Call today to schedule your free and confidential consultation.

(858) 263-9700

Call today to schedule your free and confidential consultation.

(858) 263-9700


Addiction Rehab Center

Specialized Outpatient Programs for Patients with Substance Abuse Disorders

Intensive outpatient treatment programs are developed for individuals with addictions to substances such as opiates/narcotic and are available for affected individuals of all ages and backgrounds. The programs provide a supportive, structural, and educational setting for those who need assistance with the recovery process.

The benefits of an outpatient addiction treatment facility include:

  • Reinforcing helpful and healthy ways of interacting with a safe and supportive environment.
  • Assisting with the development of communication and socialization skills.
  • Guiding, where necessary, patients in structuring their new lifestyles.
  • Helping patients to get assistance from other group members during their recovery process.

The following are specialized outpatient programs that have been shown to be effective and beneficial in those patients affected by substance abuse disorders:

Aquatic therapy

  • Performing exercises in water help with relaxation have a physical therapeutic benefit.
  • Warm water is used to help facilitate muscle relaxation and increase peripheral circulation.
  • Can help to detoxify the patient faster from the drug they used.

Counseling

  • This service offers a forum for patients to receive support with their life stressors, as well as school, work, and any family-related issues.
  • Traditional counseling allows the addiction specialists to help addicts resolve anxiety, stress, emotional concerns, and interpersonal conflicts.
  • Counseling also includes group therapy sessions which focus on improving strategies to remain sober, develop a supportive environment needed for recovery, and avoiding relapses.

Hypnotherapy

  • Regarded as a relaxation technique in terms of helping to reduce addictive behaviors in affected individuals.
  • Used to put the patient in between a sleep state in order to induce suggestions into the unconscious mind.
  • Studies have shown that this therapy is more effective than placebos or simple therapies when dealing with substance abuse disorders.

Physical restorative therapy

  • Exercise and physical practices such as yoga are incorporated to help improve the strength of the body.
  • This is especially effective in those patients who have experienced physical complications such as muscle loss, arthritis, balance disorders, and generalized weakness due to their addictive behaviors.
  • This therapy helps to recondition the body to its optimal state.

Psychoeducation

  • Here, education and information regarding substance abuse, addictive behaviors, mental health disorders and what to expect on the journey to recovery are discussed and given to the patient.
  • The goal of this therapy is to help the patients and their family members understand how addictive behaviors develop, what events may trigger these issues, and what can be done to overcome the pathology.
  • A better understanding of the addictive process allows for better understanding of the causes of the problem which in turn means a better understanding of what situations to try and avoid from the patient’s side and what family members and friends can do to support them.

Spiritual Therapy

  • This involves the process of helping to relieve physical and emotional problems through meditation and prayer.
  • Spiritual therapy may involve the transference of spiritual energy from the person administering the therapy by touching or laying hands on the patient.
  • Even in those who are not spiritual, the act itself is one of grace and compassion that some benefit may be derived from this therapy.

Outpatient Rehab – Is it Right for Me?

For those whose lives still remain functional, outpatient rehab may be an option to consider. With this type of program, you see a counselor locally and work with therapy groups, attend AA/NA meetings, and complete assignments to help you with becoming drug- and/or alcohol-free. While you do have the freedom to live your life, random drug/alcohol tests are likely with this type of program, and you must be willing to submit to them, especially if it is court ordered outpatient care.

Addictive Medications and Minor AddictionsMinor Addictions

If you have trouble removing drugs and/or alcohol from your life, outpatient treatment may be right for you. This is especially the case if your life does not revolve solely around drinking and using drugs.  When you blow off friends, family, or general adult responsibilities to bar hop, consume an entire 12-pack of beer or bottle of alcohol, it’s time to get help. If you’d rather sit and completely lose your mind to get high instead of cleaning the house, grocery shopping, or spending time with your kids, it’s time to get help. This might be the right situation for you since you’re still able to function in daily life.

