships and the moderation question.

Recommended episode: “#Dry Life + Social Media”

5. The Bubble Hour

Jean M. is a sober woman who started The Bubble Hour podcast because she wanted to break down the walls of stigma and denial around alcohol use disorder. In her podcast, which has more than 200 episodes, she invites guests on to discuss the various areas of sobriety and recovery that affect all of us today. This can mean talking about anything from early recovery to how to plan for a new year to celebrating your soberversary.

Recommended episode: “Kate’s Story: Alcohol-free by choice”

6. Recovery Elevator

Another popular recovery podcast that has upward of 200 episodes is Recovery Elevator. In this one, each episode focuses on a particular aspect in recovery. Recovery Elevator emphasizes how to overcome difficult parts of sobriety while also making room for the good parts.

For instance, a recent episode talks about the “joy of missing out” and how that can be one of the most powerful forces in recovery. Other highlights include the mindset of sobriety, the calories of alcohol and how normal drinkers view addiction.

Recommended episode: “RE 204: Should I Avoid Social Events Where Alcohol Will Be Present?”

7. The Unruffled Podcast

Sondra Primeaux and Tammi Salas host this weekly show. Their aim is to explore all of the topics that are related to creativity in sobriety. Cool, right?

Here’s their thinking: “When an addiction is removed, there is a void that is left.” This show’s aim is to find ways to fill that void through creative pursuits. In each episode, they interview someone in recovery about their sober journey and creative pursuits.  

Recommended episode: “Episode 88 – Before The Relapse”

8. Mother Recovering

This podcast is all about #mommyingsober: It’s perfect for women who are committed to both their sobriety and their kids. Although the show isn’t currently releasing new episodes, the archives are incredibly rich if you’re a mother in recovery.

In fact, you might be surprised to find that parenting is a lot like recovery. “It’s a beautiful, challenging, exhausting and rewarding process that provides the sweetest moments of joy,” podcast host Annika wrote on the official podcast website.

Recommended episode: “Episode 17: Help a Mother Out”

9. A Sober Girls Guide

Want to listen to a super-relatable podcast on sobriety and recovery? Then tune in each week to A Sober Girls Guide.

Jessica Jeboult hosts these insightful conversations about mental health, self-development, wellness, and spirituality and their influence the recovery journey. She’s hosted fantastic guests including Taryn Strong of She Recovers and Martha Duke of Recovering Out Loud.

Recommended episode: “A Sober Girls Mom”

10. Recovery Happy Hour

It’s common to have the fear of missing out when first entering recovery. It may seem as if everyone you know is out to happy hour and you’re, well, not.

But every Tuesday, Recovery Happy Hour reminds us what sobriety is really about: bettering ourselves. It encourages its listeners to embrace the joy of missing out instead. Each episode features inspiring stories of life beyond the bottle, such as dating in sobriety, the #newyearnewme lie and more.

Recommended episode: “Episode 36 – Dating in Sobriety”

11. Take a Break From Drinking

Rachel Hart is a life coach who hosts the Take a Break From Drinking podcast. She aims to help women take a break from drinking so that “they can learn how to relax, have fun and feel confident without a glass in hand.”
Episodes, which are released every Tuesday, focus on things such as mastering the urge to drink, drinking and the emotional tunnel vision, how drinking prevents you from creating a future (one I can personally relate to), and more.

Recommended episode: “Catastrophizing”

12. Home Podcast

We can’t end this list without mentioning the Home Podcast, co-founded by Hip Sobriety founder Holly Whitaker, and Laura McKowen, who now hosts the Spiritualish podcast.

From 2015 until 2018, these two awesome women teamed up to ask the big questions of life, answered through the lens of addiction recovery. With more than 100 episodes, The Home Podcast’s archives have so much on exploring our hearts, relationships, life, love and the universe at large.

Recommended episode: “Episode 107: How to Begin”

Disclosure: Hip Sobriety is the parent company of The Temper.

There’s so much in each of these shows, and every one is fantastic for its own unique reason. Plus, because many of these launch on a weekly basis, you may find that there is a never-ending supply of great information on handling your sobriety, embracing the joy of missing out and recovering from whatever addictions of your past.

Whether you took an early exit from drinking, someone who has hit rock bottom, or a person that came to sobriety for other reasons, there’s definitely a podcast here to love (and listen to on repeat) for you.

5 Tips to Climb the Corporate Ladder in Sobriety


The lessons of recovery can help you meet your goals and get your career where you want it to be

by Lisa Smith

Before I got sober, I thought my career was all it could be. I worked in business development at a law firm in New York City, I had recently received a generous raise and bonus, and I had fantastic colleagues. Never mind that the reason I worked in business development, as opposed to actually practicing law, was that after I’d been a capital markets lawyer for five years, my drinking had gotten to the point where I couldn’t handle the responsibilities of becoming a more senior lawyer.

The next level of practicing law would have meant taking on more responsibility, supervising teams of junior lawyers, and shining in front of clients, all of which were exciting prospects to my colleagues at the firm. These functions, however, required a level of both commitment and presence that I was unable to muster. At that point, my drinking and numbing out left me barely able to handle the long hours of the much less challenging junior-lawyer work to which I was accustomed. I had also drank my self-confidence away, so I was sure that even if I wanted to advance, I would fail.

Constantly beating myself up about not being able to cut back my drinking did that to me. On a daily basis, I was either hungover or obsessing about getting home to a glass of wine. So I jumped out of practicing without thinking twice. I landed in a solid place, but I would languish there. When I got sober eight years after making that professional shift, I kept my status to myself in the office. I was afraid of the stigma of addiction to drugs and alcohol.

I had always been one of the bigger drinkers in the office, but law firms are full of big drinkers, so I didn’t stand out in particular. If people knew that I had gotten sober, though, I would be under a microscope. What would they think of me if I relapsed? I didn’t need that kind of pressure, especially in the early days. It was no one’s business but my own. When anyone asked why I wasn’t drinking at a firm function, I told them I had started taking medication I couldn’t combine with alcohol. No one asked the next question about what kind of medication. And this story had the benefit of being true. I was taking antidepressants, as I still do today.  

