Ongoing support and aftercare are essential to this type of sustained, long-term recovery. Many drug abuse rehab centers feature robust aftercare programs, including ongoing individual therapy sessions on a periodic basis, group therapy meetings, and alumni events. Oftentimes, alumni are also encouraged to get involved in their own recovery community by participating in 12-step meetings or residing in a sober living home. If recovering addicts have people they can turn to for support when they are tempted to relapse, they are more likely to stand strong and resist the urge to use again.


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.
In the United States, there are many government-issued services and resources that can help with alcoholism. One of the most common, the Substance Abuse and Mental Health Services Administration (SAMHSA), serves as an information hub and treatment referral service. Additionally, more states are focusing on affordable treatment options to make sure anyone who is in need of treatment receives help. Unfortunately, with an increasing demand for alcoholism treatment services, many government-funded programs have wait lists and other requirements such as financial and medical need.
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)
Contemplation represents the first evidence of dynamic behavior. The individual expresses a tentative belief in the possibility that alcohol use might be harmful. The hallmark of this stage is ambivalence and skepticism. Skepticism is not the same as denial but instead allows some degree of personal reflection. The patient is receptive to new information, or just as likely reassured that current behavior is acceptable, in the absence of information. Thus, the clinician should influence the ambivalence characteristic of contemplation in a direction favoring change. This can include pointing out that the patient's actions are not congruent with their goals, giving pamphlets concerning alcohol abuse, and suggesting an abstinence trial.
GENERAL DISCLAIMER: Rehabs.com is designed for educational purposes only and is not engaged in rendering medical advice. The information provided through Rehabs.com should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, you should consult your health care provider. The authors, editors, producers, and contributors shall have no liability, obligation, or responsibility to any person or entity for any loss, damage, or adverse consequences alleged to have happened directly or indirectly as a consequence of material on this website. If you believe you have a medical emergency, you should immediately call 911. Alcohol Rehabilitation Centers - What is it like going to in Rehab
The different types of rehab facilities fall into two categories or “settings.” The two settings are inpatient (full-time rehab) and outpatient (part-time rehab). Inpatient means the client lives at the facility, and each step of the rehab process is typically completed there. Patients who attend an outpatient facility return home after treatment each day and often complete the steps of rehab at different facilities. Below is a comparison of the most common program options within those two rehab settings.
At Burning Tree, we know that finding the right treatment center plays a critical role in stopping the cycle of addiction.  Our long-term approach to treatment makes relapse prevention a signature trademark of everything we do.  After carefully assessing and evaluating all prospective clients, we approach professional treatment on a case by case basis to ensure the highest quality care possible.  Our onsite staff of addiction specialists and therapists provides round the clock supervision and care in the treatment of alcohol/drug dependent behavior and mental disorders. 
Friends and family: The loved ones of those who are addicted to drugs or alcohol often want to help but aren’t always sure how to bring it up. It’s worth it to ask loved ones if they are willing to assist with the cost of treatment, even if one is embarrassed to do so. Perhaps it could be discussed as a loan that the individual can work to pay back over time. This may be a last resort for some, and even for those who ask, the answer may be no, but it’s a chance for loved ones to be involved and invested in recovery.

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.
You may be wondering how much rehab costs and is it worth the price? Inpatient treatment is generally more expensive than outpatient treatment. Depending on the severity of your addiction, it may take some time to recover. The more time you spend in alcohol rehab, the more it will cost. Many people transition from detox to inpatient treatment, to continued outpatient treatment, and then to a sober living environment.
Insurance: Many types of insurance cover the cost of addiction treatment and rehab; in particular, the Affordable Care Act requires that insurance policies issued under the state health exchanges and through Medicaid programs under the ACA expansion must provide coverage for addiction treatment. It’s important to note that insurance coverage often still requires that the individual provide a co-insurance payment, and some require a deductible be paid before treatment will be free. Specific plans may have different coverage levels, so it’s a good idea to check the specific policy or talk to the insurance provider. What happens in rehab?

