Methadone has been used to treat people with extreme pain for decades and has been approved by the Food and Drug Administration to treat opioid addiction. According to SAMHSA, methadone can help people with opioid use disorder reduce their cravings and withdrawal symptoms, stay in treatment longer than those who are not taking it, and lower their chances of using illegal opioids.
However, some are still skeptical of its effectiveness in treating opioid addiction, citing the potential for misuse and abuse. They think that methadone can quickly become a replacement addiction and that it can still be used to get high. But proponents, who include top addiction professionals, argue broader use of methadone could help address the current opiate overdose epidemic in the US. They advocate for easier access to methadone treatment for opioid addiction, citing its potential benefits in helping people manage cravings and withdrawal symptoms.
This article will explore both sides of the argument and discuss the risks and benefits of using methadone as an addiction treatment.
Methadone is a powerful drug used for pain relief and opioid use disorders. It is a synthetic opioid, but unlike other opioids, it has been approved by the FDA to treat opioid addiction. It is one of the three medications approved in the US for opioid addiction treatment.
The drug works by binding to and blocking the opioid receptors in the brain, thus reducing cravings and preventing withdrawal symptoms. It is typically administered once a day at room temperature, though some people require more frequent doses. Methadone is available in liquid, powder, and tablet forms.
Methadone is extraordinarily effective if the standards of any epidemic are considered. A study found that those receiving the drug were 59% less likely to die of an overdose than those who did not receive it.
Methadone is used as part of a treatment program for opioid use disorder. Those receiving the drug to treat opioid addiction must receive it under the care of a qualified healthcare provider.
This provider prescribes the medication and supervises its use. After a period of stability, some people may be able to take the medication home and administer it themselves. However, this is an option only after they've gone through frequent tests and counseling sessions.
The duration of methadone treatment varies depending on the individual and the severity of their addiction. But the National Institute on Health recommends a minimum of 12 months. Some patients may need long-term maintenance. But those who are getting off the drug should work with their healthcare provider to gradually taper off the medication to avoid any life-threatening methadone withdrawal symptoms.
Methadone has long been controversial in the addiction treatment world. While advocates are proposing a significant expansion in access to the drug, the providers of methadone for addiction treatment are warning that caution should be used when prescribing the medication.
The primary concern for those who oppose expanded access to methadone is its potential for misuse and abuse. While methadone is effective for treating opioid addiction, allowing doctors to prescribe it to anyone could lead to low-quality care, abuse, and overdose on methadone itself.
At the moment, patients need to visit a methadone clinic each day for a single dose. They also need to be a part of an opioid treatment program and go through frequent drug tests, take part in counseling sessions, and prove that they've had opioid addiction for over a year.
Opponents of expansion strongly believe it's essential that methadone treatment is accompanied by counseling and other services that opioid-trained professionals are qualified to offer. They also point to worrying statistics about methadone-related overdose. A recent estimate by NIDA found that methadone is involved in 3% of opioid-related overdoses.
On the other hand, advocates argue that methadone can be prescribed responsibly, with adequate monitoring and oversight. They point out that the benefits of broader access to methadone outweigh the potential risks. And that the risk of overdose is too high and that methadone can help treat addiction, reduce cravings and prevent long-term health problems caused by opioid addiction. According to the proponents, the opioid crisis has reached a level where any measure taken to reduce the number of overdoses is worth exploring.
Those in favor of expansion don't see why increasing access should be a problem considering any healthcare provider can prescribe methadone for chronic pain treatment. They argue that strict regulation is only imposed on addiction treatment, which makes little sense and is a sign of the discrimination and stigma faced by OUD patients. Currently, no other drug is as restricted for approved use (opioid addiction), yet it has few restrictions when prescribed for pain management.
It is worth noting there have been fewer methadone-related deaths even after significant restrictions were lifted during the COVID-19 pandemic. The lift allowed "stable" patients to bring home their weeks' worth of methadone doses instead of going to a clinic every day for an amount.
Methadone is a safe and effective treatment when taken as prescribed. Patients should work closely with their healthcare provider to find the correct dose and frequency of administration that works for them. Patients should also take precautions when taking methadone, such as:
Some common side effects of methadone include:
Methadone is generally considered safe to use during pregnancy. However, it will likely cause harmful side effects to a developing fetus and should only be used when the benefits outweigh the risks. Breastfeeding women should consult their doctor before taking methadone, as it can be passed to the infant through breast milk.
For people with opioid addiction, many facilities offer comprehensive drug addiction treatment programs. These treatment plans include counseling, support groups, medical monitoring, and other therapies designed to help patients gain control of their addiction and begin the journey toward recovery.
Withdrawal symptoms are one of the toughest parts of overcoming addiction. Almost everyone finds it challenging. Once you get to the other side, however, you'll realize that your efforts to manage your withdrawal symptoms have been well worth it. You have the rest of your life ahead of you, free from the chains of drug or alcohol addiction.
Withdrawal often produces a wide range of side effects. Acute withdrawal leads to physical health issues like congestion, fatigue, nausea, shakiness, or vomiting. On the other hand, protracted withdrawal causes mental health problems ranging from anxiety to depression and so on. A medical detoxification program is usually effective in managing these withdrawal symptoms.
When you drink alcohol or abuse drugs regularly, your brain adjusts to the presence of the substance. You develop a tolerance to the substance and need more of it to feel good again. At this point, you may become physically and psychologically dependent. In which case, going without the substance for a certain period can induce withdrawal symptoms. Withdrawal happens when you fail to provide your mind or body with a drug on which it has become dependent.
Withdrawal is your body's way of showing that the drug concentration is declining. These symptoms often develop when you reduce the amount you're using or quit "cold-turkey." Continued withdrawal may cause severe symptoms and feelings. This is why it's essential to get professional help at an alcohol and drug rehab. It's critical to deal with withdrawal in a safe and supervised environment with professionals. This helps manage all the challenges that come with withdrawal syndrome.
Withdrawal symptoms can be mild to severe, depending on the type of drug, amount of use, and the duration of use. Stimulants like meth and cocaine often trigger psychological symptoms, whereas prescription drugs, heroin, and alcohol cause both psychological and physical symptoms. According to the National Institute of Drug Abuse, withdrawal symptoms may appear within a few hours of not using or be delayed for several days. Common symptoms include:
These symptoms may last for a few days to a few months. Meaning, you may experience mood swings, challenges sleeping, as well as constant fatigue for months. Serious effects like confusion, high fevers, and seizures may also develop. In worse cases, withdrawal can be life-threatening.
