When it comes to recovering from drug addiction, there are many questions that may arise about the healing process, whether you’re the person struggling with addiction, or if you have a loved one who battles substance use. How do you know if you need help from a drug rehab center? What kind of drug rehab treatment is right for you? What can you expect from a drug addiction rehab center? This resource provides answers to some of your most important questions regarding rehab drug treatment, commonly abused drugs, the drug recovery process, and the various options for addiction help.

SMART Recovery was founded by Joe Gerstein in 1994 by basing REBT as a foundation. It gives importance to the human agency in overcoming addiction and focuses on self-empowerment and self-reliance.[32] It does not subscribe to disease theory and powerlessness.[33] The group meetings involve open discussions, questioning decisions and forming corrective measures through assertive exercises. It does not involve a lifetime membership concept, but people can opt to attend meetings, and choose not to after gaining recovery. Objectives of the SMART Recovery programs are:[34]
Drug addiction is a disease of the body and brain. Also called substance use disorder, drug addiction triggers uncontrollable behaviors and renders a person unable to control their use of medication, alcohol, cigarettes, or drugs—whether they are legal or not. Addictive substances such as nicotine, alcohol, opioid medications, and marijuana are considered drugs just as much as heroin, cocaine, or methamphetamine. Once you are addicted to a substance, you will feel compelled to use it, regardless of the damage that use does to your body, your brain, and your life.
The gap between men and women affected by alcohol abuse and addiction has closed too. In 2016, an analysis of sixty-eight studies from around the world with a combined sample size of over four million people was carried out. The results showed that in the early 1900s, men were 2.2 times more likely to drink alcohol than women. They were also three times more likely so experience problem alcohol use and 3.6 times more likely to experience harm from their alcohol use.
Alcohol rehab is often the only way that an individual who’s struggling with addiction can get help. There are rehab centers all over the country that offer individualized programs to treat alcoholism, regardless of how long the disease has been present. Alcohol treatment programs take many factors into consideration, including the person’s age and gender, and the extent and length of the addiction. Many alcohol rehab centers also offer various aftercare options and recommendations to help clients maintain their sobriety, such as group therapy.

The length of time an addict will remain as an inpatient in rehab will vary from individual to individual, and different facilities will offer programs of different durations. A typical stay will last around a month, although some shorter-term programs – one or two weeks – are available, in many addicts choose to stay longer than a month if they feel their recovery will be helped by an extended stay.
As with other diseases and disorders, the likelihood of developing an addiction differs from person to person, and no single factor determines whether a person will become addicted to drugs. In general, the more risk factors a person has, the greater the chance that taking drugs will lead to drug use and addiction. Protective factors, on the other hand, reduce a person's risk. Risk and protective factors may be either environmental or biological. Trib Talk: Fraud and abuse in rehab centers
Nalmefene, an opiate antagonist that is similar in its chemical structure to naltrexone, is one of the most recent drugs being investigated for the treatment of alcoholism. Like naltrexone (sold as ReVia, Depade, or Vivitrol), nalmefene deprives the person struggling with substance use of the pleasurable feelings associated with drinking. But nalmefene is less toxic to the liver than naltrexone. As of 2013, nalmefene was still undergoing clinical trials through the U.S. National Institutes of Health before receiving FDA approval.
Work with an intervention specialist. If your loved one is in strong denial about the problem, he or she will probably refuse to get treatment or even to listen to you. A substance abuse counselor or therapist who specializes in intervention can help you plan a formal meeting to confront your loved one with the consequences of their behavior and propose a treatment plan. Best Alcohol Detox Drug Program Treatment Addiction Alcohol

However, other elements – for example the type of therapies available – may lie completely beyond your understanding and experience. With this in mind, it is always advisable to speak with an addiction specialist who will almost certainly be able to think of things which may not occur to you but which could be very important. By leveraging the vast experience of an addiction specialist you can be sure that issues of great importance will not go unaddressed. First 24 Hours in Drug Rehab Treatment - 866-577-6868 - Ambrosia Drug Rehab Treatment Centers


