A Snapshot of Rehab
Although no two addiction treatment programs are identical, there are elements common to most. For new patients, having a general idea of what to expect can help relieve some of the natural anxiety about what might be involved. If you or a loved one is addicted to clonazepam and thinking of entering rehab, learn more about what you will likely experience in addiction treatment.
Regardless of your personal addiction story, the rehab program you enter will most likely include the following components:
Intake and Assessment
A quality rehab program tailors treatment to patients’ individual needs. To do this effectively, needs must be assessed thoroughly and adequately. Although the primary assessment generally takes place at the beginning of the treatment period, there may also be ongoing assessment as treatment progresses.
Assessment generally takes an hour or two and involves an interview with the patient and sometimes with family members. Treatment professionals often employ standardized evaluation tools such as surveys and questionnaires. Because they are designed to measure different aspects, patients may complete more than one. The Addiction Severity Index, for example, measures the strength of the addiction while motivation to change may be measured by the Stages of Change Readiness and Treatment Eagerness Scale. Because co-existing mental health conditions like depression or anxiety are common in people suffering from addiction, measurement tools such as the Beck Depression Inventory may also be used. Other needs and circumstances that may be determined include co-occurring medical conditions, the patient’s family and support system, the existence of a family history of substance abuse, and whether the patient has needs in the areas of employment, transportation and housing.
Detoxification, commonly known as detox, is the first stage of the recovery journey. It involves completing medically supervised withdrawal, while being kept safe and as comfortable as possible. The nature of the detox process depends on the strength of the addiction and the type of substances used.
Detox services are not available at every addiction treatment facility. In these cases, patients are expected to complete detox before beginning treatment. This may take place in a hospital, detox clinic, or sometimes partially at home, under the supervision of a physician. In a publication entitled , the Substance Abuse and Mental Health Services Administration (SAMHSA) notes that for detoxification from alcohol, opioid, and sedative-hypnotic drugs, hospitalization or another type of 24-hour medical care is generally advised.
It is helpful for people suffering from addiction to understand the changes to their bodies and brains and to know what to expect as recovery progresses. Substance abuse, for example, often results in abnormally low levels of neurotransmitters. Low dopamine levels in early recovery can lead to anhedonia, or the inability to feel pleasure. If patients understand that this is normal, and that levels will stabilize as their brains heal, they are less likely to be tempted to return to drugs or alcohol in a counterproductive effort to feel better.
Counseling is at the heart of addiction treatment. It may be offered on both a group and individual basis. Sometimes family or couples counseling is also involved.
There are many different counseling approaches, but generally counseling for addiction involves a form of cognitive behavioral therapy (CBT). CBT is based on the idea that behaviors stem from feelings that are in turn based in beliefs and thoughts. In CBT, patients learn to identify and evaluate these thoughts and beliefs and counteract or discard those that are not true or helpful. Drug cravings may also be triggered by environmental cues such as sights and sounds associated with substance use. In rehab, patients identify as many of their personal cues as possible and think through strategies to avoid them.
It is common for people to enter rehab with a degree of ambivalence about giving up drugs or alcohol. Motivation may be raised in various ways, including a technique known as motivational interviewing. Patients are helped to understand the things that most motivate them, such as love of family, and build on them. They are also helped to see the discrepancies between their goals and current actions. Some programs build motivation in other ways, such as by providing vouchers and other positive reinforcement for progress.
Treatment for Co-occurring Disorders
The National Alliance on Mental Illness reports that about a third of alcohol abusers and more than half of all drug abusers experience a mental illness. When people experience mental health conditions along with addiction, the best outcomes occur when the disorders are treated at the same time, preferably within the same facility. Treatment will vary with individual patient needs, but may include medication, counseling, or a combination of both.
Medications may be used at various stages of the recovery journey. It is common for medications to be used to treat withdrawal symptoms. For some addictions, medications are also available to help combat cravings or provide motivation to remain abstinent. The National Institute on Drug Abuse reports that opioid addiction may be treated with methadone, buprenorphine or naltrexone. Alcohol addiction may be treated with naltrexone, acamprosate or disulfiram.
After the intensive phase of rehab has been completed, patients often receive continuing care, sometimes known as aftercare or step-down care. Generally, this involves weekly counseling sessions. This may take place in person or be conducted over the phone or Internet.
We Can Answer Your Questions
If you are ready to overcome clonazepam addiction, give us a call. We can answer your questions about addiction treatment and help you find the program that best meets your needs. We can even check your insurance coverage for you if you wish, at no cost or obligation. The helpline is toll-free and available 24 hours a day, so there’s never a wrong time to call. Why not call now?