The first few months were shaky. I was still figuring out basic things, such as how to take my clothes to the dry cleaner without having a drink first. Walking home from the subway station after a full day of work without being sucked into the vortex of the corner bar was a major achievement. Getting to the next step in my career was not exactly a priority.

But a funny thing happened as I started taking in more of what recovery had to offer. The same tools I was learning to avoid reactivating my standing weekly order at the local liquor store, a case of Yellow Tail Cabernet and a giant bottle of Absolut Citron, started helping me perform better at work. And by “performing better” I mean showing up on time, focusing on what was in front of me, and learning how to handle situations that I used to drink over.

The same tools I was learning to avoid reactivating my standing weekly order at the local liquor store, a case of Yellow Tail Cabernet and a giant bottle of Absolut Citron, started helping me perform better at work

I always had been good at understanding the expectations of my job and making sure that I executed projects well. But I also had been strictly reactive, dealing only with what came across my desk. No one ever asked more from me and I certainly had not been offering to go the extra mile. Without a brutal morning hangover or a need to duck out for a drink at lunch, I was able to launch proactive initiatives, like developing new ways to reach out to clients, instead of just struggling through whatever I had to accomplish before I could head to happy hour.

Ten months into sobriety, I accepted a next-level job at another firm. I told neither firm about my recovery at that point. Again, it was no one’s business but my own. But I knew that my climb up the corporate ladder, which continued from there, was only possible in sobriety.

I knew that my climb up the corporate ladder, which continued from there, was only possible in sobriety.

If you’re thinking about your career at this point, which like everything else is secondary to your recovery, you may find these tips helpful:

1. Own What You’re Capable of and Use It.

Unless you’re committed to the concept of reincarnation (which I like to believe in), this is your time. Is there a promotion you want? A different job? A total career change? Think about it. Then work on it, the same way you work on your recovery. You didn’t get sober to be miserable. Once we stop drinking and using, we regain the ability to make choices in our lives. I never imagined I could have anything more or different than what I had already. I’m not saying sobriety will enable you to do anything—I guess I’ll never have a baby with Mick Jagger—but I learned I had a lot of other dreams that went from being completely impossible to potentially attainable. Before I got sober, I would sit on a barstool and slur, “I’m gonna write a book.” In recovery, I wrote a book.

2. Accept What You Can’t Control.

Yes, maybe the other person up for that big promotion got it, when you felt you deserved it. You can dwell on it, drink over it, or accept it and figure out how best to go forward. If you pick the third option, you can plot your next move. Should you talk to your boss about how the next promotion might be yours? Should you consider a transfer to another department or a move to another company altogether? Should you run off with your favorite barista and start a coffee shop in Tahiti? If you’re willing to accept what can’t be changed, you can figure out what can be and plan a course of action. It’s a lot better than rotting with resentment or complaining about it with a wine glass in your hand.

3. Take Mental Pauses.

Early in recovery, I heard people say that 10% of life is what happens and 90% is how we react to it. We all have situations at work that make us want to burn the place down (yeah, I know that that’s not just me). When I would react in the moment, perhaps firing off a passive aggressive or openly hostile email, I would often come to regret it. In my paranoid, shaky, and hungover state I took everything personally and felt the need to respond immediately to what I perceived as incoming attacks.

In recovery, I have learned, much to my surprise, that it’s not all about me. The things people do and say in the office (or anywhere) often have nothing to do with me personally. I need to take a break and think before responding, not after. It’s a concept sobriety taught me called, “restraint of pen and tongue” and it’s a gift in the workplace. The way I’ve heard it put is to ask three questions: 1) Does it need to be said? 2) Does it need to be said by me? 3) Does it need to be said by me right now? When the answer to any of those questions has been no, I have benefited from not reacting immediately to something that would have set me off before I got sober.

4. Don’t Get Sucked Into Office Drama.

Office politics are dangerous. They can be more “Game of Thrones” than “Parks and Recreation.” When I was drinking, I spent many nights at the bar getting pulled into the quicksand of backstabbing, alliances, and other people’s agendas. When the gossip flowed as freely as the chardonnay, I jumped in because I wanted to be liked. Trading in office dirt was an easy way to do it, but I never felt good about it the next day.

Recovery taught me to keep the focus on myself and not to worry about people-pleasing with everyone else. In fact, I learned that what other people think of me is none of my business. It’s what I think of myself and my actions that counts. Now I have boundaries I can bring to the workplace. Want me pick up cupcakes for the birthday of the lady I know stole my black cherry yogurt from the office refrigerator last week? OK, I’ll do it to be a team player. But want me to join in with colleagues to undermine someone else, whether or not I think they deserve it? I’ll take a pass. Not taking the low road keeps my head in a good place which is critical to keeping me sober and performing well at work.

5. Accept That You Deserve To Succeed.

This was a tough one for me to get my head around. My drinking and drug use left my self-esteem somewhere at the bottom of a recycling bin full of empty wine and vodka bottles. Slowly, though, through doing the work of recovery, I realized I wasn’t the worthless loser I had believed myself to be. And I realized that getting sober is a big fucking deal. I began taking credit for making the change and believing in myself. You should do the same. Own the fact that you are a badass, you deserve to succeed, and you are up to whatever challenge lies ahead.

I realized that getting sober is a big fucking deal. I began taking credit for making the change and believing in myself. You should do the same.

And, let’s be honest. When climbing the corporate ladder, at least in the legal industry, we are competing with men for the best projects and the biggest promotions, not to mention equal pay. I have yet to meet the man who doesn’t come at these situations firmly believing he has every right to be there and every right to get to the next level. If we don’t do the same, we put ourselves at an instant disadvantage. Next time you close an important sale or get something else big at work done, when someone commends you for it, don’t say, “Oh, it wasn’t so big,” or, “I got lucky.” Say, “thank you. I worked really hard on that.”

