If you live in a very rural area and or do not have the ability to attend traditional support groups, online support groups may prove to be incredibly beneficial for you. Nearly all of the support groups that offer in-person meetings also offer online meetings. These meetings are almost always completely free of charge and offer fellowship, support, encouragement, and advice from recovering alcoholics who used to be in the same exact position you are in now. If anyone can give you helpful advice, it's them.
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.
NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you’re seeking treatment, you can call the Substance Abuse and Mental Health Services Administration's (SAMHSA's) National Helpline at 1-800-662-HELP (1-800-662-4357) or go to www.findtreatment.samhsa.gov for information on hotlines, counseling services, or treatment options in your state. 
A number of serious problems are closely linked to alcohol intoxication. In fact, according to the NIAAA, intoxication is present in 30% of homicides, 22% of suicides, and 33% of car crashes. Any patient who presents an imminent safety risk to themselves or another person should be considered a candidate for hospitalization. This may require the assistance of family members or medical consultation with a psychiatrist.
Our beautiful and tranquil environment is the perfect setting for focusing your full attention on healing. Here you can find wholeness. Here you can regain your authentic self. Here you can find the freedom to imagine how life might be without drugs. Peace and purpose – that’s what you can find through your dedicated effort under the guidance and support of your advisors and friends at Michael’s House. Drug and Alcohol Addiction - "Audio Rehab" - Brainwave Entrainment Music Therapy
With opiate abuse (heroin, morphine, OxyContin, Vicodin), withdrawal symptoms usually start within a matter of hours and last for several days. With stimulants like cocaine or methamphetamine, withdrawal may be more extensive, with cravings, depression, and anxiety lasting for several months. Withdrawal from prescription medications, such as sedatives in the benzodiazepine family (Valium, Xanax, Ativan) may require a drug taper lasting a number of weeks to clear the chemical safely from your system. Drug Rehab Near Me

Repeat the focusing with each part of your body that experiences the craving. Describe to yourself the changes that occur in the sensations. Notice how the urge comes and goes. Many people, when they urge surf, notice that after a few minutes the craving has vanished. The purpose of this exercise, however, is not to make the craving go away but to experience the craving in a new way. If you practice urge surfing, you will become familiar with your cravings and learn how to ride them out until they go away naturally.
Inpatient treatment: Inpatient or residential treatment provides intensive therapy, 24-hour monitoring and a full spectrum of rehab services for patients who need structure in the early stage of recovery. Inpatient facilities include hospitals, mental health facilities and residential treatment centers. Patients live full-time at the center so they can focus exclusively on the healing process without the stressors or distractions of everyday life.
The core of our treatment philosophy centers in a belief that recovery is possible. It happens every day. Treatment is the first major step on a lifelong path of transformation: of becoming the person you’ve always been capable of becoming. The team members at our Pennsylvania drug rehab centers are passionate about educating, empowering and facilitating your first steps on that path.
Addiction affects not just the addict but also everyone that person comes into contact with. The addict will likely suffer physical consequences, social consequences, emotional consequences, financial consequences, and perhaps even legal consequences as a result of their drug use. As the drug addict’s personal life falls apart, their work and health will likely suffer as well. Drug addicts are more likely to have domestic violence problems, to lose their jobs, and to be arrested than those who are not addicts, proving that addiction, if left untreated, can negatively impact every facet of a person’s life. ‘Not A Single Rehab Has Worked For Me,’ Says Woman With Alcohol Dependency
The nineteenth century saw opium usage in the US become much more common and popular. Morphine was isolated in the early nineteenth century, and came to be prescribed commonly by doctors, both as a painkiller and as an intended cure for opium addiction. At the time, the prevailing medical opinion was that the addiction process occurred in the stomach, and thus it was hypothesized that patients would not become addicted to morphine if it was injected into them via a hypodermic needle, and it was further hypothesized that this might potentially be able to cure opium addiction. However, many people did become addicted to morphine. In particular, addiction to opium became widespread among soldiers fighting in the Civil War, who very often required painkillers and thus were very often prescribed morphine. Women were also very frequently prescribed opiates, and opiates were advertised as being able to relieve "female troubles".[41]
Our beautiful and tranquil environment is the perfect setting for focusing your full attention on healing. Here you can find wholeness. Here you can regain your authentic self. Here you can find the freedom to imagine how life might be without drugs. Peace and purpose – that’s what you can find through your dedicated effort under the guidance and support of your advisors and friends at Michael’s House. Drug and Alcohol Addiction - "Audio Rehab" - Brainwave Entrainment Music Therapy
Inside the magnificent grounds at Passages, you'll find the most comprehensive and sophisticated treatment program in the world. When founders Chris and Pax Prentiss created this program in 2001, they began with one goal in mind — to create the world’s finest team of treatment professionals. Your team will be comprised of nurses, psychologists, family therapists, trainers, acupuncturists, hypnotherapists, spiritual counselors, and many others, ensuring your complete satisfaction from the day you check in until the day you graduate from our world-class drug rehab center.

