The Pattern Of Functioning Of A Drug Addiction Rehab

Drug addiction rehab works in several different ways in different parts of the world and in a country like the US, every treatment center has a different treatment program. The differences could be in the policies and theories that the program is based on, or it could be in the facilities that they provide. This makes it all the more essential for people who are scouting for a rehab center to read their programs carefully and then make the decision. Even though the programs of two different centers might appear to be the same on the face of it, there could be subtle differences that could make a program suitable for one person but unsuitable for another.

However, it is seen that throughout the US, the pattern of treatment that is followed in the drug addiction rehab centers is more or less the same. So, when you are looking for an option on drug rehab in the US, the following is the kind of pattern that you might observe.

Part I of the Treatment Program: Getting the Person to Defeat the Denial

Almost every person that checks into an addiction rehab center has some degree of denial within him or her. Denial is the phase when the patient is not convinced that he or she has a problem (about the addiction) and they would not in the least want to think about any kind of treatment for their condition. This may be out of fear for the treatment, especially the stories that they must have heard of the detox treatment, or it might be out of sheer ignorance. However, it is important that this denial is removed because as long as the patient does not agree to accept treatment, the rehab center can do nothing much.

Hence the first part of the treatment program in a drug addiction rehab is to help the person overcome the denial process. For this, the treatment center would employ a meticulous counseling program with motivational therapies included in them. If the patient does not respond to these, then their families might be involved. The families will be trained on what they must do or say to the patient so that he or she can be convinced for the treatment. They are also made to rehearse their approach with the patient and on a predetermined day, the program is set to action. After the planned family involvement, the patient is usually convinced for the treatment and the rehab program is begun.

Part II of the Treatment Program: Analyzing the Patient’s Condition

Not all patients will be able to undergo all kinds of treatment. Hence it is extremely important to check upon the patient’s condition right at the start. This is done through a careful analysis and testing procedure. The patient’s physical and mental conditions are then determined. If there is any associated condition, then the patient is led into a program that can deal with the coexisting conditions, such as the dual diagnosis treatment program. This is also the phase of the treatment program where the method of treatment for the patient is chalked out.

Part III of the Treatment Program: Detoxifying the Patient’s Body

The next phase of the treatment is the detoxification process, which is what most people think is all what the rehab treatment is about. This is the part of the program where the patient is made to abstain in a bid to allow the toxins collected due to the addiction to pass out from the body. This can take a long time depending on the condition of the patient’s body and the nature of the addiction. The simple detox programs (i.e. where the patient’s condition is not quite intensive) are completed within three days. But in people who are strongly addicted to a substance and are using strongly addictive substances, the detoxification treatment can go on for as many as three weeks.

A very important part of this program is to help the patient to overcome the difficult withdrawal process. This is done through a carefully planned medication program.

Part IV of the Treatment Program: Counseling, Medication Treatment and Aftercare

The detox program dovetails into a counseling and aftercare program. The main intention here is to provide the patient with knowledge on how to keep the temptation for the substance away. This might include teaching the patient some therapies such as relaxation and meditation methods. The patient is also educated on the repercussions of the addiction on various aspects of life, which could be a means of making their determination to abstain stronger. They are also kept on maintenance medication for as long as the treatment center thinks is right.



Thanks to Todd Lange for contributing this article to our Addiction blog:

Please click on drug addiction rehab to find out more information on the subject.



Heroin Addiction Rehab

The Role of Denial in the Power of Addictive Disease

Persons with addictive disease continue to use their substances in the face of a long history of adverse consequences in significant areas of their lives, including medical problems, legal problems, relational problems, and employment problems. The drive to use is stronger than one’s love for a significant other or a child; stronger than loyalty to an employer or a friend; and stronger than one’s values or even spiritual tenets. Persons with addictive disease continue to use long after any rational individual would choose to do so. This article provides a brief explanation of the role of denial in the power of addiction.

Some definitions

The term drug or alcohol addiction is used to mean a primary, chronic, disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, craving, and continued use in the face of adverse consequences. Addiction can develop with frequency of use of as little as two-to-three times a week. An example of addictive disease is alcoholism, or heroin addiction.

A person with addiction may, or may not, develop physical dependence and experience physical withdrawal symptoms upon stopping use; physical dependence usually requires use of alcohol or other drugs many times a day, every day, for a substantial period of time. A diagnosis of addiction does not require the presence of physical dependence.

