What is a rehab center?
A drug rehab facility is a place that provides rehabilitation treatments for drug and alcohol addictions. Along the early alcohol recovery timeline, there can be a high risk of relapse. The same is true for drug addiction recovery. Rehab can be a safe place to get away from the triggers out in the world that can make early recovery more difficult.
While traditional rehabs have always been residential and outpatient in the past, with the onset of the COVID-19 coronavirus pandemic, online rehab is becoming more prevalent. Rehab online can still provide solid support and education to help a person to develop the tools and skills to avoid dangerous triggers.
When it comes to rehabilitation from alcohol problems, you have choices.
A good alcohol program can be a solid foundation to begin long-lasting sobriety. If you are concerned about a drinking problem, you have several options. Alcohol rehab, either residential, outpatient, or online, is one possibility. Seeing a doctor for medication-assisted treatment, with meds such as acamprosate, naltrexone, disulfiram is another option.
If you are interested in medical treatment to help you reduce your alcohol intake and don’t believe that you need rehab, you may want to consider The Sinclair Method. TSM is provided by private doctors and is an alternative to going to rehab for drinking problems.
When it comes to alcohol rehab, detoxification treatment to avoid seizures and delirium tremens is critical. An individualized treatment plan, following assessment and intake, may include various psychosocial behavioral therapies. Many therapeutic approaches are possible, including group counseling, one-on-one therapy, family counseling, and family reunification.
What happens in drug rehab with a medically supervised detox program?
Drug rehabilitation programs are similar to alcohol rehabs. In fact, alcohol rehab treatment and drug rehab programs often coexist in the same treatment center.
Alcohol is a drug. When it comes to other drugs, there are a wide variety of different types of substances. The detox process may vary depending on the specific drug of abuse.
When it comes to opiate and opioid detox, there are a set of medical tools used in medication-assisted treatment (MAT) that have proven to increase success rates dramatically. Treatment facilities have begun to provide treatment and support patients who choose to engage in MAT for opioid dependence.
MAT for opioid use disorder can include the use of methadone, buprenorphine, or naltrexone. Ondansetron is another drug that may soon be added to the list. It is currently available as the brand name, Zofran, yet its effects on the neurotransmitter, serotonin, may help with multiple types of addiction for certain people with specific genetic traits.
So far, buprenorphine has been most successful in helping many people to overcome opioid addiction with the least interruption to their lifestyle. Buprenorphine is available in multiple forms and brand names. From Suboxone, the sublingual film, to Sublocade, the monthly injection, as well as other brands, including ZubSolv, Bunavail, Subutex, Probuphine, and Brixadi, this mixed partial opioid agonist/antagonist is having the greatest positive impact in the world of MAT for opioid addiction.
What about other substance use disorders?
When it comes to other drugs, such as stimulants, including cocaine, methamphetamine, and amphetamine, there do not exist accepted MAT protocols yet. However, there are medications, that show promise in helping people addicted to these substances by minimizing drug cravings.
What happens in rehab with respect to psychotherapy?
In addition to medical treatment, rehabs provide a variety of psychotherapy modalities as well as other forms of therapy. An initial consultation by a trained professional will help to determine which forms of individual therapy are best for each client.
CBT, or cognitive behavioral therapy, is a form of therapy that addresses changing patterns of behavior and thinking. It is important to identify triggers related to returning to using drugs or alcohol, so they may be appropriately addressed.
DBT is another form of behavioral therapy. Dialectical behavior therapy is more focused on mindfulness and handling the regulation of emotions. DBT was originally created to help people with borderline personality disorder.
EMDR stands for Eye Movement Desensitization and Reprocessing and is another form of therapy. EMDR was originally developed to address PTSD, including trauma due to military combat and rape.
What do you do in rehab for entertainment and recreational activities?
In addition to these forms of therapy and other more traditional forms of psychotherapy, there are a variety of treatments at rehabs that are more recreational. And, there are alternative medical treatments available as well at many rehabs.
Music and art therapy are available at many rehabs. Art therapy tends to be more commonly available and usually involves allowing residents of a residential rehab to express their feelings through painting or drawing.
Art therapy may even be combined with 12-step facilitation. For example, some rehab art facilitators ask their clients to draw their higher power on paper as an exercise in working on the second step.
What do they do in rehab with horses?
Equine therapy, or horse therapy, is a common form of recreation-based treatment at many rehabs. A horse is believed to reflect the emotional state of the person interacting with it. The horse acts as a living biofeedback mechanism, helping the rehab client to improve their mental, emotional, and spiritual state.
Do you know what to expect in drug rehab with respect to spiritual practices?
Morning meditation or yoga are practiced as daily routines in many rehab programs. These activities are part of an overall mindfulness training and therapy to bring attention to the moment and one’s own actions, thoughts, and feelings.
Additionally, drug and alcohol rehabs often provide a twelve-step facilitation program (TSF) to help clients learn more about the value of programs, such as Alcoholics Anonymous (AA), and Narcotics Anonymous (NA). These world-wide fellowships are self-proclaimed spiritual programs that help members to put their faith in a higher power of their choosing.
What happens when you check into a rehab center?
If you are using alcohol, opioids, or benzodiazepines, you may start out your stay at rehab with a detox program. The withdrawal symptoms caused by these substances can be unpleasant, and even dangerous. There are medication protocols that can help to make the detox process safer and more tolerable.
