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5 Reasons to Choose Long-Term Rehab if You’re Struggling With Opioid Addiction

long-term rehab for opioid addictionWhen choosing an opioid addiction treatment center, the options may seem endless. There are probably numerous locations, types of treatment programs, and lengths of programs for you to consider. This can make it difficult to decide for yourself, causing the recovery process to become even more overwhelming than it already is.

One important factor for you to consider when choosing an opioid treatment program is how long the program lasts. While some programs are only 28-30 days, others offer long-term treatment plans that range from a few months to a year.

While some individuals benefit from short-term treatment, your best bet is long-term rehab if you suffer from opioid addiction. 30 days is often not enough time to recover from the effects of opioid addiction, especially when you factor in cravings and post-acute withdrawal syndrome.

Here are 5 reasons you should choose long-term rehab if you’re struggling with opioid addiction.

1. Long-Term Rehab Offers the Best Outcomes for Overcoming Opioid Addiction

Long-term treatment is highly regarded as the most effective form of addiction rehab. This is because addiction is a complex and chronic disease, meaning it requires long-term dedication and practice for you to make a full recovery.

According to the National Institute on Drug Abuse, “Research indicates that most addicted individuals need at least 3 months in treatment to significantly reduce or stop their drug use and that the best outcomes occur with longer durations of treatment.”[1]

Addiction is a condition that can include relapse when it is not properly managed. Just like other chronic conditions like diabetes, addiction recovery requires constant maintenance and commitment to maintaining lifelong sobriety. Because of this, it is always better to attend a long-term rehab program when you suffer from opioid addiction.

2. Post-Acute Withdrawal Syndrome (PAWS) Can Last For a Few Months

Post-acute withdrawal syndrome (PAWS) is a type of withdrawal that lasts longer than the typical withdrawal timeline. This condition is most common among those suffering from opioid use disorder. According to research, “It is estimated that 90 percent of recovering opioid users experience the syndrome to some degree.”[2]

The symptoms of post-acute withdrawal syndrome for opioid addiction include:

  • Brain fog
  • Urges and cravings to use opioids
  • Irritability or hostility
  • Insomnia or vivid dreams
  • Fatigue
  • Issues with fine motor coordination
  • Stress sensitivity
  • Anxiety or panic
  • Depression
  • Lack of motivation
  • Less ability to focus
  • Mood swings

Dealing with these symptoms can be difficult, especially if you are not in an addiction treatment program where you can receive the proper support. As a result, you need to consider choosing a long-term opioid addiction treatment program.

3. Drug Cravings Can Be Overwhelming

When you are recovering from opioid addiction, you will experience something known as drug cravings. Have you ever felt an extremely strong urge to use opioids? If so, you have probably experienced a drug craving.

Dealing with drug cravings can be difficult, especially when they are severe. Drug cravings can make you feel like the world will end unless you get your hands on some opioids. If you do not have the proper support, this could lead to a relapse.

Long-term opioid rehab is of the utmost importance because overcoming cravings doesn’t happen overnight. These programs can provide you with the support and medications you need to soothe your symptoms or completely avoid experiencing cravings altogether while you establish healthy coping skills to deal with cravings appropriately.

4. Long-Term Rehab Gives You Ample Time to Recover From Mental Health Conditions

According to the National Institute on Drug Abuse, “Of the 20.3 million adults with substance use disorders, 37.9% also had mental illnesses.”[3]

This means that a large number of people who struggle with addiction also have a co-occurring mental health disorder. If you struggle with feelings of anxiety, depression, or any other mental health conditions, you must receive treatment or the symptoms will cause you to relapse.

Thankfully, long-term opioid addiction treatment facilities provide ample time for you to recover from both your substance use disorder and your mental illness. These programs can provide you with behavioral therapies, group counseling sessions, and medications to help manage the symptoms of your mental health condition.

5. More Time to Work on Relapse Prevention Planning

One of the most important aspects of addiction treatment is relapse prevention planning. These plans include services and tools that you can use in times of need to prevent yourself from experiencing a relapse. This is extremely important if you struggle with a severe opioid use disorder, as relapsing on these substances can lead to a life-threatening overdose.

Relapse prevention plans provide the following services:

  • List of triggers personal to your loved one
  • List of coping mechanisms to use in times of need
  • Ways to manage cravings if they occur
  • Continuing programs and support through 12-step meetings and alumni groups
  • Writing a list of consequences should you relapse
  • Attending a support meeting
  • Continued therapy and psychiatry

Participating in a long-term rehab program for opioid addiction will provide you with a lot of time to fine-tune your relapse prevention plan.

Find Out if Long-Term Rehab for Opioid Addiction is Right For You

If you or a loved one suffer from opioid addiction, it’s time to receive professional help. However, you must make the right choice when it comes to choosing a rehab center. One of the benefits of a long-term addiction treatment program is that it will allow you to gain all of the tools you need to successfully maintain lifelong recovery.

Here at Woburn Wellness, our team of qualified admissions coordinators is available 24 hours a day to take your call and help you make the right decision for your care. Call now to get started with a risk-free, confidential consultation.

References:

  1. https://nida.nih.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment
  2. https://www.semel.ucla.edu/dual-diagnosis-program/News_and_Resources/PAWS
  3. https://nida.nih.gov/research-topics/trends-statistics/infographics/comorbidity-substance-use-other-mental-disorders

What is Chronic Relapse and How Can a Rehab Center Help?

what is chronic relapseAddiction is a chronic and progressive disease that can continue to worsen without the proper coping mechanisms. While many people who suffer from addiction learn how to manage their symptoms in an addiction treatment program, sometimes they forget that recovery doesn’t end after graduation from a rehab center. This can cause a drug or alcohol relapse.

Relapse occurs when someone is sober from substances for some time and then returns to drug or alcohol use. Usually, this happens because the person stopped doing the things that kept them sober in the first place. For example, if they went to support meetings, attended therapy, and practiced coping mechanisms like mindfulness and yoga, these techniques must be continued on a long-term basis – otherwise, the person risks suffering from a relapse.

Some people struggle with chronic relapse. If you are worried that your loved one is a “chronic relapser,” you must understand what that chronic relapse is, why it happens, and how a rehab program can help them.

What is Chronic Relapse?

