The Link Between ADHD and Substance Use: Untreated Diagnosis in Adults

Many people think of ADHD as a childhood issue. In reality, it affects millions of adults too. Studies estimate that over 15 million adults in the US —about 5% of the population—have ADHD symptoms. Yet less than 20% of those know it. Even among those who know, only about a quarter receive treatment. That leaves millions struggling with symptoms that affect work, relationships, and daily life.

If ADHD goes untreated, people often look for ways to cope. Some turn to alcohol, nicotine, or illicit drugs—not necessarily to get high, but to feel more in control. It’s not about making bad choices. It’s about trying to quiet the mental chaos.

Research confirms this connection. A study published by the National Institute of Health found that adults with ADHD are nearly 3.10 times more likely to develop a substance use disorder compared to controls. Another study found children to be at risk, too. The risk factors for SUD were twice as high among those with ADHD and four times higher for those with comorbid conduct disorder.

If you’ve been using substances to manage ADHD symptoms, it’s not a sign of failure. It’s a sign that your brain is looking for relief. Below, we’ll show you better ways to manage ADHD, ones that help in the long term.

ADHD Symptoms and the Risk of Substance Use

ADHD is a neurodevelopmental disorder that affects the brain’s executive functions, including impulse control, attention regulation, and emotional processing. These functions are primarily influenced by neurotransmitters, particularly dopamine and norepinephrine, which play a critical role in motivation, reward processing, and focus.

People with ADHD often have lower baseline levels of dopamine activity in key areas of the brain, including the prefrontal cortex and striatum. Dopamine is responsible for reinforcing pleasurable behaviors, regulating motivation, and sustaining attention. Because ADHD brains struggle to use dopamine efficiently, they often seek out external stimuli to compensate.

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This biological drive for stimulation can make substances particularly appealing. Stimulants like nicotine and cocaine artificially increase dopamine levels, providing a temporary sense of focus and motivation. Depressants like alcohol and cannabis can dull hyperactivity and impulsivity, creating a sense of calm. The problem is that these effects are short-lived, and over time, they disrupt the brain’s natural dopamine regulation, increasing the risk of tolerance, dependence, and addiction.

The Connection Between Adderall Misuse and ADHD

ADHD makes it hard for the brain to regulate dopamine. When dopamine levels are too low, tasks that require sustained attention feel impossible. This is why ADHD can cause:

Stimulant medications like Adderall (a mix of amphetamine and dextroamphetamine) help increase dopamine levels in a controlled way. For people with ADHD, this makes it easier to concentrate, stay organized, and manage impulses. When prescribed, doctors carefully adjust the dose to ensure the brain gets the right amount—enough to improve symptoms without unwanted side effects.

Why Some People Misuse Adderall

Not everyone with ADHD gets diagnosed early. Many adults struggle with focus, productivity, and mental fatigue without realizing why. When they try Adderall—often borrowed from a friend or taken for school or work—they suddenly feel “normal” for the first time.

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This can be eye-opening but also risky. Without medical advice, people may take more than their brain needs, leading to misuse and dependency.

Too much Adderall can overload the brain with dopamine, causing:

Since Adderall activates the brain’s reward system, it’s easy to develop a reliance on it, mainly when used without a prescription. That’s why the DEA classifies Adderall as a Schedule II controlled substance—it’s medically useful but highly addictive when misused.

Adderall Misuse in Adults with ADHD

Even those with a prescription can struggle with Adderall misuse. Studies show that up to 25% of adults prescribed stimulants take more than they should, hoping for better focus or energy. This often happens with immediate-release (IR) Adderall, which wears off faster, making people tempted to take extra doses.

Some research suggests that extended-release (XR) Adderall is harder to abuse because it enters the bloodstream more slowly. But misuse can still happen, especially if someone builds a tolerance and starts increasing their dose without medical guidance.

ADHD, Adderall, and Substance Use Risk

People with ADHD are almost three times more likely to develop a substance use disorder (SUD) than those without ADHD. Stimulant misuse can also lead to polysubstance use, where individuals start experimenting with other gateway drugs like opioids or cocaine to maintain the same feeling of focus or energy.

This is why proper diagnosis and treatment matter. When ADHD is treated correctly, with the proper medication, therapy, and support groups, the need to self-medicate decreases. Adderall can be life-changing when used the right way—but without medical oversight, it can lead to more harm than good.

If you think you have ADHD and have been using Adderall without a prescription, talking to a doctor can help you find a safer, long-term solution. ADHD is manageable, and you don’t have to rely on self-medicating to feel in control.

Barriers to Diagnosis and Treatment in Adults

Many adults with ADHD go undiagnosed because their symptoms don’t match the childhood stereotype of hyperactivity. Instead of bouncing off the walls, they might struggle with difficulty focusing, organization, emotional regulation, or chronic procrastination. Because of this, ADHD is often mistaken for anxiety, depression, or other mental health disorders, making it harder for people to get the right diagnosis and treatment.

Stigma and misconceptions also play a role. Many adults hesitate to seek help because they worry they won’t be taken seriously or have been told that ADHD is just an excuse. Women, in particular, are often overlooked because their symptoms tend to be more internal—like overthinking, forgetfulness, or feeling overwhelmed. Even when people recognize their symptoms, getting an ADHD diagnosis can be difficult due to long wait times, expensive evaluations, and a lack of trained specialists.

Breaking the Cycle with Proper ADHD Treatment

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The good news is that effective ADHD treatment reduces the risk of substance use disorder. Studies indicate that early diagnosis and treatment—especially with stimulant medications prescribed under medical advice—significantly lower the likelihood of developing addiction. This is because ADHD medications help regulate dopamine levels in a controlled way, reducing the brain’s need to seek external stimulation.

Other interventions, such as cognitive behavioral therapy (CBT), structured routines, family therapy, and lifestyle modifications, further support the long-term management of ADHD symptoms without the risks associated with illicit drugs.

Get Help at More Than Rehab

If ADHD and addiction have been controlling your life, there is a way out. More Than Rehab (MTR) takes a dual diagnosis approach, meaning we treat ADHD and substance use disorder together—because when both conditions are addressed, real recovery happens. Our team provides evidence-based therapies, medical support, and long-term strategies to help you manage ADHD effectively without turning to substances.

If you or your family members need help, don’t wait. Support groups, therapy, and addiction treatment can make all the difference. Reach out today and take the first step toward lasting recovery.

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Mindfulness Meditation in Addiction Recovery: Science-Backed Benefits

Mindfulness meditation is a practice that asks you to rest in the present moment. You pay attention to your thoughts, feelings, and bodily sensations in a gentle way. This approach helps you understand your inner experience without judging it.

Mindfulness meditation supports healing from substance use disorders by easing intrusive thoughts and reducing withdrawal symptoms. It also enables you to focus on self-care and emotional regulation.