Other drugs do not have a physical withdrawal syndrome, but the psychological withdrawal effects are still difficult to face alone. Quitting drugs often leads to depression, anxiety, and often intense cravings. Rehab provides a safe place to stay under observation while receiving around-the-clock medical care during the first weeks of recovery and the worst period of cravings.
What happens in alcohol rehab?
The detox program in an alcohol rehab requires a combination of medications and nutritional support. Alcohol blocks the absorption of important vitamins and nutrients. Without supplementation of Vitamin B1, thiamine, for example, there is a risk of developing Wernicke-Korsakoff syndrome (WKS), which can lead to permanent neurological damage. Short term use of benzodiazepines help to prevent potentially dangerous seizures.
For many alcohol drinkers, The Sinclair Method (TSM) may be a viable alternative. TSM involves the patient taking naltrexone while they continue to drink in moderation. The goal of TSM is to reprogram the brain to not associate pleasure with drinking alcohol, eventually leading to abstinence.
What can I do in rehab other than therapy?
Rehab is not all about group and individual therapy. In most rehab programs, you will also get to enjoy some pure entertainment. You may take group trips to the beach, have movie nights, and workout in the gym.
Luxury rehab facilities are known for providing these types of amenities. An important part of recovering from addiction is to learn that you can enjoy a life free from active addiction. Entertainment can be an important part of the healing process that occurs in rehab to support prolonged abstinence.
What kinds of alternative medicine treatments are available in rehab?
You may be surprised to learn that you will be offered alternative therapies, such as massage, during your stay in rehab. Massage can help to release tension and free up toxins trapped in the body’s skeletal muscles.
Acupuncture is another alternative therapy provided in rehab. This ancient medical treatment from The East may help with the cravings and sickness associated with drug withdrawal symptoms.
How are families involved in rehab programs?
Many rehab program designers believe that families are the most important aspect of recovering from addiction. They believe that healing the family is the answer to overcoming addiction and alcoholism.
Family counseling is offered at many facilities Family therapy is at the core of many residential rehab mental health programs. Dealing with unresolved issues in the family is of the utmost importance.
Does rehab help to restore mental, emotional, physical, social, spiritual health after quitting drugs or alcohol?
From exercise therapy to nutrition therapy, and of course, the many forms of individual and group psychotherapy, you will have many opportunities to work on yourself in rehab. A good rehab program provides a solid foundation for moving forward in life with a new perspective.
Is rehab absolutely necessary to recover from addiction to drugs or alcohol?
As described above, it is possible to go to a private doctor for alcohol use disorder. While detox and rehab may be ideal for some people, outpatient treatment with a doctor will often work as well or better. The benefit of seeing a doctor for medical treatment is that you will not have to take time off from life to stay at a rehab for up to a month or more.
When it comes to drugs, it does depend on the drug in question. Medication-assisted treatment for opioid addiction has evolved and progressed to a point where private doctor treatment with Suboxone, and other buprenorphine medications, can work better than a rehab program that does not use MAT.
MAT allows many patients to skip the rehab altogether and get better results than they would have in many addiction treatment facilities. The future of opioid addiction may not involve going to rehab for most patients, except for those with additional factors that require around-the-clock medical observation.
How do I know if I should go to rehab or to a private doctor’s office?
This is an excellent question. Now, in the midst of an unprecedented global pandemic, we are learning that many services provided remotely, via telehealth, can be as effective as traditional residential rehab.
And, there are new technologies being utilized that add to the effectiveness of remote health services. For example, during a virtual visit with a patient, a doctor may offer prescription digital therapeutics. This new technology involves the use of FDA-approved software that delivers cognitive behavioral therapy to the patient and maintains an ongoing connection between doctor, therapist, and patient.
Even urine drug screens can be done remotely, utilizing the latest in DNA confirmation of specimens. These new test do away with the need for a nurse watching you urinate in a rehab bathroom.
In addition to private doctors providing addiction treatment in video visits with their patients, rehabs are starting to go online as well. At this time, it is possible to complete an intensive outpatient program for addiction completely online. Individual and group sessions are held over video conferencing software, such as Zoom.
The recovery path you start out on depends on where you are now.
The route you decide to take depends on where you are at the time you decide to get professional help. If you have a life-threatening overdose, you may end up in an ER that is prepared to help you take the next step. Some hospital emergency departments are prepared to start opioid-addicted patients on buprenorphine and refer them to a local clinic. Other hospitals may have rehab programs and admit patients to rehab right from the ER.
If you are at home and still in control of your life, you may have to make the decision on your own. Starting out by seeing your family doctor is usually the best way to get started. If your family doctor is unfamiliar with addiction treatment, you may want to make an appointment with a local doctor with experience in treating addiction. You can even schedule a video consultation with a doctor to get more information about all of your options and what will most likely work best for you.
Whether you decide to take time off from life and spend a few weeks or months in rehab to change your perspective on life while getting the drugs or alcohol out of your system, or you decide to see a doctor for outpatient medical treatment, the good thing is that you have many great options. The most important thing is to take action and ask for help.
Addiction is a difficult condition to face alone. The first step on the path to recovery from addiction is to ask for help from a trusted family member or from your doctor.