Relapse occurs when someone is partially recovered from substance abuse but falls back into their addiction after a period of abstinence. If they struggle from chronic relapse, this means that they have relapsed multiple times. Almost everyone who suffers from chronic relapse requires long-term addiction treatment before they are ready to return to society.

The reason this happens is that relapse is a chronic disease. Without continuous treatment and recovery management, your loved one can continuously fall back into their addiction. Sometimes, relapse happens so often that you and your daily members lose hope that they will be able to maintain long-term sobriety.

Short-term addiction treatment does not work for someone who suffers from chronic relapses. If your loved one enters a 30-day drug treatment program, leaves after 30 days, and immediately gets drunk or high – they may suffer from chronic relapse.

Why Do Some People Relapse Multiple Times?

Unfortunately, completing a drug rehab program does not guarantee recovery for life. Oftentimes, people who attend addiction treatment are forced to return to the same environment where they used to abuse substances. This exposes them to triggers, which can begin the cycle of addiction relapse.

If you or a loved one suffers from chronic relapse, there could be many reasons why. One of the leading causes of relapse is suffering from long-term addiction. People who struggled with a substance use disorder that lasted for years are more likely to relapse than individuals who were only addicted for a short time.

Other reasons your loved one might relapse multiple times include:

  • Experiencing triggers
  • Not participating in aftercare planning
  • Experiencing physical or mental exhaustion
  • Dealing with mental health conditions like depression
  • Suffering from physical pain
  • Being dishonest about their feelings
  • Being jealous of non-sober friends
  • Stress from unemployment

As your loved one continues to struggle with their emotions, they begin to feel like they are hopeless, causing them to seek outside forms of comfort, which they have previously found within substances. As a result, they turn to drugs or alcohol to make themselves feel better. This is why many people struggle with chronic relapse.

Is Going to Rehab for Chronic Relapse Worth It?

Drug and alcohol relapse can be extremely dangerous. When your loved one gets sober, their body adjusts to the fact that they are not taking substances anymore, causing their tolerance for drugs and alcohol to go down tremendously.

When your loved one relapses, they may not take into consideration their tolerance has decreased, so they may take the same amount of drugs or alcohol that they did when they had a tolerance. This could easily lead to a life-threatening overdose.

Because chronic relapse puts your loved one at an increased risk of overdosing, going to rehab after relapse is more than just worth it – it’s necessary.

How Can a Rehab Center Help Me Prevent Relapse?

First, rehab centers use behavioral therapies to teach your loved one how to cope with uncomfortable feelings, emotions, or situations. One of the best relapse prevention tools used in rehab programs is a therapy known as cognitive behavioral therapy (CBT).

CBT looks at the way a person’s thoughts are related to their actions so that they can modify negative thought patterns and trigger positive behaviors instead of negative ones. In other words, CBT can change the way your loved one’s brain works, allowing them to avoid a relapse in times of distress.

Substance abuse treatment centers also use a technique known as relapse prevention planning. These plans are created by your loved one with the help of their therapist. The goal of this planning process is to create a plan of action for your loved one to use to avoid relapsing during triggering moments.

Some of the goals of a relapse prevention plan are:

  • List of triggers personal to your loved one
  • List of coping mechanisms to use in times of need
  • Ways to manage cravings if they occur
  • Continuing programs and support through 12-step meetings and alumni groups
  • Writing a list of consequences should you relapse
  • Attending a support meeting
  • Continued therapy and psychiatry
  • Exercising
  • Journaling
  • Writing a gratitude list

Relapse Prevention Planning at Woburn Wellness

If you or a loved one recently suffered a relapse after a period of sobriety, it’s time to seek help. Relapse can be dangerous, as your body was used to being sober and now you are attempting to use the same amount of substances as you did in the past, placing you at an increased risk of a life-threatening overdose.

Getting help sooner rather than later can help you prevent the consequences of relapse. We can help you create a relapse prevention plan to keep you on track even after you leave our facility. Contact Woburn Wellness today for more information on how to get started.

Can an Addiction Treatment Center Help Families of Addicts, Too?

families of addictsAddiction affects everything that is in its path, including the family of the affected individual. If your loved one suffers from addiction and is receiving treatment, you are probably wondering if their treatment will also help you. Because families play an important role in the individual’s recovery, most rehab programs emphasize family involvement.

When your loved one is addicted to drugs or alcohol, you can develop your own mental health issues as a result of the chaos that is unfolding in front of you. Constantly worrying about your loved one’s safety can really take its toll on your mental health. Addiction recovery includes everyone, not just the person who was abusing substances, and there are many ways an addiction center can help families of addicts heal.

How Does Addiction Affect Loved Ones?

You will experience your own stressors and pain when your loved one abuses drugs or alcohol. Sometimes your pain can present like an addiction, as you become consumed with your loved one’s well-being, whereabouts, and use of drugs and alcohol. In other words, drug addiction can create chaos in your family system, proving the need for support for all family members.

Addiction can tear a family apart. As your loved one’s behavior becomes more and more erratic, it causes stress on each member of your family. This is one of the many ways addiction affects the loved ones of the addict.

Other ways that addiction affects the entire family include:

  • Financial hardship
  • Stolen money or items
  • Parental grief or guilt
  • Young children being exposed to substances or addictive behaviors
  • Witnessing the side effects of drugs
  • Reckless behavior within the home
  • Dangerous people coming into the home
  • Substances in the home
  • Increased risk of more addiction in the family
  • Broken relationships
  • Overall chaos
  • Constant arguments or physical altercations
  • Loss of trust

Can an Addiction Treatment Center Help the Families of Addicts?

Addiction affects your entire family so rehab programs often offer services to members of an addict’s family. When the addicted individual’s family heals from their hardships, they have a higher chance of remaining sober after leaving their treatment program. Providing services to your entire family helps you and your loved one in the same manner.

Some of the ways an addiction treatment center can help families of addicts include:

Family Therapy

Family therapy helps to improve family conflict and resolve family issues that resulted from or contributed to your loved one’s issues with addiction. Additionally, family therapy is effective in helping you and every member of your family recover from the effects of witnessing and experiencing addiction in your home. This process allows you and your family to address issues that created resentments, estrangements, and misunderstandings.

