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How to Carry Out a Substance Abuse Intervention

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How to Carry Out a Substance Abuse Intervention

More often than not, a loved one places an individual addicted to alcohol or drugs into an alcohol and drug treatment program without much of their consent. With this comes lots of consequence that too often isn’t considered. Due to the fact that the addicted individual doesn’t want to make the change for themselves, there’s too likely of a chance of drug and alcohol relapse.

The only way to assure that alcohol and drug treatment will work is when the individual wants the change for himself/herself. Without this desire, they lack the motivation to go down the rough (but rewarding) path of alcohol and drug recovery. Even though it can be very difficult to give someone this motivation, it is possible. And it’s possible through an intervention.

The purpose of intervention is to help these individuals realize their need for alcohol and drug treatment. This can be done solely through the emotional offering of loved ones.

The Confrontational

 

This is the most direct form of an alcohol or drug intervention one can find. Just as the name implies, it’s an encounter that involves changing the addict’s frame of mind. For some time, the confrontational intervention was done as a means of punishment. Everyone involved would point out the addict’s flaws and criticize until some kind of emotion came out. Punishment being viewed as a means of focus until the individual changed his or her ways.

Now, these flaws are viewed more as an illness. And instead of criticism, there is meant to be a sense of support in the confrontation. This is one of the most widely acclaimed methods of drug and alcohol intervention and generally the go-to for many supporters looking to change their loved one. It’s been studied that addicted individuals genuinely react better to a confrontation that remains positive rather than negative.

The reason for this is many don’t want to be blamed for their life decisions. Though some of this might occur, they’d rather feel optimism when coming out of the intervention. A positive point-of-view that their lives have a chance to change and flourish in any direction they can dream.

This is the desired outcome of a successful intervention. How to go about it will be different for different families and friends. However, there are a few aspects that remain the same.

  1. Make a note as to where the addicted individual has gone wrong (without placing blame).
  2. Inform them that you have strong hope for their potential.
  3. Offer alcohol and drug treatment options.
  4. Make sure they never forget the support you will always offer on their journey.

The Johnson Model

 

Though there are some relatable aspects of the confrontational intervention, the Johnson Model holds one distinct difference. The idea behind this kind of intervention is to highly educate loved ones and supporter of the addict’s situation. With this, it’s also important to bring to mind how the addict should be confronted and how to find him or her help.

The Johnson Model intervention generally requires multiple meetings as a way of digging into the individual’s frame of mind. Due to this, a drug and alcohol mental health professional is often ideal as they will know the direction in which to take the conversation. With a substance abuse professional and multiple interventions, there’s a likely chance that the addict will feel less of a need to defend themselves. And more of a desire to open up about their problem.

Tough Love

 

There are many instances where the loved ones of a drug and alcohol addict are too afraid to say no. With this kind of easy-going attitude, the addicted individual often gets him/herself further into a drug and alcohol addiction without feeling any sense of consequence. This is ideal for family members with the desperate desire to get the addict into alcohol and drug intensive inpatient and outpatient treatment, but who’s also unsure as to how to carry this out.

However, it should be noted that this is often a last resort intervention method. The reason being is that there are plenty of instances where the addict ends up feeling a backlash from those who care – as though he/she is being punished and blamed. Therefore, the addicted individual ends up pushing himself further away from loved ones and further into drug and alcohol addiction.

A trained substance use professional is highly suggested for the Tough Love method. Within the method, lots of threats will be made towards the addicted individual. These heavy threats need to be followed through if the addict doesn’t comply. If not, then there’s the sense that the loved one doesn’t really know what he/she is doing. An alcohol and drug counselor can guide these threats and reassure that they will be followed through on.

The purpose of Tough Love is to limit all resources you provide to the individual until alcohol and drug treatment is seriously considered. These resources can include money, around-the-house tasks, or even the shelter you’re providing.

With a substance use professional helping the loved one throughout this intervention, they can also help out the addicted individual. For the Tough Love method often leaves them feeling victimized and in a situation where no one is truly there for them. The professional alcohol and drug counselor may need to be the one there.

As you can see, this isn’t something most loved ones want to go through and should only be done as a last resort.

The Crisis

 

The purpose of this type of intervention is fairly obvious. It’s meant for individuals going through an emergency situation – in an example, someone who’s just overdosed. Though the height of the emergency holds importance to the decision, most of the time, alcohol and drug treatment is necessary as immediately as possible.

