Drug rehabilitation (often drug rehab or just rehab) is an umbrella term for the processes of medical and/or psychotherapeutic treatment, for dependency on psychoactive substances such as alcohol, prescription drugs, and so-called street drugs such as cocaine, heroin or amphetamines. The general intent is to enable the patient to cease substance abuse, in order to avoid the psychological, legal, financial, social, and physical consequences that can be caused, especially by extreme abuse.
Two-fold nature
Drug rehabilitation tends to address a stated twofold nature of drug dependency: physical and psychological dependency. Physical dependency involves a detoxification process to cope with withdrawal symptoms from regular use of a drug. With regular use of many drugs, legal or otherwise, the brain gradually adapts to the presence of the drug so that the desired effect is minimal. Apparently normal functioning of the user may be observed, despite being under the influence of the drug. This is how physical tolerance develops to drugs such as heroin, amphetamines, cocaine, nicotine or alcohol. It also explains why more of the drug is needed to get the same effect with regular use. The abrupt cessation of taking a drug can lead to withdrawal symptoms where the body may take weeks or months (depending on the drug involved) to return to normal.
Psychological dependency
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 required not to associate with friends 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 drink is too many; one hundred drinks is not enough.") Whether moderation is achievable by those with a history of abuse remains a controversial point but is generally considered unsustainable.
Types of treatment
Various types of programs offer help in drug rehabilitation, including: residential treatment (in-patient), out-patient, local support groups, extended care centers, and sober houses.
Holistic Approach
Deals with treating the whole person encompassing mind, body and spirit. Approaches include vitamin therapy, acupuncture, sauna treatment, nutritional consultation, bio-chemical profiling, exercise and physical fitness.
Diseased person model
Some psychotherapists question the validity of the "diseased person" model used within the drug rehabilitation environment. Instead, they state that the individual person is entirely capable of rejecting previous behaviors. Further, they contend that the use of the disease model of addiction simply perpetuates the addicts' feelings of worthlessness, powerlessness, and inevitably causes inner conflicts that could be resolved if the addict were to approach addiction as behavior that is no longer productive, the same as childhood tantrums. Most drug rehabilitation programs do not utilize any of these ideas, inasmuch as they are seen to contradict the assumption that the addict is a sick person in need of help.
Counseling
Traditional addiction treatment is based primarily on counseling. However, recent discoveries have shown that those suffering from addiction often have chemical imbalances that make the recovery process more difficult. Often, these imbalances may be corrected through improved diet, nutritional supplements and leading a healthy lifestyle. Some of the more innovative centers are now offering a "Biochemical Restoration" process to supplement the counsellings portion of treatment.
For the uninsured
For patients that are uninsured, there are a few options for low-cost drug rehab programs. For instance, Cuba has long been known for its excellent drug rehab programs that address not only the drug's impact on the individual, but the cause behind the addiction. A Canadian firm, Choice Medical Services, arranges Cuban drug rehab stays.
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