Anyone getting sober is likely to have to do with the issue of withdrawals from alcohol, whether or not a detox is necessary, and possibly the effects of withdrawal from narcotics as well.
If someone has been drinking heavily for a while, or to a point where it has become a problem for them, then suddenly stopping is likely to have an impact on them.
Not only their physical body, but on the emotional issues it is likely to start bringing up as well.
The reality is, that withdrawal effects from alcohol can vary significantly from individual to individual, irrespective of the amount they have been drinking beforehand.
What is important is to be aware of the potential dangers of withdrawal, how they can be managed and how best to prepare for the need for a proper detox.
A lot of people will get sober through a rehab or treatment center, and one issue about which rehab to choose is its approach to how to detox someone.
Any rehab should have clinical facilities and staff, or access to such locally, who can assess whether there is a need for a detox, and if so overseas and manage it in a safe and effective manner.
Clinical facilities in terms of staff, location and appropriate medication are a key element of ensuring the safety of an individual once they get sober, and beginning the process of rebuilding their life.
Withdrawal symptoms from alcohol or alcoholism are the body experiencing the withdrawal of something it is used to, which it has become heavily addicted to.
It is almost worth thinking of these symptoms as the body fighting back in the way.
Symptoms can range from nausea, headaches, shakes, sweats etc through to full-blown hallucinations, DT’s etc.
Many medical websites offer a full range of the potential symptoms of withdrawal, as well as a timeline of how this can affect people.
While this can be helpful it is worth remembering that individuals do differ significantly as to how they withdraw from alcoholism, and what is important is to be aware of the potential dangers, and have strategies in place in order to cope with them.
When a person does not go into rehab, and sobers up on their own in any way, the process of managing withdrawal is normally referred to as a home detox.
This does not normally mean that they actually do do any type of formal detox, it normally refers to the process of simply getting through it, albeit in a fairly unpleasant manner.
What is crucially important that someone is getting sober, is at they have access to medical help, and a medical assessment of what they are doing.
This is best done through a primary care physician, but if this is not possible and maybe other help available.
There are a number of websites available that give practical advice about the possible effects of withdrawal from alcoholism and how to manage it.
This is a phrase that is used to describe anyone who is addicted to alcohol and any other drug or narcotic.
A significant number of alcoholics also use drugs and pills, prescribed and non-prescribed, and this can also be a significant issue in stopping using them.
There are significant potential dangers when stopping using any type of narcotic, and these potential dangers can be multiplied significantly when the person has been using alcohol as well.
If someone is entering rehab, it is essential that completely honest about what drugs they have been using, how much and or how long.
This can be very tricky, as someone who is an active alcoholic will almost invariably minimise the amount they have been drinking and using.
If someone is getting sober on their own, even if they are using some type of therapy or 12 step based program to help them, it is essential to get some type of medical help as well.
This medical help can be in terms of assessing the need for a detox, and how that can best be managed. It is really important that this process is looked at as soon as a decision is made to stop drinking or using.
A substance abuse detox assessment is a crucial and necessary part of any addiction treatment program that is offered by a residential or day care type rehab or treatment center.
The facilities and personnel to oversee such an assessment should be a vital part of any research that is done prior to treatment being sought.
The terms of substance abuse is nowadays pretty much applied lightly to any type of addiction of a substance that could be termed mood altering, and normally applies to alcohol, drugs, prescription drugs, glue sniffing etc.
The need for a detox, a medical detox, for anyone who has had a serious problem with alcoholism or alcohol addiction and/or narcotics or prescription drugs is something that needs to be assessed properly for each individual on a personal and holistic basis.
A medical detox for someone who has a drink or a drug problem is important because the withdrawal affects for both these sections can be serious and in some cases life-threatening.
SUBSTANCE ABUSE DETOX
Someone is entering a residential rehab or treatment center for treatment for substance abuse, then at point of entry the rehab should perform an assessment to see if a medical detox is needed.
The rehab or treatment center may have the clinical facilities and clinical staff available itself to oversee the assessment, and oversee the medical detox if needed.
Sometimes a rehab does not have such facilities or staff itself, but will use a local chemical facility such as a hospital to oversee and perform the detox on its behalf.
That is fine, but it is important when assessing what type of rehab treatment option is best suited for a particular client, that this area of a substance abuse detox is carefully considered and thought through.