"The most robust finding in the study is that those receiving any medication did much better than those who received no pills at all," says Professor Barbara Mason, Scripps Research Institute, and an author of the study. "This should be a wake-up call. With less than one percent of those seeking help for alcohol dependence receiving a prescription, medication is underutilized. Medication for alcoholism can offer patients an advantage for their recovery, especially in a real-world setting." 9 Signs Of A High Functioning Alcoholic
Alcohol is one of the most commonly abused substances in the world. If not treated, alcohol addiction can destroy mental and physical health, derail careers, and damage personal relationships. If you or a loved one feels trapped and needs help with alcohol addiction, Passages Malibu’s world-renowned addiction treatment center could be the answer you’re looking for. We offer comfortable and effective individual addiction treatment therapy to help you end your addiction forever. Our luxury treatment program is the most sought after in the world, and we would honor the opportunity to welcome you into our facility. It’s not just the extraordinary amount of one-on-one attention you will receive, or our luxurious facility-it’s our progressive treatment philosophy that sets us significantly apart from our competitors. Sam Fights Loneliness with Heroin | True Stories of Addiction | Detox To Rehab
Drugs, Addiction, and the Brain explores the molecular, cellular, and neurocircuitry systems in the brain that are responsible for drug addiction. Common neurobiological elements are emphasized that provide novel insights into how the brain mediates the acute rewarding effects of drugs of abuse and how it changes during the transition from initial drug use to compulsive drug use and addiction. The book provides a detailed overview of the pathophysiology of the disease. The information provided will be useful for neuroscientists in the field of addiction, drug abuse treatment providers, and undergraduate and postgraduate students who are interested in learning the diverse effects of drugs of abuse on the brain.
Treatments at inpatient centers may include behavioral therapies, the most popular of which is Cognitive Behavioral Therapy (CBT). These therapies encourage participants to change the way they react to stressful external stimuli (like failing a test or losing a job) by promoting healthy ways of coping. Many centers also offer group and individual counseling, experiential therapies and training on proper nutrition and health.
Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life. How to Stop Drinking Alcohol | Recovery 2.0 Protocol
Our highly qualified treatment team possess extensive clinical experience in treating alcohol addiction, and are able to deliver a wide range of established techniques to help you to address your alcohol addiction symptoms, and resolve the underlying causes and triggers for your alcohol addiction. We ensure that each individual who seeks support with us is placed at the centre of their alcohol addiction treatment and rehabilitation journey and is involved in any decisions that are made about their care. This ensures that you benefit from a truly collaborative and personalised treatment experience and the most positive outcomes for you as an individual. Our non-judgemental, highly compassionate addiction treatment environments provide you with the ideal setting in which to address your challenges and achieve and full and sustainable recovery. Rehab Drug and Alcohol Detox Treatment Centers | BLVD Treatment Centers
In 2016, Recovery Brands conducted a survey asking patients leaving a recovery treatment program what clinic characteristics they saw as high priority aspects to examine when looking at a program. The top priority was the clinic's financial practices, such as insurance accepted, payment options, and financial support. They also valued facility offerings (amenities, comforts, quality of housing, etc.) much more after graduating from treatment. Individuals looking for treatment will want to look at a facility's financial policies as well as the program's offerings to aid in their final program choice. Read More