Family therapy focuses on varying problems that include but is not limited to:

  • Marital strain
  • Substance abuse
  • Conflict resolution
  • Trauma
  • Grief
  • Relationship dynamics
  • Infidelity
  • Addiction stigma
  • Health concerns
  • Mental health issues
  • Parenting concerns
  • Domestic violence
  • LGBTQ+ issues
  • Financial concerns
  • Communication issues
  • Improved functioning within the family

Addiction Education

A vital part of recovering from the effects of your loved one’s addiction is understanding why they behaved the way they did in the first place. The only way to fully understand the intricacies of your loved one’s substance abuse is to become educated on the disease of addiction.

During family therapy sessions, some of the meetings may be focused on addiction education and the science behind the disease. This will help you begin to understand how the drugs affected your loved ones, why they behaved the way they did, and how you can help them recover from here on out.

Peace of Mind

Another way that rehab programs will help your family is by providing you with peace of mind. During your loved one’s addiction, you probably spent a lot of time lying awake at night wondering if they were okay and alive. Once they enter an addiction treatment program, you can rest assured that they are in a safe and supportive environment.

Having this peace of mind will allow you to begin focusing on yourself instead of having to obsess over your loved one’s well-being. You will finally have time to practice the self-care techniques you probably neglected during their active addiction, providing you with stress relief and time for yourself.

Referrals to Support Groups

Lastly, your loved one’s addiction treatment program can help you by referring you to support groups. There are groups intended for the families of addicts that allow you to connect with other individuals who were affected by addiction in some manner.

Al-Anon is one of the most common support groups that provide this care.

According to Al-Anon, this program helps people as “members share their own experience, strength, and hope.” You will meet others who share your feelings and frustrations, if not your exact situation. We come together to learn a better way of life, to find happiness whether the alcoholic is still drinking or not.”[1]

Al-Anon and other support groups can provide you with the peer support and camaraderie you need to recover from the effects of your loved one’s addiction.

Family-Focused Addiction Treatment at Woburn Wellness

If you or your loved one suffer from addiction, it’s time to seek professional treatment. Not only can drug and alcohol rehab help the addicted individual recover, but also the entire family. Each member of the family is affected by addiction, so addiction treatment should focus on each person belonging to an affected family.

At Woburn Wellness, we provide our patients with family-focused addiction treatment that can help you and your loved one recover. Contact us today to get started.

4 Common Barriers Women Face in Addiction Treatment and How to Overcome Them

barriers for women in addiction treatmentMen and women have unique life experiences that the opposite gender cannot always relate to. When it comes to addiction and recovery, men and women have different risk factors that lead them to addiction, different needs when it comes to treatment, and different barriers that stand between their current situation and achieving long-term sobriety.

While women and men are equally as likely to develop a substance use disorder, studies show that women are more susceptible to craving and relapse.[1] Receiving individually-tailored, evidence-based treatment can help women get sober, stay sober, and truly embrace life in recovery. However, they must get into treatment first, and have the support they need to stay sober.

The many barriers women face in addiction treatment and recovery can hold women back from living the healthy, sober, and happy life they deserve. Here are the top four barriers women face in treatment and recovery.

1. Not Being Able to Find or Afford Childcare and Fear of Child Protective Services Involvement

A major concern among many women seeking addiction treatment involves motherhood. For example, pregnant women may have trouble finding a treatment program that treats pregnant women and accepts health insurance.[2] Pregnant women may also feel as though they will miss out on the experience of pregnancy if they go to rehab, causing them to delay getting treatment.

Mothers with children may face additional barriers, as well. They struggle to find reliable and affordable childcare for the time in which they will spend in rehab. They may also be fearful of the state’s child protective services getting involved if people find out about their substance abuse.

The host of worries and responsibilities that come with motherhood may stop women from seeking treatment or prevent them from completing their rehab program in its entirety because a mother may be tempted to leave rehab early to go back home to her children.

Tips for success: If you are a mother, know that no matter your situation, your children will be better off when you are sober. This means you should go to any means possible to find childcare and treatment that works for you. Ask friends, family, neighbors, and others to help with childcare. You may also choose an outpatient program that allows you to continue caring for your children as you receive treatment on an outpatient basis. Finally, child protective services can not intervene simply for you going to rehab. They will only intervene if an existing situation requires their involvement. And, you’re more likely to keep your children in your custody if you are sober and capable of parenting to the fullest extent.

2. Intimate Partner Violence

Another common barrier women face when it comes to seeking addiction treatment and staying in recovery is intimate partner violence. Nearly 1 in 4 women have experienced intimate partner violence. Substance abuse is involved in 40-60% of intimate partner violence and 60-75% of women in substance abuse treatment report a history of intimate partner violence.[3,4, 5]

Women experiencing domestic abuse or violence may be tempted to use drugs or alcohol to cope, but they may also fear for their safety if they go to rehab. This fear can keep them trapped not only in an abusive relationship but also in their addiction.

Women with a history of intimate partner violence who do seek treatment may have difficulty trusting others, getting vulnerable in therapy sessions, and disclosing the details of their intimate relationships. This reluctance in treatment may prevent women from obtaining the complete healing they need to recover.

Tips for success: The earlier you leave an abusive relationship, the easier things will be. Let the rehab center know that they are not allowed to share your information or whereabouts with your abuser. Finally, during treatment, remember that many women share the same experiences as you do with physical, sexual, and emotional abuse, so there is no shame in opening up about your experiences. Consider finding a rehab center that specializes in women or one that offers gender-specific treatment.

3. Shame, Fear, Guilt, and Stigma

Women face a lot of pressure from society as a whole. They face pressure to look, act, and think in a certain way. They also face a lot of judgment in certain professions, sports, hobbies, and other activities. Due to societal pressures, women struggling with addiction may feel shame, guilt, or fear when it comes to seeking treatment.

These feelings can stem from different reasons. A woman may feel shame and embarrassment because she is afraid of her friends, family, or loved ones finding out that she has been abusing drugs or alcohol. Another woman may feel guilty because she feels like she has failed at being a friend, daughter, mother, or partner due to her addiction. These troublesome emotions can hold women back from seeking treatment and also make it difficult to stay sober.

Studies show that women often have difficulty acknowledging their problems with drugs and alcohol and professionals are reluctant to ask women about their substance use, but burying these issues is no plausible, long-term solution.[6]

Tips for success: Be completely open and honest with your therapist. Your therapist is not there to judge you or shame you, and he or she can help you work through some of these self-defeating emotions that are holding you back. Therapies like CBT and DBT focus directly on thoughts, emotions, and behaviors, so there is no feeling that you can’t overcome.