Quality treatment centers never use rapid detox kits or cold turkey methods. Instead, they provide therapy and medications to manage your withdrawal symptoms. Detox is the first stage of a successful addiction treatment program. It frees your body from the toxins of alcohol and drugs before long-term treatment begins.
Medically supervised detox is also critical in identifying and treating any substance-related medical emergencies. These emergencies may arise during the detox phase due to active substance abuse. Never attempt to self-detox. That would only expose you to potentially life-threatening withdrawal symptoms and the high-risk of relapse.
Nothing is more comforting and relaxing than being in the company of people who've traveled the same path as you. Support groups like Narcotics Anonymous or Alcoholics Anonymous can provide tips and encouragement to people in recovery, like you. Support from friends, family members, and other recovering individuals is critical for minimizing relapse. When you join these support groups, you get surrounded with like-minded people with similar goals.
Exercise gives your recovery a lively change. It boosts the presence of happiness-inducing chemicals like dopamine. So, the more you work out, the more dopamine gets to your brain. And when your fitness rises, so does your mood and mental health. Studies reveal that physical activity and exercise can help boost dopamine levels. Science also shows that in addition to support groups and detox, exercise is a tremendous counter-withdrawal tool. It reduces compulsive drug abuse as well as cravings.
Eating healthy meals is an essential part of detox, as it replaces lost nutrients and helps keep your energy levels up. It also keeps your body and brain healthy. You'll benefit from a basic healthy diet – but it helps to understand your nutritional deficiencies. This table will guide you to making the right diet choice depending on what you're detoxing from.
|Substance of Abuse||Vitamin and mineral deficiency||Deficiency Effect on body|
|Alcohol||Vitamin A Vitamin B1, B2, B6 Vitamin C Calcium||Anemia Korsakoff’s disorder Osteoporosis Diabetes High blood pressure Severe malnutrition|
|Opiate (heroin and morphine)||High-fiber diet Whole grains Beans Peas Leafy vegetables||Constipation Diarrhea Nausea and vomiting|
|Stimulants (Meth and crack)||Proteins Omega-3 Flaxseeds Eggs Dairy products||Depression Coronary heart disease|
And while you are at it, don't forget to keep hydrated. Withdrawal tends to leave you feeling dehydrated. So, drinking lots of water can help your body heal properly. It also keeps the thirst that's easily mistaken for cravings at bay.
Insomnia is one of the withdrawal symptoms for people with a physical dependence on substances. So having a guideline for good sleep hygiene can help you address insomnia. This includes things like establishing sleep rituals and reestablishing your body’s natural circadian rhythms. Sleep rituals like sleeping and waking up at the same time, or avoiding screens 30 minutes before going to bed can help you fall asleep fast.
Withdrawal can be challenging and even fatal. If you are trying to quit using drugs or alcohol, it's advisable to seek professional help. Medically-supervised detox means you'll be under expert care throughout the withdrawal process. Withdrawal management is a big part of the medical detoxification process. It is the most comfortable way to manage your withdrawal symptoms.
You should note that detox alone isn't enough to support long-term abstinence. But it's a crucial step in a holistic abuse treatment that offers the tools you need to quit using and minimize relapse. The good thing is that most addiction centers offer detox and other therapies in-house.
Addiction is more than a physical dependence on substances. Even after detox, when the body is no longer hooked, one is still at high risk of relapse. Factors like stress, environmental cues, and social networks can create a strong ongoing urge to use again. That's why therapies like Cognitive Behavioral Therapy (CBT) come in handy. CBT helps one escape cravings and learn to manage what life throws at them without alcohol and drugs.
Cognitive behavioral therapy is a type of talk therapy. It bases on the belief that addictions arise and are worsened by a series of negative thought patterns. CBT helps people identify and explore thought patterns that tend to undermine their ability to make healthy choices. It then arms them with the right tools to reframe their thoughts and go back to a healthy and addiction-free life.
CBT is a problem-specific and purposeful approach that needs one's active participation to succeed. It uses different strategies to identify thought patterns that lend towards an addiction. These strategies include mental distractions, relaxation techniques, role-playing, and journaling. Unlike other therapies that dwell on the past, CBT focuses on present-day thoughts, challenges, and behaviors.
Different approaches and techniques can help address behaviors, emotions and thoughts. Here are some common therapeutic approaches that involve CBT:
Cognitive therapy: It finds and changes negative thinking behaviors, patterns and emotional responses.
Rational emotive behavior therapy (REBT): REBT finds and changes irrational beliefs. It also helps one to learn to identify and change these thought patterns.
Dialectical behavioral therapy (DBT): DBT focuses on behaviors and thoughts. It also integrates mindfulness and emotional regulation approaches.
Multimodal therapy: It looks into psychological issues by addressing the seven modalities. These include imagery, cognition, sensation, affect, behavior, interpersonal traits and biological/drug considerations.
CBT can be used as a short-term treatment geared to help people with:
This article will focus on CBT and its help in treating drug-related addiction.
Cognitive-behavioral therapy's primary goals in treating drug and alcohol addiction are:
In the therapy session, the patient will learn different attributes that will help uphold their sobriety. They will learn coping skills, resilience, assertiveness, stress management skills and relaxation skills. CBT has two main components in its use to treat drug-related addiction. These are skills training and functional analysis.
FA is an essential step in CBT. In FA, the therapist and patient break down behavior chain into its respective parts. They seek to identify the feelings, thoughts, and situations that caused the substance abuse in the first place. Once they determine how and why a behavior was formed, the therapist and patient can then change parts of the behavior chain to get a different result.
People turn to drugs or alcohol to manage stress, anxiety, depression and so on. If a person gets to a point where they're receiving treatment for substance abuse, it’s likely they’re abusing drugs as a way to cope with some set of problems. Skills training tries to help these people unlearn bad habits and learn better coping skills. This way, they’ll know how to apply them in situations that trigger their substance use. Skill training changes the way people think about their addiction. It also teaches them better ways to tolerate their inner feelings of distress.
