Alcohol Rehab

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image: elderly woman sad about alcoholism of her husbandDepending on the scope of the program, alcohol rehab refers to the social, educational, psychotherapeutic, and/or medical treatment processes required for alcoholism recovery.  It is worth pointing out that the ultimate goal of alcohol rehab is to help the alcoholic stop his or her addiction so that he or she can avoid the destructive and negative emotional, legal, physical, financial, health, and social outcomes that are commonly caused by alcohol addiction. 

According to the "stories" told by alcoholics and to recent findings in the research literature, however, abstaining from alcohol via alcohol rehab is apparently easier said than done.

The Brain, Tolerance, and the Effects of Alcohol

With the regular ingestion of alcohol, the brain slowly becomes acclimated to the alcohol so that "normal" functioning can take place.

image: young nurse holding head from heavy drinkingThis process helps explain how physical tolerance develops.  This acclimation process also explains why increasingly more alcohol is required in order for the alcoholic to experience the same "buzz" or "high" with regular use.

When an abusive drinker abruptly quits drinking alcohol, he or she usually suffers from alcohol withdrawal symptoms which can take the body days or weeks before it can return to "normal."

Due to the severity of alcohol withdrawal symptoms, it is important to emphasize the fact that all "problem drinkers," heavy drinkers, or alcoholics need to get professional assistance when they decide to quit drinking.

The point: withdrawal symptoms are simply too serious to go through without quality, professional treatment.

The Alcohol Rehab Process

The alcohol rehab process has two focal points:  psychological dependency and physical dependency. Treating physical dependency typically involves managing the alcohol withdrawal symptoms in a safe manner.

Physical dependency also entails alcohol detoxification, a process that is intended to rid the body of alcohol.  Psychological dependency commonly involves teaching the addict new ways of interacting and functioning in an alcohol-free environment.

Types of Alcohol Rehab Programs

There are many different programs that offer help in alcohol rehabilitation such as sober houses, out-patient rehab clinics, local support groups, residential rehab treatment (in-patient) facilities, and extended care centers.  Within these programs are different sub-programs such as medical model rehabs, therapeutic community alcohol rehabs, Alcoholics Anonymous, various religious-based rehabilitation centers.

Message to alcoholics.  Don't just sit there and think things are going to get better. Addiction doesn't get better. It gets worse until somebody dies. You need to take appropriate action by getting professional treatment and you need to take action now!

Alcohol Rehab Success

image: medical rehab treatment team in alcohol rehab hospitalThe Success of Alcohol Rehab Programs and Approaches.  Similar to other diseases, alcohol addiction can be overcome with prevention, proper professional treatment, increased research efforts. By providing more individuals with access to effective and productive alcohol rehab care, the costly drain on society and the psychological, physical, and financial burdens alcoholism places on families can be significantly reduced or minimized.

To emphasize some of the successes that are possible via the different alcohol rehabilitation programs, consider the following:  research has irrefutably demonstrated that successful prevention and alcohol rehabilitation treatment results in significant reductions in strokes, HIV, crime, traffic fatalities, unwanted pregnancy, heart disease, child abuse, and cancer.

In addition, quality, effective treatment and professional drug and alcohol rehab programs have been shown to improve health, quality of life, and job performance while also reducing drug and alcohol abuse, family dysfunction, and involvement with the criminal justice system.

As many as 3 million Americans over the age of 60 are alcoholics or have serious drinking problems.

Alcohol Rehab Approaches

There are several traditional alcohol rehab approaches that are fairly well established and seen as "mainstream" methodologies.  The following is a summary of these different alcohol rehabilitation programs:

Detoxification.  Alcohol detoxification is the process of letting the body rid itself of alcohol while managing the withdrawal symptoms in a safe environment.  Alcohol detox treatment is frequently done under the supervision of a medical doctor and is commonly the first step used in an alcoholic treatment program.  Due, however, to the relatively long time-period needed for the alcohol detox process, these programs are typically part of an inpatient, residential alcohol rehabilitation program. 

Alcohol's effects do vary with age. Slower reaction times, problems with hearing and seeing, and a lower tolerance to alcohol's effects put older people at higher risk for falls, car crashes, and other types of injuries that may result from drinking.

Behavioral Rehab.  Behavioral rehab consist of programs such as Cognitive Behavioral Therapy, Motivation Enhancement Therapy, and Alcoholics Anonymous.  A fairly recent study undertaken by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) found that each of these behavioral rehabilitation approaches significantly reduced drinking in patients the year after treatment.  Although each of these programs was considered "successful," none of them, however, could be evaluated as "the best" rehab program. 

Once a person has lost control of his or her drinking, it is difficult to go back to drinking moderate amounts. Therefore, the goal of treatment of alcohol dependence is usually to stop drinking alcohol completely.

image: doctor in alcohol rehab hospital reviewing test results for alcoholic patientTherapeutic Medications.  This treatment methodology focuses squarely on the client taking doctor-prescribed medications such as the benzodiazepines for treating alcohol withdrawal symptoms and disulfiram (Antabuse) or naltrexone (ReViaT) to help prevent the alcoholic from returning to drinking after he or she relapses and has ingested alcohol.

For example, antabuse is a drug given to alcoholics that elicits negative effects such as flushing, vomiting, dizziness, and/or nausea if alcohol is consumed.  It almost goes without saying that antabuse has been effective in preventing relapses mainly because it is such a strong deterrent.  Naltrexone (ReViaT), conversely, targets the brain's reward centers and is therefore effective because it significantly reduces the craving the person has for alcohol.

Hallucinations affect about 25% of people undergoing major alcohol withdrawal. Visual hallucinations are the most common type of hallucination experienced during alcohol withdrawal. People will classically "see" insects or worms crawling on walls or over their skin.