Remain in your Own Home

When attending outpatient rehab, you don’t have to deal with the stress of being in a strange place with conflicting personalities or those that are near death from their addictions. Being able to stay home with your family or in transitional housing while getting treatment has proven higher success rates. You have to take this program just as seriously as you would an inpatient center.

The transitional housing idea is to keep you in a dry household with others that are also in recovery. You still go to work, pay your bills, and have some freedom. There are curfews and some house rules to adhere to while seeing your counselor, participating in maintaining the home, and attending group sessions.

Live Normal Life without Drugs or Alcohol

In an outpatient program, you learn how to live life and make use of the extra time that you’d normally spend drinking or getting high. Some counselors suggest taking night college courses, painting, cooking, or taking up a hobby. It’s also an open invitation to get more involved with your spouse and children. Taking a more active role in your family is healing in itself and has plenty of benefits. You’re treating the addiction with your family, rather than being separated from them and feeling awkward returning home in a sober state.

Outpatient programs don’t work for everyone. This is the case with addicts where the only method of detection is by a blood sample or spinal tap. These expensive procedures have to be paid for by the patient and most cannot afford them. For those that recognize their problem and cannot afford inpatient care, this is a good place to start. It can be considered as temporary treatment while you look for financial aid or “scholarship” funds to get clean and live a healthy, substance-free lifestyle again.

New Research on Treating Substance Abuse

Although widely opted for, detoxification may not be as effective to treat substance abuse as medication.

Treating Substance AbuseA new research suggests that substance-dependent individuals seeking assistance through an expensive medical detoxification can perhaps benefit better with a combination of opioid medications like buprenorphine and methadone. Such medication allows substance dependent patients to slowly modify their body pattern.

This research does not claim these medications to be a permanent alternative. But compared to the method of medical detoxification, this comes with a saving of approximately $78-257. Moreover, it is psychologically easier than facing the withdrawal symptoms during detoxification.

Today, more than 2.6 million residents of the USA suffer from opioid dependency. Claiming 91 lives each day, The US faces a tremendous challenge dealing with opiate addiction. And more than 80 percent of the drug addiction victims have been deprived of medication-based treatment.

California is currently the largest state found with opiate addiction crisis. The health regulations still favor detoxification by not prescribing opioid agonist medication till the patient is proven to have gone through detoxification. This implies that a patient would have to pay for the detox prior to being insured for buprenorphine or methadone.

New law:

The latest improvisation in the law has added a provision which organizes an emergency alcohol and drug detoxification program under the administration of the Health Department.

The purpose of this program is to encourage health services to develop new ways for detoxification of drug within a medical facility center after an overdose. Highlights of the bill include:

  • This bill is sponsored by State Rep. Aaron Kaufer.
  • It enables the Department of health to provide more proficient medical detox facilities, sharing the burden of Department of Drug & Alcohol that was previously responsible for dealing with a substance based emergency. Additionally, Department of Health has more resources, comparatively, says Kaufer.
  • It is important to note that this law does not impose upon hospitals to spare beds for drug addiction emergencies, but only to become more efficient in easing the risks involved with overdose.
  • This program will facilitate basic facilities required by an individual for detox.

Kaufer says:

“ There obviously is economies of scale at a place like a hospital. Whether it is space or access that is important, is the important question. People are treated and sent back, while this initiative proposes a stay in the hospital till a facility center is found for them where they can effectively get treated for addition”

It is still unclear how the law will come into practice. It is new and will require a complete design of how things would work before it is implemented as a must. “Much of the responsibility will fall on the Department of Health to determine how this program will work” provides Nate Wardle, a spokesman fforthe health department.

It is hoped that the research would help the health centers perceive a better and more effective combination of detox and medication to cater the needs of an opiate addict. In the current crisis, it is best if the state implies any law that promises better results.

 

Detox is Only the Beginning

Many people think of addiction treatment as detox and are afraid of it too.

Yes, detox is an important first step in recovery, yet detox is only the first of a series of steps and changes you need to make to complete recover from addiction.

