by Sher Delva | Jun 22, 2017 | Addiction, Addiction Medicine, Addiction Stigma, Addiction Treatment, Stigma, Therapy, Withdrawal
The opioid epidemic continues to reach epidemic numbers, and with the increasing overdoses comes increasing cases of hepatitis C. New cases of hepatitis C have nearly doubled over the past few years. Furthermore, those with opioid addiction are more likely to suffer from a variety of health disorders, complicating treatment for substance use disorder.
Hepatitis C is among the most concerning disorder to affect people with opioid addiction. People who abuse opioids are 9.1 times more likely to have hepatitis-C (HCV), in comparison to those who did not abuse opioids, according to an analysis by the health care company Amino. Amino drew data from the claims of 3.1 million privately insured patients between 2014 and 2016.
As the opioid epidemic spreads throughout the country, new cases of HCV have skyrocketed. In 2014, there were an estimated 30,500 new cases in the United States. This is nearly double the number of new cases in 2011, according to STAT News.
The CDC reports that new HCV infection is rising specifically among intravenous drug users under 40 years old, particularly in more rural areas. People with opioid use disorder are more likely to drink to excess, and more likely to have suicidal ideation.
While these numbers are shocking, many are not surprised:
“It’s known that people with co-occurring behavioral and mental health issues are at high risk for addiction even when prescribed opioids for a bonafide prescription medical use,” Dr. Anna Lembke, a Stanford University psychiatrist, and opioid addiction expert, told Amino.
However, Lembke was particularly moved by the fact that people with opioid addiction are seven times more likely to suffer from “failed back syndrome,” a chronic condition that is diagnosed following back surgeries.
“What I thought was really interesting was the correlation with failed back syndrome,” she said. “Perhaps failed back syndrome is a risk factor for developing an opioid use disorder—and that could be part of the reason why this community experiences such chronicity and lack of improvement. This is a subgroup that’s especially vulnerable to opioid misuse.”
The data collected by Amino looked at health claims among people with a variety of insurance codes, representing conditions from opioid dependence to opioid abuse in remission. Amino is a private insurer, and the data revealed a sharp increase in opioid abuse specifically among those with private insurance. According to the data, there was a six-fold increase in opioid-related insurance claimed between 2012 and 2016 among private insurers.
However, Lembke notes that this sharp increase may be underrepresented:
“Patients don’t want to carry them on their charts, and doctors don’t want to stigmatize their patients,” said Lembke. “But they will go ahead and chart it if there’s utility in it. And the utility is you can’t get buprenorphine, methadone maintenance, or naltrexone paid for by a third-party payer unless it’s diagnosed.”
Last month was Hepatitis Awareness Month. The treatments for hepatitis C have really come a long way, and it no longer as life endangering as It once was. The key is to seek treatment early. Unfortunately, due to the stigma of addiction, many are afraid to get tested.
Studies like these show that the numbers are not improving. Those with opioid addiction seriously need testing to prevent the disease from progressing any further. Please do not feel shame about testing for this disorder. Furthermore, if you are struggling with substance use disorder, please reach out to us. We have the tools to guide you to a sober life. Do not wait. Call today.
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by Sher Delva | Jun 20, 2017 | Addiction, Addiction Stigma, Drug Abuse, Mental Health, Prescription Drugs, Stigma, Therapy, Uncategorized, Withdrawal
Yesterday, we covered recent coroner reports that revealed that actress Carrie Fisher has drugs in her system days before her death. The toxicology reports found evidence of heroin, MDMA along with cocaine in her system.
It’s estimated that cocaine was used three days before her death. However, it remains uncertain when the heroin and MDMA were used. Still, despite the discovery, the coroner’s office cannot determine whether or not drugs played a role in Fisher’s death. A variety of other factors such as a heart condition affected the actress as well. Therefore, a cause of death could not be determined.
Daughter Tells It Like It Is
Now, Billie Lourd, the only child of Carrie Fisher, recently opened up to media outlets to confirm what the coroners cannot: her mom died from drug addiction. While this is far from surprising for her fans, Lourd’s bold act of ownership is what her Mom would have wanted.
Carrie Fisher has always made an effort to publicize her journey with mental illness and addiction. She was diagnosed with bipolar disorder at just 24 years old and battled a serious drug addiction most of her life.
Lourd made an emotional statement regarding her mother. While reports stated it was uncertain whether drugs caused her death, Lour was less ambivalent, declaring that she was certain her mother died due to her drug use.
“My mom battled drug addiction and mental illness her entire life,” Lourd said in a statement to People magazine. “She ultimately died of it. She was purposefully open in all of her work about the social stigmas surrounding these diseases.”
“She talked about the shame that torments people and their families confronted by these diseases. I know my mom. She’d want her death to encourage people to be open about their struggles. Seek help, fight for government funding for mental-health programs. Shame and those social stigmas are the enemies of progress to solutions and ultimately a cure. Love you, Momby.”
Carrie Fisher: Forever an Advocate
Carrie Fisher has always been one of the most powerful advocates for people struggling with substance use disorders. She used her fame from the Star Wars franchise to stimulate discussion and awareness about drug addiction, mental illness and the challenges of recovery.
“I did drugs because they alter you in a way you can’t alter yourself if you’re not comfortable in your own skin,” she told Mirror Online in 2015.
The actress admitted she used drugs as self-medication for her bipolar disorder. She stated that she was not ashamed about her mental illness, and instead hoped more people would come forward seeking treatment.
“One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. … At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you’re living with this illness and functioning at all, it’s something to be proud of, not ashamed of,” she said In her 2008 memoir, Wishful Drinking.
Results of Toxicology Report
A full autopsy report was not conducted at the request of Fisher’s family. The toxicology report stated it was uncertain whether substances played a role in her untimely death.
“Based on the available toxicological information, we cannot establish the significance of the multiple substances that were detected in Ms. Fisher’s blood and tissue, with regard to the cause of death,” stated the report.
Lourd is taking the extra step to confirm what most try to disguise. Carrie Fisher was never ashamed to discuss her struggles with addiction. She was a voice to those who feared to come forward. If you struggle with addiction, mental illness or both, please reach out. Call now. We want to help.