CBT was initially designed to prevent relapse when treating alcohol issues. This is according to a research-based guide by the National Institute on Drug Abuse. Later on, the therapy was adapted in the treatment of drug-related addictions. These drugs include cocaine, nicotine, marijuana, and methamphetamine. It was also applied in the treatment of addiction to prescription drugs. The National Institute on Drugs Addiction post cited one interesting study. This study showed that 6 in 10 patients in CBT had a clean toxicology screening at their 12-month follow up.
Another evidence from several large-scale trials and quantitative reviews point to the effectiveness of CBT for addiction. An NIH group did a meta-analytic review of CBT for drug use and addiction, including 34 randomized controlled trials. CBT treated a total of 2,340 patients. The results revealed that marijuana patients got the best outcomes. Opioids and cocaine patients also got incredible results. But individuals with polydrug dependence had the smallest effects. That's to say, those struggling with multiple-drug use issues would benefit more from other treatments.
CBT for drug addiction includes a range of interventions, either combined or used in isolation. The interventions can also be provided in individual, or group therapy. Group formats involve therapy with groups like Narcotics Anonymous or Alcohol Anonymous. Individual formats include detox, pharmaceutical, or residential treatments
Cognitive Behavioral therapy banks on the idea that feelings and actions are caused by one's thoughts as opposed to outside stimuli like situations, people, or events. While a person cannot change their situation, they can change the way they think about them. CBT has been shown to help an individual in recovery to:
When untreated, a person can turn to drugs and alcohol to try to avoid the discomfort or pain that these situations cause.
CBT is an intense short-term treatment program. Under normal circumstances, a patient gets a weekly session for about 5-20 weeks. However, the frequency of sessions and length of treatment tend to differ based on a range of aspects. For instance, individuals with strong support from family and friends may have shorter treatment duration. The same applies to those with mild cases of addiction.
Other factors that might influence duration and treatment plan include patient needs, personal experiences and the duration of substance use. The type of disorder and level of withdrawal symptoms may also weigh in.
2020 has been a difficult year for us all. But while it has been tough (well, downright hard), it doesn’t mean we should overlook the good moments that it has brought us. As its end draws near, let’s reflect on the good things to be thankful for that have happened this year and be grateful for each one of them.
There’s so much to be thankful for, especially if you’ve been living through addiction recovery or other life-changing issues throughout this holiday season. But if you can’t think of one or more reasons right off the bat, then here is a list of things to be thankful for this year, to serve as a reminder.
After everything you have been through, you cannot take it for granted that you are alive. Many addicts end up dealing with worse health complications or even death. But here you are, all healthy. Even if you feel a little bit sick, or too lazy to get out of bed in the morning, you still have the option to do so. Be thankful that you wake up every morning able to start your life and enjoy each day.
Hygiene and health are often the last things on the mind of someone who’s using – and you probably weren’t any different. But now, you are self-aware and self-conscious. You also have enough time to focus on yourself. You bathe, eat healthy meals, wear clean clothes, and get enough night sleep – all of which transform your overall outlook. When you look good, you are happier and even more confident. You can go out, hang with friends, take selfies, and everything else without fear of judgment – an excellent reason to be thankful this year.
You ought to be thankful for your family who has stood by you throughout your struggle with addiction until you made it to the other end. Be grateful even for those with whom you had strained relationships during your addiction, but managed to patch things up through family therapy and stuff. Nothing comes close to having gratitude for the people you care about in life. When you love your family and friends, you are inspired to continue in recovery.
You have all the reasons to be thankful for the good mornings. These hardly came by when you were using because then you had to deal with bad hangovers, body sores, and regrets from the things you did while high. Now, you can listen to the birds chirping and even catch the sunrise. You can also organize your days and get things done – even if that means binge-watching your favorite series.
Now that you are sober, you have clarity in your head that helps with productivity. You also have high energy levels and lots of free time to focus on school, work, or personal projects. Be thankful that you now have a chance to rebuild your life and make the most out of every opportunity that comes your way. You couldn’t achieve all these if you were still using drugs.
Drugs and alcohol are expensive. Like many other users, you likely spent about $4,500 on alcohol, $7,000 on marijuana, $8,000 on cocaine, $54,000+ on heroin, or $3,500-70,000 on opioids every year. This is way too costly, especially if you weren’t working for or lost your job due to addiction. But now, you don’t have to spend more money on drugs and alcohol. You also don’t worry about getting that money. And the best part is you aren’t putting a strain on your loved ones and society. Instead, you are rebuilding your life and even getting to support them. It sure feels good, right?
Staying sober isn’t easy – it needs discipline. In a world where we have no control over our peers, environments, and circumstances, consciously choosing not to use drugs when given an option is a surprisingly energizing and powerful feeling. This type of control builds character, self-confidence, and offers a healthy boost to your ego. So, grab a glass of fresh juice, raise it to the skies and say, “I’ve got this.”
Continued substance abuse affects the structures and functions of the brain. This impairs thinking skills and decreases attention span and memory. But the good thing is that brain is a remarkably adaptable organ. It can repair itself greatly and regain its ability to regulate moods, memory, and bodily functions without the substance. So, you have a reason to smile now because you don’t have to stress over what you did the previous night or struggle with a foggy and unreliable memory. You’re now sharper and alert and will recall things better.
Many studies show a correlation between alcohol and mental health disorders like anxiety, stress, depression, etc. Many people use drugs or alcohol to either forget or solve underlying problems – though this only worsens the situation. You probably did the same. But now that you have gone through the healing process, you know that there are better ways to solve issues – like talking them through or seeking counseling or even exercising. This is too big an achievement that shouldn’t just slide – be grateful about it.
This is a great time to be thankful for your good friends. Chances are you were inconsiderate of their feelings or ignored whatever advice they gave while you were abusing substance. But some of them stood by your side and still do. Be grateful for the effort they put into keeping up with the relationship and seeing that you are a better version of yourself.
Last but not least, you want to be grateful for yourself. Be thankful that you believed in yourself, that you did all the hard work, that you never quit, that you chose to do what’s right. It wasn’t is, and it still isn’t – but you’re hanging in there.
You’ve heard the saying, “too much of something is poisonous.” But it couldn’t be more true that it is with substance abuse. A prescription drug keeps the pain away. And a glass of alcohol makes you merrier at the end of the day. However, with continued use, you risk building tolerance, dependence, addiction – and eventually, overdosing.
