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:

  1. Scientific Validation: The treatment has been tested in controlled settings and has shown positive results.
  2. Standardized Protocols: These treatments follow a consistent approach that can be replicated across different settings.
  3. 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. 

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:

  1. Tremors: Irregular, involuntary muscular movements that are most evident in the hands.
  2. Dizziness: Patients frequently complain of dizziness or the sensation that everything is whirling around them.
  3. Fatigue and insomnia: It is a common symptom that involves trouble falling asleep or staying asleep.
  4. Feeling Anxious: Patients may have elevated anxiety, which frequently shows itself as excessive concern or restlessness.
  5. Restlessness and hyperactivity: A strong need to move or an inability to remain motionless is known as restlessness.
  6. 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.

Navigating the Path to Recovery: Laura’s Journey and Your First Steps

Laura was 29 and seemed to have it all—a prestigious degree, a coveted job, and the praise of her colleagues. Yet, her regular alcohol abuse, normalized by a high-achieving but high-pressure environment, clouded her judgment. She didn’t see her drinking as a problem; her life was still on an upward trajectory—or so it seemed.

Her distance from friends and family was the first red flag that Laura’s lifestyle was not as sustainable as she believed. The high-stress nature of her job only fueled her reliance on alcohol, leading her to a critical crossroads. Her family watched with concern, knowing the path she was on could only lead to hardship and suffering. But Laura’s story doesn’t end there. And this is not a pitch for the rehab center that became her turning point.

Laura’s competitive spirit, the very trait that propelled her to academic and professional success, also sparked her commitment to recovery. Recognizing her substance abuse and rigid mindset as barriers to progress, she embarked on a journey to reclaim her health and well-being.

Understanding Hesitation: Common Barriers to Committing to Rehab

It’s not unusual to feel hesitant about seeking help for substance abuse. Understanding these common barriers can help you, or someone you care about, to move past them:

Fear of Judgment or Stigma

The fear of being judged for struggling with addiction is a common concern for many. Yet, as society’s understanding deepens, compassion is increasingly the response to those seeking treatment. It’s essential to recognize the importance of putting your health and well-being above societal opinions. 

This realization is often challenging, particularly if your social circle has been a central part of your life. There might be a fear that stepping away from rehab could be seen as abandoning your friends. However, true friends will understand and support your journey towards betterment. Surrounding yourself with people who encourage your recovery is crucial. Anyone who views your decision to enter rehab as abandonment may not have your best interests at heart.

Concerns About Privacy

Privacy and confidentiality are foundational pillars of alcohol rehabilitation programs. When you commit to a rehab program, you can trust that your personal information, treatment details, and any disclosures made during therapy are safeguarded with the utmost discretion. 

These programs are bound by strict privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, which ensure that your journey to recovery remains a private affair between you and your healthcare providers. This commitment to confidentiality is designed to create a safe and secure environment where you can focus on your healing without the concern of external judgment or unwarranted disclosure.

The Cost of Treatment

Alcohol rehab can fit various budgets with insurance coverage, sliding scale fees based on income, and potential financing plans. Explore grants and government aid if uninsured. Treatment centers aim to make recovery financially attainable, so don’t hesitate to discuss your situation with them.

Fear of Failure

Fear of failure in alcohol rehab is natural, but remember, most who commit to a program see reduced relapse rates and sustained sobriety. Success rates are encouraging, and rehab doesn’t end at discharge—aftercare and alums support continue to back your recovery journey. You’re not alone; rehab equips you with the tools for success.

Uncertainty About Life Post-Rehab

Aftercare bridges the gap between rehab and everyday life, ensuring long-term success. Rehab centers lay the groundwork for seamless reintegration by providing ongoing support, resources, and counseling. They equip individuals with coping strategies, relapse prevention plans, and a supportive community to lean on. This continuous support helps individuals navigate the complexities of ‘normal’ life post-rehab, promoting sustained sobriety and well-being. Establishing a post-rehab exercise routine can also do wonders for cementing your recovery into lasting change that sticks.

