Co-occurring conditions require specialised treatments that can safely address both aspects of a dual diagnosis. Doctors and therapists work to create effective but flexible treatment plans that account for both conditions without treating one at the expense of the other. The delicate balance necessary to achieve a positive outcome suggests that residential treatment is the better option for dealing with dual diagnosis scenarios.

Alcohol is a legal controlled substance that slows down the body’s vital functions when consumed in excess. Its many forms include beer, wine and liquor. Some of the physical effects of heavy alcohol consumption are slurred speech, loss of coordination and slowed reaction time. Psychological effects include inhibiting judgment and lowering a person’s ability to think rationally. Typically, drinking alcohol in moderation does not signify a problem. However, consuming more than four alcoholic beverages per day for men – or more than three per day for women – can indicate an alcohol use disorder (AUD).

Drug abuse can apply to a wide variety of substances, from prescription medication to illicit street drugs. The term is often used to discuss the improper use of substances, especially substances that can be used for medical purposes. Drug abuse is not limited to those with a history of addiction, as many people develop a substance use disorder after taking prescription medications like opioids, benzodiazepines and more. Regular drug abuse can lead to serious patterns of behavior that result in a substance use disorder or addiction.
Alcohol is also linked to self-harm, psychosis, and suicide and because it can impair judgement and lead to reckless, compulsive behaviour, many people who take their own lives do so while under the influence of alcohol. In fact, NHS Scotland has said that over half of all hospital admissions related to deliberate self-harm have a direct link to alcohol either immediately before or during the act.
Burning Tree provides relapse prevention programs specializing in long term residential drug and alcohol treatment for adults with a relapse history. We serve the substance abuse relapse adult who has been to other treatment programs and in and out of 12 step programs and just can't seem to get and stay sober. Alcohol & drug, rehab treatment, relapse prevention and a relapse prevention plan are our primary roles. We are a drug rehab program treatment center and a long-term alcohol rehab licensed by the Texas Department of State Health Services. How Drug and Alcohol Treatment Rehab Centers Works | BLVD Rehab Treatment Centers
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]

Traditional alcohol treatment programs rely on evidence-based strategies such as psychotherapy, behavioral modification therapy, peer group counseling, nutritional counseling and 12-step programs. Rehabilitation begins with detox, a cleansing process that allows the patient to withdraw safely and comfortably from alcohol. After detox, the patient participates in a structured series of therapies that are designed to help him or her modify destructive behaviors and create a sober life. A rehab jail for heroin addicts
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
Changes in the brain chemistry also increases the risk of experiencing withdrawal symptoms when you stop drinking. As mentioned, alcohol impairs the way in which the brain functions and it can interfere with the way in which it communicates messages and chemical signals around the body. It slows down signal transmissions, which explains why you might experience sedation and sleepiness when intoxicated.
The purpose for seeking rehab is to ultimately achieve the goal of overcoming alcohol abuse or addiction. Rehab is the ideal way to attack an alcohol abuse problem because treatment utilises the latest methodologies and practices that address every aspect of alcohol misuse. Patients are treated in mind, body, and spirit rather than just focusing only on the body.
Determine the patient's readiness for change. Motivating a reluctant patient is one of the great challenges in treatment. To enhance the prospects of successful treatment, the clinician needs to have a basic concept of the stages of change. The 5 stages of change (Prochaska,) provide fundamental guidance for enhancing motivation. The Substance Abuse and Mental Health Services Administration, the Center for Substance Abuse Treatment presents this concept in detail through a Treatment Improvement Protocol titled "Enhancing Motivation for Change in Substance Abuse Treatment." The 5 stages of change are precontemplation, contemplation, preparation, action, and maintenance. Specific strategies aligned with each of the 5 stages help a clinician motivate and prepare the patient for change. The 5 stages of change represent a cycle, permitting and explaining behavior that moves in both progressive and regressive directions.

