Are Psychiatric Medications Overused in Addiction Treatment?

Addiction treatment can be complex and challenging, mainly when underlying mental disorders exist. As a result, psychiatric drugs like antidepressants, antipsychotics, and mood stabilizers are often prescribed to individuals with addiction to help manage these conditions and improve their chances of recovery. However, the use of psychiatric medications in addiction treatment is a controversial topic.

Some argue that these drugs are often used as a substitute for other treatments or to control behavior. There are also cases of overuse, especially when patients receive drugs for conditions they aren't suffering from.

Psychiatric medications can be effective in managing symptoms of mental disorders. But there's a growing concern about their potential for misuse or abuse and their side effects. With that said, the decision to use psychiatric drugs in addiction treatment should be made on a case-by-case basis. Treatment providers should carefully weigh the potential benefits and risks of these drugs and use them in conjunction with other evidence-based treatments, such as behavioral and group therapy. 

What Are Psychiatric Medications?

Psychiatric medications are prescription drugs used to treat various mental health conditions, such as depression, anxiety, bipolar disorder, and schizophrenia. They work by altering the chemicals in the brain that are associated with these conditions.

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In addiction treatment, psychiatric medications help manage the symptoms of underlying mental health conditions that may be contributing to the addiction. According to SAMSHA, mental health and substance use disorders often co-occur, with each condition leading to the other about 50% of the time. Someone with depression or anxiety may turn to drugs or alcohol to cope with their symptoms, and vice versa. A comprehensive approach to dual diagnosis can help ensure both conditions are addressed, helping patients manage their addiction more effectively.

Use of Psychiatric Drugs in Addiction Treatment

Psychiatric drugs can be effective in helping individuals manage the underlying mental health conditions that contribute to their addiction. They can:

Overuse of psychiatric drugs in addiction treatment

While these medications can effectively treat symptoms and improve the quality of life for some patients, there are concerns about overprescribing and potential side effects. Studies show that many Americans take prescribed medication that may be inappropriate or not work for their mental health problems.

Prescription medications are not always the safest or most effective route for patients. Atypical antipsychotic drugs like Chlorpromazine, Fluphenazine, Haloperidol, etc., have been shown to cause deviations in blood pressure and Tardive Dyskinesia, a movement disorder characterized by abnormal, uncontrollable, and repetitive movements of the torso, face, and other body parts.

They also cause common side effects like blurred vision, confusion and agitation, erectile dysfunction, hallucinations, and drowsiness. Yet, many Americans go to their primary health care providers and leave with a prescription drug without knowledge of other evidence-based treatments that might be more effective and without the side effects.

According to the CDC, many patients are now receiving psychotropic medications without proper evaluation by mental health professionals. This is concerning as proper evaluation and diagnosis by a mental health professional is essential to determine the appropriate course of treatment for a patient's specific condition. Additionally, overreliance on medication as the sole treatment option can overlook other critical interventions, such as therapy or lifestyle changes, that can improve a patient's mental health and well-being.

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In addition, some medications used to treat mental health conditions, such as benzodiazepines or stimulants, can have the potential for dependence and withdrawal symptoms if not properly managed. And to worsen the situation, some withdrawal symptoms can mask mental health conditions, leading to misdiagnosis and overprescription of medication. Such cases can cause life-threatening consequences, exacerbate underlying conditions, increase the risk of self-harm and suicidal thoughts, and compound mental health issues.

Overusing psychiatric medicines may create neurobiological changes that affect long-term mental health recovery. According to research, these permanent changes can turn transient symptoms into chronic and lifelong mental disorders.

Alternative Treatment Options to Psychiatric Drugs

While psychiatric medications can effectively manage certain mental health conditions, they should not be the only treatment option offered to patients. Instead, a comprehensive approach to treatment that includes therapy, counseling, and lifestyle changes should be considered alongside medication use.

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Psychotropic drugs can be beneficial in addiction treatment and can be life-saving for some patients. However, it is essential for a mental health professional to prescribe psychiatric medications after proper evaluations that include a patient's family history of mental health conditions and any past experiences with medication.

At More Than Rehab, we take a holistic approach to addiction treatment, utilizing evidence-based therapies and medications as appropriate and prioritizing individualized care that addresses the root causes of addiction. Our team of mental health professionals is dedicated to ensuring that medications are used responsibly and appropriately as part of a comprehensive treatment plan.

We recognize that psychotropic drugs can have significant side effects and potential for dependence and therefore prioritize careful evaluation and monitoring of each patient's medication use. Ultimately, our goal is to help patients achieve lasting recovery and improved quality of life through a personalized approach to addiction treatment.

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Examining Racial Disparities in Addiction Treatment

Recent research has shed light on racial disparities in addiction treatment, highlighting the need for a more culturally competent and socially-aware approach in the addiction treatment industry. While many acknowledge drug abuse is a leading public health crisis in the country, racial disparities in addiction treatment are too widespread to ignore. 

According to SAMHSA, more than 41 million Americans had a substance use disorder in 2020, yet only 2.7 million received treatment. Of those who needed treatment, white people got help 23.5% of the time, while blacks and Hispanics were 18.6% and 17.6%, respectively. 

Another study revealed that Black people were 70% less likely to get a buprenorphine subscription at their visit when controlling for age, sex, and payment method. Most of them have to queue at public clinics every morning for a methadone dose. Buprenorphine is a great alternative to methadone as it can be prescribed by a healthcare provider and taken in the comfort of a private home. No stigma, distrust, or standing in line.

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There's also a health equity study of privately insured people who had an overdose and were treated at an ER. The study found that Black people were half as likely to receive overdose treatment compared to white patients. And with the opioid crisis spreading among other ethnic groups like Hispanics and Blacks, this finding is particularly concerning. 

The evidence presented in the research demonstrates racial disparities in addiction treatment in the United States. White people are more likely to receive addiction treatment than Black and Hispanic people, which is troubling, as it suggests that certain groups are being underserved and overlooked in the healthcare system. Here's a look at drivers of racial disparities.