Any individual entering a rehab center should be reassured that the chemical facilities that will be needed to help them through the early stages of recovery are in place, and that whatever discomfort there may be in terms of physical, mental or emotional pain will be managed in a safe and secure environment.
An alcoholism detox is possibly going to be needed in the event of anyone who is an active alcoholic, or even someone who has been drinking heavily for a long period of time but would not technically be considered an alcoholic.
Sometimes there is much debate between what is alcoholism and heavy drinking, but in the issue of recovery from alcoholism, and in particular the need for an alcoholism detox, it is a fairly irrelevant issue.
Anyone who has a serious problem with alcohol is likely to need help, whether they admit that themselves on what.
It is sometimes much more obvious to people around them, be they family, employer, co-workers or simply friends.
Whether or not help is offered and / or accepted can obviously be a difficult issue.
Assuming that the person who has a drink problem is willing to accept some sort of help, then the issue of an alcoholism detox is likely to occur.
Anyone who has been thinking heavily is likely to have been hiding that in some way from people close to them.
People who have a drink problem increasingly grow protective of alcohol, and the need to prevent other people taking alcohol with from them, or stopping them trying to drink.
In addition, it is quite possible that people who have a drink problem, or who are alcoholics, have either in the past of currently been using some type of narcotics or drugs.
The issue with all of this, is that it is quite unlikely that either the alcoholic admits to a lot of this, or that people around them will know the full extent of their drinking and possible drug use.
For this reason it is really important that anyone seeking help for a drink and/or a drug problem is assessed by medically qualified personnel to see if they need a medical detox, and if they do for that detox to be overseen and undertaken by medically qualified staff in a safe clinical environment.
If the individual with a drink problem is entering a rehab, then it is important to check that the rehab has access to such staff and facilities, either in-house, or with a local clinical facility such as a hospital.
A detox which is holistic is a very different process from a detox which is a medical detox, and a holistic detox should be examined thoroughly to see if it really is of any value or not.
A detox is normally thought of as a medical process, whereby anyone who has had a problem with alcohol or drugs and is intending to stop drinking or using essentially begins the process of withdrawal, and essentially experiences the effects of withdrawal, hopefully under medical supervision.
The effects of withdrawing from alcohol and/or drugs can be significant, and in some cases life-threatening.
It is always highly advisable to do any type of withdrawal or detox under medical supervision, either residential or some type of day care.
Anyone entering a rehab or treatment center should be assessed at the outset of their stay, and if necessary a detox should be performed by medically qualified personnel who have experience and understanding of what a medical detox involves, and can oversee and supervise a detox in a safe and professional manner.
A detox which is termed as holistic is normally a much more straightforward and safe process.
It is worth understanding the thinking behind a holistic detox, which is essentially to cleanse or purge the body and possibly the mind of either,literal. toxins, or unhealthy attitudes and beliefs.
The nature of an holistic detox is normally rooted in various types of ways of clearing out the body, through a combination of diet, fasting, juices and the joys of practices such as colonic irrigation.
Is quite common in an holistic detox to begin with some type of a fast, possibly combined with juices and prisons and minerals, and a giving up of food and drinks that are deemed to be generally not healthy such as coffee, tea, chocolate etc.
Whilst a holistic detox should generally be quite a safe process, there are real dangers for people who have any type of medical condition, even if medically controlled such as glaucoma, where fasting or going without food or adjusting their liquid intake significantly could present real problems.
If someone is intending to have a holistic detox, it is important to understand a couple of things.
Firstly to find out exactly what is involved in the holistic detox itself over the period that one is going to be present there, and have the regiment assessed by one’s own physician or doctor to makes sure that it is safe for them as an individual.
Also to find out the qualifications and clinical experience of those who will be administering and supervising the holistic detox, and making sure that such people asked suitably qualified both to administer the program, and deal with any medical emergencies that may result as a consequence of the programme.
Understanding the importance of a detox in the context of someone who is looking for recovery from alcoholism or drug addiction is hugely important, and should be a major factor when deciding what type of rehab or recovery facilities an individual may seek to get help from.
One of the most important distinctions to understand is that the term detox should refer to a medical detox, as opposed to what is often called an holistic detox.
The term holistic detox is used by a number of rehabs, and can have different meanings. Its main interpretation is in the context of cleansing an individual from the harmful toxins in their body, which can be physical, mental or emotional.
