Find Recovery Editorial Team, Author at Find Recovery

How To Get Treatment For Your Spouse

Loving an addict is hard — for a lot of reasons.

Drug addiction can erode trust, communication, and self-worth, inflicting emotional hardship on all involved. However, dealing with an addicted loved one can be especially difficult in romantic relationships when both parties live together and whose lives are deeply interwoven.

Not only does the spouse of an addicted person have to grapple with their own emotions as they witness their partner intentionally harm themselves, but they must also deal with the financial burden of addiction as well.

That’s why getting help for your partner isn’t just a matter of saving their lives but also looking out for your own well-being. Doing so is easier said than done, however. Here’s how to help an addicted spouse and support their recovery journey.

What to Do to Help an Addicted Spouse

Educate yourself

The first step when seeking treatment for your spouse is to learn what treatment entails, from the treatment options available to how they work. Many facilities specialize in a certain approach (e.g., holistic, family-oriented, luxury), so there are many different options from which to choose.

It’s also important to know the different levels of care. There’s detox, intensive inpatient (which is also referred to as residential treatment), partial hospitalization (PHP), and outpatient treatment. Each has a unique treatment structure, which will ultimately determine the time commitment and cost.

Further, each program has its strengths; some are more flexible while others offer rigid structure, others provide an immersive recovery experience, whereas another makes it easy to make treatment a part of their existing routine.

Knowing these details will be extremely helpful in the next step: choosing treatment facilities.

Research treatment facilities

There are over 17,000 addiction treatment facilities in the United States (your city alone might have dozens of options to choose from), so it’s a good idea to have several options available before broaching the subject of going to rehab with your spouse.

One reason this preparation is handy is that it’ll give you the opportunity to look for amenities, programs, or other perks that can make the idea of going to rehab more appealing. There are facilities centered around music, others around adventure and the outdoors, and others still specializing in animals. (We could go on and on.)

However, the main benefit of having multiple facility options is that if they agree to go to rehab, you won’t lose momentum by waiting the days, weeks, or months it can take to find a suitable program.

Get advice about how to approach them

Talking about addiction can be a touchy subject, no matter how close or loving your relationship. Maximize your odds of success by getting advice on how to broach the topic. The key is to seek advice from a reliable source who can help you have a productive conversation with your spouse.

One source can be your prospective addiction treatment center. They’re experts in working with people who aren’t always receptive to accepting help. It’s highly likely that their admissions team can provide professional guidance.

Another great resource is Al-Anon, a support group for those whose loved ones have a substance abuse disorder. There, you hear stories of others who initiated similar conversations and get pointers and other feedback so you can anticipate what type of resistance you might face. Find an Al-Anon meeting group near you today.

Speak with compassion

Once you’re ready to initiate the conversation, go into it with a mindset of compassion rather than confrontation. If you’re feeling upset or angry, hold off and have this talk another time. It’s too important a subject to risk lashing out because of your temper and potentially pushing them away.

Avoid using language that places blame (e.g., using sentences that begin with the word “you”) or involves negative labels like ‘junkie’ or ‘addict.’ Doing so will likely be counterproductive and only serve to make them defensive and resistant to your words.

Can I force my spouse to go to rehab?

If the situation is truly dire and you’ve exhausted all other options in trying to help your addicted spouse, there might be an option that can get your loved one into rehab despite their objections. It’s a process called civil commitment and can result in court-mandated addiction treatment.

The process first starts with an evaluation by a mental health professional. If your spouse is deemed to be a danger to others and themselves, a petition can then be submitted to the court. A hearing will then be held where a judge will determine whether involuntary enrollment in a treatment facility is the best course of action.

High-functioning depression and substance abuse

Pop culture often portrays depression in the same way: a person who refuses to leave their home — or even just their couch — to shower, get out of their sweatpants, and otherwise function in a normal capacity. Their professional, social, and romantic lives are in shambles—just another good example of why you shouldn’t believe everything you see on TV.

Not everyone experiences depression this way. Symptoms can vary wildly from person to person depending on the severity of their mental illness, which ranges from mild to severe. Then, some individuals appear to be fine outwardly; they can keep up with their daily responsibilities at work, keep their relationships intact, and may even be the first person to crack jokes.

Consider Chelsie Kryst, a successful Division I track and field college athlete who earned her MBA and law degree and became a working attorney before being crowned Miss USA in 2019. From there, she became a host for a popular television channel, Extra, for which she was nominated for two daytime Emmys. Chelise was a very active, social, and, by all accounts, successful woman.

Then, Chelsie committed suicide at the age of 30.

It was only after her death that Chelsie’s closest friends realized she had a mental illness, and the condition commonly known as “high-functioning depression” began to enter the mainstream vernacular. It’s when people like Chelise appear perfectly fine on the outside and may even appear happy, but beneath the surface, they struggle and often do so alone.

Recognizing High-Functioning Depression: Symptoms & Signs

High-functioning depression isn’t included in the DSM, and therefore, it isn’t formally recognized as a clinical disorder even though the term is fairly commonplace. Instead, it’s typically referred to as ‘persistent depressive disorder’ by medical professionals.

Just because someone appears to be functioning well on the outside does not mean that they aren’t suffering on the inside. However, identifying high-functioning depression can be challenging, as individuals often mask their symptoms.

High Functioning Depression & Drug Abuse

As you can imagine, high-functioning depression can easily go unnoticed and be difficult to detect. It might also evade formal medical diagnosis because the typical symptoms of depression aren’t there.

As a result, these individuals usually end up battling their mental illness on their own. Without access to prescription antidepressants, they may turn to self-medication through drugs and alcohol, a common coping mechanism even for individuals who aren’t suffering from a mental illness.

Like most circumstances involving drug use — things can quickly go from bad to worse when drugs and mental illness are combined. There’s a very high likelihood of them exacerbating depressive symptoms, pushing a person deeper into depression and furthering this harmful cycle.