In a survey of treatment providers from three separate institutions, the National Association of Alcoholism and Drug Abuse Counselors, Rational Recovery Systems and the Society of Psychologists in Addictive Behaviors, measuring the treatment provider's responses on the "Spiritual Belief Scale" (a scale measuring belief in the four spiritual characteristics of AA identified by Ernest Kurtz); the scores were found to explain 41% of the variance in the treatment provider's responses on the "Addiction Belief Scale" (a scale measuring adherence to the disease model or the free-will model of addiction).[30]
Finding a drug rehab facility that has all of these features may seem difficult, but here at Axis, we provide everything on the list above and more. Our goal is to offer your loved one everything he or she needs to break free from drug and alcohol dependence and to go home with a plan that will help to continue to grow in recovery and remain true to his or her principles of sobriety. Starting with an evaluation and diagnostic process at intake, we create a treatment plan designed just for your loved one, complete with an intensive therapeutic schedule that comes with cutting-edge treatment options as well as traditional care and support.
As you discharge from inpatient treatment, you will receive recommendations for follow-up care and ongoing recovery support to strengthen your sobriety and reduce the risk of relapse. Like diabetes or hypertension, addiction is a chronic disease. Regaining your health means learning to manage your symptoms, first within the structure of an inpatient rehab program and eventually in your home environment where you are in charge of maintaining and strengthening your recovery. Drug Rehab Near Me
^ Blum K, Werner T, Carnes S, Carnes P, Bowirrat A, Giordano J, Oscar-Berman M, Gold M (2012). "Sex, drugs, and rock 'n' roll: hypothesizing common mesolimbic activation as a function of reward gene polymorphisms". Journal of Psychoactive Drugs. 44 (1): 38–55. doi:10.1080/02791072.2012.662112. PMC 4040958. PMID 22641964. It has been found that deltaFosB gene in the NAc is critical for reinforcing effects of sexual reward. Pitchers and colleagues (2010) reported that sexual experience was shown to cause DeltaFosB accumulation in several limbic brain regions including the NAc, medial pre-frontal cortex, VTA, caudate, and putamen, but not the medial preoptic nucleus. Next, the induction of c-Fos, a downstream (repressed) target of DeltaFosB, was measured in sexually experienced and naive animals. The number of mating-induced c-Fos-IR cells was significantly decreased in sexually experienced animals compared to sexually naive controls. Finally, DeltaFosB levels and its activity in the NAc were manipulated using viral-mediated gene transfer to study its potential role in mediating sexual experience and experience-induced facilitation of sexual performance. Animals with DeltaFosB overexpression displayed enhanced facilitation of sexual performance with sexual experience relative to controls. In contrast, the expression of DeltaJunD, a dominant-negative binding partner of DeltaFosB, attenuated sexual experience-induced facilitation of sexual performance, and stunted long-term maintenance of facilitation compared to DeltaFosB overexpressing group. Together, these findings support a critical role for DeltaFosB expression in the NAc in the reinforcing effects of sexual behavior and sexual experience-induced facilitation of sexual performance. ... both drug addiction and sexual addiction represent pathological forms of neuroplasticity along with the emergence of aberrant behaviors involving a cascade of neurochemical changes mainly in the brain's rewarding circuitry. How to stop drinking alcohol - how to help an alcoholic
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. Narcissistic, Borderline, and Psychopathic Personality Types in Addiction Treatment, Part 1

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
Antabuse is a bridge between your two lives. On the one hand, you have the life that you know. It's not what's good for you, but it's what you know. On the other hand, you have the life that you want to get to. It's better for you, but you don't know how to live there. You don't know how to relax, reward yourself, and celebrate without using drugs or alcohol. Antabuse helps you live in that life long enough so that you can develop new habits and coping skills.
One study tracked the weekly drug use among individuals who attended residential treatment centers. After one year post discharge they discovered that there is a correlation between retention rates and the length of stay at a facility. Individuals coming form programs of 90 days or more showed a lower relapse rate than those coming from programs of less than 90 days.
Living on a limited income is challenging enough; having to deal with recovery from a drug or alcohol addiction on a limited income is even more so. Finding help with treatment can make ease some of this burden, and it can help those struggling with addiction to get their lives back. Once recovery is in progress, it can help to be surrounded by others who understand and who can help the recovering individual through the process, such as by participating in self-help groups and other counseling programs.
Inpatient or residential treatment  can also be very effective, especially for those with more severe problems (including co-occurring disorders). Licensed residential treatment facilities offer 24-hour structured and intensive care, including safe housing and medical attention. Residential treatment facilities may use a variety of therapeutic approaches, and they are generally aimed at helping the patient live a drug-free, crime-free lifestyle after treatment. Examples of residential treatment settings include:
The Benchmark Recovery Center, formerly known as the Mark Houston Recovery Center, bases their treatment program on a 90-day, 12-step program. Part of the program includes life skills and a fitness program. The Center recognizes that every patient has unique needs to achieve recovery, so it avoids the one-size-fits-all approach to treatment. The Center consists of two separate facilities for men and women; it can provide for 58 patients at a time and currently claims a 74% success rate. How To Help An Addict ► Its Probably NOT What You Think!
The concept of group therapy encompasses a number of equally important goals. For example, one of the goals is to facilitate an environment in which recovering alcoholics can learn from one another. In your case, you have thoughts and experiences that could help someone else in the group. Likewise, what other people have to share could prove beneficial in your recovery. Rehab I'm Me
Behavioral Health of the Palm Beaches (BHPB) is a comprehensive treatment center that provides mental health and trauma programs in addition to their reputable addiction program. BHPB was founded in 1997 by Dr. Donald Mullaney, a recovering addict. BHPB has some of the most talented treatment professionals in the nation who help outline specialized treatment plans for each patient. Treatment lasts a minimum of 30 days, but long-term care lasting up to 12 months is available.
For the average person who does not suffer from alcohol addiction, a drink every now and again is both normal and non-problematic. For the alcohol addict though, a single drink every few days is not enough. The addict’s body has become dependent on alcohol for daily functioning, while the mind is convinced that it is not possible to get through the day without drinking.
In order to effectively address drug addiction as well as the co-occurring issues that may be underlying the problem, most patients will require residential or inpatient care. At a residential treatment program, the addicted patient will live at the treatment facility with access to 24-hour care and support that can be critical in helping them to avoid relapse in the early stages of recovery.
Inpatient addiction treatment focuses on stabilization and assessment of your health to ensure you are ready--physically, psychologically and emotionally--to learn about core recovery concepts and to begin practicing recovery principles. Each day, you will be given a schedule of treatment activities, appointments and services tailored to meet your specific recovery needs and goals. Learn more about what happens in a typical day of inpatient addiction treatment.

