Category Archives: recovery

12 step meetings, addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, international rehab, recovery, relapse

No Explanation Needed

I am often the first to leave events and gatherings with no explanation needed. Partly because I’m slightly introverted but also because I value my time and energy. I recently learned it could loosely be called “Experience Efficiency” and it’s a cool perspective on how I now see parties, gatherings… and honestly, life itself.

Experience efficiency: This psychological concept describes individuals who extract the essence or “peak” emotional payoff of an experience quickly and feel satisfied with leaving after that point, and without the need to stay for the entire duration and without having to justify their exit.

The idea is simple but wild once you really let it land: usually the most energetically aware people are often the first to leave a gathering or party. Not because they’re rude, not because they don’t care, but because they know their energy is valuable. They trust their own judgment, intuition and enoughness. They don’t wait around for someone to validate their exit… they just go when they feel compelled, and don’t worry about societal views in regard to people pleasing.

People who are deeply grounded in their purpose, in their truth, in their self-worth just honor the moment they feel done and they don’t dilute their intuition for optics. They don’t say yes when their body already whispered no. It’s important to have the ability to say no when you’re ready to leave… because it’s a yes to your SELF.

Leaving when I’m ready, stepping away when I need to and being the first to go if that’s what feels right for me is very easy today. I have no issues with exiting the room without shrinking or explaining or looking for a pat on the back. I let my life, my family, my friendships, my work or my intuition have its own rhythm; and not apologizing when my instinct tells me it’s time to go.

Call or message 1-829-932-0123 for more information in regards to our programs and how we can help you or a loved one that may be struggling with an addiction.

12 step meetings, Addiction treatment, Dominican Republic, international rehab, recovery, sober vacation, testimonial

Dominican Republic Rehab

When I first arrived at Always Hope in the Dominican Republic, I wasn’t sure what to expect—but I quickly realized that choosing a small, individualized rehab facility was the best decision I could have made for my recovery. From day one, Roger and the counselor took the time to understand my unique story and struggles, building a tailored program that focused on what I truly needed rather than forcing me into a one-size-fits-all routine. I wasn’t just a number here. The daily structure (or lack of structure), one-on-one counseling, and the supportive community helped me uncover the root causes of my addiction and build a healthier mindset that I never thought was possible.

One of the things that drew me to Always Hope was the affordability. Compared to the private rehab centers I looked into back home in North America, the cost here was either comparable or even less—but the quality of care exceeded anything I could have imagined. Being in the Dominican Republic also meant I could focus entirely on my healing, away from the everyday distractions and stressors that used to trigger my addiction. The environment is peaceful, beautiful, and calming—an ideal setting to do the hard work of recovery while feeling supported and respected.

Another big factor that made a difference was the level of commitment it took just to get here. I had to get on a plane and make a real decision to show up for myself. Unlike some other places where people are dropped off by family or courts, the people I met had made a clear, personal choice to change. That created a powerful sense of accountability and motivation for me to succeed. I left Always Hope not only clean and sober, but stronger, clearer, and more committed than ever to living a better life.

addiction, Addiction treatment, Dominican Republic, How addiction affects family, international rehab, recovery

Procrastinating

When I look back on my journey, one of the hardest lessons I had to learn was the importance of not procrastinating when it came to getting help. Like many, I spent years convincing myself that I could turn things around on my own. I told myself I’d go to rehab “tomorrow” or that I could wait until things got worse before I truly faced the reality of my addiction. But the truth is, procrastination only made everything harder. The longer I waited, the more entrenched I became in my destructive habits, and the deeper my sense of shame and hopelessness grew. When I finally made the decision to go to rehab, I realized I had lost valuable time, time that could have been spent rebuilding my life.

The benefits of seeking help early are immeasurable. For one, rehab gave me the tools and support I needed to stop the cycle of self-doubt and self-sabotage that kept me stuck. I learned how to address my emotions and triggers in healthier ways, with a clear plan in place for the future. Early intervention also meant I didn’t have to deal with the deeper, more severe consequences that come with long-term addiction, like damaged relationships, financial ruin, or health issues. The sooner I committed to rehab, the sooner I began to regain control over my life, my mind, and my body.

Today, I’m not just sober, I’m thriving—and I owe so much of that to the decision I made to stop procrastinating. If I had waited any longer to take that first step, I’m not sure I’d be here today. To anyone who’s struggling with addiction, I can’t stress enough: don’t wait. The pain of facing your reality now is far less than the pain of living with addiction any longer. The life you want is possible, and rehab is the first step toward it. Make today the day you choose to change.