Another potential cause of this correlation is a hallmark of high-functioning depression symptoms: feeling emotionally numb. Individuals with high-functioning depression often become masters at concealing their true emotions. Whether from fear of social stigma or the pressure to maintain a facade of normalcy, these individuals are highly adept at putting on a brave face.

The result? People feel detached from their emotions and experience a persistent emptiness or lack of joy. These individuals then struggle to connect with their feelings and feel disconnected from those around them. This disconnect can lead to feelings of isolation — another common cause of drug use.

Treating High-Functioning Depression

Therapy and medication are the most likely to be prescribed for treating this illness. However, other interventions, such as lifestyle changes, stress management techniques, and self-care

practices can be beneficial as well. Though, when dealing with depression, the importance of a social support system cannot be overstated.

Having a safe space to express emotions, share experiences, and receive validation can provide immense relief and reduce feelings of isolation. A support system can include friends, family members, or individuals from support groups like Alcoholics Anonymous. These support groups can also be a valuable resource for family and friends who suspect a loved one may be struggling with addiction.

If you suspect that you or someone you know may be experiencing high-functioning

depression, the first step to take is to reach out to mental health professionals. However, in the case that your loved one is also simultaneously dealing with a drug use issue (regardless of whether it came before or after their mental illness started), the best course of action is to seek a drug rehab facility that specializes in co-occurring disorders.

The Start Of A New Year: Don’t Trade One Addiction for Another

The New Year often brings high expectations for life changes, which can be particularly challenging for those in addiction recovery. In fact, statistics show that about 65% of individuals recovering from addiction face additional issues such as anxiety, depression, or impulse control disorders. This article delves into the complexities of addiction, highlighting how, even during treatment, individuals might struggle with alternative forms of addiction, underscoring the importance of comprehensive recovery strategies.

Understanding Addiction Replacement

Addiction replacement is a psychological phenomenon observed in individuals recovering from one addiction where they develop a new addiction as a substitute for the previous one. In this case, the addictive behaviors persist, but the object of addiction shifts to a different substance or activity.

This substitution often occurs when the underlying causes of addiction are not adequately addressed. Unresolved psychological and emotional issues continue to drive the individual’s desire for pleasure, relief, or escape. Although the new addiction may offer temporary fulfillment or distraction, it hinders the overall recovery process by perpetuating the cycle of addiction.

Common Types of Addiction Substitution

Addiction replacement often occurs unconsciously, meaning that the person is usually unaware of the development of a new addiction. They may even perceive it as a coping mechanism or a healthier way to redirect their addictive behaviors.

Let’s explore some of the most common forms of addiction replacement:

Substance Substitution: This occurs when a person replaces one addictive substance with another. For instance, someone recovering from alcohol addiction may turn to drugs or prescription medications as a substitute.
Behavioral Addictions: Instead of substituting substances, individuals may develop new addictive behaviors. Common examples include gambling or sex addiction, compulsive shopping, excessive internet or gaming use, and workaholism.
Process Addictions: Process addictions involve becoming excessively reliant on certain activities or processes. These can include addiction to food, exercise, pornography, or even self-harm.
Physiological Dependencies: Addiction substitution can also manifest as dependencies on certain substances that try to replace the stimulating or soothing effects of the first addiction substance or activity. Some examples are caffeine, nicotine, and sugar.

Signs of Replacing One Addiction with Another

According to a study on substance use disorders, it has been found that approximately 1 in 5 patients develop a new addiction during the 3-year follow-up period after their recovery.

Often, this new addiction goes unnoticed by the person. That’s why loved ones must remain vigilant and attentive to the signs. Here are some of them:

Look for signs of intense engagement, such as spending excessive time and energy on the new addiction and neglecting responsibilities, relationships, or activities that were previously important.
The person in recovery may become less committed to their recovery efforts. This could include skipping support group meetings and therapy sessions or not following their treatment plan.
Be aware of substance dependence and substitution, such as substituting alcohol with prescription medications or illicit drugs.
Pay attention to any significant changes in mood, behavior, or emotional well-being, including increased irritability, anxiety, restlessness, or depression.
Just like the first addiction, life consequences escalate with the new one, such as financial difficulties, legal issues, deteriorating physical health, or strained personal relationships.

Strategies to Avoid Addiction Replacement

Although it’s expected in the recovery journey, relapse is a challenging experience. Regardless of whether you are currently undergoing treatment or have been in recovery for an extended period, it’s vital to take a mindful moment to recognize the reemergence of addictive behaviors.

The key lies in discovering effective strategies to get back on track. Let’s explore some of these strategies below:

Engage in therapy, counseling, or support groups. Since underlying psychological, emotional, and social factors can trigger addictions, it’s crucial to address them professionally.
Identify triggers and high-risk situations. Learn to develop strategies that help you manage and cope with your triggers healthily and constructively.

What’s Evidence-Based Treatment for Addiction Recovery?

At its core, addiction is a complex condition that requires comprehensive and effective treatment strategies. Evidence-based treatments (EBTs) stand out as one of the most effective solutions for addiction, offering a recovery path rooted in research and proven outcomes.

Unlike traditional methods that may be based on anecdotal evidence or well-established practices, evidence-based treatment constantly evolves and is shaped by ongoing research and emerging data in addiction therapy.

Understanding what constitutes evidence-based treatment is crucial for anyone seeking help for themselves or a loved one. Here’s everything you should know about evidence-based treatments for addiction recovery.

Defining Evidence-Based Treatment

Evidence-based treatment refers to approaches that are backed by scientific research and clinical trials, ensuring they provide the best possible outcomes for those struggling with addiction.

For a treatment to be considered evidence-based, it must undergo a series of evaluations and demonstrate consistent, positive outcomes in treating addiction. These treatments are often peer-reviewed and have a record of success in various settings and among diverse populations.