Genetics make up about 50% of the risk for alcohol dependence, but they by no means tell the whole story. Genetic history is often hard to distinguish, but if parents are regular heavy drinkers, or they drink to reduce stress and depression, it is likely that their children will grow up believing that these behaviours are normal and possibly harmless. But environmental influence doesn’t come only from the home; peer pressure from friends, colleagues and partners can also encourage new and difficult patterns of drinking which can lead to dependency or co-dependency.
Rehabs.com is a comprehensive guide for the entire treatment process - from spotting issues to find and enrolling into rehabillation. Yet it’s more than that; it’s also an extensive educational resource that includes up to date statistics, policy and regulation information as well as a section on careers in the industry. If that’s not enough, this site also cover a list of hot button issues that can be found on the blog and in the infographics library. Boost Your Strength To Overcome Addiction - Sleep Hypnosis Session - By Thomas Hall
Ask for friends and family to support you in the recovery process; chances are, they’ll be proud of you for taking control of your life again. External support groups include Alcoholics Anonymous (AA), which originated the 12-step program and now has approximately 2 million members. The 12 steps emphasize the participant’s ability to submit to a “higher power” to ask for help. The higher power doesn’t have to be rooted in religion, though that is the case for many. Others look for a “higher power” within.
Dangerous behaviors common among alcoholics include impaired judgment and coordination, falling asleep at the wheel, falling asleep with lit cigarettes, aggressive outbursts, drinking to the point of vomiting, hangover, or alcohol poisoning — and these are just the ones most alcoholics experience in the course of their disease. All of these behaviors will eventually hit the system, in the form of health care costs, criminal justice costs, motor vehicle crash costs, and workplace productivity

In many cases, symptoms of the mental health disorder appear first. As they become more and more overwhelming, the patient may attempt to “treat” those symptoms by using different drugs. For example, a patient who struggles with depression may attempt to improve their mood by taking heroin or prescription drugs. Patients who are living with anxiety may try to calm themselves by smoking marijuana. Conversely, someone dealing with an eating disorder may attempt to further their weight loss attempts by abusing stimulant drugs like cocaine or crystal meth.

Inpatient – or residential – rehab sees the addict staying on-site at one of our dedicated UKAT facilities, staffed by highly trained professionals who are on hand 24/7 to ensure that each addict’s individual needs are met as fully and as appropriate as possible, and that they go through each of the first two aforementioned phrases safely and in maximum comfort. Best Drug Rehabs Near Me For Addiction Rehabilitation
It can be difficult to recognize when casual drinking has crossed the line into abuse or addiction. It can be even harder to decide that it is time to do something about it.   Knowing what addiction looks and feels like can be challenging for loved ones, let alone for the person who is addicted to alcohol. If people are aware of what the signs of alcoholism are, it can be easier to determine when it’s time to enter rehab in order to stop the cycle of addiction and work toward recovery from alcoholism.  
A detoxification rehab program stipulates that before patients can begin healing, they must remove all drugs and toxins from their body. It is much easier to detox from drugs under the care and supervision of trained medical professionals, as opposed to attempting to do it on your own. Medical professionals could provide patients with safe drugs that could help ease withdrawal symptoms.
There are several ways to approach addiction, and every case is different. The best approach is usually one tailored to the specific needs of the individual with a clear goal in mind. Selecting the right drug treatment program begins with the first call or interaction. Intake coordinators at The Recovery Village ask a number of questions regarding the nature of the substance use disorder to find the best treatment program to meet the individual’s needs.

According to the NIAAA around 20 - 25-percent of people who receive medication and therapy will recover from alcoholism and never touch alcohol again. A further 10-percent will recover and only drink alcohol in moderation or very occasionally. Unfortunately, the relapse rate for alcoholism is high, especially in the first 12-months. This means engaging the alcoholic individual in relapse prevention therapy while in treatment is important. This should reduce the person's chances of returning to drink, once the treatment has ended. There are also other factors that can influence a person's chance of making a successful recovery and it is nothing to do with any kind of treatment. It is believed that people who are on a low-income and come from areas experiencing economic decline, are more likely to relapse than an individual who lives in an effluent area. This is because escaping stress and anxiety is one of the major reasons why people turn to drink. Worrying about money, being unemployed or potentially losing