Again, you didn’t get sober to be miserable. You also didn’t get sober to sell yourself short. Go crush it out there because you deserve it.

Travel for Work? 5 Tips to Do Sober Business Trips Successfully


Work trips are so much better sober

by Lisa Smith

I dread traveling for work. Whether it’s for a conference or an out-of-town meeting, I’d rather stay home. I watch my colleagues as if they are creatures from another planet, buzzing around making dinner reservations and plans for tours in unfamiliar cities a month in advance. Look! I think. They will not rest until they find a way to spend 18 out of 24 hours in each other’s company! I love my work friends, but I’d prefer a pass on the extreme camaraderie.  

On the bright side, though, I can report that work trips are exponentially better in recovery than they were when I was drinking and using cocaine. At that time, as soon as I knew I’d be traveling, I could only think about the awful consequences I expected to suffer because I couldn’t control my drinking, not even in front of law firm partners to whom I reported. I knew I would try. And I knew I would fail.

I always promised myself I would say goodnight before I crossed the line into inebriation. But just as surely, I would wake up in a hotel room strewn with clothes from the bathroom to the bed, dirty glasses, and empty wine bottles stinking of stale cabernet.

I love my work friends, but I’d prefer a pass on the extreme camaraderie.  

My brutal hangover would be tinged with extra regret, shame, and recrimination as I would try to piece together what I said to whom the night before. How loud was I at the dinner table? How many people did I interrupt or shout over in order to tell them the all-too-personal story I thought they just had to hear? Do I need to worry about getting fired? Is there any more wine left in that bottle?

When I stopped drinking, the dread around work travel didn’t disappear. It just shape-shifted. My routine in early sobriety was carefully constructed to give me the best shot at not picking up a drink a day at a time. I woke up early, pounded coffee, went to an early morning 12-Step meeting, put in a full day at work, made it home in time to eat a decent dinner, and got to bed early.

Slowly but surely, I added in social events with people I wanted to be around in settings that didn’t threaten my sobriety. Life got bigger and better, with no small thanks to maintaining sobriety-focused routines. I learned I am a creature of habit and the healthy ones I developed became precious quickly. They remain precious 14 years later.

Business trips shake routines like snow globes. They generally start in an airport terminal, a place I consider to be a long bar with an extra-wide hallway. It can be downhill from there. Maybe I forget to pack toothpaste or bras or protein bars. Maybe my bag gets lost or I sit on the tarmac for three hours. There are so many opportunities for inconveniences and frustrations large and small. In the past, I called them “reasons.” Reasons for why I would be half in the bag before I even got on the plane, and fully loaded by the time I reached my hotel.  

Over the years, I’ve taken advice from others and learned how to cope with days of disrupted sleep, food that’s not normally on my menu, and endless hours of forced bonhomie with colleagues.

Here are a few ideas to help you stay sober and find some peace on the road:

1. Plan ahead.

I’m pretty good at expecting the worst, so it’s easy for me to imagine running into trouble. For example, at home, I don’t sleep with a mini-fridge full of tiny Jack Daniels and Absolut Vodka bottles eight feet from my head. Why would I want to subject myself to that under the stress of a work trip?

You can call the hotel in advance and ask that alcohol be removed from your room. Hotels get this request all the time. They’ve heard it before, they don’t ask questions, and they’re happy to do it.

2. Respect the things that keep you sober.

No matter what you do to avoid substance use—exercise, meditate, attend support group meetings—consider how you can keep to as much of your routine as possible while away. If I don’t have a plan for coffee when I inevitably wake up a 5 a.m., I can’t sleep the night before. I know this about myself, so I plan for it. I don’t try to “power through” not knowing where my morning jolt will be found.

However minor the thing may seem, if it helps keep you sober, it’s a big deal.

3. Don’t rush yourself.

It’s not always under your control, but when it is, try to avoid racing for your flight or train. I used to head to the airport early so I could start drinking. Now I do it so I don’t freak out if I hit traffic or a line at security that stretches to the terminal door.

4. Stay connected.

Whom do you regularly speak with at home? Your family? A sponsor or other sober friend? Your therapist? Plan specific times to talk while you’re away.

In my experience, “I’ll call you at 8:00 tonight,” works a lot better than, “I’ll call you when I can.” There’s less risk of not actually connecting and getting the benefit of the familiar voice ready to listen and support you.

5. Navigate the requisite booze-soaked events.

I have never taken a business trip that didn’t include cocktail parties, dinners, and/or other events that include alcohol. I pass on as many as I can, but that’s not always an option. If you can address any potential triggers beforehand, the event is easier to attend.

For me, being hungry and tired are massive triggers. It’s not that I think I’ll pick up a drink, but I will be miserable and uncomfortable. We didn’t get sober for that. Whenever possible, my work event pre-game is a nap and a protein bar. If possible, I also arrive late and leave early, two things I never would have considered before I got sober.

Much to my shock, I discovered not everyone drinks on these occasions. And often it has nothing to do with recovery.

Also, much to my shock, I discovered not everyone drinks on these occasions. And often it has nothing to do with recovery. People sip club soda and skip drinks at the bar after dinner for all kinds of reasons. I was relieved to learn I wasn’t the only one not drinking the wine. I was even more relieved not to be that annoying person badgering others into drinking so I could feel better about my own binging.

I will never get excited about business trips. That’s fine. I don’t have to be excited. I just have to show up, make my contributions to the effort, and most important, stay sober. Like so many other things in recovery, it gets easier over time. And I promise you that coming home with no hangovers and no regrets never gets old.

‘Tis the Season for Booze-Soaked Work Events


Oy joy. Here’s how to put in your face time, and go home without regrets.

by Lisa Smith

A work party is never merely a work party — for many of us, professional success depends in part on at least appearing to enjoy yourself at the annual holiday bash, ones that feature all-you-can-drink alcohol. Some employers go to great expense to dress these up as sophisticated gatherings in fancy spaces with charming bites strategically arranged on pretty platters. Other orgs take over a neighborhood bar or office conference room, and stick an ice-filled metal tub loaded with beer in the corner.