There’s a problem underlying the crisis that’s mentioned in the introduction. If the addicted individual doesn’t desire to enter alcohol and substance use treatment, then this immediacy may seem entirely useless. For these kinds of situations, you might want to get a substance abuse professional involved in the intervention itself. Professionals specializing in alcohol and drug use hold the capability of getting individuals evaluated for commitment.

As you will assume, there are still occasions where individuals aren’t in the right frame of mind to be entering alcohol and drug treatment. However, if he or she is in a position of harming themselves or others around them, force may be necessary. It’s not the ideal way to go about substance use treatment, but unfortunately, for some people, it’s absolutely necessary.

The reason being is addicted individuals are highly prone to mental disorders. With this comes a risk for suicide. According to the National Alliance on Mental Illness, ninety percent of suicide victims are mentally ill. As claimed by Helpguide, fifty percent of people who suffer from mental health abuse some kind of substance.

Still, the cause of a crisis goes beyond mental health. There are instances that will appear in anyone’s life that can throw them into a state of emergency – heavy financial problems, legal issues, homelessness, etc.

To top it off, the crisis could be stemming into other people’s lives rather than the addict’s. In an example, a pill-addicted mother may be ignorant towards her child.

The crisis intervention is without a doubt the most difficult kind to handle – crises are never expected. Therefore, gather together the necessary loved ones to have the intervention with may be very short notice and unplanned. With that, it is suggested you get an alcohol and drug counselor involved in setting up the dialogue of conversation. This will guarantee that what needs to be said will be conversed and the possibility of alcohol and drug treatment will be the dominant topic.

The ARISE Method

 

According to the American Journal of Drug and Alcohol Abuse, the ARISE method works about eighty-three percent of the time. Patients who receive this form of alcohol and drug intervention often feel moved by it for an important reason. It incorporates both direct and indirect models of intervention.

As opposed to the confrontational or Tough Love method – in which an addicted individual is ridiculed for their behavior – the ARISE method seeks to solve the addiction problem. Involving both the loved ones and the addicted individual through both of their perspectives. The entire focus of the method is to create a better family, not a better individual.

Once the addicted individual agrees to go to alcohol and drug treatment, all loved ones involved in the intervention must experience a treatment of their own. Generally, it’s some form of counseling that teaches loved ones to manage their lives around the addict. With that, the loved ones will be expected to learn how to help their addict after treatment and how to cure any negative wounds produced by the drug and alcohol addiction.

Often, the ARISE method is planned in advance and has the potential to go through a couple of meetings. These interventions are meant to encourage addicted individuals while educating family members too.

Is an Intervention Right for You?

 

There are many occasions where addicted individuals don’t need an intervention to realize they need drug and alcohol treatment. Sometimes, it just hits them at the right moment of their lives. The necessity for a change becomes overwhelmingly dominant.

Yet, there remain plenty of cases where an addicted individual is in denial over the harm they are doing to others and themselves. And these are typically the addicted individuals that need an alcohol and drug intervention. There’s the common occurrence that an individual doesn’t even realize they have a problem with alcohol and/or drugs until somebody brings it up.

If you or anyone you love is seeking an intensive outpatient treatment program or are just seeking more information on interventions, Stonewall Institute Treatment Center is glad to help. Please, give us a call today at (602) 535 6468 or email us at [email protected].

An Explanation to Dual Diagnosis

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An Explanation to Dual Diagnosis

Around twenty years ago, dual diagnoses began to see light. The simple definition for one is when a drug or alcohol addiction co-occurring with a mental disorder.  The National Institute on Drug Abuse has claimed that individuals who abuse substances are twice as likely to suffer from a disorder of some sort.

According to the Substance Abuse and Mental Health Service Administration, close to nine million Americans are currently experiencing dual diagnoses.  The unfortunate truth is, only 7.4 percent of those Americans receive drug and alcohol treatment for both their drug and alcohol addiction and co-occuring mental disorder.  More than half don’t receive any treatment at all.

These statistics give us some insight as to how dual diagnoses are still all too unknown.  More often than not, individuals suffering from substance addiction don’t realize there are drug treatment options out there to care for both issues.  Therefore, it becomes very difficult to treat one issue when another one is still present.

