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(1)What Is Rehab?

Rehab is a place someone suffering from an addiction goes, whether it be from alcohol, illegal drugs, or even prescription drugs. Scary

thoughts may run through your mind about attending rehab, but there is absolutely no reason to be nervous about attending a recovery center. Rehab is a safe place to heal from the pain the world has brought you. Renewal and relaxation come from attending rehab. The goal of attending is to not only achieve sobriety, but it helps to clear your thoughts and give meaning to your life once again, something you might have lost or replaced with substance use. Rehab picks you up with love and care and puts you back on your feet, feeling confident and supported unlike ever before.

(2)Why Should I Go to Rehab?

Detox is the first step to getting clean and overcoming your addiction. It is entirely possible to detox at home alone, but this is strongly advised against due to the dangers at-home detox might bring. If the chemical dependence on the brain is intense, especially if the drug dependency is on alcohol or opioids, unsupervised detox can be fatal. Rehab gives you professional medical care to ensure detox is carried out as efficiently and as comfortably as possible. Prescriptions may be given during detox to help cope with pain. Detoxing at home can be extremely uncomfortable, most of the time too uncomfortable to continue, making the user retreat back to the drug and develop a fear of detoxing again in the future.
Besides a safe and comfortable detox, rehab can give you a sense of purpose once again. Mediation and other techniques taught in rehab renew your mind, body, and soul. Focusing on yourself, rather than the world around you, allows you to discover your inner issues and open your eyes to how strong you are without your addiction. Being surrounded by love and support strengthens this process, especially being surrounded by those who are struggling with the same issues as you. Being encircled by love and warmth gives you a bigger reason to continue the process and stay sober.

(3)How Long Does Rehab Last?

Typical treatment plans last from 30, 45, 60, or 90 days depending on the severity of the addiction. Depending on the type of program you choose, you may spend more or less time in rehab. An inpatient program is where you stay in the recovery center for the duration of your treatment, while outpatient programs allow you to come in several times a week to check in and get help. Inpatient programs take you away from the temptations of your surroundings for the time being and are recommended for those with a higher chemical dependence. Outpatient programs are more suited for those who can’t leave responsibilities such as their career or their children. Attending an outpatient program can allow you to come in only a couple days a week to every day check in, depending on the rehab center and severity of your dependence.

(4)What Can I Bring to Rehab?

Every rehab center differs in the items you can bring. You are almost always allowed necessities such as toiletries, including shaving cream and a razor. You will want to bring a list of contacts to keep on file in case of emergencies and cash to buy little things you may not think about but end up needing within the facility. Stamps and envelopes are encouraged to have for writing letters to friends and family. Bringing pictures of friends and family will help support you through the process. A journal or notebook is recommended so you can write about your experiences and thoughts while on this new journey in your life. Most rehab centers will have designated smoking areas and allow you to bring cigarettes, but this is something to check on with the center.
Many rehab centers do have a dress code and will not allow you to wear too short of shorts or revealing tops (this is something to check with as well). Always make sure to bring tennis shoes and workout clothes just in case you are engaging in physical activity. It’s safe to assume you should bring at least 7 days’ worth of day and night clothes. Pack for any type of weather, meaning bring both lighter and heavier clothes just in case. No drugs of any kind (other than certain prescription medications) will ever be permitted at a recovery center, so make sure they are not packed in your suitcase. Medication is allowed if it is sealed and approved by a doctor. If you bring something that is not allowed, not to worry. You will get it back once you have graduated from your program.

(5)What Is a Normal Day in Rehab Like?

A normal day depends entirely on the rehab center. Usually, detox will be the first step in your recovery process. This could last anywhere from one day to two weeks. After you have successfully completed detox, you will be able to relax and recover by engaging in activities provided by the recovery center. Some have normal routines, such as breakfast first, then meditation, maybe group therapy, and then an outdoor activity. Others set aside free time for what the guest would like to do. Every day there will be some type of therapy and always set times for nutritional meals. The rest depends on the specific amenities the center provides.

(6)How Do I Get My Loved Ones to Trust Me After Rehab?

Gaining back a loved one’s trust is not an easy thing to do, but it is not impossible either. Graduating from rehab proves you want to better your life and are ready to make a permanent change. They will understand your struggles and will be willing to help support your new journey to a better life. The good news is they want to trust you again, you just have to make it easy for them. You can achieve this in a couple ways.
Make these new routines for your new life:
Be open and honest. This helps rebuild trust.
Never lie. You will only make it harder to trust you.
Create new routines. Sticking to a routine helps you stay on track for your goals and maintain a healthier lifestyle.
Eat healthy. Eating healthy will show your loved ones you care about your well-being, which helps promote the idea you will stick to your goals of sobriety.