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by Justin Mckibben | Jun 20, 2017 | Addiction, Drug Abuse, Prescription Drugs, Withdrawal, Xanax
Xanax is a brand name of the drug Alprazolam; one of the most popularly prescribed medications in the country, and yet it is associated with plenty of side-effects and very serious health problems. In the benzodiazepine (benzo) category of medications Alprazolam is the most prescribed and often most abused substance on the list. Xanax is used to treat:
It is also prescribed to be used as a muscle relaxer, stress reliever and sleep aid. However, it has earned its name on the DEA list of schedule IV controlled substances, and comes with a laundry list of side effects. These side effects will vary in frequency and intensity depending on many factors. Some are more common, while others are indications of a more serious health risk.
What Are the Side Effects of Xanax: Common
The more moderate side effects of Xanax include:
- Ataxia
- Cognitive dysfunction
- Constipation
- Drowsiness
- Decreased sex drive
- Irritability
- Feeling light headed
- Slurred speech
- Fatigue
- Memory impairment
- Weight gain/loss
- Blurred vision
- Insomnia
- Changes in appetite
What Are the Side Effects of Xanax: Less Common
There is a very extensive list of side effects people have reported in connection to Xanax that are less common. Some of these side effects of Xanax include:
- Abdominal/stomach pain
- Body aches
- Drastic behavioral changes
- Chills
- Confusion
- Cough
- Decreased frequency and/or volume of urine
- Diarrhea
- Dry mouth
- Ear congestion
- Fainting
- Fear
- Headache
- Hyperventilation
- Irregularities with eyes
- Restlessness
- Irregular heartbeats
- Itching
- Joint pain
- Loss of bladder control
- Nausea
- Painful urination
- Rash
- Hallucinations
- Shaking/Shivers
- Sweating
- Swollen joints
- Tightness in the chest
- Uncontrolled movements
- Unpleasant breath odor
- Wheezing
- Yellow eyes or skin
What Are the Side Effects of Xanax: Severe
There are also some side effects that are listed that are more severe than others. Some of these should be taken extremely serious, and can be signs of a much more severe and potentially life-threatening condition.
- Depression
- Suicidal thoughts
- Vomiting Blood
- Chest pains
- Breathing problems (deep and slow or fast)
- Ear pain
- Irregular heartbeat
- Feeling unusually cold
- Hearing loss
- Lack of feeling or emotion
- Loss of control of limbs
- Nightmares
- Numbness
- Severe sleepiness
- Swelling
- Seizures
In 2012, a study released by SAMHSA found that benzo drugs like Xanax accounted for around 35% of drug-related visits to hospital emergency and urgent care facilities.
What Are the Side Effects of Xanax: Withdrawal Symptoms
Xanax works very fast and has a relatively short half-life, which causes withdrawal symptoms to begin very rapidly once the individual discontinues their use, which is why a Xanax addiction detox program is so important. Most people will start to feel withdrawal symptoms within 12 hours once they stop using Xanax, and those symptoms will peak within 3-4 days. Residual and long-term symptoms of withdrawal can even last for up to months at a time.
Going through a medical Xanax addiction detox program is so important because of the severity of some of these symptoms, especially in combination with other substances such as alcohol which will increase the discomfort. The most common withdrawal symptoms from Xanax include:
- Headache
- Blurred vision
- Muscle aches
- Tension in the jaw and/or teeth pain
- Nausea
- Vomiting
- Diarrhea
- Numbness in fingers
- Tingling in limbs
- Sensitivity to light and sound
- Alteration in sense of smell
- Loss of appetite
- Insomnia
- Cramps
- Tremors
- Heart palpitations
- Hypertension
- Sweating
- Fever
- Impaired respiration
There are other side-effects that happen when combining Xanax with other substances, especially with other depressant type drugs such as alcohol. When combining Xanax with alcohol, it can create even more serious health problems, like:
- Behavioral changes
- Intoxication
- Severe sedation
- Psychomotor agitation
- Seizures
- Coma
- Death
Withdrawal from either substance can be risky, but the combined effects can be lethal.
What Are the Side Effects of Xanax: Important Factors
When it comes to the Xanax side effects, or side effects for any drug, there are important factors that come into play. For instance, the amount of the substance used matters. If someone takes a higher dose of Xanax more frequently, they will most likely experience side effects different than someone who takes lower doses less frequently. The method of use can also impact the side effects.
Also, any additional substances or medications being used along with Xanax can cause the side effects to become more severe. Someone combining Xanax with other sedatives may experience side effects in a different way than someone combining Xanax with stimulant drugs.
Finally, side effects may also vary for anyone dealing with pre-existing health conditions or co-occurring mental health disorders. If an individual already has kidney or lung problems, their side effects may be very different than someone who is physically healthy but struggles with a mental illness like bipolar depression.
What Are the Side Effects of Xanax: Addiction
Out of all the side effects for Xanax, addiction is definitely a serious problem. Developing a physical dependence that then evolves into a substance use disorder can not only cause extensive damage to the individual’s life, it can exacerbate all other side effects and symptoms.
Extended use of a drug like Xanax can cause new health problems. With the brain, benzo drugs can cause malfunctions in coordination and damage brain cells. It can affect how the brain operates and have lasting psychological effects. One of these can be the cravings for the drug, as well as dramatic mood shifts.
Some research published in 2016 actually suggests that long-term use of benzodiazepine drugs like Xanax significantly increases the risk for brain, colorectal, and lung cancers.
Addiction is something that doesn’t only manifest in a physical form. Drug addiction also takes a mental and emotional toll. All the effects can be extremely difficult to overcome, and can even be dangerous when unmonitored. Anyone trying to overcome Xanax addiction should attend a safe medical detox program. Even with some prescriptions of symptom controlling medications, a quick detox can be very tough and uncomfortable. A drastic drug detox should never be attempted without medical supervision.