Below is a deeper look at how mindfulness meditation supports recovery. You will find practical tips, real-life successes, and a clear explanation of the science behind mindfulness. This information may guide you toward better health, more balanced emotions, and overall well-being.

Understanding Mindfulness Meditation

Mindfulness meditation is not about clearing your mind of all thoughts.  It is about paying attention to your present experience in a calm and focused way. You notice each thought and emotion as it arises. You do not label those thoughts or push them away. You let them move through your mind with an attitude of acceptance.

This practice often begins with simple breathing exercises. You find a comfortable seat. You gently close your eyes or soften your gaze. You direct your focus to each breath as it flows in and out. When your mind wanders, you bring it back to your breath. This gentle refocusing trains your mind to handle stress, cravings, and fear without reacting too strongly.

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The Role of the Prefrontal Cortex

In scientific studies, mindfulness meditation shows positive effects on the prefrontal cortex. This area of your brain supports decision-making and impulse control. People who struggle with substance use disorders often experience difficulties with self-regulation. Strengthening the prefrontal cortex helps you make healthier choices in stressful moments.

When you practice mindfulness meditation, you create new neural connections. These connections help you cope with intrusive thoughts and cravings. Your mind learns to identify triggers without immediately acting on them. This process lowers the risk of relapse and protects your overall mental health.

Managing Intrusive Thoughts and Withdrawal Symptoms

During recovery, intrusive thoughts can feel overwhelming. You might think about old habits or experience a strong desire to use. Mindfulness meditation shines a light on these thoughts in a non-judgmental way. You see them, acknowledge them, and let them go. Over time, they lose their power, and you feel less driven by them.

Withdrawal symptoms can also be intense. Many people feel restless, anxious, or irritable. Mindfulness meditation helps you observe these feelings and sensations with a calm attitude. This does not remove the discomfort but changes how you relate to it. You develop resilience and learn to weather these storms without turning to substance use.

Addressing Depression and Anxiety

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Depression and anxiety often accompany addiction. They may stem from emotional trauma or chronic stress. Mindfulness offers a holistic approach that supports treatment for depression and anxiety. It does not cure these conditions in isolation, but it helps you regulate emotions in daily life.

When you sit in quiet contemplation, you gain insights into what triggers your sadness or worry. You learn to pause before reacting. This pause grants you a moment of clarity to decide on a healthy response. Many people report that mindfulness meditation, in combination with other forms of therapy, helps stabilize mood and promotes a sense of peace.

Coping with Chronic Pain

Chronic pain can play a major role in substance use disorders. Many people turn to drugs or alcohol for relief. Mindfulness meditation teaches you to examine discomfort without immediately judging it as negative. You practice observing sensations in your body, noticing where the pain resides, and gently breathing into that area.

This method is not about ignoring pain. It is about changing your reaction to it. When you practice mindfulness, you feel less burdened by the constant pressure of pain.

How Mindfulness Supports Relapse Prevention

Cravings and triggers can appear at any moment. Mindfulness meditation builds a strong foundation for relapse prevention. You learn to recognize cravings without being controlled by them. You notice urges to use substances and respond with an attitude of self-compassion.

When you sense a craving, you can pause and focus on your breath. This action shifts your attention away from impulsive behavior. You ground yourself in the present moment and give your mind a chance to choose a healthier response. This habit becomes more natural over time. It acts as a mental shield against relapse.

Practical Mindfulness Exercises

You do not need special equipment or a large block of free time to begin. A few simple mindfulness exercises each day can create meaningful change. Here are some suggestions:

1. Breathing Check-In

2. Body Scan

3. Mindful Eating

4. Walking Meditation

These mindfulness exercises help you stay in the present moment. They strengthen your ability to observe thoughts and feelings without becoming overwhelmed. They also offer a tool for navigating daily life with more awareness and self-control.

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Real-Life Success Stories

Many people share success stories about using mindfulness in addiction recovery. Some people find relief from chronic pain when they bring mindful attention to tense muscles or sore joints. Others notice fewer intrusive thoughts because they practice daily breathing check-ins. They replace moments of stress with moments of reflection.

One person narrated how mindful meditation helped him recover from alcohol, pot and meth addiction. He had started using when he was only nine years old, and along the way, ended up in prison for two years. At some point, he became suicidal but was lucky enough to get timely help.

Another person told of how he had attempted to get clean unsuccessfully but is now sober thanks to mindful meditation. He has been to individual therapy, outpatient groups, inpatient heroin addiction treatment (9 times) and 12-steps, but was still struggling with addiction and relapse for a decade. “meditation helped me to change my perspective,” he said.

Building a Consistent Practice

Consistency is important. A few minutes of mindfulness each day can make a big difference. You can start small and gradually increase the time you spend meditating. Some people prefer guided practices, while others enjoy silent meditation. The key is to find a routine that suits your personality and lifestyle.

You may wish to record your experiences in a journal. Over time, you can track your progress and notice patterns in your moods, cravings, and reactions. This self-awareness helps you refine your mindfulness practice and stay motivated.

The Power of a Holistic Approach

Addiction recovery requires a holistic approach. Mindfulness meditation fits well into this model. It pairs with counseling, peer support, and, in some cases, medical interventions. When used with other treatments, it enhances emotional regulation and encourages self-awareness.

Drug addiction treatment programs like those offered by More Than Rehab often include mindfulness exercises. These sessions allow you to explore your emotions and thoughts without shame. They also help you practice relapse prevention skills and develop healthy routines.

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Celebrating Sober: How to Make the Most of Your First Holiday in Recovery

The holiday season is upon us, and everyone is gearing up to celebrate. That means lots of parties and gatherings with alcoholic drinks and drugs. But if you’re just starting your sobriety journey, that can be a bit of a challenge. Temptations are running high, and the pressure to "just join in" can feel relentless. Celebrating sober may be an entirely new thing to you in your addiction recovery, but it's certainly not impossible.

You’ve worked so hard to get here. You’ve made it through the tough moments and chosen a new path of sobriety. Yet, as the holidays roll around, you might worry about:

But the good news is that there are ways to join in the fun without returning to your old habits. Celebrating sober doesn’t mean you have to miss out on the joy, connection, or spirit of the season. In fact, it can be an opportunity to create deeper, more meaningful experiences while staying true to yourself and your goals.

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Let’s dive into how to make this your best holiday season yet—sober and thriving.

Shift Your Focus from Drinks to Food

Make the holiday all about the food. Seriously, there’s so much amazing food to enjoy this time of year. Instead of worrying about not having a drink, dive into the treats, meals, and special dishes you might only get once a year. Try to focus on the flavors and truly enjoy what you’re eating, this will make celebrating sober a much more achievable feat.