The definition of recovery remains divided and subjective in drug rehabilitation, as there are no set standards for measuring recovery. The Betty Ford Institute defined recovery as achieving complete abstinence as well as personal well-being[21] while other studies have considered "near abstinence" as a definition.[22] The wide range of meanings has complicated the process of choosing rehabilitation programs. Alcoholic Starts Shaking On Stage | The Jeremy Kyle Show


Whether or not you can successfully cut back on your drinking depends on the severity of your drinking problem. If you’re an alcoholic—which, by definition, means you aren’t able to control your drinking—it’s best to try to stop drinking entirely. But if you’re not ready to take that step, or if you don’t have an alcohol abuse problem but want to cut back for personal or health reasons, the following tips can help:
We understand that withdrawal is uncomfortable. We also realise that the unpleasantness of withdrawal is that which persuades a lot of alcohol addicts to forgo treatment. The staff at our treatment facilities do their best to make patients as comfortable as possible and to help them through the difficult moments of withdrawal. The good news is that withdrawal is only temporary. It will eventually pass if you are willing to let it run its course.
UKAT treatment centres view addiction treatment as a way of giving you the best chances of long-term recovery from alcoholism. As such, treatments are individually designed with that goal in mind. Your addiction treatment will meet you where you are. Your treatment plan will be geared toward your unique circumstances, and it will lead you through the recovery journey and on to a healthier, happier life.

Withdrawal. Medications and devices can help suppress withdrawal symptoms during detoxification. Detoxification is not in itself "treatment," but only the first step in the process. Patients who do not receive any further treatment after detoxification usually resume their drug use. One study of treatment facilities found that medications were used in almost 80 percent of detoxifications (SAMHSA, 2014). In November 2017, the Food and Drug Administration (FDA) granted a new indication to an electronic stimulation device, NSS-2 Bridge, for use in helping reduce opioid withdrawal symptoms. This device is placed behind the ear and sends electrical pulses to stimulate certain brain nerves. Also, in May 2018, the FDA approved lofexidine, a non-opioid medicine designed to reduce opioid withdrawal symptoms.
For the typical alcoholic, detox alone is not enough. Their minds have become just as dependent on alcohol as their bodies. And, unfortunately, detox does not address the mind. Complete recovery requires going through a comprehensive therapeutic rehab programme immediately following detox. At the completion of such a programme, body, mind, and spirit have all been treated.
Sober living homes are best suited to those seeking transitional housing as they recover from a substance use disorder. Cost-effective, safe, sober and healthy environments provide a place to build strength in a recovery community and establish addiction recovery support groups. Outpatient Treatment is also provided at all Gateway Foundation Recovery Homes, so when it’s time to move forward, the skills and support network remain. Lessons a drug addict can teach you | Lauren Windle | TEDxSurreyUniversity
Changes in the brain that support physical and psychological dependency on mind-altering substances are the direct cause of addiction, but those changes do not occur at random. Addiction experts believe drug addiction emerges from an interplay of genetic and environmental factors, although one factor or the other may be strong enough to make a person vulnerable to addiction in some instances.
UKAT treatment centres view addiction treatment as a way of giving you the best chances of long-term recovery from alcoholism. As such, treatments are individually designed with that goal in mind. Your addiction treatment will meet you where you are. Your treatment plan will be geared toward your unique circumstances, and it will lead you through the recovery journey and on to a healthier, happier life.
Group therapy is a cornerstone of both the twelve steps and almost all rehab programmes. Group therapy enables members to draw on the support and experiences of their peers to discover more about their own addiction. With the structure of the 12 steps programme, these groups can help individuals work through the process of recovery in an atmosphere of mutual respect and support.
Medications are used for 2 different reasons—to manage acute withdrawal symptoms and cravings and to maintain abstinence once withdrawal has resolved. Some treatment programs offer medical detox as a part of their services, while others require that you complete detox prior to entering their program. In some instances, once you achieve medical stability and are drug-free, you may begin a regimen of maintenance medications. Only certain addictions can be treated with medication. These include opioids, such as heroin and prescription painkillers, and alcohol. The commonly-used medications include:1,2,3
Use any setbacks in recovery as a learning experience and recognise that while you may have made a mistake, you do not have to make it worse by continuing to drink. Get yourself to your nearest fellowship meeting or call your sponsor as soon as possible. You will then need to take a good look at what led to your setback. It is important that you take the time to do this so that you can avoid another occurrence in the future.