(7)What types of treatment are available?
There are several levels of care available for patients at different stages of addiction. Most programs begin with detoxification, a process that cleanses the drugs from your system and prepares you for the deeper work of recovery. Your treatment can take place at a residential (also known as “inpatient”) facility, where you receive 24-hour monitoring, or at an outpatient center, where you receive recovery services during the day while living off site. Partial hospitalization is an intermediate level of care, which is less intensive than residential treatment, yet more structured than outpatient rehab.

(8)Will withdrawal be uncomfortable?
Drug withdrawal symptoms can range from mildly uncomfortable to life-threatening, depending on the type of drug, the extent of the drug abuse, and the user’s physical and psychological health. As the body and brain withdraw from the effects of drugs, you may experience side effects such as:
Headaches
Nausea
Irritability
Fatigue
Anxiety
Loss of sleep
Loss of appetite
Sweating
Watery eyes
Runny nose
Muscle spasms
Bone pain
Involuntary movements
Seizures
Hallucinations
Confusion
Fever
Drug withdrawal is usually accompanied by strong cravings for the drug of choice. These cravings can become so powerful that they overwhelm the user’s desire to quit. One of the primary goals of medical detoxification is to reduce withdrawal symptoms and cravings, so that the patient will be as comfortable as possible. Withdrawal can be made easier through medical monitoring, pharmaceutical therapy, fluid replacement, nutritional supplementation, and sychological support.

(8)How long does detox last?
During detox — the first stage in recovery — toxic chemicals are cleared from your system. The length of time required to complete this process can vary from one patient to another, depending on the extent of the user’s addiction. For lighter users, detox may last only a matter of days. The Treatment Episode Data Set report of 2006 indicated that the median length of stay in detoxification programs was four days, meaning that half of the users who were surveyed stayed longer, and half required more time to detox. For heavy users, or those with complicated substance abuse histories, detox may take a week or more. Detoxification from certain prescription drugs, including sedatives or tranquilizers, may require a more extended drug tapering process to gradually ease the user off the medication and prevent serious side effects. Detox from narcotics like heroin, morphine, oxycodone, or hydrocodone often requires opioid replacement therapy with a drug like methadone or buprenorphine to ease withdrawal and curb cravings.

(9)What is inpatient treatment?
Inpatient treatment, also known as residential treatment, takes place in a structured, supervised environment, such as a hospital, mental health facility, or dedicated rehab center. Inpatients receive intensive substance abuse treatment services — and psychiatric care, if appropriate — while living full-time at the facility. Inpatients receive 24-hour monitoring by doctors, nurses, or therapists in the security of a drug-free atmosphere. Inpatient care is often recommended for patients who have a history of heavy drug use, for those who have serious co-occurring health concerns, or for those who have relapsed after previous experiences with treatment.

(10)What is outpatient treatment?
Outpatient treatment is a more flexible, less structured path to recovery. In outpatient treatment, the patient can participate in counseling, education, medication management, and other recovery services during the day while living at home or in a transitional living center. Detoxification services are also provided in outpatient settings. Outpatient programs are offered in many locations: rehab facilities, hospitals, community health centers, and correctional facilities, and more. Outpatient services are appropriate for individuals who have graduated from inpatient treatment and who are ready to make the transition back to the community. This level of care may also be the right choice for those in the early stages of drug abuse who are still functioning effectively and who are highly motivated to quit.

(11)Characteristics of the best drug rehab?
With so many options when it comes to drug rehabs, it’s not surprising that choosing the right place could be one of the most difficult choices you’ve made in a long time. If you’re attempting to pick a facility for a love one who is suffering from addiction, you may be concerned about backlash should the program not provide what you had hoped. This is why it’s important to do some thorough research and ask the right questions in the beginning when trying to determine the best drug rehab option.

(12)what is addiction?

Addiction is a complex condition, a brain disease that is manifested by compulsive substance use despite harmful consequence. People with addiction (severe substance use disorder) have an intense focus on using a certain substance(s), such as alcohol or drugs, to the point that it takes over their life. They keep using alcohol or a drug even when they know it will cause problems. Yet a number of effective treatments are available and people can recover from addiction and lead normal, productive lives.
People with a substance use disorder have distorted thinking, behavior and body functions. Changes in the brain’s wiring are what cause people to have intense cravings for the drug and make it hard to stop using the drug. Brain imaging studies show changes in the areas of the brain that relate to judgment, decision making, learning, memory and behavior control.

These substances can cause harmful changes in how the brain functions. These changes can last long after the immediate effects of the drug — the intoxication. Intoxication is the intense pleasure, calm, increased senses or a high caused by the drug. Intoxication symptoms are different for each substance.

Over time people with addiction build up a tolerance, meaning they need larger amounts to feel the effects.

