Monthly Archives: May 2017

What are Rehab facilities?

People who ask or talk about rehab facilities often do so with a understandable but misguided idea that rehab is are a mix between an upmarket hotel and a country club, a sort of retreat with varying degrees of comfort or opportunities.

The reality is that rehabs differ widely in terms of the facilities that they offer to people, and that approach as to how the environment and addiction treatment programs should be offered to any individual who enters an inpatient rehab.

Traditionally, a rehab would treat someone who was an alcoholic or had a problem with alcohol, and their time spent in a rehab would consist of a medical detox if needed, followed by a period of different types of therapeutic treatment, often a mix of 12-step program ideas and meetings of Alcoholics Anonymous.

There would be a need some type of clinical facility, along with a modicum of comfort and very basic facilities.

The rise of treatment centers and rehabs has meant the growth of this industry, and a white approach that can differ considerably.

The initiators of the treatment center industry tried to strike a balance between providing an environment where the alcoholic could feel safe and secure, along with facilities treated them as someone who was trying to get well, rather than as a  bad person.

Rehab facilities

At the same time, there was a belief that treatment centers and rehabs  needed to be a fairly structured environment, and should be designed to focus the individual fully on their recovery process.

Rehabs and treatment centers take a number of different approaches. Some believe that a rehab should be a fairly spartan place, with very basic facilities and an entirely structured timetable from morning till night.

Some rehabs believe in an incredibly tight grip on what the individual can bring into rehab, and what they can and cannot do whilst there.

This can seem incredibly regulated some people, inevitably attracting some and alienating others.

There has been a growth in recent years of what can be termed luxury rehabs, which take almost an extreme opposite view. They believe that a rehab should essentially be the most serious and pleasant environment that someone can spend their time in, and that this is conducive to aiding in their recovery.

Both these approaches are somewhat of the extreme, and inevitably there are a wide number of different approaches in between.

There is no right and wrong approach to recovery, and every individual should approach a rehab based on what they feel is most appropriate to them.

The rehab facilities that are available should be outlined on the rehabs website, and rehab should be open to discussing what these facilities are, and how they help a client in their 12 step recovery.

 

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What is a dual diagnosis?

Dual diagnosis is a term that specifically refers to people who would consider themselves both alcoholics and drug addicts, or people who have had problems with both alcohol and drugs. The term arose mainly in rehabs and treatment centers, and it is important to understand this context.

Initially treatment centers and rehabs treated people who had a problem with alcohol, whether they were turned alcoholics or problem drinkers, or people who had alcohol abuse issues. As this industry grew, people entered rehab who not only had problems with alcohol but with other substances including many narcotic drugs, and various behaviours.

Treatment centers and rehabs quickly picked up on this, and in the specific case of people who have problems with both alcohol and drugs they refer to them as being dual diagnosed. In addition, the rehab industry widened their scope of potential clients or a client base by beginning to define people as an addictive personality.

This meant that  in effect, any individual who had any addiction to any substance or any type of addictive behaviour could be labelled as an addictive personality, and  their particular addiction,  whether substance or behaviour, could be labelled their drug of choice.

Dual diagnosis

There are many people who believe that the terminology employed in the idea of an addictive personality and a drug of choice is simply to enhance the pool of people who can be susceptible to needing to go into treatment.

There are other people who defend the term addictive personality as being  a reasonably good definition of some help an individual who has a number of differing emotional drives and issues which fuel that alcoholism or addiction.

Whatever someone’s take on the term dual diagnosis, in reality it simply means that it refers to someone who has a problem but with alcohol and drugs, or has had a problem with alcohol and drugs and is now clean and sober.

In terms of 12 step recovery, what it really means is that individual will have used both alcohol and drugs at different stages of the alcoholism and addiction, and probably recognises a need to keep clear of both in order to stay clean and sober.

 

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Where to get drug counselling

Anyone seeking to get drug counselling, either for themselves or someone they know, can often face a bewildering array of information and choices that can be difficult to navigate and fathom.  Drug Counselling is often linked to alcohol counselling, and it can sometimes be difficult to establish who best meets a specific set of needs.

Anyone who has a drug problem and is aware of the need to help can approach a number of different sources initially. This can include meetings of Narcotics Anonymous, Alcoholics Anonymous or explore the possibility of going to an inpatient rehab.

There are also likely to be a number of outpatient type rehab facilities available, depending upon where the person lives.

If in addition, the individual is seeking specific drug counselling either as a way of helping them deal with the problem, or as an adjunct to some of the type of recovery and the choices become much wider.

There are a number of people who advertise themselves specifically as alcohol and drug counsellors, there will be a massive number of other counsellors and therapists who do not specifically describe themselves as such, but will have experience in the field of alcohol and drug abuse.