We are also able to offer a tailored outpatient therapy package at our wellbeing centres, which is specifically designed to tackle alcohol addiction. In order to allow peace of mind, our therapy package offers a set amount of one-to-one therapy sessions, discounted rates, certainty of price for initial treatment, a personalised treatment plan, and further discounts for any additional therapy sessions that you may require following your initial treatment package. Priory’s outpatient therapy package for alcohol addiction consists of 12 one-to-one therapy sessions with our alcohol addiction specialists, which is the number of sessions that are recommended according to national guidelines. More information on the treatment and package price can be found by accessing our alcohol use disorder outpatient therapy package leaflet.
“Residential rehab” and “inpatient rehab” are two phrases often used interchangeably, as they both follow medical detox, and accommodate the physical and psychological needs of individuals in recovery. They also both involve full-time treatment at a rehab facility, allowing for 24-hour monitoring. However, one major difference between the two forms of treatment is the length of the program.
Treatments and attitudes toward addiction vary widely among different countries. In the US and developing countries, the goal of commissioners of treatment for drug dependence is generally total abstinence from all drugs. Other countries, particularly in Europe, argue the aims of treatment for drug dependence are more complex, with treatment aims including reduction in use to the point that drug use no longer interferes with normal activities such as work and family commitments; shifting the addict away from more dangerous routes of drug administration such as injecting to safer routes such as oral administration; reduction in crime committed by drug addicts; and treatment of other comorbid conditions such as AIDS, hepatitis and mental health disorders. These kinds of outcomes can be achieved without eliminating drug use completely. Drug treatment programs in Europe often report more favorable outcomes than those in the US because the criteria for measuring success are functional rather than abstinence-based.[24][25][26] The supporters of programs with total abstinence from drugs as a goal believe that enabling further drug use means prolonged drug use and risks an increase in addiction and complications from addiction.[27]

The purpose for seeking rehab is to ultimately achieve the goal of overcoming alcohol abuse or addiction. Rehab is the ideal way to attack an alcohol abuse problem because treatment utilises the latest methodologies and practices that address every aspect of alcohol misuse. Patients are treated in mind, body, and spirit rather than just focusing only on the body.
The path to drug addiction begins with the voluntary act of taking drugs. But over time, a person's ability to choose not to do so becomes compromised. Seeking and taking the drug becomes compulsive. This is mostly due to the effects of long-term drug exposure on brain function. Addiction affects parts of the brain involved in reward and motivation, learning and memory, and control over behavior. Drug Rehab Near Me
Drug addiction is defined as a chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.3 It is possible to be physically dependent upon a drug without having an addiction to the substance. However, when addiction is an issue, the negative consequences experienced during drug abuse become overwhelming, which makes it impossible for the patient to function in relationships with others, at work, at school or in the community.

Psychological dependency is addressed in many drug rehabilitation programs by attempting to teach the patient new methods of interacting in a drug-free environment. In particular, patients are generally encouraged, or possibly even required, to not associate with peers who still use the addictive substance. Twelve-step programs encourage addicts not only to stop using alcohol or other drugs, but to examine and change habits related to their addictions. Many programs emphasize that recovery is a permanent process without culmination. For legal drugs such as alcohol, complete abstention—rather than attempts at moderation, which may lead to relapse—is also emphasized ("One is too many, and a thousand is never enough.") Whether moderation is achievable by those with a history of abuse remains a controversial point, but is generally considered unsustainable.[2]
Alcohol rehab is often the only way that an individual who’s struggling with addiction can get help. There are rehab centers all over the country that offer individualized programs to treat alcoholism, regardless of how long the disease has been present. Alcohol treatment programs take many factors into consideration, including the person’s age and gender, and the extent and length of the addiction. Many alcohol rehab centers also offer various aftercare options and recommendations to help clients maintain their sobriety, such as group therapy.
It is important to recognise that without expert support, your alcohol addiction has the potential to become increasingly worse over time, resulting in a detrimental impact on all areas of your life including your ability to function, your relationships with others, your performance at work, and your general health and wellbeing. Untreated alcohol addiction may also lead to the development of drug addictions and other behavioural addictions. This why seeking expert help is crucial in order to overcome your alcohol addiction and resume the healthy, fulfilling, addiction-free life that you deserve.
In his influential book, Client-Centered Therapy, in which he presented the client-centered approach to therapeutic change, psychologist Carl Rogers proposed there are three necessary and sufficient conditions for personal change: unconditional positive regard, accurate empathy, and genuineness. Rogers believed the presence of these three items, in the therapeutic relationship, could help an individual overcome any troublesome issue, including but not limited to alcohol abuse. To this end, a 1957 study[36] compared the relative effectiveness of three different psychotherapies in treating alcoholics who had been committed to a state hospital for sixty days: a therapy based on two-factor learning theory, client-centered therapy, and psychoanalytic therapy. Though the authors expected the two-factor theory to be the most effective, it actually proved to be deleterious in the outcome. Surprisingly, client-centered therapy proved most effective. It has been argued, however, these findings may be attributable to the profound difference in therapist outlook between the two-factor and client-centered approaches, rather than to client-centered techniques.[37] The authors note two-factor theory involves stark disapproval of the clients' "irrational behavior" (p. 350); this notably negative outlook could explain the results.