You could make food an adventure for yourself. If you’re going to a party, bring a dish you love or try a new holiday recipe to share—it gives you something to look forward to and keeps the attention off drinks. Plus, people love good food, so this shift keeps the focus on celebrating together and connecting over something you can all fully enjoy. And let’s be honest—food is much more satisfying than any drink.

Know Your Triggers and Have Support on Standby

This one’s big: know what might set you off and have a backup plan ready. Holidays can bring up many emotions and memories, so think about what situations or people might make you feel like reaching for a drink. Is it a certain party, a specific person, or maybe even a feeling of stress or loneliness? Just being aware of these triggers gives you a lot of power to overcome them.

And don’t be afraid to lean on your support system. Let a friend, family member, or someone from a support group or a member of a 12 step program, who knows that you might need to check in with them. It could be a quick text or a phone call, just something to keep you grounded if things get tough.

Sometimes, knowing you have someone on standby who “gets it” is enough to help you feel strong and stay on track. It’s like your safety net. Having that go-to person makes all the difference, especially when you’re in a pinch.

Bring Your Non-Alcoholic Beverages

Bring your own non-alcoholic drinks to gatherings. It puts you in control and ensures you always have something to sip on that’s alcohol-free. It keeps you from feeling left out and removes the awkwardness of “what should I drink?” Plus, there are so many delicious alcohol-free options out there these days.

You can bring a fun mocktail, sparkling water, or even a festive punch you made yourself. This way, you won’t feel left out, and you’ll have something in hand that makes you feel comfortable and confident. You might even end up being the hit of the party when people want to try what you brought!

Find Joy in Spending Time with Loved Ones

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The best part of the holidays? The people. This is your chance to soak up quality time with the ones you love, completely present and in the moment. Without alcohol, you’ll find you remember all the little moments, conversations, and laughs.

Try to be there with your family and friends, whether that’s playing a game, cooking together, or just catching up. You’ll find a new level of connection and joy—and that’s what this season is all about.

Create New Holiday Traditions

One of the best parts about celebrating sober is the chance to create new holiday traditions that mean something to you. This is your time to reimagine the holidays in a way that feels special and true to who you are now. Maybe that means a morning hike on Christmas Day, sober cruises with peers, baking cookies with family, volunteering, or even a movie marathon night.

You get to build new memories and bring in things that make you feel genuinely happy and connected. Traditions like sober vacations give you something exciting to look forward to each year that has nothing to do with alcohol.

Leave, if Necessary

Remember: you have every right to leave if a situation starts to feel overwhelming or if you notice your relapse triggers coming up. Sometimes, people get stuck in the mindset that they “have to” stay, but you don’t owe anyone an explanation. A quick “I have to go” is all you need. Taking care of yourself is the top priority, and it’s okay to step away if it means protecting your sobriety.

Host Sober-Friendly Gatherings

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If you want a gathering where you’re entirely comfortable, why not host one yourself? Throw a sober-friendly party with music, games, delicious food, and maybe some fun non-alcoholic drinks. When you’re the host, you set the vibe, and it takes the pressure off worrying about alcohol.

You’d be surprised how many people enjoy the chance to take a break from drinking and just relax. Here are some tips to make sure your sober gathering is a hit:

  1. Many people depend on alcohol at parties. Let your guests know in advance that it’s a sober gathering so they come prepared.
  2. Offer a mix of mocktails, sparkling waters, and fresh juices to accommodate various tastes and preferences.
  3. Games, board games, a movie marathon, or even a DIY photo booth can keep things lively and focused on the fun, not the drinks.
  4. Create a comfortable and welcoming environment so it’s easier for everyone to let their guard down and enjoy the night.
  5. You don’t have to do this alone. Invite people who are supportive of your recovery. These can be peers from 12 step programs or close friends and family members who understand your journey. These people can help when you experience negative emotions or relapse triggers.
  6. Set Boundaries with alcohol. Politely tell guests that you’d rather not have alcohol present. Most people will respect that; if someone pushes it, it’s okay to say no.

If you’re struggling or starting to doubt your ability to cope this season, remember—More Than Rehab is here to help. Don’t wait to reach out if you notice any warning signs or feel at risk of relapse. We can help you create an effective relapse prevention plan and be your guiding compass as you navigate your journey of addiction recovery. We hope you all will be celebrating sober this holiday season!

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Hallucinogens & Addiction: Understanding the Complex Relationship

Hallucinogens are a class of drugs that can change the way you perceive the world around you. These substances might make you see, hear, or even feel things that aren't there, altering your sense of reality. Common hallucinogens include:

These can be consumed:

Hallucinogens can come from naturally occurring sources and synthetic lab drugs. Naturally occurring hallucinogens include psilocybin mushrooms, which have been used in spiritual practices for centuries. Other plant-based hallucinogens like peyote (which contains mescaline) and ayahuasca are also used in traditional rituals.

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Synthetic hallucinogens like LSD and MDMA are made in labs and are often more potent. These synthetic drugs are widely available and have gained popularity for their intense, mind-altering effects. However, synthetic hallucinogens tend to have more unpredictable side effects and can pose a greater risk to your mental and physical health.

Hallucinogen Use

When you use hallucinogens, you’ll feel detached from your body and surroundings. You may also hallucinate or experience alterations in your perception of the world. This experience often ranges from mild to intense and may vary from one person to the other and drug to drug. For example, you may feel subtle changes in your surroundings or extreme terror with a belief that the perceptions or visions are real.

When you take a large dose of a hallucinogen, it is referred to as “tripping.” Tripping can either be a good trip with great experiences and feelings or you could experience a bad trip that is unpleasant or frightening.

A small dose of a hallucinogen is called microdosing, which means using 5 to 10% of a usual psychoactive dose. People micro dose to:

How Do Hallucinogens Work?

Hallucinogens primarily affect your brain by interacting with serotonin receptors responsible for regulating mood, perception, and emotions. When you use a hallucinogen like LSD or psilocybin, these drugs overstimulate the serotonin system, leading to altered sensory experiences, changes in thinking, and even shifts in your sense of self.

Some hallucinogens, like MDMA, also release large amounts of serotonin and other neurotransmitters, creating feelings of emotional connection and empathy. However, this disruption of normal brain function can also lead to adverse effects, such as bad trips, paranoia, and confusion.

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Can You Get Addicted to Hallucinogens?

While hallucinogens are not considered as physically addictive as other controlled substances like opioids or alcohol, they can still lead to psychological dependency. Many dissociative drugs and MDMA have an increased risk of physiological addiction. You may experience withdrawal symptoms when you stop MDMA, ketamine, or PCP after a long period.

Hallucinogens reinforce continued use. So, you might find yourself craving the experiences these drugs create, mainly if you use them to escape from reality or cope with emotional pain or past trauma. Over time, this can lead to a pattern of abuse, where the drug becomes a regular part of your life despite its negative effects on your mental health.