For over 75 years, the standard has been to use group meetings for therapy. Passages does not endorse this approach. Instead, we discovered that one-on-one therapy is much more effective. Your team of therapists will customize your treatment to ensure that you’re getting the finest one-on-one care available. Currently, we offer 16 different types of therapy, all of which you will benefit from during your stay at Passages.
Many substance abuse treatment centers are affordable, or even free, for some clients. Many communities offer free counseling or rehab drug treatment. These types of programs usually take place at outpatient drug rehab centers. For affordable inpatient and outpatient care, utilizing an insurance provider can help you cover the cost of rehab. Many insurance plans cover substance abuse treatment completely. Speak with your insurance provider, or a representative from a potential program to find more details. The Recovery Village accepts a variety of insurance plans and works with clients to develop payment plans so they can make healing a priority. The Recovery Village’s insurance verification tool can help you narrow down your options.
Drug rehab centers range from very basic facilities to luxury treatment centers. The type of center a patient attends depends upon his or her budget and level of insurance coverage. While luxury centers offer more amenities than basic facilities, they are not always the best treatment centers. Patients should investigate a rehab facility before making a final decision.
Outpatient treatment may be more suitable for people who are alcohol abusers but not necessarily addicts. A good outpatient programme still employs treatments like detox, counselling, and even 12-step work. An outpatient programme should also include appropriate medical care. Remember that alcoholism is a chronic illness; it requires medical treatment.
This central nervous system stimulant remains one of the most popular drugs of abuse in the United States. Its euphoric, energizing effects are not only seductive, but also highly addictive. The 2012 National Survey on Drug Use and Health reported that nearly 640,000 American adults tried cocaine for the first time in that year, an average of almost 2,000 per day. Over 1 million Americans met the criteria for dependence on cocaine that same year. Crack cocaine, a more potent form of the drug, is between 75 and 100 percent more powerful than the powdered form, according to the Foundation for a Drug-Free World. Crack is highly addictive, causing changes in brain chemistry that quickly lead to compulsive abuse and dependence.
Michael’s House is a residential drug rehabilitation facility located in Southern California. We are a high-end treatment center that helps patients overcome their dependence on drugs and alcohol. Our “whole body” approach to recovery is designed to promote health and wellness on every level. We know how you feel and are ready to help. If you have any questions, please feel free to call right now. If you have insurance, please get your information ready, and we can tell you what forms of treatment are covered. Please take this important step in your recovery today.

After physical dependency comes addiction. At this stage, you are drinking because you have a physical and psychological need to do so, and not for pleasure or because you want to. You will crave alcohol and it will be interfering with your ability to enjoy life. It is likely to be having a negative impact on your relationships with others as well as on your health and finances. Even knowing the harm that it is causing will not be able to stop. You will be compelled to drink and will be powerless to resist.