It’s easy to assume that “stable” substance use shields you from overdosing – but that couldn’t be further from the truth. In fact, an article on CNN showed that long-term heroin users who end up with fatal overdoses are likely to have the same levels as those who overdose and survive.
The reality is that anyone can overdose from drugs or alcohol. There’s just no way to predict who and when. But later on in this article, we will discuss some factors that put one at higher risk for overdose.
A drug overdose is a medical emergency that happens when you consume a mix or too much of a substance. You can overdose on alcohol, prescription medications, illegal drugs and other substances. Overdoses are usually fatal, but most people who overdose can be saved if they get medical attention soon enough.
That’s why it is essential to familiarize yourself with the following signs and symptoms, should you find yourself in such a situation where you, or a loved one might be overdosing.
You’ll know you are overdosing when you notice some evident changes in your eyes. Narcotics like fentanyl, hydrocodone, morphine, and heroin cause the pupils to constrict, eyelids to become heavy, and eyes to water.
Changes in eye’s general motion or color are signs of intoxication. Red eyes are a common symptom of overdose for several drugs, especially marijuana, cocaine, and alcohol. This is because of the expansion of blood vessels in the eyes.
Here are some common signs of a drug overdose indicated by the eyes:
An opioid overdose causes a slow, irregular breathing pattern. If you are overdosing on opioids, you may become unresponsive or unconscious and notice that your fingernails or lips are blue. This is due to a low oxygen supply. Identifying these symptoms quickly could mean the difference between life and death, considering opioid overdoses kill about 128 people each day in the US.
Stimulants may have an opposite effect to opioids. They tend to increase the heart rate and cause chest pain, palpitations, and even stroke or cardiac arrest. When your heart is overly stressed, it may cause small muscle tears, bleeding, and severe pain.
Some common signs of overdose indicated by the heart and chest include:
Depressant overdose may result in loss of consciousness. Stimulant overdose, on the other hand, will cause aggressiveness, agitation, and anxiety. When you overdose on stimulants, depressants, or both, you may find that you are violent or aggressive – and that your behavior is largely unpredictable.
You may also feel confused and disoriented. In this case, you’ll find that you’re talking rapidly or nonsensically. You may fall, stumble, scream, or cry. And even if you are still conscious, you may notice that you aren’t in touch with your surroundings or able to maintain balance. So basically, you’ll know you are overdosing when you are:
Of course, you won’t know about your unresponsiveness or unconsciousness until later on when you recover. Unconsciousness happens when the brain cells shut down because of the overwhelming amount of toxins in your body.
Vomiting is your body’s way of getting rid of any toxic substance from the gastrointestinal system. It is perhaps the easiest way to tell you are overdosing since it’s more of a physical reaction. Sadly, you may vomit while unconscious, which makes it a choking hazard because you won’t be able to expel it. If this happens, you may suffer brain damage or even death. Vomiting is often accompanied by nausea.
Overdosing from alcohol or stimulants, like cocaine or methamphetamine comes with a risk of seizures. A seizure is a medical emergency; therefore, calling 911 as soon as you notice early signs like trembling and shivering can help save a life.
In extreme cases of drugs or alcohol overdose, you may end up dead. Drug overdose deaths are so common that there were 67,367 cases in the US in 2018 alone. While data for 2019 and 2020 has yet to be finalized, provisional data from the CDC suggests that drug overdose deaths are on a steady increase. The provisional data from 2020 shows a 13.2% increase in drug overdose deaths from the prior year. According to the Centers for Disease Control and Prevention (CDC), opioids, particularly synthetic opioids, are the main driver of drug overdose death.
These are only a few signs and symptoms of overdose – and they may vary from person to person. If you are experiencing an overdose, you should get immediate attention from medical professionals. Calling 911 can be a great way to access emergency help. The operator will ask about your symptoms and provide critical information about the things you should do as you wait for the ambulance to arrive.
You can overdose unintentionally for a range of reasons – like when you:
In many cases, drug overdoses are unintentional. When you start taking a drug, your body builds tolerance. So you’ll need to take more and more to achieve the same effect you did when you started. Failure to do so will lead to withdrawal symptoms.
In unintentional overdose deaths, many events can happen that increase your chances of overdose. For instance, illegal street drugs often mix with other substances – so you may not know how much of the drug is in each hit. Again, since illicit drugs are never labeled, a hit can be more potent than you anticipated.
Other common risk factors for overdosing include:
But it is also possible to overdose intentionally, when seeking a desired effect – to harm yourself or get high. If you’re overdosing to harm yourself, you should know that there are better ways to deal with the “unmanageable feelings.”
Intentional overdose can happen when you have an untreated mental disorder like anxiety, depression, and so on. If this is the case, it’s essential to seek treatment through a licensed rehab center that knows how to treat comorbid health conditions.
A drug overdose is a medical emergency and should not go unreported. Many states apply the Good Samaritan laws that protect you or anyone who calls 911 to report the emergency. So you don’t have to worry about ending up on the wrong side of the law.
Substance use disorder is one of the main causes of drug overdosing. It is, therefore, critical to seek help soon to avoid the severe consequences of an overdose. While knowing the signs and symptoms of an overdose is essential, treatment at a rehab center is the best way to safely detox, identify any underlying mental health issues, recover and lead a healthy life.
Drug rehab statistics show that the percentage of those who will relapse after a period of recovery ranges from 40 to 60%. These recurrence rates are similar to those of chronic illnesses like hypertension and diabetes. People spend a lot of money and effort on treatment, so why is drug rehab so frequently unsuccessful?
Addiction is commonly known as relapsing disease. This might explain why over 85% of patients with drug use disorders relapse and return to use within a year of treatment. Studies show that at least two-thirds of recovering individuals relapse within weeks to months of starting treatment.
The aim of substance use treatment is to help individuals achieve lasting abstinence and return them to productive functioning in the community, family, and workplace. According to research that monitors patients for extended periods, a majority of those who enroll and remain in treatment quit abusing substances, reduce criminal activity, and enhance their social, occupational, and psychological functioning. But the treatment outcome bases on:
“Relapse rates for patients treated for drug abuse are similar to those for people treated for chronic illnesses like asthma and high blood pressure.”