Evidence-based treatments often include several key components:

Scientific Validation: The treatment has been tested in controlled settings and has shown positive results.
Standardized Protocols: These treatments follow a consistent approach that can be replicated across different settings.
Continuous Monitoring and Adaptation: Evidence-based treatments are not static; they evolve with ongoing research and adapt to new findings in addiction science.

Common Evidence-Based Treatments in Addiction Recovery

Several evidence-based therapies are popular in addiction treatment, including:

Cognitive Behavioral Therapy (CBT): Focuses on identifying and changing negative thought patterns and behaviors. CBT helps individuals recognize triggers and develop coping strategies to deal with cravings and avoid relapse. Its effectiveness is well-documented in treating a range of substance use disorders.
Medication-Assisted Treatment (MAT): Medication-assisted treatment combines medications, such as methadone, buprenorphine, or naltrexone, with counseling and behavioral therapies. This approach is particularly effective in treating opioid addiction, as it helps to reduce withdrawal symptoms and cravings, making it easier for individuals to engage in therapy and recovery activities.
Contingency Management (CM): Contingency Management is a behavior-based treatment that rewards positive behaviors such as staying drug-free. This method has shown success in increasing treatment retention rates and promoting sobriety, especially in cases of stimulant and opioid addiction.
Family Therapy: Family therapy addresses the impact of addiction on relationships and helps rebuild trust and communication within the family unit. This approach often involves educating family members about addiction and teaching them ways to support their loved one’s recovery.
12-Steps: Based on the principles of Alcoholics Anonymous, 12-step Facilitation Therapy is a structured approach that encourages participation in 12-step self-help groups. It promotes abstinence through spiritual, psychological, and social support, fostering a sense of community and shared experience in recovery.

Each of these treatments brings a unique perspective to addiction therapy, catering to different needs and situations.

Benefits of Evidence-Based Treatment for Addiction

Choosing evidence-based treatments in addiction recovery offers several significant benefits, such as:

Improved Success Rates in Recovery: Evidence-based treatments are linked to higher recovery success rates and a reduced likelihood of relapse, thanks to their solid scientific foundation and proven methodologies.
Tailored to Individual Needs: These treatments can be customized to suit individual circumstances, considering factors like the type of substance used, duration of addiction, co-occurring mental health issues, and personal life situations.
Holistic Approach to Treatment: Many evidence-based treatments provide a comprehensive approach, addressing not only the physical but also the psychological, emotional, and social aspects of addiction.
Supported by Ongoing Research and Development: The dynamic nature of evidence-based treatment ensures that the therapies used are continuously updated and refined with the latest research and developments in addiction science.
Increased Credibility and Trust: For those seeking treatment, the credibility and proven track record of evidence-based methods offer reassurance and hope, contributing to a more secure and promising recovery journey.

Challenges and Considerations in Evidence-Based Treatment

While evidence-based treatments offer numerous benefits, there are also challenges and critical considerations that come into play, such as:

Access to Treatment: Factors like location, availability of specialized care, and financial constraints can limit access for many individuals seeking help.
Stigma and Misconceptions: Misconceptions about addiction treatments, especially regarding medication-assisted therapies, can prevent people from pursuing these effective options.
Personalization of Treatment: While evidence-based treatments are adaptable, finding an individual’s right combination of therapies can be challenging. Each person’s journey with addiction is unique, and it takes skilled professionals to tailor treatment plans effectively.
Training and Expertise: Ensuring practitioners are adequately trained in evidence-based methodologies is crucial. Continuous education and training are necessary to maintain a high standard of care in addiction treatment.

Finding the Right Evidence-Based Treatment Program

Choosing the right evidence-based treatment program is a critical step toward successful recovery from addiction. Here are some tips on how to choose the right program:

Research and Inquire: Start by researching available treatment programs. Look for facilities that explicitly state their use of evidence-based methods. Ask questions about their treatment approaches, success rates, and staff qualifications.
Consider Personal Needs: Each individual’s journey with addiction is unique. Consider personal needs, such as the type of addiction, any co-occurring mental health issues, and personal preferences when selecting a program.
Verify Credibility: Ensure the program is accredited and has a solid reputation. Look for reviews, testimonials, and success stories that can provide insight into the program’s effectiveness.
Support Systems: Evaluate the support systems in place, both during and after the treatment. Aftercare and ongoing support are vital components of long-term recovery.

Evidence-based treatments continue to be considered the best option for treating addiction. If you or someone you love is struggling with addiction, remember that help is available. Contact a healthcare professional or addiction specialist to learn more about evidence-based treatment options.

Is Rehab Covered Under FMLA?

Substance use disorders (SUDs) affect your life in many ways, including your ability to work. That’s why US law provides employment protections for rehab from substance abuse. It’s called the Family and Medical Leave Act (FMLA), and it exists to help you retain your job while navigating addiction recovery. Let’s explore how you can use FMLA to take much-needed time to start your recovery journey.

What is the FMLA?

The Department of Labor’s Family and Medical Leave Act (FMLA or the Act) provides employees up to 12 weeks of job-protected unpaid leave under certain conditions:

Treat a serious health condition as defined by the Act.
Assist your spouse, children, or parent with their own health conditions.
Care for and bond with a newborn or recently adopted child.

Is Substance Use Disorder a Serious Health Condition?

According to the Act, a serious health condition requires inpatient care or continuing (ongoing) care by a healthcare provider, such as pregnancy, prenatal care, and treatment that leads to a period of incapacity longer than three days.

Serious health conditions include chronic illnesses that occasionally make you unable to work but also more immediate conditions that would require overnight stays at a hospital.

Based on its potential consequences and the realities of treatment, you can see how SUD can be considered a serious health condition. Moreover, SUD often results in further health complications that call for immediate medical attention and recovery time, which would also fall within the FMLA’s definition of “serious health condition.”

Who is Eligible For FMLA?