4. Trauma, PTSD, and Co-Occurring Disorders

Trauma, PTSD, and other mental health conditions like depression, anxiety, and bipolar disorder increase the risk of substance abuse and addiction in both men and women, but co-occurring disorders are more common in women. In other words, women are more likely to suffer comorbid mental health and substance abuse issues than men are, meaning women often require comprehensive, integrated treatment.[5]

Trauma or mental health conditions can make addiction recovery more difficult than it already is because individuals must receive treatment for both conditions. These conditions can also make staying sober difficult because the re-emergence of symptoms can result in a relapse. As a result, women are more likely to relapse due to their mental health than men.

Tips for success: Just because women are more likely to have a co-occurring mental health condition doesn’t mean they can’t stay sober. Dual diagnosis treatment centers offer intensive care for both substance abuse and mental illness. If you know you have a dual diagnosis, seek treatment from one of these facilities for the care you deserve.

Break Past Barriers and Start Treatment Today

Here at Woburn Wellness Addiction Treatment, we understand that asking for help with a substance abuse problem can be the hardest thing to do, but we also recognize and honor the unique needs of women. If you or a loved one are struggling with addiction, don’t let any of these barriers hold you back from seeking the treatment you need and deserve. Call today to speak with a treatment specialist about starting your recovery.

References:

  1. https://nida.nih.gov/publications/research-reports/substance-use-in-women/sex-gender-differences-in-substance-use
  2. https://www.researchgate.net/publication/275576360_Barriers_to_Treatment_for_Women_With_Substance_Use_Disorders
  3. https://www.cdc.gov/violenceprevention/intimatepartnerviolence/fastfact.html
  4. https://www.psychiatrictimes.com/view/role-substance-abuse-intimate-partner-violence
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766974/
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151455/

Signs of Fentanyl Addiction and How to Convince a Loved One to Get Help

signs of fentanyl addictionFentanyl is a synthetic opioid that can be prescribed to treat cases of severe pain. While this medication helps treat pain symptoms, it is a highly potent drug that has become a significant player in the opioid epidemic. This drug is 50 times stronger than heroin and 100 times more potent than morphine, making it extremely dangerous to abuse.

While fentanyl is a prescription-only medication, it can be found on the street due to illegal drug trafficking and manufacturing. Oftentimes, this drug is found in adulterated drugs (drugs that have been cut with other substances). This is why so many people have suffered from fentanyl overdoses in the United States, as they could think they are buying Xanax or oxycodone on the street only to receive a pill with a lethal amount of fentanyl in it.

According to the CDC, “Deaths involving synthetic opioids other than methadone (primarily fentanyl) continued to rise with 56,516 overdose deaths reported in 2020.”[1]

If you are worried that someone you love is abusing fentanyl, you must be aware of the signs of fentanyl abuse and addiction. This can help you prevent them from experiencing a life-threatening overdose.

Fentanyl

Signs of Fentanyl Addiction in a Loved One

Fentanyl is a synthetic opioid, so if your loved one is abusing the drug they will display signs similar to that of any opioid use disorder. However, the signs and symptoms of opioid addiction are different for everyone.

The behavioral signs of fentanyl addiction may include:

  • Continuing to use fentanyl despite facing consequences as a result
  • Social isolation from friends and family
  • Spending a lot of time obtaining, using, and recovering from the effects of fentanyl
  • Slurred speech
  • Declining performance in work and school
  • Frequent absences at work or school
  • No longer caring for personal responsibilities
  • Doctor shopping (visiting multiple doctors to receive duplicate prescriptions for fentanyl)
  • Forging prescriptions to obtain fentanyl

If your loved one is abusing fentanyl, they will also show physical, cognitive, and psychological symptoms of opioid abuse. These include:

  • Constricted pupils
  • Insomnia
  • Drowsiness
  • Psychomotor agitation
  • Slowed psychomotor abilities
  • Difficulties with attention and concentration
  • Impaired memory and judgment
  • Cravings for fentanyl
  • Suicidal thoughts or ideation
  • Depression
  • Euphoria followed by apathy
  • Declined interest in previously beloved activities

Why It’s Important to Get Treatment for Fentanyl Addiction

Fentanyl addiction is extremely dangerous and deadly. According to the DEA, 2 out of 5 pills containing fentanyl have a lethal dose of the drug (which is defined as 2mg).[2] All it takes is one pill for your loved one to suffer from a fatal fentanyl overdose.

Because fentanyl overdoses are so common among people who abuse the drug, getting treatment is extremely important. The sooner your loved one attends treatment, the fewer chances they have of suffering from a life-threatening overdose. However, because the risk of overdose is still high, you need to be aware of the symptoms of a fentanyl overdose.

The symptoms of a fentanyl overdose include:

  • Low blood pressure
  • Drowsiness and dizziness
  • Nausea and vomiting
  • Limp body
  • Changes in pupillary size
  • Cold and clammy skin
  • Blue-colored lips and fingernails
  • Slowed or stopped breathing
  • Lowered heart rate
  • Reduced or loss of consciousness
  • Coma

In addition to overdose, the longer someone is abusing fentanyl, the more likely they are to experience the long-term effects of the drug.

The long-term effects of fentanyl abuse include:

  • Higher risk of experiencing bone fractures
  • Chronic and severe constipation that may lead to bowel obstruction
  • Breathing problems during sleep
  • Heart attack and heart failure
  • Immune system suppression
  • Hormonal and reproductive complications in men and women
  • Anxiety, depression, and other mood disorders

Convincing an Addicted Loved One to Get Help

If your loved one is exhibiting signs of fentanyl addiction, it’s important that you do everything in your power to convince them to get help.

There are many ways that you can convince your loved one to receive help for their fentanyl addiction. The first thing you should do is become educated on the disease of addiction, how it develops, and how it affects your loved one. This will help you understand how difficult it is for them to quit using drugs and what is required for them to get sober.

Next, consider speaking with them in a non-confrontational manner. You can remind them of the risks of fentanyl addiction, show them articles on the long-term effects of opioid abuse, and attempt to emotionally appeal to them by explaining how much it hurts you to see them struggle with this. While this works for some people, your loved one may need a little extra push to decide to attend professional treatment – and that’s completely normal.