Systemic Racism in Healthcare

Although disparities in treatment are multifaceted, race ethnicity is a common theme all through. Systemic racism in healthcare and society at large may contribute to the disparities in addiction treatment outcomes. For example, structural barriers such as limited access to quality healthcare and social determinants of health may disproportionately affect communities of color, leading to greater challenges in accessing and completing addiction treatment.

Inadequate Health Insurance

Inadequate insurance coverage is another major contributor to health disparities. Despite significant efforts to expand access to mental healthcare, many individuals, especially those from racial minority groups, still do not have adequate insurance coverage. Medicaid is the largest payer of mental health services in the United States, and the Affordable Care Act (ACA) expanded Medicaid eligibility to cover more individuals.

However, 12 states are yet to adopt ACA Medicaid expansion. Of these 12 states, 7 are in the southeast region, where most of the US Black population resides. States like Florida and Mississippi have a Black population of 15% and 37%, while the US has a population of 12.4%. This lack of insurance coverage in these states disproportionately affects Black individuals, limiting their access to addiction treatment and other mental healthcare services.

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Older Americans Seeking Help and Blacks Being Terminated from Treatment

Current research also highlights two often overlooked aspects of substance use disorder trends. These aspects include facts that Americans 50+ years are increasingly seeking substance treatment and that older Black citizens starting treatment have higher rates of being terminated from treatment and not finishing treatment compared to their white counterparts. 

Lack of Culturally Competent Healthcare Providers

A lack of cultural competency among treatment providers may result in an inadequate understanding of black patients' unique challenges and needs, leading to suboptimal treatment approaches. 

The Need to Ensure that Care is Ethnically, Racially, and Culturally Appropriate

The addiction treatment industry needs to be more socially aware of systemic racism and its impact on treatment outcomes and people's lives. Substance use disorders affect individuals from all racial and ethnic backgrounds, but access to care and treatment outcomes are unequal across these groups. Historically, communities of color have faced significant barriers to accessing addiction treatment, including a lack of culturally appropriate care and systemic racism in healthcare systems.

To ensure that care is ethnically, racially, and culturally appropriate, the addiction treatment industry must recognize and address systemic racism in healthcare systems. This means increasing diversity among treatment providers and staff, acknowledging and addressing implicit biases, and providing training and education to ensure that providers have the cultural competence necessary to provide effective care to all patients. This includes healthcare training at schools of medicine across the country. 

Cultural competence is the ability of healthcare providers to understand and address the unique needs and perspectives of patients from different cultures and backgrounds. In addiction treatment, cultural competence means understanding how addiction and substance use disorders impact different communities and developing treatment plans tailored to each patient's individual needs and preferences.

Research has shown that culturally appropriate care can improve treatment and health outcomes for patients of color. Studies have found that patients are more likely to remain engaged in addiction treatment when they receive care from providers who understand their cultural experiences and can provide culturally appropriate care in addition to the standard of care. Besides, other steps like partnering with local leaders and organizations that aim to reduce inequalities have increased trust and minimized stigma against treatment, which is essential in mental health and addiction treatment.

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In addition to improving treatment outcomes, providing culturally appropriate care is a matter of social justice. The addiction treatment industry must recognize that systemic racism and other forms of oppression play a significant role in addiction and substance use disorders and work to address these issues in their policies, practices, and treatment approaches.

The addiction treatment industry must take a socially-aware approach to ensure that care is ethnically, racially, and culturally appropriate.

This requires acknowledging and addressing systemic racism in healthcare systems, increasing diversity among treatment providers and staff, and providing training and education to ensure that providers have the cultural competence necessary to provide effective care to all patients. By doing so, the addiction treatment industry can improve treatment outcomes and promote social justice for all patients. 

At More Than Rehab, we support this approach to addiction treatment and strive to provide culturally competent care to all our patients. We recognize the importance of addressing racial disparities in addiction treatment and are committed to promoting equity in our services. We believe every patient deserves to be treated with respect, dignity, and compassion, regardless of race, ethnicity, or cultural background.

Our team of highly trained and diverse professionals is dedicated to providing individualized care that considers each patient's unique needs and circumstances. We believe that by taking a socially-aware approach to addiction treatment, we can make a positive impact on our patients' lives and contribute to creating a more just and equitable society.

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Examining Holistic Approaches to Addiction Recovery

Addiction is a complex and multifaceted disease that affects millions of people worldwide. It impacts the individual's physical health and mental, emotional, and social well-being. Traditional approaches to addiction recovery focus on treating the physical symptoms of addiction. But they often neglect the underlying psychological and emotional factors contributing to addiction. That's why many rehab centers now integrate holistic approaches to addiction recovery.

Holistic therapy recognizes that addiction is not just a physical disease but a disease of the mind, body, and spirit. It seeks to address the underlying causes of addiction by taking a comprehensive and integrated approach to treatment. This includes managing the individual's physical, emotional, and spiritual needs and any underlying mental health issues or trauma.

This article will explore some of the most common holistic approaches to addiction recovery. We will also discuss the benefits of a holistic approach and how it can complement traditional addiction treatment methods.

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Understanding Holistic Approach to Addiction Recovery 

Holistic therapy is an approach to treating addiction that addresses the whole person, including their physical, social, emotional, spiritual, and intellectual well-being. It focuses on one's overall well-being while treating symptoms of substance use disorders, including withdrawal symptoms and health conditions that develop while using drugs or alcohol. 

Holistic addiction therapy can involve various techniques and practices, including mindfulness meditation, yoga, acupuncture, massage therapy, nutritional counseling, and other alternative therapies. These techniques aim to help the individual in recovery to heal their body, mind, and spirit.

Traditional approaches to addiction treatment typically focus on detoxification and abstinence. But holistic therapy seeks to help individuals in recovery develop a more balanced and healthy lifestyle. This may involve learning coping skills to manage stress and emotional triggers, improving nutrition and exercise habits, and building a support system for friends and family members. 

Holistic therapy can work in conjunction with traditional approaches to addiction treatment, such as medication-assisted treatment, behavioral therapy, and 12-step programs. By combining traditional techniques with holistic therapies, individuals in recovery may achieve greater success in overcoming addiction.