Not all businesses are covered by the FMLA; even if they are, you might not qualify if you’re very new to the company. For your employer to be legally required to comply with medical leave under this Act, it must meet any of the following requirements:

It’s a private company that has employed 50 or more employees for at least 20 workweeks in the current or preceding calendar year.
It’s a government agency.
It’s an elementary or secondary school. It can be either public or private.

Assuming your employer meets any of these criteria, you still need to meet all of the following requirements to be eligible for unpaid leave under the FMLA:

You’ve worked for your employer for at least 12 months.
You’ve worked at least 1,250 hours for your employer in the last 12 months.
Your employer has 50 employees within 75 miles of your worksite.

You are eligible for FMLA leave if you and your employer meet these requirements.

Still, your employer may ask you to provide certification from a healthcare professional that explains why you need time off work and when you’ll be back. When you return, you must also submit a fitness-for-duty certification.

Can You Take Leave for Addiction Rehab Under FMLA?

Yes. Substance use disorder meets the criteria for a serious health condition, and you can use the FMLA for any necessary treatment, including rehab, inpatient treatment such as hospital stays, and treatment for other conditions caused by SUD. Note that the keyword here is treatment. A medical professional must justify your absence, and you’ll need to provide proof that you went through said treatment.

FMLA also ensures that, although the leave is unpaid, you still have access to the health benefits your employer provides. FMLA protects you from demotion and refusal of promotions, too.

Can an Employer Deny Your FMLA Rehab Leave?

Not all leave requests under FMLA are automatically granted. There are specific criteria and situations where an employer can legally deny FMLA leave, including:

Eligibility Requirements: Not all employees are eligible for FMLA leave. An employee must have worked for the employer for at least 12 months, have at least 1,250 hours of service for the employer during the 12 months before the start of leave, and work at a location where the employer has at least 50 employees within 75 miles.
Exhaustion of FMLA Leave: If an employee has already used up their 12 weeks of FMLA leave in the 12-month period, the employer can deny additional leave.
Insufficient Information: Employers can deny FMLA leave if the employee fails to provide adequate documentation or sufficient medical certification to support their leave request.
Non-Qualifying Reason: If the leave is for a reason that doesn’t qualify under FMLA (e.g., non-serious health conditions or matters unrelated to immediate family or medical emergencies), the employer can deny the leave.

It’s important to note that the specific circumstances of each case can vary, and both employers and employees should consult with HR professionals or legal experts to understand their rights and responsibilities under FMLA. Employers must also comply with state-specific leave laws, which can sometimes provide additional protections or requirements beyond the federal FMLA.

Take the Next Step in Your Recovery Journey

If you or someone you know is considering rehab for substance use disorder and is concerned about job security, remember that you are not alone in this journey. The Family and Medical Leave Act (FMLA) is there to support you, but navigating its provisions can be challenging.

Talk to an expert to help you understand your rights under FMLA, assist in coordinating with your employer, and provide essential resources for your rehabilitation process. Don’t let uncertainty hold you back from taking the crucial steps towards recovery and well-being.

Life After Rehab

Completing a drug rehabilitation program is an important step toward reclaiming your life after addiction. It’s exciting, but transitioning from the structured environment of rehab to the outside world where you have near total freedom can also be a bit nerve-wracking. Here are six things you should do to support your recovery after rehab, plus expert tips on overcoming any challenges you might face along the way.

Have the right mindset

Keep in mind that recovery is a lifelong journey that can have its fair share of twists and turns. You’ll need to give yourself grace when you make mistakes, backtrack, and stay flexible as you encounter aspects of your old life that no longer fit the healthier and happier you. This will also help you stay motivated in recovery and give you higher odds of success.

Develop a relapse prevention plan

Set yourself up for success by preemptively creating strategies that will help you maintain your sobriety in the face of triggers, stressors, and cravings. These can include ways to distract yourself, like learning healthy coping mechanisms such as mindfulness techniques, exercising, or engaging in hobbies, which can provide alternative ways to deal with stress or cravings. It might entail thinking of ways to involve people or places associated with past drug use or other accountability measures.

Have a social support network

Surrounding yourself with people who understand your journey and are committed to your sobriety can significantly impact your chances of long-term success. Every relapse prevention plan should also include a list of emergency contacts you can reach out to in times of need. This person could be your therapist, Alcoholics Anonymous sponsor, or a trusted friend. Make sure that they know this responsibility so that they can assist you when the time comes.

However, your support network doesn’t have to be restricted to those who know you are in recovery or have been in recovery themselves. Your support system can include friends, family members, support groups, and anyone who contributes positively to your recovery.

It’s also helpful to surround yourself with positive influences and seek inspiration from others who have successfully overcome addiction. Reading success stories, attending recovery-related events, or listening to motivational podcasts can help fuel your motivation.

Develop healthy habits

Regular exercise, eating nutritional foods, and being well-rested will go a long way towards improving overall wellness. Physical activity helps reduce stress and releases endorphins, which can improve your mood and overall sense of well-being. You don’t need strenuous exercises to get these benefits either. Even just a short walk can be enough to get a mood boost.

And nutrition and sleep go hand-in-hand. It’s common for people with a drug use disorder also to have some level of malnutrition, which prevents the body from being able to function as normal or to repair itself. Sleep also plays a vital role in restoring the body and is when the bulk of things like muscle repair and tissue growth occur. It also plays an important role in regulating emotion — not to mention that a lack of sleep can impair cognition mood, and elevate stress levels.

Prioritize self-care

Recovery can leave a person in a sensitive state — both physically and mentally. It’s important to minimize activities that cause stress while also actively seeking people, places, and things that make you feel safe, secure, and relaxed. This is particularly important as drugs are often used as a coping mechanism for dealing with stressful situations, and leaving yourself vulnerable to stressful things can put you at a higher risk of relapsing.

