Category: Prepare for Healing

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Understanding and Overcoming Fear in Recovery

Facing your fears can play a pivotal role in your recovery story, since fear often becomes a barrier to healing and transformation. Fear of failure, fear of living without substances, and other fears can create seemingly overwhelming obstacles on the recovery path; however, the decision to confront these fears is often the turning point in reclaiming a life of sobriety. 

In the recovery process, it can become clear that the only thing standing between a person and lasting freedom from addiction are these fears. And as with any fear, the more you face it, the more it diminishes, leaving room for a healthier and more fulfilling life. Tackling these fears allows you to discover new strengths as you embark on your recovery journey.

Understanding the Role of Fear in Recovery

Addiction thrives in avoidance and isolation, feeding off the fears that keep you trapped in harmful cycles. It’s only by pushing through these fears that real growth happens. 

Why Fear Is Common in Recovery

Fear is an incredibly common experience in recovery because recovery itself is a journey of change—and change brings uncertainty. For many, addiction becomes a coping mechanism; a way to numb pain, avoid difficult emotions, or escape from the pressures of life. As a result, the thought of giving up this familiar, destructive crutch can be terrifying. 

Fear can arise from the question, “What will life look like without substances?” The unknown is intimidating, and you are asked to face that uncertainty head-on in recovery. Navigating unfamiliar territory can stir up anxiety and doubt about your resilience and ability to stay sober.

Additionally, facing emotions and trauma that are masked by substance use is daunting. Recovery requires confronting deep-seated pain and emotions that may have been avoided for years. For some, the fear of fully feeling emotions and navigating them without substances is overwhelming.

The Impact of Fear on Progress and Growth

Fear is a barrier between where someone is and where they want to be. If you don’t address your fear, it has the power to keep you stuck in the cycle of addiction, even when you know those patterns are harmful. Avoiding the challenges and emotions that come with change can halt it. 

Growth requires stepping outside of your comfort zone, but fear can make those steps feel too risky and painful. Fear can also lead to self-doubt. When questioning your ability to rebuild relationships and maintain sobriety, your confidence lowers and prevents you from taking leaps of faith.

Facing trauma can be intimidating. However, true healing becomes impossible if the fear prevents you from addressing underlying issues. Without the courage to process these emotions healthily, you can remain trapped in the emotional habits that fuel addiction and unable to develop the resilience needed to thrive in sobriety. 

Common Fears in Recovery

Fear can be a constant companion in recovery. Understanding these fears and breaking down how they inhibit your growth can help you navigate the multifaceted recovery journey.

Fear of Relapse

After experiencing addiction and achieving sobriety, the idea of falling back into old habits can be terrifying. Some people fear that despite their best efforts, they could slip up, lose their progress, and return to the cycle of substance use. This fear can be paralyzing, causing people to question their ability to stay sober constantly. 

While this fear is rooted in a need to protect oneself, it can also create immense pressure, making it hard to relax and recover. The constant worry about relapse can eat away at confidence and lead to a victim mentality, causing you to question whether long-term recovery is indeed possible.

Fear of Change

Recovery, by definition, requires change—behavior change, change in mindset, and change in relationships and lifestyle. For many, the fear of change comes from the uncertainty that change brings. Addiction, while harmful in many ways, provides a certain level of normalcy; you know what to expect from substance use, even if it’s harmful. The idea of stepping into the unknown, without substances, can feel daunting. 

The fear of change is not just about sobriety but also needing to rebuild your life. It can mean finding new ways to cope with stress, addressing unresolved trauma, and forming new relationships. Change requires letting go of the known and embracing uncertainty, and, for many, this feels like stepping into unfamiliar territory without a safety net, leading people to cling to old patterns even when they no longer serve them.

Fear of Failure

Recovery is typically not a straightforward path, and the fear of failing—whether by relapsing, not meeting goals, or not living up to expectations—can weigh heavily on you. This fear is often tied to perfectionism or self-esteem, where someone may believe that if they fail, it reflects their worth. 

The fear of failure can be so overwhelming that it discourages people from fully committing to the recovery process. They might be afraid to try because they’re terrified of what it would mean if they didn’t succeed. 

This fear also makes it difficult to forgive oneself for past mistakes. Instead of viewing setbacks as part of the learning process, your fear sees them as confirmation that you are not capable of lasting recovery. 