Holistic Approaches to Addiction Recovery

Alternative therapies such as acupuncture, yoga, Tai Chi, and mindfulness meditation have recently gained popularity as complementary treatments for addiction recovery. These holistic approaches aim to address the whole person's physical, emotional, and spiritual needs and support their long-term recovery from addiction. Here are some examples of holistic practices and their potential role in supporting long-term recovery from alcohol and drug addiction:

Massage and Acupuncture

These holistic therapies focus on using touch and pressure on specific points in the body to promote relaxation and alleviate physical and emotional tension. Massage can help reduce muscle tension, improve circulation, and promote relaxation. Acupuncture involves the insertion of needles into specific points of the body to stimulate the nervous system and release natural painkillers. Both these therapies have been shown to be effective in reducing symptoms of anxiety, depression, and stress, which are common triggers for relapse in addiction.

Nutritional Therapy

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Nutritional therapy involves using specific diets, supplements, and lifestyle changes to support the body's natural healing processes. Many individuals struggling with addiction may have poor diets, nutritional deficiencies, or imbalances that can contribute to physical and emotional instability. Nutritional therapy can help address these imbalances, improve overall health, and support long-term recovery.

Exercise and Recreational Therapy

Exercise and recreational therapy involve physical fitness and activity, such as individual and team sports, tai chi, dance, or other forms of movement that can help improve mood, relieve stress, and promote physical health. Regular exercise effectively reduces cravings, improves sleep, and reduces symptoms of anxiety and depression, which can contribute to relapse.

Mindfulness Meditation

Mindfulness meditation is a type of meditation that involves focusing attention on the present moment without judgment. It can help individuals develop self-awareness, reduce stress and anxiety, and improve emotional regulation. Mindfulness meditation has been shown to effectively reduce substance use and cravings and improve your overall mental health.

These holistic therapies and others, like spiritual work, art, and animal-assisted therapy, can support long-term recovery from addiction to drugs and alcohol. By addressing physical, emotional, and spiritual needs, these therapies can help individuals develop the skills and resources needed to manage cravings, cope with stress, and maintain sobriety over time. 

Traditional Vs. Holistic Methods

Traditional medical treatment methods are essential components of addiction treatment. These methods provide a scientifically proven and evidence-based approach to addressing addiction and its associated physical and mental health conditions. On the other hand, holistic approaches provide additional complementary therapies that address individuals' emotional, spiritual, and mental health needs in recovery.

Combining traditional and holistic methods offers a more comprehensive and integrated approach to addiction treatment, addressing the whole person and promoting overall health and well-being. For example, medication-assisted treatment can help manage withdrawal symptoms and reduce cravings, while acupuncture and meditation can help reduce stress and promote relaxation. Other techniques paired with holistic methods include group therapy, MAT, one-on-one counseling, and support groups like AA and NA.

Therefore, the most effective approach to addiction treatment combines traditional medical treatment methods with holistic practices. 

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Benefits of Holistic Therapy

After treatment, you'll need to learn how to replace your old, dangerous coping skills with new, healthier ones. The holistic approach sets the groundwork for new behaviors to help you stay sober. Here are some other benefits of holistic therapy: 

Holistic therapy offers many benefits for individuals seeking addiction treatment, such as treating the whole person, reducing stress, promoting self-healing, and improving the overall quality of life. When used with traditional medical treatment methods, holistic therapy can provide a more comprehensive and integrated approach to addiction recovery.

At More Than Rehab, we believe in the power of a holistic approach to addiction treatment. We offer a range of evidence-based traditional medical treatment methods and complementary, holistic therapies to provide a comprehensive and individualized treatment plan that addresses all aspects of your health and well-being. 

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Can Psychedelic Assisted Therapy Help Addiction Treatment?

Psychedelic-assisted therapy is currently drawing a lot of attention. There has been a resurgence of interest in the therapeutic potential of psychedelic drugs such as psilocybin (found in magic mushrooms), LSD, and MDMA (commonly known as ecstasy) for the treatment of various mental health conditions. 

Re-emerging clinical research suggests that psychedelic-assisted therapy has the potential to serve as an alternative treatment for substance use disorder, depression, and anxiety. For example:

There are also numerous stories and testimonies from individuals who have undergone psychedelic-assisted therapy and reported significant improvements in their mental health.

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Many of these stories are shared publicly, in the media, or through personal channels, creating a positive and powerful narrative around the potential of psychedelic-assisted therapy. Patients have reported feeling more open, connected, and attuned to their emotions and thoughts and having a deeper understanding of themselves and their place in the world.

All this is very encouraging. However, it's worth noting that we've been here before with psychedelics. In the 1950s and 60s, numerous studies were happening across the United States to explore the potential of psychedelics in treating various mental health conditions.

Media outlets like CBSNews even covered the story of Arthur King, who received LSD as part of his treatment for alcoholism in 1966. After 6 months of treatment with LSD, Arthur King was able to curb his addiction and was still sober in the 27-year follow-up.

But as these drugs became synonymous with substance abuse, hedonism, and countercultural activities, they were made illegal. LSD was made illegal in 1966, followed by mushrooms in 1968, and most research into the therapeutic potential of psychedelics ground to a halt. At the moment, the use of psychedelics for their therapeutic potential is still highly regulated and not yet widely available. But the renewed interest and investment have fueled further research, much of which is ongoing.

What is Psychedelic-Assisted Therapy? 

Psychedelic-assisted therapy is a therapeutic approach that uses psychedelic substances, such as psilocybin, Ketamine, and MDMA, to facilitate therapeutic experiences. These substances are administered in a controlled and supportive environment, usually with the guidance of a trained health professional, to help individuals achieve altered states of consciousness that may lead to increased self-awareness, insight, and emotional processing. 

The goal of psychedelic-assisted therapy is to provide individuals with a unique and profound experience that allows them to gain new perspectives on their thoughts, feelings, and behaviors and to work through emotional and psychological challenges.