Misconceptions About Rehab

Rehabilitation can be such a beneficial period, but it is often shrouded in misconceptions. In reality, it’s a structured environment that offers evidence-based treatments tailored to individual needs. Beyond the stereotypical group sessions, rehab provides a blend of therapy options, including cognitive-behavioral therapy, medication-assisted treatments, and holistic approaches like mindfulness and fitness programs. Each plan is designed to address the root causes of addiction, facilitate healing, and develop healthier coping mechanisms, all within a safe and supportive setting that respects the individual’s pace and privacy.

Denial or Underestimation of Addiction

Recognizing addiction starts with honest self-reflection on how substance use affects daily life. Signs include increased tolerance, withdrawal symptoms, neglecting responsibilities, and continued use despite negative consequences. Understanding the severity involves acknowledging the physical, emotional, and social toll of addiction. When substance use becomes a central focus, interfering with work, relationships, and health, it’s a clear indicator that professional help is needed. Accepting this reality is the first critical step towards seeking rehabilitation and reclaiming control over one’s life.

Worry About Work and Family Responsibilities

Balancing treatment with work and family commitments is manageable through careful planning and understanding your legal rights. Many rehab centers offer flexible programs, such as evening outpatient services, to accommodate work schedules. For family obligations, planning with relatives or utilizing community resources for childcare can provide support. Legally, the Family and Medical Leave Act (FMLA) in the United States allows eligible employees to take unpaid, job-protected leave for medical reasons, including substance abuse rehabilitation, ensuring they can prioritize their health without risking their employment. It’s important to communicate with your employer and explore the protections and options available for taking the necessary time for recovery.

Fear of the Unknown

A typical day in rehab is structured to provide stability and focus on recovery. You’d start with a healthy breakfast followed by a morning therapy session, such as cognitive-behavioral therapy or group counseling, to address mental health and addiction issues. Post-lunch activities often include skill-building workshops or fitness activities, fostering psychological and physical well-being. 

The afternoons might be for individual therapy or specialized sessions, such as stress management. Evenings usually wind down with peer support groups like AA meetings, providing a sense of community and shared experience. Throughout the day, there are breaks for reflection, journaling, or relaxation, ensuring a balanced approach to recovery. This is, of course, a general framework, and the average day at rehab can vary across different facilities. 

Taking Action: Next Steps to Overcome Barriers To Entering Rehab

Encourage readers to take proactive steps to overcome these barriers, such as:

  • Reaching out to a trusted friend or family member to discuss their concerns.
  • Scheduling a confidential consultation with a rehab facility to ask questions.
  • Attending a local support group meeting to hear from others who have been through the process.
  • Write down a list of pros and cons to visualize the benefits of seeking treatment.

Assessing Personal Requirements for Effective Alcohol Rehab Selection

If you or a loved one is facing a similar battle with addiction, it is crucial to choose a drug or alcohol rehabilitation center that aligns with your unique needs. Here is how to start:

1. Define Your Needs and Goals:

Understanding the specific challenges you face is the first step towards recovery. Whether it’s the nature of your addiction or co-occurring mental health conditions, clarifying your goals is essential.

2. Research Options:

Begin with a simple Google search, explore maps for proximity, and consult online directories to find centers that cater to your criteria.

3. Evaluate Treatment Programs:

From inpatient to outpatient and partial hospitalization, identify the program structure that best fits your lifestyle and recovery needs.

4. Check Credentials:

Ensure your chosen facility is not only licensed but also accredited, confirming their adherence to high care standards.

5. Understand Your Coverage:

Financial considerations are crucial. Determine how your insurance aligns with potential rehab centers and what out-of-pocket expenses you might expect.

6. Inquire and Interact:

Reach out with questions about staff credentials, treatment success rates, and the inclusion of family in the recovery process.

By taking these informed steps, you can navigate toward a rehab center that supports your journey to a healthier life.