Relapse to drug use doesn’t mean that treatment has failed. The chronic nature of substance dependence means that relapse can be part of the healing process for some patients. When someone returns to drug use after a period of abstinence, he or she needs to speak with their caregiver to resume, modify, or try other treatment options.
Ending drug use is a huge milestone, but it’s just a part of a long and complex recovery process. Individuals still need to overcome many challenges. Relapse occurs when one gets stuck along the way. They’re faced with a challenge but are unable or unwilling to confront it. So, they turn to inappropriate coping mechanisms as a way to deal with their inner turmoil and dissatisfaction. Unfortunately, this only leads them right back to substance abuse.
Reputable drug rehabs offer remarkable help to people in need. The training, therapies, support, and supervision included in these treatment programs aid individuals in depths of substance dependence find new way of living. But the National Institute of Health states addiction is a chronic condition that requires ongoing care. For that reason, more than 50% of those who pass through drug or alcohol rehabs need multiple rounds of therapy to attain a form of recovery that lasts. But even so, not all of these individuals emerge successful in their fight against addiction.
This begs the question, why is the drug rehab so frequently unsuccessful?
Completing substance abuse treatment doesn’t guarantee sobriety. After leaving rehab centers, patients usually go back to environments where they abused drugs. Some places, people, or things can spark memories of drug use, and trigger urges that cause relapse.
Different aspects can increase the chances of relapse, including:
Triggers include anything from sensations, feelings, or thoughts to relationships and situations that cause the recovering patient to use after a period of abstinence. Holiday parties involving social drinking, exposure to drug-related objects, walking through drinking joints, or hanging around friends who are still using are examples of triggers that can cause a relapse. Unfortunately, recovering patients are consistently exposed to these triggers, making it hard to abstain.
Substance abuse treatment doesn’t end at the rehab facility. Recovering patients should continue with further treatment as specified in their relapse prevention plan. Rehab may stop the urge momentarily, but taking the right steps ensures long-term recovery. After-care services like 12-step, support groups, and other prevention programs arms individuals with coping skills that are essential to staying sober. A strong support system from friends, family members, recovery coaches, and peers can also encourage one to soldier on. But many patients don’t get this assistance, so they end up sliding back to their old habits.
Other internal and external factors like fatigue, physical pain, depression, self-pity, dishonesty, and unemployment can cause an individual to relapse. Researchers from one study discovered that risky drinking is common among the unemployed and that unemployment is a risk factor to drug use. Pity parties – when one feels sad, they can no longer hang with friends at bars or events -- can spark thoughts and eventually cause a relapse.
Just because a patient accepts to enroll in a rehab center doesn’t mean they’re all for the idea (or ready for that matter). There are different things that one can do to undermine their recovery process. For instance, one can join a program with no sense of commitment to life after addiction. Although therapists may use cognitive behavioral therapy among other treatment modalities to address such a problem, it takes dedication and desire to get better on the patient’s side to succeed in treatment.
The same applies to patients who won’t share their insights during group therapies or ones who mock others in the counseling sessions. These individuals often have unresolved issues and disrupt meetings, which are essential in addiction treatment. Patients who don’t listen or are adamant about opening up aren’t able to take advantage of the healing and usually return to using soon after treatment.
The addiction rehab industry is packed with false claims and unsubstantiated care. As we’ve mentioned earlier, a significant percentage of recovering patients resumes drinking shortly after treatment. Research also shows many individuals who pass through rehabilitation wind up with a greater sense of personal failure and despair. This could be because of one or a combination of the following reasons:
With so many factors contributing to addiction, creating a standard treatment approach that works for everyone is impossible. The National Institute on Drug Abuse details the principles that rehab centers should use to individualize care for each patient. But still, most patients only pass through a short detox period, followed by a series of lectures, 12-step, and group therapy. Generalized treatment isn’t effective in addressing the mental, physical and emotional needs of each client.
The intensity of detox varies depending on the type of substance abused, length of use, etc. When a patient doesn’t get enough detox, it means he or she may still have the toxic build-up in their body. This will predispose them to cravings or flashbacks that may act as a trigger. Sadly, run-of-the-mill detox programs don’t consider this and leave their patients not fully detoxified.
Substance addiction often co-occurs with mental illness or other conditions. The Substance Abuse and Mental Health Services Administration revealed that there were about 9.2 million people who experienced both mental health and substance abuse disorders in the US in 2018. Combining strategies from fields of addiction and psychiatry treatment is a great way to ensure long term sobriety, according to SAMHSA. When the dual diagnosis isn’t taken into consideration, then the patient is highly likely to suffer a mental relapse and end up using the substance again.
Some rehab centers – particularly the luxury ones – go above and beyond to make the lives of their patients comfortable. They offer vast services like ocean therapy (riding a yacht), equine therapy (tending to or riding a horse), aquatic aerobics, fitness training, qigong therapy, work assignments, leisure skill groups, among other services along with other care programs. While these are great, there’s no scientific evidence of their effectiveness in substance abuse treatment. These services are great differentiators, but none of these rehabs monitors patient outcomes, despite promising quality results. These are just some of the reasons that drug rehab is so frequently unsuccessful, depending on how you look at things.
Addiction can be both psychological and physical. Treating the physical aspect alone won’t address the psychological triggers that compel an individual to keep abusing substances. Addiction needs personalized treatments that address the symptoms, triggers, and consequences that drug abuse has on different areas of an individual’s life. That’s why many treatment facilities use various types of therapy as part of a holistic approach to tackle addiction and its related issues to reduce the risk of relapse.
Treatment for mental health and substance use disorders has come a long way. Numerous studies and clinical trials have shown the effectiveness of different therapy techniques in addressing a range of issues, including stress, depression, schizophrenia, substance abuse, and so on. As an example, behavioral therapy is known to enhance the physical and psychological well-being and prevent relapse of substance use, mental illness, or both in dual diagnosis patients.
Kicking the addiction habit is a lifelong process that needs consistent application of coping mechanisms. Addiction relapse rates, according to NIDA, are similar to those of chronic illnesses like heart disease, diabetes and asthma. So, the risk of relapse, irrespective of how long one has been clean, is high. This is why the importance of therapy in treating addiction can never be overemphasized.