Call or message 1-829-932-0123 today, and stop the procrastinating.

addiction, Addiction treatment, How addiction affects family, international rehab, recovery, relapse, sober vacation

Daily Moderate Alcohol Consumption

While moderate alcohol consumption is often socially accepted and even supposedly linked to certain health benefits, such as a reduced risk of heart disease, the long-term effects on overall health are more complex and can be life-threatening. Drinking moderate amounts of alcohol daily, defined as up to one drink per day for women and up to two drinks per day for men, can have very small positive and likely huge negative impacts. The benefits, however, are often outweighed by the subtle but significant risks, which tend to accumulate over time. For example, alcohol can provide antioxidant properties through certain beverages like red wine, but those can also be achieved through fruit juices.

Over the years, consistent moderate drinking can lead to a range of chronic health issues. The liver, tasked with processing alcohol, may begin to show signs of strain, leading to conditions such as fatty liver disease or even cirrhosis if consumption slightly exceeds moderation. Alcohol can also have a cumulative effect on the brain, potentially contributing to cognitive decline or mental health issues like anxiety and depression or early onset dementia. Furthermore, even moderate alcohol consumption is associated with an increased risk of certain cancers, including breast and colorectal cancer, as alcohol is a known carcinogen.

Finally, the daily intake of alcohol, even in moderate amounts, can impact sleep quality, immune function, and overall well-being. Regular drinking can interfere with the body’s natural sleep cycles, leading to poorer sleep quality and fatigue. Additionally, alcohol can weaken the immune system, making the body more susceptible to infections. Over time, these effects can contribute to a diminished quality of life. The short-term pleasure of a daily drink comes at the cost of long-term health and vitality. As such, while moderate drinking may seem harmless, its cumulative effects should not be overlooked when considering one’s long-term health.

If you or a loved is struggling with alcohol or any substance, reach out for help.

1-829-932-0123 for info on how we can assist.

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, recovery, testimonial

Defining Moment

I’m in a defining moment right now in my life, and I am the one who defines the outcome. When adversity comes, it introduces you to who you truly are, at your core, and you get to meet the REAL you. I’ve already met the real me. 12.5 years ago, I crawled up from rock bottom with few believing in me and turned my life around. The unwavering support of my wife and the desire to inspire my boys pushed me to succeed.

When defining moments come, I need to make a choice. Either the moment defines me, or I define the moment! I can either decide to concern myself with the doubters and naysayers and play it safe, or I can focus on what I need to do to achieve the dreams that I have manifested. It’s easy to get bogged down by negative voices and self-doubt, but the real challenge and reward lie in pushing past those barriers and striving for greatness. The choices I make now are pivotal and will shape my future.

Ten years from now, I don’t want to look back and wonder, “What if I had taken a chance to go after my dreams and never gave up, and never gave in?” Adversity will not break me; it will shape me, continually carving me into the person I need to become to persevere in achieving more of my dreams. I am determined to turn every challenge into an opportunity for growth, to show my boys that anything is possible with dedication and resilience. This is my journey, and I am defining my destiny.

addiction, Always Hope, Dominican Republic, How addiction affects family, international rehab, recovery, testimonial

My 17 year old son’s View on Addiction

“A lot of people get a bad thought in their head when they hear the word addiction. The word has been engraved into our heads to be negative. Everyone whether they may admit to it or not has some form of addiction in their life. It isn’t something that is exclusive to certain people.

I grew up around people who had and still have problems with addiction, my father was one person who had problems with addiction when I was growing up. Growing up and seeing people with problems when it comes to addiction is challenging especially while being young. My father was prescribed painkillers and later became mentally dependent on them. This started to become a problem not only for him but for my mother and brother. Since this became a problem he knew he had to quit so he did, he went to a rehab in Canada and it worked for him, but he didn’t like the way the rehab was he said it felt more like confinement then a place that he would want to be for recovery. Because of this he wanted to create his own rehab to help people but also give them more freedom then your typical rehab center, so that’s what he did.

My mom and dad started a rehab in the Dominican Republic to help people with addiction while also showing them paradise. I’ve seen many different characters come to our rehab center and it made me realized that addiction isn’t just something that affects specific people, but that it affects everyone. I’ve seen people in denial about their addiction and I believe that people shouldn’t be.