With Xanax addiction treatment, there should be a strong medical staff to assist in a comfortable transition from active substance abuse. There should also be levels of personal and professional therapy and a specialized team dedicated to designing an aftercare program that meets the specific elements of a long-term recovery plan. If you or someone you love is struggling, please call toll-free now.
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by Sher Delva | Jun 20, 2017 | Addiction, Addiction Stigma, Drug Abuse, Mental Health, Stigma, Therapy, Uncategorized
Autopsy reveals Carrie Fisher had cocaine, ecstasy, and heroin in her system before death
Six months after Carrie Fisher’s death, new reports reveal the cause of death.
Coroner’s officials ruled that Fisher died from sleep apnea and a combination of other factors. The “Star Wars” actress fell ill on the plane last year, but investigators could not determine what impact drugs had on her death.
New Toxicology Reports
Now, toxicology reports reveal that Fisher had cocaine in her system and could have taken cocaine three days prior to the December 23 flight on which she had a heart attack. Fisher died four days after the flight.
The reports also say traces of heroin, other opiates, and ecstasy were found, but they could not determine when Fisher took these drugs. The findings were based on toxicology screenings taken when the “Star Wars” actress arrived at a Los Angeles hospital.
The full report contains a detailed explanation of the results, such as why investigations believe cocaine was taken by the actress at least three days prior to her flight. It also states that while heroin is detectable in the system for a briefer period of time, investigators could not determine when Fisher took it or ecstasy. Toxicology tests also found opiates in Fisher’s system, including morphine, although reports state this could be a byproduct of heroin.
“Ms. Fisher suffered what appeared to be a cardiac arrest on the airplane accompanied by vomiting and with a history of sleep apnea. Based on the available toxicological information, we cannot establish the significance of the multiple substances that were detected in Ms. Fisher’s blood and tissue, with regard to the cause of death,” the report states.
Other Potential Factors
Among the factors that contributed to Fisher’s death was the buildup of fatty tissue in the walls of her arteries, a condition known as atherosclerosis.
A phone message left for Fisher’s brother, Todd, was not immediately returned. Todd Fisher said in a statement Friday that he was not surprised
“I would tell you, from my perspective that there’s certainly no news that Carrie did drugs,” Todd Fisher said.
Carrie Fisher has been open about her drug use to the media and wrote about her struggles extensively. Many of the drugs were prescriptions by doctors to help Fisher overcome her mental health conditions, Todd Fisher noted. Fisher had long battled drug addiction and mental illness.
Fisher started smoking marijuana at 13, used LSD by 21, and was diagnosed with bipolar disorder at 24. Doctors treated her with medication and even electroshock therapy.
“I am not shocked that part of her health was affected by drugs,” Todd Fisher said.
So what was the cause of Fisher’s death?
Todd Fisher believes it was a combination of Fisher’s heart condition along with her smoking habits, and the medications she took.
“If you want to know what killed her, it’s all of it,” he said.
Carrie Fisher opened up in 2016 about her life-long struggles with insecurity. She admits she dealt with it extensively in the original “Star Wars” movie in the 70s. She even admitted to an affair with co-star Harrison Ford, at only 19 years old, in which she felt tremendous guilt.
Furthermore, Fisher has revealed challenges with body image after gaining weight. Before filming “Star Wars: Episode VII”, Fisher admits she was told to lose 35 pounds.
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Fisher’s life has not always been easy. However, we will always love and appreciated her work. Addiction is a disease and should be treated as such. Fisher’s struggles are not a reflection of who she is as a person. She struggled with the disease of mental illness and addiction like many do. If you struggle with the same issues, please reach out. We want to help you before it is too late. Call now.
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by Justin Mckibben | Jun 19, 2017 | Anxiety Disorder, Drug Abuse, Mental Health, Panic Disorder, Prescription Drugs
The American Generation X faced high rates of depression, but it seems now the millennial age is plagued with an outbreak of American anxiety.
Anxiety on an occasional basis is a pretty standard part of the human experience. When we are faced with difficult tasks, frightening news or even critical decisions, we will naturally experience some form of anxiety. There is a big difference between these feelings of worry and a developed anxiety disorder. With serious anxiety disorders the feeling isn’t fleeting, it can linger and grow worse over time. Anxiety disorders can cripple our ability to complete everyday activities, and it can take many forms, such as:
- Panic disorder
- Social anxiety disorder
- Generalized anxiety disorder
Of course our outside world can have a drastic impact on these feelings, and our ability to face them. Here in America some believe that anxiety has evolved with society and now impacts more and more people. According to the Anxiety and Depression Association of America:
- Anxiety disorders affect over 40 million adults age 18 and over in the United States, accounting for 18% of the population
- GAD (generalized anxiety disorder) affects 6.8 million American adults
- Panic Disorder affects 6 million American adults
- Social Anxiety Disorder affects 15 million American adults
- Specific Phobias affect 19 million American adults
Other disorders are closely related to anxiety disorders, such as:
- Obsessive Compulsive Disorder (OCD)– affecting 2.2 million
- Post Traumatic Stress Disorder (PTSD)– affecting 7.7 million
- Major Depressive Disorder– affecting 15 million
This doesn’t even begin to address the various related disorders that often co-occur with anxiety disorders, such as eating disorders or substance abuse. So is American anxiety a mental health epidemic?
An Anxious Nation
Earlier this month there was an article in the New York Times entitled “Prozac Nation Is Now the United States of Xanax” In the piece the author recounted how American society has seemingly grown into a nation where an anxiety diagnosis is now as common as a diagnosis of depression. The author, Alex Williams, suggests:
“Anxiety is starting to seem like a sociological condition, too: a shared cultural experience that feeds on alarmist CNN graphics and metastasizes through social media.”
Williams includes some pretty damning numbers to support the conclusion, such as:
- Anxiety disorders are now more common than depression on college campuses, which has always been the leading mental health disorder among university students.