Addiction is a huge problem today. In 2014, about 20.2 million adults aged 18 and over had substance use disorder in the past year. Of these adults, 6.2 million had illicit drug use disorder, while 16.3 million had alcohol use disorder. What starts as a fun activity can escalate into a full-blown addiction problem.
Addiction changes the way human brain works. It alters the reward center to the extent where one craves for the substance, losses control, and ends up using despite the adverse consequences. As we mentioned earlier, addiction is complex and involves more than the physical aspect. Treating physical manifestations and ignoring the emotional part is not enough.
Even after detoxification, one is still at high risk for relapse. Sudden life stress, environmental cues, social networks, among other factors, can contribute to relapse. Therapy helps one escape the cravings and learn to handle whatever it is that life throws their way without turning to drugs.
Therapy plays a vital role in a successful addiction recovery plan. Many alcohol or drug addiction programs understand this and include different types of therapy into their patient’s treatment plans. There are various forms of therapy, but according to the Principles of Drug Addiction Treatment by the National Institute on Drug Abuse, behavioral therapies are the most effective in treating addiction.
Therapy is a linchpin of addiction treatment for many people. Family Counseling, Cognitive Behavioral Therapy, Contingency Management, and other forms of therapy can help a patient manage drug cravings and avoid relapse. It can also address mental health disorders that often contribute to substance use.
In one post, a TIME writer who almost lost his son to addiction said he sees hope in evidence-based treatments (EBTs) and treatment programs that emphasize research-based therapies like Motivational Interviewing and Cognitive Behavioral Therapy in addition to medication.
The National Institute on Drug Abuse indicates that behavioral approaches help individuals in substance abuse treatment in vast ways. It engages them and offers incentives for them to maintain sobriety. It also modifies their behaviors and attitudes towards drug use and increases their life skills to tackle environmental cues and stressful situations that may trigger intense cravings for use.
With that in mind, let’s look at why therapy is essential in treating addiction:
One of the main reasons people don’t treat addiction is because they are skeptical about quitting. Some of them are in denial, while others feel fear or shame, and so on. Therapies, like motivational interviewing, help such people resolve insecurities and ambivalent feelings to find internal motivation they need to change their addictive behavior. This therapy allows one to recognize the impact of drug use in their lives and that of their loved ones, and nudge them to take a step toward recovery.
Many individuals who are dependent on drugs or alcohol feel as though they’re deep into it and cannot stop. Cognitive Behavioral Therapy (CBT) can come in handy in such cases, as it modifies the behaviors and attitudes behind people’s difficulties, and change the way they feel. CBT helps individuals to understand why they crave substance and arms them with tools to cope with the cravings and feelings. It’s effective in addressing vast issues, including mental illnesses and substance use disorders.
Patients experience many mixed emotions during detox. Talk therapy during detox helps them to change unhealthy responses and live life positively. Counseling supports patients during their journey from addiction to developing a healthy and productive life.
Addiction is a family disease. In most cases, the drug-dependent individual strains relationships because of their habits. But again, some people abuse drugs because of underlying family problems. Family Behavior Therapy (FBT) treats substance use disorders along with coexisting issues like depression and family conflict. It also educates family members about addiction issues and how to help their loved one through their journey to sobriety.
Group therapies, like Alcoholics Anonymous or Narcotics Anonymous, are effective for drug and alcohol addiction. Being in a group setting allows individuals to get support from peers. It also is an excellent opportunity for one to see their problems in a new light and try out new ways of thinking in a safe environment without fear of judgment. Group therapies are not meant to be a substitute for professional help – but a complementary therapy.
Addiction is a complex disease. It is physical and psychological and may worsen depending on one’s emotional state, mental health, environment, and other aspects. Holistic approaches that include a simultaneous focus on mind and body for complete healing take care of the patient’s physical and psychological needs. So, in addition to detox, medical advice, and other forms of interventions, patients need therapy, meditation, massage, acupuncture, etc., to through to achieve life-long sobriety.
Music is an effective form of therapy. It enhances the body's immune system function, reduces the stress levels, and increases the production of dopamine, a feel-good hormone. Music interventions like listening to a song, playing an, or discussing the lyrics can offer healing during addiction recovery.
Music therapy itself is a therapeutic tool that can facilitate social, cognitive, and emotional change and growth. Music also provides some psychological benefits that are important among those trying to break the habit of addiction. Research around the effects of songs on human health, behavior, and wellness shows that music offers the following benefits:
There is something about the Amazing Grace song that makes it so uplifting, relaxing, and comforting. The song has a nice and smooth flow and carries a message that forgiveness and redemption are possible irrespective of the sin. That a soul can be delivered from despair through the mercy of a Higher Power. If you are looking for something inspirational, you should listen to Aretha Franklin's version of Amazing Grace.
Amazing Grace, how sweet the sound
That saved a wretch like me.
I once was lost, but now I am found, was blind, but now I see
Through many dangers, toils, and snares, I have already come,
'Tis grace has brought me safe thus far, and grace will lead me home.
Happy is a feel-good song –and there's a lot to feel happy for. It is one of the best songs of all times that you can listen to elevate your moods, spirits, and so on. You can even dance to the beats when you feel all lazy and unmotivated to do anything else. Happy by Pharrell Williams may not talk about addiction but will sure get you feeling happy.
My level's too high (happy), to bring me down
Can't nothin' (happy), bring me down
I said (let me tell you now) uh
Bring me down, can't nothin'
Bring me down
If you are more into rock n' roll, then you'll love Kelly Clarkson's Broken & Beautiful. You've struggled with substance abuse, gone through addiction treatment, and emerged successfully. You're a superpower, and you've got this because you've had it all along.
Can someone just hold me?
Don't fix me, don't try to change a thing
Can someone just know me?
'Cause underneath, I'm broken, and it's beautiful
Roar, like many other Katy Perry’s Songs, is uplifting and empowering. It also has a catchy tune that makes you feel good about yourself.
You held me down, but I got up (hey!)
Already brushing off the dust
You hear my voice, your hear that sound
Like thunder, gonna shake the ground
Let's Spend the Night Together by Rolling Stones is as romantic as rock n' roll music goes. It is a perfect song to listen to when you're thinking about love. Who knows, you can even pick up a few lines from the song and dedicate it to your significant other. The lead singer Mick Jagger and guitarist Keith Richards wrote this song.