Find an Alcohol Rehab Center Near You Today

Laura’s success story began with a simple online search by typing in alcohol rehab near me—a search that led her to share her experience and advocate for the life-changing benefits of a credible rehabilitation program.

Remember, struggling with addiction does not reflect on your character. It’s an intricate issue, often tied to deeply rooted behaviors and patterns that can be difficult to break free from. However, the decision to step back and assess your life objectively is a decisive move toward empowerment and healing.

Taking that first step, much like Laura took, is an act of bravery. It’s a recognition that while your journey is uniquely yours, you don’t have to walk it alone.

Take the First Step Towards Your New Horizon

Every journey begins with a single step—a step toward healing, understanding, and a healthier future. If Laura’s story resonates with you, or if you recognize the need for change in your own life or that of a loved one, we invite you to reach out.

Don’t let uncertainty hold you back. Contacting a rehab center or just having a conversation can be the most critical move toward recovery you’ll ever make. You’re not committing to anything by picking up the phone or sending an email—you’re just gathering information to make the best decision for you.

So, take that step. Reach out to a rehab center, consult with a healthcare professional, or simply talk to someone you trust about your options. Your path to recovery is waiting, and it starts with you making the brave decision to seek help. It’s not just about overcoming addiction; it’s about reclaiming your life.

Start Your Journey to a Better Tomorrow – Find an Alcohol Rehab facility near your zip code today.

Should I Go to Rehab? When 12-Step Meetings Just Aren’t Enough

While 12-step programs like Alcoholics Anonymous boast a nearly 50% success rate, what about the other half who find these programs insufficient for their recovery journey? Studies suggest that rehab can offer a more comprehensive and tailored approach, often resulting in higher long-term success rates. If you or a loved one are among those questioning the effectiveness of a 12-step approach, it may be time to consider rehab as an alternative.

1. When Your Physical Health Needs Care

Recovery is a holistic process that involves both your mental and physical well-being. While 12-step programs like AA focus primarily on emotional and spiritual healing, they often overlook the physical aspect. If you’re dealing with poor nutrition, lack of exercise, or worsening preexisting conditions, rehab offers a more rounded approach to health.

2. When You’re Having Trouble Quitting 

Achieving sobriety is a monumental task that often requires professional guidance. If you’re struggling to quit despite attending 12-step meetings, a rehab facility can provide the medical supervision and supportive care you need for a safer and more effective detox process.

Research indicates that alcohol withdrawal needs to be supervised with supportive care to be effective. Suden quitting or an unsupervised detox from drugs or alcohol can negatively affect your healing and overall health. For example, alcohol or benzodiazepine detox can cause seizures or psychosis. Similarly, opioid detoxification can result in intense withdrawal symptoms, increasing the likelihood of relapse.

3. When You’re Dealing with a Co-occurring Mental Illness 

Approximately 9.2 million adults in the United States have a co-occurring disorder. Substance use disorder often co-occurs with anxiety, mood disorders, post-traumatic stress disorder (PTSD), bipolarity and other serious mental illnesses. 

While 12-step programs offer emotional support, they lack the expertise to diagnose or treat mental illnesses. Rehab facilities, on the other hand, provide professional assessments and tailored treatment plans that address both addiction and mental health.

4. When You’re Dealing with a Challenging Detox

Detoxification is a critical phase in any recovery journey, and it can be particularly challenging for substances like alcohol, benzodiazepines, or opioids. Rehab facilities offer specialized interventions and medical supervision to manage severe withdrawal symptoms, reducing the risk of complications and relapse.

5. When the AA Program Doesn’t Fit You

Not every recovery journey fits the 12-step mold. If the traditional 12-step program doesn’t resonate with your personal beliefs or needs, don’t worry. 

Rehab centers offer various alternative treatment options, such as cognitive behavioral therapy, holistic therapies, and medication-assisted treatment tailored to your unique challenges and preferences. With the help of these specialized interventions, you can achieve a successful recovery journey that aligns with your values and goals.