Strategies for Overcoming Fear in Recovery

The beauty of recovery is that you can begin to see fear as your biggest motivator and supporter. Adjusting your perspective to see the other side of your comfort zone as where you thrive can push you to bravely face your recovery fears, knowing that embracing the fear can help you achieve your dream life. There are realistic strategies to help you overcome fear and take the steps to sobriety.

Building a Supportive Network

Addiction can feel isolating, and fear thrives in isolation with overwhelming emotions and uncertainties. Surrounding yourself with a community of people who understand the challenges of recovery can help counter fear. A strong network provides encouragement and accountability, Whether through 12-Step programs, other support groups like SMART Recovery, or close relationships with family and friends. 

Having others to lean on in moments of fear reminds you that you are not facing struggles alone, helping you feel less vulnerable and building resilience. Moreover, openly discussing fears with people who have been through similar experiences can be incredibly healing, as it validates those fears and offers advice and encouragement to overcome them.

Practicing Mindfulness and Meditation

Fear often stems from ruminating about the past or worrying about the future—both out of your control. Mindfulness practices focus on being grounded in the now and what can be managed in the present moment. You can learn to observe fears without judgment and reduce their power through mindfulness. 

Meditation helps calm the mind by reducing anxiety, even when external challenges occur. By regularly practicing mindfulness and meditation, you can develop stronger emotional resilience to respond to fear with a newfound calmness. These practices also help break the cycle of fear-driven thought patterns, replacing them with a more compassionate approach.

Setting Realistic Goals

Fear can be paralyzing, and it could make the entire recovery journey seem unattainable. Setting smaller, achievable goals helps break the process down into manageable steps, making it easier to face each day without being overwhelmed. 

These goals should be specific and realistic so you can see progress over time. Each time you meet a goal, no matter how small, it builds confidence and reinforces that recovery is possible. Your goals may be setting boundaries with others, attending a support group, exercising, or counting every month that you maintain sobriety, all of which are worth a celebration. 

Managing Fear in Recovery

As you walk the recovery path alongside your fear, you can adopt useful strategies to help you manage your apprehensions. 

Addressing Specific Fears Through Cognitive Therapy

Cognitive behavioral therapy (CBT) is a well-established method for helping individuals identify, understand, and reframe the thoughts that contribute to fear and anxiety. 

In addiction recovery, fears are fueled by negative thought patterns that can spiral out of control. CBT helps you recognize these patterns and replace them with healthier ones. 

For example, if someone is consumed by the fear that they will relapse, CBT can help them challenge the assumption that a single mistake means total failure. By breaking down fears into manageable pieces, you can develop more positive ways of thinking and responding to anxieties. CBT empowers you to take proactive steps toward addressing the underlying issues that contribute to your fears in the first place.

Redefining Fun in Recovery

For many, the fear of life being dull without substances can cause anxiety. In the past, drugs and alcohol may have been associated with your social life or relaxation, so the idea of having fun without them can feel foreign. 

Redefining fun is an essential and rewarding part of the recovery process. Discovering new activities and ways to enjoy life that do not rely on substances can shift your mindset from one of deprivation to one of discovery. This could mean exploring creative outlets like painting, engaging in physical activities like hiking, and spending quality time with supportive friends and family. Reducing the fear that sobriety equals boredom and replacing it with the joy of a life in recovery can be extremely fulfilling.

Implementing Relapse Prevention Strategies

Although it’s normal to feel anxious about relapsing, having a clear plan in place can provide hope. Relapse prevention strategies can include identifying triggers, creating healthy coping mechanisms, and building a solid support system to help you stay on track. By anticipating potential challenges and having strategies to address them, you can feel more in control and less vulnerable to relapse. 

Your plan might include developing healthy routines, learning to manage stress through relaxation techniques like mindful walks, and having supportive contacts to call—all of which empower you to proactively manage your recovery. Knowing that there are concrete tools and resources available to navigate difficult moments alleviates the fear of relapse and builds confidence.

Seeking Professional Support and Sharing Personal Stories

Professional tools and peer resources can aid your recovery journey and soothe your fears. These options create a powerful foundation for healing, growth, and long-term sobriety.