Let's spend the night together
Don't hang me up and don't let me down (don't let me down)
We could have fun just groovin' around, around and around
It is pretty inspiring to know that someone out there has been on the same journey as you. Their stories serve as motivation. They keep you going and make you feel less alone. The song Drug Addiction by Colicchie is an incredible story. You'll probably resonate with every single word.
Look, you don't got a clue what I've been through
When I was at my worst you couldn't walk a mile in my shoes
I survived a lot, so it's only right that I smile
And I'm aware of my surroundings, I'm no longer in denial
Our list of songs about addiction recovery wouldn't be complete without The Fighter. After all, you really are a fighter. You've won so many wars, and you'll continue to do so for the rest of your life. The Fighter by Gym Class Heroes is one to keep you going through the tough times. It promotes strength and motivation and will uplift you whenever you're feeling down.
And if I can last thirty rounds
There's no reason you should ever have your head down
Six foot five, two hundred and twenty pounds
Hailing from rock bottom, Loserville, nothing town
In his album "James Arthur," James Arthur talks about his journey with recovery and redemption. His song, Recovery, shows that he's been through dark times, but there's always light at the end of the tunnel.
In my recovery
I'm a soldier at war
I have broken down walls
As a recovering patient, you understand that the little life stresses can push you to use. This song, Breaking the Habit by Linkin Park, talks about the things that people turn to when they hurt. It is something you'll relate to and can help you identify such feelings when they arise.
I don't know how I got this way
I'll never be alright
So I'm breaking the habit
I'm breaking the habit
I'm breaking the habit tonight
Remember your struggles with substance abuse and your "journey" to sober living? How it felt. It wasn't easy, but you never stop believing. You hold on to the feeling. Don't Stop Believin' is a great song to keep you going strong.
Living just to find emotion
Hiding somewhere in the night
Don't stop believing
Hold on to that feeling
We hope you enjoyed our playlist! Are there any songs you think we missed? Let us know in the comments! If you're more of a movie buff, check out these 5 movies that will scare you straight from drugs. If you enjoy the other types of visual arts, check out our article on why painting is sometimes linked to drug use.
Confidence is an integral part of recovery. It not only influences your choices and decisions but also leaves you empowered. There are ways to boost your confidence while in recovery and they are crucial to your success.
But if you're like most people, you likely had self-confidence issues before you developed an addiction. Unhealthy decisions, guilt, shame, anxiety, and fear can wreak havoc on your self-esteem.
Luckily, there are a few things you can do to boost your confidence levels. For instance, you can get a nice haircut, get new clothes, take a new hobby, exercise, and so on. You can also try to honor your emotions, know your strengths, eat healthily, and be open to helping others.
Let's look at how addiction and low self-confidence relate and ways to boost your confidence after getting clean.
When you lack confidence, it becomes easy to get influenced by the world around you. For example, you may have a hard time overcoming negative thoughts. So you turn to outside activities or experiences to change those negative thoughts into positive ones.
Some people turn to drugs or alcohol to try to get rid of the negative state of mind or situation. According to one study, low confidence levels can lead to a lack of development and a tendency toward the consumption of alcohol and drugs.
In many cases, there isn’t necessarily a direct connection between addiction and low self-confidence. Other factors like behavioral or mental disorders and family history also play a role in drug abuse.
But addiction affects confidence because it is an unusually dehumanizing condition by itself. A person with low-confidence levels acts and think in ways linked to not feeling as though they’re a good and worthy individual.
You may not know this, but something as simple as getting a new hairstyle can boost your confidence levels. An excellent style will put you in a fantastic mood.
How you may ask.
Haircuts make you look and feel better about yourself. You get compliments and enjoy catching your reflection in the mirror. Loving what you see in the mirror is critical in recovery.
Besides, going to the salon means getting pampered. A massage or wash go along way - but having your hair stroked along is enough to release the feel-good hormones.
Self-care is usually the last thing on the minds of those with substance abuse disorders. Their top priority is to get drugs and alcohol.
Now that you are clean, you may take advantage of this time to get some nice looking clothes. Tag a friend or loved one along, and let them help you find something that looks good on you.
When you look and feel good about yourself, you'll be more willing to go out of your comfort zone. You'll also be open to meet new people and try new things.
Several studies have shown that dressing well boosts your performance and improves others' impression of you. It can also change the way you interact with others.
Negative self-talk can lower your confidence levels. So, you may want to replace any negative thoughts with positive ones. Being thankful for what you have is a good start to thinking positive.
Positive thoughts attract good things to you. And when good things come your way, you'll feel more confident. Your recovery is a huge step. Let nothing or no one tell you otherwise.
When you shift your perspective to a more positive one, your outlook on life will change. You'll love more, hate less, demand less, and so on. Over time, your new way of thinking will help you prevent relapse and build meaningful relationships.
Positive self-talk is one of the easiest things you can do to feel more confident. After all, it’s all about telling yourself good things - like "I'm beautiful," "I'm enough," "I'm worthy." Keep doing that every time, and you'll see the difference.
You may know this, but we'll repeat it. Exercise and healthy eating are great for your body. Most treatment programs teach different types of workouts that you can still do. But it's a good idea to explore your options to see if you'll love others more.
You can try out yoga, swimming, running, walking, tai chi, team sports, and group classes.
Exercise offers the following benefits:
Your physical and mental health are connected. The more you care for yourself, the better you'll feel about yourself. You’ll also gain more confidence.
You don't have to make significant life changes to rebuild your confidence. You've been through enough change anyway.
You can keep a gratitude journal, for instance. After all, there’s plenty to be happy for: a sober life, a bright future, supporting family, new hobbies and so on.
Cleaning your room and tidying up space can also work great. Although they may seem like a bummer, these activities can boost your mood. A clean space will make you feel much better than a dirty one. Psychologists say that the state of your surroundings can affect your mental state.
Other self-care practices that are worth trying out include:
Once you're clean, you may find it hard to feel good or happy all the time. This is because alcohol and drugs often fill a social void. Finding new hobbies can be a great way to fill your time, interests, and energy.
Addiction treatment is not enough to maintain mental health over the long term. You need hobbies -- especially social hobbies -- to get a healthy amount of serotonin and dopamine. This way, you won't have to think about the pleasures of substances.