The National Institute of Mental Health reports:
- 38% of teenage girls have an anxiety disorder
- 26% of teenage boys have an anxiety disorder
Politics and Anxiety
If anyone out there is like me, this one may hit close to home. Every time I come across a story about the state of national affairs, or even about a controversial piece of legislation in another state, it gives me pause. I am not going to point the finger at anyone, but needless to say I am an idealist and I think we could do much better. My anxiety flows from the intensity with which some people attack those they cannot compromise with, and what that may say about our future. Politics frequently contribute to many people’s anxieties.
Another article on anxiety was published in the New York Times back in April of this year, where the author looked at the issue of American anxiety from both a social and generational view, comparing the issues of past generations with the social construct the newer generation of Americans face today. With wondering what to worry about, some would say to pick your own panic flavored poison. From the side of political anxieties people could choose between:
- Economic anxiety
- Racial anxiety
- Cultural anxiety
- Demographic anxiety
In the grander scheme of things, American anxiety was the “profound unease” and the more our politics seem to revolve around our racial, economic or cultural differences the more unease sets in.
While the news is constantly informing us of another contention with legislation on education, health care and immigration, we are also dogged by the drama of foreign influence and relations. While no average American is in control of such things directly, we can easily adopt anxieties over these outcomes, especially in the current political climate. Far too many have developed the “us VS them” attitude of party politics, and it only fuels more anxiety through division and distrust.
Technology and Anxiety
Of course the concept of smartphones and social media comes hand in hand with examining how American anxiety has reached such heights. We have these constant tools of connectivity that some have said simultaneously make us feel more detached. When social media, instant messaging and texting has us on the constant look out for communication, validation or distraction we can easily become far too reliant on technology for peace of mind. On top of that, studies have indicated people develop an urge to constantly check their phones for updates and interactions. This need to be tethered to our iPhones has fed into our nervous behavior.
Another new wave of technology, if you can even call it that, is the hand-held toys specifically designed for people dealing with fidgeting. We all remember stress balls, and now a recent phenomenon of the “fidget spinner” device has seen incredible spikes in sales. These types of toys were originally developed to help children with anxiety, ADHD or autism. These toys come in various shapes and designs to replace the incessant clicking of a pen or tapping of a finger. Lately children, adolescents, and young adults appear to use these toys. One may see it as a fad taking off, but could these tedious decoys be actually serving a purpose by alleviating anxious feelings?
Is the seemingly ridiculous popularity of “fidget spinners” happening because more people are subconsciously trying to overcome their own anxieties?
Anxiety and Substances
Anxiety is notably a product of uncertainty. Many of us addicts use to seek out a measure of escape or comfort. So when we are looking to diminish our anxiety, wouldn’t it make sense that we ask for some semblance of certainty? Some might argue substances, legal or otherwise, provide some much needed consistency. I know personally, as someone who struggled with serious anxiety for years, that I would try to use drugs to be numb to the fear. However, I ultimately found that the drugs and the drinking fed my fear, which in turn exacerbated my anxieties.
Anti-anxiety medications, like Xanax, are some of the most prescribed drugs in America. It is possible to become convinced that a pill can fix everything, especially in a world where pills are everywhere and we are so used to instant gratification. And yet, many of these pills are potent and dangerous; they come with their own baggage. Xanax may be helpful to some, but it is also one of the top prescription drugs being abused in America.
Others will seek out a way to dull their anxieties through illicit substances. They may seek a calm release from their nerves through abusing alcohol or drugs, especially depressant drugs or “downers”. Opioids, such as OxyCodone or heroin, are the most commonly abused depressants next to alcohol. In the midst of an opioid epidemic, we may be seeing how growing rates of American anxiety have fed into a devastating drug addiction crisis. With mental health and substance use disorders, dual diagnosis treatment becomes essential.
Underneath all of this is a constant fact; American anxiety is real. What are we most worried about? That may be subjective. Freud explored the concept of “anxiety neurosis” which we today commonly call GAD. This Freud describes as a fear that could be attached to any appropriate idea. So no matter what our circumstances, we could attach fear to it and then it would become our focal point to the extent it may be debilitating. The fear is there, even in the home of the brave.
For those struggling with substance use disorder and an anxiety disorder, dual diagnosis treatment with a holistic approach can make all the difference. For someone to create lasting coping skills and break out of self-destructive and counter-productive habits, holistic treatment can be a game changer. If you or someone you love is struggling please call toll-free now.
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by Sher Delva | Jun 16, 2017 | Addiction, Mental Health, Mental Health Stigma, Stigma, Therapy
All over social media, articles with titles like “5 Ways to Know You’re an Introvert” or “Why Introverts Are Great to Date” continue to gain popularity. Suddenly, it seems like being an introvert is the latest trend. However, the reality is most people still do not know what it means to be an introvert
Many assume that introverts are simply shy people. This is far from the case. In fact, introverts are often actors, performers, and motivational speakers. Introversion has more to do with how you enjoy spending your time re-energizing, and not how shy you are.
Extroverts tend to re-energize by engaging in social activities like going out to eat with friends, or mingling at a party. While introverts may enjoy these activities, they do not find them to be energizing. Instead, they are likely to re-energize by staying home, reading a book, or meeting a friend one-on-one for coffee.
Everyone is different. Introversion and extroversion occur on a spectrum. No one person is completely an introvert or completely an extrovert. However, introverts tend to share certain traits and challenges. Recently, Heidi McGuirk, the co-founder of Revolutionary Health and life coach, opened up about what introversion means.
McGuirk affirms that it is crucial that introverts discuss their personality type with others. Otherwise, it is easy for relationships and friendships to suffer due to misunderstanding.
Introverts vs. Extroverts
McGuirk explains the difference between introverts and extroverts in by using her career as an example:
“The easiest way to explain it is my husband and I do the exact same thing for a living: we both speak, we both teach, we both do seminars and workshops. He can speak all day long, do an eight-hour training and at the end of that training, want to go out to dinner with as many people from that workshop as possible, and stay up and talk and continue to go,” she explains.
However, McGuirk does not respond the same way to social stimulation.
“After I do a workshop, whether it’s two hours or eight hours, I need to go home, fold the blinds, get cozy comfy and disappear and take a hot bath and kind of not talk to anyone.”
Why is there such a huge difference?