FAQAre alcohol rehabs private and confidential?Is there an ideal length of rehab?What does treatment include?What are the factors I should look for in a rehab programme?How much does treatment cost?Are there treatment programmes for teens?How do you know if you’re addicted to alcohol?How do clinicians recommend duration of stay?Does insurance cover alcohol treatment?How does alcohol rehab work?How effective is alcohol rehab?
Some people are able to stop drinking on their own or with the help of a 12-step program or other support group, while others need medical supervision in order to withdraw from alcohol safely and comfortably. Which option is best for you depends on how much you’ve been drinking, how long you’ve had a problem, the stability of your living situation, and other health issues you may have.
Our beautiful and tranquil environment is the perfect setting for focusing your full attention on healing. Here you can find wholeness. Here you can regain your authentic self. Here you can find the freedom to imagine how life might be without drugs. Peace and purpose – that’s what you can find through your dedicated effort under the guidance and support of your advisors and friends at Michael’s House. Drug and Alcohol Addiction - "Audio Rehab" - Brainwave Entrainment Music Therapy
We are active in supporting research into improving the lives of those struggling with addiction. Searidge Foundation and our sister rehab Sobriety Home located in Godmanchester, Quebec are highly regarded as the leading alcohol and drug rehab facilities in Canada. We support Florida State University (FSU) in their research into addiction and anxiety disorder. We are also involved with Dr. Brunet, of McGill University, and his leading scientific research on PTSD and addiction memory. Drugs & Addiction : How to Deal With a Drug Addict
As a person continues to use drugs, the brain adapts by reducing the ability of cells in the reward circuit to respond to it. This reduces the high that the person feels compared to the high they felt when first taking the drug—an effect known as tolerance. They might take more of the drug to try and achieve the same high. These brain adaptations often lead to the person becoming less and less able to derive pleasure from other things they once enjoyed, like food, sex, or social activities.
SMART Recovery was founded by Joe Gerstein in 1994 by basing REBT as a foundation. It gives importance to the human agency in overcoming addiction and focuses on self-empowerment and self-reliance.[32] It does not subscribe to disease theory and powerlessness.[33] The group meetings involve open discussions, questioning decisions and forming corrective measures through assertive exercises. It does not involve a lifetime membership concept, but people can opt to attend meetings, and choose not to after gaining recovery. Objectives of the SMART Recovery programs are:[34]
You can also augment your loved one’s ability to remain clean and sober at home by providing a positive, stress-free environment and learning how best to avoid enabling behaviors. Like the specifics of inpatient drug rehab, the treatment services chosen during aftercare should be based on the needs of the individual and the areas where they need the most support in recovery.
There are many reasons people get addicted to drugs, but you must gain insight into what draws you towards your substance of choice. Is it a means to cope with stress? Do drugs help numb you emotionally so you don’t have to feel emotional or physical pain? Are drugs a way to avoid responsibility, gain other’s approval or belong to a group? It’s important that you peel back the layers of your behavior to understand what is behind your drug habits.
The National Opinion Research Center at the University of Chicago reported an analysis on disparities within admissions for substance abuse treatment in the Appalachian region, which comprises 13 states and 410 counties in the Eastern part of the U.S. While their findings for most demographic categories were similar to the national findings by NSDUH, they had different results for racial/ethnic groups which varied by sub-regions. Overall, Whites were the demographic with the largest admission rate (83%), while Alaskan Native, American Indian, Pacific Islander, and Asian populations had the lowest admissions (1.8%).[45]

Focus on one area where you’re experiencing the urge. How do the sensations in that area feel. For example, perhaps you feel hot, cold, tingly, or numb? Are your muscles tense or relaxed? How large an area is involved? Describe the sensations to yourself and any changes that occur. “My mouth feels dry and parched. There is tension in my lips and tongue. I keep swallowing. As I exhale, I can imagine the smell and tingle of a drink.” How to open an addiction treatment center: Ep.1 - Motive
IVRS focuses on helping clients develop insight into the negative role that drugs and alcohol play in their lives. Usually, substance abuse has taken a great toll on family relations, employment, and their health. Many clients have experienced legal problems, lost jobs, failed in school and/or lost their families as a result of drug and alcohol abuse. IVRS teaches clients to live without drugs and alcohol, thus improving the quality of their lives.
Naltrexone was approved by the FDA in 1994 for the treatment of alcoholism; however, it is currently prescribed for the treatment of opioid addiction. Sold in oral or injectable forms (ReVia and Vivitrol), naltrexone can help block the effects of opioids on the brain, making it less pleasurable to use these powerful drugs. Naltrexone is prescribed for opiate users who have been through the withdrawal phase and who are motivated to stick to a recovery program.

Our drug and alcohol addiction treatment programs are based on science, evidence and our experience of what works best in helping people get sober and stay sober. Hazelden Betty Ford pioneered the field’s leading approach to addiction treatment and we continue to evolve and advance the use of evidence-based treatments in order to provide our patients with the best opportunity for lifelong recovery from substance use disorder. Some of the evidence-based treatments our clinicians use include:
Depending on your treatment priorities, you may also want to consider a facility that shares your philosophy. For instance, some people prefer faith-based rehabs if their religion is important to them. Others may choose to enroll in a holistic treatment center that utilizes alternative and complementary practices, such as acupuncture, meditation, and yoga. Regardless of the treatment program you choose, it’s important to confirm that it possesses the above-mentioned qualities.