When you wean yourself off the drug or alcohol, the body (which is dependent on the substance by now) undergoes withdrawal. These withdrawal symptoms may be physical, such as nausea and diarrhea or psychological, such as mood changes and depression. Most abusers dread these withdrawal symptoms. While detox can be a trying experience, it has a reasonably predictable – and relatively short – duration. Leading drug detox facilities, such as pacific Bay Recovery in San Diego, offer medical detox that is carried out under the supervision of doctors and addiction specialists.

It is important to remember that detox is just the beginning of a long process of sobriety and recovery.

Detox can bring change but that would only last a short duration. You need to follow it up with inpatient or intensive outpatient treatments that help you recover and cultivate a drug-free lifestyle.

Detox signals the beginning of your treatment but it isn’t the entire treatment. There is lot of work to be done. Check with your rehab center about addiction treatment programs available. You can choose from inpatient and intensive outpatient programs.

Heroin – The Ultimate High

Heroin gives a high like no other drug. But the sense of empowerment doesn’t last long. In fact, it leaves you worse than before. And most importantly, the drug slowly destroys every cell in the body.

Heroin and the Brain
Heroin is an opiate. It gradually alters brain structure and function. The drug itself goes through many chemical reactions in the brain and changes into morphine. It quickly binds to the opioid receptors, mimics endorphins (natural “feel-good” chemicals) and relieves pain and anxiety, producing a euphoric state. This is what makes heroin so addictive.

Heroin and the Body

  • Intake
    The person takes heroin.
  • Heart
    Heroin enters the bloodstream quickly.
    The heart pumps the blood with the drug in it.
  • Brain
    The drug passes through the blood-brain barrier and reaches the brain to undergo chemical reactions and binds to opioid receptors.
    Causes euphoria, pain and anxiety relief
  • Liver
    The drug undergoes extensive first-pass metabolism in the liver.
    The liver produces specific enzymes for this purpose.
    The drug enters the body’s circulation.
  • Kidneys
    Heroin has an extremely rapid half-life of 2-6 minutes.
    About 7% is excreted as unchanged morphine and 50-60% as glucuronides.
    Within 72 hours up to 90% is eliminated in urine.

How Heroin Destroys the Body
Heroin use can cause –

  • suppressed breathing
  • irregular heartbeat
  • hormonal imbalance
  • impaired decision-making
  • kidney failure

Timely treatment for heroin addiction can help prevent further damage.

Everything You Need to Know About LSD

Lysergic acid diethylamide (LSD)Lysergic acid diethylamide (LSD) is sold on the street under names such as Blotter, Dots, Trips, and acid. The designs on the blotter paper also influence the name, such as Purple Dragon. LSD is an odorless, colorless, bitter tasting synthetic drug that has been around since the 1930s. It is a potent hallucinogen and is manufactured from lysergic acid found in ergot (a fungus) on rye and grains. LSD is diluted as a liquid for oral use or produced in a crystalline form that is mixed with excipients.

The National Survey on Drug Use and Health (NHSDA) in 2010 estimated that more than 6 percent of surveyed adults ages 18 to 25 used LSD at some point of their lives. This number was down significantly from 16 percent in 2002, however. For youth, the rate of LSD use during the last month is less than 1 percent.

LSD Uses and Effects

LSD is usually taken as a recreational drug, entheogen, or for psychedelic therapy. It has been used by psychiatrists who value the therapeutic effects in the treatment of cluster headaches, alcoholism, to enhance creativity, and for spiritual purposes. Also, LSD can help a patient to “unblock” subconscious repressed memories, leading to benefits in psychotherapy.

LSD effects are unpredictable, and use is considered to be an experience or “trip.” When it’s not pleasant, it’s considered a “bad trip,” versus a “good trip” when all goes well. These “trips” can last for up to 12 hours, and the first effects of the drug are experienced approximately 30 to 60 minutes once it is used.