Denial

Denial is a complex concept that includes many factors. We will focus here on factors commonly understood in the addictions treatment field to operate to cause the addicted person to be out of touch with the reality of the adverse effects of drug or alcohol use. We will use simple understandable, non-technical terms.

Denial in the alcohol or other drug (AOD) addicted person includes the following factors which operate, except for Item 1), in part unconsciously, or, at times, semi-consciously:

1) Deliberate lies.

Addicted persons, be they alcoholic or addicted to illegal drugs, lie and manipulate to protect their ability to satisfy the need to use their DOC (drug of choice). They also lie to themselves and come to believe their own distortions. Addicts who must buy their drugs from illegal sources and use illegal means to finance purchases, will be particularly adept at deliberate falsification and skillful manipulation.

2) Alcohol/drug-induced amnesia (blackouts).

Present inability to recall events occurring while under the influence adds to the “denial” problem. The AOD addicted person in truth cannot remember many of the negative events he/she may be accused of, which adds to the confusion, frustration and delusion of the user (and to the frustration of those close to him/her).

3) Euphoric recall.

Recall of events while AOD impaired tend to be distorted. The AOD addicted person also tends to recall only the good times, not the bad, a selective memory.

4) Denial in Significant others.

Those close to the AOD addicted person experience denial in forms similar to that of the addict or alcoholic, and tend to enable, that is, protect the user from experiencing the natural consequences of his/her inappropriate behaviors.

5) Lack of feedback or ability to reality test what’s going on.

Because of the dysfunction which develops in intimate relationships, the AOD addicted person has no way of reality testing, that is, he/she is given no useful feedback about the reality of AOD use and its real impact on significant others. The usual rule in such families is to avoid intimacy and not talk about the problem.

6) Ignorance of the definition of alcoholism or addiction.

Stereotypes of the “typical” alcoholic or addict, myths, even one’s own experience with an alcoholic can lead to excluding one’s own behavior from the definition. For example, an individual can say:

I don’t drink or use every day

I do my school work

I never drink in the morning

I don’t crave, or need to drink or use

I don’t drink or use much when away from school during Xmas, summer, etc.

7) Toxic effects of AOD on the brain

Addictive AOD use seriously disrupts the normal functioning of the brain, not only causing dysfunction in the action of “feel good” chemicals (neurotransmitters such as dopamine and serotonin) thereby causing craving and loss of control, but also cause dysfunction in the brain’s ability to process, store, and use information.

8) Inconsistency of patterns of AOD use, loss of control and consequences.

The individual may not get drunk every time, may not suffer negatives every time, may be able to quit for a time, etc., and will, of course, focus on the times when nothing bad happened.

9) Influence of media and culture.

Society, commercials, ads all depict alcohol as an integral part of life’s activities—sports, good times, bad times, sex, etc. Not drinking is in many parts of society abnormal.

10) Sneaky disease.

The loss of control over, and addiction to, drugs and alcohol are insidious in their onset and development.

11) Stigma.

Alcoholics and addicts are considered by much of society to be weak willed, immoral, irresponsible, and even criminal. Persons who have this disease also tend to internalize this stigmatized notion of the alcoholic or addict, and tend to not only resist applying such a term to themselves, but also resist seeking help because, perhaps, they feel unworthy.

12) Professional enablers.

Even today, when persons with AOD addiction seek help, they often encounter care givers with little expertise in diagnosing and treating AOD disorders, who provide services not directly addressing the addiction. This approach enables the addicted persons to rationalize that they are getting help that may result in a return of the ability to use.



Thanks to Jan Edward Williams for contributing this article to our Addiction blog:

I have developed a web site, http://www.alcoholdrugsos.com, where I provide free drug and alcohol addiction information, Twelve Step Recovery information, and daily recovery tips. This information is for those concerned about their own drug or alcohol use, or those concerned about such use by someone they care about. Also, at a reasonable price, I provide online professional addictions counseling services, including same day answers to questions about drug and alcohol problems.
In addition to a law degree, I have a Master of Science degree in counseling, am a licensed clinical alcohol and drug counselor, and am a member of the Licensed Clinical Professional Counselors of Maryland. I have personal and professional experience to aid me in helping persons with alcohol and other drug problems. I am in recovery myself, with over 30 years of continuous sobriety, and have been working in the drug and alcohol field for 28 years. I have been Director of Loyola College in Baltimore’s Alcohol and Drug Education and Support Services for 18 years. I also teach both undergraduate and graduate courses in substance abuse for the Psychology Department at Loyola.