For some people, secondary care is an essential phase between intensive treatment and rehab and a full return to normal life; this is especially likely to be the case if an addict’s home environment is dysfunctional or challenging in other ways, and the addict does not yet feel robust enough in their recovery to deal with those challenges as well as the ongoing challenge of staying drug-free.

Each state is not required to participate in Medicaid, although every state currently does and complies with federal Medicaid laws. Each state sets standards of eligibility, how much is paid into it, the types of services covered, and all of these changes from state to state as each state administers its own program. In the year 2002, there were close to 40 million Americans enrolled in the program, with the majority of them being children. By the year 2009, there were close to 63 million Americans enrolled in Medicaid and receiving different services and coverage. Drug Rehab Near Me


The different types of rehab facilities fall into two categories or “settings.” The two settings are inpatient (full-time rehab) and outpatient (part-time rehab). Inpatient means the client lives at the facility, and each step of the rehab process is typically completed there. Patients who attend an outpatient facility return home after treatment each day and often complete the steps of rehab at different facilities. Below is a comparison of the most common program options within those two rehab settings.

Physical dependence on a drug can cause serious withdrawal symptoms if a person suddenly stops using the substance or severely reduces the dose. The withdrawal process itself can be uncomfortable and dangerous. Some of the classic signs of withdrawal include tremors, cold sweats, involuntary movements (e.g., jerking, twitching, or shaking), nausea and vomiting, muscle cramps and bone pain. Because withdrawal can be dangerous, proper medical detox can be a life-saving step in recovery.

UKATs rehab centres are fully accredited and staffed with trained and experienced professionals who provide a top level of care and attention at all times. Our facilities are decorated to very high standards as well, ensuring patients are able to relax and feel at home throughout their stay. We believe this sort of environment is more conducive to overcoming addiction.


Most severe alcohol withdrawal symptoms occur in the first three to four days after stopping drinking. Detoxification involves taking a short course of medication to help reduce or prevent withdrawal symptoms. Medications such as Valium (diazepam), Librium (chlordiazepoxide), or Ativan (lorazepam), members of the benzodiazepine family, are usually used for detox.
For example: As a result of heavy traffic, a recovering alcoholic may decide one afternoon to exit the highway and travel on side roads. This will result in the creation of a high-risk situation when he realizes he is inadvertently driving by his old favorite bar. If this individual is able to employ successful coping strategies, such as distracting himself from his cravings by turning on his favorite music, then he will avoid the relapse risk (PATH 1) and heighten his efficacy for future abstinence. If, however, he lacks coping mechanisms—for instance, he may begin ruminating on his cravings (PATH 2)—then his efficacy for abstinence will decrease, his expectations of positive outcomes will increase, and he may experience a lapse—an isolated return to substance intoxication. So doing results in what Marlatt refers to as the Abstinence Violation Effect, characterized by guilt for having gotten intoxicated and low efficacy for future abstinence in similar tempting situations. This is a dangerous pathway, Marlatt proposes, to full-blown relapse.
According to NIDA, genetic factors are responsible for 40 to 60 percent of a person’s vulnerability to drug addiction. Studies show that a person’s predisposition to drug addiction positively correlates to their degree of genetic similarity to a relative who has a history of drug dependence or addiction. Mental disorders and medical conditions are also risk factors.
Drug abuse statistics can be alarming, but the numbers also show a potential for help and healing. The Substance Abuse and MEntal Health Services Administration’s (SAMHSA) National Survey on Substance Abuse and Health states that while 21 million Americans aged 12 and over needed drug or alcohol treatment in 2016, only 3.8 million received the help they needed at a specialized treatment facility. Other research sources on drug addiction show that:
The most important thing to consider after alcohol rehabilitation is having an aftercare program that allows you continued treatment and a safe environment to maintain sobriety. It is also important that you follow suggestions to help you continue to maintain constant sobriety. Suggestions can include attendance at Alcoholics Anonymous, SMART recovery or another community or church groups, addiction counseling, or living in a halfway house. Finding a safe environment to live in while entering back in to the normal realm of every day life is imperative.
Inpatient addiction treatment focuses on stabilization and assessment of your health to ensure you are ready--physically, psychologically and emotionally--to learn about core recovery concepts and to begin practicing recovery principles. Each day, you will be given a schedule of treatment activities, appointments and services tailored to meet your specific recovery needs and goals. Learn more about what happens in a typical day of inpatient addiction treatment.
Medical detox in an addiction treatment center takes place in a fully-staffed medical facility where patients are monitored around the clock, and treatment for the side effects of withdrawal is provided as needed. Medications to reduce the intensity of withdrawal symptoms may be administered, and patients will not be released from detox until they are symptom-free and physically and mentally well enough to handle the daily routine of an addiction treatment regimen. How to Detox from Alcohol - How to stop drinking - Part 1
Anxiety, depression, and suicidal thoughts are all common results of alcohol dependency. This is because prolonged heavy drinking effects the neurotransmitters in the brain which regulate mood. Two of the most important neurotransmitters for mood are dopamine and serotonin, which are responsible for creating the positive feelings vital for a healthy mind. Research shows that the levels of both serotonin and dopamine are often heavily altered in the brains of alcoholics, leading to deteriorating mental health and, often, a negative spiral of alcohol use.

