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Basic InformationMore Information"I have benefited from AA and the 12 Steps... Very much so!"A Better MeetingAA Is To Shame As A Hot Knife Is To ButterAging and Alcohol UseAlcoholic's Anonymous, Outcomes and New Research on AlcoholismAlcoholics Anonymous (AA) is a Cult ?An Alternative to PowerlessnessAttachment to OutcomesAwakeningConcerning Problems Within AADefining and Understanding the Concept of Denial, Addictions and OtherwiseGauging the Effectiveness of One Component of Alcoholics AnonymousHow Drugs Affect The BrainHuffing: Parents and Kids BewareIts Never Too LateLike Phoenix Risen from the Ashes of Addiction, A New Addiction Recovery ProgramNIDA InfoFacts: Drug Abuse and AIDSNIDA InfoFacts: Drug Addiction Treatment MethodsNIDA InfoFacts: Drugged DrivingNIDA InfoFacts: Pregnancy and Drug Use TrendsNIDA InfoFacts: Understanding Drug Abuse and AddictionOn the Question of Medical MarijuanaPain Pills, A Real PainPerverse MotivationRandom Thoughts About Addiction, Delusions and HallucinationsRecoverySelf-EfficacyStaying Sober: Dealing With TemptationsSteering Versus DriftingThe Author of Your FateThe Enlightened PathThe Impeccable PathThe Mentality of ChildhoodThe OPEN PathThe Paradoxical Sinclair Method For Treating Alcohol DependenceTwo MindsWise Counsel Interview Transcript: An Interview with Annie Fahy, MSW on Motivational InterviewingWise Counsel Interview Transcript: An Interview with John C. Fleming, MD on Preventing AddictionWise Counsel Interview Transcript: An Interview with Laurence Westreich, MD on Helping Families Help Addicted MembersWise Counsel Interview Transcript: An Interview with Marc Kern, Ph.D. on Rational Alternatives to Alcoholics AnonymousWise Counsel Interview Transcript: An interview with Morteza Khaleghi, Ph.D. on the Importance of Treating Emotional Trauma in Addiction Wise Counsel Interview Transcript: An Interview with Patt Denning, Ph.D. on Harm Reduction Psychotherapy for Substance Abuse and AddictionWise Counsel Interview Transcript: An Interview with Stefanie Goldstein, Ph.D. on Mindfulness and Addiction TestsLatest NewsComputer-Based Screening May Reduce Teen Substance AbuseTeen Impulsiveness Has Different Sources in ADHD, Substance UseAccelerated Aging Evident in Cocaine-Dependent IndividualsMany Who First Misuse Prescription Pills Get Them From Friends, Family: ReportCocaine Habit Might Speed Brain AgingUse of Ecstasy, Speed by Teens Tied to Later DepressionHalf of Young Cigarette Smokers Also Smoke Pot: Survey12-Step Meetings May Help Teens Beat Alcohol, Drug AbuseAlcohol Use With Opioids Common Even Without Abuse PastSubstance Abusers, Even Recovering Ones, May Face StigmaDrug, Alcohol Abuse Common Among U.S. Teens, Study FindsAlcohol Effects on Brain Activity Vary With Blackout HistoryPrenatal Meth Exposure Linked to Behavioral ProblemsExcessive Drinking Costs U.S. Colleges Millions AnnuallyKids Using Synthetic Pot a Growing Public Health ConcernSpring Break Boozing May Put Young Brains at RiskMany Alcoholics Suffered Childhood Trauma: StudyGenes Play a Role in Drug Abuse Risk Among Adopted Kids: StudyNarcotic Painkillers Another Threat to Traumatized War Vets: StudyDrinking Scenes in Movies May Spur Teens to Do the SameStrict Underage Drinking Laws May Deter Delinquency in TeensEcstasy Use During Pregnancy May Harm Fetus: StudySupport for Tougher Liquor Laws Rises When Booze, Crime LinkedBooze in Movies May Fuel Teenage Drinking1 in 10 U.S. Kids Lives With Parent Who Has Abused Alcohol: ReportStop-Smoking Drug May Also Curb Problem DrinkingIllicit Drugs Bought Off Internet May Be Poisons, Experts WarnHard Drug Use in Middle Age Could Prove Fatal, Study FindsDrinking Late in First Trimester May Be Most HazardousAlcohol Targets Brain 'Reward Centers' in Heavy DrinkersOne in Six Americans Binge Drink: CDCMeth Users Much More Likely to Try SuicideFor Some Couples, Binge Drinking Is RoutineStates Crack Down on Drunk Drivers This Holiday SeasonDrug Overdoses Kill More Americans Than Car Accidents: CDCAlcohol Use Down, Pot Use Up Among U.S. TeensDrunk Driving-Related Deaths Surge During the Holidays'Ecstasy' May Cause Long-Term Changes in Brain ChemistryToo Much Alcohol Linked to Unsafe Sex, Study ConfirmsIf Parents Drink and Drive, Their Kids May Too: StudySmart Kids More Likely to Try Illicit Drugs as Young AdultsHelping Others Helps Teens Beat Substance AbuseDrugs Slipped Into Drinks Sending Many to ER: ReportHeavy Meth Use Linked to Schizophrenia'Fake Marijuana' May Trigger Heart Trouble in TeensMore Than a Third of Teens Turning to Alcohol, Drugs: StudyMore People Landing in the ER After Abusing Muscle Relaxant: ReportDeaths From Abuse of Painkillers Triple in a Decade: CDCNational Drug Take-Back Day Scheduled for SaturdayPot Can Mimic Brain Changes Seen in Schizophrenia Questions and AnswersLinksBook ReviewsSelf-Help Groups |
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What An Alcohol and Substance Abuse Treatment Program Might Look LikeMark Dombeck, Ph.D.An idealized treatment program for someone who is alcohol dependent might look something like the following: - The patient is identified as alcohol dependent and is sent to a rehab program where they are safely detoxified with benzodaizapines, introduced to AA and encouraged to participate, and asked to participate in individual and group psychotherapy (which might include supportive, relapse prevention, and interpersonal/growth components). He may also be placed on a drug like Antabuse to help him refrain from further alcohol consumption.
- Three to four weeks later, the patient is discharged and returns home. A family member has removed all traces of alcohol and alcohol-related materials from the home prior to the patient's release.
- The patient keeps an appointment with a counselor that was made for him before his discharge from the rehab clinic. The patient and this counselor get along and agree to weekly meetings. The
- The patient follows up on the recommendation that he attend AA meetings. He finds a regular meeting that he likes, and finds a more stable recovering alcoholic person at that meeting to sponsor him. Together, they help the patient work the steps of alcoholics anonymous.
- The patient is able to remain sober for days, then weeks, then months, then years (all one day at a time) and ultimately goes on to be a sponsor for addicts new to recovery.
This description is idealized because, in the real world, there is almost no chance that the process would go so smoothly: - The patient might dislike the process of AA, or be so shy that he won't go, or fail to connect with a sponsor
- The patient might fail to connect with a counselor and not benefit from continuing professional monitoring and help.
- The patient might lapse back into use, and be so ashamed of that fact that he continues to use.
- The rehab might drop the ball on making aftercare appointments for the patient, or the patient might not follow through on appointments that are made
In the real word, the treatment picture is much less like the 'straight line' illustrated above, and a lot more circular. Typical drug and alcohol dependent people start and stop treatment multiple times before they are able to sustain any lasting sobriety. It is important for recovering people to keep this in mind. |
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