To find a rehab center near you, you can start your search with the Substance Abuse and Mental Health Services Administration. Use their Directory of Single State Agencies for Substance Abuse Services to find the local resource to contact in your state. Be prepared to verify your income, whether you have any insurance, and any need for financial support before you can enroll.
This subtype represents only 9 percent of U.S. alcoholics, yet more members of this group seek treatment (almost two-thirds) than any other category. Chronic, severe alcoholics have fought a long battle with this disease, and most are now middle-aged. The majority of people in this group have a co-occurring psychiatric disorder, such as major depression, bipolar disorder, or anxiety disorders. Many also abuse other drugs, like cocaine or opiates.
However, it’s important to recognise that you don’t have to suffer on your own; drug addiction is treatable and the most crucial first step is to seek specialist drug addiction treatment and help. Our highly qualified drug addiction teams at Priory consist of expert psychiatrists, psychologists, therapists and other addiction specialists, and we are dedicated to providing personalised, comprehensive drug addiction treatment within our extensive network of hospitals and wellbeing centres.
Alcohol dependence or abuse rates were shown to have no correspondence with any person's education level when populations were surveyed in varying degrees of education from ages 26 and older. However, when it came to illicit drug use there was a correlation, in which those that graduated from college had the lowest rates. Furthermore, dependence rates were greater in unemployed populations ages 18 and older and in metropolitan-residing populations ages 12 and older.[43]
Take an inventory of how you experience the craving. Do this by sitting in a comfortable chair with your feet flat on the floor and your hands in a comfortable position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice where in your body you experience the craving and what the sensations are like. Notice each area where you experience the urge, and tell yourself what you are experiencing. For example, “My craving is in my mouth and nose and in my stomach.”
Alcohol is a legal controlled substance that slows down the body’s vital functions when consumed in excess. Its many forms include beer, wine and liquor. Some of the physical effects of heavy alcohol consumption are slurred speech, loss of coordination and slowed reaction time. Psychological effects include inhibiting judgment and lowering a person’s ability to think rationally. Typically, drinking alcohol in moderation does not signify a problem. However, consuming more than four alcoholic beverages per day for men – or more than three per day for women – can indicate an alcohol use disorder (AUD).
The patient's response determines the physician's next step. If the patient denies the problem, recommending joining AA will not work. Involving the family and/or suggesting a trial of abstinence is useful, and, importantly, the physician should follow up with the patient in a few weeks. The patient might be angry initially and storm out of the office, but then the patient might recall the physician's warning months or years later and stop drinking. For patients who recognize a problem and will consider referral, the cheapest (free) and most accessible option is AA.

Some factors are relatively straightforward – for example, location (unless you feel that you would benefit psychologically from knowing that you are as far away as possible from your dealer/s and your drug-taking environment, it is usually best to look for a facility relatively close to you) and cost (it may be that some specifically luxury facilities are outside what is affordable for you).
Alcohol detox– In most cases of long-term alcohol addiction, detox must occur prior to formal treatment. This part of the healing process involves stopping the consumption of alcohol and all other drugs. This gives the body time to cleanse itself of all harmful toxins. Withdrawal symptoms may be an issue (e.g., depression and anxiety, mood swings, sweats, chills and irritability). They all depend upon the specifics of the addiction. Physical and mental health care and support is provided, as needed.1Therapeutic medication– The need for therapeutic medication depends on the individual patient’s needs, experiences and circumstances. If a drug is used, it should be medically-managed by a physician. Alcohol/Drug Addiction, Treatment & Recovery | David Streem, MD
Cocaine is often viewed as an elite drug, associated with movie stars, models, and other celebrities; however, the destructive consequences of cocaine addiction are anything but glamorous. Produced from the leaves of the South American coca plant, cocaine can be snorted as a powder, or diluted with liquid and injected into the bloodstream. In the form of crack, cocaine can be smoked for an intensified rush of energy. As a central nervous system stimulant, cocaine accelerates the activities of the brain, nerves, and heart, putting even healthy users at risk of heart attack or stroke.
Cultural stereotypes of the alcoholic tend to focus on the Skid Row drunk: homeless, impoverished, and unemployed. But current research has replaced this stereotype with more realistic portraits of the most typical subtypes of alcoholics. The results of a national study published in Drug and Alcohol Dependence showed that there are five basic types of alcoholics in the United States. The descriptions of these subtypes, all of whom meet the criteria for alcohol dependence, may surprise you:
Commitment and follow-through are key. Recovering from alcohol addiction or heavy drinking is not a quick and easy process. In general, the longer and more intense the alcohol use, the longer and more intense the treatment you’ll need. But regardless of the treatment program’s length in weeks or months, long-term follow-up care is crucial to your recovery.
Determine the patient's readiness for change. Motivating a reluctant patient is one of the great challenges in treatment. To enhance the prospects of successful treatment, the clinician needs to have a basic concept of the stages of change. The 5 stages of change (Prochaska,) provide fundamental guidance for enhancing motivation. The Substance Abuse and Mental Health Services Administration, the Center for Substance Abuse Treatment presents this concept in detail through a Treatment Improvement Protocol titled "Enhancing Motivation for Change in Substance Abuse Treatment." The 5 stages of change are precontemplation, contemplation, preparation, action, and maintenance. Specific strategies aligned with each of the 5 stages help a clinician motivate and prepare the patient for change. The 5 stages of change represent a cycle, permitting and explaining behavior that moves in both progressive and regressive directions.
  I am a 63 year old woman. When I came to Costa Rica Treatment Center I probably weighed 89 pounds. I had no desire to live for weeks. I couldn't get out of bed. As soon as I was able to get up, the staff began giving me nutritional drinks to get the poison out of my system. They would talk to me at 4 in the morning when I couldn't get the idea of getting high out of my head. Eventually I started eating and was served 3 nutritional prepared meals a day. The talks never stopped. All of my needs were met. There was never a cross word spoken. The staff that nurtured me consisted of a medical M.D. a behavioral health specialist and life coach woman, 2 psychologists social worker a house manager,a wonderful cleaning woman, and the boss.The treatment received here is thorough and rounded. I now weigh 110 pounds have been schooled in A.A. and N.A. meetings. I'm looking forward to a new life. I am so very thankful.
While detox is often looked upon as one of the most difficult aspects of the recovery process, addicts aren’t in the clear once they make it through withdrawal.5The real work of recovery takes place post-detox in the therapeutic portion of treatment. In therapy, both individual and group, recovering addicts uncover the root causes behind their substance abuse, helping them to address these issues so they don’t cause them to return to substance abuse at a later date.3 Connor's Battle with Pills to Heroin | True Stories of Addiction | Detox To Rehab
In the past decade, there have been growing efforts through state and local legislations to shift from criminalizing drug abuse to treating it as a health condition requiring medical intervention. 9 states have legislations for safe syringe use like exchange programs or purchasing at pharmacy. In addition, AB-186 Controlled substances: overdose prevention program was introduced to operate safe injection sites in the City and County of San Francisco. The bill was vetoed on September 30, 2018 by California Governor Jerry Brown.[48] The legality of these sites are still in discussion, so there are no such sites in the United States yet. However, there is growing international evidence for successful safe injection facilities.

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

Use any setbacks in recovery as a learning experience and recognise that while you may have made a mistake, you do not have to make it worse by continuing to drink. Get yourself to your nearest fellowship meeting or call your sponsor as soon as possible. You will then need to take a good look at what led to your setback. It is important that you take the time to do this so that you can avoid another occurrence in the future.


Remember though, overcoming alcoholism is a process. Less than half of individuals relapse after achieving one year of sobriety. That number reduces to less than 15 percent who relapse after five years of sobriety. For the greatest chance of long-term sobriety after completing an inpatient or outpatient program, you should participate in local support groups and continue with counseling. Treating alcoholism is an investment in your future. It will not only make a huge difference in your life, but also the lives of those around you such as family members and friends. Rehab Nightmare: Drugs, Chains and Canes - Full Documentary - BBC Africa Eye
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