Celebrate milestones

Through the ups and downs, take time to recognize all you’ve accomplished and how far you’ve come in your journey. Celebrate your achievements, whether completing a certain number of sober days or reaching a specific goal. Acknowledge your progress, reward yourself, and continue to set goals to keep yourself on track.

Don’t be afraid to ask for help

Even after you’ve finished your treatment program, you could still benefit greatly from working with a counselor or therapist. Many drug rehabs have support programs for alumni that can offer resources and opportunities to connect with others who have gone through the program.

If you feel that you’re losing your way, you can always find support at Alcoholics Anonymous and Narcotics Anonymous meetings. These are people who have been in your shoes — or are still currently in them. Don’t go through life after rehab alone. Find a meeting near you today.

8 Proven Tips for Navigating a Relationship While Sober

Navigating intimate relationships during sobriety presents unique challenges and opportunities. Approximately 70% of adults who have faced mental health or substance use challenges are in recovery, and the dynamics of personal relationships, especially when one partner is pursuing sobriety, become increasingly complex.

Sobriety isn’t just about abstaining from alcohol or narcotics; it’s a transformative journey that affects every facet of life, including intimate relationships.

Here are eight key strategies to effectively navigate a relationship when either you or your partner is on the path to sobriety.

1. Create a Supportive Recovery Environment

Fostering an understanding and supportive environment is critical when your partner embarks on their sobriety journey. This involves more than just being present; it requires actively educating yourself about the recovery process, such as the principles of Narcotics Anonymous (NA) or Alcoholics Anonymous (AA). Understanding these principles allows you to empathize with your partner’s struggles and actively participate in their journey to recovery.

Encouraging your partner’s personal and professional goals and engaging in sober activities together builds a nurturing environment conducive to recovery. Consider attending open AA or NA meetings together to understand the recovery process better.

2. Adapt to a Partner Who Drinks

When one partner continues to consume alcohol, it’s crucial to prioritize your recovery first. This might involve making tough choices, like avoiding social events where alcohol is present and establishing an alcohol-free zone at home.

Attending your support group meetings consistently, whether it’s NA, Al-Anon, or other relevant gatherings, helps maintain focus on your recovery. Clear communication about your boundaries and needs is essential in managing this relationship aspect of the relationship.

It’s also important to develop strategies for coping with feelings of isolation or temptation that may arise in such scenarios.

3. Foster Open Communication

A transparent dialogue is crucial in a relationship affected by addiction recovery. Both partners should freely express their needs, worries, and limits regarding alcohol use.

Questions like, “How can I support you best?” or “Are you comfortable if I drink in your presence?” are key to understanding each other’s perspectives and needs. This collaborative approach fosters a strong, supportive recovery environment.

4. Recognize Triggers and Practice Relapse Prevention

Awareness of potential relapse triggers is key. Identify high-risk situations, such as stressful environments or certain social gatherings, and develop strategies to manage these triggers.

Creating safe, trigger-free spaces, like hosting sober gatherings, can contribute to a supportive environment. Techniques like mindfulness, relaxation exercises, and avoiding certain social situations can be beneficial. Both partners should collaborate to identify and manage triggers effectively.

5. Set and Respect Boundaries

Respecting your partner’s recovery boundaries is crucial. These may range from simple requests like not accessing their recovery journal to more complex needs like removing alcoholic beverages from your home.

For the sober partner, clearly communicating your boundaries is as important as it is for the other partner to respect them. Setting boundaries is not just about rules; it’s about creating a safe space for the recovering individual to heal and thrive.

6. Seek Professional Help and Community Support

While your partner attends their recovery sessions or meetings, it’s equally important for you to seek support. Al-Anon meetings, designed for friends and family members of those in recovery, offer a supportive community to share experiences and find comfort. Such professional and peer support is vital for both partners’ mental and emotional well-being. Remember, taking care of your own mental health is not selfish; it’s an essential part of supporting your partner.

7. Cultivate Patience and Understanding

Recovery is a journey, not a destination. It requires patience, understanding, and ongoing effort from both partners. Recognizing and celebrating small milestones can be incredibly affirming. Patience also means being prepared for setbacks and being supportive through them. Understanding that recovery is a personal and often non-linear process can help maintain a healthy perspective in the relationship.

8. Engage in Healthy Activities Together

Finding and engaging in healthy activities that both partners enjoy can strengthen the relationship and provide positive outlets. Whether hiking, cooking, volunteering, or attending cultural events, shared sober activities can enhance bonding and provide opportunities for joy and relaxation outside of the recovery context.

Embracing Recovery Together

Successful relationships are built on teamwork, open communication, and mutual respect. Embracing these principles can make the recovery journey more manageable and fulfilling for both partners. If you sense that your loved one needs more structured support, don’t hesitate to contact a local rehab center. Remember, you’re not alone in this journey; together, you can navigate the path to a healthier, sober life.

Understanding Tramadol Addiction

Tramadol is a synthetic opioid that modifies the brain and nervous system’s response, providing effective relief for moderate to severe pain. Usually prescribed for post-surgery treatment and osteoarthritis, tramadol comes as a tablet or liquid solution and is sold under the brand names Conzip, Qdolo, and Ultracet.

The Drug Enforcement Administration (DEA) classifies tramadol as a Schedule IV drug. This means that it has a low potential for abuse and dependence compared to other opioids. However, like other pain relievers, the misuse of tramadol can lead to addiction. Around 4% of people who misuse tramadol develop a substance use disorder.

Let’s take an in-depth look at how tramadol works, its effects on the body, and how to recognize early signs of tramadol addiction.