However high-end (or not), these shindigs frequently devolve into the same thing: employer-sponsored binge drinking. And for those of us who nearly lost our lives to alcohol, they’re far from festive. I might sound like the Grinch, but I fucking hate these parties. And I’m done apologizing for that.

I work in the legal world, which is drenched in alcohol. A recent study of practicing lawyers revealed that 21% have an alcohol use disorder, which is more than twice the generally accepted figure of 9% of the U.S. population overall. I’m glad to say the profession, along with other heavy-drinking industries, is working hard to address these numbers, but drink-centered holiday parties, client dinners, team celebrations, recruiting events, and regular “happy hours” aren’t going anywhere soon. Of course, lawyers aren’t the only ones who mix professional life with often heavy drinking. It’s a popular cocktail in many fields.

I’m happy to say that in the decade since I stopped drinking, maintaining my sobriety at these command gatherings stopped being a stressor and actually became my superpower — and not only during this time of year. Below are a few ways you can shift your party plan so you can put in face-time and still look yourself in the eye the next day.

Before You Go: Write down What You’re Grateful For

Make a quick gratitude list before you head to the venue. It can even just be gratitude for the fact that you don’t have to live chained to the bottle or drugs anymore. But your list is likely to be much longer than that. Items on my list have ranged from small things like owning pajamas and going to bed at night like a normal person instead of passing out, to big things like holding down the job that both pays my rent and obligates me to show up at the party.

At the top of my list every time are the incredible community and sense of self-esteem I’ve found in recovery. I felt so alone and full of shame when I was drinking, I couldn’t imagine it could be different. When I reflect even briefly on the life I get to live as a sober woman, I know I am not missing out on anything. On the contrary, I am gaining everything good I have today. That makes it much easier for me to pick up the sparkling water instead of the champagne at the entrance to the party.

When I reflect even briefly on the life I get to live as a sober woman, I know I am not missing out on anything.

On Your Way: Find Your Peace

Getting your head in a good place will keep you centered when the cocktails start flowing. What works for me is keeping HALT in mind: try not to show up feeling Hungry, Angry, Lonely or Tired.

If you are dealing with one of those feelings on your way, accept it, then address it as best you can: Call a sober friend, do a three-minute meditation from an app on your phone before you get out of the car, eat something healthy (I keep almonds and protein bars in my bag at all times for this purpose), or if HALT hits you at the party, excuse yourself and go home.

Before You Walk In: Know Your Exit Strategy

I used to be so tied to the bar at work events that when I got sober, the concept of arriving late and leaving early was revelatory. Who knew that could be a thing? Much to my surprise, people didn’t even seem to notice when I came and left. Turning my four-hour vodka marathon into a 45-minute seltzer-and-pineapple sprint barely registered with anyone. As I had done with so many situations while drinking, I overestimated my importance at the party to other people’s good time. Little did I know, how their evening went was up to them, not me.

Turning my four-hour vodka marathon into a 45-minute seltzer-and-pineapple sprint barely registered with anyone.

At the Party: Screw What Other People Think

Sure, bonding is usually done drink-in-hand, but it doesn’t have to be an alcoholic drink. Ever think you were the wittiest woman in accounts receivable, only to wake up the morning after the holiday party full of regret and maybe even with no memory of what you did? Yeah, so did I. Keep that feeling in mind as you walk through the door. By staying sober, you’re saving yourself a hangover, self-recrimination, and possible professional repercussions.

My experience is that not imbibing didn’t hurt my career—it helped it. I am able to show up, focus clearly, and be relied upon in ways I never could have before, even though I considered myself “high-functioning” when I was drinking.

It doesn’t matter if the people around me at office parties don’t understand why I don’t drink. I don’t owe them explanations. As I hear from my 12-step sponsor, “What other people think of me is none of my business.”

It doesn’t matter if the people around me at office parties don’t understand why I don’t drink. I don’t owe them explanations.

Toward the End: Grab Your Coat, Say “see Ya” 

At whatever point you’re ready to leave, a simple, “I need to get going,” is all that’s required—there’s no need for self-conscious explanations from people you think might care that you’re not sticking around drinking. You never have to apologize for being one of the early people to head out. You can just say, “see you Monday,” then go home for a head start on that good night’s sleep that leads into a hangover-free morning after. Picture ahead of time what you’ll do when you get home; maybe you’ll take a bath, read a book in bed, or watch some trashy television. Envisioning that comforting scene along with how you’ll feel the next morning is a real help in getting through challenging evenings.

All Season Long: Remember You’re Not Alone

It was hard for me to grasp at first, but there are very likely others around who are choosing not to drink. They may have reasons are different from your own—or not. Especially with weeknight parties, people may want to go home (sober) to their families or get to the gym early the next morning, or they may just not love drinking. Not everyone feels compelled to have alcohol at work events — I see that more and more.

One big reason some people don’t imbibe? They may take meds that are not to be mixed with alcohol. In early sobriety, this was how I explained my absence at happy hour to my drinking friends at work. And the medication part was true: I have been on antidepressants since I went to detox in 2004. But they didn’t need to know what kind of medication or why. Once again, I didn’t have to explain myself, and neither do you. The point is, odds are you’re not the only one choosing not to drink. After my first few booze-free office gatherings, I learned I was not sticking out the way I thought I was with my seltzer and pineapple.

These parties don’t need to be fun, and it’s ok if you don’t look forward to them. It’s called a “work event” for a reason.

One thing that’s really helped me? The realization that these parties don’t need to be fun, and it’s ok if you don’t look forward to them. It’s called a “work event” for a reason. I’m hopeful that over time, overindulgence and omnipresent alcohol will won’t be the norm at these things. But until that happens, try to remember one of my favorite things about sobriety: You will never wake up in the morning regretting the fact that you did not drink the night before.