Drug counselling

It is worth the individual establishing initially what help and support they need.

There is a big difference between getting some initial support and advice about how best to deal with a drug problem, to a longer term need some type of therapy or counselling as a way of helping to deal with underlying emotional issues.

It is likely that anyone entering an inpatient rehab will be able to access some type of drug counselling, either on a one-to-one basis or as part of group therapy.

It is also likely that a number of therapists, both in rehab and in private practice themselves what they would refer to as recovering addicts, or recovered addicts.

Going to see a drug counsellor is themselves a recovered recovering addict is likely to either be very attractive to some people, or a big turnoff to other people. It is worth being aware of the issue and seeking clarification from the counsellor themselves what their own statuses regarding any type of previous drug or alcohol abuse

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What is a crack addict?

The term crack addict normally refers to someone who is or has been addicted to crack cocaine, but is also used as a slightly disparaging term for anyone who might be deemed to be a type of drug addict who not only uses crack cocaine, but is a continual addict.

Anyone who is or has been a crack addict is likely to have been addicted to one or more drugs that will have had a serious impact on their health, mental, physical, spiritual, sexual etc.

If the individual recognises that our problem they may well seek help, either by entering an inpatient rehab,  seeking some type of therapy or counselling, going to meetings of Narcotics Anonymous or some similar 12-step organisation.

One of the important thing is to understand is the very stages that are involved in the recovery process, wherever it may take place.

First and foremost and most critically is a need for an assessment as to whether or not a medical detox is needed, and the subsequent overseeing of any medical detox that may be needed by experienced and competent clinical staff, in a safe and secure clinical environment.

Crack addict

This might well be done in an inpatient rehab, although there are other clinical facilities for any detox could be assessed and supervised.

Once any medical detox has been done if needed, the main work involved in helping someone stay off any type of addictive substance will largely be of a therapeutic nature. This is true whether it is done in rehab or  in a 12 step organisation, the term therapeutic being used in a very importance.

One of the key elements, perhaps the key element for anyone seeking any type of 12 step recovery is the issue around change.

There is often a perception and a much talked about process of the need to change, both externally and internally.

The need for change may be evident in certain areas of someone’s life, but it should also be remembered for many people change seen as a real threat, not as an opportunity. For anyone who has been an alcoholic or a drug addict, their drinking or using will in many ways have seemed to them a way of holding themselves together rather than as the cause or reason for their problems.

For this reason the issue of change needs to be approached often in a very gentle way, party been given to the creation and provision of a safe environment, in which the individual can develop a degree of safety and as such allow the process of change to begin and take place.

 

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Is teen drug abuse dangerous ?

The question of ‘is teen drug abuse dangerous’ should be answered with a pretty emphatic yes, but also needs to be slightly more fully explored this as there can sometimes be a broader question involving alcohol or possibly some other type of substance abuse.

Anyone charged with looking after a teenager or adolescent is likely to be aware of the possibility that they may be susceptible to either being involved with taking drugs or alcohol, or they may hang around with people who are.

One should always be very wary of generalising about the things, but it is also a good idea to highlight one or two things that may be helpful.

Anyone who has response policy for looking after any teenager or adolescent, who suspects that team drug abuse maybe present in their lives, first and foremost has a responsibility to seek help.

This means helpful themselves in terms of how they deal with it, and help for the teenager or adolescent to deal with what is a drug problem.

Teen drug abuse

The stigma of drugs normally does not differentiate between a type of drug, and often includes alcohol.

There are some people who would argue that teenagers  and adolescents will experiment with drugs, alcohol and sex, and the majority of them will grow out of it and lead fairly normal healthy lives.

That is a view that to an extent may be true, but not a view that anyone with responsibility for looking after a child of any sort can actually indulge in.

It is worth having an understanding of the nature of drug abuse and alcohol abuse or alcoholism, and realising that whilst some people it may simply be a phase, for a lot it won’t be, and in fact will be an indication of a much more serious problem in terms of a susceptibility to alcoholism or drug abuse.

The reality is that if a teen drug abuse problem is taken seriously at the outset, and dealt with in a loving and compassionate way, then not only can the life of the teen be straightened out, but also potentially any long-term problems with drugs or alcohol can be addressed early on in their lives.

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What are alcoholism symptoms?

People often ask what alcoholism symptoms, often at a way of trying to create a checklist of what constitutes an alcoholic, on the basis that a diagnosis will help confirm  the illness in someone and lead to a recovery.

This approach has been fuelled in many ways by the acceptance in medical circles that alcoholism is an illness, often referred to also as a disease, and inevitably this will lead people to think that because alcoholism is an illness, there are obvious symptoms or signs of it that can be identified and labelled.

The reality of active  alcoholism is much more difficult to define.

Anyone who lives with what has lived with or has been affected by someone else’s alcoholism will either be painfully aware of it, or completely in denial of it.