Early Signs of Tramadol Addiction

Tramadol can be addictive, especially with prolonged use or misuse. Recognizing the signs and symptoms of tramadol addiction is crucial for early intervention and treatment. Here are some common indicators:

Tolerance: Needing higher doses of tramadol to experience the same pain relief or effect
Withdrawal: Experiencing unpleasant physical or psychological symptoms when not taking tramadol
Cravings: A strong desire or inexplicable urge to use tramadol
Loss of Control: Inability to control or reduce tramadol use despite attempts
Neglect of Responsibilities: Failing to fulfill work, school, or home obligations due to tramadol use
Continued Use Despite Harm: Using tramadol despite knowing it’s causing physical or psychological problems
Doctor Shopping: Visiting multiple doctors to obtain more tramadol prescriptions
Risk-Taking Behavior: Engaging in risky activities, such as driving, especially under the influence
Preoccupation with Obtaining and Using Tramadol: Spending a lot of time obtaining, using, or recovering from the effects of tramadol
Using Tramadol in Unsafe Situations: Taking the medication in situations where it’s physically hazardous.

Symptoms of Tramadol Addiction

Tramadol addiction can manifest through various physical and health-related symptoms. These symptoms can arise from both the direct effects of the drug and the lifestyle changes that often accompany addiction. Here are some common symptoms:

Gastrointestinal Issues: Problems such as constipation, nausea, and vomiting
Sleep Disturbances: Insomnia or irregular sleep patterns
Weight Loss or Gain: Changes in appetite leading to noticeable weight changes
Drowsiness or Fatigue: Feeling unusually tired or lethargic

Seizures: Tramadol can lower the seizure threshold, leading to episodes in some individuals, especially at high doses
Decreased Cognitive Function: Difficulties with memory, concentration, and decision-making
Mood Swings: Fluctuations in mood, potentially including bouts of depression or anxiety
Respiratory Depression: In high doses, tramadol can lead to slowed breathing, which can be life-threatening
Headaches and Dizziness: Common side effects that may persist or worsen with addiction
Changes in Blood Pressure: Fluctuations in blood pressure, potentially leading to feelings of lightheadedness or fainting
Impaired Coordination: Difficulty with motor skills and coordination

It’s essential to recognize that these symptoms can vary widely among individuals and can be influenced by dosage, duration of use, and health status.

Factors Contributing to Tramadol Addiction

Some individuals are more susceptible to becoming addicted to tramadol due to several factors, including:

Genetic Predisposition: Certain genetic variations can affect the way a person’s body metabolizes and responds to Tramadol, increasing the risk of addiction
Personal or Family History: Individuals with a personal or family history of substance abuse or addiction have a higher risk of developing an addiction to Tramadol
Personality Traits: Certain traits, such as a propensity for risk-taking or impulsivity, can make someone more vulnerable to addiction
Co-occurring Mental Health Disorders: Individuals with conditions like depression, anxiety, or PTSD may use tramadol as a form of self-medication, increasing the risk of addiction
Previous Substance Abuse: Those who have a history of substance abuse or addiction are prone to developing an addiction to Tramadol as well
Environmental Factors: Social influences, availability of the drug, and exposure to a substance-abusing environment can contribute to the development of Tramadol addiction
Chronic Pain Management: Long-term use of tramadol for chronic pain can lead to dependency and addiction
Inadequate Supervision in Prescription Use: Lack of proper monitoring by healthcare providers when prescribing tramadol can lead to misuse

Risks and Health Complications

Tramadol addiction, like other opioid addictions, can lead to a range of serious health risks and complications. These issues can affect various aspects of an individual’s health and well-being.

Physical Health Risks

Here are some of the key risks and health complications associated with tramadol addiction:

Respiratory Depression: High doses of tramadol can lead to slowed breathing, which can be life-threatening
Increased Risk of Seizures: Tramadol can lower the seizure threshold, making seizures more likely, especially at higher doses
Gastrointestinal Problems: Issues like constipation, nausea, and vomiting can become chronic
Cardiovascular Issues: Fluctuations in heart rate and blood pressure can occur
Weakened Immunity: Long-term opioid use can weaken the immune system, making the body more susceptible to infections

Mental Health Complications

Likewise, tramadol addiction can result in many mental health complications, including:

Depression and Anxiety: Long-term opioid use can worsen or trigger mental health issues
Cognitive Impairment: Memory, concentration, and decision-making abilities can be affected
Psychological Dependence: Cravings and compulsive drug-seeking behavior can develop
Neglect of Responsibilities: Overlooking personal, professional, and academic obligations
Risky Behaviors: Engaging in dangerous activities, like driving under the influence

Risk of Overdose

In addition, tramadol misuse can also increase the risk of overdose, either by:

Accidental Overdose: Due to tolerance, there’s a risk of accidental overdose as users may consume higher doses to achieve desired effects.
Fatal Overdose: Overdose can lead to fatal respiratory failure, especially when combined with other substances like alcohol or benzodiazepines

Treatment for Tramadol Addiction

Treating tramadol addiction involves a multifaceted approach, combining medical interventions, psychological support, and lifestyle modifications. Here are the three most common options for opioid addiction treatment:

Medical Detox: Usually, a two-step approach that includes a medically supervised detox process to help manage withdrawal symptoms safely. This is often paired with medication-assisted treatment (MAT), where medications like buprenorphine or methadone ease withdrawal symptoms and cravings to promote a faster recovery.
Behavioral Therapies: In inpatient and outpatient rehabilitation, patients often receive talk therapy, including cognitive behavioral therapy (CBT), motivational interviewing, and contingency management therapy to promote long-term recovery.
Support Groups and Counseling: Group therapy provides peer support and a platform to share experiences and coping strategies. However, this must be paired with individual counseling to address personal issues contributing to addiction. In many treatment facilities, family therapy is encouraged to involve family members in the treatment process, helping to repair relationships and build support systems.

Tailoring the treatment plan to the individual’s specific needs and circumstances is important. The success of addiction treatment often depends on a combination of these approaches, along with strong support from family, friends, and healthcare providers.