Detox is not the expulsion of ‘toxins’ from your system,  but a reaction of your nervous system to the absence of alcohol. Withdrawal from alcohol and its sedative effects results in an overreaction of the nervous system. A number of severe symptoms can develop, such as disorientation, extreme anxiety, diarrhoea, very high blood pressure, delusions, heart rhythm changes etc. This is very dangerous if not supervised and monitored by personnel experienced in addiction recovery treatment. These symptoms can now be controlled in a safe way through proper medical attention and pharmacotherapy during the detox period. Our clinical staff has extensive experience dealing with alcohol detox and conducts the process in as much safety and as comforting an environment as possible. This is a vast improvement from a time before modern medicine when there was a death rate of 33% for those going through severe alcohol withdrawal.
Hallucinogenic drugs. Hallucinogens are psychoactive drugs that affect the way you experience the world around you. A few of the most popular hallucinogenic drugs include Ecstasy, LSD PCP, and mushrooms. The effects of hallucinogenic drugs can range from pleasant sensory distortions and feelings of empathy to terrifying hallucinations and violent impulses. These psychedelic substances are popular among young people, many of whom are introduced to hallucinogenic drugs at clubs, raves, concerts, or parties. Although hallucinogenic drugs are commonly believed to be non-addictive, clinical research has shown that drugs like Ecstasy can cause signs of physical and psychological dependence, including withdrawal symptoms, obsessive thoughts, and cravings.
Our drug and alcohol addiction treatment programs are based on science, evidence and our experience of what works best in helping people get sober and stay sober. Hazelden Betty Ford pioneered the field’s leading approach to addiction treatment and we continue to evolve and advance the use of evidence-based treatments in order to provide our patients with the best opportunity for lifelong recovery from substance use disorder. Some of the evidence-based treatments our clinicians use include: What happens in rehab?

According to the Delphi Behavioral Health Group’s Addiction Center, the highest level of care comes from Inpatient programs that include medically supervised detoxification and all-day support. The duration of a stay in an inpatient facility can depend significantly on the severity of the addiction. Although the average visit is 30 days, patients can stay longer than 90 days if necessary.
For example, someone with bipolar disorder that suffers from alcoholism would have dual diagnosis (manic depression + alcoholism). In such occasions, two treatment plans are needed with the mental health disorder requiring treatment first. According to the National Survey on Drug Use and Health (NSDUH), 45 percent of people with addiction have a co-occurring mental health disorder.
Our highly qualified treatment team possess extensive clinical experience in treating alcohol addiction, and are able to deliver a wide range of established techniques to help you to address your alcohol addiction symptoms, and resolve the underlying causes and triggers for your alcohol addiction. We ensure that each individual who seeks support with us is placed at the centre of their alcohol addiction treatment and rehabilitation journey and is involved in any decisions that are made about their care. This ensures that you benefit from a truly collaborative and personalised treatment experience and the most positive outcomes for you as an individual. Our non-judgemental, highly compassionate addiction treatment environments provide you with the ideal setting in which to address your challenges and achieve and full and sustainable recovery.
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.
Research shows drug use is more common among arrestees than the general population. The Office of National Drug Control Policy reported that 63 to 83 percent of people arrested in five major metropolitan areas in 2013 tested positive for at least one illicit drug. The three most common drugs present during tests were marijuana, cocaine and opiates, and many people tested positive for multiple drugs.
You should also speak with an addiction specialist who can give you a wider-range view of treatment options both in your area and further away (some people choose to place quite some distance between their recovery and the environment in which they have been abusing drugs), and who will be able to give you the benefit of more specialised experience and insight than your GP.
Crucially, DBT is also collaborative: it relies upon the ability of the addict and therapist to work things out together interactively. DBT is broken down into four modules – Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness – which is an approach which allows addicts to focus on one particular task or aspect of themselves at once, and enables the therapy to be targeted more acutely at the individual addict and their own particular situation.