An holistic detox can range from cleansing an individual of toxins such as caffeine and nicotine, through to inner child work or a number of other types of therapies aimed at healing emotional wounds and divisions.
Detox – Medical and Holistic
An holistic detox can have some value in itself, but needs to be looked at carefully in terms of what therapeutic work is actually being done, and what claims are being made for its success, also very important is the capability that the individual undertaking the holistic detox work has, and what qualifications they have that backdrop their supposed capability to perform such work.
Eight medical detox on the other hand is a much more traditional term, and refers in a very general sense to the way the body withdrawals from the effects of alcoholism and drug abuse.
Any individual who is coming off alcohol and/or drugs runs the risk of severe problems in the context of withdrawals from them. Not everyone does suffer problems, but it is highly advisable that anyone considering stopping using alcohol and or drugs gets professional help to assess whether or not they need a medical detox.
Anyone entering a residential rehab should make sure that the rehab has such capabilities itself, both to assess the need of a medical detox, and to have the qualified medical and clinical personnel available to oversee and monitor such a detox.
It is also perfectly acceptable for a rehab to have an arrangement with a local clinical care facility where this work is overseen and done on their behalf. What is important is that there is an assessment of an individual for a medical detox, and the clinical practices put in place to oversee and monitor such a detox.
The idea of a medical detox can be quite a scary one for anyone who is involved in active alcoholism and is afraid of stopping drinking at all, let alone having to manage the withdrawal effects of alcohol and/or any other drugs that they may be coming off.
Anyone stopping drinking who is an alcoholic is likely to have a significant level of fear about the reality of living a life without alcohol.
This may lead them to a deep form of denial about having a problem and a defence of their drinking and the need to protect their drinking from other people trying to stop them.
This is a large part of the denial of active alcoholism and one of the reasons many alcoholics will drink for significant periods of time before they begin to realise they may have a problem.
The majority of rehab is residential and offers addiction treatment programs for people who are alcoholics or addicted to very types of drugs will virtually always offer or advise some type of detox.
There are a number of rehabs who will insist that the individual has a detox before they come into rehab, but they are in the minority. The majority of rehabs will either offer a detox themselves, or have arrangements with a local clinical facility to oversee and manage the detox on their behalf.
What is important for anyone entering a rehab is that the rehab has a clear understanding of the individuals own situation, in terms of their active alcoholism and their use of drugs, both description and non-prescription and for how long.
Part of the job of a rehab is to be able to undertake a risk assessment of the individual to see whether a medical detox is needed, and in order to do this it needs to employ a number of qualified medical and clinical staff who have extensive experience of alcoholism and drug addiction who can oversee such an assessment.
If such a detox is needed, and is done in the rehab, then the rehab needs to make sure that it has on-site clinical staff to manage the detox in a safe and secure manner.
The effects of a detox can vary widely, depending upon the individual’s alcoholism and drug use. Irrespective of the actual symptoms of withdrawal, the individual may well have additional fears about what such a withdrawal may involve.
Having a detox take place in a secure and safe environment can help to allay such fears, especially if there are other people around who are sober and moving forward with their lives who have also been through something similar and can help give support to the individual based on that inexperience.
Understanding drug detox programs and what is involved and where they are available is a hugely important process for both the individual concerned who is addicted to a type of drugs, and for those around an individual who are trying to help them.
A number of drug detox programs will take place in the context of the individual entering a rehab, for other individuals a drug detox programme might take place in some type of clinical facility that is a stand-alone process with no particular follow-up or support or after care.
If an individual is thinking of approaching a rehab or a treatment center for help, then it is important to check that the rehab has the clinical facilities and the medical personnel to establish whether a drug detox is needed in the first place.
If the medical personnel believe that a drug detox is needed, then the rehab should either have its own facilities and personnel to perform and oversee a drug detox, and explain fully the drug detox programme to the individual and their families or support system.
If the rehab does not have its own clinical facilities to safely oversee such a detox, then it should have an arrangement with a local clinical facility such as a hospital who can perform the drug detox on behalf of the rehab.
This can normally work well, but it is an area that should be fully researched and checked by the individual or their family prior to that individual entering a rehab or treatment center.
