Drug Rehabilitation

After many years of heavy drinking, a person’s body can become chemically dependent on the regular intake of alcohol. Unfortunately, this makes recovering from alcoholism especially difficult for long-time users. Alcohol withdrawal symptoms can range from mild to severe, and in some cases, even life threatening. In order to successfully quit drinking, it is recommended that users consult with a medical professional to assist them with the process.

Symptoms

Withdrawal symptoms may vary depending on a person’s regular alcohol intake and the duration of time they have been dependent. Additionally, symptoms can be both psychological and physical.

Psychological Symptoms

When detoxifying, users may experience any or all of the following psychological symptoms:
o Crankiness/irritability
o Anxiety/nervousness
o Insomnia
o Disorientation
o Difficulty concentrating
o Depression
o Hallucinations/delirium

Physical Symptoms

In addition to psychological symptoms, users may experience the following physical symptoms concurrently:
o Sweating
o Headache
o Nausea/vomiting
o Sensitivity to light and sound
o Tremors
o Fever

These initial symptoms typically intensify and then diminish within the first 24 to 48 hours after a user’s last intake of alcohol.

Delirium Tremens

Delirium tremens, or DT, is the most severe condition that can result from alcohol withdrawal. Approximately 5% of patients undergoing withdrawal experience DT within 2 to 4 days after being “dry.” Symptoms associated with this condition include: severe agitation, tremors, persistent hallucinations, and increases in heart rate, breathing rate, pulse, and blood pressure. Without treatment, DT may be life threatening.

Treatment

In order to ensure a safe withdrawal, users should seek medical treatment. Alcohol withdrawal patients can be treated safely and effectively at a local hospital, a rehabilitation facility, or on an ambulatory basis. Depending on a patient’s history, it may be necessary for them to check-in to an inpatient treatment facility.

If you or your loved one has attempted withdrawal several times, a history of severe withdrawals, recently consumed large quantities of alcohol, is pregnant, or does not have s strong support network, inpatient rehabilitation may be their best option.

Once in a treatment facility, pharmaceutical drugs are used to assist with the process of relieving withdrawal symptoms and promoting detoxification. Because alcohol withdrawal symptoms are related to the body’s autonomic nervous system, the use of Benzodiazepines, a group of sedatives, is common to alleviate patients’ psychological stress. Occasionally, antiseizure treatments are also used to prevent convulsions, which are one of the most dangerous side-effects of detoxification.

Getting someone to face the concept of inpatient drug rehabilitation to handle an addiction problem is hard enough; much less consider a long term rehab program. The stigma surrounding addiction treatment and the dogmatic methods used bring about the belief there is no real reason to consider anything but a short term treatment option. The fact is, the only reason a short term 30 day drug rehab program exists is that’s all the insurance companies want to pay for.

Most insurance policies do not cover inpatient drug rehab programs longer than 21 or 30 days, and they most certainly do not cover any kind of sober living or continued aftercare for the most part. When it comes to long term drug rehabs that can actually progressively work towards a continued improvement in the addicts outlook and disposition, there are only a few options.

First, lets take a look at a few basic principles as to why short term drug rehab programs have low success rates on a fundamental level. Substance abuse or any kind of drug use, even prescribed drugs take a toxic toll on the body and in the process deplete the body’s natural stores of vitamins, minerals, and hormones, causing uncomfortable and unpleasant side-effects and even new diseases. The drug-induced nutrient depletion suppresses the very nutrients that you need to keep energy levels high, fend off infections, and remain healthy.

When a person has suppressed their ability to feel good, while acting and reacting to life and its issues it creates a negative impact on addict’s emotional state setting a series of learned negative behavior. In other words people take drugs to handle some sort emotional or physical problem which the drug alleviates, and now places value on the substance to the abuser. That value now needs justification for continued use. With the deficiencies created the abuser now feels worse which leads to more drug or alcohol abuse and justification to support it and the unwanted behavior. This leads to the inability to take responsibility for ones actions, demoralizing and degrading behavior and finger pointing as means of explaining away the flagrant transgressions committed.