The core of our treatment philosophy centers in a belief that recovery is possible. It happens every day. Treatment is the first major step on a lifelong path of transformation: of becoming the person you’ve always been capable of becoming. The team members at our Pennsylvania drug rehab centers are passionate about educating, empowering and facilitating your first steps on that path.
Many treatment plans begin with a detoxification program to help break your body’s physical addiction to alcohol. Detoxification is often performed in an inpatient therapy treatment center or hospital. It typically takes one week to complete. Because the symptoms of physical withdrawal can be dramatic, you may also be given medications to help prevent: Overview of Medical Detox from the Best Drug Rehab Centers (888) 598-0909
One of many recovery methods are 12-step recovery programs, with prominent examples including Alcoholics Anonymous, Narcotics Anonymous, Drug Addicts Anonymous[29] and Pills Anonymous. They are commonly known and used for a variety of addictions for the individual addicted and the family of the individual. Substance-abuse rehabilitation (rehab) centers offer a residential treatment program for some of the more seriously addicted, in order to isolate the patient from drugs and interactions with other users and dealers. Outpatient clinics usually offer a combination of individual counseling and group counseling. Frequently, a physician or psychiatrist will prescribe medications in order to help patients cope with the side effects of their addiction. Medications can help immensely with anxiety and insomnia, can treat underlying mental disorders (cf. self-medication hypothesis, Khantzian 1997) such as depression, and can help reduce or eliminate withdrawal symptomology when withdrawing from physiologically addictive drugs. Some examples are using benzodiazepines for alcohol detoxification, which prevents delirium tremens and complications; using a slow taper of benzodiazepines or a taper of phenobarbital, sometimes including another antiepileptic agent such as gabapentin, pregabalin, or valproate, for withdrawal from barbiturates or benzodiazepines; using drugs such as baclofen to reduce cravings and propensity for relapse amongst addicts to any drug, especially effective in stimulant users, and alcoholics (in which it is nearly as effective as benzodiazepines in preventing complications); using clonidine, an alpha-agonist, and loperamide for opioid detoxification, for first-time users or those who wish to attempt an abstinence-based recovery (90% of opioid users relapse to active addiction within eight months or are multiple relapse patients); or replacing an opioid that is interfering with or destructive to a user's life, such as illicitly-obtained heroin, dilaudid, or oxycodone, with an opioid that can be administered legally, reduces or eliminates drug cravings, and does not produce a high, such as methadone or buprenorphine – opioid replacement therapy – which is the gold standard for treatment of opioid dependence in developed countries, reducing the risk and cost to both user and society more effectively than any other treatment modality (for opioid dependence), and shows the best short-term and long-term gains for the user, with the greatest longevity, least risk of fatality, greatest quality of life, and lowest risk of relapse and legal issues including arrest and incarceration.[citation needed] A Cure for Alcoholism? -- The Doctors
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. Drug Rehab Ranch | What Is Rehab Like? | Drug Rehabilitation Centers Near Me
Residing at Searidge Alcohol Rehab and working with our capable staff is a rewarding and empowering experience. Establishing a temporary distance between you and your home and daily routines will allow you the time and focus to properly gain the tools and the strength you need for recovery. Our residential alcohol recovery program is offered for durations of 30, 60 or 90 days to feel ready embarking on a life of sobriety.
