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Step one was to acknowledge I was powerless and unmanageable. The first part is a conclusion I drew about myself after learning the facts about my disease as outlined in the Big Book. After honestly relating my experiences drinking to the "Doctor's Opinion" and the first three chapters I concluded, "Yes, I am an alcoholic. I have a problem with drugs and alcohol."

The second part is an agreement I make with the fact that yes, my life is unmanageable. I have a problem living. Not surviving or getting by, but actually living the life I always wanted to live. One without the constant fear, guilt, and remorse I lived with while drinking. A life without constantly fighting everyone and everything to have things my way. One I didn't have to prove myself to anyone or live up to anything.

Until I could admit that I was both powerless over drugs and alcohol and my life was unmanageable, I wouldn't need to try and be sober. It's that simple. I believe this is what our book refers to on page 30 when it says "We had to concede to our inner most selves that we were alcoholic. This is the first step in treatment." I was confusing wanting to be sober with wanting the consequences of my drinking to go away. For me, I knew I was alcoholic, but my life just wasn't unmanageable enough. When I admitted complete defeat was when I hit my bottom and was able to begin true recovery.

I was so self-sufficient it almost killed me. I lost everything I cared to lose and kept trying one more time to feel that ease and comfort which comes at once by taking a few drinks. The problem was I just couldn't get to that place anymore. I was stuck in self-pity. I went to treatment, I was doing aftercare, attending meetings daily and couldn't stay sober. I wanted to be sober and feel at ease and comfortable. That's the big dilemma for me getting and staying sober. The only tool I had to make life livable was alcohol and it quit working. I had to find a new way to do things.

I had a chance to be with my family Thanksgiving after a year of tough love. It was a weekend I will always remember. We were hiking in the mountains and I was overcome with the presence of His beauty and the unconditional love of family. I was filled with gratitude and the sense that I didn't have to live in the pain of my drinking ever again. My eyes opened to the possibility of a sober, happy life. I was powerless over alcohol and my life was unmanageable. I had taken step one. I was ready for recovery.

So what do I do? I work the remaining steps of Alcoholics Anonymous with a sponsor who has worked them. Not a drug and alcohol treatment center, not aftercare, not an Oxford House, not 90 meetings in 90 days, not anything else. Those things are helpful tools but by themselves they cannot keep me sober. If I could just not drink no matter what--as it is often suggested to newcomers, I wouldn't have a problem! It isn't easy, but nobody said life is. I had to quit feeling sorry for myself, grow up and take action to save my life. As soon as I recognized that and quit fighting it got a lot easier.

May all of you struggling with that first step find your way. Make this your bottom and get on with the joy of living in recovery.

Do you ever find that you have become stressed out by all the pressures of life and don't know what to do?

Have you ever wished that you could find a way to reduce stress? The good news is that you can reduce stress in your life. Follow the four steps below to reduce stress:

1. The first step to reduce stress is to consider the things that annoy you the most.

A good way of identifying your main stressors is to keep a diary for two weeks.

Each day keep a list of the things that caused you tension or anxiety. Make a note of how, when and where those situations occurred. Consider what things continue to regularly cause you stress.

To help you to get started making your list here are some to the things that experts consider are the main causes of stress in our lives:

At the end of each day consider how you handled those stressors. Make a note of how you felt physically and emotionally, and think about whether your reaction improved the situation or made it worse. Consider what action you could have taken to improve situation and determine to take that action if a similar situation arises.

2. Meditate on positive things that happen each day

Take some time to look back over everything that you were grateful for today. This could include a delicious meal, an uplifting conversation with someone, a project that you've completed or anything that made you smile or laugh. Develop an attitude of gratitude - you'll feel much better.

3. Understand yourself better as a person.

Understanding yourself better as a person will help you to find and then eliminate the root causes of your problems. This will reduce stress and reduce mood swings resulting in a happier life.

4. Determine which things give you the most joy.

The beauty of your life is you choose who you want in it and what you want to do with it. To help you get started find a pen and sheet of paper and set aside some time, at least an hour, when you're likely to be undisturbed. Quieten your mind and meditate on the things that give you the most joy. Write down whatever comes into your mind and then go through your list and put them in an order of priority. Then do them. It could include visiting somewhere that you've always wanted to see or anything else that would bring you joy.