Often an individual or independent observer would be able to see that someone has a serious problem drink, either by their behaviour or that attempting to cover up their problems, or the inability to see their own truth about the problem.

Alcoholism symptoms

Is worth pondering the recovery process of  Alcoholics Anonymous to have a better understanding of how alcoholism can be understood and processed.

For someone who is an alcoholic themselves, Alcoholics Anonymous offers a wide range of literature details experience of Alcoholics Anonymous, and presents many stories and examples of people who identify as alcoholics.

The stories and people’s personal sharing is give the individual and opportunity, if they so choose, to identify and begin the process of realising that they themselves may be an alcoholic.

Someone who is closely affected by another person’s alcoholism, either family or friends, then there is a separate concept organisation known as Al-Anon which will help the individual break out of that and measurement with the alcoholic or the alcoholic family and begin the process of re-establishing their lives as a separate person.

Once this process has started, then it is more likely the individual will gain some type of objectivity about the individual drinking and their alcoholism.

It is also were saying that Alcoholics Anonymous, along with other organisations, produces a wide range of literature that tries to explain alcoholism that is specifically geared to people who are not themselves alcoholics, but may well come into contact with people you are and who seek help.

 

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What is chemical dependency ?

Chemical dependency is a term that has come to be used with reference to almost any type of substance abuse or addiction to alcohol/drugs etc.

The original sense of addiction in the context of a 12-step recovery was an addiction to alcohol, normally referred to as alcoholism.

As an understanding that alcoholism was an illness grew in medical and therapeutic circles, treatment centers and rehabs began to treat people who they referred to as being dual diagnosed, that is that they had an addiction to some type of drug as well as a problem with alcohol.

Since then rehab’s and treatment centers have broadened their concept of addiction treatment programs to essentially deal with anyone who had any type of addiction, to any type of substance or behaviour.

This approach certainly has its critics, many will argue that seeing the individual as an addictive personality, and their chemical dependency or behaviour is simply a drug of choice is highly oversimplistic.

Chemical dependency

At the same time, most people who have had any dealings with anyone who is an alcoholic or addict, either active or in recovery, will happily testify that they have significant personality and identity problems that have undoubtedly fuelled that alcoholism or addiction.

The linkage between chemical dependency and addiction and rehabs is one that is important to seek an context.

It is very easy for someone unfamiliar with the world of  12-step recovery who is confronted with someone who has a terrible addiction to simply follow the dictates of a particular rehab or treatment center.

Sometimes time is of the essence, and it is often essential to get someone into a rehab or some type of detox program so that the health can be stabilised, at least in the short term.

The process of recovery from any type of addiction or alcoholism, in the context of 12 step recovery, can be done either in a rehab or by going to meetings of Alcoholics Anonymous or another 12 step organisation.

This process of 12 step recovery is by necessity a long-term process, and one undertaken by someone who had at some level either acknowledged their chemical dependency and are willing to try and deal with it, or are willing to acknowledge the life is a complete disaster and are willing to try and change it, even if they don’t know why.

 

 

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What is an inpatient drug rehab?

An inpatient drug rehab is normally simply referred to as a rehab  or a treatment center.

The vast majority of rehab is deal with the question of drug addiction of all sorts, as well as alcohol addiction or alcoholism, and a wide range of other compulsive or addictive behaviours.

An inpatient drug rehab will be a clinical facility which will admit and look after someone who is suffering from some type of addiction to one or more drugs and/or alcohol.

It is important that an inpatient drug rehab has two main areas of focus.

Firstly should be the facilities and medical staff to assess and if necessary oversee any medical detox that may be needed.Iinpatient drug rehab

Inpatient drug rehab

This is crucially important. Anyone who has been addicted to any type of drug may well have been using different types of drugs as well as alcohol, and the coming off of these drugs can present significant, often life threatening medical challenges.

Such an inpatient drug rehab needs to either have its own facilities and medical staff, or arrangements with another local clinical facility such as a hospital who can assess and oversee any medical detox that may be needed.

Once a medical detox has been assessed and overseen if necessary, then the time spent in an inpatient drug rehab is likely to focus much more on a number of therapeutic approaches, often 12 step based, which are geared towards helping the individual begin the process of understanding a number of emotional and mental issues that have fuelled the addiction to drugs and alcohol.

This therapeutic work that is done in an inpatient drug rehab will vary depending upon the nature and type of rehab or treatment center, and will by its very nature be fairly short-term.

The majority of rehabs and treatment centers recommend that inpatient clients to attend meetings of Alcoholics Anonymous and Narcotics Anonymous’s, both during their stay in rehab and once they have left. This is to give them a sense of whether long-term recovery is most likely to be based, and how they can most effectively ensure their long-term sobriety

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