Drug Abuse and Mental Illnesses are Commonly Combined

 

As mentioned above, it’s very common for individuals struggling with substance use to also face some sort of mental disorder.  There are also instances where drugs can commence a mental disorder.  In an example, psychedelic substances (such as LSD, PCP, or mushrooms) have been known to cause schizophrenia in certain individuals.

More commonly, however, the opposite is true – a person with a mental disorder will seek out alcohol and/or other substances to self-medicate which in turn may cause dependence or addiction.  This is not only true for alcohol and street drugs, but also for prescription drugs given to them by their doctor.  Benzodiazepines tend to be the most commonly abused prescription drugs, specifically Xanax.  Xanax treats anxiety disorders and can be highly addictive.  Even those with a prescription from a doctor can fall into dangerous dependence on the drug and experience serious withdrawals after even one week of continued use.

And even if somebody with anxiety doesn’t go to a doctor, there are substances widely available that make people feel more socially calm.  The most notable being alcohol.

Diagnosing and Integrated Treatment

 

In order to properly dual diagnose an individual, they must undergo an integrated screening protocol or a clinical evaluation for drug and alcohol use. According to the Substance Abuse and Mental Health Service Administration (SAMHSA), these individuals who’re admitted into addiction treatment should immediately be screened for both addiction and mental health.  With each problem being assessed at the same time, only then can a solution be worked towards.

It should be noted that treating an addiction and nothing more tends to be less effective than that of treating both an addiction and mental illness.  The reason being – as the statistics above have told us – many individuals who suffer from addiction usually suffer from a mental disorder as well.

Further, individuals who only get treated for one issue generally don’t have the tools to handle the other.   Let’s say someone has recovered from drug addiction, yet, continues to face a large amount of anxiety.  If they do not seek proper medical attention for their anxiety, this can lead them down either of two paths:

  1. Relapse; going back to substances as a means of relieving anxiety.
  2. Absolute confusion; without proper guidance, individuals are still in danger of harming themselves and others (even without drugs) due to the fact that they are unaware of how to control their emotion.

The purpose of integrated drug treatment is to reduce an individual’s use of substances while improving their mental health.  It can be expected that integrated treatment will help one problem in relation to the other.  The goal of dual diagnosis is to let individuals understand the source of their past experiences as a means of discovering how to solve future dilemmas.

Though drug therapy sessions can be expected in addiction treatment, with dual diagnosis, one can expect pharmacotherapy as well.  Along with this, one can expect psychotherapy (or talk therapy) as well.  The purpose of this is to help patients discover the true influences of both their addiction and their mental illness.

Which Treatment is Best for Dual Diagnosis?

 

One of the most prominent ways to treat individuals who’re dual diagnosed is through behavioral interventions. The following are commonly found in treating dual diagnosis:

  • Cognitive Behavioral Therapy: A means of creating healthier thinking and behavioral patterns for the sake of individuals staying sober. It can be expected that this will work at minimizing problematic beliefs and behaviors.
  • Integrated Group Therapy: A conversation amongst other dual diagnosed individuals that seeks to treat the symptoms of both substance abuse disorders and mental health conditions.
  • Dialectic Behavioral Therapy: Often, substance abuse disorders and addiction go hand-in-hand with self-harming behaviors. This is an effort to diminish that.
  • Individual Psychotherapy: Treats the behaviors often associated with mental health issues and substance abuse.

Due to the fact that everyone has different needs and preferences on how to carry out their treatment, it’s very likely that people will undergo different methods as a means of treating their dual diagnosis.  The only way to properly determine which form of addiction treatment will be most beneficial to you is to speak with a professional substance abuse counselor.

Below, we will look into the options of inpatient treatment and outpatient, however, it is highly recommended you complete an evaluation with a trained mental health professional to figure out which method of treatment will serve your specific circumstance the best.

Inpatient Treatment

 

More often than not, inpatient treatment is recommended for individuals with a dual diagnosis. This is when a person is placed in a residential rehabilitation program where he/she will live under the supervision of professionals.  It was mentioned earlier that individuals in certain environments will react to their addiction or mental health differently.

In an inpatient program, individuals will be in not only a safe environment, but one that’s supervised by professionals.  Dual diagnoses aren’t an easy matter to handle.  Therefore, these professionals along with ongoing support are very much a necessity.

Given, there will be times when the drug and alcohol treatment can feel very intensive.  Dual diagnoses are complex when one is trying to find a solution.  To cure two diseases in one session is to completely change one’s perspective on life and that of which is around them.  With inpatient treatment, individuals will have the opportunity to stay in one place and focus on their dilemma.