According to the National Institute on Drug Abuse, people begin taking drugs for a variety of reasons, including:

to feel good — feeling of pleasure, “high”
to feel better — e.g., relieve stress
to do better — improve performance
curiosity and peer pressure
People with addictive disorders may be aware of their problem, but be unable to stop it even if they want to. The addiction may cause health problems as well as problems at work and with family members and friends. The misuse of drugs and alcohol is the leading cause of preventable illnesses and premature death.

Symptoms of substance use disorder are grouped into four categories:

Impaired control: a craving or strong urge to use the substance; desire or failed attempts to cut down or control substance use
Social problems: substance use causes failure to complete major tasks at work, school or home; social, work or leisure activities are given up or cut back because of substance use
Risky use: substance is used in risky settings; continued use despite known problems
Drug effects: tolerance (need for larger amounts to get the same effect); withdrawal symptoms (different for each substance)
Many people experience both mental illness and addiction. The mental illness may be present before the addiction. Or the addiction may trigger or make a mental disorder worse.

(13)How Is Addiction Treated?
efective treatments for addiction are available.

The first step on the road to recovery is recognition of the problem. The recovery process can be hindered when a person denies having a problem and lacks understanding about substance misuse and addiction. The intervention of concerned friends and family often prompts treatment.

A health professional can conduct a formal assessment of symptoms to see if a substance use disorder exists. Even if the problem seems severe, most people with a substance use disorder can benefit from treatment. Unfortunately, many people who could benefit from treatment don’t receive help.

Because addiction affects many aspects of a person’s life, multiple types of treatment are often required. For most, a combination of medication and individual or group therapy is most effective. Treatment approaches that address an individual’s situation and any co-occurring medical, psychiatric and social problems can lead to sustained recovery.

Medications are used to control drug cravings and relieve severe symptoms of withdrawal. Therapy can help addicted individuals understand their behavior and motivations, develop higher self-esteem, cope with stress and address other mental health problems.

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1. What is Alcoholism / Substance abuse?
Drug Addiction is a condition where the addict develops drug seeking behavior. There are three main stages in Addiction and those are Preoccupation, intoxication, and Withdrawal. An addict constantly craves for the Drug or substance, as the drug use progress, he seeks more and more quantity of the drug to get the intoxication effect, and finally develops tolerance and withdrawal symptoms.

2. How can I tell that someone I know is using drugs?
Some of the early warning signs of drug addiction are:

• Loss of appetite / loss of weight

• Personal neglect in the form of unkempt hair, uncut nails, dirty clothes, decreased frequency of bathing, poor dental hygiene.

• Frequent mood fluctuations ranging from grandiosity to depression.

• Increase in monetary and emotional demands.

• Drooping eyelids.

• Hollowed eyes and dark circles under eyes.

• Comes home late and at odd hours.

• Avoiding old friends and family.

• Compulsive lying

• Disappearance of articles and personal belongings.

• Unburnt Loose tobacco – in the ashtray.

• Needle marks or abscesses on forearms, burnt tips of thumb, forefinger and middle finger.

• Direct evidence in the form of a vial, stained coin, candle, foil may also be found.

3. Why does a substance abuser / alcoholic keep relapsing? What can be done about it? 
Studies on relapse have consistently shown that relapse is a process, whose final step is drinking or drug use. Many things happen before a person picks up the drink or drug. The relapse process is inevitable; it is a basic symptom of the disease of addiction. However, the process can be arrested before patients get to that first drink or drug, and reversed. Arresting and reversing the relapse process is a lifelong aspect of recovery from alcoholism and drug addiction.

4. Can I safely use drugs / alcohol in limitation, now that I have completed treatment? 
Addiction is a lifelong, chronic progressive illness. Experience shows it to be a stable diagnosis (i.e., even after a period of time of sobriety, return to drinking will result in rapid deterioration to worse levels than previously). One often quoted aspect of alcoholism is that it is "cunning, baffling and powerful." Often the desire to "safely" use addictive drugs is a symptom of the disease, and addicts and alcoholics may not know it. In this case, the only safe course of action is to address the relapse trigger, rather than take the drug. Alcoholism/ Addiction is not a curable illnesses, but it can be arrested and then recovery is possible.

5. What can I do if he/ she doesn’t want help? 
Remember that not wanting treatment is a typical symptom of the disease of addiction. All patients with the disease of addiction go through periods where they don't want help. Some people stay there and never want help; some people do have moments of great pain where they are ready to accept help. Often, an intervention can be instrumental in motivating the individual to seek help. Drug addiction is a chronic, progressive, and ultimately fatal disease. An intervention can help the person get treatment even when he / she is suffering from the core symptom of denial.

