The drug rehab process depends on a number of elements working together in unison. The National Institute on Drug Abuse (NIDA) recognizes four separate yet integrated components: detox, medication therapy when required, behavioral therapy, and relapse prevention. The entire process is often referred to as drug rehab, a term that is also used to describe the residential and out-patient programs that follow detox treatment.
Drug rehab programs include both pharmacotherapy and psychotherapy measures, with medication treatments particularly relevant for physical drug addictions. Opioid replacement therapy for heroin addiction and naltrexone therapy for alcohol dependence are two examples of pharmacotherapy treatment.
Psychotherapy programs are used to change unhealthy behavior patterns by addressing the environmental and emotional precedents of drug abuse and addiction. The psychotherapy programs held during drug rehab are mostly based on cognitive, behavioral or motivational principles, with relapse prevention programs based on similar methods.
Aftercare support programs are also based on behavioral principles, with some regimes providing additional practical and spiritual support. If you need to access drug rehab services, it’s important to reach out to a specialized facility as soon as possible.
Find the help you need to get back on the right track by calling Drug Treatment Centers Union City at (201) 751-0607.
Psychoactive substance addictions are defined by the compulsive and uncontrolled use of substances despite negative consequences. Problematic substance use can manifest in numerous ways, with drug abuse, psychological drug dependence, physical drug dependence, and drug addiction some common examples. While dependence and addiction are often used interchangeably, they are not exactly the same thing.
For example, someone can be physically dependent on prescription pain medications without feeling the need to use them in a compulsive and uncontrolled fashion. While they might experience tolerance and a physical-somatic withdrawal syndrome upon cessation of use, addiction also requires drug cravings and psychological attachment. For something to be considered addictive, it has to be both positively reinforcing and intrinsically rewarding.
Psychoactive drugs are often categorized according to the type of dependence they cause. Physically addictive drugs produce a physical-somatic withdrawal syndrome when their use is stopped, with medications often needed to alleviate and manage the withdrawal syndrome. Psychologically addictive drugs produce an emotional-motivational withdrawal syndrome upon cessation of use, with extensive medications not always needed.
Drugs of addiction may also be categorized according to their action, with most drugs either central nervous system (CNS) depressants or CNS stimulants. CNS depressants include alcohol, marijuana, heroin, prescription opioids, barbiturates, and benzodiazepines like Xanax and Valium. CNS stimulants include cocaine, methamphetamine, MDMA, and prescription stimulants like Adderall and Ritalin.
Motivational enhancement therapy (MET) has proved useful in treating alcohol and marijuana problems, with therapists helping clients to resolve their internal ambivalence and encourage motivational changes. This uses principles of motivational interviewing to change unhealthy behavioral patterns, with an initial assessment session followed by 2-4 individual treatment sessions.
MET encourages behavioral changes from the inside-out, with this therapy often used alongside cognitive behavioral therapy, family therapy and a range of other approaches. MET helps people to engage with the drug and alcohol treatment process, with feedback and self-motivational statements used to engage intrinsic motivation and enable healthy lifestyle changes.
While detox helps people to stop using drugs and behavioral therapy addresses the issues surrounding addiction, both of these measures are useless without comprehensive relapse prevention and aftercare support. Relapse prevention programs are based on cognitive and behavioral methods, with recovering addicts learning how to identify potential triggers, avoid dangerous situations, and develop the practical and psychological coping skills needed for a long and sustainable recovery.
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