CDC: Alcohol Kills More People than Opioids


Alcohol-related causes kill 88,000 people—more than from opioids—each year in the United States, according to data from the National Institute on Alcohol Abuse and Alcoholism and the Centers for Disease Control and Prevention.

But when it comes to alcohol and health risks, it can seem like no one is talking about it.

"It's such a painful spiral of shame and self-loathing and hiding," Lisa Smith, a lawyer and author, said. "You're living this awful double life."

Smith knows a lot about alcoholism because she was in the throes of it for more than a decade. By 2004, she had also started using cocaine and then hit rock bottom.

"Finally there was one morning I woke up thought I was having a heart attack, I thought I had actually killed myself or had overdosed," she said. "And in that moment, I decided I wanted to live."

Smith has been sober for almost 16 years and wrote a book pulling back the curtain on her struggle with drinking.

From 2007 to 2017, the number of deaths attributable to alcohol increased by 35 percent, according to an analysis by the Institute for Health Metrics and Evaluation at the University of Washington. The increase was steeper for women.

"The rise among alcohol problems for women, and subsequent illness and death has risen to really, really worrisome proportions," said Eliana Leve, the director of New York services for the Hazelden Betty Ford Foundation.

More women are seeking treatment for alcoholism than men at Hazelden in New York, Leve said. She believes there's more stigma for female alcoholics, which can be a barrier to seeking help.

"It is a disease, you're not a bad person," she said of combatting the stigma. "It is an illness, a chronic illness."

Smith said she hopes the latest statistics will serve as a wakeup call.

"We have to stop treating what's actually a drug as if it's not," Smith said.

The bottom line about alcohol-related deaths is that they're preventable. The authors of the University of Washington study said their analysis shatters the myth that one to two drinks a day is good for your health.

USA Today: Alcohol is Killing More People, and Younger. The Biggest Increases are Among Women


OAKTON, Va. – The last time lawyer Erika Byrd talked her way out of an alcohol rehab center, her father took her to lunch.

"Dad, I know what alcohol has done to me," she told him that day in January 2011. "I know what it has made me do to you and mom. But that wasn’t me." 

By the time she died three months later, Byrd had blocked her parents' calls because they kept having her involuntarily committed. They once had a magistrate judge hold a hearing at her hospital bed. He ordered herto undergo a month of in-patient treatment. 

Byrd, who died in April 2011 at the age of 42, is among the rising number of people in the United States who have been killed by alcohol in the last decade.

It's an increase that has been obscured by the opioid epidemic. But alcohol kills more people each year than overdoses – through cancer, liver cirrhosis, pancreatitis and suicide, among other ways.

From 2007 to 2017, the number of deaths attributable to alcohol increased 35 percent, according to a new analysis by the Institute for Health Metrics and Evaluation at the University of Washington. The death rate rose 24 percent.

One alarming statistic: Deaths among women rose 85 percent. Women once drank far less than men, and their more moderate drinking helped prevent heart disease, offsetting some of the harm.

Deaths among men rose 29 percent.

While teen deaths from drinking were down about 16 percent during the same period, deaths among people aged 45 to 64 rose by about a quarter.

People's risk of dying, of course, increases as they age. What's new is that alcohol is increasingly the cause.

"The story is that no one has noticed this," says Max Griswold, who helped develop the alcohol estimates for the institute. "It hasn't really been researched before."

The District of Columbia, less than 10 miles away from the Venable law office where Byrd was a partner, had the highest rate of death from alcohol in the country, according to the institute's analysis. Georgia and Alabama came in second and third. 

Alabama, in fact, ranked third among states with the strongest alcohol control policies, as rated by medical researchers in a 2014 report published in the American Journal of Preventive Medicine.

States can influence drinking – especially dangerous binge drinking – with policies such as taxes on alcohol and restrictions on where and when it can be sold.

Psychologist Benjamin Miller, chief strategy officer at the nonprofit Well Being Trust, says the larger health challenges in the South are to blame for high alcohol death rates. Southern states typically rank near the bottom in national rankings in cancer, cardiovascular disease and overall health.

Oklahoma, Utah, Kansas and Tennessee rounded out the five states with the strongest alcohol control policies, the researchers reported. States with more stringent alcohol control policies had lower rates of binge drinking, they found.

Nevada, South Dakota, Iowa, Wyoming and Wisconsin had the weakest alcohol control policies.

David Jernigan, a professor at Boston University's school of public health who has specialized in alcohol research for 30 years, notes that the beer industry holds considerable sway in Wisconsin.

Amy Durham, 46, suffered triple organ failure after she stopped drinking six years ago. She was in a coma for 10 days. (Photo: Caron Treatment Centers)

Binge drinking is sending far more people to the emergency room, a separate team of researchers reported in the February 2018 issue of the journal Alcoholism: Clinical and Experimental Research.

The researchers, who looked at ER visits from 2006 to 2014, found the largest increases were among the middle aged – especially women. The number of teenage binge drinkers landing in the ER during that time actually declined.

Older, often lifelong drinkers don't need only to have their stomachs pumped. They frequently have multiple complications from their drinking.

Their often bulbous bellies need to be drained of fluid, which builds up from liver cirrhosis, and their lungs cleared of aspirated vomit, says Dr. Anthony Marchetti, an emergency room doctor at Upson Regional Medical Center in Thomaston, Georgia.

They might also have brain hemorrhages or internal bleeding, because booze prevents their blood from clotting properly.

By middle age, Marchetti says, long-term drinking can also lead to heart failure, infections due to immune suppression, a type of dementia from alcohol-induced brain damage, stomach ulcers and a much higher risk of cancer.

As opioid overdoses, which kill about 72,000 people a year, grabbed America's attention, the slower moving epidemic of alcohol accelerated, especially in Southern states and the nation's capital. About 88,000 people die each year from alcohol

Making matters worse, alcoholism is trickier to treat – and criticize – than opioid addiction. 