Whether you’re seeking rehab for drug addiction alone or in conjunction with depression or any other mental disorder, you can find it with one of The Recovery Village’s locations. Although intake coordinators will ask you a list of questions when you call, keep in mind that you have the liberty to ask questions of your own to be sure you’re choosing the best facility to meet your needs. Knowing what to ask in advance and documenting the answers can help you be more prepared to make a confident decision about addiction recovery treatment.
Inpatient treatment programs require the patient to live at the facility for the duration—typically 30, 60, or 90 days—of treatment. The process often starts with detoxification. During this time, withdrawal symptoms are managed in a safe environment by qualified medical staff.  Medications may be administered to alleviate or prevent serious symptoms. Drug Rehab Near Me
As you discharge from inpatient treatment, you will receive recommendations for follow-up care and ongoing recovery support to strengthen your sobriety and reduce the risk of relapse. Like diabetes or hypertension, addiction is a chronic disease. Regaining your health means learning to manage your symptoms, first within the structure of an inpatient rehab program and eventually in your home environment where you are in charge of maintaining and strengthening your recovery.
In-House Treatment Centers provide drug and alcohol rehab for individuals and their families that are suffering from moderate to severe addiction to alcohol, substance abuse, and co-occurring disorders.  As differentiated from Hospital Drug and Alcohol Rehab Programs, In-House Treatment Centers are often located in resort-style, private facilities designed to treat the whole person with a more personalized and compassionate approach to recovery. Psychology of Drug Addiction & Substance Abuse Disorder, Causes & Solutions
Effective and evidence-based psychotherapy is the core of our addiction recovery program. At Searidge our approach includes cognitive behavioural therapy, psychodynamic therapy, rational emotive behavioural therapy (REBT), mindfulness therapy and cognitive bias modification therapy. These are all highly regarded and effective treatments for alcohol addiction and the underlying psychological issues associated with addiction.
Heroin is generally considered the most addictive drug in the world. Studies have shown that just one dose of heroin can put a person on the fast track to addiction. It’s estimated that nearly 25% of all people who try heroin at least one time will become addicted. Heroin causes euphoria, eases pain and numbs the brain and body by acting on an area of nerve cells within the central part of the brain known as the nucleus accumbens. When repeatedly subjected to this flood of opiates, the dopamine receptors within these nerve cells become exhausted from overstimulation.13
Effective and evidence-based psychotherapy is the core of our addiction recovery program. At Searidge our approach includes cognitive behavioural therapy, psychodynamic therapy, rational emotive behavioural therapy (REBT), mindfulness therapy and cognitive bias modification therapy. These are all highly regarded and effective treatments for alcohol addiction and the underlying psychological issues associated with addiction.

If you or a loved one is suffering from drug addiction, you may be looking for help curing the disease. One of the most well-known methods is drug rehab. However, many people don’t realize that “drug rehab” is a broad-encompassing term that represents various treatment methods. The type of drug rehab that you choose could depend on an array of factors.
During the early stages of alcohol recovery, patients can be confused and scared. Their emotions can run high to the point that what they are thinking and feeling interferes with recovery. Meditation addresses these sorts of things. By helping patients relax and focus their thoughts inward, meditation eases patient fears and clears up confusion. Patients are more apt to benefit from treatment in this more relaxed state.