Seeking Help for Addiction Treatment

Recognizing and addressing tramadol addiction is a crucial step toward a healthy and fulfilling life. If you or a loved one is struggling with tramadol addiction, it is essential to seek help. Contact a healthcare specialist who can provide personalized guidance and support throughout the recovery journey.

Additionally, consider attending support group meetings, such as Narcotics Anonymous (NA), where you can find understanding and encouragement from individuals who have faced similar challenges.

Remember, you are not alone in this journey. By taking the first steps, you can embark on a path to recovery and a brighter future.

What Is SMART Recovery?

SMART Recovery is a group-based addiction recovery model known for its tools and techniques based on scientific research. It follows the principles of Self-Management and Recovery Training (SMART) and aims to help participants achieve independence from addiction and maintain long-term recovery.

The SMART model is also known for its strong online presence. As of 2019, more than 2,200 people in the US were attending online meetings through the organization’s digital platform.

If you’re seeking an alternative group therapy program to Alcoholics Anonymous (AA) or Al-non, SMART Recovery may be a viable option. Here are the fundamental aspects of this science-based, self-help program.

SMART Recovery’s 4 Keys Program

The SMART program revolves around four key phases that act as guiding principles for patients transitioning out of inpatient or outpatient therapy.

1. Building and Maintaining Motivation

During this first phase, participants are empowered to develop and sustain their motivation to overcome addiction. They set achievable goals and create a personal motivation statement that serves as a driving force for their recovery journey.

2. Coping with Urges

Participants learn practical techniques to manage cravings and urges. They acquire skills to navigate through the intense desire for substances or addictive behaviors. Helpful strategies include riding the wave of cravings and establishing healthy boundaries with triggers, such as alcohol-related events or relationships that may lead to relapse.

3. Managing Thoughts, Feelings and Behaviors

This phase equips participants with cognitive and behavioral strategies to identify and challenge negative thinking patterns. They learn to address and modify unhealthy thoughts and behaviors that contribute to addiction, fostering positive change and personal growth.

4. Living a Balanced Life

This last phase is about encouraging participants to lead a balanced and fulfilling life beyond addiction. Participants learn to adopt healthy habits such as maintaining a nutritious diet, exercising regularly, prioritizing sufficient sleep, and cultivating a positive mindset. This holistic approach supports their overall well-being and long-term recovery.

Benefits of SMART Recovery

In 2019, a study of 75 SMART Recovery groups showed that 94% of its participants reported benefits in their addiction recovery, such as reduction of cravings and successful maintenance of abstinence. 71% reported improvements in their mental and well-being, 74% in their physical health, and 81% feeling better connected with others.

Here are some of the most noticeable benefits:

It is an Evidence-Based Approach: SMART Recovery incorporates techniques from cognitive-behavioral therapy (CBT), rational emotive behavior therapy (REBT), and motivational interviewing that effectively address addictive behaviors.
Highlights Self-Empowerment: Participants are encouraged to take control of their recovery journey and make informed decisions about their lives. The program provides tools and techniques that help individuals develop self-reliance, self-discipline, and self-acceptance.
Offers an Individualized Approach: The program emphasizes tailoring the strategies and tools to fit individual needs and preferences. Participants can choose the techniques that resonate with them and adapt them to their circumstances.
Focuses on Practical Skills: SMART Recovery provides practical skills and tools that can be applied in everyday life. Participants learn techniques to manage cravings, cope with stress, challenge negative thinking patterns, and make healthier choices.
Fosters a Sense of Community: SMART Recovery meetings provide a supportive and non-judgmental environment where individuals can share their experiences, receive feedback, and learn from others who have faced similar challenges.

Who is SMART Recovery Best for?

SMART Recovery is usually an alternative to traditional 12-step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). These two well-known programs are very spiritual-based. People who turn to SMART seek a rational and logical approach to recovery.

Patients who prefer the SMART recovery program also look for a self-empowerment approach. SMART emphasizes self-empowerment, encouraging individuals to take control of their recovery journey. For people who value personal autonomy and the ability to make informed decisions on their path to recovery, SMART Recovery aligns well with them.

The SMART program is also very inclusive and flexible, welcoming patients with different types of addiction. SMART offers a variety of meeting formats, including in-person meetings, online meetings, and 24/7 online message boards. This flexibility allows different patients to engage with the program in a way that suits their schedules, preferences, and necessities.

SMART Recovery vs. AA/NA

SMART Recovery and AA/NA are some of the most known rehabilitation group therapies. Although they both are programs that promote abstinence and have helped many individuals start their healing journey, they both have key differences that make them two separate choices for patients.

1. Foundations

SMART: has a scientific foundation focusing on evidence-based techniques, cognitive-behavioral therapy (CBT) principles, and rational thinking.
AA: is a faith-based, spiritual program that views addiction as a spiritual and moral issue. It emphasizes surrendering to a higher power and working through the 12 steps to achieve sobriety.

2. Meetings Dynamic

SMART: meetings are structured as educational and support groups. They focus on applying tools and techniques, discussions, and exercises to help individuals develop effective coping strategies.
AA: meetings are often characterized by sharing personal experiences, discussing the 12 steps, and supporting one another. The emphasis is on fellowship and sharing stories of recovery.

3. Self-Empowerment vs. Powerlessness

SMART: promotes self-empowerment and encourages individuals to take control of their recovery through rational choices.
AA: views addiction as a result of powerlessness over alcohol and emphasizes the need to surrender to a higher power for guidance and strength in achieving sobriety.

Is SMART Recovery for You?

Which therapy group best suits you will depend on your preferred approach, philosophy, and beliefs. SMART emphasizes rational thinking and personal autonomy. If you resonate with these principles and feel motivated enough to actively participate in your recovery by learning practical tools and strategies. In that case, SMART Recovery may be a good fit for you.

Attending a few SMART Recovery meetings is recommended to get a firsthand experience and see if the program resonates with you. Your first gatherings will allow you to interact with other participants, learn more about the program’s principles, and determine if it feels like a comfortable and supportive environment for your recovery journey.