For example, cancer patients who took part in two different studies reported mystical experiences or spiritualistic experiences after taking psilocybin for their anxiety and depression. According to the studies, psilocybin reduced cancer-related anxiety, hopelessness, and dread immediately after the dose, and the improvements persisted for up to 6.5 months in about 80% of the patients.

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Psychedelic-Assisted Treatment and Addiction

A growing body of research suggests that psychedelic-assisted treatment may have promise in easing some of the symptoms of addiction. One way psychedelics may help with addiction is by reducing other mental health symptoms that often co-occur, such as depression and anxiety.

For many people struggling with alcohol and opioid addiction, these symptoms can be a significant barrier to recovery, as they can make it harder to stay motivated and engaged in treatment. By addressing these underlying mental health issues, psychedelics may make it easier for individuals to quit abusing substances.

Psychedelic-assisted treatment may also work by promoting changes in brain function and increasing self-awareness. For example, research suggests that psychedelics may help to "reset" the brain by fostering new neural connections and reducing negative thought patterns. By facilitating these changes in the brain, psychedelics may help individuals break free from patterns of addictive behavior and develop healthier coping mechanisms. 

Studies have shown that psychedelics reduce both alcohol use and smoking. The success rates are higher than what doctors see with other therapy or medication alone.   

How Does Psychedelic-Assisted Therapy Work?

While researchers do not fully understand how psychedelics work in the brain, several potential mechanisms have been proposed. 

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Risks of Psychedelic-Assisted Therapy for Addiction Treatment

While psychedelic-assisted therapy for addiction treatment may hold promise, there are also potential risks associated with using these substances. They include: 

While psychedelics have shown promise as a therapeutic tool, they're not a panacea and don't work for everyone. Factors like dosage, setting, and individual differences in brain chemistry can all impact the effectiveness of psychedelic-assisted therapy. Also, trained professionals should always supervise these substances in a controlled environment, as they can be potentially dangerous if misused.

If you're considering using psychedelics outside of therapy for different reasons, you should seek the support of a Psychedelic harm reduction and integration therapist. A PHRI therapist will help you plan to minimize risks and increase the chances of positive therapeutic outcomes. 

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How Medication-Assisted Treatment Can Aid Addiction Recovery

Addiction to drugs or alcohol can cause long-term changes to the structure and functioning of the brain. These changes make it hard for someone to quit using despite the harm it causes. Even in addiction recovery, people can experience relapses due to cravings - it's why addiction is often referred to as a relapsing disease.

The reason is that repeated substance abuse causes the brain to build much stronger connections between the substance and associated cues or triggers. Cues can be feelings, things, places, or people that make them want to use substances again.

Understanding how these substances affect the brain and the body is critical to understanding how medication-assisted treatment (MAT) works. This article will discuss how MAT can help addiction recovery and relapse prevention. But first, let's ensure we're on the same page.

What is Medication-Assisted Treatment (MAT)?

Medication-assisted treatment (MAT) is a type of treatment that helps people struggling with addiction overcome their dependence. It combines FDA-approved medications, such as opioid antagonists and pain relievers, with counseling and behavioral therapies to provide short-term relief from cravings and long-term recovery support.

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By combining pharmacological interventions with evidence-based therapies, MAT offers a comprehensive approach to addiction recovery, offering people the best chance of successful long-term sobriety.

MAT is used to treat various substance use disorders, including alcohol use disorder and opioid addiction. It can also prevent or reduce opioid overdose. The medication normalizes brain chemistry, normalizes body functions, relieves physiological cravings, and blocks the euphoric effects of substances. And since everyone is different, the clinically driven program is customized to meet each patient's needs. 

How Does MAT Work?

MAT works by reducing cravings and providing a "safety net" that helps people recovering from addiction stay away from drugs or alcohol. It's important to understand that MAT medications are not a magic cure for addiction but rather a tool to help individuals recover.

MAT works by targeting the reward circuitry of the brain. The reward pathways make us feel good when we engage in certain behaviors, like eating sweet foods or taking drugs. MAT medications help reduce cravings by targeting the same brain pathways responsible for our drug-seeking behavior.

For instance, MAT medications like buprenorphine can reduce the reward we feel from taking opiates and make it easier to resist cravings. Other MAT medications, like naltrexone, can block the receptors in our brains that would usually be activated by opiates or alcohol. This helps reduce cravings and the euphoric effects of drug or alcohol use.

MAT medications can also help restore balance in our brain chemistry that has been altered by substance use. This can help reduce withdrawal symptoms and cravings, allowing people to focus on therapy, healthy lifestyle changes, and other components of their recovery program.

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How Effective Are MAT Medications in Addiction Recovery?

MAT medications can be a powerful tool in addiction recovery. When used as part of an integrated treatment plan, MAT has been found to:

While it's hard to pinpoint a single seminal paper in the field, there's a substantial body of evidence that speaks to the efficacy of MAT. For instance, one study found that opioid overdose deaths were reduced as buprenorphine became more popular in Baltimore. Another review paper found that Methadone can keep those dependent on heroin in treatment programs and reduce their use of heroin. 

Limitations of Medication as a Sole Approach 

MAT medication can help reduce cravings and withdrawal symptoms but cannot address the underlying issues that contribute to the addiction. Mental health, trauma, and lifestyle issues may have been a factor in the person's development of a habit, and these cannot be addressed through medication alone.

For this reason, MAT should be used as part of an integrated treatment plan that includes counseling, behavioral therapies, and ongoing support structures - like 12-step programs, sober living arrangements, etc. The word "assisted" in medication-assisted treatment emphasizes that medications are only one part of the overall treatment plan.

MAT Medication

The FDA has approved several medications for the treatment of addiction. The most common types are:

Opioid Use Disorders Medications

Methadone, Buprenorphine, and Naltrexone are used to treat opioid dependency. These MAT medications work for opioids like heroin and prescription painkillers.

Alcohol Use Disorders Medications

Acamprosate, Disulfiram, and Naltrexone are used to treat alcohol use disorders.

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Opioid Overdose Prevention Medication

Naloxone is used to treat opioid overdoses. It works by blocking the effects of opioids in the brain and reversing an overdose. Naloxone is available in a nasal spray and can be used by family members or friends to treat an overdose.