McGuirk explains it’s because introverts need to recharge. If this is not understood by all parties involved, it can often come across cold and aloof.
Another example she uses is when she and her husband go to Disney World with their toddler. While McGuirk loves to go to Disney World, at a certain point, she finds she must take a break from the constant stimulation.
“Being an introvert, I love being there, but there’s a certain point that I have at Disney that’s like the breaking point where I just need to kind of go find a spot to be alone, and just be by myself,” she explains.
It’s important to communicate this need, McGuirk says, because otherwise, the people around you will wonder what suddenly went wrong.
“If I don’t communicate that, it can look like 0 to 60 in a split second because I’ll be having fun and all of a sudden, uh-oh, I’ve reached my boiling point,” she says. “ If I don’t tell [my husband] what’s going on with me, he’s left scratching his head going, ‘What’s wrong with her? Is she bipolar or crazy? Or is it me?”
Instead of hiding, introverts need to expose themselves, rather than pretend. Introverts have a tendency to try to overcome their introversion through behaving like an extrovert. However, after a while, introverts burn out and cannot hide behind that façade anymore.
Why Introverts Detest Small Talk
Introverts have a need for solitude and a more focused communication style. It is important to explain those to others who lean on the more extroverted side, McGuirk explains.
Furthermore, introverts tend to detest small talk. Small talk is seen as wasted energy that introverts would rather save for more important, meaningful conversations. For example, introverts are not likely to want to have long, lengthy conversations with their server at a restaurant.
“A ten-minute conversation about fish drains me quicker than anything you can possibly imagine,” McGuirk admits.
On the other hand, introverts find they can withstand deeper conversations much easier.
“If you want to sit and talk about your childhood or if you want to talk about something deep and meaningful, I can do that all day,” she says. “But small talk depletes me.”
Introverts are the type of people who will go to a party or event and talk to one or two, instead of mingling around the room. Deep, meaningful conversations do not drain the introvert like small talk. An article in the Huffington Post explains that most introverts view small talk as meaningless conversation and view it as a barrier to more meaningful conversation.
Author Diane Cameron states, “Introverts crave meaning, so party chitchat feels like sandpaper to our psyche,” or like the depleting of precious, precious energy.”
Introverts Need to Expose Themselves to Friends
Introversion can seriously affect friendships. It is common for introverts to make plans with friends and want to cancel last minute because they desperately need to recharge their batteries.
“You might love your friends and want to be around your friends, but guess what, sometimes you make plans with your friends, and you instantly regret it,” McGuirk says. “But instead of communicating that, you make up a lame excuse or just don’t tell them anything at all, and they’re left wondering what’s wrong with them or what’s wrong with you instead of having an open communication.”
Introverts struggle with very extroverted friends because they feel over-stimulated.
“You might have a friendship that’s overwhelming to you where it’s too much; it’s too fast. It’s too much, it’s too intense, and they want to do stuff all the time,” she says.
Heidi McGuirk says it’s crucial to explain your personality type to these types of friends, so they know where you stand, instead of disappearing. Let them know that you have a threshold for stimulation, and the two of you must adjust to meet each other’s need.
“It’s important that you communicate that because if you don’t, you’re going to suck it down and suck it up and what will happen is eventually, you’ll be overstimulated, and you’ll blow up. You’ll reach a breaking point, and for many people, that’s actually when they start using other coping skills,” McGuirk says.
Communicate or Risk Negative Coping Strategies
These other coping skills may include numbing these desires for introversion with drinking, flaking, disappearing, isolating or cutting people off. Instead, introverts must make themselves a priority. They must expose themselves to others, so they are aware of these needs.
Introverts tend to be highly sensitive people who need time to process the world around them. Introverts do not need to be cured or fixed, and this is not possible regardless. Instead, they need to be understood, just like all types of personalities.
Are you an introvert or an extrovert? Have you discussed your personality type with those around you? Do not try to numb or hide your true self. Instead, expose who you truly are. If you are struggling with mental illness or addiction, please reach out. We want to teach you the right coping mechanisms. Call today.
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by Justin Mckibben | Jun 13, 2017 | Addiction, Addiction Stigma, Addiction Treatment, Detox, Drug Abuse, Heroin, Opioids, Parenting
Recently I came across an article with a title essentially warning people not to send their family members to Florida for drug and alcohol treatment. The interviews argue that high rates of overdose should justify officials urging people in other states not to send their kids to treatment in the area. However, the article also acknowledges that “South Florida has long been a destination for world-class addiction treatment” and includes a quote from Palm Beach County League of Cities member Andy Amoroso stating:
“Stop sending your children and your loved ones to South Florida,”
I think there is a real problem with this kind of statement though…
It ignores the fact that most people looking for recovery come from states with much worse issues of overdose crisis than South Florida.
To be clear, Florida has seen a spike in drug related issues, but guess what… so has basically everywhere in America! We are in the midst of a drug overdose epidemic all across this nation.
For example, let’s talk about where I came from. In 2014 I wrote about how my home state of Ohio led the nation in opioid overdose deaths. Ohio now also has the highest rates of heroin related deaths.
1 out of every 9 heroin deaths… happens in Ohio!
Dayton, Ohio is number 1 in the country by many reports for drug overdoses. Today, Dayton is quickly becoming known as the heroin capitol of America.
I have lived in Florida for around 4 years after coming to Delray Beach to get sober. I am an active member of a vast recovery community in the Palm Beach County area, and I would never have gotten the chance to do all the amazing and life changing work I am privileged to do if no one had sent me to South Florida to get help. In all likelihood, I would be dead.
Crunching the Country’s Overdose Numbers
There is no denying that Florida is typically in the top 5 rankings when it comes to total overdose numbers. However, there should also be some context to really show the difference between how other states are being affected. To get a little perspective, I want to run down some numbers.
