If someone you love has a drinking problem, you may be struggling with how to help them and how to avoid being overwhelmed. You are probably feeling a combination of anger, fear, shame, and sometimes even guilt. At times, it may seem easier to ignore the problem. But denying it will only cause more damage to you, your family, and the person drinking. I hope some of these suggestions will help.
Group counseling sessions– These involve meeting with other recovering addicts in the program. They provide opportunity for sharing life experiences and lessons learned.In so doing, a peer support network develops. Erroneous thinking and walls of isolation are exposed and addressed.3Aftercare– When individuals “graduate” from formal alcohol rehab, they return to the outside world. Oftentimes, it isn’t easy to make this switch. Treatment-energized hope may fade away over time. Day-to-day stresses can take their toll.Ongoing support through 12-Step meetings, personal and group therapies, holistic treatments and other supports are vital. They help to maintain what was learned and practiced in formal treatment.4
For many recovering alcoholics, the mental health aspects of treatment are the most important. Improving mental health means helping patients better understand the chronic condition they are suffering from. It means equipping them with the tools they need to control their thoughts and emotions, avoid addictive triggers, and just stay away from alcohol altogether.
In the past decade, there have been growing efforts through state and local legislations to shift from criminalizing drug abuse to treating it as a health condition requiring medical intervention. 9 states have legislations for safe syringe use like exchange programs or purchasing at pharmacy. In addition, AB-186 Controlled substances: overdose prevention program was introduced to operate safe injection sites in the City and County of San Francisco. The bill was vetoed on September 30, 2018 by California Governor Jerry Brown.[48] The legality of these sites are still in discussion, so there are no such sites in the United States yet. However, there is growing international evidence for successful safe injection facilities.
If you or someone you care about is struggling with an alcohol problem help is out there. There are many treatment options, from inpatient rehab to outpatient counseling and support groups. Just because a problem has developed doesn’t mean it has to stay a problem. Get treatment for your alcohol addiction right now and start taking your life back from this disorder.

A detoxification rehab program stipulates that before patients can begin healing, they must remove all drugs and toxins from their body. It is much easier to detox from drugs under the care and supervision of trained medical professionals, as opposed to attempting to do it on your own. Medical professionals could provide patients with safe drugs that could help ease withdrawal symptoms.


Dependence is defined as an adaptive state that develops in response to repeated drug administration, and is unmasked during withdrawal, which occurs when drug taking stops. Dependence from long-term drug use may have both a somatic component, manifested by physical symptoms, and an emotional–motivation component, manifested by dysphoria. While physical dependence and withdrawal occur with some drugs of abuse (opiates, ethanol), these phenomena are not useful in the diagnosis of addiction because they do not occur with other drugs of abuse (cocaine, amphetamine) and can occur with many drugs that are not abused (propranolol, clonidine).

People who misuse alcohol are often addicted to the act of drinking, as much as the alcohol itself. For that reason, you may need to learn skills and coping mechanisms to help you avoid alcohol once you leave a treatment center or return to familiar environments where the urge to drink may be stronger. Your doctor may refer you to a counselor or other treatment program to help you learn those skills and coping strategies.


