Binge drinking has become the most widespread form of alcohol abuse in the United States, according to the Centers for Disease Control and Prevention (CDC). Over 30 million adults in the U.S. (approximately 15 percent) admit to binge drinking within the past month. Most of these drinkers are white males between the ages of 18 and 34. Forty percent of college students report episodes of binge drinking.
Treating addiction – whether at rehab or not – can be divided into three main phases. Firstly is detoxification, the process by which an addict’s system is cleansed of substances of abuse. Once this cleansing process has taken place, and the immediate pressures of drug dependency have been lifted, the addict will then need to address the psychological aspects of their addiction, including understanding the root causes and seeking to put measures in place to ensure that they do not stumble back into addiction by relapsing.
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.
Stimulants, such as tobacco, cocaine or prescription amphetamines, stimulate the brain and nervous system, causing increased alertness. Depressants, such as barbiturates and benzodiazepines, slow activity in the brain and nervous system, causing relaxation. Hallucinogens, such as LSD and PCP, drastically disrupt the way the brain and nervous system communicate, causing hallucinations.
What happens in the brain during alcohol withdrawal? GABA (gamma-aminobutyric acid) is the main calming neurotransmitter of the brain. GABA and adrenaline are supposed to be in balance during normal brain functioning. Frequent drinking causes the brain to produce less GABA, because the brain begins to rely on alcohol for part of its calming. So, frequent drinking causes your brain chemistry to be out of balance with an excess of adrenaline. When you suddenly stop drinking, your brain doesn’t have enough GABA neurotransmitter to balance the excess of adrenaline, which causes withdrawal symptoms.
The physician must state firmly, but empathically, that alcohol is a problem for the patient and that the patient determines the solution. Patients come for treatment through several means, often from a mixture of both coercion and concern. The clinician needs to understand the extent of resistance to effectively work with the patient. A good strategy is to learn about patients' goals and indicate discrepancies between their goals and their choices. Pointing out discrepancies is more effective initially than statements such as, "You have to quit," or, "You have to go to AA."
How the drug is taken. Smoking a drug or injecting it into a vein increases its addictive potential.33,34 Both smoked and injected drugs enter the brain within seconds, producing a powerful rush of pleasure. However, this intense high can fade within a few minutes. Scientists believe this starkly felt contrast drives some people to repeated drug taking in an attempt to recapture the fleeting pleasurable state.
Inpatient usually offers more services, but it tends to cost more. Outpatient is a less-expensive option that's generally safe and effective for people with mild or moderate alcohol withdrawal. It works best if your physical and mental health is good, your home is stable, you have support at home, and you don’t have a long history of problem drinking.
Inpatient treatment programs require the patient to live at the facility for the duration—typically 30, 60, or 90 days—of treatment. The process often starts with detoxification. During this time, withdrawal symptoms are managed in a safe environment by qualified medical staff. Medications may be administered to alleviate or prevent serious symptoms.