The Henry J. Kaiser Family Foundation compiled data from every state in order to show some details on the opioid overdose crisis. In those numbers they discovered the top 3 states in opioid overdose deaths for 2014 were:
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Ohio- 2,106 opioid overdoses- which was 7.4% of nationwide deaths
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California- 2,024 deaths
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New York- 1,739 deaths
Out of 10,584 nationwide heroin related deaths in 2014, 1,208 were in Ohio. That is 11.4% of the countries heroin deaths in a state with a population a fraction of the size of California’s, New York’s and Florida’s.
In 2015 the top 3 states for overall overdoses were:
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California- 4,659
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Ohio- 3,310
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Pennsylvania- 3,264
In 2015 Ohio’s overdose death rates jumped again to 3,310. In 2016 those numbers are again expected to have skyrocketed to well over 4,000.
While we should acknowledge that the entire state of Florida had around 3,228 overall overdose deaths in 2015, Florida actually had less deaths per 100,000 people compared to 23 other states! These numbers include the top 5:
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West Virginia- 41.5 per 100,000 people
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New Hampshire- 34.3 per 100,000 people
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Kentucky- 29.9 per 100,000 people
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Ohio- 29.9 per 100,000 people
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Rhode Island- 28.2 per 100,000 people
As well as:
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Michigan
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Massachusetts
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Tennessee
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Maryland
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Indiana
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Louisiana
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Connecticut
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Oklahoma
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New Mexico
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Nevada
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Arizona
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Utah
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Maine
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Delaware
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Missouri
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Vermont
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Wyoming
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New Jersey
So while Florida may be experiencing high rates of overdose, we need to see that dozens of states are seeing a much higher percent of their population be killed by drugs. Some states have less than half the population Florida does, but are still suffering with tragically high percentages of their population dying from overdose. Those people who want help deserve access to that same “world-class addiction treatment” that South Florida has to offer. For several years, countless families across the U.S. have suffered while the resources and the community in South Florida has helped to save thousands of men and women who needed a little hope and a second chance.
Prescription Drug Problem
In the Midwest, the problem with prescription drug abuse is an extremely distressing element of the opioid crisis. In 12 states, the number of opioid painkiller prescriptions actually exceeds the number of residents living in those states! This includes:
Out of the 1.3 million people living in this state, there were 13 million doses of opioids dispensed in a 3 month period!
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West Virginia
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Oklahoma
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Arkansas
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Louisiana
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Alabama
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Tennessee
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Mississippi
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South Carolina
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Kentucky
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Michigan
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Ohio
Just in case you haven’t seen the news in the past few years, prescription drugs have been one of the largest contributing factors to the current opioid epidemic and the rise in heroin addiction.
Real Resources
The reality is professional and effective treatment programs in South Florida save the lives of countless people from all over the United States. The positive impact on the world is immeasurable. The reason so many people travel here for treatment is not just the fact that there are beaches and sun in Florida (Although they are amazing). They travel because so many of the states being hit the hardest by the opioid epidemic are states that have limited resources when it comes to comprehensive drug addiction treatment.
We aren’t traveling here to bring drugs Florida had never heard of before. We’re trying to escape the familiar and fatal atmosphere we were stuck in for so long. We take this drastic step in a desperate time because we want to believe the help is out there.
Some would still argue that a large number of treatment centers creates a problem with corruption within the industry itself. One can’t argue with some of the stories we read, but if that’s the case maybe instead of turning people away we should be educating people on the most important things to look for in a legitimate treatment program. We should encourage families to seek out qualified and established addiction specialists. Instead of insisting they shouldn’t trust the industry; we should be telling them to look for the accredited addiction specialists who have earned a respected reputation through their record in service and their certifications. Let’s celebrate the treatment providers who do make a difference instead of signing on for whole-sale condemnation.
At the very least, lets teach them to make sure a treatment facility in South Florida is approved by:
The Joint Commission is a United States-based nonprofit organization that accredits more than 21,000 health care organizations and programs in the U.S.
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Florida Department of Children and Families (DCF)
The DCF is a state agency providing social services to children, adults, refugees, domestic violence victims and a number of other groups.
To learn more about how to find an accredited and effective treatment program, download our FREE e-book
“5 Critical Mistakes When Picking a Treatment Center and How to Avoid Them”
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No matter where we live we should never turn people away from our community for help. We should provide a platform for awareness. It is critical that addicts and their families know what makes effective treatment programs important. Florida should always be proud of the strength of its recovery community.
We are in this together
Accurate and detailed data for overdose death rates 2016 is not yet available. Yet it is estimated that almost 60,000 Americans died last year from drug overdose. Some experts say over 2 million Americans are suspected to be opioid dependent currently, and that overdose death rates in 2017 are only going to get worse.
Of course, it is understandable that people are concerned about the strain that addiction and overdose puts on their communities, but there is something we cannot, as Americans, forget… we are in this together. In the article I mentioned previously, one of the individuals quoted spoke of people struggling with addiction like we are all inconvenient intruders who have no place in their neighborhood. Thankfully, this is not the experience many of us live with.
I have to say it again… We are in this together.
We are all citizens of the same free country fighting the same fight. Even more important, we are all human beings. Every one of us is free to seek something that can save us. I often believe I would have never had this chance if I had not come to South Florida. I didn’t know what was possible… and thankfully nobody told me not to come looking for it. Nobody told me I wasn’t welcome.
This isn’t just about South Florida; any community with addiction treatment programs and a recovery community should know, we get it. We understand how it can seem a little scary when you think your neighborhood is changing. It’s easier to say “as long as it’s happening over there” until “over there” becomes everywhere.
At the height of the opioid epidemic in America, it is certainly not the time to hide the welcome mat and use fear to scare people away. It is time to make our voices louder and unify the recovery community to show more people that recovery is possible. Until more treatment opportunities are advocated for across the country, we will use every resources we have to preserve and protect the lives of those who are suffering. South Florida is still a great place for addiction treatment. If no one has told you yet, you are welcome here!
Palm Healthcare Company has been serving the South Florida community for 20 years, now with multiple specialized facilities and innovative holistic treatment programs designed to help create lasting change. If you or someone you love is struggling with substance abuse or addiction, please call now. We want to help. You are not alone.