If your loved one is having a hard time accepting treatment, it’s time to consider an intervention. These are family meetings facilitated by an addiction expert, with the overall goal of convincing your loved one to get help. The expert will help you and your family members write letters to read to your loved one about how their addiction affects you, in hopes that they will decide it’s time to enter substance abuse rehab.

Sometimes, convincing a loved one to attend treatment takes time. However, professional interventionists make plans for your loved one to enter a treatment program immediately after the intervention is over. This prevents your loved one from changing their mind after waiting too long to enter the program.

Find Treatment for Fentanyl Abuse and Addiction Today

If you or a loved one suffer from fentanyl abuse or addiction, it’s time to consider professional help. Fentanyl is an extremely dangerous drug, leading to short-term effects such as fatal overdoses and long-term effects like organ damage, but treatment can help.

Our opioid addiction treatment center near Boston, MA, offers a truly immersive recovery experience that incorporates the 12 steps, physical wellness, individualized care and more. Most importantly, we maintain a client-to-staff ratio that allows for a high level of individualized and personal attention.  Contact Woburn Wellness Addiction Treatment today to learn more about our fentanyl rehab center in Massachusetts.

References:

  1. https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates
  2. https://www.dea.gov/onepill

What is Prescription Drug Addiction Treatment Like in Massachusetts?

prescription drug addiction treatmentPrescription drugs treat diseases, manage symptoms, and save lives, but many commonly prescribed medications also carry a potential for abuse and dependence. For example, opioid painkillers, stimulant ADHD drugs, and benzodiazepine medications are all regularly abused by drug users and are highly addictive.

According to the National Institute on Drug Abuse, about 5.8% or 16.1 million people reported abusing some type of prescription drug in the last year. The most widely abused prescription drugs include opioids, sedatives or tranquilizers, stimulants, and benzodiazepines.[1] Regular abuse of any of these kinds of drugs can lead to the development of an addiction.

If you or a loved one are struggling with prescription drug addiction, Woburn Wellness can help. Our prescription drug addiction treatment program in Massachusetts uses evidence-based therapies and clinically-driven interventions to help individuals achieve sobriety.

Understanding Prescription Drug Addiction

There are many ways you can get hooked on prescription drugs. Some people abuse the medications that are prescribed to them because they are trying to self-medicate underlying feelings of depression, anxiety, trauma, or pain. Others take habit-forming medications for so long that they find themselves unable to function normally without them. And, sometimes, people purchase prescription drugs illegally on the streets, abuse them, and rapidly develop a substance use disorder.

Signs and symptoms of prescription drug addiction include:

  • Taking more of a prescription than your doctor has told you to take
  • Mixing your prescription with alcohol or other drugs to enhance the mood-and-mind-altering effects
  • Visiting multiple doctors to try and get more than one prescription for the same type of drug (doctor shopping)
  • Experiencing symptoms of drug withdrawal if you stop taking the drug
  • Lying to friends and family about drug use despite their concerns
  • Continuing to abuse medications even if they are causing problems with your physical or mental health
  • Engaging in risky or illegal behaviors to continue your addiction
  • Spending excess time doing things in regard to your drug use such as getting drugs, using drugs, and recovering from the effects of drugs
  • Making more than one attempt to stop using drugs but being unable to do so

Many people who are addicted to prescription drugs also struggle with denial. Since they are abusing something that is used by doctors, they may justify their drug use or fail to realize that they have a serious drug problem. But the truth is that prescription drug addiction can be just as dangerous, devastating, and life-altering as illicit drug addiction.

What to Expect From Prescription Drug Addiction Treatment in Massachusetts

The goal of prescription drug rehab is to heal physically, address the root cause of your drug abuse, and develop practical coping skills that support sobriety. Treatment typically happens in three stages that build off of one another, including:

Medical Detox

The first step of any recovery program is detoxification. This involves letting your body eliminate drugs and alcohol from your system. However, detoxing from some prescription drugs, such as sedatives and benzodiazepines, can be life-threatening, so medical supervision is always encouraged.

During detox, nurses monitor your vitals and administer medications that help soothe your symptoms. Medical detox can help prevent adverse side effects, medical complications, and continued drug use. Detox centers will also ensure you have a plan for rehab in place before you leave so they can assist you with your transition to treatment.

Specialized Prescription Drug Addiction Therapy

Once you are medically stable and done detoxing, you will move on to the treatment and therapy portion of your care where you participate in a variety of individually-tailored therapies. These therapies aim to address the driving forces behind your substance abuse so you can begin to heal. You may receive therapy in an inpatient or outpatient setting.

For example, behavioral therapies like CBT and DBT can help you understand the thoughts and behaviors that led you to drug use as well as how to modify those thoughts and behaviors in a positive way. On the other hand, holistic therapies like meditation, massage therapies, and adventure therapies help you embrace a healthier, more spiritual lifestyle.

Treatment will also address areas of your life outside of your drug use, such as your family, career, finances, or any active legal issues you may have. Counselors can help with a variety of lifestyle choices such as healthy eating, exercise, and support systems.

Aftercare Planning and Support

The final phase of prescription drug rehab is aftercare planning and support. Recovery is an ongoing, life-long journey that doesn’t stop after rehab. Those who stay sober are those who actively engage in a recovery program like Alcoholics Anonymous (AA), Narcotics Anonymous (NA), or intensive aftercare support.

Aftercare may involve:

  • 12 Step meetings
  • Support groups
  • Ongoing counseling
  • Recovery coaching
  • Outpatient care
  • Sober living
  • Alumni program

These programs can help you stay accountable for your recovery so you don’t get veer away from sobriety.

Find a Prescription Drug Addiction Treatment Center in Massachusetts Today

At Woburn Wellness Addiction Treatment, we understand that no two individuals are the same, which is why our world-class clinical team aims to provide each patient with a unique, individually-tailored program that addresses their specific needs. Our prescription drug rehab program can support you after detox and help you achieve long-term sobriety.

If you or a loved one are struggling with prescription drug addiction, contact us today. Our team of dedicated admissions coordinators is available now to help you get started with treatment.

