Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life.
Drugs affect the way a person thinks, feels, behaves and how they look. But substance use disorders are often accompanied by co-occuring mental health disorders like anxiety or depression. Some people may use drugs as a form of self-medication for these issues, while other people may develop a mental health disorder after taking substances. Either way, it’s important to look out for psychological and behavioral changes in friends or loved ones who might be struggling with addiction:
Nicole Lee works as a paid consultant in the alcohol and other drug sector. She has previously been awarded grants by state and federal governments, NHMRC and other public funding bodies for alcohol and other drug research. She is a member and past President of the Australian Association for Cognitive and Behaviour Therapy. She is a registered Psychologist who has previously worked in private practice.
After the physical detoxification process, the next stage of alcohol treatment involves treating the mental health of the patient with counseling and therapy. A psychologist or psychotherapist will work closely with the patient to help identify the reasons that the patient turned to problem drinking. Once these reasons are understood, the next stage is to apply the understanding to the future, giving the patient the tools they need to make better choices and decisions. Part of the treatment process is to break associations with the people and environments that encouraged the patient to drink past healthy levels. Since alcohol is so prevalent in society and even everyday life, treatment will also involve learning how to resist the temptation to drink in socially acceptable situations, and how to deal with the thoughts and memories of the pleasure derived from drinking.
Just as some people with diabetes or asthma may have flare-ups of their disease, a relapse to drinking can be seen as a temporary set-back to full recovery and not a complete failure. Seeking professional help can prevent relapse — behavioral therapies can help people develop skills to avoid and overcome triggers, such as stress, that might lead to drinking. Most people benefit from regular checkups with a treatment provider. Medications also can deter drinking during times when individuals may be at greater risk of relapse (e.g., divorce, death of a family member).
Insurance: Many types of insurance cover the cost of addiction treatment and rehab; in particular, the Affordable Care Act requires that insurance policies issued under the state health exchanges and through Medicaid programs under the ACA expansion must provide coverage for addiction treatment. It’s important to note that insurance coverage often still requires that the individual provide a co-insurance payment, and some require a deductible be paid before treatment will be free. Specific plans may have different coverage levels, so it’s a good idea to check the specific policy or talk to the insurance provider.
Each state has category defined statutes; for example, there are low-income seniors, parents enrolled in Medicaid of low-income children, pregnant woman, and low-income children of a particular age. Persons with disabilities fall into certain categories as well, if they receive supplemental security income and have no work history they are enrolled in Medicaid to ensure they have health coverage. A person must prove they have a disability, such as blindness, deafness, mental illness, or a physical disability that prevents them from working.
The best way to tell your loved ones that you’re addicted is to be as honest and as open as possible. Be prepared for the possibility that they won’t understand your disease — even today, many people don’t realize that addiction is a chronic condition on the same level as diabetes, cancer, or hypertension. Your loved ones may criticize you; they may even try to persuade you that you don’t have a problem. It’s important to stand firm in your new self-awareness and stay on track with your plan for treatment.
Having made the decision to reach out for help in overcoming addiction, you may feel overwhelmed by the variety of options available to you – and, of course, choosing the right rehab is absolutely crucial. You need a facility that will best suit your particular needs and wants – but how will you know what those are, when you have never been through this process before?
Detoxification is the initial step in treating alcoholism, and it can also be the most difficult. Within the first few days after you quit drinking, you may experience extremely uncomfortable withdrawal symptoms. Because of this, the alcohol detox stage should only be completed under professional medical care. Treatment specialists will also be able to provide you with medication to help ease the pain. This allows you to focus on getting better. After detox, you will be able to move forward with other forms of treatment and therapy.
According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), intervention meetings are different to more traditional alcoholism treatment programs. While this type of meeting is usually designed for a person who is on the cusp of developing an alcohol problem, they can also help motivate an alcoholic in to seeking more extensive treatment for their alcoholism. The best intervention meetings are usually those that both the alcoholic person and family can attend together. This allows the family to discuss how the individual's alcoholism has affected them as a unit. This is also a good setting for loved ones to strongly demand that the individual seek treatment, as they have the backup of professional counselors. drug and alcohol treatment centers
Many physicians believe no effective treatment is available for alcoholism; therefore, these physicians do not refer their patients for treatment. However, more than 13 studies representing more than 4000 patients demonstrate that brief interventions make a difference. Most of the patients in these studies drank heavily but did not yet have a problem with alcohol.
Most people with a history of drug use have poor discipline and self-care habits. A critical part of self-care for a person in recovery is setting and accomplishing goals. Most people, whether in recovery or not, do not know how to set goals that are likely to be achieved. They begin with sincere intentions that eventually get abandoned because they didn’t approach goal setting with the proper mindset. The repetitive cycle of wanting to change habits but continually falling short gradually weakens a person’s resolve to the point where many stop trying.
The path to drug addiction begins with the voluntary act of taking drugs. But over time, a person's ability to choose not to do so becomes compromised. Seeking and taking the drug becomes compulsive. This is mostly due to the effects of long-term drug exposure on brain function. Addiction affects parts of the brain involved in reward and motivation, learning and memory, and control over behavior.
An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach. Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy refers to one's ability to deal competently and effectively with high-risk, relapse-provoking situations. Outcome expectancy refer to an individual's expectations about the psychoactive effects of an addictive substance. Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well. Substance use is the result of multiple decisions whose collective effects result in a consumption of the intoxicant. Furthermore, Marlatt stresses some decisions—referred to as apparently irrelevant decisions—may seem inconsequential to relapse, but may actually have downstream implications that place the user in a high-risk situation.
Outpatient drug rehab provides patients with a more loosely defined schedule. This form of treatment allows patients to stay with their support system at home and maintain a limited presence at work or school. Both options offer patients a different range of therapeutic options and counseling with the goal of maintained abstinence and long-term recovery.
Instead, you should follow the procedures and mechanisms worked out during your therapy, and take all steps agreed upon to minimise your exposure to risk. During therapy you will have worked to identify triggers which can set off the desire to consume drugs; now, in the outside world, it is your responsibility to avoid those triggers in any way possible.
Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms. Woman Turns to Rehab After Struggling With Drugs, Alcohol: Part 1