While prescribed medications can be a powerful tool in addiction recovery, they are only one piece of the puzzle. MAT should be combined with therapy, lifestyle changes, and other strategies to achieve maximum success in recovery. With the right approach, MAT can provide an effective and safe pathway to recovery.

Find MAT Treatment

If you or someone you love is struggling with addiction, exploring MAT medications as part of your treatment options may be helpful. Many substance use treatment centers offer MAT-based health services. At More Than Rehab, we offer MAT treatment as part of our primary care model. Our doctors, nurses, and counselors work together to provide personalized care and the best possible outcomes for each patient.

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The Importance of Counseling & Therapy in Addiction Treatment

Addiction is a complex and debilitating condition that affects millions of people worldwide. It causes physical and psychological harm to the individual and affects their relationships and ability to function in society. While various treatment options are available, counseling and therapy are often considered essential components of an effective addiction treatment plan. These therapies can help individuals understand the underlying causes of their addiction, develop coping strategies, and rebuild their lives in a healthy and sustainable way.

This article will explore the importance of counseling and therapy in addiction treatment and discuss some of the key benefits and methods involved.

What is Addiction Therapy, and How Does it Help?

Addiction therapy is a multifaceted approach to treatment that helps individuals address the psychological, physical, and social factors that contribute to their addiction. It includes various techniques such as behavioral therapy, motivational interviewing (MI), and family therapy. All these aim to help the individual:

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Alcohol or drug use can interfere with how a person functions. It can change how they think, act, learn, remember, or even pay attention. Addiction counseling and therapy can help restore cognitive functioning and provide the individual with essential tools for managing their addiction.

In cases where one struggles with mental illness and addiction, therapy and counseling can help them manage both conditions. It can also educate them on the relationship between their mental health and substance use and strategies for managing both.

How Addiction Counseling and Therapy Works

Counseling is an integral part of the addiction treatment process. It's always used in conjunction with other treatments, such as detox and medication, and typically happens in a professional rehab center. Different types of rehab options exist, including:

Inpatient rehab: Where an individual stays at the facility for a while, usually between 30 days to 6 months.

Outpatient rehab: Where an individual receives treatment at the center regularly, such as daily or weekly, but does not stay overnight.

During therapy, you'll work with your counselor to understand the root causes of your addiction and develop strategies for managing it in day-to-day life. Therapy sessions may include individual, group, or family counseling, depending on the treatment plan.

But since addiction is a relapsing disease, likely, you will still have cravings that draw you back to abusing substances. Long after you rid your body of the drugs, the brain will still remember the pleasure it felt when you used drugs and will continue to send signals of wanting more. That's why ongoing therapy is so important in addiction recovery.

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Behavioral therapies

These therapies focus on helping individuals change the behaviors and thought patterns that lead to addiction. Examples of these types of treatment include:

Cognitive-Behavioral Therapy (CBT)

Cognitive-behavioral therapy (CBT)is an effective treatment for addiction and mental illness. It helps individuals to identify and change negative thought patterns and behaviors that contribute to addiction. CBT is based on the idea that an individual's thoughts, emotions, and behaviors are interconnected and that changing one aspect can lead to changes in others. 

Dialectical behavioral therapy (DBT)

Dialectical Behavioral Therapy (DBT) was developed specifically for individuals with Borderline Personality Disorder, but it is effective in the treatment of addiction as well. DBT focuses on both acceptance and change, helping individuals to accept their current situation while also working towards positive change. It helps one understand the cycles between intense emotions and impulsive behavior, as well as how these can be effectively managed.

Motivational interviewing (MI)

Motivational interviewing helps individuals overcome ambivalence and develop strategies to cope with existing problems. It focuses on the individual's capacity for self-change, inviting them to consider the consequences of addiction, explore values, and negotiate goals leading to meaningful change. MI practitioners use active listening techniques and specific questions to support clients as they engage in an interactive conversation about their intrinsic motivation and potential roadblocks.

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Contingency Management

Contingency management uses positive reinforcement to encourage individuals to abstain from substance use. It rewards individuals who remain abstinent with tangible rewards, such as vouchers or other incentives, whenever they engage in desired behaviors, such as attending support groups or social activities. This can help individuals stay motivated while developing healthier habits and behaviors.

Family and Individual Therapy

Family therapy helps to repair and strengthen relationships between family members. It also often focuses on understanding how addiction has impacted the entire family, identifying needs, and developing strategies for communication and problem-solving. Individual therapy can help individuals process past traumas, build relationships and activities outside of substance use, and foster healthy coping skills for managing their addiction.

12-Step Programs

12-step programs provide a support system for peers in recovery and can help individuals recognize their powerlessness over the substance. These programs emphasize accountability, acceptance, and responsibility to foster self-improvement. The 12-step fellowship helps individuals to identify their addiction as a disease and provides them with a structure and support system to help them cope with the complex emotions that often accompany addiction. Depending on the substance of use, one can join Alcoholics Anonymous, Narcotics Anonymous, Marijuana Anonymous, etc.

Get Help Today

It's never too late to seek help for addiction. With the right combination of therapy and support, recovery is possible. If you or a loved one are struggling with substance use disorder, contact us today.

You don't have to go through this alone – help is available now. Reach out today and take the first step on the road to recovery. We're here for you.

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Is it Possible to be Addicted to Marijuana?

Some people use marijuana as a recreational pastime. Others use it for medicinal purposes. Either way, many wonder if it's possible to become addicted to marijuana.

The answer is yes; it is possible to become addicted to marijuana just like any other drug or alcohol. According to studies, some people who use marijuana may develop marijuana use disorder meaning they have difficulty controlling their marijuana use.

Marijuana is a Schedule I drug and has a high potential for abuse. According to studies, marijuana is the most abused drug in the US. Both recreational and medical marijuana can cause dependence issues. 

What is Marijuana or Cannabis Use Disorder?

Marijuana or cannabis use disorder is having difficulty controlling your marijuana use. When you have marijuana use disorder, You may feel an intense desire to continue using despite adverse consequences, and you may experience withdrawal symptoms when trying to quit. The severity of marijuana use disorder is classified as mild, moderate, or severe.