Physical dependence on a drug can cause serious withdrawal symptoms if a person suddenly stops using the substance or severely reduces the dose. The withdrawal process itself can be uncomfortable and dangerous. Some of the classic signs of withdrawal include tremors, cold sweats, involuntary movements (e.g., jerking, twitching, or shaking), nausea and vomiting, muscle cramps and bone pain. Because withdrawal can be dangerous, proper medical detox can be a life-saving step in recovery.
  Great experience. Everything I needed. A safe place, calm and tranquil. Very spacious and and comfortable, lots of areas to relax, read or meditate. The groups of men and women with years of sobriety, AA and NA meetings helped me to open my eyes, find myself and spirituality... I'm back! Ready to truly live and enjoy life. Thank you to everyone at the center and groups. Thank to my sponsor. I'm so grateful. Finally Understanding the 12 Steps - Part One (Steps 1-3)
Addiction comes in many forms and is largely found to involve more than one substance or condition. One of the more common coexisting substance combinations is alcohol and drug addiction. According to The National Council on Alcoholism and Drug Dependence, more than 23 million people over the age of 12 are faced with an addiction to both alcohol and drugs. Many substance abuse treatment centers address both substances. The individualized programs at The Recovery Village focus on treating addiction to drugs, alcohol, or both, in addition to co-occurring mental disorders.
"The most robust finding in the study is that those receiving any medication did much better than those who received no pills at all," says Professor Barbara Mason, Scripps Research Institute, and an author of the study. "This should be a wake-up call. With less than one percent of those seeking help for alcohol dependence receiving a prescription, medication is underutilized. Medication for alcoholism can offer patients an advantage for their recovery, especially in a real-world setting." Hypertrophic Cardiomyopathy Treatment With Alcohol Ablation
If someone you love has a drinking problem, you may be struggling with how to help them and how to avoid being overwhelmed. You are probably feeling a combination of anger, fear, shame, and sometimes even guilt. At times, it may seem easier to ignore the problem. But denying it will only cause more damage to you, your family, and the person drinking. I hope some of these suggestions will help.
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Most drugs affect the brain's "reward circuit," causing euphoria as well as flooding it with the chemical messenger dopamine. A properly functioning reward system motivates a person to repeat behaviors needed to thrive, such as eating and spending time with loved ones. Surges of dopamine in the reward circuit cause the reinforcement of pleasurable but unhealthy behaviors like taking drugs, leading people to repeat the behavior again and again. A One Hour Journey Through the 12 Steps with Tommy Rosen
Remember though, overcoming alcoholism is a process. Less than half of individuals relapse after achieving one year of sobriety. That number reduces to less than 15 percent who relapse after five years of sobriety. For the greatest chance of long-term sobriety after completing an inpatient or outpatient program, you should participate in local support groups and continue with counseling. Treating alcoholism is an investment in your future. It will not only make a huge difference in your life, but also the lives of those around you such as family members and friends. Rehab Nightmare: Drugs, Chains and Canes - Full Documentary - BBC Africa Eye
Many physicians believe no effective treatment is available for alcoholism; therefore, these physicians do not refer their patients for treatment. However, more than 13 studies representing more than 4000 patients demonstrate that brief interventions make a difference. Most of the patients in these studies drank heavily but did not yet have a problem with alcohol.

Assessment and evaluation– Treatment typically begins with a complete physical and psychological assessment to establish which method of rehabilitation should be used. This is completed by both physicians and treatment counselors. Medical and mental health records are read. Family and alcohol-use histories are also reviewed. This process helps to chart the best course of action. Oftentimes, follow-up reviews are necessary to update or adjust treatment measures. Every aspect of care is based on a personalized treatment plan.
Use caution with prescription drugs. If you were addicted to a prescription drug, such as an opioid painkiller, you may need to talk to your doctor about finding alternate ways to manage pain. Regardless of the drug you experienced problems with, it’s important to stay away from prescription drugs with the potential for abuse or use only when necessary and with extreme caution. Drugs with a high abuse potential include painkillers, sleeping pills, and anti-anxiety medication.
Since 1962, IVRS has grown into a continuum of care network offering an array of substance abuse services including detoxification, residential and outpatient treatment, aftercare, education, individual and group counseling, along with primary & secondary prevention services. Also we operate licensed, court-approved domestic violence batterer’s treatment alternatives. IVRS is headquartered in the City of Upland, and has facilities in the County San Bernardino (Southern California). Each year, IVRS serves approximately 5,000 individuals through a variety of substance abuse recovery, treatment, and prevention services. IVRS is run by qualified, caring multi-disciplinary team of administrators, counselors, therapists and support staff, including bilingual English/Spanish, who meet the California Department of Health Care Services licensing & certification requirements.