Outpatient Alcohol Treatment and Counseling.  There are various approaches to counseling that teach alcohol dependent individuals how to become more alert and aware of the situational and emotional "hot buttons" that trigger their problem drinking.

Equipped with this information, alcoholics can learn about different ways in which they can more effectively deal with situations that do not include the consumption of alcohol.  It can be noted that these types of alcohol rehab approaches, unlike many detox and rehab methods, are usually offered on an outpatient basis. 

The earlier a person begins drinking heavily, the greater their chance of developing serious illnesses later on. Once one becomes dependent on alcohol, it is very difficult to quit. In one study, after five years, two-thirds of people with alcoholism were still dependent.  

Inpatient Alcohol Treatment Programs and Residential Alcohol Rehabilitation.  If if there's a need for both alcohol AND drug abuse rehab, if an individual needs alcohol poisoning treatment, if support-oriented and outpatient programs such as Alcoholics Anonymous are ineffective, and if the individual's withdrawal symptoms are severe, the person frequently has to enroll into an alcohol rehab facility or a hospital and receive inpatient, residential alcohol rehab.  Such programs are targeted for relatively long-term alcohol rehabilitation and commonly include doctor-prescribed medicatins to help the individual get through detox and the alcohol withdrawal process in a harm-free manner.

Quitting is the only way to stop the problems alcohol is causing in your life. It may not be easy to quit. But your efforts will be rewarded by better health, better relationships and a sense of accomplishment. As you think about quitting, you may want to make a list of your reasons to quit.

Alcoholics Anonymous

The best known and one of the most successful alcohol rehab/recovery programs is Alcoholics Anonymous.  Alcoholics Anonymous is a worldwide affiliation of men and women who come from all walks of life and who share their strengths, aspirations, and experiences with other members in the hope that they may solve their mutual addiction problem and assist others in their desire to recover from alcoholism. 

Some of the damage done to the liver and to other organs while drinking may resolve, while some may be permanent. Patients and their doctors will need to work together over the years to maintain sobriety and to address any complications that arise from alcohol damage.

The only condition for Alcoholics Anonymous membership is a desire to stop drinking alcohol. As a result, total abstinence from alcohol is advocated by Alcoholics Anonymous.  Members make a conscious effort to abstain from drinking and continue with their alcohol recovery/rehab "one day at a time."  Safe and sober living is achieved through mutual support as members share their experience, hopes, and their strengths.

People in distress, whether it is from alcohol, drugs, depression, gambling or eating disorders usually display poor coping skills. These poor coping skills are often negatively impacting them and concerned people around them.

The Twelve Steps of Alcoholics Anonymous

One of the essential components of the Alcoholics Anonymous (AA) rehabilitation program is articulated in the Twelve Steps.  Based on the experiences of the earliest members of the organizatin the 12 Steps represent the documented principles and practices, acquired through trail and error, the early members established in order to remain sober. 

Alcohol overdose can lead to death. This is a particular danger for adolescents who may want to impress their friends with their ability to drink alcohol but cannot yet gauge its effects. It is important to note that alcohol overdose doesn't only occur from any one heavy drinking incident, but may also occur from a constant infusion of alcohol in the blood stream.

The following represents the 12 Steps in the Alcoholics Anonymous rehab/recovery program:

  1. We admitted we were powerless over alcohol - that our lives had become unmanageable.
  2. Came to believe that a Power greater than ourselves could restore us to sanity.
  3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. Made a searching and fearless moral inventory of ourselves.
  5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs.
  6. Were entirely ready to have God remove all these defects of character.
  7. Humbly asked Him to remove our shortcomings.
  8. Made a list of all persons we had harmed, and became willing to make amends to them all.
  9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. Continued to take personal inventory and when we were wrong promptly admitted it.
  11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.

source: www.alcoholics-anonymous.org 

Alcoholism is a heritable disease and is frequently accompanied by other substance abuse disorders (particularly nicotine), anxiety and mood disorders, and antisocial personality disorder.

Alcoholism Videos

We have included some alcoholism videos so that you can see and hear directly from various people about their struggles with this disease.  If you, a family member, or one of your friends has a "drinking problem," seeing what others have gone through and how they attained successful recovery is much more "real" than any information you can read about.  Furthermore, watching these videos may help you understand what others with a drinking problem are experiencing.  So make sure you look at these excellent videos!

Alcohol Rehab:  Conclusion

With all of the damaging and debilitating outcomes and effects caused by alcoholism, it makes sense for people to learn how to refrain from drinking, to involve themselves in the alcohol rehab process, and to reclaim their lives.  Whether an individual requires outpatient alcohol counseling, alcohol abuse rehabilitation, or inpatient, residential alcohol detoxification, the goal of alcohol abstinence and sobriety is worth pursuing, especially when the destructive and all too often fatal consequences of alcoholism are taken into consideration.

In the final analysis, however, it really does not make that much of a difference whether the alcoholic chooses a more traditional program such as the SMART rehab program, the Alcoholics Anonymous 12-step program, or one of the many other professional alcohol rehabilitation programs.  What DOES matter, however, is the following:  those who are alcohol dependent need to acknowledge that they have a drinking problem, they must want to stop drinking, and they need to find an alcohol rehabilitation program that works for them.

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In the past, alcoholism was often viewed as a moral weakness or character flaw; it was thought that the person could stop drinking if he or she really wanted to. It wasn't until 1970, with the establishment of NIAAA and a national public education effort, that people began to understand and accept that alcoholism is a life-threatening, chronic disease involving psychological and physical dependence on alcohol.

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