An influential cognitive-behavioral approach to addiction recovery and therapy has been Alan Marlatt's (1985) Relapse Prevention approach.[40] Marlatt describes four psycho-social processes relevant to the addiction and relapse processes: self-efficacy, outcome expectancy, attributions of causality, and decision-making processes. Self-efficacy refers to one's ability to deal competently and effectively with high-risk, relapse-provoking situations. Outcome expectancy refer to an individual's expectations about the psychoactive effects of an addictive substance. Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well. Substance use is the result of multiple decisions whose collective effects result in a consumption of the intoxicant. Furthermore, Marlatt stresses some decisions—referred to as apparently irrelevant decisions—may seem inconsequential to relapse, but may actually have downstream implications that place the user in a high-risk situation.[41]
Different rehabs are based upon different philosophies, and this can mean the enhancement of addiction treatment with distinct specialized services. For example, a religious rehab may include worship services or religion classes and other offerings that enhance the spiritual side of recovery while a holistic alcohol rehab may include yoga, meditation, acupuncture and other alternative methods of treatment.
Changes in the brain that support physical and psychological dependency on mind-altering substances are the direct cause of addiction, but those changes do not occur at random. Addiction experts believe drug addiction emerges from an interplay of genetic and environmental factors, although one factor or the other may be strong enough to make a person vulnerable to addiction in some instances. The Cycle Of Addiction - Unf*ck Yourself From The Modern World (E442)
It is also estimated that around a third of all older adults with alcohol problems developed them in later life for the first time. It has been suggested that factors such as social isolation, poor health, bereavement, and boredom all contribute to alcohol abuse in older people. Some older adults may begin self-medicating with alcohol when experiencing chronic pain due to age-related health problems.
If you’re suffering from addiction or are considering drug rehab for a loved one, we strongly advise that you do extensive research on the various options available. The ability to make an informed decision, and the type of rehab that you choose, could impact the likelihood of success considerably. And remember that it’s in your best interest to seek the advice of a trained medical professional.
It is always recommended that you join a fellowship group such as Narcotics Anonymous (NA) which can provide you with ongoing support and advice (as well as companionship) from others who have also experienced addiction and understand the challenges that you face day-to-day. Find out when and where such fellowship groups meet in your area and try to attend regularly and frequently at least in the months following your treatment and rehab; you may find that as time passes you need to attend meetings less frequently but they will always be a useful adjunct to any therapy that you may have on an ongoing basis as well as being invaluable if and when you feel the cravings which could derail your recovery.

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.

The United States' approach to substance abuse has shifted over the last decade, and is continuing to change. The federal government was minimally involved in the 19th century. The federal government transitioned from using taxation of drugs in the early 20th century to criminalizing drug abuse with legislations and agencies like the Federal Bureau of Narcotics (FBN) mid-20th century in response to the nation's growing substance abuse issue.[47] These strict punishments for drug offenses shined light on the fact that drug abuse was a multi-faceted problem. The President's Advisory Commission on Narcotics and Drug Abuse of 1963 addressed the need for a medical solution to drug abuse. However, drug abuse continued to be enforced by the federal government through agencies such as the DEA and further legislations such as The Controlled Substances Act (CSA), the Comprehensive Crime Control Act of 1984, and Anti-Drug Abuse Acts. POWERFUL lesson from a drug & alcohol rehab
Outpatient treatment is the next step down in a continuum of care. It is also a rehabilitation option for individuals whose addiction is less severe and doesn’t require inpatient treatment. Clients in this phase of rehab drug treatment visit the facility regularly, but do not stay overnight. This approach allows the individual to receive drug treatment while maintaining family and job responsibilities.
Medical professionals need to apply many techniques and approaches to help patients with substance related disorders. Using a psychodynamic approach is one of the techniques that psychologists use to solve addiction problems. In psychodynamic therapy, psychologists need to understand the conflicts and the needs of the addicted person, and also need to locate the defects of their ego and defense mechanisms. Using this approach alone has proven to be ineffective in solving addiction problems. Cognitive and behavioral techniques should be integrated with psychodynamic approaches to achieve effective treatment for substance related disorders.[37] Cognitive treatment requires psychologists to think deeply about what is happening in the brain of an addicted person. Cognitive psychologists should zoom in to neural functions of the brain and understand that drugs have been manipulating the dopamine reward center of the brain. From this particular state of thinking, cognitive psychologists need to find ways to change the thought process of the addicted person.[37]
Acamprosate, disulfiram and topiramate (a novel anticonvulsant sulphonated sugar) are also used to treat alcohol addiction. Acamprosate has shown effectiveness for patients with severe dependence, helping them to maintain abstinence for several weeks, even months.[13] Disulfiram (also called Antabuse) produces a very unpleasant reaction when drinking alcohol that includes flushing, nausea and palpitations. It is more effective for patients with high motivation and some addicts use it only for high-risk situations.[14] Patients who wish to continue drinking or may be likely to relapse, should not take disulfiram as it can result in the disulfiram-alcohol reaction mentioned previously, which is very serious and can even be fatal[13]
In the past, alcohol rehab programs provided a standardized set of treatments for each patient, regardless of age, gender, psychiatric history, or demographic group. Today, alcohol treatment programs and alcohol treatment centers have become more specialized in order to meet the needs of a diverse, highly varied group of patients. Choosing a course of treatment has become more complicated, but the results of a careful search are likely to be more successful — and more satisfying to the individual.
Anxiety, depression, and suicidal thoughts are all common results of alcohol dependency. This is because prolonged heavy drinking effects the neurotransmitters in the brain which regulate mood. Two of the most important neurotransmitters for mood are dopamine and serotonin, which are responsible for creating the positive feelings vital for a healthy mind. Research shows that the levels of both serotonin and dopamine are often heavily altered in the brains of alcoholics, leading to deteriorating mental health and, often, a negative spiral of alcohol use.
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.
If a program doesn’t include these type of approaches, or claims to use “new” strategies, ask to see an independent evaluation of their program outcomes. An evaluation should measure whether the service has had a positive impact (on drug use, dependence or mental health) and what the completion rates are. It can be conducted by independent specialists, or sometimes by the service itself.