References:

  1. https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/what-scope-prescription-drug-misuse

5 Reasons You Should Go to Rehab Sooner Rather Than Later

why you should go to rehab sooner than laterAddiction can wreak havoc on your life and lead to severe, life-threatening consequences. It is a complex condition that requires more than detox. To truly overcome addiction, you must receive comprehensive, compassionate treatment for the condition’s social, physical, and emotional aspects and learn new skills that will allow you to manage stress and challenges healthily.

In addiction treatment, timing is important. Waiting to go to rehab could mean sacrificing your physical or mental health or getting into trouble at work, school, or home. As a result, it’s always best to go to rehab sooner rather than later. The sooner you seek the help you need, the more likely you will be to avoid the worst consequences of addiction.

5 Reasons You Should Go to Rehab Sooner Than Later

There are many benefits to seeking treatment as early as possible. Research suggests that the sooner you go to rehab, the better able you are to put addiction behind you for life. Here are five reasons you should go to rehab sooner than later.

1. Waiting Longer Means Your Substance Abuse Will Worsen

The longer you continue to live with untreated addiction, the worse it will become. Prolonged, heavy substance abuse doesn’t just affect your immediate health and behavior. Over time, repeated exposure to drugs or alcohol can actually change the way your brain and body function. It can damage your brain, heart, liver, and other systems. The worse the physical effects of addiction, the harder it can be to overcome the condition and move forward in life.

Along with the physical changes caused by substance abuse, there are emotional and social consequences. Without treatment, many people lose essential relationships, experience legal or financial trouble, and lose jobs or opportunities. If you go to rehab sooner than later, you may avoid some of the most severe consequences of substance abuse.

2. You May Save Money

Many people worry about the cost of treatment. However, the sooner you go to rehab, the less treatment you may require to overcome substance abuse or addiction.

Addiction treatment is offered in several levels of care, including:

  • Inpatient/Residential
  • Outpatient
  • Partial hospitalization programs (PHP)
  • Intensive outpatient programs (IOP)

The level of treatment and type of program you require may be based on the length and severity of your addiction. Attending a shorter rehab program or one in a lower level of care may mean your overall treatment costs will be lower. Going to rehab sooner than later may also prevent financial loss from a lost job, buying drugs or alcohol, and legal fees.

3. You Will Be Less Likely to Put Off Treatment Indefinitely

Like with many life choices, putting off the decision to go to rehab may make it less likely that you will ever get the help you need. There are many reasons you may not want to go to rehab. You may worry about the cost, not want to take time away from work or family, or not believe that your condition requires treatment. But the longer you wait to go to rehab, the worse your substance abuse is likely to get–and a more severe addiction makes it even harder to seek treatment.

4. Recovery Takes Time

Recovery from addiction doesn’t happen overnight. Real, long-lasting recovery takes time and commitment. The longer you wait to rehab, the worse your substance abuse will become–and the longer it may take to recover when you eventually go to rehab.

Comprehensive, effective substance abuse treatment doesn’t end after detox. Instead, it provides support, therapy, and treatments to help your whole self heal from addiction and embrace a healthy, sober future. Your treatment program is likely to utilize evidence-based and holistic therapies, including:

  • Individual therapy
  • Group counseling
  • Education
  • Medications
  • Mental health and medical treatment
  • Holistic therapies, such as exercise, nutrition counseling, art and music, and mindfulness practice

If you go to rehab sooner than later, you will give yourself all the time you need to recover physically, identify the roots of your substance abuse, and learn the skills you need to avoid relapse in the future.

5. You can identify resources and support

The longer you wait to seek treatment, the more the reasons not to get help will pile up. You may worry about finding or keeping a job, taking care of kids or other family members, finding the money to pay for treatment, or navigating your insurance plan to determine what will be covered.

This can keep people from getting the help they need to overcome addiction and learn the skills to live the healthy lifestyle they deserve. In fact, research suggests that only about 11% of people who require addiction treatment ever go to rehab.

Deciding to go to rehab may feel overwhelming, but it can be the first step toward lifelong recovery. Once you start treatment, you will have access to the programs and professionals you need to support you during and after treatment.

The facility staff will work with your insurance or help you develop an affordable payment plan. Your counselors can help you identify coping skills and community support that will help you stay sober for life. You may also receive support from your treatment team to find housing, employment, and financial assistance if needed.

If you or someone you love requires addiction treatment, don’t wait another day to get the support and treatment you need to put substance abuse behind you.

Get Help Now

Going to rehab sooner rather than later can improve your treatment outcome and prevent negative consequences from happening in your life. Contact the caring specialists at Woburn Wellness Addiction Treatment today to learn more about starting a substance abuse treatment program in Massachusetts.

Six Myths About Medication-Assisted Treatment (MAT): Debunked

myths about medication assisted treatmentMedication-assisted treatment, commonly known as “MAT,” is the combination of FDA-approved medications, behavioral therapy, and counseling that aims to provide a whole-patient approach to addiction recovery. The medications used in MAT have been clinically tested and proven to help people struggling with addiction sustain their recovery.

Unfortunately, there is a lot of stigma and harmful myths surrounding medication-assisted treatment (MAT). Understanding where these myths come from, why they are harmful, and what the truth really is can help people gain access to the life-saving treatment they deserve.

Here are six widespread myths and facts about medication-assisted treatment.

1. MAT Means Trading One Addiction for Another Addiction

The most popular myth about medication-assisted treatment (MAT) is that this approach replaces one addiction with another. This myth is inspired by a specific type of MAT called methadone maintenance during which patients visit a clinic each day to get their methadone. Methadone is considered an opioid and does have the potential for abuse, so many people believe this myth.[1]

Fact: People taking the medications used in MAT are not getting high off their medications. They are taking a prescription given to them by a doctor and pharmacist who have the clinical understanding of when these medications are helpful. If you are concerned about getting addicted to methadone, alternative medications like buprenorphine and naltrexone have lower abuse potential.

2. If You’re on MAT, You Aren’t Really Sober

Because of the myth that MAT trades one addiction for another, some people believe that people who are using MAT aren’t really sober. This myth also stems from popular ideologies in 12-Step programs such as Alcoholics Anonymous (AA) which promote complete abstinence.

Fact: If you take your medications correctly, as prescribed by your physician, you aren’t abusing them. You also aren’t experiencing euphoric side effects like you would if you were using opioids or drinking alcohol. As a result, being in MAT while abstaining from drugs and alcohol does mean you are sober.