Drug addiction is a complex neurobiological disease that requires integrated treatment of the mind, body, and spirit. It is considered a brain disease because drugs change the brain — they change its structure and how it works. Without treatment, these brain changes can be long-lasting. Addiction is chronic, it is progressive, and if left untreated, it can be fatal.
To ensure that you feel as comfortable as possible on your journey to recovery, Priory offers a free drug addiction assessment with one of our addictions experts, allowing you to discuss your concerns in confidence, receive guidance on the next steps in the drug addiction treatment process, and begin to develop an understanding of the journey that you will be taking towards drug rehabilitation and recovery. You will also undergo a consultation with a consultant psychiatrist, who will gather information on your medical and psychiatric history and advise on future treatment. We are also able to offer a comprehensive medically assisted withdrawal detoxification process for your drug addiction, if this is required.
Some people are more vulnerable to drug addiction than others, just as some people are more vulnerable to cancer or diabetes than others. There is no single factor that controls whether you will become addicted. Overall, though, the more risk factors you have, the greater your chance of drug addiction is; on the other hand, the more protective factors you have the less risk of addiction you face.
Drug addiction starts with drug use. Experimental use, recreational use, social use, occasional use, medical use – any use of an addictive substance for any purpose can and often does lead to a dependence upon that drug. While any and all drug use has the potential for harm, the most dangerous type of drug use in terms of the likelihood that it will lead to addiction, is the type that stems from a desire to numb pain or negative feelings or to cope with problems in one’s life. Addiction Treatment Center Serenity Oaks Wellness Center 844 720 6847
State and local governments often offer rehab information and resources for local facilities and programs through their substance abuse or behavioral health divisions; the organizations to contact can be found through the Directory of Single State Agencies (SSAs) for Substance Abuse Services. In addition, the federal government’s Substance Abuse and Mental Health Services Agency (SAMHSA) provides an online search engine that can provide guidance to those seeking a facility.
By providing your contact information, you expressly consent to receiving calls and/or SMS text messages at the number you provided as part of our service offerings, including but not limited to advertisements, solicitations, and service updates. The phone number belonging to the called/messaged person(s) could incur charges for such contact. Read and understand all program materials prior to enrollment. Not available in all states.
Insurance: Many types of insurance cover the cost of addiction treatment and rehab; in particular, the Affordable Care Act requires that insurance policies issued under the state health exchanges and through Medicaid programs under the ACA expansion must provide coverage for addiction treatment. It’s important to note that insurance coverage often still requires that the individual provide a co-insurance payment, and some require a deductible be paid before treatment will be free. Specific plans may have different coverage levels, so it’s a good idea to check the specific policy or talk to the insurance provider. What happens in rehab?
The physician should have AA literature in the office (dates and places of meetings), have the AA phone number available, and know about other treatment services in the community, including referrals for medical consultants or specialists in chemical dependency. No randomized trials of AA have been performed, but a US Veterans Administration study suggested that patients who attended meetings did much better than those who refused to go.
Upon exiting treatment, a patient may be prescribed a drug like disulfiram, which prevents the body from chemically processing alcohol, causing an unpleasant reaction if the patient relapses or attempts to relapse. Because of disulfiram’s toxicity, it has to be taken under the supervision of a doctor, as unregulated usage can cause strong, even fatal reactions.
Cost may be a factor when selecting a treatment approach. Evaluate the coverage in your health insurance plan to determine how much of the costs your insurance will cover and how much you will have to pay. Ask different programs if they offer sliding scale fees — some programs may offer lower prices or payment plans for individuals without health insurance.

An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach.[40] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy refers to one's ability to deal competently and effectively with high-risk, relapse-provoking situations. Outcome expectancy refer to an individual's expectations about the psychoactive effects of an addictive substance. Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well. Substance use is the result of multiple decisions whose collective effects result in a consumption of the intoxicant. Furthermore, Marlatt stresses some decisions—referred to as apparently irrelevant decisions—may seem inconsequential to relapse, but may actually have downstream implications that place the user in a high-risk situation.[41]

The methamphetamine binge is followed by a phase called “tweaking,” a state characterized by restlessness, anxiety, paranoia, agitation, sleeplessness, and intense cravings. “Tweakers” may experience delusional thinking, psychotic episodes, hallucinations, and violent impulses. Severe itching and the urge to harm oneself are common at this point. Methamphetamine withdrawal is complicated by the fact that many heavy users are malnourished, dehydrated, and sleep deprived. Meth-induced psychosis can continue for weeks or months after the addict stops using. In a case study published in the Journal of Clinical Psychiatry, one methamphetamine addict continued to have auditory hallucinations, fears of persecution, and paranoid delusions for a year after treatment. A rehab jail for heroin addicts

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