The Importance of Seeking Professional Help

Addiction is not just a physical dependency—it involves deep-rooted emotional, psychological, and behavioral issues that require specialized care. Professional support, whether through therapists, psychiatrists, or medical professionals, offers access to evidence-based treatments tailored to specific needs. These professionals are trained to help you understand the underlying causes of addiction, such as trauma, co-occurring mental health conditions, or unhealthy coping mechanisms. 

Through various therapeutic approaches, including dialectical behavioral therapy (DBT), motivational interviewing, and overarching trauma-informed care, professionals can guide you through the emotional complexities of recovery to help you build healthier habits and thought patterns. 

Sometimes, professional support includes medical care to ensure that any co-occurring mental health conditions or withdrawal symptoms are safely managed. Your care team is invaluable to creating a strong foundation for long-term recovery.

The Power of Sharing Personal Stories of Overcoming Fear

Sharing stories with peers with similar experiences can be a transformative step in building connections and community. After experiencing isolation in addiction, sharing personal stories in group therapy or support groups inspires your recovery story and sobriety. 

Breaking the silence that addiction thrives on helps you process experiences and find validation and support from others who can relate. Storytelling is deeply healing as you shift the narrative to connection and hope.

Embracing a Gradual Process of Overcoming Fear

Fear is not something that disappears overnight—it’s a deeply ingrained response that takes patience and persistence to overcome. Believing in your ability to be the best version of yourself can support this gradual process in building resilience and laying the groundwork for sustainable recovery.

Understanding That Fear Takes Time to Overcome

Overcoming fear is not a linear journey—it involves setbacks, progress, and moments of doubt. Accepting that fear takes time to work through can help you approach recovery with more self-compassion and give you the space to heal at your own pace; you may even find that healing comes more naturally when you embrace the power you hold for beginning the process in the first place. And when fear resurfaces, you can view it as part of the growth process instead of a failure.

Taking Small Steps Towards Facing and Conquering Fear

Breaking fear into smaller, manageable tasks can make it less daunting and more achievable. For example, rather than expecting to confront a major fear all at once, it might start with small actions—such as attending a support group meeting, opening up to a trusted friend, or practicing mindfulness techniques to calm anxiety. Each small but important step helps build confidence and reinforces your ability to conquer your fears. And soon, what once seemed insurmountable becomes more manageable. 

Celebrating Each Achievement Along the Way

Recovery is filled with big and small milestones, and recognizing these achievements supports positive progress. Each time you face a fear—no matter how small—it’s an act of courage worth celebrating. 

Take a step back to look at the whole picture, and you may find that your recovery is built of many small, rewarding moments. While you move forward with recovery goals, you can also appreciate what you have already accomplished.

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How to Stop Procrastinating: A Guide to Getting Things Done: Dr. Sarah Anderson

We’ve all experienced it—the clock ticking, the deadline looming, and instead of diving into the task at hand, we’re doing everything in our power to avoid it. It’s a struggle for many—procrastination. Whether it’s delaying a work project, avoiding studying for exams, or putting off a household chore, procrastination affects us all. But what exactly is procrastination? Why do we do it? And most importantly, how can we stop?

Procrastination is more than just a bad habit—it often stems from psychological and emotional factors that make it difficult to stop. However, there are effective strategies that can help you regain control. By adopting these techniques, you can improve focus, productivity, and time management, leading to reduced stress and more effective action. 

What Is Procrastination?

Procrastination is the deliberate avoidance of tasks. While everyone procrastinates from time to time, chronic procrastination can lead to stress, guilt, and anxiety. It’s important to note that procrastination isn’t a sign of laziness; rather, it’s a complex psychological phenomenon.

Procrastination is often seen as a failure in self-regulation (Steel, 2007). It involves engaging in activities that provide short-term satisfaction—like watching TV or scrolling through social media—rather than focusing on tasks with long-term benefits. This leads to a buildup of pressure as deadlines draw near, and over time, chronic procrastination can contribute to increased stress, poor performance, and decreased self-confidence. Ultimately, this cycle can negatively impact mental health.

Why Do We Procrastinate?