NIDA points out that repeated LSD use may cause tolerance. Tolerance happens when your body adjusts to a certain amount of a drug. When you have tolerance, you may need to use larger doses to get the desired effect. And this can be very dangerous. As we mentioned earlier, hallucinogens can cause bad trips. Bad trips have been linked to emotional and psychological trauma.

Effects of Hallucinogens

While some people use hallucinogens recreationally, they can have severe long-term impacts on your brain. Prolonged use can cause persistent changes in mood, memory, and mental clarity. One of the significant risks is developing hallucinogen persisting perception disorder (HPPD), where hallucinations and visual disturbances continue long after the drug has worn off.

Hallucinogens can also trigger or worsen mental health conditions, particularly depression and anxiety. Repeated use may increase your vulnerability to mood disorders, and in some cases, the psychological damage can be life-threatening. There’s also a possibility of overdose. While overdose on classic hallucinogens like psilocybin, mescaline, or LSD is rare, dissociative drugs like ketamine and PCP carry an increased risk of overdoes.

Other common effects include hyperthermia, dehydration, increased heart rate, nausea, and elevated blood pressure that can leave you feeling disoriented, dizzy, and physically uncomfortable. Dissociative hallucinogens can also affect motor coordination and cause numbness, leading to an increased risk of accidents or injuries. Long-term use may damage your organs, including your liver and kidneys, as your body struggles to process and eliminate the drugs.

Signs of Addiction

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Some signs of addiction to hallucinogens can be subtle at first but become more noticeable over time. Here are a few key indicators:

  1. Cravings
  2. Increased use
  3. Neglecting responsibilities
  4. Withdrawal from social life
  5. Physical and mental health changes
  6. Failed attempts to stop

Seeking Treatment for Hallucinogen Abuse

If you or someone you know is struggling with hallucinogen abuse, it’s essential to know that help is available. Over time, hallucinogen use can lead to serious physical, mental, and emotional harm, and breaking free from this cycle may feel overwhelming. However, mental health services and specialized addiction treatment programs can offer the support you need.

One of the first steps in getting help is recognizing the issue and reaching out to professionals who understand the complexity of psychedelic drug use. Currently, there’s no FDA-approved treatments specifically for hallucinogen addiction, but a comprehensive treatment plan can make a big difference in recovery. Your doctor will likely recommend cognitive-behavioral therapy (CBT), individual counseling, and group support. These interventions help address both the physical effects of hallucinogen use and the underlying emotional or psychological issues that may be driving the addiction.

Facilities like More Than Rehab provide comprehensive care, offering detox programs, behavioral therapies, and support for both the short- and long-term effects of hallucinogens. Whether you're experiencing adverse effects from a single bad trip or you're dealing with prolonged use, professional help can make a big difference.

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First Steps to Sobriety: Coping Mechanisms for Newcomers

Addiction recovery is a journey - not something you achieve right after treatment. And as with any journey in life, there are ups and downs that you’ll experience along the way. But the good news is that with the right coping mechanisms in place, it becomes easier to handle whatever life throws your way. Long-term sobriety is possible, and many people have gone ahead to enjoy healthy, happy and substance-free lives.

Let’s explore some coping strategies that will help you stay on track.

Know How to Manage Your Cravings

One of the first challenges you'll face in recovery is managing cravings. Cravings are a normal part of the healing journey and don’t mean you’re doing anything wrong. However, they can be intense, and if you’re not prepared, they can easily pull you back into old habits. Here are some ways to handle cravings effectively:

Know Your Triggers

Triggers can be different things for different people. For some, it could be emotions, situations or people. And for others, places, solitude, holidays, anniversaries, etc. It’s a good idea to know what your triggers are so you best prepare for when they strike. For example, if a mental illness like stress is a trigger, you may practice relaxation techniques to help calm your mind before the craving intensifies.

Distract Yourself

Cravings are intense but often short-lived. Simple distractions like going for a walk, reading a book, or even doing a quick chore around the house can keep your mind occupied and reduce the power of the craving, making it easier to move past it.

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Stay Connected

Reach out to someone in your support network when a craving feels overwhelming. Whether it’s a friend, family member, or support group member, talking through your feelings can help you process the craving without acting on it. It’s okay to ask for help—sometimes, just hearing a supportive voice can make all the difference in staying on track.

Practice Positive Self-Talk

Remind yourself that cravings are temporary and do not control you. Simple affirmations like “This will pass” or “I am stronger than this craving” can help reframe your mindset. Positive self-talk strengthens your resolve and helps you stay committed to your recovery journey, especially during challenging moments.

Use Grounding Techniques

When a craving strikes, grounding techniques can help you stay present and centered. Focus on your breathing, or use your senses to bring your attention back to the present moment—notice what you can see, hear, touch, taste, and smell around you. These techniques are incredibly calming and provide a sense of control when cravings feel intense.

Don’t Do It Alone, Have a Support System

Isolation and loneliness are common contributors to relapse of drug and alcohol treatment. As humans, we tend to be our own worst enemies, and when we isolate or are lonely, our minds wander to negative thoughts. Besides, when we keep it to ourselves, it becomes hard to stay motivated or overcome the guilt and shame that drug and alcohol addiction symptoms are often associated with. We all need support from friends, family, and people who understand our struggles.

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Here are some ways to find and nurture interpersonal relationships:

Start With Your Friends and Family

Your friends and family are often your first line of support. They already care about you and want to help, even if they don’t always know how. Reach out and let them know what you’re going through. You don’t have to share every detail—just let them know how they can support you. Whether it’s someone to talk to, someone to spend time with, or even someone to check in on you, having loved ones by your side can keep you motivated.

Be honest about what you need. If you’re having a tough day, call or text someone you trust. It’s okay to ask for help. They’ll be glad to support you, and it’s a great way to remind yourself that you’re not alone in this.

Join Support Groups

Support groups like AA, NA, or other local recovery groups are full of people who get exactly what you’re going through. These are safe spaces where you can share your story, hear others, and feel understood without having to explain yourself. Plus, there’s something powerful about knowing you’re not the only one facing these challenges.

Being around others who are on the same journey can be incredibly comforting. You learn from their experiences, celebrate their successes, and feel inspired by their progress. It’s a great way to build connections and stay motivated on your path to sobriety.

Seek Professional Help

Sometimes, it helps to talk to someone trained to guide you through recovery. Therapists and counselors use tools and strategies like cognitive behavioral therapy to help you understand your triggers, manage cravings, and work through any mental health challenges that might come up.

Reaching out for professional help doesn’t mean you’re weak; it means you’re taking charge of your recovery. These professionals are there to support you with expert advice and a listening ear. They’re on your team, helping you navigate the ups and downs of sobriety with the right tools.