Factors to Consider Before Making a Decision

Studies suggest that rehab can offer a more comprehensive and tailored approach, often resulting in higher long-term success rates. Nonetheless, choosing to enter rehab is a significant life decision that shouldn’t be taken lightly. Here are some key considerations to weigh:

  • Financial Aspects: Rehab can be costly, so explore payment options like insurance coverage, employee assistance programs, or financial aid offered by the facility.
  • Treatment Modalities: Different rehab centers offer various treatment approaches. Make sure to choose a facility that aligns with your needs and preferences. Many facilities offer virtual tours and consultations to help you make an informed decision.
  • Location: Proximity to loved ones can be both a benefit and a drawback, depending on your situation. Consider whether you’d do better with or without easy access to your regular environment.
  • Duration: Treatment lengths can vary. While some programs last 30 days, others may require a more extended commitment. Assess what duration is most suitable for your recovery journey.

Take the Next Step

Recovery is a deeply personal journey, and what works for one person may not be effective for another. If you find that 12-step meetings aren’t fully addressing your needs, rehab could offer the comprehensive care you’re seeking.

Remember: Your path to recovery is yours to define, but you don’t have to walk it alone. Reach out to experts and trusted loved ones for guidance and support as you make this crucial decision. Many rehab facilities offer free assessments to help you determine if their program is the right fit for you.

Ecstasy: What are the effects it has on the brain?

Ecstasy, also known as MDMA, Molly, or “E”, is one of the most popular recreational drugs in America, commonly used among partygoers and young adults. Side effects include energy and alertness, pleasurable feelings, and sociability.

While its euphoria-inducing effects may seem enticing, ecstasy is far from a harmless party drug. It poses significant dangers to both physical and mental health and even just a single use can forever warp the functioning of our brain. 

5 Effects of Ecstacy/MDMA on the Brain

When a person takes ecstasy, it is rapidly absorbed into the bloodstream by the digestive system and then distributed throughout the body, eventually reaching the brain. Once in the brain, ecstasy primarily affects three key neurotransmitters: serotonin, dopamine, and norepinephrine. Responsible for a range of crucial bodily functions, the resulting imbalances in these neurotransmitters can trigger a host of issues, some of which can be long-standing in the face of repeated use.

  1. Increased sensory sensitivity

Ecstasy increases the release of serotonin, dopamine, and norepinephrine into the synaptic cleft, leading to increased signaling between neurons. Neurons are the receptors in the brain that help us to process everything we interact with like sights and smells, as well as our perception of intangible things like time. 

Heightened sensory sensitivity can make users more susceptible to overstimulation and can lead to sensory overload, anxiety, and panic attacks. It can also potentially lead to cell damage or death. 

  1. Depletes serotonin levels

Ecstasy has a high potential for neurotoxicity due to the nature of how it works. The reason why ecstasy might feel so enjoyable in the moment is because it causes a tremendous surge in serotonin — one of the key feel-good neurotransmitters. This high comes at a cost, however, and the brain finds itself depleted of serotonin afterward. In this “comedown” phase, ecstasy users may feel depression, fatigue, and irritability in the days following use

  1. Impaired cognitive function

Using ecstasy can hurt cognitive function both during and after its use, particularly memory and attention. This is primarily due to ecstasy’s impact on serotonin, which has a direct relationship with memory. Simple tasks like driving or operating machinery after using ecstasy can be extremely risky. 

  1. Mood disturbances

Repeated ecstasy use can cause longer-term neurochemical imbalances. After experiencing such intense highs and lows, the brain no longer knows what “normal” levels should be. As a result, ecstasy can cause mood disorders such as depression and anxiety, in addition to other long-term changes to brain function.