"Culturally, we’ve made it acceptable to drink but not to go out and shoot up heroin," Miller says. "A lot of people will read this and say 'What's the problem?' "

Benjamin Miller is a psychologist and the chief strategy officer at the non profit Well Being Trust. (Photo: Well Being Trust)

It might be a more socially acceptable addiction, but alcoholism is at least three times costlier to treat than opioid addiction, according to the Centers for Disease Control and Prevention. And it's a far more complicated midlife crisis to address.

The proven approaches – taxes on alcohol and limits on where and when alcohol is sold – are often rejected because the liquor industry has considerable clout with policymakers.

Ron Byrd says his daughter Erika was "beautiful inside and out."

To him, there's no question about what caused her death. 

That's despite the fact there was no alcohol in her system when she was found dead at home. She was so sick, Byrd saysshe hadn't been able to eat or drink for days.

"The death certificate never says alcoholism," he says. "It said heart arrhythmia and heart valve disease. But nobody in our family had heart problems."

Attorney Lisa Smith has been in recovery from alcohol and cocaine addiction for a decade. The New York City woman wrote the memoir "Girl Walks Out of a Bar" and co-hosts the podcast Recovery Rocks.

Attorney Lisa Smith is the author of Girl Walks Out of a Bar, her award-winning memoir of high-functioning addiction and recovery in the world of New York City corporate law.

Smith speaks at legal conferences and law firms such as Byrd's about the hazards of lawyers' high-stress days and booze-fueled dinners with clients. But she's fighting forces far larger than her profession. 

"It is poison, and we’re treating it like it's something other than that because there‘s big corporate money behind it," she says. "A lot of people are getting really rich on something that is toxic to us."

Deaths of despair

In its Pain in the Nation report this year, the Well Being Trust called losses from drugs, alcohol and suicide "despair deaths."

The three are closely related. Suicide is the third leading cause of death from alcohol, after cancers anddigestive diseases. One in five individuals who die from opioid overdoses have alcohol in their system at the time of their death.

Drinking can lead to cancers all along the digestive tract, from the mouth to the colon. About 15 percent of U.S. breast cancer cases are considered to be caused by alcohol. A third of those cases affected women who drank 1.5 drinks or less a week, according to a 2013 report in the American Journal of Public Health.

The "direct toxicity" of alcohol damages the nervous system from the brain down to the spinal cord and to peripheral nerves, says Marchetti, the Georgia emergency physician. It's common for people in the late stages of alcoholism to have numbness in their feet and legs, which makes walking difficult even when they aren't impaired. 

Emergency rooms are the most expensive place to treat problems. Between 2008 and 2014, the rate of ER visits involving acute alcohol consumption rose nearly 40 percent, according to the study in the journal Alcoholism: Clinical and Experimental Research. For chronic alcohol use, the rate rose nearly 60 percent.

The increases for acute and chronic alcohol use were larger for women.

People who drink throughout their lifetime develop a tolerance for alcohol. But as they age, they lose muscle and gain fat and become less tolerant.

That leads to increased injuries and illnesses, says Rick Grucza, an associate professor of psychiatry at Washington University in St. Louis and lead author of the Alcoholism study.

But why are so many people drowning so many sorrows?

Ashley Marie Hartshorn began drinking heavily after the birth of her third child and a murder committed by her stepfather. (Photo: Family photo)

Brenda Padgett believes it was postpartum depression that led her daughter to take up the heavy drinking that ultimately killed her last year.

Ashley Hartshorn, who lived in Hendersonville, North Carolina, had already suffered the trauma of hearing her stepfather kill his girlfriend while she was on the phone.

Then Hartshorn testified against him in court, which helped send him to prison for life.

The depression came after the birth of her third child in February 2012. 

"She wanted so badly to quit drinking, but the shame and the fear kept her from being able to allow herself to reach out for help," Padgett says. "Like many, we were ignorant to the effects that alcohol has on the body.  I thought she had time, time to hit rock bottom and time to seek help.

"I never knew that only five years of alcohol abuse could take the life of someone so young."

Neither did Nancy Juracka. Her son Lance died in 2006 after just three years of heavy drinking. He was 36.

Lance Juracka, who grew up in Hermosa Beach, California, was intimately familiar with the scourge of alcoholism: He knew an uncle and aunt had drunk themselves to death before he was born. He even produced a short documentary about alcohol abuse while at New York University's Tisch School of the Arts. 

He started drinking when he got a job in Las Vegas reviewing shows – and was continually offered free drinks. 

"Once he got a taste for alcohol, it really did him in fast," his mother says. "I don’t understand how Lance’s liver went so quick."

He headed back to California and ultimately moved back in with his mother.

He started a painting business. But his workers told Juracka he would just drink vodka or sleep.  

"I thought I was going to lose my mind, I was so frantic," she says. "I would sit up all night with him so he wouldn’t choke on this vomit.”

Joseph Garbely, an internal and addiction medicine physician at Caron Treatment Centers in Wernersville, Pennsylvania, says research shows that 10 percent of parents think having two or more alcoholic drinks a day is reasonable to reduce their stress.

But why? It's not as if liquor is becoming more accepted.

Consider, however, the lack of public service announcements about the effect excessive alcohol has on health or families.

Ali Mokdad is a professor at the Institute for Health Metrics and Evaluation. He notes that alcohol-related education focuses on drunk driving. 

Miller and others point to the high level of workplace stress that began accelerating during the recession, loneliness linked to social media and increasing pressures on working mothers. 

In fact, social isolation can be both a cause and the result of excessive drinking. Parents whose children drank themselves to death in their 20s and 30s often describe the drinking in isolation seen in elderly alcoholics.

Few who drink excessively while young will become alcoholics, much less drink themselves to death. Those who are in recovery for alcoholism say people who turn high school or college binge drinking into a nightly coping ritual are at the most risk.