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How Does Cannabis Use Disorder Happen?

Cannabis use disorder can happen when someone uses marijuana frequently or in large amounts. It can also be caused by physical, psychological, environmental, and genetic factors. The drug contains tetrahydrocannabinol, or THC, a psychoactive ingredient that trigger's the brain's endocannabinoid receptors. Over time, you become less sensitive to the chemicals in marijuana and need more of it to feel the same effects.

Symptoms of Marijuana Dependence

The signs and symptoms of marijuana dependence can be physical or psychological.

Physical symptoms of marijuana use disorder include:

Psychological symptoms of marijuana use disorder include:

Legalization Efforts and the Impacts on Marijuana Use 

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In recent years, many states have legalized the use of marijuana for medicinal and recreational purposes. This has led to marijuana becoming more accessible and accepted in today's society. As a result, there has been an increasing number of individuals using marijuana and a greater number of individuals becoming addicted to it.

The legalization efforts have also increased the availability and variety of marijuana products, such as edibles, waxes, and oils. Some of these products have higher concentrations of THC than the traditional plant-based form of marijuana and can lead to more severe and longer-lasting effects on the user.

And as marijuana use becomes more common, more people are exposed to its risks. It's essential for individuals, especially those in vulnerable populations, to be aware of the potential risks associated with using marijuana and the potential for addiction.

It's also essential for people to know that help is available if they are struggling with dependence and addiction. Seeking treatment from a qualified professional can help individuals overcome their addiction and reclaim control of their lives.

Long-Term Effects of Marijuana Addiction

Though marijuana is often considered a harmless drug, many dangers are associated with long-term use.

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Treatment Options for Marijuana Addiction

Fortunately, there is a range of treatment options available for people who are struggling with marijuana addiction.

At the moment, the FDA has not approved any medications specifically for the treatment of marijuana addiction. However, research is ongoing, and there are some promising results from trials with existing medications (like sleep and anti-epileptic drugs) that may be effective in treating marijuana use disorder.

Finally, professional rehab and support groups can be an essential part of recovery for people with marijuana addiction. These will provide peer-based support, public health care resources, mental health treatment, and life skills training that can help people rebuild their lives.

No matter what approach is taken, the most crucial step in overcoming marijuana addiction is a commitment to making positive changes in one's life. With the proper support and dedication, it's possible to break free from addiction and start living a healthier, more fulfilling life.

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What Are the 12 Steps of Addiction Recovery?

Addiction is a chronic mental condition that can be hard to overcome. Even after comprehensive addiction treatment, the risk of relapse is always present. Joining Alcoholics Anonymous or Narcotics Anonymous can help you better understand your addiction and find healthy ways to cope with it. The 12 steps can help individuals dealing with all types of substance abuse, including:

Understanding 12-Step Programs

The 12-step program is a set of guidelines for recovery from addiction. The steps were first formulated by the founders of Alcoholics Anonymous, Bill Wilson and Bob Smith, and have since been adapted for many other forms of addiction recovery, including Narcotics Anonymous, Cocaine Anonymous, and Marijuana Anonymous.

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Bill Wilson and Bob wrote the book Alcoholics Anonymous (or The Big Book as it is commonly known), which outlines 12 sequential steps for addiction recovery.

The program involves admitting that you have a problem and cannot control your addiction and making amends for the harm you have caused. It also includes a commitment to attend AA meetings and to help other addicts.

The 12-step program is essential because it provides a roadmap for recovery. It helps addicts take responsibility for their addiction and to make positive changes in their lives. It also offers support and accountability, which are essential for long-term sobriety.

The 12 Steps of Addiction Recovery

The 12 steps of addiction recovery are:

1.   We admitted we were powerless over alcohol – that our lives had become unmanageable.

Addiction is a chronic mental condition that can be hard to overcome. Even after a comprehensive treatment, the risk of relapse is always present. Step One aims to relabel the addiction as a disease rather than a character flaw. It is structured around the belief that one is "powerless" over their chronic illness.

Those who enter AA or NA acknowledge their inability to control their drinking and that their life has become unmanageable. Step One is often the stage of acceptance.

2.   Came to believe that a power greater than ourselves could restore us to sanity.

While Step One acknowledges the lack of control, Step Two suggests that an external force can help. Some people interpret the "power greater than ourselves" as a higher power, such as a God or spiritual being. However, it does not necessarily need to be religious or spiritual. It can be karma, meditation, the universe, medical professional, etc.

Step Two allows individuals to gain faith in something bigger than themselves. And acceptance in Step One plays a vital role in opening one up to external help.

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3.   Made a decision to turn our will and our lives over to the care of God as we understood Him.

Step Three is an acknowledgment of one's willingness to surrender their will and life over to the care of a higher power. It provides individuals with a platform to admit they cannot do this alone. Religious people may find the concept of "God as we understood Him" helpful, while others may find other ideas more suitable. The main point of Step Three is to recognize that the power lies outside of yourself and that this power is essential for recovery.

4.   Made a searching and fearless moral inventory of ourselves.

Step Four is all about self-reflection and introspection. It encourages individuals to take a critical look at their lives and examine how they have made decisions in the past and what led them down the path of addiction. Understanding one's triggers and making changes is essential to prevent future relapses. Step Four can be difficult as it forces one to confront their past and accept responsibility for their actions.

5.   Admitted to God, to ourselves, and to another human being the exact nature of our wrongs.

Step Five is the stage of confession, where individuals must admit to themselves, God, and another human being the exact nature of their wrongs. This can be a difficult step as it involves confronting and addressing the harm they have caused. But the step helps individuals to learn to take responsibility for their actions and make amends for the damage they have caused.

6.   Were entirely ready to have God remove all these defects of character.

Step Six is a preparation step, where individuals must make themselves entirely ready to have their higher power remove all their character defects. This involves letting go of the negative traits that have kept them stuck in addiction and mental discomfort. It requires faith and trust in the higher power, as it involves surrendering one's ego and allowing a power greater than themselves to make one ready for recovery.

