What Does Happen in a Rehab Center?

If you are seeking information on a rehab center, either for yourself or a loved one, and you are not sure exactly what does happen in one, this article will provide a brief explanation. Most rehab centers follow the course of treatment described; how they approach the various steps is what may be different depending on which type of facility is chosen.

1. Detoxification

This process of ridding the body of all traces of the drug or alcohol that has caused the addiction–is usually the first stage of rehabilitation. Depending on the rehab center, this may occur in the facility itself or it may be necessary for a person to undergo the “detox” stage in a hospital or other medical facility before he will be admitted to the rehab center.

2. Diagnosis and Treatment

In most rehab centers, the resident enters as an inpatient. For a specific period, he does not leave the facility. Once he has successfully completed the inpatient phase, he then transitions to outpatient status.

It is during the in-patient status time that the diagnosis of a co-occurring disorder may be made. A co-occurring disorder is one in which psychological or mental problems, such as depression, bi-polar disorder, or other conditions are found to exist along with the alcohol or drug addiction.

Those facilities that are designed to handle co-occurring disorders provide treatment for both psychological disorders and addiction problems. Treatment includes counseling with those counselors who handle psychological disorders and additional counseling with those trained to treat addiction problems.

If a co-occurring disorder exists, it is very important that a facility be chosen that does address both issues. Many do not; rather, they simply deal with the addiction. This can lead to multiple relapses, as the underlying psychological problems still remain.

MichaelsHouse.com is one facility that does handle co-occurring disorders sometimes referred to as “dual diagnosis.” This facility has been helping people with this specific problem for over 80 years.

The Real Rehab: Beyond the Addiction

Maybe you have finally decided that you want to kick the habit that has been ruling your life for far too long. If so, that is great. You want to get out of the old life style, and get into one where some junk is off somewhere else, and not in your face (or in your body), and where the decisions that you make are based on what you really want, and not just on what feels pretty good at the moment. But the process that starts in a rehab setting and consists of a lot of withdrawal pains does not end there. The real process that you are going to have to go through is far more difficult, and far scarier, than any of the physical pains could ever be.

Unfortunately, not every rehabilitation center really considers the fact that in order to treat the real problem, you have got to look beyond the addiction itself. Fortunately, as websites like TheCyn.com can tell you, the addiction is merely a mask that is worn by the underlying cause. This cause is only treated by places such as this, where they counsel you about what is really wrong underneath the surface. There is not an alcoholic or an addict out there who does not have an issue that goes far deeper than just using their stuff of choice.

A good rehabilitation center will seek to understand what your real problem is, and then work to equip you with the tools that you are going to need, in order to really overcome those issues. A good primer on that is the twelve step program that Alcoholics Anonymous uses, in which you make the slow journey from merely admitting to your problem, through working on the problems that underlie it, all the way through genuinely helping others to overcome their own problems. Whether you believe in the religious overtones or not, beating the real problem works.

Support After Rehab

When you are nearing the end of your time in a rehab facility or time spent in counseling and actively engaged in rehabilitation, it is time to start to think about how you will maintain your progress and new life after treatment. Many believe that treatment for addiction never really ends, and even though you may not be actively in treatment, it is important to maintain a strong support system and a lifestyle that will help you to stay clean after your recovery from substance abuse.

Counseling

Many rehab centers offer counseling after your initial treatment. Make use of these resources and schedule periodic appointments to check up on progress and be sure everything is okay. These appointments are also a good time to let someone know if you have hit a rough patch or are experiencing signs of falling back into your addiction. Having a counselor on your calendar keeps you from having to make that call again, you’re already going to see someone at regular intervals.

Support Systems

Continuing to attend meetings can be one good way to stay accountable. You may also want to keep in touch with an accountability buddy in order to check up on each others’ progress and encourage one another to maintain your new lifestyle. Having a strong support system of family and friends can also be helpful moving forward. These people can help you through tougher times and provide an encouraging word or friendly ear when you are having a rough day.

After-Care at a Center

Many centers offer services to past patients and it is important to find out about all of the options available. Being able to pick up the phone at any hour of the day and talk to someone about what’s going on and get help from people who already know your history can be a big help to people after their initial time in rehab.

Both Sides of the Rehabilitation Process

It is important for you to be aware of both sides of the rehabilitation process when you are dealing with a drug addiction or an alcohol addiction. If you are struggling with addiction, then you are not going to be able to get over the habit until you go through both detoxification and rehabilitation. Knowing what both of these processes entail is the first step to understanding why you must go through both in order to kick your habit, and websites like TheCyn.com can help you figure it out.

First and foremost you have detoxification, which handles and addresses the physical aspect of the addiction. Detoxification entails overcoming the physical hold that the drug has on your body by letting your body push it all out. Once you go through the symptoms of withdrawal and you overcome the effects of the drug, then that is when your recovery can really begin. Once there are no drugs left in your system and you are feeling sober and level headed, then you can start the real recovery process which is what rehabilitation is all about.

