Circles: Breaking the Cycle of Addiction Through Connection
“Addiction’s opposite is connection.”
Brett Sandlin, a counselor for Cowlitz Tribal Health Services, opens our conversation with this statement. He is confident, kind and approachable. Hands that have seen their share of labor encircle a coffee mug. Brett confirms this history as he speaks about his past in construction, before a devastating accident put him on the path to his current career as a substance abuse counselor.
Finding himself suddenly jobless with a serious injury and three children to raise, Brett turned to his family for guidance. The collective wisdom of the women who raised him influenced his decision to return to Turtle Mountain Reservation in North Dakota and consult with elders about his life direction. From there, the path to his certification and commitment to serve community was established.
I ask him if he ever feels burdened by his work – Is it a challenge to work with clients in the throes of addiction and not backslide into old behaviors?
“I’m connected now,” he says. “I love this work. I get at least as much out of it as my clients. I’m connected.”
He explains that connection is the cornerstone of a client’s recovery. Replacing substance use with meaningful connections to people and interests that feed health and vitality are essential. Family, new and non-using friends, hobbies, being in nature and meaningful work are examples of healthy connections to replace use. Counselors like Brett work one on one and in groups with clients to explore their backstories and help them to map an outline for a new one.
Most clients have some visual familiarity with the medicine wheel – a circle intersected by two lines that form four equal quadrants. Traditionally, each quadrant embodies one of the four directions, particular earth elements, animals, colors and periods of life.
In this context, counselors introduce each quadrant as an aspect of balance that must be achieved to maintain mental, physical, spiritual and emotional health. If any one of these aspects is pulled out of balance, the entire wheel is affected.
I ask Brett if this approach can be effective with non-native clients. He says that everyone is encouraged to reconnect with their individual heritages, and some symbols are universal. All people recognize a circle. When a person absorbs the four aspects of the wheel, any time they see a circle, it can be a moment to check in with themselves and acknowledge where they may be experiencing imbalance.
Nature has very strong circular images – the sun, the moon, the center of a flower, the rings of a tree, ripples radiating outward on the surface of still water, the eyes of most animals and fellow humans. Naturally, people feel a primal connection to the shape regardless of cultural heritage.
“We are all a part of this. We all have a contribution and an impact. We can choose to reach out to each other and connect. There is love and there is hope if we walk forward together.”
Brett Sandlin, SUDP (Substance Use Disorder Professional) is a clinical supervisor at Cowlitz Tribal Health - Seattle. This facility, located in Tukwila, provides SUD assessments, delivers Native American culturally based intensive outpatient and outpatient substance use treatment services, evening groups, and childcare for client groups. Cowlitz also offers mental health services and victim services for enrolled American Indians and Alaska Natives and to those who attest to be of Native American descendancy. For more information about obtaining services at Cowlitz Tribal Health- Seattle, please call 206.721.5170 and ask for the Substance Use Intake coordinator.