7.   Humbly asked Him to remove our shortcomings.

Step Seven is an act of humility, where individuals ask their higher power to remove their shortcomings and defects of character. This step requires honesty and courage to admit out loud one's willingness to be changed and molded into a better version of themselves.

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8.   Made a list of all persons we had harmed and became willing to make amends to them all.

Step Eight is the stage of accountability, where individuals must list those they have harmed and become willing to make amends to them all. It's essential for taking responsibility and restoring relationships damaged due to addiction. It allows individuals to mend broken bridges and create a better life.

9.   Made direct amends to such people wherever possible, except when to do so would injure them or others.

Step Nine is the stage of action, where individuals make direct amends to those they have harmed whenever possible. This step requires individuals to take responsibility for their actions and reach out to the people they have hurt. It is a decisive step in healing relationships and restoring trust between individuals.

10. Continued to take personal inventory and, when we were wrong, promptly admitted it.

Step Ten is the stage of continuous self-reflection, where individuals must continue to take personal inventory and admit when they are wrong. This step emphasizes that recovery should be lifelong, requiring people to stay vigilant and hold themselves accountable for their actions. It helps ensure individuals do not slip back into old habits or behaviors that could lead them to addiction again.

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

Step Eleven is about deepening one's connection and relationship with their higher power. It encourages individuals to seek knowledge of their higher power's will through prayer and meditation and to ask for the ability to carry out that will. This step helps individuals maintain strong faith in their higher power and stay committed to recovery.

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12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and practice these principles in all our affairs.

Step Twelve is the culmination of all the previous steps, as it marks the point where individuals have had a spiritual awakening due to working through the Twelve Steps. This step encourages individuals to spread their newfound knowledge and wisdom to other alcoholics to help them recover. It also emphasizes that principles from the Twelve Steps should be applied to all facets of their life.

The Twelve Steps provide individuals with the necessary structure, guidance, and encouragement for recovery from addiction. Each step is an essential milestone to sobriety, helping individuals progress towards a healthier and happier lifestyle.

By working through each step one at a time, individuals can develop the strength and courage to make lasting changes. As individuals progress through the Twelve Steps, they will find that their relationship with themselves and others improves significantly. Ultimately, the Twelve Steps offer a roadmap for recovery, empowering individuals to take control of their life and create a brighter future.

Finding Treatment Programs

There are many 12-step programs available to help individuals make a successful recovery. At More Than Rehab, we can connect you to one that matches your needs. We can also connect you to other support groups and resources to help you stay on track with your recovery. Contact us today to learn more and start your journey toward sobriety.

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Do Harm Reduction Efforts Actually Lower Addiction Rates?

In recent years, there has been a growing movement in the United States to adopt harm reduction strategies when it comes to drug addiction and overdose. Harm reduction is a public health approach that focuses on reducing the negative consequences of risky behaviors rather than on eliminating the behaviors themselves. Proponents of harm reduction argue that this approach is more realistic and effective than traditional approaches that focus on abstinence.

There is some evidence to support this claim. For example, a study of needle exchange programs in the United States found that these programs were associated with lower rates of HIV/HSV infections among injection drug users. Another study by SAMHSA notes that these programs save lives by being accessible and available in a way that underlines the need for compassion and humility toward people who use drugs. 

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SAMHSA adds that harm reduction programs provide access to treatment, social services, and health care. They reduce chronic diseases such as HIV/HCV, overdose deaths, and acute life-threatening infections related to unsterile drug injection.

However, it is important to note that harm reduction efforts alone are not enough to address the underlying causes of addiction; they must be part of a comprehensive strategy that includes prevention, treatment, and recovery services. Nevertheless, harm reduction programs can play an important role in saving lives and reducing the harms associated with drug use.

What is Harm Reduction, and what are its Goals?

Harm reduction is a public health approach that seeks to minimize the harms associated with harmful behaviors. It is rooted in the belief that people have the right to make their own choices about their health and well-being and that everyone has the potential to reduce the harms they experience.

Harm reduction approaches provide a non-judgmental way to connect people with services and support. By focusing on reducing harm rather than on eliminating risk, harm reduction provides a more realistic and achievable goal for many people. As a result, it has the potential to improve individual and population health outcomes. The principles of harm reduction include:

·       Respect for autonomy: People should be free to choose their health and well-being without coercion or judgment.

·       Meeting people where they are: Services and support should be tailored to meet the needs of each individual, based on their unique circumstances.

·       Harm reduction is not abstinence: The focus is on reducing harm, not eliminating all risk.

·       Harm reduction is pragmatic: It recognizes that people will engage in risky behaviors and seeks to minimize the associated harm.

·       Harm reduction is evidence-based: It is based on the best available evidence rather than ideology. Harm Reduction Programs and Services A variety of harm reduction strategies can be employed to achieve the goals.

Some common harm reduction strategies include:

Needle Exchange Programs

Needle exchange programs provide clean needles and syringes to people who inject drugs to reduce the risk of HIV, AIDS and other blood-borne diseases. These programs also provide other services such as counseling, referrals to addiction treatment and recovery services, and access to naloxone, a medication that can reverse an opioid overdose.

Nearly three-decade of research has shown that these programs were associated with lower rates of HIV, hepatitis, and other infections. The research also found that SSP users are 5x more likely to enter drug treatment and about 3x more likely to stop using drugs than those who don't use the programs.

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The Use of Federal Funding to Purchase Fentanyl Strips

Fentanyl strips test for the presence of fentanyl in drugs. Fentanyl is a powerful synthetic opioid that is up to 100 times more potent than heroin. It is often mixed with other drugs without the user's knowledge, which can lead to accidental overdoses.

Drug checking with fentanyl strips can reduce this. The US government has funded states and localities to purchase fentanyl strips as a harm reduction measure. The strips can be used to test drugs for the presence of fentanyl, which can help users make informed decisions about whether or not to use them.