In keeping with the idea of dual diagnosis, it is clear that a big part of alcohol rehabilitation is improving mental health. Even people not clinically diagnosed with co-occurring disorders suffer mentally under the control of alcohol. This is why depression and anxiety are both warning signs of alcohol abuse. The fact is that alcohol affects how the mind works; it affects the thoughts and emotions.


On this site, you can get the answers that you need in order to make the most informed decisions for yourself or your loved one. From understanding basic facts about specific substances to identifying the program that best meets your unique needs, your path out of the darkness of addiction and into the bright promise of a healthier tomorrow can start here.
Outpatient treatment programs give you the flexibility to continue to live at home and work or attend school while participating in a program. There are varying levels of outpatient treatment depending on the level of care the patient needs. Some outpatient programs may involve several hours of therapy per day while others might require varying amounts of time throughout the week.5  Program requirements vary, and you can research the various programs to find what works best for you.
High Success Rates. Most drug rehabs keep track of the recidivism, or relapse, rates of their patients and the most effective programs keep in close contact with clients as much as possible after they are graduated from treatment. The success rates for different drugs and situations can help patients compare the efficacy of different theories behind addiction treatment.
Within the framework of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), substance dependence is redefined as a drug addiction, and can be diagnosed without the occurrence of a withdrawal syndrome.[6] It was described accordingly: "When an individual persists in use of alcohol or other drugs despite problems related to use of the substance, substance dependence may be diagnosed. Compulsive and repetitive use may result in tolerance to the effect of the drug and withdrawal symptoms when use is reduced or stopped. This, along with Substance Abuse are considered Substance Use Disorders."[7] In the DSM-5 (released in 2013), substance abuse and substance dependence have been merged into the category of substance use disorders and they no longer exist as individual diagnosis.[8] Russel Brand on Addiction and the 12 Step Program
It is well known that our body and appearance change the older we get, but most do not realise that the way in which alcohol is broken down and processed slows with age. According to the Royal College of Psychiatrists, the recommended alcohol guideline amounts of fourteen units per week should probably be lower for older adults to take account of these changes.
Depending on your treatment priorities, you may also want to consider a facility that shares your philosophy. For instance, some people prefer faith-based rehabs if their religion is important to them. Others may choose to enroll in a holistic treatment center that utilizes alternative and complementary practices, such as acupuncture, meditation, and yoga. Regardless of the treatment program you choose, it’s important to confirm that it possesses the above-mentioned qualities.
The AA 12-step approach involves psychosocial techniques used in changing behavior (eg, rewards, social support networks, role models). Each new person is assigned an AA sponsor (a person recovering from alcoholism who supervises and supports the recovery of the new member). The sponsor should be older and should be of the same sex as the patient (opposite sex if the patient is homosexual). Drug Rehab Near Me
Many of the neurological processes and brain structures involved in addiction are also used in cognitive tasks like reasoning, learning and memory. With heavy drug use, you may find that you have difficulty learning or remembering information or that you lose focus when you’re trying to concentrate on a task. In addition to short-term physical and psychological impacts, long-term drug use can also alter your mental health.

You won't be judged. It’s probably difficult for you to talk about your drinking, because you're afraid nobody will understand you and they'll criticize you. So you bottle everything up inside, which makes you feel more guilt and shame, and makes you want to drink even more. The people at a self-help group won't judge you because they've heard it all before. They've done it all before. They know you're not crazy. You're addicted. How To Overcome Addiction (Long-Term)