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.
Just because your system has been cleansed of substances of abuse during detox, and you have gone through productive therapy and equipped yourself with defence mechanisms against relapse, does not mean that you can let your guard down and consider yourself “cured”: that mindset is asking for trouble as it encourages you to become too casual and overconfident about your position in relation to substance abuse.
There are many reasons people get addicted to drugs, but you must gain insight into what draws you towards your substance of choice. Is it a means to cope with stress? Do drugs help numb you emotionally so you don’t have to feel emotional or physical pain? Are drugs a way to avoid responsibility, gain other’s approval or belong to a group? It’s important that you peel back the layers of your behavior to understand what is behind your drug habits. How I overcame alcoholism | Claudia Christian | TEDxLondonBusinessSchool
It is also estimated that around a third of all older adults with alcohol problems developed them in later life for the first time. It has been suggested that factors such as social isolation, poor health, bereavement, and boredom all contribute to alcohol abuse in older people. Some older adults may begin self-medicating with alcohol when experiencing chronic pain due to age-related health problems. 13 Questions to Ask a Drug or Alcohol Rehab Center

The Recovery Village offers inpatient depression treatment (residential rehab for depression) alongside inpatient substance abuse treatment. Inpatient depression treatment may involve antidepressant medication, various forms of therapy (including yoga and art), counseling and Cognitive Behavioral Therapy (CBT). CBT is a treatment process that involves changing thought processes to change behavior. This therapy allows individuals to reverse false self-beliefs that can lead to negative moods and behaviors. CBT is also used with substance use disorder treatment, even if no co-occurring disorder is present.
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The definition of recovery remains divided and subjective in drug rehabilitation, as there are no set standards for measuring recovery. The Betty Ford Institute defined recovery as achieving complete abstinence as well as personal well-being[21] while other studies have considered "near abstinence" as a definition.[22] The wide range of meanings has complicated the process of choosing rehabilitation programs. Alcoholic Starts Shaking On Stage | The Jeremy Kyle Show
Like any other life-threatening disease, drug addiction requires intensive treatment by credentialed specialists. While some may be able to find recovery alone, true healing is a lifelong process that typically requires continued support. Drug addiction treatment options range from medical detox and inpatient care to 12-step programming, pharmacotherapy and outpatient services. Throughout a continuum of care, patients are offered resources, skills and support to ensure that they’re making progress toward recovery goals.
For individuals addicted to prescription drugs, treatments tend to be similar to those who are addicted to drugs affecting the same brain systems. Medication like methadone and buprenorphine can be used to treat addiction to prescription opiates, and behavioral therapies can be used to treat addiction to prescription stimulants, benzodiazepines, and other drugs.[6]
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).
Outpatient treatment is the next step down in a continuum of care. It is also a rehabilitation option for individuals whose addiction is less severe and doesn’t require inpatient treatment. Clients in this phase of rehab drug treatment visit the facility regularly, but do not stay overnight. This approach allows the individual to receive drug treatment while maintaining family and job responsibilities. Drug Addict Is Terrified When He Sees the Rehab Car | The Jeremy Kyle Show
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