Create New Healthy Habits for Long-Term Recovery

Studies suggest that it takes 18 to 254 days to form a new habit, so don’t worry if it doesn’t happen overnight. During your addiction, you built habits around your substance abuse, but now it’s time to create new ones that support your recovery.

The good news is that these habits don’t have to be dramatic changes—just small, consistent steps that make a big difference over time. Here are a few simple habits that can help you on your journey:

Set Up a Daily Routine

A daily routine can be a game-changer in recovery. It provides structure and stability, helping you stay focused and productive. Start by planning your day—set meals, exercise, work, and relaxation times. Having a schedule helps you avoid boredom and reduces the temptation to fall back into old patterns. Even simple things like setting a regular wake-up and bedtime can add a sense of normalcy and control to your day.

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Keep a Daily Journal:

Journaling is a simple yet effective way to reflect on your progress and keep track of your thoughts and feelings. Use it to jot down your goals, express your emotions, or celebrate your successes, no matter how small. Writing regularly helps you process what you’re going through and reminds you how far you’ve come. It’s a private space to be honest with yourself and stay connected to your recovery journey.

Practice Relaxation Techniques

Stress is a common trigger, so it's important to learn relaxation techniques. Practices like deep breathing, mindfulness meditation, or even just taking a few quiet moments can help you manage anxiety and keep you calm. These techniques are easy to incorporate into your routine and can be done anytime you need to reset and refocus. Over time, they become powerful tools that help you stay balanced and centered.

Prioritize Your Physical Health

Your physical health is just as important as your mental and emotional health. Addiction takes a toll on your body and has been shown to cause weight loss, liver problems, stroke, brain damage, weakened immune system, blood pressure issues and so on. That’s why focusing on your physical health during recovery is crucial—it helps your body heal and rebuild your overall strength.

Physical activity, in particular, plays a key role in this process. It helps:

And all these benefits are critical for your recovery. Examples of exercises you can start with include walking, yoga, stretching, strength training, swimming, dancing, cycling, etc., for at least 20 to 30 minutes daily.

Moving Forward: Your Path to Long-Term Sobriety

Recovery is not a straight line, but with the right coping mechanisms, you can navigate the twists and turns that come your way. Remember, every step you take brings you closer to long-term sobriety. As we said earlier on, many people have been in the exact same position you’re in, and are now leading a fulfilling, substance-free life.

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Will Contingency Management Help Me Overcome A Substance Use Disorder?

Your doctor has probably recommended contingency management as part of your substance abuse treatment plan. This might have left you wondering: What exactly is contingency management, and how can it help you overcome addiction and regain control of your life? You’re not alone in seeking answers. Many people facing substance use disorders find themselves at a crossroads, searching for practical solutions that can truly make a difference.

Contingency management (CM) is an evidence-based approach that promises to do just that. It offers tangible rewards for positive behavior, tapping into the psychology of motivation and change. Could this be the key to breaking free from addiction and building a healthier future? Let’s explore how this innovative treatment method works and how it might be the missing piece in your recovery journey.

Understanding Contingency Management

CM is a behavioral therapy approach that leverages positive reinforcement to encourage patients to maintain sobriety and adhere to their treatment plans. At its core, CM focuses on rewarding desired behaviors, strengthening them through motivational incentives.

The principle behind CM is simple: when positive actions are followed by rewards, they are more likely to be repeated. This approach draws on well-established psychological theories about behavior modification and has shown promising results in treating substance use disorders. As the drug overdose epidemic continues to rise, effective treatments like CM play a crucial role in public health initiatives aimed at reducing addiction rates and improving mental health outcomes.

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How It Works

Contingency management programs typically include a few key elements:

CM encourages you to engage with your treatment plan through this structured approach, making recovery more tangible and attainable. Studies performed over the past three decades have found that CM can help promote abstinence from cocaine, tobacco, methamphetamine, opioids, alcohol, cannabis, and benzodiazepines. The studies also found CM to be effective among a highly diverse population, including individuals who are unhoused, pregnant, veterans, from the LGBTQ+ community, dealing with mental or physical health issues, etc.

The Controversy Surrounding Contingency Management

Despite its effectiveness, contingency management is not without controversy. Some critics argue that offering rewards for sobriety is like "buying" someone's sobriety. Others criticize external reinforcers (reward systems) because they:

This perspective raises ethical questions about the nature of motivation and the integrity of treatment programs. Concerns about body brokering and illegal kickbacks have also emerged, with some unscrupulous actors exploiting vulnerable patients in addiction treatment settings.

However, it's essential to distinguish between unethical practices and legitimate CM programs conducted under medical supervision and within ethical guidelines. Unlike body brokering, contingency management is a clinically validated approach designed to support individuals in their recovery, not exploit them.

Evidence Supporting Contingency Management

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Research consistently demonstrates the effectiveness of contingency management in treating various substance use disorders. Numerous studies provide compelling evidence of CM's success in reducing substance use and improving treatment adherence.

For instance, studies show that participants in CM programs often experience significant reductions in drug use compared to those receiving standard care alone. Success rates increase dramatically, with CM participants twice as likely to maintain sobriety compared to non-CM counterparts. Not only that, CM patients have:

In fact, CM has been shown to produce abstinence that lasts at least one year following treatment, either as a standalone treatment or in combination with other science-backed behavioral therapies for SUDs. Other studies found that CM decreases overall substance use. For example, people who smoke cigarettes with no intention of quitting and receive CM significantly reduced their smoking. The therapy has similar effects on marijuana, benzodiazepines, and alcohol.

Benefits of CM

The benefits of CM extend beyond mere abstinence. Reinforcing positive behaviors helps reduce recidivism and prevent relapse, which are essential components in the long-term recovery journey. CM's adaptability allows it to complement other addiction treatment programs, such as cognitive-behavioral therapy (CBT) and medication-assisted treatment (MAT), making it a versatile tool in comprehensive treatment plans.

Moreover, CM can be effectively integrated into outpatient treatment services, expanding access and making it a viable option for individuals unable to participate in inpatient programs. As a result, CM helps bridge the gap in care, particularly for those facing barriers to traditional treatment.

Challenges and Limitations of Contingency Management

Despite its success, contingency management has its challenges. The sustainability of rewards is a common concern, as some fear patients may become reliant on external motivators rather than developing intrinsic motivation for sobriety. Additionally, the cost of implementing CM programs, particularly for large populations, can strain resources and limit availability.

Another potential drawback involves addressing the diverse needs of people in recovery. The CM must be tailored to fit the unique circumstances of each participant, considering personal preferences, cultural backgrounds, and specific addiction challenges. Failure to individualize CM programs may reduce their effectiveness and limit participant engagement.