CALL NOW 1-888-922-5398
by Sher Delva | Jun 9, 2017 | Addiction, Addiction Stigma, Addiction Treatment, Drug Abuse, Withdrawal
Drug Overdose Now Leading Cause of Death for Americans Under 50
The numbers are in. Drug overdoses are the leading cause of death for Americans under the age of 50.
Not car crashes or cardiovascular disease… drug overdoses.
To put the opioid crisis in perspective:
Opioid deaths have now surpassed:
Comparing those numbers to recent tragedies like the Pulse Night Club Attack, there would have to be three mass shootings every day for 365 days to roughly equate to the number of drug overdoses in 2015.
Officials across the country declare the drug overdose epidemic as a public health crisis. In the past decade or so, the numbers of fatalities related to drug overdoses have soared.
Deputy Attorney General Rod Rosenstein officially announced the statistic on drug overdoses Tuesday to the media. Chuck Rosenberg, acting head of the Drug Enforcement Agency, and other prominent officials in law enforcement also addressed the media at the DEA’s headquarters in Arlington, VA.
“We’re not talking about a slight increase. There’s a horrifying surge of drug overdoses in the United States of America. Some people say we should be more permissive, more tolerant, more understanding about drug use. I say we should be more honest and forthcoming with the American people on the clear and present danger that we know face,” opened Rosenstein.
“Fentanyl is especially dangerous. It is 40 to 50 times more deadly than heroin. Just two milligrams, a few grains of salt, an amount you could fit on the tip of your finger, can be lethal. Fentanyl exposure can injure or kill innocent law enforcement officers and first responders. Inhaling a few airborne particles can have dramatic effects,” he continued.
Despite such a bleak update, there was an air of optimism. Rosenberg spoke extensively with his Chinese counterparts in law enforcement about reducing fentanyl distribution. China is the major source of fentanyl that enters America. According to Rosenberg, the Chinese government banned 116 synthetic opioids for export and four more after his trip to China this March. Additional synthetics are scheduled for banning in the future.
“I do not want to understate such gains, nor do I want to overstate them,” he cautioned.
Still, we need more progress in international cooperation, he explained.
Rosenberg and other law enforcement officials assessed the challenges behind training first responders and admit that such efforts would stretch the limited resources available for fighting such an overwhelming epidemic.
Rosenberg’s daunting assessment of fentanyl put in perspective the existential danger of the ongoing opioid crisis. Rosenberg continues to reiterate the paths made thus far, but there is much more progress needed to improve the dire situation.
Overall, it is difficult to fully grasp the scope of the opioid epidemic. These statistics often “wash over” our minds, Rosenberg admits. If you or someone you know is currently struggling with opioid addiction, you know more than anyone how tragic and helpless it can be. Those who do not have a personal experience often struggle to understand these numbers.
However, the numbers do not lie. In Florida alone, every 15 hours last year, someone died of an opioid overdose in Palm Beach County, nearly double the rate of murders and fatal car crashes.
Addiction is a disease and needs treatment. We need to raise awareness, not stigma. More and more people are losing their lives to overdoses. The stigma has to end. If you are someone you know is struggling with drugs or alcohol abuse, please call now. You are not alone. You need help. Call today.
CALL NOW 1-888-922-5398
by Justin Mckibben | Jun 6, 2017 | Addiction Stigma, Family, Parenting, Stigma, Teen Drug Abuse
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Having a family member or loved one struggling with drugs or alcohol is an incredibly tough place to be. For parents, it can be one of the most emotionally difficult experiences. Having a child who is using drugs or alcohol can be terrifying, but it can also cause a lot of internal conflict and self-doubt. Loved ones frequently find themselves looking for answers to questions they never knew to ask, and wondering how they can help make a difference. The parents of addicts have to face a lot of unique and intimate obstacles, but there are some very important things to remember when facing this painful situation.
To learn more about how to handle the difficult emotions and situations parents and family members face with an addicted loved one, download our FREE e-book
“What is the Difference Between Helping and Hurting”
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Here are 5 things we want the parents of addicts to know.
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You are not alone
When struggling with something as personal and as frightening as having an addicted child, people can feel separate from others. Many parents feel guilty, ashamed or embarrassed when their child is struggling with substance use disorder. This embarrassment or shame can lead to feelings of isolation.
The truth is there are countless families all across the nation going through the same thing. You are not alone. There are support groups specifically for the families and loved ones of addicts, and large networks of people seeking to provide information and support to parents of addicts who don’t know what to do or how to help.
In the face of the opioid epidemic in America, thousands of families have stepped up to advocate for better resources to educate the public about the dangers of addiction, and for better treatment opportunities. Nationwide organizations created by the parents of addicts fight to raise awareness, while treatment providers put an emphasis on the family being active in the recovery process.
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It is not your fault
Of course parents take responsibility for their children, because it is their duty when they are born to protect them, raise them and help them grow to their potential. So it is no surprise that parents of addicts so often blame themselves for what their child is going through.
Many ask- what if I had been better? Should I have been more (or less) strict? Should I have been more (or less) affectionate? Parents of addicts can beat themselves up very easily with wondering what if, but the truth is it is not your fault.
Yes, many experts say there is a genetic predisposition, but everyone has one. It isn’t your genes, it’s a combination of unique DNA and unique circumstances. Yes, the environment matters, but again there is no one-size-fits-all formula to substance use disorder. People of all walks of life, in every neighborhood and from every kind of home suffer from addiction. Therefore, there is no exact parenting technique that can guarantee a child will never become addicted.
Most parents of addicts are the greatest version of a parent they possibly can be, but addiction does not discriminate. Helping more parents and family members to see this is another way we can overcome the stigma of addiction.
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You can help overcome stigma
A lot of that shame and isolation we talked about above stems from the stigma of addiction. Some people still think substance use disorder is a moral failing or character flaw. They believe becoming addicted is a choice people made, not an illness people suffer from. This stigma makes people afraid to be open with others about their child’s addiction, which cuts them off from peer support.