  1. Sends signals to stimulate the body

Unlike serotonin or dopamine which can make a person feel good, the other key neurotransmitter targeted by ecstasy is norepinephrine. Norepinephrine is a counterpart of adrenaline that helps prepare the body’s fight-or-flight response. Ecstasy signals this hormone to be released, which leads to many of ecstasy’s physically stimulating effects such as increased heart rate, blood pressure, and alertness. This can be dangerous with increases in heart rate and blood pressure potentially leading to heart complications, heat stroke, and even death.

Are ecstasy’s effects on the brain permanent?

Science isn’t sure if brain damage caused by ecstasy is permanent. Research into methamphetamine, another stimulant, has been shown to have some permanent effects, but there have been no such findings for ecstasy in particular. One study looked into individuals who stopped using ecstasy for 20 weeks and found indications that their brain was recovering.

How does ecstasy cause the high?

One of the main effects of ecstasy in the body is that it causes a massive release of serotonin. This important neurotransmitter deals with mood regulation, pleasure, and feelings of well-being. As a result, this temporary surge will make a person feel a rush of positive emotions, empathy, and increased sociability. These effects typically last between 3 and 6 hours. The comedown period, however, can take several days. 

How addictive is ecstasy? 

Ecstasy is a stimulant drug, like that of cocaine and meth. It’s not nearly as addictive as either substance but can still get someone hooked quickly. Some of the most common signs of ecstasy addiction or withdrawal are:

  • Anxiety or depression
  • Difficulty concentrating
  • Fatigue
  • Headache
  • Loss of appetite
  • Nausea
  • Teeth clenching

There are no FDA-approved medications for treating ecstasy addiction. Instead, treatment typically includes detox and a focus on behavioral therapies like cognitive-behavioral therapy (CBT). If you or someone you know has been dabbling with ecstasy, get free help near you at local Narcotics Anonymous meetings. There you can learn more about treatment options that have worked for others and get judgment-free support. 

https://nida.nih.gov/publications/research-reports/mdma-ecstasy-abuse/what-are-mdmas-effects-on-brain

Is it Dangerous to Mix Alcohol & NSAIDs?

Typical over-the-counter (OTC) medications seen as relatively harmless on their own become potentially dangerous when ingested with alcohol or when alcohol is already in your system. 

Nonsteroidal anti-inflammatory drugs (NSAIDs) are one such case. NSAIDs are OTC pain relievers that treat pain, inflammation, and fever. Some of the most common include ibuprofen, diclofenac, ketoprofen, meloxicam, and naproxen. While they can be safe in moderation, they can also lead to unexpected side effects combined with alcohol.

Let’s explore how NSAIDs and alcohol interact and who’s more at risk of experiencing side effects.

What Are the Dangers of Mixing Alcohol and NSAIDs?

Mixing alcohol with nonsteroidal anti-inflammatory drugs (NSAIDs) can be dangerous for several reasons. Here are some of the potential risks and concerns:

  • Gastrointestinal (GI) Bleeding: Both alcohol and NSAIDs can irritate the stomach lining. When taken together, the risk of developing ulcers and gastrointestinal bleeding increases. Consuming up to 1 drink per day increases the risk of gastrointestinal bleeding associated with NSAID use by about 37%. This can be life-threatening if not addressed promptly. 
  • Liver Damage: Some NSAIDs (sulindac and diclofenac), when taken in large doses or over a prolonged period, can adversely affect the liver. Combining NSAIDs with alcohol, which is also metabolized by the liver, can amplify this risk. This combination can lead to liver inflammation, liver disease, or even liver failure in severe cases.
  • Kidney Damage: Ibuprofen, naproxen sodium, and ketoprofen can reduce blood flow to the kidneys, leading to kidney damage over time. Alcohol can also have harmful effects on kidney function. When combined, the risk of kidney problems may increase.
  • Increased Blood Pressure: NSAIDs can lead to increased blood pressure. Alcohol can also have this effect, especially when consumed in large quantities. Combining the two can exacerbate hypertension, leading to other cardiovascular problems.
  • Exacerbate Medication Effects: Alcohol can intensify the sedative effects of many medications, leading to drowsiness, dizziness, and impaired coordination. This can be dangerous, especially if driving or operating heavy machinery.
  • Risk of Overdose: If someone consumes alcohol to the point of impaired judgment, they might inadvertently take more NSAIDs than recommended, leading to an overdose. NSAID overdose can lead to nausea and vomiting, dizziness or vertigo, slowed or shallow breathing, confusion, or altered mental status. In severe cases, cardiovascular collapse, seizures, or coma can occur.