Integrating Contingency Management with Other Treatment Modalities

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Contingency management works best with other evidence-based treatments, such as cognitive-behavioral therapy (CBT), motivational interviewing, and medication-assisted treatment (MAT). This comprehensive approach addresses the multifaceted nature of substance use disorders, enhancing overall recovery outcomes.

CM can also complement psychosocial treatments, such as family therapy and peer support groups, by fostering positive behaviors within supportive environments. Collaboration between treatment modalities enhances recovery efforts and provides a holistic approach to addressing addiction's complexities.

Holistic Recovery Strategies

Holistic strategies play a big part in relapse prevention and helping you regain a sense of control over your life. They include activities that heal the body, mind, and soul, such as exercise, proper nutrition, emotional support, and community engagement.

Get the Most Advanced Addiction Treatment at More Than Rehab

More Than Rehab offers a wide range of comprehensive addiction treatment programs. Our team will work with you to personalize your treatment to meet your unique needs, ensuring you receive the most effective and supportive care on your journey to recovery. Through our commitment to exceptional care we strive to empower you to achieve and maintain sobriety for a lasting change and a healthier future. Call us today, we are available 24/7, 365 days a year.

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Strength and Willpower: The Pillars of Addiction Recovery

You’ve probably heard that it takes more than strength and willpower to overcome addiction. And that’s true because addiction is not usually a choice. Like most people, you didn’t plan to become addicted to drugs or alcohol. But it happens when the power of choice disappears. At this point, you’re no longer able to control the decision to drink, use drugs, or participate in other unhealthy behaviors.

This means that even if you decide you’re going to stop abusing substances, it’s still unlikely that you’ll manage to do so on your own. People who are most successful in addiction recovery often get there with help. And even if your strength and willpower allow you to quit for a short period, it’s highly unlikely that you’ll stay sober without other treatments and methods of support. That’s because of the rewiring of the brain and also because of the withdrawal symptoms.

Addiction and How It Affects the Brain

Drugs and alcohol change how your brain processes data. These substances take over the brain's reward system, releasing large amounts of dopamine—a neurotransmitter responsible for feelings of pleasure and reward.

Over time, your brain becomes dependent on the substance to feel normal. You no longer have the power of choice, and your ability to control yourself becomes difficult. This change in your brain makes it hard to resist the urge to use substances, even when you want to quit.

Substance Use Disorders and Mental Health

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Addiction often goes hand in hand with mental health issues. Anxiety, depression, childhood trauma, and other psychological problems can make the cycle of substance abuse worse. These mental health conditions may arise from or worsen negative thought patterns, making you feel stuck in addiction. Understanding this connection helps you realize why willpower alone is not enough. The complexity of addiction requires a comprehensive approach that addresses both the mental and physical aspects of recovery.

Short-Term vs. Long-Term Effects of Addiction

Substances might provide temporary relief from stress or emotional pain, but the long-term effects are harmful. Addiction affects your physical health, causing problems like liver damage, heart issues, and a weakened immune system. Mentally, it can impair your thinking and make existing mental health issues worse.

Short-term pleasure quickly turns into long-term damage, affecting health, relationships, and quality of life. Understanding these effects is essential in motivating you to seek recovery and change.

The Role of Strength in Addiction Recovery

Overcoming addiction requires more than just a desire to quit. It demands inner strength—a powerful tool that can help you navigate the ups and downs of recovery. Strength in addiction recovery is not just about physical power but mental and emotional resilience that keeps you going, even when things get tough. Your inner strength is a powerful ally in addiction recovery. It gives you the:

The Role of Willpower in Addiction Recovery

While inner strength provides the resilience you need to stay committed, willpower is the catalyst that propels you forward on this journey. Willpower is the driving force that enables you to make conscious choices and take decisive actions toward addiction treatment and recovery. Here’s how it supports your recovery:

How to Build Your Strength and Willpower

Strength and willpower play a big role in your recovery. Here’s how you can develop these essential qualities:

Understand Your Triggers

Addiction often happens because of a combination of factors. Stress, social pressure, or specific places might contribute to addictive behaviors. Try to figure out what these triggers are for you. Keep a journal to write down what makes you feel tempted. Knowing your triggers helps you plan better ways to avoid or deal with them. It’s like knowing your enemy, and it’s the first step in taking back control.

Set Achievable Goals

It’s easier to build willpower when you have clear goals. Start with small, manageable goals. Instead of thinking about never using drugs again, aim for something like attending a support group this week. Celebrate every little win. Achieving these small goals boosts your confidence and keeps you committed. Every step counts in your recovery journey.

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Create Good Habits

Good habits can replace bad ones. If you used to drink after work, try starting a new activity like going for a walk or taking up a hobby. Exercise, meditation, or even cooking are great ways to keep your mind and body busy. These habits create a healthier lifestyle and give you something positive to focus on. It’s about making new routines that help you stay on track.

Use Resources Wisely

The internet can be a big help in recovery. With a good internet service, you can join online support groups and find helpful information. Virtual counseling is also an option if in-person help is hard to get. Being part of online communities can connect you to others who are going through the same thing.

Remember Your “Why”

Always remember why you started this journey. Is it for your health, your family, or your future? Keeping your reasons in mind gives you motivation. When things get tough, think about the positive changes that recovery will bring to your life. Visualizing a better future strengthens your willpower and keeps you moving forward.

Surround Yourself with Support

You don't have to do this alone. Having people around who support you can make a big difference. Talk to friends and family, or join support groups where people encourage you to stay sober. If you need more help, consider outpatient treatment programs. These programs let you live at home while getting therapy and support. Remember, asking for help shows strength, not weakness.

If you’re ready to take the next step, More Than Rehab offers outpatient treatment and support to help you succeed. Contact us today to find out how we can assist you in building the strength and willpower needed for lasting recovery.

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How Cognitive Behavioral Therapy Transforms Addiction Recovery

Cognitive Behavioral Therapy (CBT) is one of the most widely researched and empirically supported forms of therapy. Its focus on specific goals and measurable results has made it a preferred treatment for a range of mental health and substance use disorders. If you're seeking a way to transform your addiction recovery journey, CBT offers powerful tools to help you make meaningful changes.

Understanding Cognitive Behavioral Therapy

CBT is based on the cognitive model of mental illness, which suggests that your perceptions of events influence your emotions and behaviors. It’s not the situation itself that determines how you feel, but rather how you interpret and construe the situation. For instance, if you struggle with depression or anxiety disorders, you might have a tendency to interpret events negatively. Recognizing and altering these interpretations can play a significant role in your recovery process.