It is important for the parents of addicts to help destroy the old stigmas that give people a false idea of what addiction really is. Parents have the power to share their experience, strength and stories of hope from a unique perspective. Addiction is one of the most misunderstood diseases in modern times, but the more parents of addicts share their stories, more awareness and understanding can help create innovations in treatment.
By being open about the difficulties your child has faced instead of hiding from it, not only can you be a warning to other families, but you can also empower them to understand that they too are not alone. Parents have a unique potential to stand up for their children and for each other to overcome stigma.
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You have to take care of yourself
As a parent, it is absolutely understandable that your instincts tell you to put your own health and well-being after that of your child. But the reality is that if you are physically and emotionally exhausted, stressed out and unhealthy then there is no way you can provide the kind of help and support your child needs. You cannot be useful to anyone, especially your child, if you have not taken care of yourself.
If the parents of addicts can prioritize their own well-being, then they have the energy and resources to be more present and helpful to their addicted child. Allowing yourself to be as well as possible is not neglecting your loved one, it is preparing you for the opportunity to make a difference in their life.
This includes setting boundaries with your children, and being honest with them about what you are going through under these circumstances. It is not always easy, but it does matter.
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We want to help!
At Palm Healthcare we want to make a difference in the lives of individuals and families who are struggling with drug or alcohol abuse and addiction. We believe in holistic healing as a stepping stone to real, lasting recovery. Palm Healthcare Company believes in the importance of uniting the parents, children, siblings and loved ones in the cause of progressive action toward amazing solutions that can not only save lives, but change them forever. For several years our facilities have worked to transform the lives of addicts and those closest to them.
Our Family Program is uniquely designed with healing for you and your loved one in mind. The Family Program focuses on improving communication, compassion, understanding and the overall support and of the entire family. We encourage all parents of addicts to research the Palm Healthcare Company Family Program and reach out to us with any questions.
Addiction doesn’t just affect the person who is drinking or drugging, it affects all those that are close to that person. Emotionally, physically, financially, the toll can be significant. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
CALL NOW 1-888-922-5398
by Justin Mckibben | Jun 6, 2017 | Addiction Treatment, Drug Abuse, Outpatient Treatment
(This content is being used for illustrative purposes only; any person depicted in the content is a model)
Many people make the unrealistic assumption that drug or alcohol treatment is always similar to long-term, strict hospitalization. While some level of medical care is necessary, and some may be monitored in case of other more severe health issues, there are other levels of care that are more relaxed, with recovery programs customized to fit the individual’s needs. When considering treatment for drugs or alcohol, a lot of people end up asking- what is outpatient rehab?
When trying to get the most innovative comprehensive experience in treatment, it is vital to understand the levels of care and how each level of care can offer unique opportunities for growth.
What is Outpatient Rehab: Intensive Outpatient
One common aspect of treatment that many people are curious about is intensive outpatient programs (IOP). IOP for substance use disorder is a level of care that offers a number of helpful services while also allowing you to work, go to school or spend time with your family.
These kinds of programs require that an individual participate in therapeutic activities usually 3 to 5 days a week, depending on the program. Sometimes the schedule is flexible to your individual needs. When enrolled in an intensive outpatient program, patients will help create a treatment plan based on the aspects of recovery that seem most essential to their success. IOP programs are especially geared toward relapse prevention and developing healthy coping skills.
What is Outpatient Rehab: Common Services
Many holistic treatment approaches include other options for the individual’s treatment plan, such as:
Below are 4 common services you should look for in treatment:
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Detoxification
A safe medical detox is always a huge help to getting started on the path to recovery. These detox services are crucial for those experiencing severe and dangerous withdrawal symptoms. If you are looking into outpatient treatment, it is always advisable to attend a safe medical detox instead of trying to quit cold turkey.
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Group counseling
IOPs rely heavily on group therapy to enhance sober behaviors, develop communication skills, introduce structure, and provide guidance. IOP programs typically focus on different aspects of recovery, including:
- Addiction education
- Relapse prevention
- Stress management
- Coping skills
- Life skills
- Interpersonal process
- Support systems
When looking into options for treatment, it is important to make sure the program offers courses on these important elements.
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Individual therapy
The IOP therapist’s primary objective is to help an individual resolve maladaptive behaviors in order to break the cycle. This kind of therapy is great for helping someone who is working or living at home to identify and rectify old destructive patterns in real time.
However, it is important to note that inpatient treatment is also extremely important because at the inpatient level of care the therapy is focused on finding the underlying causes and helping the individual to overcome serious traumas or issues behind substance use.
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Family Programs
Addiction is a family disease, and it is important that loved ones be included in the healing process. The Palm Healthcare family program is designed to help educate the loved ones on addiction. By helping families better understand substance use disorder, they are then able to better communicate and support their suffering loved on in a healthier way.
Family programs provide the family with their own support systems, while helping to heal broken relationships between the user and their loved ones. When someone reaches an outpatient level of care, they may become more present in the family and therefore many people want their loved ones to be well-informed and prepared to best support them during the transition.
What is Outpatient Rehab: Why It’s Important
Outpatient treatment is a big step in the right direction for people struggling with substance abuse or addiction to continue receiving care while also integrating their recovery into their everyday life. Having a network of professional and personal support gives someone recovering from drugs or alcohol an extra line of defense between them and the substances that damage their lives.
However, it is recommended that outpatient treatment follow a period of inpatient treatment, also known as residential treatment. Not everyone can benefit from outpatient treatment without structure. Those suffering from co-occurring mental health conditions definitely do better with dual diagnosis treatment. Inpatient treatment is a more intensive and intimate level of care that provides a secure and safe environment for establishing a healthy foundation. It allows the individual to focus for some time on getting well and addressing the biggest obstacles they face.
Following a residential stay in treatment, many recovering from substance use issues will choose to attend an outpatient rehab program. A lot of people will take advantage of outpatient treatment while living in a sober living facility.
What is outpatient rehab? It is a great way to continue your recovery after detox and inpatient treatment. It is a point of progress in building a new life, while maintaining a connection to peer support and therapeutic resources. If you want to know more about treatment options and levels of care, Palm Healthcare wants to help. Please call toll-free now.