Other Dangers of Mixing Alcohol and NSAIDs

In addition to the dangers mentioned previously, here are some other risks associated with combining alcohol and NSAIDs:

  • Prolonged Bleeding Time: Both alcohol and NSAIDs can interfere with platelet function, leading to prolonged bleeding time. This can be especially concerning if someone has a bleeding disorder or is on other medications that affect blood clotting.
  • Exacerbation of Health Conditions: People with certain health conditions, such as liver disease, kidney disease, or peptic ulcer disease, can experience exacerbated symptoms when combining alcohol and NSAIDs.
  • Masking of Symptoms: Alcohol can sometimes mask the symptoms of an adverse reaction or overdose of NSAIDs, leading to a delay in seeking medical attention.
  • Impaired Judgment: Alcohol can impair judgment, which might lead someone to take more NSAIDs than recommended, increasing the risk of overdose or adverse reactions.

Who is More At Risk?

Certain individuals may be at a higher risk of experiencing adverse effects when mixing alcohol and NSAIDs:

  • Elderly Individuals: As people age, their body’s ability to metabolize drugs and alcohol can decrease. 
  • Individuals with Chronic Medical Conditions: People with liver disease, kidney disease, heart disease, hypertension, or gastrointestinal disorders are at a higher risk of complications.
  • Individuals Taking Multiple Medications: Those on multiple medications, especially anticoagulants, antiplatelet agents, other pain relievers, or medications for blood pressure, may experience drug interactions when adding NSAIDs and alcohol.
  • Heavy or Chronic Drinkers: Those who consume alcohol regularly or in large quantities are at a higher risk of liver and gastrointestinal complications when adding NSAIDs.
  • Individuals with a History of Peptic Ulcer Disease or GI Bleeding: These individuals are at a higher risk of developing ulcers or GI bleeding when combining NSAIDs and alcohol.

FAQs

Can you drink alcohol while taking NSAIDs?

Those who drink heavily are at a higher risk of experiencing gastrointestinal issues when using NSAIDs concurrently with alcohol or shortly after. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines heavy drinking as more than three drinks daily for women and more than four for men. 

Can I drink alcohol and ibuprofen?

It’s important to note that mixing any pain medication with alcohol carries inherent risks. Ideally, one should avoid consuming ibuprofen and alcohol simultaneously.

How long after taking NSAIDs can I drink alcohol?

For safety, it’s recommended to wait between 10 to 17 hours after your last dose of NSAIDs before consuming alcohol. 

Look Out for This Typical Addict Behavior in Relationships

All types of relationships, be they friendly, romantic, or familial, are strained when addiction is involved. Despite their differences, the harmful patterns disrupting these relationships are very similar. Recognizing common addictive behaviors in relationships can help cope with a loved one’s substance abuse and protect your well-being. Here’s what you should know. 

5 Common Addict Behaviors in Relationships

Drug or alcohol addiction involves selfish, self-centered behavior. The addict may manipulate, verbally abuse, or gaslight their partner to get what they want, often leaving the loved one feeling trapped or pressured to accommodate the addiction. These are the most typical addict behaviors in relationships. 

1. Codependency

In an addict’s relationship, codependency affects both parties. The addict becomes reliant on you, viewing you as their caregiver. You may become dependent on them, needing to care for them, leading to a loss of self-worth and identity. 

This dependence gives the addict the illusion that they don’t need help beyond your care. If you try to leave this caretaker role, the addict may react aggressively. Becoming a never-ending vicious cycle. 