At the heart of the cognitive model is cognition, which refers to how you think about things and the content of those thoughts. Researchers describe three levels of cognition that influence your experiences and behaviors:

Core beliefs, or schemas, are deeply ingrained beliefs about yourself, others, and the world. These beliefs typically form early in life, are heavily influenced by childhood experiences, and are often viewed as absolute truths. Understanding these core beliefs can help you see how they relate to:

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Dysfunctional assumptions are rigid, conditional "rules for living" that you might adopt. As humans, we tend to cling to the negative more easily than the positive. However, these distortions can be unrealistic and maladaptive.

Negative automatic thoughts, on the other hand, are involuntary negative perceptions of reality that happen out of habit. They can be hard to recognize because they’re often brief and cause negative feelings.

How CBT Helps in Addiction Recovery

CBT is an effective and proven approach to overcoming addiction. Evidence from numerous large-scale trials and qualitative reviews shows the effectiveness of CBT is long-lasting, as the approach helps people with SUDs avoid triggers, improve self-control, and develop coping skills for daily stressors.

One meta-analysis of 2,340 participants by the NIH found larger treatment sizes for the treatment of cannabis, cocaine, and opioids, respectively. The results were even better when CBT was combined with other interventions like contingency management, motivational interventions, couples and family treatments, etc.

If you are dealing with addiction, CBT can provide you with the tools and strategies to understand your behavior, identify triggers, and develop healthier ways to cope with life’s challenges. In CBT, you learn to recognize the connection between your thoughts, feelings, and behaviors. How you think about situations can significantly influence how you feel and act. For example, if you believe that you need substances to handle stress or anxiety, you might be more likely to use them when faced with stressful situations.

Cognitive Behavioral Therapy Techniques

CBT employees a number of techniques to support your addiction recovery:

Cognitive Restructuring

Cognitive restructuring helps you identify the negative thought patterns that contribute to your addiction. You’ll learn to recognize when your thoughts are distorted or irrational and understand how these thoughts can lead to substance abuse. You then learn to challenge and reframe the negative thoughts into more positive and realistic ones. For instance, instead of thinking, “I can’t cope without drugs,” you might reframe it to, “I have other skills to manage stress that don’t involve substances.”

Exposure Therapy (ET)

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ET prepares you to deal with real-life triggers that lead to cravings. It involves gradual exposure to these triggers in a safe environment. The aim is to help you build resilience and reduce your response to stressors. With practice, you’re able to confront and manage the triggers and situations that lead to cravings.

Skills Training

Skills training is also a key component of CBT. It equips you with practical tools to handle everyday stressors and challenges. You'll learn strategies for managing stress, improving communication, and solving problems effectively. These skills empower you to navigate life’s challenges without relying on substances, leading to a more sustainable and healthy recovery journey.

Benefits of CBT in Addiction Treatment

CBT is a flexible and adaptable treatment tool used successfully in addiction programs worldwide, both in individual and group therapy settings. This evidence-based approach is highly effective in treating addictions and addictive behaviors. CBT is goal-oriented and recovery-focused, offering several key benefits for addiction treatment:

CBT at More Than Rehab

If you're ready to take the next step in your recovery journey, consider cognitive behavioral therapy at More Than Rehab. Located in Houston, Texas, our drug addiction treatment center provides high-quality, evidence-based care tailored to your needs. We also have outpatient services from our location in Tyler, Texas, just outside of Dallas.

We work with many health insurance providers to ensure you receive the support you need. Contact us today to learn how our CBT programs can help you achieve lasting sobriety and a healthier future.

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The Power of Sleep: Essential Benefits for Addiction Recovery

Most of us don’t really think about sleep much. It’s just a normal part of life and something we do at the end of the day. But the reality is that a good night's sleep is critical for our well-being and even survival. Without adequate sleep, we become emotionally unstable, irritable, tired, less productive, etc. These side effects do not support addiction recovery and they can significantly hinder your progress.

Sleep and Addiction

There’s a strong connection between sleep and substance abuse. According to studies, people turn to sleep medications when they have trouble sleeping. In some cases, they may self-medicate with street drugs or alcohol. However, drugs and alcohol misuse or withdrawal can cause:

This happens because drugs and alcohol cause chemical changes that directly affect your circadian rhythm. Stimulants, for instance, make you more alert. Hallucinogens work similarly but alter perceptions by interfering with serotonin, which plays a huge role in regulating sleep. Depressants, on the other hand, may help you fall asleep, but the sleep quality is usually much lower than when you don’t use them.

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Sadly, sleep deprivation can weaken your resolve and increase the likelihood of relapse. It may also:

The Role of Sleep in Physical Health

It’s important to take care of your body in recovery, and sleep plays a big part in this process. Sleep is more than rest—it heals and strengthens your body. Let’s look at how sleep helps your physical health, especially during recovery.

Strengthens Your Immune System

Your immune system helps keep you healthy. But addiction compromises it to a great extent, and makes it more likely to contract diseases and infections. In recovery, you want to get enough sleep to help boost your immune system so your body fights off illnesses and infections more effectively. When well-rested, your body is better equipped to protect itself, which is especially important in recovery.

Repairs and Restores Your Body

One of the characteristic symptoms of addiction is the drug or alcohol seeking behavior. This means that all your efforts and resources go toward feeling high. The last thing you focus on is your sleep, let alone health. In recovery, a good night's sleep allows your body to repair damaged tissues and muscles. It also gives you the strength and vitality you need to move forward.

Boosts Energy and Motivation

Recovery requires a lot of energy and motivation. When well-rested, you wake up feeling more energized and ready to take on daily life challenges. Sleep gives your body the fuel to stay active and engaged in recovery. With more energy, you can participate fully in therapy sessions, exercise, and other recovery activities.

The Role of Sleep in Mental Health

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Your mental well-being is as important your physical health - you can't take care of one and leave the other. Sleep helps maintain your mental well-being. Here’s how sleep supports your mental health, especially as you work towards your recovery from addiction.

Reduces Stress and anxiety

Stress and anxiety are common triggers. When you’re sleep-deprived, your body produces more stress hormones like cortisol, which can lead to tension and anxiety. Conversely, sleep helps regulate these hormones and promotes relaxation and calmness. Adequate sleep also helps with mood stabilization and allows you to approach each day more positively.

Cognitive Function

Sleep is essential for optimal brain function. It helps improve your memory, concentration, and decision-making abilities. This is helpful during recovery, as you may learn new coping skills and strategies. With better sleep, you can think more clearly and make better choices for your recovery.

Craving Management

Sleep plays a role in managing cravings for substances. When well-rested, you can better resist cravings and make healthy choices. Lack of sleep, on the other hand, can increase your cravings and undermine your relapse prevention strategies.

Improves Overall Well-being

Good sleep contributes to your overall sense of well-being. It can help you feel more positive, motivated, and resilient. This positivity can carry over into your recovery journey, making staying committed to your goals easier.