Growing up around my father’s addiction made me realize that addiction isn’t exclusive to certain people, it can affect anyone. Despite the negative stigma attached to it, I’ve seen firsthand that recovery is possible. My father’s journey, from struggling with prescription painkillers to successfully overcoming his addiction and founding a rehab center in the Dominican Republic, highlights the importance of addressing addiction with understanding and support. His story serves as a reminder that with the right approach, recovery is achievable, and everyone deserves a chance to heal.”

I love that my boy wrote this for a high school project, proud of him.

Call or message 1-829-932-1023

for assistance or info about Always Hope Rehab

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, international rehab, recovery, testimonial

12 Years Clean

January 27, 2012 at the age of 34 was the first full day at my second Rehab. Since high school I always enjoyed getting high, alcohol and weed at first but then also the occasional dabbling in harder drugs as I entered university. It seemed the norm at that age but I usually did everything to the extreme and my competitive nature contributed to me using harder and doing dumb stuff to injure myself while high or drunk. 

After many years of enjoying getting high I thought I hit the jackpot when my doctor prescribed me OxyContin to deal with migraine headaches and back pain. I say jackpot since it took away the pain and got me high, I thought this was perfect. It was great until my tolerance kept increasing, and then after 4 years of not abusing the opiates I fell and separated some ribs and the OxyContin abuse started. I used up a month’s prescription in days and started buying them off the street. (NOT my doctors fault as for 3 years he tried most alternative therapy and non narcotic meds, but nothing worked.)

Even though I was taking so many pills daily my mind was telling me that it’s ok cause I’m taking meds that are prescribed and my doctor should really just increase my dosage so I’m not in pain or buying them illegally. In hindsight I see how ridiculous that is but at the time that was my logic. After a few years of abusing the OxyContin family noticed and I was confronted, I tried to deny and talk my way out but deep down I knew I needed help. I decided to go to rehab to get my family off my back and to learn how to “use properly” I never intended to fully quit. I was warned to abstain from all mind altering substances but I of course needed to test that theory because I thought I was smarter than all these “addicts and alcoholics”

My controlled using lasted 2 weeks and started the day I left my first rehab. 6 months later I found another rehab that offered the shortest length of stay (3 weeks) and the reason I went to that rehab was I was dying physically and mentally and needed to quit for my sanity and health. I also had learned from the previous rehab and my “controlled using” that I had to fully abstain or I would die and lose my wife and 2 boys. 

So today as I sit having coffee by the pool in the Dominican Republic I’m grateful to have my health and my family still in my life. Recovery is possible.  Call me at 1-829-932-0123 for more info or assistance.

12 step meetings, addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, international rehab, recovery

Rehab, 12 Step Meetings, Religion, or Other?

Embarking on the journey to recovery from substance abuse is a deeply personal and unique experience. There is no one-size-fits-all solution, and individuals often find success through various avenues. I will explore the different pathways to recovery, including rehab programs, religious approaches, and peer support groups such as 12 step programs. The key to success often lies in a personalized combination of these resources, coupled with a strong social support system. 

Personally I went to rehab twice to get the assistance I needed. First time was to get family off my back and second time because I was “sick and tired of being sick and tired”. The second time I was also more accountable by attending weekly 12 step meetings. Grateful for my past as I near another yearly milestone and thought I’d reflect on different options for successful recovery. 

Call or message me at 1-829-932-0123 for more info.

1. Rehabilitation Programs:

Rehab programs, whether inpatient or outpatient, play a crucial role in helping individuals break free from the cycle of addiction. These programs often offer a structured environment where individuals can receive professional guidance, counseling, and medical support. Inpatient rehab provides intensive, around-the-clock care, while outpatient programs allow individuals to receive treatment while maintaining their daily routines. The immersive nature of inpatient rehab helps many people kick start their recovery journey and was instrumental in helping me recover. 

2. Religious Approaches:

For some individuals, religion serves as a powerful anchor in their recovery process. Religious communities often offer support and a sense of belonging, providing individuals with a framework for moral and spiritual guidance. Religious practices, such as prayer and meditation, can be integral components of a holistic recovery plan. However, it’s important to note that the effectiveness of religious approaches varies from person to person based on individual beliefs and preferences. 

3. Peer Support Groups:

Peer support groups, such as 12 step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), provide individuals with a community of like-minded individuals who understand the challenges of addiction. These groups follow a structured approach that includes steps toward recovery, accountability, and sponsorship. The power of shared experiences and mutual support within these groups can be a driving force in sustaining recovery over the long term. I still get a lot of support by attending 12 step meetings when I can. 