2. Controlling Behavior

An addict’s life is chaotic, with their addiction and other life aspects out of control. They may try to control yours, dictating where you go, what you do, and who you’re with. This behavior can turn violent and abusive in relationships.

3. Dishonesty

Your partner might not initially disclose their addiction due to guilt or fear. They may lie about their daily activities, eventually resorting to making excuses about their whereabouts as the addiction escalates.

4. Gaslighting

Gaslighting is a psychological abuse tactic where the addict distorts your reality to continue their behavior. You may take time to recognize that your partner is gaslighting, as they’ll insist that they don’t need help, making you question your perceptions.

5. Manipulation

Manipulation often starts subtly, with the addict being excessively nice when making a request. They resort to begging, arguing, self-pity, or threats if questioned or denied. You can protect yourself from their unhealthy demands by identifying these manipulation attempts.

Other Signs of Addiction in Relationships

Drug or alcohol abuse can emotionally alter your partner, causing them to become distant or indifferent. Aggressive behavior towards you is not your fault. Other signs of addiction in a relationship include:

  • Isolation: Addicts may avoid family, friends, and romantic partners due to shame or guilt or to hide their addiction.
  • Obsession: Addicts might obsess over their partners or enablers, focusing on them more than themselves.
  • Poor Communication: Mood swings can obstruct communication, making conversations fraught with aggression.
  • Unhealthy Habits: Neglecting self-care and their partner’s needs while prioritizing drug use can erode the relationship.

Dealing with Addiction in Your Relationship

Seeing a loved one act aggressively and unpredictably due to addiction can be distressing. Here are some tips to help you:

  • Seek Help: Support groups for loved ones of addicts can provide much-needed understanding and reduce feelings of isolation.
  • Avoid Confrontation: Don’t argue with the addict while they’re using to prevent escalating tensions and potential violence.
  • Stay Calm: Try to remain objective and calm during confrontations. Identify manipulative tactics and think before responding.
  • Prioritize Your Mental Health: Focus on self-care and consider speaking with a therapist.
  • Show Support: If your partner starts recovery, be supportive and actively involved in their journey.

Setting Boundaries and Practicing Self-Care

Navigating a relationship with an addict can be stressful and emotionally draining. Prioritizing self-care and establishing firm boundaries is vital for maintaining your mental health and preventing enabling behaviors.

Setting Boundaries

Clear boundaries can help establish a healthier dynamic in your relationship. These could be related to finances, behaviors, responsibilities, or other aspects of your shared life. 

Make it clear that you will not support their addictive behaviors, like providing money for substances or covering up their mistakes. These boundaries should be communicated openly, respectfully, and firmly, keeping in mind that they are set to protect both you and your loved one.

Understanding Detachment

It’s important to understand the concept of emotional detachment. Detachment doesn’t mean you stop caring about the person; instead, it’s about separating your emotional well-being from the chaos that addiction can cause. 

It’s recognizing that you can’t control or cure your loved one’s addiction – they need to face themselves.

Prioritizing Self-Care

Amid the turmoil, it’s easy to forget about your needs. However, remember that self-care is not a luxury but a necessity. This can involve physical activities like regular exercise, a balanced diet, and enough sleep, as well as mental health practices like meditation, relaxation techniques, or engaging in hobbies and activities you enjoy. 

Keeping a support system and sharing your feelings with trusted friends, family, or support groups can also be highly beneficial.

Stay Positive

Remember, helping your loved one doesn’t mean neglecting your well-being. By practicing self-care and setting boundaries, you’re helping yourself and creating an environment that could encourage your loved one to seek help.

If your loved one has a substance use disorder, don’t hesitate to seek help. If your safety is in immediate danger, call 911. Addiction affects people of all backgrounds, and there’s no shame in seeking help.