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 alcohol abuse progresses from dependency to addiction, your need for alcohol will become increasingly overwhelming. You may start to spend more and more of your time drinking or thinking about drinking, leaving little time for anyone or anything else. This can affect your ability to take care of responsibilities at home and work, and can have a negative impact on your relationships with family members, friends, and work colleagues.
This kind of treatment is known as Cognitive Behavioral Therapy (CBT), because it introduces the patient to new and healthier ways of thinking (“cognitive”) and acting (“behavioral”). The National Institute on Alcohol Abuse and Alcoholism says that the success of alcohol treatment depends on “changing a person’s behaviors and expectations about alcohol.” Mom Left Job and Fell Into Alcoholism
Detox is not the expulsion of ‘toxins’ from your system,  but a reaction of your nervous system to the absence of alcohol. Withdrawal from alcohol and its sedative effects results in an overreaction of the nervous system. A number of severe symptoms can develop, such as disorientation, extreme anxiety, diarrhoea, very high blood pressure, delusions, heart rhythm changes etc. This is very dangerous if not supervised and monitored by personnel experienced in addiction recovery treatment. These symptoms can now be controlled in a safe way through proper medical attention and pharmacotherapy during the detox period. Our clinical staff has extensive experience dealing with alcohol detox and conducts the process in as much safety and as comforting an environment as possible. This is a vast improvement from a time before modern medicine when there was a death rate of 33% for those going through severe alcohol withdrawal. My experience overcoming alcoholism with Naltrexone "The Sinclair Method"
These effects of drug abuse have serious consequences, like missed work, punishable offenses, accidents and injuries. In fact, alcohol and drugs are partly to blame in an estimated 80 percent of offenses leading to jail time in the U.S. These incidents include domestic violence, driving while intoxicated and offenses related to damaged property. Legal and illegal drugs excluding alcohol are involved in about 16 percent of motor vehicle crashes. In the past year, almost 12 million people drove under the influence of illicit drugs, and almost 4,000 fatally injured drivers tested positive for drug involvement.
After occasional use comes alcohol abuse. This stage involves more frequent use of alcohol and you may be drinking more than the recommended amount on a regular basis. You might start drinking for more than just social reasons. Maybe you are drinking alcohol to make you feel better or different. You might be using it to boost your confidence or to alleviate feelings of stress or anxiety. This can lead to a cycle of abuse and an emotional attachment to alcohol.
In order to effectively address drug addiction as well as the co-occurring issues that may be underlying the problem, most patients will require residential or inpatient care. At a residential treatment program, the addicted patient will live at the treatment facility with access to 24-hour care and support that can be critical in helping them to avoid relapse in the early stages of recovery.
Today, more than 7 million people suffer from an illicit drug disorder, and one in four deaths results from illicit drug use. In fact, more deaths, illnesses and disabilities are associated with drug abuse than any other preventable health condition. People suffering from drug and alcohol addiction also have a higher risk of unintentional injuries, accidents and domestic violence incidents.
Alcohol is considered safe in moderation, but when occasional use becomes more common and begins to interfere with everyday life, it is typically classed as abuse. The UK Government’s guidelines on alcohol consumption states that no more than fourteen units of alcohol should be consumed by adult men and women each week; which means that consuming a large amount at one time (binge drinking), may still be considered abuse, without it being a regular occurrence. Drug Rehab Near Me