Conclusion

You can reduce stress in your life. Follow the four steps above and you will experience less stress and more fulfillment and happiness in your life. You will be able to remove the emotional problems that you are experiencing and that are stopping you from succeeding. You will find that life is no longer controlling you but you will be free to take control of your life.

The result is that you will feel happier and more fulfilled so what are you waiting for.

By Brett P Walker

Hypertension is another name for high blood pressure, that is, the blood pressure is higher than normal or at an elevated state. Hypertension tends to affect the working age group that is often associated with high-stress conditions in the workplace. If hypertension is not controlled, those suffering may become a huge burden on the health system due to serious health problems. Hypertension is classified into two types, primary and secondary. Primary hypertension is high blood pressure that shows no specific cause. However, certain diet drugs can be suspect. Hypertension is not caused by tension or stress, even though some believe it is. Secondary hypertension may be the result of an underlying or dormant disorder. It is estimated to affect more than 50 million Americans and is one of the leading causes of cardiovascular and renal disease. It is also a leading cause of stroke, heart disease and kidney failure.

Hypertension can exist in several different forms and symptoms do not appear until it is severely high. It is common in older people and is widely associated with vascular dysfunction in the coronary circulation. When there is excessive pressure against the blood vessel walls and persist over several weeks to months, hypertension is diagnosed. Pressure inside the eye causes both retinopathy and ocular complications. Hypertension can be a serious condition since it can cause damage to many body organs including the kidneys, eyes and heart, among others.

Hypertension is the single most autonomous and important risk for cardiovascular disease, as well as congestive heart failure and even kidney failure. Other factors credited to hypertension are high salt intake, obesity and genetic vulnerability. It can continue for years and not be detected due to lack of symptoms, unless damage has occurred. It is a medical condition that can be a symptom of a dormant disease. The worst effects of hypertension are on the heart, kidneys, eyes and brain. Hypertension is a leading cause of deaths in adults, is a major health care problem and is the single most significant contributor to stroke, one of the biggest killer diseases known to man.

Shortness of breath upon exertion is the most common symptom of pulmonary hypertension and virtually everyone who has the condition develops it. Symptoms may include mild fatigue, dizzy spells, fainting, rapid heartbeat, ankle or leg swelling, bloating, tremors, stooped posture, slowness of movement as well as muscle rigidity. Primary pulmonary hypertension is found two times more often in women as men over age thirty-five. During pregnancy, primary hypertension may be most responsive to dietary calcium.

Diagnosis is by physical examination and renal imaging or measuring the blood pressure. Just about every physical examination includes checking the patient's blood pressure. A doctor may suspect pulmonary hypertension in people who have an underlying lung disorder. Portal hypertension is implied by the presence of known chronic liver disease such as enlarged spleen.

Treatment varies according to the stage of the disease. Hypertension is controllable with treatment, which may require periodic adjustment. The treatment is often associated with weight loss and increased exercise, but a doctor should be consulted even in cases of pre-hypertension. Hypertension is a very serious condition and should be taken seriously by both patient and doctor. It is commonly treated with drugs that decrease cardiac output and controlled with medications, dietary and lifestyle changes such as giving up smoking, lowering cholesterol and salt intake and exercising on a regular basis. Treatment of patients with primary hypertension is usually directed at the underlying disease. Treatment of high blood pressure significantly reduces the risk of heart problems and stroke. Opening the obstructed renal artery, with or without a stent, usually relieves hypertension.

Some patients may experience excessive daytime sleepiness, loud snoring, morning dry mouth or headaches, chronic nasal obstruction, irritability, depression or impotence. Patients with a diabetic nerve injury will improve if their diabetes is better controlled. Those patients that are overweight, have high stress levels and high intake of caffeine or alcohol, smoke or do not exercise regularly must change their lifestyles to decrease the risk for hypertension. Patients who experience extreme dips in blood pressure at night and extreme surges in the morning, as a rule, stay in the hospital overnight to quickly resume normal activities.