3. MAT is Only For People Who Are Addicted to Opioids

As of 2022, the United States is still battling an opioid epidemic that takes the lives of more than 150 Americans each day.[2] Opioid addiction is all over the news and medication-assisted treatment (MAT) has been deemed the gold standard when it comes to treating the condition. However, MAT isn’t only for people struggling with opioid use disorder.

Fact: Medication-assisted treatment is also available to people with an alcohol use disorder. FDA-approved medications like naltrexone (Revia, Vivitrol) and acamprosate (Campral) can reduce the risk of alcohol relapse.[3]

4. MAT is too Expensive

Rehab can be costly, and many people believe that adding medications into their treatment regimen will only increase their out-of-pocket costs. While finances are important to consider, MAT can be affordable. It can also help you stay sober in the long run, thereby reducing further costs of your addiction down the road.

Fact: Most insurance plans cover substance abuse treatment, including the medications prescribed during it. Speak with your insurance provider to learn more about your coverage. If you don’t have insurance, many addiction treatment centers will work out a payment plan with you that allows you to cover the cost of your medications and treatments over time.

5. You Can Only Use MAT in Early Recovery

Another popular myth about MAT is that it is only meant for short-term treatment so it is just a “quick fix.” This myth comes from the idea that medications are only used during detox.

Fact: The truth is there is no one-size-fits-all approach to addiction recovery, and everyone has their own unique treatment needs. Some people only need medications during detox. Others need medications for several months or years. In fact, most people stay on MAT for 12 months or more, and research has shown that patients who receive at least 1-2 years of MAT have the best chance of staying sober.[4]

6. MAT Doesn’t Actually Work

Because of all of the myths about medication-assisted treatment, some people don’t think this treatment approach works. Long-term studies prove otherwise.

Fact: According to the Substance Abuse and Mental Health Services Administration (SAMHSA), MAT has been proven to:[5]

  • Improve patient survival
  • Increase retention in treatment
  • Decrease illicit opiate use and other criminal activity among people with substance use disorders
  • Increase patients’ ability to gain and maintain employment
  • Improve birth outcomes among women who have substance use disorders and are pregnant
  • Reduce a person’s risk of contracting HIV or hepatitis C by reducing relapse potential

MAT is an evidence-based, clinically-driven treatment approach that can save lives.

Find Out if Medication-Assisted Treatment (MAT) is Right For You

Medication-assisted treatment may not be right for everyone, and you should never take medication unless it is prescribed to you by a licensed physician. If you or a loved one are struggling with addiction and are interested in MAT, please contact us today.

Our team of dedicated admissions coordinators can evaluate your situation, verify your insurance, and help you choose the right treatment plan for you. Call now to get started.

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413460/
  2. https://www.cdc.gov/stopoverdose/fentanyl/index.html
  3. https://www.aafp.org/pubs/afp/issues/2016/0315/p457.html
  4. https://nida.nih.gov/news-events/nida-notes/2019/04/methadone-maintenance-treatment-during-incarceration-has-long-term-benefits
  5. https://www.samhsa.gov/medication-assisted-treatment

What is Self-Medicating and How Can an Addiction Treatment Center Help?

self-medicatingMany people suffer from mental health conditions in America. According to the National Institute of Mental Health, “Nearly one in five U.S. adults live with a mental illness.”[1]

If you suffer from mental health issues, you must receive professional treatment. Unfortunately, many people do not receive the care they need. According to the National Alliance on Mental Illness, out of the people who sought help for their condition, nearly 5 million of them were unable to access the care they needed.[2]

Living with an untreated mental health condition can be extremely difficult, as many of these illnesses impact your ability to function daily. This can cause you to seek outside ways to soothe the symptoms of your condition. Sadly, this often leads to self-medication through the use of alcohol or drugs.

If you got addicted to drugs or alcohol as a result of self-medicating, an addiction treatment center like Woburn Wellness can help.

What is Self Medicating?

Self-medicating refers to the use of alcohol or drugs in an attempt to manage distressing symptoms of a mental health condition. While you may be self-medicating a previously diagnosed condition, it is possible to self-medicate the symptoms of an underlying condition you are unaware of. For example, if you feel anxious and worried constantly, you may begin abusing alcohol or marijuana to feel calm and more confident in social situations.

If you are self-medicating, it is usually for one of two reasons:

  1. Substances seem to make the feelings of distressing situations feel more manageable at the moment, serving as a coping mechanism.
  2. You are unable to find another way to deal with your feelings or mental health condition, causing you to abuse substances.

When it comes to self-medication, it is most commonly done to limit the symptoms of anxiety and mood disorders. One study found that 22% of people with an anxiety disorder, 21% of people with PTSD, 23% of people with depression, and 41% of people with bipolar disorder used substances as a form of self-medication.[3]

Are You Self-Medicating?

If you are worried that you are self-medicating, there are a few signs and symptoms that can indicate that you are using substances as a negative coping mechanism.

Some of the signs of self-medication include:

  • Using drugs or alcohol during times of negative thoughts or emotions
  • Feeling like you cannot feel “normal” or happy without substances
  • Isolating from friends and family to use substances
  • Sudden changes in hobbies or how you spend your time
  • Sudden feelings of anger and mood swings
  • Being secretive about how you spend your time
  • Neglecting personal hygiene
  • New financial problems due to spending your money on drugs and alcohol

One of the most common feelings that people self-medicate is stress. If you find that you reach for the bottle in times of worry, stress, or anxiety, you are most likely suffering from self-medication. While this can help you feel better at the moment, abusing substances often worsens mental health issues over time.

Some people are more susceptible to self-medication. If you relate to the following risk factors, you are at a high risk of self-medicating your mental health condition:

  • You have experienced childhood trauma
  • You have not attended professional treatment for mental health issues, like therapy or a residential program
  • You’ve experienced intense emotional situations
  • You’re a victim of physical, emotional, or sexual abuse
  • You suffer from depression, anxiety, bipolar disorder, schizophrenia, or another mental health condition

How to Stop Self-Medicating

Compulsive self-medication often leads to the development of addiction. If you suffer from self-medication and experience symptoms of withdrawal when you cannot use drugs or alcohol, you most likely have a substance use disorder. The best way to stop self-medicating is to attend a professional dual diagnosis treatment program that can help you learn to manage your mental health condition without the use of substances.