The rehabilitation part of your recovery is all about the emotional and mental parts of addiction. It deals with bad habits and good habits, lifestyle changes and learning how to live without the drug or the people that bring the drug into your life. You must learn to kick the drug mentally just as much as physically in order to be successful in your recovery. You cannot have detoxification without rehabilitation, and you cannot have rehabilitation without detoxification. This is why residential and inpatient facilities are ideal for overcoming your addiction, they help you address both the physical and emotional aspects of an addiction once and for all. Sobriety means overcoming both holds that the drug has on your body, not just the physical or just the mental.

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What To Expect In The Detox Stage

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“Detox” is short for “detoxification”, the stage in which the body is undergoing both physical and psychological withdrawal from the substance of abuse, and metabolizing the drug for removal from the body as well as starting to repair the damage that has been caused from abusing drugs or alcohol. It is necessary that a person undergo detox before continuing in a drug rehabilitation program, and, unfortunately, it is not a pleasant experience.

The withdrawal phase is part of the detox stage. This phase can start as early as thirty minutes to an hour after the last drink or alcohol or last drug “fix”. Early signs include stronger cravings, excessive sweating and nervousness.

As a person goes longer without drinking or taking a drug, the body continues to react to the absence of the drug. The cravings become more intense, and the body begins to react in other physical and psychological ways. Nausea and vomiting may occur, either preceded or accompanied by severe abdominal cramps.

Muscle tremors start to appear, and become more pronounced as more of the drug or alcohol is metabolized and the levels present in the body begin to fall. The person may begin to suffer hallucinations or the feeling that insects are crawling all over his body, when indeed none are present.

Eventually, the withdrawal symptoms do begin to abate, but the detox process continues as the body works to rid itself of all traces of the drug or alcohol. It can sometimes take as long as a week for full detoxification to occur.

Many drug rehabilitation programs will not allow admittance until the detoxification phase has completely passed. Some facilities, however, are equipped to handle the detox phase, and will go ahead and admit the person. Once the detox phase has passed, the patient immediately begins the rest of the drug rehabilitation program.

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Going Through Drug Rehab

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If you’ve struggled with drugs and alcohol and finally decided to get help, you’ll need to see about a drug rehab facility. The seriousness of your addiction and other factors will help determine whether you need to have an in-patient stay (and for how long) or whether you can be treated as an outpatient. Of course, you may think an outpatient setting is enough for you when others think an in-patient program would be a better choice. It may be very difficult, but listen to your friends and family members. They’re trying to help you, even if they aren’t always sure about the best way to do that.

When you see that you really do have a problem and you have to get help, check around at different treatment centers. Find out about the programs they offer, how long they last, what they cost, and what type of success rate they have with your particular drug of choice. You want to pick the best option for you, because you’re ultimately the one who has to do the work. Everyone else can give you help and support, but they can’t conquer the addiction for you. You have to do that, and you need the right help to do it.

In other words, don’t just choose the first treatment option out there, or the one that someone else recommended. It might not be right for you, and you want to choose something that fits your lifestyle and addiction patterns. If you choose something in that way, you’ll have a higher chance of sticking with the program and seeing yourself succeed. Even if you make mistakes along the way – and many people do – having the right program can make all the difference in your long term goals.

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Public Vs. Private Rehabs – Which Is Best?

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No one can tell anyone what is best for that person; that is an individual decision. However, sometimes knowing the differences between things, such as public and private rehabilitation facilities, can help a person determine exactly what is best. So, here are a few of the differences:

*Public rehabilitation facilities may provide services either free or at a much reduced cost. Many municipal, county, state, and/or federally-funded organizations often charge no fees, or may require only a minimal payment (which may be included in a court fine or other legal or civil remittance).

*Private rehabilitation facilities may also be free or have minimal fees. This can include those that are supported or operated by religious, fraternal, or community organizations. However, most private facilities do charge for their services, and depending on the facility, the location, and the operators, may require a substantial fee.

Does this mean the treatment is any better at a private facility? Not necessarily, although more money may mean more amenities for the patients, which may make them feel that the experience was a little more pleasurable.

Basically, however, all rehabilitation facilities offer pretty much the same services counseling, instructions in and assistance with lifestyle changes, and support, just to name a few. And, these all are (or should be) intended to accomplish the same goal that of addiction recovery.

*Public facilities may have a waiting list; private facilities may be able to offer admission right away. Not having to wait may give a person the incentive to go through with a recovery program, whereas having to wait may give him time to think up reasons not to go, or to even continue or relapse into addictive behavior.