Amy Durham came close to dying from alcohol six years ago, when she was 40. And she barely drank until she was in her 30s.

The child of an alcoholic father, Durham never thought she could or would lose control. 

"I didn't even know what was happening to me," she says.

She attributes her plunge into alcoholism to unresolved trauma from growing up in an alcoholic home, the stress of her work as a school principal, a "toxic" romantic relationship and grief over an inability to get pregnant.

"I just needed to be numb," she says.

Ron and June Byrd lost their daughter, Erika, to complications from chronic alcohol abuse in 2011. (Photo: Jasper Colt, USA TODAY)

Ron Byrd says Erika, too, dreamed of having children. After two divorces and stage 3b breast cancer, however, the chance was slipping away. 

"She wanted so desperately to have a baby," Byrd says.

Durham is now corporate director of alumni relations at Pennsylvania-based Caron Treatment Centers, where she was treated. 

"I wasn’t able to see that my drinking was a problem until it was almost too late," she says. "I put limits on myself and would say that i'd only drink two glasses of wine in a social setting and then go home and drink a lot in isolation." 

When her father died in July 2012 of esophageal cancer, Durham says, she began a "very bad downward spiral."

She remembers his funeral.

"i was trying to be nothing like my father, but I couldn’t wait to get out of that church and drink," she says. "The shame of what was happening to me was more than I could bear."

Like Hartshorn and Byrd, Durham started with white wine. But she ended up drinking copious amounts of vodka.

Amy Durham, now director of alumni relations at Caron Treatment Centers, is shown with Caron's Dr. Joseph Garbely, who helped save her after alcohol nearly killed her. (Photo: Caron Treatment Centers)

By the time her family got her to a hospital, Durham was in triple organ failure and wound up in a coma for 10 days.

That was followed by six weeks of dialysis.

When she arrived at in-patient rehab after the dialysis, Durham says, her body and eyes were still yellow and she was carrying 100 extra pounds of fluid – half of it in her legs.

She says fellow rehab residents – no strangers to the telltale signs of addiction – quickly looked away as she passed.

Men vs. women drinkers

When men crash and burn from alcohol, Mokdad says, the spectacle is often public. They get into bar fights, get cited by police for drunk driving or lose heir jobs.

A more typical trajectory for women starts with evening wine as a way to de-stress from the work day – either in a professional setting, or home with young children.

Author and podcast co-host Stefanie Wilder-Taylor, writer of "Sippy Cups Are Not for Chardonnay," believes this stems from stubborn gender roles and norms surrounding stress. 

"Moms just aren't going to call home and say they're stopping for a couple drinks after work with friends or going to the gym to unwind," the Los Angeles woman says

Otherwise, they might feel like parenting failures as they compare themselves to other moms. So they drink wine while they make dinner, which can lead to a nightly pattern of excessive drinking.

Author Stefanie Wilder-Taylor co-hosts the podcast For Crying Out Loud and is in recovery from alcohol addiction. (Photo: Courtesy of Stefanie Wilder-Taylor)

That describes nurse practitioner Eileen O'Grady, who quit drinking 12 years ago.

O'Grady, who lives in McLean, Virginia, says her two sons, now in college, never really saw her drunk. But she couldn't bear the thought of continuing her destructive double life. She would drink continually from dinner until she went to sleep, she says, and then start again the next evening. 

For O'Grady, the last straw came after a night of especially hard drinking with another mom in her neighborhood.

The other woman, a schoolteacher, vomited in O'Grady's car. She returned the next day to clean it up. 

O'Grady hasn't taken another drink.

"I could see my life if I kept going," O'Grady says. She is now active in her local recovery community and working as a wellness coach. 

Her schoolteacher friend taught classes until last fall. Within days of leaving the classroom, she was in a hospital with end-stage liver disease.

She died in hospice on Jan. 3.

At least 15 people at the woman's memorial service asked O'Grady how her friend had died. They were stunned to learn alcohol was the cause.

The woman was poisoning herself with a half-gallon of vodka a day, O'Grady says, yet no one knew beyond her immediate family, O'Grady and a mutual friend in the neighborhood. 

"We're closeted," O'Grady says. "We're not in bars getting in fights."

Eileen O'Grady is a nurse practitioner and wellness coach who has been in recovery from alcohol for 12 years. (Photo: Courtesy of Eileen O'Grady)

As for Durham, she was on a liver transplant list for about five months in 2011 and 2012. Then she learned she no longer needed a new liver.

"Livers have a great capacity for recovery," says Dr. Michael Lucey, a professor and head of the division of gastroenterology and hepatology at the University of Wisconsin medical school. 

Durham was once in a sorority at University of Mississippi, where beauty was competitive and a popular saying was "pretty is as pretty does."

"But there was nothing pretty about my drinking," she says.

If she had been diagnosed with breast cancer, Durham says, she wouldn't think twice about getting treatment and talking about it.

Durham stopped drinking six years ago Thursday. She says she surprises people with how openly she shares the gritty details of her near-death experience.

"I want to show the world what recovery looks like, especially for women where stigma is still the way it is," Durham says. "I want people to know there is hope."

Erika Byrd, who died in 2011 due to alcohol, is shown with her mother June Byrd in Waikiki Beach at sunset in Hawaii in 2003. (Photo: Family photo)

Erika Byrd called her father in hysterics on April 9, 2011. She had been fired after failing to turn in paperwork to continue getting disability coverage through her law firm.

"I don’t want to want it, but I want it," Byrd recalls her saying, sobbing.  

"I said, 'If you can stop drinking you can do anything,' " Byrd says. "I told her, 'We love you, Erika,' and she hung up."

Byrd and his wife were getting ready to go to church the next day when there was a knock on the door. A pastor stood with a police officer. Erika was dead.

A doctor from the National Institute for Mental Health called to ask if the Byrds would consider donating Erika's brain for research.

They said yes.

"She had done everything she knew how to to beat this terrible disease," Ron Byrd says. "I would think she would want it."  