The user will have varying emotions, mood swings, extreme changes in mood, impaired depth and time perceptions, and distorted perception regarding movements, shapes, colors, sound, body image, and touch. If taken for an extended period of time, the drug produces hallucinations and delusions. LSD causes physical changes also, such as high body temperature, dilated pupils, sweating, nausea, increased blood sugar, elevated heart rate, high blood pressure, dry mouth, tremors, and sleeplessness.

LSD Health Hazards

LSD use makes a person lose the ability to make sound judgments and view danger. After using LSD, a person suffers depression and/or anxiety, and may also experience flashbacks, which are re-experiences of the “trip days or months after consuming the last dose. If a flashback suddenly occurs, it is often without warning, and the hallucinogens are more common in a chronic LSD user or those with an underlying personality disorder. Healthy individuals who occasionally use LSD also have flashbacks and bad trips. In addition, LSD produces tolerance, and users need to take larger and larger amounts to achieve a state of intoxication. This, however, is a dangerous way to use LSD, as it is an unpredictable drug.

LSD is not seriously addictive, as it does not lead to compulsive drug-seeking behavior. Addiction to hallucinogens is quite a rate but does occur. Because LSD produces a tolerance, some users report that they need to take higher doses each time. Also, LSD is illegal and possessing it leads to disciplinary consequences, fines, and heavy prison sentences.

The Stages of Relapse

Relapse is associated with many feelings, attitudes, and behaviors. There are 10 stages involved with relapse that has been identified by experts.

Stage1: Unhealthy Emotions

When you stop using drugs and develop a recovery plan to stay clean, you initially do fine. However, at some point, you may come upon a problem and not be able to adequately cope emotionally. These unhealthy emotions are often called “stinking thinking” because you feel down and out but do not understand why.

 

RelapseStage 2:  Denial

Instead of recognizing that you are stressed and emotionally unable to cope with these feelings, you use denial to convince yourself everything will be alright. However, this mechanism is similar to what you use when you are dealing with addiction and confronted with uncomfortable feelings. Denial of emotional stress often leaves the recovering addict feeling overwhelmed. If you use recovery tools, you will know that sharing these feelings help you get over these emotions.

The worst thing a recovering addict can do in the denial stage is isolated him- or herself from support persons. You may overreact and focus on internal issues, causing you to relapse quicker. Don’t distance yourself from your support network during the denial stage. Learn how to recognize it and move forward. During recovery, you may feel like you are on a roller coaster of your emotions. This is the stage of relapse where you often feel anxious and have much sleeplessness and sadness. These ups and downs are part of the denial stage of relapse.

 

Stage 3:  Compulsive Behaviors

In the downward progression of drug use, a recovering addict first tries to cope with emotional stresses by engaging in certain compulsive behaviors rather than using appropriate recovery tools. During this stage of relapse, you will find your thinking going back to the old, insane ways associated with drug and/or alcohol use. You know you don’t want to get back on drugs again, but you are also not using the techniques to cope that you learned in rehab.

Emotional relapse is associated with compulsive behaviors. These are things we do to attempt to repair ourselves, slowly abandoning the recovery program and returning to drug use. During this stage of the relapse process, you make irrational choices, use poor judgment, and become argumentative and defensive. Signs of emotional relapse include sleeping more, ignoring personal hygiene, and having distorted thinking.

 

Stage 4:  Triggers

Triggers are things, places, and situations that remind you or prompt you to use drugs or drink alcohol. In a solid recovery program, you do not use the right techniques to avoid and ignore triggers. During this stage, you need to avoid places that remind you of your using days. Triggers snap you and set you off. During this stage, you should attend a meeting, contact a sponsor, or turn to a higher power to remove the obsession for using drugs or drinking.

 

Stage 5:  Interior Chaos

When a person is triggered to use drugs, their stress level goes up and erratic emotions control thinking. This leads to interior chaos, which is part of mental relapse. During this stage, thinking patterns are more distorted and insane, with the obsession to use drugs becoming stronger. The reality of your condition is obscured by fantasies of the good old days of drug use.