Drug Detox Programs – Drugs
A rehab or treatment center is likely to have details on its website of the most common drugs that people are addicted to that its addiction treatment programs will try to address. These normally include drugs such as benzodiazepine, cocaine, crack, crystal meth, Demerol, ecstasy, heroin, marijuana, methamphetamine, methodone, morphine, OxyContin, Suboxone, Valium, Vicodin and Xanax.
If an individual is termed to be dual diagnosed, this means that the individual is assessed to have a problem with alcohol as well as with other types of drugs they may have been using, both prescription and non-prescription.
The drug detox program that will be offered to the individual should be a fully comprehensive assessment of all substances and medications that the individual has taken over a significant period of time.
Whoever is overseeing the drug detox programme should involve the family or close friends and associates of the individual in terms of establishing what drugs or other substances the individual has been taking that they are aware of .
Anyone entering a rehab who has had a problem with alcohol and/or drugs is at risk from withdrawal symptoms that could be extremely serious medically, potentially life-threatening. For this reason it is absolutely crucial that a rehab has qualified medical staff who are able to assess and monitor the withdrawal symptoms of the individual concerned and assess whether a medical detox is needed or not.
The majority of rehabs will have their own clinically qualified medical staff who are able to assess and perform and oversee any medical detox that may be needed. If a rehab is not qualified in this way, then it should have access to a local clinical facility who can either assess or perform a detox on behalf of the rehab.
The ability to assess whether an individual needs a detox that is medically supervised or not is actually crucial to the future well-being of the individual concerned. Many individuals do not need a supervised detox, but some do and it is crucial that the rehab is able to assess this adequately.
Some rehabs offer what they term an holistic detox, which is likely to be a significantly different process to a supervised medical detox that should be undertaken on admission to the rehab. The term holistic detox can mean different things and should be taken with a degree of caution. It sounds very appealing as a concept, and some rehabs exploit this sense of purification as a means of attracting people into the rehab in the first place.
Detox and Rehab
The majority of rehabs take an approach that an individual is essentially an addictive personality, whatever that means, and that they effectively can choose what drug they become addicted to. This is a controversial approach and not all people agree with it, but it does suit the majority of rehabs as it allows them much wider access to a potential client base that they can draw on.
What it also means is that some rehabs take this to an extreme where they say that any type of stimulant be it caffeine or nicotine or anything else is dangerous, and that the individual should refrain from all types of stimulant whilst in rehab.
This approach can verge on the extreme and be seen as a sort of purification process, and in this context is sometimes referred to as an holistic detox. The danger with this approach is that it misses out on focusing on one or two major problems such as alcoholism and drug addiction, and puts the individual in an extreme black-and-white situation. For many people this is simply too extreme and the process can fall down.
If someone is seeking help for a problem with drink that can commonly be referred to as alcoholism or some type of alcohol addiction, then entry to a Florida rehab is one route or option that many people might consider. One of the important factors to take into account when considering what type of Florida rehab is most appropriate to seek admission or entry to is that of a possibility that there is a need for a detox of the client prior to admission.
A Florida alcohol detox if needed, should be able to be medically supervised and overseen either at the rehab itself or at a local clinical facility which has detox facilities.
A Florida alcohol detox may well be needed for a number of potential clients, and it is an aspect of recovery from alcoholism that the rehab should be fully in tune with, both in terms of its approach to alcoholism, as well as its understanding of the entire range of medical issues involved with withdrawal from alcohol and the possible side effects that may occur.
This means that the rehab needs to have fully qualified medical staff, both medical doctors and nurses, who have a wide range of experience and skills that can safely supervise and oversee any Florida alcohol detox process that may be needed.
Florida alcohol detox
The nature of a Florida alcohol detox may mean that the rehab had a closer involvement with the family of an alcoholic that might otherwise be the case. The whole aspect of the relationship between an alcoholic and their family can be a hugely fraught one by the time of entry to the rehab, simply because of the nature of alcoholism and its long-term effects on the individual and their families.
Whilst a Florida rehab can vary quite widely in terms of its therapeutic and clinical programs that are aimed to help an alcoholic, most rehabs will be supportive of Alcoholics Anonymous and its 12-step program, and will actively encourage most clients to attend meetings of Alcoholics Anonymous both whilst in treatment, and once the client has left treatment as a form of after-care or ongoing care.
In addition a Florida rehab should encourage the families of alcoholics to attend meetings of Al-Anon, both whilst the alcoholic is in rehab and once they have left as well. Alcoholics Anonymous and Al-Anon are two different fellowships, but both focus on the effects of alcoholism on the individuals concerned.