Call or message me at 1-829-932-0123 for more info.

Regardless of the chosen path, maintaining a social connection with supportive family and friends is crucial. A strong support system provides encouragement, understanding, and a sense of accountability. Whether it’s attending family therapy sessions, involving loved ones in the recovery process, or going to 12 step meetings, the power of social connections cannot be overstated.

In the realm of addiction recovery, diversity is strength. There is no universal answer to the question of which pathway is the “right” one, as each individual’s journey is unique. By embracing a combination of rehabilitation, religious practices, outpatient support, and peer engagement, coupled with the unwavering support of friends and family, individuals can pave their way to a successful and sustainable recovery. The key lies in recognizing that recovery is a dynamic process, and the chosen pathway should be tailored to meet the specific needs and preferences of the individual seeking a new, healthier chapter in life.

addiction, Addiction treatment, Always Hope, Dominican Republic, How addiction affects family, international rehab, recovery, relapse

Holidays: Recovery and Relapse

December is often the season of joy and celebration, yet for those on the path of recovery from addiction, the holiday season can pose unique challenges. As we approach Christmas, a time traditionally associated with parties and alcohol, the journey of recovery can be a slippery slope. Let us dig into the complexities of navigating recovery and the potential pitfalls of relapse during this festive time.

Call or message 1-829-932-0123 for assistance.

**The Challenge of Temptations:**

The Yuletide season brings with it a myriad of temptations – from spirited gatherings to the presence of alcohol at every turn. For those in recovery, maintaining sobriety amidst the festive cheer can be similar to traversing a minefield. Old habits may resurface, testing one’s resilience.

**Navigating Social Pressures:**

The holiday season is often marked by social obligations, where the pressure to partake can be overwhelming. Friends and family, unaware of the delicate nature of the recovery process, may inadvertently contribute to the struggle. It becomes crucial to communicate boundaries and seek support during these challenging moments.

**Embracing Support Systems:**

Recovery is not a solitary journey but a collective effort. The holiday season emphasizes the importance of leaning on support networks – be it through 12-step programs, therapy, or the understanding embrace of loved ones. Acknowledging vulnerability and seeking help can be a powerful deterrent against the chance of relapse.

**Mindful Celebrations:**

As one treads the path of recovery, approaching celebrations with mindfulness becomes paramount. Opting for sober gatherings, engaging in activities that bring genuine joy, and steering clear of environments that may trigger relapse are strategic choices during the festive season.

**Coping Strategies for Resilience:**

Developing coping strategies is an essential aspect of maintaining recovery. Whether through meditation, journaling, or engaging in fulfilling activities, individuals can fortify themselves against the allure of substances. The holidays, though challenging, can also be an opportunity for self-discovery and growth.

**Reflection and Renewal:**

The Christmas season, with its emphasis on reflection and renewal, provides a fitting backdrop for those in recovery. It’s a time to assess progress, acknowledge victories, and chart a course for the future. While relapse may be a stumbling block, it need not define the entirety of one’s journey.

Call or message 1-829-932-0123 for info about rehab or recovery.

In conclusion, the holiday season, which may contain potential pitfalls, also offers a chance for profound transformation. Navigating recovery during Christmas requires resilience, self-awareness, and a commitment to embracing the true spirit of the season. Together, let us walk this path, supporting each other through the trials and triumphs, as we strive for lasting recovery during the festive season and beyond.

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, international rehab, recovery, testimonial, testimony

The Magic of Always Hope

A testimonial from a previous guest:

“Roger Palsma and his family’s Always Hope center is special in too many ways to mention. Besides being in a lovely, comfortable location with a private bedroom and bath, you are made to feel ‘at home.’”

This is not what you would expect. I envisioned sterile walls, militaristic rules and pounded with the lengthy doctrines of AA.  Instead the process is laid back and loving—while keeping it very real why you are there.

Very customized and personalized; you can work as hard as you want or not at all. It’s up to you.

But the magic I think, is Roger’s unique brand of dry humor and empathy. Having clearly been a former abuser of most every recreational drug, he speaks from first-hand experience. You never feel ashamed to speak up about anything.

For those of you turned off by the dogma of AA or NA, this center has a unique way of filtering through that stuff and focusing on the useful messages within.

In short. They demystify the process of getting sober into digestible pieces.

Nothing short of brilliant.”

Call or message 1-829-932-0123 to contact Roger with Always Hope