In Australia, private residential rehabilitation can cost from A$7,000 to A$30,000 per month. Private hospital-based rehabilitation can cost around A$800 a day. You can expect to pay between A$150 and A$250 per session for counselling. Some costs for hospital stays and private counselling with some health professionals, such as registered psychologists, may be recoverable through private health insurance or Medicare.


While casual or moderate drinking has some potential advantages – relaxation, heightened enjoyment of stimuli, etc. – problem drinkers are unable to enjoy these advantages without alcohol. In other words, casual or moderate drinkers will be able to find other ways to relax or enjoy themselves even if alcohol is not present, or they make the choice to abstain. But if someone is completely unable to function for pleasurable reasons without alcohol, they cannot conceive of having a good time without getting drunk, or reaching for the bottle is their first response to any kind of trigger (either stressful or pleasurable), then this is a sign that they are abusing alcohol and need help to stop. Be Recovered: Breaking free from the Disease of Addiction | Dean Taraborelli | TEDxSedona
In-patient residential treatment for alcohol abuse is usually quite expensive without proper insurance. Most American programs follow a traditional 28–30 day program length. The length is based solely upon providers' experience. During the 1940's, clients stayed about one week to get over the physical changes, another week to understand the program, and another week or two to become stable.[18] 70% to 80% of American residential alcohol treatment programs provide 12-step support services. These include, but are not limited to AA, NA, CA, Al-Anon[18] One recent study suggests the importance of family participation in residential treatment patient retention, finding "increased program completion rate for those with a family member or significant other involved in a seven-day family program."[19]
It is always recommended that you join a fellowship group such as Narcotics Anonymous (NA) which can provide you with ongoing support and advice (as well as companionship) from others who have also experienced addiction and understand the challenges that you face day-to-day. Find out when and where such fellowship groups meet in your area and try to attend regularly and frequently at least in the months following your treatment and rehab; you may find that as time passes you need to attend meetings less frequently but they will always be a useful adjunct to any therapy that you may have on an ongoing basis as well as being invaluable if and when you feel the cravings which could derail your recovery.
We tend to recommend inpatient treatment to patients suffering from alcohol addiction. An inpatient programme offers a safe and secure environment free from distraction. It provides the ideal atmosphere for allowing patients to focus solely on recovery without having to worry about anything else. And because inpatient treatment is more focused, it better facilitates the kind of long-term recovery we want for our patients.
The definition of recovery remains divided and subjective in drug rehabilitation, as there are no set standards for measuring recovery. The Betty Ford Institute defined recovery as achieving complete abstinence as well as personal well-being[21] while other studies have considered "near abstinence" as a definition.[22] The wide range of meanings has complicated the process of choosing rehabilitation programs.
Before entering a rehab facility, patients may have to undergo detox treatment. Detox is the process in which a patient rids his or her body of the addictive substance. From start to finish, this process varies in length, but often takes about a week. As part of a medical detox program, recovering patients will be monitored by doctors and nurses and given medications to manage withdrawal, when appropriate. Once a patient completes detox, he or she is ready for rehab. Drug Addiction : How to Cure a Cocaine Addiction
UKAT treatment centres view addiction treatment as a way of giving you the best chances of long-term recovery from alcoholism. As such, treatments are individually designed with that goal in mind. Your addiction treatment will meet you where you are. Your treatment plan will be geared toward your unique circumstances, and it will lead you through the recovery journey and on to a healthier, happier life.
If you checked one to three boxes from each of the two checklists, there’s a strong chance that your loved one has an alcohol problem. However, some of these signs could also be red flags for a mental or physical illness. Encourage your loved one to be evaluated by a physician or therapist. Talk to him or her about alcohol abuse, and express your support for further treatment, such as therapy, counseling, or a 12-step program. You or your loved one can also call a free alcohol hotline for more information. Drug Addict Couple Torn Apart For Rehab | The Jeremy Kyle Show

The United States' approach to substance abuse has shifted over the last decade, and is continuing to change. The federal government was minimally involved in the 19th century. The federal government transitioned from using taxation of drugs in the early 20th century to criminalizing drug abuse with legislations and agencies like the Federal Bureau of Narcotics (FBN) mid-20th century in response to the nation's growing substance abuse issue.[47] These strict punishments for drug offenses shined light on the fact that drug abuse was a multi-faceted problem. The President's Advisory Commission on Narcotics and Drug Abuse of 1963 addressed the need for a medical solution to drug abuse. However, drug abuse continued to be enforced by the federal government through agencies such as the DEA and further legislations such as The Controlled Substances Act (CSA), the Comprehensive Crime Control Act of 1984, and Anti-Drug Abuse Acts. POWERFUL lesson from a drug & alcohol rehab
You can also augment your loved one’s ability to remain clean and sober at home by providing a positive, stress-free environment and learning how best to avoid enabling behaviors. Like the specifics of inpatient drug rehab, the treatment services chosen during aftercare should be based on the needs of the individual and the areas where they need the most support in recovery.
The official diagnosis of drug addiction by the Diagnostic and Statistic Manual of Mental Disorders (2000), which makes distinctions between drug use, abuse, and substance dependence, is flawed. First, diagnosis of drug use versus abuse can be arbitrary and reflect cultural norms, not medical phenomena. Second, the term substance dependence implies that dependence is the primary pharmacologic phenomenon underlying addiction, which is likely not true, as tolerance, sensitization, and learning and memory also play central roles. It is ironic and unfortunate that the Manual avoids use of the term addiction, which provides the best description of the clinical syndrome.
This is an ongoing debate in the medical community, but it is generally agreed that there is no one cause for the development of addiction. According to the National Institute on Drug Abuse, contributing factors may include a genetic predisposition to develop addictive tendencies, an environment that is permissive of drug abuse, access to illicit substances, and certain developmental issues. The existence of a Dual Diagnosis is one of the biggest risk factors for the development of addiction. Heroin Withdrawal | First Week In
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