An individual who suffers from both mental illness and alcoholism will need to undergo different treatment. Because alcohol withdrawal symptoms cause a person to experience some psychiatric stress, an alcoholic with mental health issues will find it much more difficult to resist turning to drink. The NIAAA believes the some self-help groups, such as Alcoholics Anonymous, are not effective when it comes to treating people with a dual-diagnosis of both alcoholism and mental illness. This is because these groups tend to specifically focus on the actual addiction itself, rather than any underlying psychological problems. Anti-depressants are improving all the time and it is believed that while a self-help group may not be useful for a dual-diagnosis individual by itself, if the individual is on the appropriate medication and receiving the appropriate psychological therapy it can prove to be just as effective as with other alcoholic individuals. Addiction Recovery: 12 Steps and Beyond (TTA Podcast 321)
Patient-centered, collaborative therapies like motivational interviewing (MI) have proven to be more effective at retaining patients in alcohol treatment than older, more confrontational styles. In a study published in Drug and Alcohol Dependence, alcoholics who received this encouraging, patient-centered form of therapy during the intake process were more likely to remain in treatment than those who were approached using traditional therapeutic styles.
It’s rare for people with alcoholism to strive for that diagnosis. No one grows up wanting to struggle with alcohol for the rest of life. But alcoholism can be sneaky, creeping into life in ways that are subtle and that can pass by unnoticed. For some, alcoholism begins with peer pressure. These people just don’t intend to start drinking, and they may not begin life even enjoying alcohol, but their peers prompt and poke them to drink alcohol. In time, as they comply with these requests from peers, they lose the ability to control how and when they drink. 

Medical professionals need to apply many techniques and approaches to help patients with substance related disorders. Using a psychodynamic approach is one of the techniques that psychologists use to solve addiction problems. In psychodynamic therapy, psychologists need to understand the conflicts and the needs of the addicted person, and also need to locate the defects of their ego and defense mechanisms. Using this approach alone has proven to be ineffective in solving addiction problems. Cognitive and behavioral techniques should be integrated with psychodynamic approaches to achieve effective treatment for substance related disorders.[37] Cognitive treatment requires psychologists to think deeply about what is happening in the brain of an addicted person. Cognitive psychologists should zoom in to neural functions of the brain and understand that drugs have been manipulating the dopamine reward center of the brain. From this particular state of thinking, cognitive psychologists need to find ways to change the thought process of the addicted person.[37]

A number of faith-based groups operate drug and alcohol recovery programs. These include the Christian Salvation Army Adult Rehabilitation Centers and Harbor Light detox and residential centers, which can be found nationwide, as well as a variety of other rehab centers and organizations dedicated to residential rehabilitation and support based on their specific faith traditions. Some religious organizations offer support organizations for people in rehab, such as the Orthodox Jewish Chabad movement recovery program and its residential treatment center for men in California, or JACS, a Jewish community addiction resource group in New York, along with a number of other Christian support organizations, like Alcoholics Victorious and Christians in Recovery. These groups generally provide free 12-Step support or other counseling, religious motivation, and peer support group programs, but do not provide medical detox, requiring that their clients undergo detox before beginning their programs.