If you are interested in connecting with people online who have overcome or are currently struggling with health problems mentioned in this story, join USA TODAY’s "I Survived It" Facebook support group.

Everyone In My Law Firm Knows I’m Sober (and I Don’t Care)


The morning I decided to check myself into a psychiatric hospital for a medicated detox, my biggest fear wasn’t that I had no idea what I’d find behind the doors of its locked-down unit. It wasn’t telling my friends and family about the ‘round-the-clock alcohol and cocaine addiction I had been hiding. It wasn’t even the idea that I might not be able to drink again. No, my biggest fear was that my law firm would find out that I had a substance use problem.

I was terrified of the stigma surrounding addiction in the office. As in so many other industries, in law firms, alcoholism and addiction are too frequently viewed as weaknesses or moral failings. I’d heard people in the workplace make fun of “drunks” and worse. On top of that, big firms have historically had a dangerous “work hard/play hard” ethic. It’s a bullshit way of telling employees, “Don’t just work 70 hours a week. Also spend a chunk of your personal time bonding over drinks with your colleagues and clients.” In the bar telling war stories until 2 a.m.? Great. See you at 9 a.m. sharp and be ready to work yet another 12-hour-plus day.

This lifestyle is somehow not expected to take a toll on your physical or mental health, either. If you can’t handle it and you show cracks, you probably just can’t cut it. It’s not the job—it’s you. And the worst part about stigmatizing addiction and mental health challenges is that it discourages people from getting critical, life-saving help when they’re struggling.

In the bar telling war stories until 2 a.m.? Great. See you at 9 a.m. sharp and be ready to work yet another 12-hour-plus day.

I spent five days in the hospital and then went straight back to work, refusing longer inpatient treatment because I was too afraid to tell my firm I needed to go away for a month. Of course, if I’d needed surgery or treatment for another physical problem, I wouldn’t have thought twice. But go out for a month to go to rehab? I’d never seen it done before, and I certainly wasn’t going to be the first to do it.

Upon my return to the office, I made up a lie about why I’d been out the week before. I gladly accepted compliments from coworkers about how much better I looked. “Yes!” I wanted to answer. “Isn’t it amazing what can happen when you stop ingesting wine by the double bottle and cocaine quite possibly cut with laundry detergent?” But, somehow, the timing wasn’t right for that.

I was working on the administrative side of the law firm, having switched out of practicing law several years earlier when it became incompatible with my drinking. One or the other had to go and, at that time, it wasn’t going to be alcohol. No longer representing clients, I’d felt liberated in my drinking. I never would’ve guessed that one day I’d feel liberated in kicking booze to the curb instead.

I changed jobs after about a year sober. I kept my sobriety to myself, sharing it with only a handful of colleagues to whom I grew close over the years at my new firm. It was my business and no one else’s. Then, a couple years ago, when I had the opportunity to publish my book, Girl Walks Out of a Bar, about my downward spiral and eventual recovery, I took it. But it meant going public with my story, so I prepared for the worst and hoped for the best at work.

A lot of people in my office knew that I wrote in my spare time, but few knew what I wrote about. I started visiting my colleagues’ offices, knocking on their doors and sticking my head in. “Hey,” I would say, “I wanted to let you know that my book is being published.” When that was met with congratulations and excitement, I would walk in, shut the office door and say, “Now, let me tell you what it’s about….”

The responses I received were revelatory. I expected stunned silence or open discomfort, but I was wrong. Yes, I got a lot of questions, ranging from, “How long ago did that happen?” to “Did you ever get arrested?”

But I also got overwhelming understanding and compassion. Several times, before I could even get my story out, a colleague would interrupt me to talk about their friend or their cousin or their law school roommate. It quickly became apparent when I spoke about my substance use and mental health challenges that no one was hearing about these issues for the first time. Many had one degree of separation from someone who struggled. Who knew?

I heard things like, “You could have told us,” and “We would have wanted to help you.”

What was most eye opening, though, was hearing from former colleagues at the firm I’d been at when I bottomed out. I feared their reactions more than any others’. I’d been drunk and high in the office. I’d carried cocaine in the office. What would they think when they read about it? I assumed best case, I’d never hear from them; worst case, they’d lambaste me publicly in response to the story.

Once again, I assumed wrong. Of course, I don’t know how every individual personally reacted, but the people who reached out to me were incredible. I heard things like, “You could have told us,” and “We would have wanted to help you.”

Still, no one was more surprised than me when they invited me to visit the firm and tell my story to their attorneys and staff. They wanted to raise awareness and hopefully prevent others from going through a similar experience alone. I was terrified, but mostly grateful and honored, the day I spoke.

My decision to open up in the office does not mean I would recommend anyone else do the same. Getting sober is an intensely personal decision. Sharing that information with others is equally personal. Particularly in early recovery, when sobriety is at its most fragile, there’s no need to fill everyone in and add additional pressure to your decision not to drink. That’s how I had handled it for ten years, straight up to the point at which if I didn’t tell them, they might learn about it on a trip to their local bookstore. I had to get ahead of the story.

Then after my book came out, it took me a while to process the fact that several of my colleagues had actually read it. There were now senior partners in my firm who knew the raw details: my breast reduction; the bad sex I had in college; that special evening I fell off a bar stool moving in to kiss an unreceptive guy on a blind date. They saw it all.

But they also saw me pick myself up. They saw me ask for help and receive it. They saw me finding gratitude in little things, like learning how to put on pajamas and go to sleep at night instead of passing out, which had been my practice for years. They saw me show up, one day after the next, for my sobriety, for my job and for my life.

I have chosen to shout from the rooftops about my addiction and recovery. It’s certainly not for everyone. But over the last few years, two things have become crystal clear to me. First, the stigma surrounding these issues in the workplace must be smashed if we want people to get appropriate help. And second, our colleagues and friends may be more ready than ever—and certainly more ready than I ever expected—to offer that help and support us along the way.