*Public facilities may not be allowed to address one’s spiritual or religious wishes or needs; private facilities may actually be sponsored or run by those who hold the same beliefs as the person seeking help.

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Where Can I Go For Drug Rehabilitation?

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You have several options of places to go to for drug rehabilitation. These include public facilities and private facilities, of which any or both may be run by secular or faith-based programs. Some programs are free, others are offered on a “sliding scale” basis, where you pay a certain amount depending on your income, still others have a set fee.

In order to decide the best place to go for drug rehabilitation, ask yourself these questions:

What can I afford? If you cannot afford drug rehabilitation at all, certain municipal, County, or State organizations offer free drug rehabilitation. You may have to get on a waiting list, and the facilities may be utilitarian at best, but you can still receive competent, professional drug rehabilitation.
If you can afford to pay all or part of the fee, you have a little more leeway in choosing. You can opt for private drug rehabilitation, again at a facility that you can afford.

What type of treatment do I want to receive? Your main goal is drug rehabilitation, you want to become clean and sober. However, you can opt for treatment that allows the use of medications, such as methadone or other similar medications that help calm the urges and cravings while you are being treated, or you can decide to work through it yourself, receiving only palliative care throughout the initial detoxification stage, then nothing else once the actual recovery program begins.
What if the type of people with whom I am sharing the facilities is important? You can choose from faith-based facilities that are sponsored by the denomination, religion, or belief system that you espouse. You can choose male-only facilities, or female-only facilities, or you can choose coed facilities, where men and women come together for group therapy sessions and activities, but are segregated into different living areas if it is an in-patient facility.

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Which Type Of Drug Rehabilitation Program Is Right for You?

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Only you can answer that. You may need one that pulls no punches and is very rigid, or you may need one that approaches drug rehabilitation in a more relaxed way. There are so many out there, though, that you should have no trouble finding one that will help you. A few of them are listed below:

*Very organized, very structured: You get up at a certain time, you eat your meals at a certain time, and you attend counseling sessions for a certain amount of time, and then participate in group activities. You have very little, if any, control over anything that happens.

*More relaxed: Meals are served between certain times, say 7:00 AM to 9:00 AM for breakfast; 11:00 AM to 1:00 PM for lunch, supper between 6:00 PM and 8:00 PM. Further, you are allowed to decide when you will attend counseling sessions and when or if you want to participate in group activities.

*A little of both: During one phase of the program-for instance, the in-patient part, your time is not your own. You may be required to follow this structure for a certain length of time, or you may be able to gradually earn a little flexibility.
Later, as you enter the out-patient phase, you are allowed to set appointments for individual and group therapy sessions, as long as you keep them, and fulfill the required number of sessions, and it is totally up to you if you want to participate in group activities or not.

In addition to the different scheduling options, you can also choose from faith-based programs, which are supported or operated by churches, synagogues or by those of a certain belief system, 12-step programs (such as AA and NA), and even those that are gender-specific. There are even programs for those people who live an alternative lifestyle, and wish to be with others who do also.

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Medications Used In Drug Rehabilitation

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Some rehabilitation facilities and programs utilize medications in drug rehabilitation. When combined with other rehabilitation methods, including therapy and support groups, these medications often help a person suffering from drug addiction to achieve more success in his rehabilitative efforts.

Some of the medications used in drug rehabilitation are listed below:

Suboxone®: This is the brand name for the drug buprenorphine. Suboxone is used to treat people who are addicted to substances with an opium base, such as the “street” drug heroin or the prescription drug oxycodone.

Suboxone works by easing the withdrawal symptoms that come from ceasing heroin, oxycodone, or any other drug that have an opium base and by helping calm the physical and psychological cravings and urges that come with opium addiction. A small amount of the drug naloxone, which is also used as a drug addiction medication, is added to Suboxone. Doing this makes it harder for a person to dissolve and inject Suboxone into a vein.

Some people do this either in the mistaken belief that the relief symptoms will take effect quicker, or that they might be able to achieve the “high” that the opium-based drug gave them. The only thing injecting Suboxone does is make a person go into the withdrawal stage more quickly, something that is not very pleasant at all.

Methadone: Methadone has been used for more than 30 years. It, too, treats opium-based addictions, such as addiction to heroin or codeine. Methadone works by replacing the receptor in the brain that is triggered from opioids being metabolized in the body due to heroin or codeine use with the synthetic medicine found in the Methadone. By “filling” this receptor, Methadone causes a stabilizing effect. This in turn allows users to be able to withdraw from heroin or codeine use without suffering withdrawal symptoms.

Antabuse®: Antabuse® is used to treat alcohol addiction. It works by causing actual physical reactions to the ingestion of alcohol, such as nausea, chest pains, breathing difficulties, headaches, and other unpleasant symptoms. These symptoms appear within ten minutes of ingesting alcohol and can last for an hour or more.

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