Both fellowships offer a wide and deep body of experience of the effects of alcoholism, albeit in different contexts. A Florida alcohol detox process may in some way open the family to the reality of the need to seek help for themselves.
A Florida alcohol detox normally refers to a process that happens to someone who is an alcoholic or heavily addicted to alcohol and seeks admission to a rehab or treatment center and is seeking help. Whilst not everyone needs a detox, it is important that any rehab treatment center in Florida is able to oversee and perform an alcohol detox if needed and if necessary.
In Florida an alcohol detox may be necessary, and once performed will leave the alcoholic in a more receptive state to understand or begin the process of understanding the main therapeutic work that will need to be done in order to help them get sober and stay sober while based in rehab and once they have left.
Florida alcohol detox
A Florida alcohol detox may leave the individual drained and battered once the detox has finished and in a state of possible confusion and fear and other states of emotional disquiet.
It is important that the Florida rehab or treatment centre understands that alcoholism is an illness and once the detox has been done if needed, that the main focus of the therapeutic work will be on helping the alcoholic to understand that alcoholism is an illness and has such if a person is an alcoholic that is effectively what it means that he is suffering from an illness.
The understanding that alcoholism is an illness can be quite gradual, and can sometimes be helped by pointing out to the alcoholic that it is a progressive illness. Sometimes it is the nature of the progression of the illness that can make the alcoholic realise that that is what they are living even if they are not fully able to comprehend what the illness is or what it means.
A Florida alcohol detox may also leave an alcoholic feeling quite drained, both emotionally and physically. It is likely that an alcoholic will have neglected their own needs in many other ways as well aside from drinking, such as proper nutrition, health issues and physical exercise.
It is tempting sometimes for a rehab to focus on these other areas as being overly important. Whilst these other areas are certainly important and need attention, the main work of any rehab should largely be that of a therapeutic nature that can help an alcoholic understand or at least begin the process of understanding what they are living with and why their lives hav become the way they are.
A Florida alcohol detox may well be the beginning of a process that can allow an alcoholic to get sober and stay sober, and again to see the reality of their life and be able to build a better way of life.
The nature of a drug rehab center in Orlando Florida means that one of their key clinical priorities should be an understanding of the potential need for a client to have a detox, and to have the facilities and personnel who are capable of overseeing and monitoring any detox that might be needed in a safe and secure manner.
Anyone entering a drug rehab centre in Orlando Florida is quite likely to have a wide variety of different substances in their body that could present real problems upon withdrawal, and where their admission and subsequent detox needs to be handled carefully by qualified medical personnel. It is quite likely that the person is an alcoholic as well, and this is a consideration that any rehab needs to take into account.
In addition there are a wide range of drugs both legal and illegal, described and non-prescribed at a person may have had access to. These can include benzodiazepine, cocaine, crack, crystal meth, Demerol, ecstasy, heroin, marijuana, methamphetamine, methadone, morphine, OxyContin, Valium, Vicodin, Xanax as well as many others.
Whilst the above list is not prescriptive, it is important to realise that anyone entering a drug rehab center in Orlando Florida may have a long history of various substance abuse addiction relating any of the above. The need for a detox should always be considered, and a good drug rehab centre in Orlando Florida will have a detailed and thorough admissions process which should be able to advise and help any potential client through this traumatic part of the inpatient admission process.
Drug rehab centers in Orlando Florida
A drug rehab centre in Orlando Florida will focus most of its work once any detox has been done on a much more therapeutic basis, depending on the length of time that a client is likely to stay in the rehab. The focus of most rehabs is on the primary need for an alcoholic and addict to accept the fact that they have a problem and accept the need to do something about it.
This often sounds very obvious and very natural to anyone looking at the situation objectively. A drug rehab should fully understand the nature of alcoholism and other types of addiction and realise that the denial that is prevalent in blocking any type of help is often an overwhelming defence mechanism.
The work that is done in the rehab should be done in a safe and controlled manner, that does not seek to threaten the client, but seeks to help them understand that what they feel is protecting them and keeping them safe, is in fact keeping them a prisoner in their own head. This is a long process, but can be started if the drug rehab center in Orlando Florida does its work properly.