With an inpatient treatment, you can expect the following:

  • Daily therapy sessions.
  • The chance to be apart of support groups on a daily basis.
  • A community of a variety of individuals who’re in the same position.
  • The opportunity to receive consistent and professional about substance abuse and mental health.

Outpatient Treatment

 

The difference from an inpatient treatment is an intensive outpatient treatment allows individuals to get the care they need without committing to residency.  Usually taking around 10 weeks, individuals in outpatient treatment are allowed to go about their day-to-day lives if they have important responsibilities; work, school, a family, etc.

You can expect to receive the same kind of counseling and professional help you would from an inpatient treatment, but since you aren’t living in a facility, there’s a larger degree of personal responsibility.  In other words, how seriously you decide to take the treatment is entirely up to your willingness for a change.

Just like the inpatient program, it’s important to have the right motivation.  Individuals shouldn’t be forced into this situation out of their own will.

There’s one vital factor that’s also important to be aware of.  Being that your environment isn’t as controlled, there’s more of a chance to give into substances. Keeping this in mind, it’s essential to have self-control through an outpatient program.  That responsibility is the key to a successful treatment.

With an outpatient treatment, you can expect the following;

  • Group therapy three times a week for three hours a session.
  • The ability to live independently.
  • Peer support, community group, or 12-step program involvement.

If you or anyone you love is suffering from addiction and/or co-occuring mental disorder(s), or would like more information on the topics discussed above, please, give Stonewall Institute Treatment Center a call today at (602) 535-6468 or email us at [email protected].

Change is possible, Stonewall Institute Treatment Center can help you change your life.

Healing Toxic Emotions through Vulnerability in Recovery

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One of the main obstacles to drug and alcohol recovery is the shame associated with substance abuse. A lifetime of addiction can leave behind a wake of regretful actions, damaged relationships, and poor decisions. It can feel overwhelming to face the reality of what life has become, but by sharing your story in Alcoholics Anonymous and other formats, you can move past your shame towards a healthy recovery.

What Is Shame?

Shame is different than guilt. When you feel guilty, you recognize that you did something wrong and act to correct it. Guilt is usually a healthy, motivating emotion. You may say to yourself, “I shouldn’t have done that, but it doesn’t represent who I am.”

Shame is different. It results in negative self-talk such as “I’m so terrible, I can’t believe I did that.” You see your regretful action as a reflection of who you are as a person. Unlike guilt, with shame, you may not try to repair the damage you’ve caused. Instead, you attempt to hide from or ignore the pain. You may disconnect from yourself and from others.

Healthy Shame vs Toxic Shame and Addiction

Believe it or not, not all shame is bad. Shame can serve as a moral compass and a reminder that you are not the all-powerful being you sometimes think you are. Good shame comes in the form of “innate moral shame.” When shame gets out of control, it becomes “internalized shame.” Internalized shame is toxic.

Healthy shame can guide you in the right direction when you have a difficult ethical decision to make. You may lie to your coworker and take a larger percentage of the profits than was agreed upon. The shame you feel for doing this can direct you to be more honest in the future. This type of shame is the foundation of humility and spirituality. Healthy shame can even push you to seek help for addiction when you recognize that substance abuse is the driving force behind your immoral behavior.

But shame isn’t always positive, and this is what makes it such a complicated emotion to understand. It’s internalized shame, or toxic shame, that fuels addictive behaviors. When shame consumes you and makes you feel that you are inherently a bad person, that’s when it can destroy you rather than motivate you towards recovery.

The Destructive Nature of Internalized Shame

Internalized shame makes you feel that you are the problem rather than the decisions you make and the actions you take. Rather than feeling regretful or embarrassed for a short period, you feel like a flawed person. Maybe you even go so far as to feel that you’re not worthy of love. Internalized shame can make you feel inherently defective. At that point, trying to improve yourself is a lost cause. The only way to escape your shame, and yourself, is to use substances to hide from what you’ve become.

Toxic shame is one of the most destructive emotions because it’s all-encompassing and becomes your state of being. Shame is soul sickness at its worst. Internalized shame is at the core of addictive behaviors.

Coping with Toxic Shame Through Substance Abuse

As toxic shame gets worse, you may take every means necessary to isolate yourself from the people who care about you. Distance is the only way to create a separate version of yourself and experience a break from the pain.