7 Tips for Dealing with Stress in Sobriety

Nothing can hijack sobriety progress quite like stress. The emotional response can trigger cravings, disrupt emotional stability, impair decision-making abilities, undermine coping strategies, and exacerbate mental health issues. That’s why it’s absolutely essential that a person in recovery has strategies for dealing with stress in sobriety. Here are 7 healthy ways to cope with stress during recovery. 

7 Ways to Deal with Stress in Sobriety

Dealing with stress can be especially tricky for someone in recovery.  Not only because drug use can disrupt how their minds process emotions, but because their substance of choice was very likely their main coping mechanism. Maintaining sobriety means losing that past source of comfort — which often ends up being its own source of stress. 

The difference between a healthy and an unhealthy coping mechanism is the long-term impact on a person’s well-being. Bad coping mechanisms harm physical, emotional, or mental health and often have other negative consequences to either the individual, their immediate surroundings, or the larger community. 

By contrast, good coping mechanisms are constructive and sustainable, and have only positive consequences for both the individual and the world around them. Incorporating these suggestions into your daily life will help improve your overall emotional resilience.

  1. Move your body

One of the best things you can do for your physical, mental, and emotional health is to exercise. You don’t need to exert yourself so much that you’re red-faced and out of breath. A 15-minute brisk walk is enough to get the blood pumping and your brain firing off those feel-good neurochemicals. 

  1. Meditate/Deep breathing

These practices promote a state of relaxation, reduce physiological arousal, and calm the mind. Meditation also encourages individuals to become more in tune with themselves, allowing for greater emotional awareness and regulation. 

  1. Skip the caffeine

Caffeine is a stimulant that activates the central nervous system. It can exacerbate stress by heightening feelings of anxiety and restlessness as well as amplifying stress’ physiological effects by increasing heart rate and blood pressure. Caffeine is also counterproductive because it makes it harder for the body to come down from its state of high alert. 

  1. Smile!

The mind-body connection is powerful, and one easy way to trick your body into feeling happier and calmer is simply to smile. Doing so signals to the brain that you’re feeling good (why else would you be smiling?) which in turn, causes the release of dopamine, serotonin, and endorphins. Smiling can also counteract muscle tension, thereby activating the body’s natural relaxation response. 

  1. Spend time outdoors

Spending time in natural environments, such as parks, forests, or near bodies of water, has a soothing and calming effect on the mind and body. Surrounding yourself with greenery has been scientifically proven to have calming effects. The sounds of nature can help too. Multiple studies found that participants who listened to bird calls had reduced feelings of anxiety, depression, and paranoia. 

  1. Listen to music

Listening to music you enjoy can uplift your mood and evoke positive emotions and serve as a useful distraction to whatever puts you in a bad mood. Listening to calming music (which may not be your usual genre), might have the greatest benefits.  Slow-tempo music with soft melodies and gentle rhythms can help lower cortisol levels, and directly counteract the effects of stress by slower breathing, reduced heart rate, and decreased muscle tension.

  1. Journal

Journaling is a productive form of self-expression that also encourages self-reflection. By writing about your experiences, challenges, and stressors, you can gain a deeper understanding of yourself and your reactions to certain situations. This self-awareness can help identify patterns and triggers that contribute to stress and help you evaluate how you handled them and what did or didn’t work about your approach. 

Need help dealing with stress in sobriety?

Stress is unavoidable, whether the cause is work, money, or relationships. When it strikes, higher-level thinking, self-restraint, and decision-making take a backseat and our base primal instincts take control. Bad news for those in recovery.

Rather than trying to avoid stress entirely, it’s far more practical to learn how to deal with stress in a healthy and productive way. These natural stress relief methods are easy to incorporate into your daily routine. For more ideas on how to deal with stress, there’s no better source than your peers. 

Consider attending an AA meeting or NA meeting today to connect with other people who are in addiction recovery and know first-hand the struggles you are facing. If you’re dealing with chronic stress or another underlying mental health condition, talk to a medical professional to discuss possible medications for stress that could help you.