Because an alcohol use disorder can be a chronic relapsing disease, persistence is key. It is rare that someone would go to treatment once and then never drink again. More often, people must repeatedly try to quit or cut back, experience recurrences, learn from them, and then keep trying. For many, continued followup with a treatment provider is critical to overcoming problem drinking.
More than 86 percent of people in the US drink alcohol at least once during their lifetime, according to the National Institute of Alcohol Abuse and Alcoholism (NIAAA). It is common for most people to enjoy an occasional cocktail or a glass of wine in the company of friends or at a party. However, some people drink far more often than that, and still others drink heavily or binge drink on a regular or even frequent basis.
Withdrawal can begin soon after the cessation of drug use and will likely peak in intensity in the first 24 to 48 hours. If severe withdrawal is left unchecked, in some instances it can be fatal. Anyone experiencing the symptoms of withdrawal should be under a doctor’s care, and for drug addicts entering treatment medical detox is often required before therapy for addiction can begin.
Drug addiction treatment can typically be divided into three phases: detox, therapy and long-term recovery. When discussing the treatment of drug addiction, many people focus only on the first phase, detox; while detox is of course a crucial component of treatment, it is only one element and having gone through detox and withdrawal if an addict believes that their recovery is complete they are almost certainly doomed to fall back into addiction very quickly since the underlying causes of their addiction have not been addressed.
Drugs, Addiction, and the Brain explores the molecular, cellular, and neurocircuitry systems in the brain that are responsible for drug addiction. Common neurobiological elements are emphasized that provide novel insights into how the brain mediates the acute rewarding effects of drugs of abuse and how it changes during the transition from initial drug use to compulsive drug use and addiction. The book provides a detailed overview of the pathophysiology of the disease. The information provided will be useful for neuroscientists in the field of addiction, drug abuse treatment providers, and undergraduate and postgraduate students who are interested in learning the diverse effects of drugs of abuse on the brain.
^ Nestler EJ (December 2013). "Cellular basis of memory for addiction". Dialogues Clin. Neurosci. 15 (4): 431–443. PMC 3898681. PMID 24459410. Despite the importance of numerous psychosocial factors, at its core, drug addiction involves a biological process: the ability of repeated exposure to a drug of abuse to induce changes in a vulnerable brain that drive the compulsive seeking and taking of drugs, and loss of control over drug use, that define a state of addiction. ... A large body of literature has demonstrated that such ΔFosB induction in D1-type [nucleus accumbens] neurons increases an animal's sensitivity to drug as well as natural rewards and promotes drug self-administration, presumably through a process of positive reinforcement ... Another ΔFosB target is cFos: as ΔFosB accumulates with repeated drug exposure it represses c-Fos and contributes to the molecular switch whereby ΔFosB is selectively induced in the chronic drug-treated state.41. ... Moreover, there is increasing evidence that, despite a range of genetic risks for addiction across the population, exposure to sufficiently high doses of a drug for long periods of time can transform someone who has relatively lower genetic loading into an addict.
For example, someone with bipolar disorder that suffers from alcoholism would have dual diagnosis (manic depression + alcoholism). In such occasions, two treatment plans are needed with the mental health disorder requiring treatment first. According to the National Survey on Drug Use and Health (NSDUH), 45 percent of people with addiction have a co-occurring mental health disorder.
Repeat the focusing with each part of your body that experiences the craving. Describe to yourself the changes that occur in the sensations. Notice how the urge comes and goes. Many people, when they urge surf, notice that after a few minutes the craving has vanished. The purpose of this exercise, however, is not to make the craving go away but to experience the craving in a new way. If you practice urge surfing, you will become familiar with your cravings and learn how to ride them out until they go away naturally.
Disulfiram: Disulfiram (Antabuse) interferes with the way a person’s body process alcohol, and produces a very unpleasant reaction that includes flushing, nausea, and palpitations. Because of the unpleasant reactions to drinking alcohol, patients often neglect to take the medication, which limits its usefulness. Disulfiram is most effective when administered under supervision, such as by a spouse or clinic.
The first step toward recovery is admitting that the problem exists. We understand that this is often the most difficult step. If you suffer from alcohol addiction, coming to terms with the fact that alcohol has become a destructive force in your life is tough. Still, we urge you to face up to the reality as soon as possible. The sooner you do, the sooner you can begin your journey to a clean, healthy, and sober life. We encourage you to do it sooner rather than later. Drug Rehab Near Me