What better way to distance yourself than to abuse drugs and alcohol? It’s the easiest, fastest solution. If you’re already genetically predisposed to addiction, the combination of toxic shame and substance can be a lethal one. On one end you have the shame pushing you to seek something outside of yourself in order to feel okay. This can come in the form of money, power, sex, drugs or alcohol. Although these behaviors provide a momentary escape, they only add to the shame and regret after the buzz wears off.

The disease of addiction can take what would have been a healthy shame and turn it into toxic shame. This is especially true with young addicts, especially if their entire adult life has been consumed by addiction. Addiction is their identity. It can lead to a compulsive cycle that fuels more shame and more addictive behavior.

The Healing Power of Vulnerability

Healing toxic shame can be a painful process, but it’s an essential part of drug and alcohol recovery. If you’ve been using substances to escape from your feelings of shame, healing can be especially difficult. You’ll need to completely reverse your relationship with shame and meet it head-on.

It’s okay to recognize the shame that you feel for the decisions you’ve made. Healing begins when you admit that your shame doesn’t represent who you are as a person. Only then can you move forward in recovery.

Shame thrives when you’re in isolation. To beat it, you’re going to need to connect with others and share your story. By externalizing your shame and being vulnerable in front of people you trust, you can begin to recover. Psychologist Brene Brown is a massive proponent of the power of vulnerability to transform your life and become a leader in your community. Vulnerability is also an essential part of healing shame. When you trust someone to accept you for all your flaws you can start to change the negative beliefs you have about yourself.

Alcoholics Anonymous: Healing through Human Connection

Alcoholics Anonymous is a 12-step recovery program that works. Why is it so effective for so many people?

It relies on the power of vulnerability and human connection to heal toxic shame. Alcoholics Anonymous meetings are full of people who know the shame of addiction all too well. You can feel safe to share your experience, get feedback, and start to disconnect from the shame that you’ve identified with for so long.

With that being said, Alcoholics Anonymous isn’t for everyone. If you don’t feel comfortable speaking to a group of people you’ve only recently met, the same power of vulnerability can be experienced by sharing with another support group, mentor or therapist. For most recovering addicts, however, Alcoholics Anonymous is the most effective route to take.

Other recovering addicts will need more than just Alcoholics Anonymous. Inpatient and intensive outpatient substance abuse treatment programs can provide a solid foundation for addiction recovery.

Stonewall Institute Drug and Alcohol Treatment Center in Phoenix, Arizona provides services for drug and alcohol dependency and co-occurring issues. Services are delivered in a private upscale outpatient treatment setting using evidence-based treatment methods. Our program allows clients to sustain life responsibilities while providing an intensive treatment environment 3 evenings per week for 10 weeks. Clients in our Drug and Alcohol Treatment program will learn about underlying issues that contribute to substance dependence and obtain the vital skills necessary to sustain long-term sobriety and recovery.

If you or someone you love is struggling with substance abuse, Stonewall Institute Treatment Center is available to answer any questions you may have. Call us today at 602-535 6468 or email us at [email protected].

Best Treatment for Drug Abuse Arizona

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Stonewall Institute is one of many drug rehabs in Arizona you can choose from.  What makes this drug treatment program different and the best is its individualized approach.  Each client is treated with respect and empathy.  The substance abuse outpatient program takes place in an upscale environment so the client does not feel “institutionalized”.  The holistic approach toward drug abuse includes evidence-based methods proven to support long-term sobriety and relapse prevention.  If you or a loved one are concerned about drug use, contact Stonewall Institute today at 602-535-6468 or visit the website at www.stonewallinstitute.com

Best Arizona Drug Counseling

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Stonewall Institute offers the best drug counseling in Arizona.  There are many drug rehabs in Arizona, but none have the drug treatment program offered by us.  Our evidence-based intensive outpatient program for drug abuse allows our clients to continue with life commitments while being able to address issues that affect sobriety as they occur.  Our drug counselors are trained to focus on the individual and help reinforce sobriety.  Our upscale office environment is designed to help our clients feel comfortable and less “institutionalized”.  This surprisingly affordable IOP accepts insurance and offers convenient payment plans as well.  If you or a loved one is struggling with drug abuse, call us today at 602-535-6468.  We are here to answer your questions.  You can also check out our website at www.stonewallinstitute.com.