If you are trying to stop self-medicating, you can:

  • Attend therapy if you are not suffering from addiction yet
  • Go to outpatient dual diagnosis treatment
  • Enroll in an inpatient dual diagnosis treatment program
  • Attend peer support groups
  • Learn positive coping strategies
  • Recognize your problem with substances
  • Change your beliefs about substance use and self-medication

Treating the Root Cause of Your Addiction

When you suffer from self-medication, the key to recovering is treating the root cause of your substance abuse issues. Whether you struggle with a mood disorder, anxiety condition, or a mental health issue like schizophrenia, it is important to treat your underlying psychiatric disorder. Attending a dual diagnosis addiction and mental health treatment center can help you do exactly that.

Dual diagnosis treatment programs use an individualized approach to mental health and addiction treatment that helps to provide you with the exact type of treatment you need. Everyone is different, so each person requires varying forms of treatment to tackle their underlying issues.

By using a combination of addiction treatment methodologies, behavioral therapy, and peer support, professional treatment can help provide you with the symptom relief and management skills you need to overcome the desire to self-medicate.

Additionally, dual diagnosis programs emphasize the importance of relapse prevention skills, which help you avoid experiencing a mental health or substance abuse relapse.

Relapse prevention planning provides you with the following services:

  • A list of triggers and coping mechanisms to use in times of need
  • Continued therapy and group counseling
  • Referrals to additional programs like outpatient treatment or sober living
  • Continued medication management for psychiatric disorders if needed
  • A network of support to call when times get tough

Finding Help for Drug Addiction and Mental Illness

Suffering from co-occurring disorders is never easy, especially if they are untreated. In a dual diagnosis treatment program, you or your loved one could receive the addiction and mental health treatment you need to recover.

Contact Woburn Wellness Addiction Treatment today to start your recovery journey.

References:

  1. https://www.nimh.nih.gov/health/statistics/mental-illness
  2. https://www.nami.org/NAMI/media/NAMI-Media/Infographics/NAMI_2020MH_ByTheNumbers_Adults-r.pdf
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175215/

5 Ways to Know Outpatient Alcoholism Treatment is Right For You

outpatient alcoholism treatmentThe National Institute on Alcohol Abuse and Alcoholism (NIAAA) estimates that 14.5 million people ages 12 and older had an alcohol use disorder (AUD) in 2019.[1] Alcohol use disorder is the official medical diagnosis given to people who have a problem with alcohol, but everyone who suffers from AUD is unique.

In fact, AUD is diagnosed on a spectrum of mild, moderate, or severe severity. Some people have less severe alcohol problems than others, meaning some people can benefit from more intensive treatment programs than others. As a result, there are several levels of care that are offered to people who want to achieve sobriety.

Alcohol rehab is typically offered on an inpatient or outpatient basis. Outpatient rehab is preferred by many people due to its affordable cost, flexible nature, and supportive style. But how do you know which level of care is right for you?

The best way to choose the right treatment program is to consult with a doctor or addiction specialist, however, there are five ways to find out for yourself if outpatient alcoholism treatment is right for you.

Outpatient Rehab

1. You Don’t Need Detox or 24/7 Care, so Your Alcohol Use Disorder is Manageable on an Outpatient Basis

If your doctor says you don’t need detox or medical supervision, you may have a mild alcohol use disorder. This means you have an unhealthy relationship with alcohol or are in the early stages of alcoholism, but are not yet physically dependent on the substance. While people in the later stages of alcoholism can benefit more from intensive inpatient care, people with mild AUDs may be able to recover successfully in an outpatient treatment program.

2. You Can’t Afford the Costs Associated With Inpatient Rehab

Rehab can be expensive, but alcoholism is even more costly. And, outpatient rehab offers a low-cost, affordable treatment option that is covered by insurance. Even though residential treatment is covered by insurance as well, the out-of-pocket costs may be higher, and not everyone has health insurance.

If you are someone who is concerned about the cost of treatment, outpatient alcohol rehab may be the right solution for you.

3. You’re Looking for Continued Support After Finishing an Inpatient or Day Program

Even if you complete an inpatient rehab or day program, your recovery doesn’t stop there. Recovery is a life-long endeavor that requires staying sober one day at a time.

Navigating early recovery can be challenging, so it’s important to have adequate support. One of the best ways to get support after rehab is to participate in an outpatient program. Outpatient rehab is centered around relapse prevention and healthy coping skills which can promote sobriety in the days and weeks after you leave a residential program.

If you’re looking for support to help you stay sober after a higher level of care, outpatient alcoholism treatment may be right for you.

4. You Know You Have an Alcohol Problem, but You Aren’t Ready to Commit to a Higher Level of Care

When your family and friends are concerned about you or when your drinking begins to interfere with your daily life, you may begin to realize that your alcohol consumption has become a serious problem. However, you may not be willing to commit to a residential treatment program.

If you refuse to go to treatment where there is around-the-clock care, you can benefit from an outpatient program. Not everyone needs inpatient care to recover–outpatient rehab can work for you, too!

5. You Need a Flexible Treatment Option that Allows You to Recover While Managing Your Responsibilities

Many people who struggle with alcoholism are high-functioning. In other words, they have a problem with alcohol, but they still go to work, take care of their family, or take classes. If you are someone who has responsibilities like work, school, or family, it may not be practical for you to put your obligations to the side to go to rehab.

The good news is outpatient alcoholism treatment centers offer substance abuse counseling on an outpatient basis. This means you can receive treatment without disrupting your daily life.

How to Find out if Outpatient Alcoholism Treatment is Right For You

If you or a loved one are struggling with alcoholism and are ready to get help, please do not wait to ask for the support you need. You can either schedule a doctor’s appointment to consult with your physician about your drinking or speak with a qualified addiction specialist.

At Woburn Wellness, our admissions team is available 24/7 to verify your insurance, learn about your situation, and help you choose the right alcohol rehab program for you. Please call now to speak with a team member.

Find an Outpatient Alcoholism Treatment Center in Massachusetts Today

Woburn Wellness Addiction Treatment offers multiple levels of outpatient care that can help you recover from alcoholism. Effective alcohol rehab is available to men and women of all ages in Woburn, MA, and all surrounding areas. If you or someone you love has been suffering at the hands of an alcohol use disorder of any severity, reach out to Woburn Wellness Addiction Treatment today.

References:

  1. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics