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.
Medications are used for 2 different reasons—to manage acute withdrawal symptoms and cravings and to maintain abstinence once withdrawal has resolved. Some treatment programs offer medical detox as a part of their services, while others require that you complete detox prior to entering their program. In some instances, once you achieve medical stability and are drug-free, you may begin a regimen of maintenance medications. Only certain addictions can be treated with medication. These include opioids, such as heroin and prescription painkillers, and alcohol. The commonly-used medications include:1,2,3
Assess how you’re experiencing the craving. Sit in a comfortable chair with your feet flat on the floor and your hands in a relaxed position. Take a few deep breaths and focus your attention inward. Allow your attention to wander through your body. Notice the part of your body where you’re experiencing the craving and what the sensations are like. Tell yourself what it feels like. For example, “My craving is in my mouth and nose and in my stomach.”
Ongoing support and aftercare are essential to this type of sustained, long-term recovery. Many drug abuse rehab centers feature robust aftercare programs, including ongoing individual therapy sessions on a periodic basis, group therapy meetings, and alumni events. Oftentimes, alumni are also encouraged to get involved in their own recovery community by participating in 12-step meetings or residing in a sober living home. If recovering addicts have people they can turn to for support when they are tempted to relapse, they are more likely to stand strong and resist the urge to use again. Drug and Alcohol Treatment Centers ► What You Don't Know
Stress, anger, frustration, self-esteem issues, depression, anxiety, trauma – all of these and more can be overwhelming to a person, driving them to seek relief of any kind from any source. Without positive coping skills to help handle issues, many turn to drugs and alcohol and, with repeated use, they spiral out of control into psychological and physical dependence. Cure Alcoholism Best Advice -- How to Treat Alcohol Addiction By David Smallwood
A large body of scientific evidence has been gathered in recent years to show that addiction can run in families. In fact, children of alcohol-addicted parents are four times more likely to develop alcohol addiction in later life than those born to parents without alcohol addictions. How this works is complex, and there is no one ‘alcohol gene’ to blame for this; instead a number of genetic variations, which mean some individuals are more pre-disposed to alcoholism than others.
As for programme length, residential rehab usually lasts between four and twelve weeks. Many experts believe that shorter programmes do not give patients enough time to recover while longer programmes run the risk of institutionalising patients and making them fearful of returning home. The one exception for longer stays is dual diagnosis. People recovering from a dual diagnosis circumstance may require longer stays.
Recovery from alcohol addiction is a lifelong journey. You may face relapses and temptations for most of your life. It’s not uncommon to slip in and out of sobriety as you work your way through your addiction. Some people beat addiction the first time they try to become sober. Others battle alcohol dependence for many years. The more you try, the higher your chances of success.
Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms. Woman Turns to Rehab After Struggling With Drugs, Alcohol: Part 1