The length of a rehab program can vary greatly, and largely depends on the needs of each individual. For some, a weekly outpatient program may suffice, while others may participate in inpatient care that lasts on average 30–40 days. You may ask yourself, “How does rehab work?” Like many things in life, long-term recovery is usually achieved with time and dedication. For some, this may include long-term inpatient drug rehab that involves staying on-site for an extended period of time. This can help some clients better regulate their recovery needs for sustained sobriety. These types of programs may also include sober living housing, which provides patients with a stable place to live while transitioning back into normal life.
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. Women in Alcohol & Drug Treatment
Searidge Drug Rehab is located in the famously picturesque Annapolis Valley, Nova Scotia overlooking the Annapolis Basin and just minutes from the seacoast. Throughout the year the lush scenery reflects the healing cycle of nature’s seasons in all their beauty. The serenity of being surrounded by nature on an extensive acreage helps to heal the mind, the body, and the spirit.
But perhaps the biggest indicators of an alcohol problem are the withdrawal symptoms if a problem drinker goes without alcohol. A casual or moderate drinker can cut off their intake of alcohol with no adverse effects. If a problem drinker tries to do the same, they may feel some effects of withdrawal within eight hours of their last drink, such as the following: Residential Inpatient Alcohol and Drug Addiction Treatment Process

Even if you have experienced therapy before, for reasons not necessarily associated with addiction, what worked for you then might not be particularly appropriate when it comes to treating addiction specifically; good rehabs will have a range of different therapy models on offer to give you the greatest possible chance of developing the recovery programme that is optimal for you.


Alcohol abuse and addiction doesn’t just affect the person drinking—it affects their families and loved ones, too. Watching a family member struggle with a drinking problem can be as heartbreakingly painful as it is frustrating. But while you can’t do the hard work of overcoming addiction for your loved one, your love and support can play a crucial part in their long-term recovery.
Therapeutic communities, which are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. The entire community, including treatment staff and those in recovery, act as key agents of change, influencing the patient’s attitudes, understanding, and behaviors associated with drug use. Read more about therapeutic communities in the Therapeutic Communities Research Report at https://www.drugabuse.gov/publications/research-reports/therapeutic-communities.
In the case of expectant mothers who drink, future healthcare costs double, now including both the mother and child. For example, a child born with fetal alcohol syndrome could require special schooling. Not only is this a personal and unnecessary family tragedy but also it stands to impact the social system financially in the form of healthcare and education for years.
Inpatient or residential treatment  can also be very effective, especially for those with more severe problems (including co-occurring disorders). Licensed residential treatment facilities offer 24-hour structured and intensive care, including safe housing and medical attention. Residential treatment facilities may use a variety of therapeutic approaches, and they are generally aimed at helping the patient live a drug-free, crime-free lifestyle after treatment. Examples of residential treatment settings include:

Set in the heart of Essex, the facility is close to London and very accessible from the rest of the UK and wider world. Trust your loved ones with us – we will change their lives. The clinic was founded and is operated by people in long-term recovery, and our treatments, facilities and ethos make it the best possible drug & alcohol rehab for you or your loved ones.
As for programme length, residential rehab usually lasts between four and twelve weeks. Many experts believe that shorter programmes do not give patients enough time to recover while longer programmes run the risk of institutionalising patients and making them fearful of returning home. The one exception for longer stays is dual diagnosis. People recovering from a dual diagnosis circumstance may require longer stays.
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. My Story - Jackie's Incredible Journey with Opioid Addiction (Full Story)
According to the Delphi Behavioral Health Group’s Addiction Center, the highest level of care comes from Inpatient programs that include medically supervised detoxification and all-day support. The duration of a stay in an inpatient facility can depend significantly on the severity of the addiction. Although the average visit is 30 days, patients can stay longer than 90 days if necessary.

NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you’re seeking treatment, you can call the Substance Abuse and Mental Health Services Administration's (SAMHSA's) National Helpline at 1-800-662-HELP (1-800-662-4357) or go to www.findtreatment.samhsa.gov for information on hotlines, counseling services, or treatment options in your state. 
Outpatient drug rehab provides patients with a more loosely defined schedule. This form of treatment allows patients to stay with their support system at home and maintain a limited presence at work or school. Both options offer patients a different range of therapeutic options and counseling with the goal of maintained abstinence and long-term recovery.
During alcoholism treatment, therapy teams provide lessons on relapse prevention. These lessons are designed to help people spot the people, places, and things that can drive them to return to drinking. With the help of these lessons, people can learn to both avoid and/or handle their triggers so they won’t pick up an alcoholic beverage when they’re under stress. What to Expect From Rehab Centers
Another example of CBT would be teaching the patient how to respond to the triggers that might once have tempted them to drink. It could be as straightforward as learning to decline an invitation to consume an alcoholic beverage. For a casual drinker, this is not an issue at all; for someone who had an intense psychological desire to drink, saying “no” can seem like the hardest challenge in the world, but that is how CBT can help turn a recovering addict’s life around.
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.
The dedicated staff at Searidge Alcohol Rehab Center is committed to support, guide and inspire residents to make the right moves against alcohol addiction. We offer current and research-based alcohol treatment with compassion, dignity and understanding each and every day. At Searidge Alcohol Rehab we provide our residents with all of the necessary tools for recovery by targeting the physical, psychological and social aspects of alcohol addiction.
Alcohol is often mixed with other illegal drugs, which can have serious implications for your health. In extreme cases, mixing two chemical substances can have fatal consequences. For example, when combining alcohol with a stimulant drug such as cocaine or amphetamine, the two substances will fight against each other as one has a sedative effect while the other is a stimulant. The result is a huge amount of pressure on the brain and central nervous system. 3 Tips About How to Go to Rehab Without Insurance - Drug and Alcohol Addiction Help
Inpatient medical residential treatment involves pharmaceutical therapy and medication management from health care professionals to help clients safely work through recovery. It’s at this time that co-occurring disorders are also diagnosed and evaluated (dual-diagnosis). Inpatient drug rehab centers like The Recovery Village are designed with clients in mind. The Recovery Village offers a variety of wellness programs, therapy options and medical support structures to ensure clients have the tools they need to heal.
Behavioral programming is considered critical in helping those with addictions achieve abstinence. From the applied behavior analysis literature and the behavioral psychology literature, several evidence based intervention programs have emerged: (1) behavioral marital therapy; (2) community reinforcement approach; (3) cue exposure therapy; and (4) contingency management strategies.[31][32] In addition, the same author suggest that Social skills training adjunctive to inpatient treatment of alcohol dependence is probably efficacious. Community reinforcement has both efficacy and effectiveness data.[33] In addition, behavioral treatment such as community reinforcement and family training (CRAFT) have helped family members to get their loved ones into treatment.[34][35] Motivational Intervention has also shown to be an effective treatment for substance dependence.
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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. Inpatient Drug Rehab - What To Expect
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