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Challenges of Sleep in Early Sobriety

Early sobriety brings its own set of challenges when it comes to sleep. Your body and mind are adjusting to life without substances, and this adjustment can disrupt your sleep patterns. So you’re likely to experience these sleep disorders:

Insomnia

Insomnia is a common challenge in early sobriety. It’s five times more common for those in recovery than for the general population. That might be because substance use during addiction might mask underlying sleep disorders that started way before use. Or maybe it takes months for the body and brain to readjust to normal functioning (and sleep) without the help of substances.

Nightmares

Nightmares are also pretty common. You may experience a pattern of disturbed sleep that makes falling asleep an uncomfortable and scary experience. Drugs and alcohol may cause nightmares and relapse dreams – but the nightmares could also be a result of past childhood trauma or PTSD, which is common in people with addiction problems. Other causes include stress, depression, anxiety, lack of sleep, poor health, etc.

Dangerous Sleepwalking

Sleepwalking happens when you’re in a state of semi-consciousness, and you walk or do other activities while you’re asleep. Although sleepwalking episodes are often brief and harmless, they can also be dangerous. For example, you may walk into traffic, fall downstairs, drive or operate machinery while sleepwalking, and end up injuring yourself or others.

How to Establish Healthy Sleep Habits

Here are some simple tips to help you get the restful sleep you need:

If you continue to have trouble sleeping, consider seeking help from a healthcare professional. Your caregiver will run tests and identify any underlying issues that might be causing problems. They’ll also recommend treatment options to help you sleep better.

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Motivational Interviewing and CBT: Keys to Addiction Recovery

Addiction is a disease of the brain. That’s because it rewires the parts of the brain responsible for reward, motivation, and memory. That means when you have an addiction, your brain changes in ways that make it hard to stop using even if you want to. And not just that – you may also have a hard time controlling how you act and behave.

For example, you may prioritize getting and using substances over other activities or responsibilities that were once important to you. You may also take legal, financial, relationship, or health risks and engage in certain behaviors despite the negative consequences.

Addiction has little to do with a lack of morals or willpower. In fact, there’s not a lot you can do to pull yourself out of the situation. That’s why it’s often recommended to seek professional help at a reputable treatment center like More Than Rehab. Such facilities offer a range of evidence-based treatments like motivational interviewing and CBT to help you regain control of your life.

Motivational Therapy

Like most people who struggle with addiction, you may have a hard time finding the motivation to change. In such cases, therapies like motivational interviewing (MI) can make a real difference. MI is the only treatment option that emphasizes internal motivation instead of the results of a person’s sobriety.

Your motivation to quit using substances isn’t supposed to be based on pressure or guilt from loved ones or health professionals. It needs to come from within you if you are to achieve long-term sobriety and minimize the chances of relapse.

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How MI Works

MI supports you in discovering your reasons for change and finding the motivation within yourself, rather than relying on external pressure or guilt. The approach helps build confidence in your ability to make positive changes and stay committed to your addiction recovery journey. Here are the motivational interviewing techniques and principles:

Express empathy

Your therapist will deeply understand and respect your feelings, struggles, and experiences without judging you. They’ll listen attentively to your story and perspectives on addiction, and create a safe space where you feel understood and accepted.

The term "accurate empathy" is the root of this principle and refers to the therapist’s sincere desire to understand your experience and motivation as they relate to the problem. It’s different from sympathy or identifying with the patient.

The therapist also takes on a guide’s role instead of an expert. A guide helps you get to where you need to go. But an expert will tell you what you need to do. While the therapist avoids acting like an expert, they’re still the expert when it comes to human behavior and clinical issues.

Develop discrepancy

MI helps you explore the differences between your current situation and your goals for the future. Your therapist will gently guide you to recognize how addiction may conflict with your values, aspirations, or the life you want to lead. This process helps you see the need for change from within yourself.

Roll with resistance

Your therapist won’t force you into change or confront you about your behavior. Instead, they acknowledge any ambivalence or reluctance you may feel about making changes to your substance use. They work with you collaboratively, respecting your autonomy and pace rather than pushing you toward change before you're ready.

Supporting self-efficacy

MI aims to strengthen your belief in your capability to change and manage your addiction. Your therapist helps you identify your strengths and past successes, encouraging you to trust in your ability to overcome challenges and achieve your goals for sobriety.

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Cognitive Behavioral Therapy

CBT is a structured, goal-oriented therapy that helps you identify and change harmful thought patterns and behaviors that contribute to addiction. It's particularly effective because it focuses on two major components:

Cognitive Restructuring

This component of CBT helps you become aware of negative thought patterns and beliefs that fuel addictive behaviors. Your therapist will guide you to identify these thoughts—like cravings, justifications for substance use, or negative self-talk—and challenge their accuracy and validity. Cognitive restructuring has successfully been used to help people change their thoughts. When used for stress management for instance, it replaces the stress-producing thoughts (cognitive distortions) with more balanced thoughts that don’t produce stress. 

Behavioral Interventions

CBT also emphasizes changing behaviors that contribute to addiction. Your therapist will work with you to develop skills and strategies to manage triggers and cravings effectively. This might involve practicing alternative coping mechanisms, developing a daily routine that supports sobriety, or learning assertiveness skills to navigate social situations where substances are present.

How MI and CBT Work Together

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Cognitive behavioral and motivational enhancement therapies are evidence-based and effective on their own. However, many therapists combine them so that one complements the other. The MI + CBT integration creates a comprehensive, personalized treatment experience that’s responsive to each patient's needs.

MI is about getting clients excited and ready to change their lives. On the other hand, CBT is about helping them change their behaviors. Think of MI as a way for counselors to connect with clients and understand where they're at in their journey. It helps address any motivational issues they might have.

As some experts put it, a skilled CBT therapist might already be good at this, but MI gives them specific tools and techniques to make the process clearer and more effective. Meanwhile, CBT brings practical steps that help clients change their thoughts and actions.

There's a lot of research showing that this combination works well, especially for issues like substance abuse, addiction, mental health, and dealing with multiple disorders at once. In fact, the latest research shows that the implementation of MI+CBT leads to a significant substance use reduction. Participants who got the treatment had a decline in the number of days of drug use in 3 months of follow-up (more days of abstinence).

After the MICBT therapy sessions, it’s best to take part in continuing care. Addiction is a relapsing disease, and ongoing care can help you stay the course. The good thing is most treatment plans often involve family members and loved ones to ensure that you get the support you need in recovery. But you’ll also need peer support. 12-step programs provide a structured and supportive community where you can share your experiences, learn from others, and continue your journey to sobriety.

At More Than Rehab, we specialize in combining Motivational Interviewing and Cognitive Behavioral Therapy to provide you with the best chance at lasting recovery. Don't wait—get help today and take the first step towards a healthier, happier life. With our support and comprehensive care, you'll have the tools and ongoing assistance to stay on course and thrive in your recovery journey.

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