There are hidden physiological mechanisms causing negative unwanted feelings going on behind the scenes that the now addict is completely unaware of. Unraveling the toxic effects of the drugs takes time. As an example Vitamin B is a key nutrient needed for production of the neurotransmitter serotonin. Serotonin deficiencies are at the root of depression, anxiety and moon swings and a lack therein can significantly increase the desire to abuse more alcohol or drugs as a quick fix. Remedying these deficiencies can take 90- 100 days based on studies by National Institute of Drug Abuse (NIDA).

Allowing sufficient time for the addict to fully recover physically prior to any counseling or life skills management can only be accomplished in a long term inpatient drug rehabilitation program. Many treatment programs, although inpatient drug rehabs, offer counseling or meetings while the body has yet to recover. This is putting the cart before the horse and leads to a continued dwindling spiral for the addict as he continually stacks up failure after failure.

By the time the substance abuse or addiction problem is truly confronted, years of use and abuse are now tangled with all the unwanted feelings and problems that come along with it and are all bungled up in one convoluted mess. Getting over the physical ailments and dysfunction caused by the addiction can take months alone, much less unraveling the mountain of confusion and problems heaped atop the addict. This simply cannot be done in a short term drug rehabilitation program and brings to light why their success rates are dismal.

Inpatient drug rehabilitation programs of sufficient length that offer a completely holistic (drug free) approach offer significantly improved success rates by starting from the ground up. Handling the physical duress experienced during drug abuse first lays the foundation for improved abilities to truly confront unwanted mental emotional feelings. These unwanted feelings like at the core of the problem and more likely dealt with successfully in an inpatient drug rehabilitation program of three months of longer.

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It’s an unfortunate fact that many people have been to drug rehab facilities and have later relapsed. The news is loaded with stories about young people who died from overdoses, and their parents, who had done everything they could, including getting them into a treatment facility, wondering what they did wrong. What many parents don’t realize is that drug rehab isn’t likely to work unless certain steps are taken. If you want to have any degree of confidence that someone will complete a program and actually stay off drugs, you need to know what a successful addiction treatment center should offer.

Withdrawal: The first step is to get the person off the drug – withdrawal. Depending on what drug(s) they’ve been taking, how long they’ve been taking it, how much they’ve been taking, and the addict’s physical condition, this could take from about four to ten days. If the person is not in a facility that can get them through withdrawal in relative comfort (it can be pretty painful), they’re likely to leave during the withdrawal. They can’t take it, they leave to get drugs. But a good facility with a kind, caring, and experienced staff can get them through it.

Restoring health: Once the withdrawal period is over, there is still drug residue in the body. And both the body and mind are affected. Before getting into the next phase – figuring out what caused the addiction – the person has to be restored to good health to at least some degree. They need to be ‘there’ enough to think clearly.

Getting down to the bottom of why the person was taking drugs: This can take a while. But if it’s not done, they’re likely to go back on drugs.

A plan of action for returning home: The steps on this plan vary widely and depend on the individual’s home environment. They need, and will want, to be in an environment that’s drug-free. They might also need to find another job or career, live in a different place, drop their friendships and form new ones – it can be pretty involved. But without ensuring the environment is conducive to staying sober, their chances of relapse increase.

Once the person is home for a while and back on their feet, they’ll probably be able to tolerate things in their environment that would have led them to take drugs in the past. But when they first leave, they’re just finding their way in a new life and they need all the help they can get.

These steps usually take about three months – sometimes longer.

As most of the residential drug treatment programs available only last about a month, you can see why many fail to get lasting results.

If you’re considering getting help for someone you care about, choose an addiction treatment center that offers all these steps. And beware of facilities that say they do all those steps, but only take 30 days. The fact is, it takes longer. Period.

It’s tempting to choose something that’s going to take less time (and probably cost less) in the hopes that it will work. But seeing someone you care about go back on drugs is not only a very painful experience, it’s also very dangerous for the addict – they can build up a physical tolerance to many drugs, which means that the dose they take after using the drug for a while is much higher than the dose they started off with.

Addicts who relapse often start off with that higher dose, unaware that their body can’t handle after having been off them for a while. Many overdose deaths occur right after someone has allegedly completed a treatment program. And the dosage problem is generally what’s behind it.

The resolution is a drug rehab program that follows the steps above. If you’re considering getting someone you care about into an addiction treatment center, make sure you choose one that offers all the above and doesn’t take less than three months.

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