During stage 5, you need to remind yourself of why you wanted to get clean in the first place. You need to go back and remember how the disease rendered both your body and mind abnormal. Also, you need to stay focused on the program in hopes of maintaining recovery. It is crucial that you remember that it is not external issues that lead to drug use, but it’s your inability to cope with emotions and thoughts that drive you toward drugs.

 

Stage 6:  Exterior Turmoil

If you remain in a state of mental relapse, you may at some point realize that your frame of mind is not right. You know that you are slipping out of recovery and having feelings of shame, fear, or even pride. Eventually, your addictive thinking ways cause problems with your outside world. This is when you have fights with family members, get into arguments with co-workers, and feel bitter.

 

Stage 7: Loss of Control

If you try handling your problems without help, they may overwhelm you until you feel fed up. You may feel that you are getting out of control again. Life may become troublesome, and you are at crises. Once you recognize that you are out of control, you may have a chance at staying clean. This is a crucial point during relapse to identify the problems and refrain from drug use.

 

Stage 8:  Addictive Thinking

At this stage of your relapse, you use all your addict defense mechanisms. The disease convinces you that recovery is not working, and that you should just do what you want. You may feel miserable and fail to understand what is really going on. Deluded feelings convince you that recovery is too hard and not enjoyable. The disease makes you avoid support persons, skip meetings, and think about using more and more. To avoid responsibilities, you think about leaving your spouse, quitting your job, and using drugs.

 

Stage 9: High-Risk Situations

By this stage, your mental relapse is full-blown. Your emotions are in turmoil and your thinking is distorted. You believe it is alright to go back to visiting places where drugs are, and you get to be around the drug scene. You justify your behavior and put yourself in real high-risk situations.

 

Stage 10:  Relapse

When you actually relapse, you revert back to your old ways of thinking, feeling, and behaving. You find yourself abandoning your recovery skills and using drugs and/or alcohol again. The way you see it, you can use or commit suicide. Relapse is not a failure, however. Rather, this is just a minor setback. At this point, you need to go back into inpatient treatment, where you can work through your problems and get clean again.

The Relapse Prevention Plan

People who have a history of alcohol or drug addiction know that getting clean is tough, but staying sober tougher. Addiction affects 23 million Americans, and it costs society billions each year. Because returning to the addict way of life is a possibility, you should plan specific ways to prevent relapse. This involves understanding the challenges you face. Find out why the relapse prevention plan is one of the most crucial components of recovery.

When you make a relapse prevention plan, it is important that you recognize and respond to the early warning signs of relapse. Before things spin out of control, you can stop relapse quickly. Statistics show that two-thirds of people who finish rehab and attempt recovery will relapse. This does not mean that rehab has failed, however. When in recovery, you should address your problems and devise a plan. This way, you can better face the cravings and urges when they do occur.

How to Create a Plan

A relapse prevention plan is a vital part of addiction treatment, and it is also used in 12-step groups and support groups. Counselors and rehab workers will help you go through the planning process because others may see things you do not realize about yourself. Other people are a good source of support during addiction treatment. A written relapse prevention plan can act as an inspiration and guide as you go through addiction treatment. The plan can be shared with other recovering addicts and is a valuable tool when you feel like you are on the verge of relapse.

Here are the steps to creating the relapse prevention plan:

  • Examine your use history and previous relapses – Once you are sober and stabilized, start the relapse prevention plan by looking at every stage of your life. Examine patterns of using alcohol and drugs, examine your compulsive behaviors, and consider consequences. It helps to identify why you relapsed, so you can feel more in control of your recovery.
  • Know warning signs and ways to manage them – The warning signs of relapse are red flags to you. These are signs and symptoms that occur right before actual physical relapse. These include anxiety, moodiness, fantasizing about drug use, loneliness, feelings of hopelessness, sadness, not going to meetings, avoiding clean friends, seeking out using friends, and planning your drug use. It often starts with subtle warning signs, but then, full-blown drug use occurs.
  • Have a support network – If you don’t have supportive people in your life, get some. Build a team of people you can depend on, vent to, and discuss your problems. These could be family, friends, counselors, therapists, support group members, or clergymen. It is important that you remove yourself from people that trigger drug use.
  • Have an emergency relapse plan – This involves a detailed plan for yourself when you feel like using drugs and/or alcohol. Strategies include authorizing someone to step forward and place you into treatment should you relapse. This could include daily 12-step meetings, talking with counselors, or starting outpatient therapy.
  • Prioritize your overall well-being – Make yourself a priority. Plan lifestyle changes that will improve your mental and physical health. Start exercising, learn to prepare healthy meals, and add yoga or meditation to your daily routine. These things help to control stress and combat boredom. Many mental health problems often co-occur with substance use, so see a therapist to work through your problems.

Exploring Your Treatment Options (Drugs and Alcohol)

Once you decide its time to quit, the person with a drug or alcohol addiction needs to start exploring his or her options for specific treatments to recovery. There are many options depending upon the type of addiction one suffers. According to the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) National Survey on Drug Use and Health,1 23.5 million persons aged 12 or older needed treatment for an illicit drug or alcohol abuse problem in 2009 (9.3 percent of persons aged 12 or older). Of these, only 2.6 million—11.2 percent of those who needed treatment—received it at a specialty facility.

SAMHSA also reports characteristics of admissions and discharges from substance abuse treatment facilities* in its Treatment Episode Data Set2 (TEDS). According to TEDS, there were 1.8 million admissions in 2008 for treatment of alcohol and drug abuse to facilities that report to State administrative data systems. Most treatment admissions (41.4 percent) involved alcohol abuse. Heroin and other opiates accounted for the largest percentage of drug-related admissions (20.0 percent), followed by marijuana (17.0 percent).

Many people choose to admit themselves into an inpatient program in which a period of time will be spent detoxing the body and mind in order to start the healing process to recovery. Others that may have a good support system at home, or a location in which they are currently living, might be able to enroll into an outpatient program. There are many choices out there, so you just need to see what offers the best and appropriate outcome for you. These programs will always include treatment for both the mental and physical aspects of addiction.

Inpatient Programs

For some addicts, an inpatient program is often chosen, and many times, treatment will be covered under that patient’s medical health plan. This can help cover the financial aspect of your start of recovery. All inpatient programs are specified to certain addictions, and remember that no program has magic powers to cure addicts just by going there. Rather, all programs need the person to truly participate, and of course, want to change their habits. Understanding what the program is teaching you is important to recovery.

All programs that are inpatient treat not just the addiction, but the health and mind of the addict as well. These are very important key factors to a program that will help an addict with their drug or alcohol addictions. The treatments should also teach a person to deal with different aspects of his or her life, since drugs and alcohol affects numerous relationships, work, mental stability, and physical health.

Outpatient Programs

Many outpatient treatment centers or programs for drug and alcohol addicts take commitment from the person to want to heal and recover. Without this, no addict will be successful in any part of the treatment that is designed to take them to the next step of recovery. Much like a lifetime smoker, if and addict does not truly want to quit using, no type of enhancement or bribery will make him or her successful in quitting.

Outpatient programs teach life choices that an addict has to make to commit themselves to quit drinking or taking drugs to be successful and maintain a healthy lifestyle. Entering the program is the first step, but with the support of the outpatient center staff and counselors, an addict can get to the other side and become healthy, productive, and start living a drug-free and sober life again.

Remember that drugs and alcohol can change your mental and physical stability. Because of this, treatment centers focus on the whole person during therapy. Getting or asking for this type of help increases your success rate immensely. While asking for help from others seems difficult at first, as time goes on, you need that help to get back on your feet and enjoy a life that is prosperous and happy.

Resources:
National Institute on Drug Abuse the Science of Drug Abuse and Addiction Revised March 2011; Retreived: http://www.drugabuse.gov/publications/drugfacts/treatment-statistics