Alcohol Health & Research World notes that outpatient alcohol detox programs can be as safe and effective as inpatient detox, as long as the patients have been professionally screened and matched to the right level of care. With outpatient treatment, the average length of stay in rehab is usually shorter, and the cost is generally less. However, for patients at risk of serious alcohol withdrawal symptoms, or for those with co-occurring medical or psychiatric disorders, inpatient alcohol detox is often more appropriate.
Inpatient alcohol rehab treatment is intended for men and women who are struggling with an alcohol use disorder (AUD). This includes alcohol abuse and alcohol addiction. Many who struggle with alcoholism find the most success with inpatient rehab treatment. Clients in this program typically begin with inpatient alcohol detox to rid their bodies of any harmful toxins from the drugs or alcohol. If necessary, they may also be prescribed medications to help reduce alcohol cravings or reduce withdrawal symptoms.
At Passages Malibu, we believe your alcohol addiction is simply the symptom of an underlying condition which, when brought to light and resolved, will effectively end your cycle of chemical dependency. When you check into Passages Malibu, you will be assigned a 10-person team consisting of therapists and administrators. This team will work with you through the duration of your stay, evaluating and adjusting your program as you make progress. No two weeks will be alike. Instead, your program will be constantly evolving as you advance toward complete success. At our luxurious rehab center, we know that detox is an extremely important choice. In order to ensure your total safety, security, and comfort, we will provide you with a supervised detox. Our team of nurses is available 24/7 to provide you with the best clinical care.
Certain opioid medications such as methadone and more recently buprenorphine (In America, "Subutex" and "Suboxone") are widely used to treat addiction and dependence on other opioids such as heroin, morphine or oxycodone. Methadone and buprenorphine are maintenance therapies intended to reduce cravings for opiates, thereby reducing illegal drug use, and the risks associated with it, such as disease, arrest, incarceration, and death, in line with the philosophy of harm reduction. Both drugs may be used as maintenance medications (taken for an indefinite period of time), or used as detoxification aids.[9] All available studies collected in the 2005 Australian National Evaluation of Pharmacotherapies for Opioid Dependence suggest that maintenance treatment is preferable,[9] with very high rates (79–100%)[9] of relapse within three months of detoxification from LAAM, buprenorphine, and methadone.[9][10]
Whether you decide on inpatient or outpatient rehabilitation, detox is an essential beginning step towards recovery. Because of the potentially serious medical concerns of alcohol withdrawal, we recommend professional detox (rather than quitting cold turkey at home). Detox can be completed in an inpatient or outpatient facility depending on the severity of the addiction and any medical complications that are present.
Even if you are aware of the harm that prolonged heavy drinking causes to the body, you will tend to believe that you would never let it get to that stage because you would be sure to stop long before then. But the truth is that drinking causes great harm to the body long before you can see the effects, and the most serious consequences might not be that far off. An idea of the extent of the negative health impacts of drinking can be seen in the NHS finances, which show that alcohol consumption is responsible for over 10% of the cost of healthcare in Britain.
Physical dependence on a drug can cause serious withdrawal symptoms if a person suddenly stops using the substance or severely reduces the dose. The withdrawal process itself can be uncomfortable and dangerous. Some of the classic signs of withdrawal include tremors, cold sweats, involuntary movements (e.g., jerking, twitching, or shaking), nausea and vomiting, muscle cramps and bone pain. Because withdrawal can be dangerous, proper medical detox can be a life-saving step in recovery. Sunrise Foundation Rehabilitation Center in India near Mumbai
As a person in long term recovery, He has been working to help people find recovery from addiction in some fashion for 12 + years either as a sponsor, mentor, or as a professional in clinical environments.  At CRTC he works to formulate practical, action-based plans to transition our clients into healthier states of mental and emotional processing.
As with most other chronic diseases, such as diabetes, asthma, or heart disease, treatment for drug addiction generally isn’t a cure. However, addiction is treatable and can be successfully managed. People who are recovering from an addiction will be at risk for relapse for years and possibly for their whole lives. Research shows that combining addiction treatment medicines with behavioral therapy ensures the best chance of success for most patients. Treatment approaches tailored to each patient’s drug use patterns and any co-occurring medical, mental, and social problems can lead to continued recovery.
One of the brain areas still maturing during adolescence is the prefrontal cortex—the part of the brain that allows people to assess situations, make sound decisions, and keep emotions and desires under control. The fact that this critical part of a teen's brain is still a work in progress puts them at increased risk for making poor decisions, such as trying drugs or continuing to take them. Introducing drugs during this period of development may cause brain changes that have profound and long-lasting consequences. Transformations Drug & Alcohol Treatment Centers
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