Support groups are most useful as a long-term drug rehab program in that they can help hold former addicts accountable years after their treatment is complete. Patients find themselves surrounded by like-minded individuals who are in similar situations like the ones with which the patient is struggling. Many find it easier to discuss issues like temptation and family problems with others who understand.
Once you determined whether or not your loved one requires an inpatient drug treatment program and decided how long he or she should stay, what else should you look for in an effective drug rehab program? There are a number of characteristics that signify a positive, safe, and efficient environment for your loved one that will promote growth and healing physically, mentally and emotionally.
Drug addiction recovery is a long-term process, and those who attempt to overcome their drug problems must be prepared for a challenging struggle. In the end, persistence and determination will make all the difference, and if people recovering from substance use disorders are strong enough to stay the course, a happy, healthy, drug-free future will be within their grasp.

Nicole Lee works as a paid consultant in the alcohol and other drug sector. She has previously been awarded grants by state and federal governments, NHMRC and other public funding bodies for alcohol and other drug research. She is a member and past President of the Australian Association for Cognitive and Behaviour Therapy. She is a registered Psychologist who has previously worked in private practice.

While a relapse or slip-up is by no means inevitable, you might face some setbacks during recovery. This does not have to mean returning to alcohol use. A lapse should not signify the end of your recovery, provided you act appropriately, in order to avoid a full relapse. You might even find that this small slip is enough to remind you of why you wanted to quit in the first place.
We are active in supporting research into improving the lives of those struggling with addiction. Searidge Foundation and our sister rehab Sobriety Home located in Godmanchester, Quebec are highly regarded as the leading alcohol and drug rehab facilities in Canada. We support Florida State University (FSU) in their research into addiction and anxiety disorder. We are also involved with Dr. Brunet, of McGill University, and his leading scientific research on PTSD and addiction memory. Drugs & Addiction : How to Deal With a Drug Addict

Don’t wait until those consequences occur; if you suspect there is a drug problem present in your loved one, talk to them and/or seek professional help if you deem that it is needed. Never let the addict downplay the seriousness of their addiction or convince you that they can change without help. Drug addiction is a disease and recovering from it is rarely as simple as just putting down the drug and being done with it for good, no matter what promises the addict in your life may make to you or how earnestly they may make those promises.


Our beautiful and tranquil environment is the perfect setting for focusing your full attention on healing. Here you can find wholeness. Here you can regain your authentic self. Here you can find the freedom to imagine how life might be without drugs. Peace and purpose – that’s what you can find through your dedicated effort under the guidance and support of your advisors and friends at Michael’s House. Drug and Alcohol Addiction - "Audio Rehab" - Brainwave Entrainment Music Therapy
It’s commonly known that even after the completion of a treatment program, the temptation to drink again is a lifelong challenge. However, in addition to coping skills and medication, treatment also gives the patient a vast network of contacts – a therapist, a sponsor from a support group, etc. – who make it their priority to talk the addict out of a potential relapse. Being accountable to someone who understands the challenge of trying to remain sober after treatment helps counter the fear and frustration that can be a part of that challenge.
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] Guilt, Shame, Depression And The Cycle Of Addiction, Recovery And Relapse - John Flaherty
Drug addiction is a chronic disease, and relapse is one of its major symptoms. It’s important for a recovering addict to realize that relapse is the rule rather than the exception. Relapse prevention therapy can help addicts learn how to avoid lapses, or how to minimize the severity of a relapse if they do slip. The sooner you seek help after a relapse, the sooner you’ll get back on track with your recovery program. রিহ্যাব সেন্টার || Drug Addiction Treatment || Rehab Center 1
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