The term alcohol detox normally refers to the process whereby an alcoholic or someone with a serious drink problem begins a process of stopping or coming off alcohol, either by stopping it completely or by coming off in a graduated tapering off process.
An alcohol detox may happen quite naturally with no problems by an alcoholic simply stopping drinking, or there may be significant side-effects which need to be controlled and monitored by qualified medical and nursing personnel.
An alcohol detox is also sometimes referred to by way of an holistic detox. Detox is quite literally short for detoxification, which in a general sense means purifying or cleaning the body. An holistic detox can imply a more thorough cleansing of the body and simply letting the residue of alcohol filter its way out of the system.
An alcohol detox is a condition that needs to be considered and understood and monitored very carefully. Each individual case is different and should ideally be assessed by a qualified medical practitioner.
Alcohol Detox – Alcoholism
A person who is an alcoholic makes stop drinking on their own by attending meetings of Alcoholics Anonymous or entering into a rehab, without the need for any medical intervention or supervision.
Other people who are alcoholics may well need medical help and supervision to withdraw from alcohol in a safe and controlled way. This may depend on a whole range of circumstances, including their lifestyle and other medications or prescription drugs that they may be taking.
From a medical point of view, it is important to assess each individual person separately at what their needs are. Many people will address their alcoholism by way of entering a rehab treatment center.
If this is the case then it is important to check that the rehab either had its own on-site detox programme with qualified medical personnel available, or access to a local clinical facility which has appropriate detox facilities and personnel.
Whether an alcohol detox needs to be medically supervised and controlled is an assessment that should be made by medical personnel in the rehab itself.
Withdrawal from alcohol can be a scary process for someone who is an alcoholic, both in terms of potential physical and mental side-effects, but also in terms of the sense of loss that an alcoholic will feel at not being able to drink any more.
This may not be thought of as a normal part of an alcohol detox, which is often thought of as dealing with the physical or mental side-effects of withdrawal.
An alcoholic will most likely have a belief system that alcohol is the only thing that is really holding them together. It is this belief system that is core to that denial of having a problem, which often ultimately leads to the need for an alcohol detox.
This depends on the severity of the alcoholism, and the extent to which they have carried on drinking and been in denial of the nature of their alcoholism.
The question of what a detox is and whether a rehab in Florida has facilities to accommodate such a process are really important questions. Any person who is addicted to alcohol and/or drugs is potentially at risk of serious side-effects when coming off them.
Such a tapering off of alcohol or drugs often needs to be supervised medically, and this is what a detox normally refers to.
Some rehabs in Florida will also refer to detoxing as a sort of purifying of the body.
This can refer to a holistic approach to detox, but normally means a detox around the areas of diet and lifestyle rather than a medically supervised tapering off of alcohol or drugs.
Not everyone needs to be supervised, but a rehab in Florida needs to have the facilities to undertake a detox if it is needed. A rehab in Florida will either have the facilities to oversee and do the detox themselves, or should have arrangements with a local hospital or other clinical facility that can oversee such a process.
This is one of the questions that you should be asking when researching or undertaking admission to any rehab in Florida.
The question of detox is in fact part of a broader question, which is the level of medical and clinical experts that are employed by the rehab to oversee and supervise care whilst the client is in residence there.
Rehab in Florida – Clinical Experts
The term clinical experts is an important one, because it covers a wide range of professions, all of which should be employed by a rehab in Florida to provide holistic care as part of an addiction treatment program.
Clinical experts normally refer to medical and nursing personnel, as well as other types of professions such as pharmacists, physiotherapists and psychiatrists. A rehab in Florida should have a broad range of clinical experts who are resident and part of the team providing care.
It is not good to have a rehab that has clinicians who are not resident. The team of clinical experts needs to be based at the rehab full-time, so that they can oversee and supervise the level of care, both medically and therapeutically, of the client on a daily basis.
A rehab in Florida can be an expensive process, and one of the main reasons for it being so expensive should be the level of clinical attention and care that is provided.
In addition a rehab in Florida may well have other types of professionals on its staff. It is worth looking at the broad range of experience that these profesionals offer.
A rehab in Florida is likely to employ so-called alternative therapists, who may practice chi kung or tai chi or yoga. There may also be more adventurous types of alternative programs such as adventure programs – rockclimbing, hiking ,trail blazing etc. These are not common but are offered by a number of rehabs in Florida.