Hobbies are healthier alternatives to drugs and will help you feel included in society. Examples of good hobbies include public speaking, playing music, team sports, fitness, cooking, and gardening. These activities:
Alcoholics Anonymous and Narcotics Anonymous are great groups to be part of because they allow you to meet with others who’ve been in the same position as you. They also provide a platform where you can express yourself without fear of judgment. Being in the company of peers can help elevate your confidence and keep you motivated towards achieving your goals.
Family therapy can also be a great way to repair any strains or damage brought about by addiction. Although treatment facilities often provide such therapies, you may still want to explore options if there’s an underlying problem.
When a loved one goes through the tough recovery journey and comes out on the other side sober and clean, there’s a lot to feel good about. However, the joy almost always comes with the fear of relapsing. After winning the difficult battle against substance abuse, it can be heart-wrenching to imaging that the victory may not last forever. But the reality is that the recovery from addiction seldom goes as planned. Many patients slide back to their old habits of using, so much so that relapse (although dangerous) is considered a normal part of the recovery journey. If you or a loved one has relapsed recently, please understand, it is not a failure.
No matter how diligently one pursues their recovery or how committed they are to lifelong sobriety, there’s a chance that they will relapse at some point. According to the National Institute on Drug Abuse, the relapse rates for addiction mimic those of other chronic diseases like asthma, hypertension, and diabetes.
According to the study, relapse rates for people treated for substance use disorders are 40-60%, which can be compared with those for people treated with asthma, 50-70%, and hypertension, 50-70%. Understanding how relapse happens is critical to preventing relapse because the patient learns to identify the signs (or triggers) and course-correct before they begin using again.
Relapse is a normal part of recovery from drug or alcohol addiction. It occurs when symptoms of a condition reappear after a time with no symptoms. According to the Marlatt and Gordon model, relapse starts with a high-risk situation that’s accompanied by a poor coping response. When this happens, the patient experiences decreased self-efficacy and becomes more prone to a lapse, or one-time use of the substance. For some patients, a lapse comes with a sense of failure or guilt about using again. They feel that they’ve broken some personal expectation or moral law, and assume that alcohol or drugs will lift the negative feelings.
Unfortunately, when relapse happens, many people – especially those around the patient – assume that treatment did not work, or that the patient lacks the willpower to stay sober. But a successful treatment for substance use disorder needs continual assessment and modification. Relapses along the way don’t indicate failure; they only signify that addiction treatment needs to be adjusted, changed, or reinstated.
When a person with substance use disorder slips back to their old habits, it doesn’t mean they failed. It means they have to try again and continue to practice healthy habits. In case the relapse was an isolated incident, and the patient is committed to adjusting or examining their recovery care plan, they may not need to go to an inpatient drug rehab. They may only need a supervised medical detox to overcome withdrawal. But if the patient has relapsed full swing, they’ll benefit more by going back into strict treatment programs.
Relapse comes with an increased risk of overdose. When patients abuse substances for a prolonged period, they develop tolerance, meaning they no longer respond to the substance in the way they did in the beginning. So, it takes a higher dose of the substance to get the same effect as when they first used it. Tolerance reduces with treatment.
If the recovering patient relapses and uses the same dose as they did before treatment, they are at a very high risk overdosing, which can be fatal.
Finding a safe living environment that removes access to substance and negative influences is the best way to address relapse. Long-term inpatient treatment facilities provide residential treatment options for relapsing patients who need intensive levels of substance use treatment. This extended care options are often provided outside of hospital settings and run anywhere from six months to 12 months or more. And while some treatment centers have structured length of stay, others only allow the patient to graduate when they are ready to do so.
A high-intensity rehab program may be the best option for patients experiencing severe addiction, chronic relapses, among other situations that can benefit from prolonged treatment. Most long-term inpatient rehabilitation programs focus on creating a safe and steady environment that encourages sober living. It helps patients to heal from social damage resulting from addiction. Some addiction treatment programs are better than others. Do some research on ethical drug rehab facilities before you make the final decision.
Structure is one of the biggest benefits of residential care. Relapse can consume a patient’s life, create instability in their family, job, or school, and deplete their self-worth. The robust structure of long-term treatment facilities can help a patient regain a sense of responsibility, confidence, and ability to plan and carry out vital goals that support sobriety.
Throughout the course of treatment, the patient’s day will include activities and care that are designed to help them achieve their goals. Patients have 24-hours access to support from fellow peers and trained addiction specialists. They have time to interact, meditate, and even join peer support meetings. Patients can also be part of self-help groups, which play a significant role in building accountability, confidence, inspiration, and a sense of acceptance.
Long-term centers approach treatment from the idea that no patient is similar to another, and will, therefore, have different paces of recovery and coping. Often, these facilities will adjust the length of treatment according to how well a patient is recovering. Those who have a hard time may have to spend more time in the facility – but the result is often worth it.
Most inpatient treatment centers provide incredible support for physical health, particularly when it intertwines with mental health. Patients can expect exercise, nutritional therapy, and information on these two influences the mood and overall health. Since the aim of in-house therapy is to arm patients with tools to manage their happiness and quality of life without alcohol or drugs, this information is critical in long-term recovery.
There’s also the aspect of easy access to transformative treatments and therapies while in long-term addiction facilities. These programs give patients enough time to learn and be able to cope with exposure to drugs, stress, and other triggers without a likely relapse.
As you may have realized from this article, addiction treatment is not all about ending addiction. It involves helping the patient resolve the complex underlying issues (stress, mental health issues, peer pressure, unstable home) that caused the addiction in the first place. It’s about helping the patient uncover the true meaning and purpose in their life, and regain a sense of fun and joy devoid of drugs or alcohol.
Long-term residential drug treatment centers or therapeutic facilities, as they are commonly referred to, are ideal for relapsing patients. Unlike short-term rehab, long-term rehab continues treatment until the patient is ready to carry on – when they’re stable and able to fit back into society. These facilities help relapsing patients change negative patterns of behavior and thinking and develop strategies, skills, and techniques they require to combat cravings, reduce stress and cope with other powerful forces to enhance the chances of successful recovery. These centers also address disorders (depression, schizophrenia, bipolar, anxiety or conduct disorder, etc.), that often co-occur with addiction to treat the patient holistically.