Providing Safer Consumption Spaces

Safer consumption spaces are places where people can consume drugs under the supervision of trained staff. These spaces can provide various services, including access to clean needles and syringes, naloxone, counseling, and referrals to addiction treatment and recovery services. They also educate individuals on how to reduce substance use and drug-related harm and curb the spread of infectious diseases. Today, over 66 safe consumption spaces are operating with the approval of law enforcement worldwide, including in Europe, Canada, and Australia. 

Increasing Access to Opioid Overdose Reversal Treatments

Opioid overdose reversal treatments, such as Narcan® or naloxone, can save lives by reversing the effects of an opioid overdose. Naloxone is a medication that can be administered by injection or nasal spray, and it is available without a prescription in many states. Many states have implemented standing orders programs, which allow health care providers to prescribe naloxone to people who may be at risk of overdosing. The drugs can also be issued to friends and family members of people who use opioids.

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Naloxone used to block the effects of opioids medication Oxycodone Morphine to save life in emergency case

Know Your Source

Know Your Source is a harm reduction program in Vancouver, Canada, that provides information about the purity and potency of drugs to users. The program also encourages users to inject slowly, use in the presence of a sober friend and be aware of the early signs of overdose and how to use naloxone. 

Medication Assisted Treatment

Medication-assisted treatment (MAT) is a harm reduction approach that combines behavioral therapy with medications to treat substance use disorders. MAT is used to treat opioid addiction and effectively reduces the risk of overdose and death.

These are just a few examples of harm reduction programs and services that can be employed to reduce the risks associated with substance use. Many other harm reduction strategies can be used, and the best approach will vary depending on the community's needs. If you or someone you know is struggling with substance use, resources are available to help. Treatment and recovery services can provide the support you need to overcome addiction and build a healthier, happier life.

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What Happens During A Full Medical Detox From Drugs?

The first and most important treatment step for those struggling with addiction is a medical detox. During detox, the body is cleansed of all traces of the addictive substance, and any withdrawal symptoms are monitored and managed by medical professionals.

Detox helps to break the physical dependence on a substance and provides a safe and supportive environment for those in early recovery. Detox can also help to identify any underlying medical conditions that may be contributing to the addiction.

After detox, patients can begin to focus on the psychological, social, and behavioral health issues surrounding addiction and develop healthy coping mechanisms. Without detox, it would be much harder for those struggling with addiction to get the help they need.

What is a Medical Detox?

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Medical detox is a process in which the body is cleansed of drugs or alcohol under the supervision of medical professionals. Medical detox aims to make the withdrawal process as comfortable and safe as possible. This is typically done through medication, close monitoring, and support from counselors and other professionals.

Medical detox can be an important first step in recovery, as it reduces the likelihood of immediate relapse and makes it easier for patients to focus on their recovery effort. However, it is not a substitute for comprehensive substance abuse treatment, rather it should be considered an important first step to recovery. Patients who undergo medically-managed detox programs should be transitioned to a rehab program or another form of treatment as soon as possible.

Why is Medical Detox Important?

Substance abuse changes the brain in many ways, altering its chemistry and making it increasingly difficult to control impulses. Continued use can cause addiction as the body craves those substances and starts to function more normally in the presence of the drug than without it.

At this point, any attempt to stop using can leave one feeling sick (also known as withdrawal symptoms). These symptoms can be severe or even life-threatening for some substances like alcohol or benzodiazepines. For example, alcohol withdrawal symptoms can cause delirium tremens (DTs), a deadly syndrome that, if left untreated, can cause impaired consciousness, hallucinations, profound confusion, high blood pressure, elevated heart rate, etc.

For other substances, the symptoms may be uncomfortable enough to cause relapse. Opioids, for example, trigger flu-like symptoms that are so severe and can push one back to using to feel better. 

Therefore, cold turkey is not the best option, and slowly tapering off the substance with the help of a medical professional is a better path. Drug detox provides a supervised setting where patients can safely detoxify from substances while receiving important medical care. It can also help manage the effects of withdrawal and make the process as safe and comfortable as possible.

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Withdrawal Symptoms

Withdrawal symptoms can range from mild to severe and usually begin within 6-12 hours after your last drink. Common symptoms include:

More severe symptoms can include seizures, racing heart, hallucinations, and delusions. If you experience any of these side effects, it's important to seek medical help right away. Withdrawal symptoms can be uncomfortable and even dangerous, but with professional help you can safely detox from alcohol and begin your road to recovery.

What medications are provided?

Medications are often used during detox to help manage withdrawal symptoms and cravings. The most common types of medications used include:

Medications can be an important part of detox, but they should be used under the supervision of a medical professional. Withdrawal and cravings can be difficult to manage on your own, but with the help of medication, you can safely detox from drugs or alcohol.

When is Medical Detox Necessary?

When it comes to substance abuse, there is no one-size-fits-all answer to the question of when detoxification is necessary. The decision should be made based on some factors, including:

If you have experienced withdrawal symptoms in the past or if you are currently experiencing any physical health problems, detoxification may be necessary to stop drinking safely. In general, however, detoxification is not always necessary when discontinuing alcohol use. Speak with a healthcare professional to determine whether detox is right for you.

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What Happens After a Medical Detox?

Medical detox is just the first step in overcoming addiction. To achieve long-term sobriety, patients must receive treatment at a rehab facility or any other treatment program. Patients who undergo medical detox should transition to a rehab program, which can include inpatient or outpatient treatment.

Inpatient rehab requires patients to live at the facility while receiving around-the-clock care, while outpatient treatment allows them to continue living at home while attending regular therapy sessions. Both these treatments use an evidence-based approach to addiction that addresses specific aspects of drug addiction and its impacts on the individual, family, and society.

By receiving continuous care at a detox center, patients will likely stay sober in the long run. Rehab facilities also provide additional resources, such as support groups and 12-step programs, to help patients maintain their sobriety after leaving the facility.

Professional Medical Detox Program

A full medical detox from drugs can be an intense and scary process, but with the help of a professional detox program, it doesn't have to be. If you or someone you love is struggling with addiction, don't hesitate to seek help. MoreThanRehab offers comprehensive detox programs that will provide you or your loved one with the support and care needed to make a successful recovery. Don't wait any longer - call us today!

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