SMART Recovery offers the advantage of being both affordable and accessible. You can start with online sessions or group chats on their website or find the nearest SMART meeting. Remember, you are not alone on your path to recovery. As you connect with a group that you empathize with and that aligns with your perspective on life, progress will gradually unfold.

Physical Symptoms and Pain Management in Gabapentin Withdrawal

The drug gabapentin, also marketed under the name Neurontin, was mainly created to treat epilepsy. However, currently, its uses have expanded, and it is now used to treat ailments including nerve discomfort, restless legs syndrome, and even as a support for pain management. Despite its adaptability, withdrawal symptoms may occur if consumption is stopped abruptly after an extended period. Patients and healthcare professionals must comprehend and manage these symptoms.

Introduction to Gabapentin

Gabapentin was primarily used to treat epilepsy patients by acting as an anticonvulsant. Since then, though, postherpetic neuralgia and other neuropathic pain syndromes have been treated with it. The medication basically reduces hyperactivity by altering the impulses that nerves give to the brain. While it is not a pain medication or an opioid, it still has some risk of abuse. Once you get off of gabapentin, it can result in withdrawal. Here are some of the common physical symptoms of gabapentin withdrawal.

Physical Symptoms of Gabapentin Withdrawal:

Gabapentin withdrawal can manifest neurological, abdominal, heart, and muscle-related symptoms. The following is a detailed explanation of gabapentin withdrawal:

Neurological Symptoms:

Since gabapentin directly impacts the central nervous system, the most pronounced symptoms are neurological:

Tremors: Irregular, involuntary muscular movements that are most evident in the hands.
Dizziness: Patients frequently complain of dizziness or the sensation that everything is whirling around them.
Fatigue and insomnia: It is a common symptom that involves trouble falling asleep or staying asleep.
Feeling Anxious: Patients may have elevated anxiety, which frequently shows itself as excessive concern or restlessness.
Restlessness and hyperactivity: A strong need to move or an inability to remain motionless is known as restlessness.
Seizures: Although less common, some patients may get seizures, particularly if they stop taking their medicine suddenly.

Abdominal Withdrawal Symptoms:

Nausea
Vomiting
Diarrhea

Heart and Muscular Symptoms:

Heart Palpitations: Feeling that the heart is either racing, pounding, or skipping beats.
Sweating: Increased sweating without any visible triggers.
Muscle pain: Random body aches or muscle discomfort.
Headaches: Mild to severe headache, depending on the severity of the withdrawal and dependence.

Pain Management and Mitigation of Withdrawal Symptoms

Withdrawal symptoms from any medication may take a toll on your health. There are some medical techniques that you can use with the guidance of a healthcare provider.

Gradual Tapering

Rather than discontinuing gabapentin suddenly, it is recommended to taper off the drug under the supervision of a professional. This is done to avoid gabapentin withdrawal symptoms that may worsen the underlying condition. Your doctor will formulate a proper tapering schedule specifically for you, keeping an eye out for withdrawal symptoms and adjusting as needed. It’s crucial to stay hydrated, have a healthy lifestyle, and look for support during this period. To guarantee a safe and successful tapering procedure, it’s important to exercise patience and adhere to your provider’s advice.

Over-the-counter (OTC) Medications

While there are no medications to address gabapentin withdrawal, there are certain over-the-counter (OTC) drugs that may assist in managing specific discomforts during gabapentin withdrawal if your doctors recommend. However, no OTC medication may totally reduce symptoms during this time. Antacids and anti-nausea drugs can help with gastrointestinal problems, while over-the-counter pain treatments like NSAIDs can help with aches and pains in the muscles. Insomnia may be alleviated with over-the-counter sleep medications. Do not take these medications without consulting your doctor.

Counseling and Support Groups

During gabapentin withdrawal, counseling and support groups may be very helpful as they provide a feeling of community, coping mechanisms, and emotional support. The emotional and psychological components of withdrawal can be addressed in individual counseling and therapy sessions with mental health specialists, while group therapy and support groups offer the chance to exchange experiences and ideas with others going through comparable struggles.

Furthermore, peer support and additional assistance may be obtained through internet forums and addiction rehab programs. To effectively manage the difficulties of gabapentin withdrawal, specialists may personalize your strategy to your specific requirements and look for the ideal combination of tools and support while working with a healthcare professional or therapist.

Aftercare

Aftercare is a vital aspect of recovery following withdrawal, whether from substances or medications like gabapentin, encompassing ongoing support, coping strategies, and lifestyle changes. It involves continued counseling or therapy, participation in support groups, relapse prevention planning, medication management, regular check-ins with healthcare professionals, and a focus on healthy relationships, hobbies, and self-monitoring. Personalized and consistent aftercare is essential to maintaining sobriety and reducing the risk of relapse, and it should be crafted in collaboration with healthcare providers, therapists, and support networks to address individual needs and circumstances effectively.

Potential Long-Term Implications

For some individuals, the withdrawal process may be prolonged. Chronic symptoms might need long-term management strategies, underscoring the importance of regular check-ins with healthcare providers.

Conclusion

In summary, gabapentin is a flexible drug that was first created to treat epilepsy. It is widely used to treat a variety of conditions, on-label and off-label. However, stopping suddenly might cause withdrawal symptoms. The physical symptoms of gabapentin withdrawal have been described in this article, with a focus on the necessity of careful weaning down under medical supervision and the possible use of over-the-counter drugs to ease some discomforts. Counseling and support groups also offer vital coping mechanisms and emotional support during this trying time. Aftercare is essential to sustaining sobriety and averting relapse because of its emphasis on continuing support, coping mechanisms, and lifestyle modifications. Healthcare practitioners must continue to monitor long-term effects. Those who are aware of these difficulties and take the necessary action can quit gabapentin more easily and confidently.