6. What does a rehabilitation center do?
A rehabilitation center helps addicts in the recovery process. The centers have an outlined residential program. Use of discipline, creative & constructive routines and psychological treatment methods are the salient features of the centers. The addicts are helped to analyze themselves, confront defensive behaviour and learn coping patterns. The duration of the patient's stay may vary from 6 to 7 months.

7. Can an addict lead a normal life? 
Yes, and they can even progress and help other addicts during their treatment and recovery. They can restart their education, career plans, family reunification etc. They should however always completely abstain from all addictive and mood altering substances.

8. What is the role of family members? 
Role of family members in helping the addict is very crucial.

• They need to accept that the addict is ill, and in need of treatment like any other disease.

• They need to play a remedial role as prescribed by the counsellor

• Changing their thinking, feeling and behaviour patterns is necessary

• It is important to play a vigilant role in case the patient slips back to addiction

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(1)Do i need rehabilitation treatment for my addiction?
All the people suffering from addiction do not require admission to a Rehab Centre; few cases can be dealt in the OPD. If the patient understands his problem and is motivated to work on them sincerely there is a chance he may improve by seeing his therapist on a regular basis, the support groups like AA and NA are also helpful in motivating the patient to give up his addiction.

(2)WHY ADDICTION IS CALLED A DISEASE?
Addiction takes a form of disease because it is beyond the control of the patient. It is like any other viral fever which has relapses and treatment is required to overcome it. There is no element of self control or will power which can control it. It is only when the patient comes out of denial and is motivated to bring a change in himself with the help of family, psychiatrist and psychologist and support groups that he is able to beat it.

 

(3)IS THE REHABILITATION PROGRAM SAME FOR EVERY ONE?
No, the program is different for different people. It is generally determined by severity of the disease and understanding and motivation of the client. Program is customized depending upon age, sex, religion, cultural beliefs and mental status of the patient.

 

(4)DO THE MEDICINES WHICH ARE USED FOR TREATMENT HAVE AN ADDICTIVE POTENTIAL?
No, medicines are used keeping in mind that these people are predisposed to abusing even the prescription drugs. The medicines used for withdrawals are gradually tapered and patient is only maintained on medicines that are essential for his physical and mental well being.

 

(5)WHAT IS THE OPTIMUM DURATION OF TREATMENT?
That is again dependent on the severity of the disease, insight about the disease and willingness to work on the problems. A good treatment is for 12 weeks but can be shortened or lengthened according to the individuals needs. But anything short of 6 weeks is not recommended.

 

(6)WHAT ARE THE CHANCES OF RELAPSE?
There is 60% to 70 % chance that your patient will remain clean after the first treatment. Relapse does not indicate that the treatment has failed it simply implies that the patient requires another intervention and change in approach in dealing with addiction. Family and therapist should not give up on the patient

 

(7)DOES THIS TREATMENT CATER TO THE MEDICAL COMPLICATIONS OF MY PATIENTS?
Yes, we are a qualified team of doctors and nurses and paramedical staff. We can take care of co –existing medical conditions like diabetes, hypertension…. visiting specialist like gastroenterologists and neurologists are also available if required. If the blood test examination indicates medical complications like varices (bleeding from mouth), jaundice, pancreatitis or any life threatening complication family is advised to shift patient to a multi specialty hospital. .

 

(8)DOES THIS PROGRAM CATER TO THE MENTAL PROBLEMS OF MY PATIENT?
Yes, we are a experienced team of psychiatrist with special training in co occurring psychiatric ailments like schizophrenia, bipolar disorder, anxiety, depression …. Medicines are started for these patients after evaluating their mental status and program is devised to take care of addiction and mental illness.

 

(9)WHAT IS THE ROLE OF THE FAMILY?
Family has the most important role in the treatment, they can steer the treatment in a positive direction by being honest, committed and sincere. The disease of addiction is a very manipulative; patient knowingly or unknowingly can blackmail their families, so the family should be mentally prepared and discuss the treatment openly and honestly with their therapists

Q: How do I know if addiction is affecting me?

A: Addiction is defined by the National Institute on Drug Abuse (NIH) as a chronic disease in which individuals keep using substance no matter the negative consequences. So, if you have tried to stop drinking or using drugs and failed, or if you use despite the harmful impact on your life, you may be struggling with addiction. It’s important to recognize the signs of addiction before it causes severe damage to the brain, body or even death.

Q: How long is your treatment program?

A: Each treatment program track is specifically individualized to meet the needs of a specific patient. For this reason, each patient’s suggested stay will differ. Generally, if the individual has not gained any prior treatment, we will suggest a 30-45 day stay in our residential housing for day treatment before moving on to the next phase. Our treatment program in NC has many amenities to keep patients busy doing their stay.

 


 

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