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Drug Treatment Facilities - Addiction Treatment Centre

Drug treatment centers in South Africa are becoming more widespread as the continuing battle with significant drug abuse continues. For many addicts, admission into a drug rehabilitation centre is the foundation they need to enable them to break through their first few months of abstinence in a safe and supportive environment, away from the regular routine of their using.

However, rehabilitation is not an escape from life and the problems associated with it, although in the first few months of recovery it can be immensely beneficial for an addict in treatment to focus only on themselves and not face distractions caused by problems in their everyday life.

Addiction is a disease which is incurable and progressive; over time it will get worse and can be fatal. The disease can be arrested with abstinence, proper counselling and a programme of recovery. Daily vigilance and working a programme of recovery will allow a sufferer to rebuild a life for themselves and become a functioning member of society. However, for an addict to evolve from a state of hardened drug use and absolute self destruction to being an abstinent, reliable and happy individual is not a change which occurs in a few days. The abstinence will need to be immediate, but the real problems which require attention are the deeply rooted psychological problems all addicts have.

Giving up is hard to do

There is a common saying, “an addict without drugs is like a fish out of water,” and in many aspects this statement is true. An addict is reliant on drugs, hence addiction has earned the nickname “habit”.

An addict will find drugs enmeshed in all aspects of their life and giving up something that has been the focus of their life for a long time is a shock. After years of numbing and avoiding feelings, they will suddenly have to cope with their problems without drugs and feel the emotions they have spent years avoiding.

The lifestyle associated with drug use is engrained into the addict. Associations, hang outs, dealers, image; all of these are part of an addict’s using and when drugs are removed from the life of an addict, they will still find themselves entwined in evidence of addiction, except they will not be high.

Why a treatment centre can help

In a treatment centre, addicts will still have to face life head on, but will be able to do so in a clean environment with trained professionals helping them to deal with the difficulties of beginning on road to recovery.

As mentioned previously, the problem is not the drugs, the addict’s associations, the places they frequented or the music they listened to: the problem is within the addict themselves. Being in a safe and supportive environment will make the transition into a clean life a little easier to manage.

After an addict has become abstinent, it is completely normal for them to crave drugs. Just as drug use is a symptom that something within the addict is wrong, cravings are a symptom too. Many addicts with years of recovery behind them find that when something such as feeling an uncomfortable emotion occurs, they may crave, but they are aware that it is merely a symptom that something is uncomfortable within themselves. When an addict is in the clutches of an addiction, they may want to stop but just cannot get through a day without using, similar to an addict who has just become abstinent and craves.

What to expect from a treatment centre

Every addiction treatment centre is different, depending on the psychological model of addiction treatment they follow.

Many centers provide only counselling and therapy without placing too much emphasis on the patient managing life on the ‘outside’ of their centre. Others use religion or labour as a treatment method. The most successful rate of recovery is definitely seen in addicts attending treatment centers which provide therapeutic counselling, a Twelve Step recovery programme and endorse a healthy lifestyle.

Counselling coupled with a Twelve Step programme is so successful because the counselling helps the addict deal with the past and present issues they face. A Twelve Step programme provides a way for them to remain abstinent once they have left their treatment centre as the members of a Twelve Step fellowship apply themselves daily to the principles and suggestions of the programme, keeping them motivated and able to cope with life as it happens.

The length of a patient’s stay can also help prepare them for life outside their treatment centre. Many addicts only complete a short term in a primary care facility. Such a facility usually treats patients for three to four weeks using an intensive therapy programme where the addicts are required to be in-patients and abide by strict rules. Once many leave the centre, the shock of returning to normal life can often be so great that they return to using straight away.

Addicts who attend a programme at a secondary and tertiary care facility after their primary treatment seem to have a higher rate of recovery than those who simply attend a month long course. Secondary and tertiary care facilities allow patients a little more freedom and are able to help addicts become accustomed to living life without drugs and become immersed into society once more, but in a safe and controlled environment.

Drug treatment facilities can be an incredible help for an addict beginning the process of turning their lives into a happy existence that is not dependent on drug use. Attending a treatment centre offering therapy and counselling from trained professionals on a one-to-one and group basis coupled with a Twelve Step programme and a healthy lifestyle is the best chance for an addict to create a firm foundation of recovery.



Thanks to Rosemary Grace Brooks for contributing this article to our Addiction blog:

Oasis Counselling Centre is a drug treatment centre in Plettenberg Bay that offers therapy by professionally trained counselors. The Oasis Centre also endorses a Twelve Step programme of recovery and a healthy lifestyle.



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