Procrastination often has deeper psychological roots than what appears on the surface, and understanding these underlying factors can help us break the cycle. Here are some of the most common reasons people procrastinate:

Fear of Failure or Perfectionism

One of the biggest reasons for procrastination is a fear of failure. When confronted with a challenging task, we may avoid starting it entirely because we’re so focused on not doing it perfectly. Perfectionists, in particular, tend to procrastinate because they are afraid of making mistakes, and this fear of imperfection often leads to complete avoidance of tasks (Flett et al., 1992).

Perfectionists tend to set unrealistically high standards for themselves, which can create a fear of inadequacy and result in avoidance. They often delay work because they worry they won’t meet their own expectations. Research has shown that perfectionism is strongly correlated with procrastination, especially when individuals feel the need to achieve flawless results (Flett et al., 1992). As a result, procrastination becomes a coping mechanism to avoid facing the potential for imperfection or failure.

Low Motivation or Lack of Interest

Sometimes, we procrastinate simply because we don’t want to do the task. If the task feels boring, overwhelming, or uninteresting, it can be difficult to find the motivation to start. Van Eerde (2003) found that individuals are more likely to procrastinate on tasks that are perceived as unpleasant, tedious, or lacking in immediate rewards. If a task doesn’t excite us, it’s easy to push it aside in favor of more stimulating activities. For example, instead of working on a long-term assignment, you may find yourself distracted by social media or texting. This is especially true for tasks that feel unrewarding, like studying for a far-off exam or working on a large project that won’t pay off immediately.

Poor Time Management

Procrastination is often linked to poor time management. Without a clear plan or sense of urgency, it’s easy to delay tasks until the last minute. Effective time management also involves prioritizing tasks. When someone struggles to determine what’s most important or urgent, they may have difficulty deciding what needs to be done immediately and what can wait. 

Additionally, if we don’t allocate enough time for each task or misjudge how long something will take, procrastination becomes even more tempting. Without a clear structure, it’s easy to push tasks aside until the pressure of a looming deadline creates unnecessary stress.

Avoidance of Discomfort

Procrastination often functions as an avoidance strategy. Tasks that feel mentally taxing or anxiety-inducing—like writing a report or filling out paperwork—tend to be delayed. This avoidance can provide temporary relief from uncomfortable emotions such as anxiety, frustration, or boredom (Sirois et al., 2013).

However, procrastination only worsens the situation. Although it may offer short-term relief, the underlying stress and anxiety will eventually accumulate, leading to an even more overwhelming experience in the long run.

The Consequences of Procrastination

While procrastination might feel like a temporary escape, it can lead to several negative long-term consequences:

Increased Stress

Procrastination typically results in higher levels of stress and anxiety as deadlines draw near. The longer we delay a task, the more pressure we feel to complete it last-minute. This creates a cycle of stress that worsens with every delay.

Lower Quality of Work

Procrastinators often rush to finish tasks at the last minute, which compromises the quality of their work. Steel (2007) found that procrastinators tend to perform poorly on tasks because they are rushed or distracted by the anxiety that comes with looming deadlines.

Negative Impact on Mental Health

Chronic procrastination can contribute to feelings of guilt, shame, and low self-esteem. The cycle of avoidance and stress gradually erodes self-confidence, resulting in a diminished sense of well-being (Sirois, 2014). These negative emotional experiences can ultimately impact mental health.

Relationship Strain

Procrastination can also strain relationships, especially in work or personal settings. If you’re constantly delaying tasks or missing deadlines, it can create tension with colleagues, family members, or friends who depend on you to fulfill commitments.

Methods to Stop Procrastinating

Stopping procrastination is not easy, but it is entirely possible with the right strategies. Below are several evidence-based techniques that can help you take control.

Break Tasks into Smaller Steps

One of the most effective ways to combat procrastination is by breaking large tasks into smaller, more manageable steps. Complex tasks can feel overwhelming, but when divided into bite-sized chunks, they become much more achievable. Instead of thinking, “I need to write a 10-page paper,” focus on one small part at a time—like writing a single paragraph or creating an outline. This makes the task feel less intimidating and helps you build momentum.

Use the Two-Minute Rule

The two-minute rule is a simple technique that helps you get started on tasks. The rule is straightforward: if something takes less than two minutes to complete, do it immediately. This principle helps prevent small tasks from accumulating and reduces the mental resistance to starting a task. David Allen, creator of the Getting Things Done productivity method, advocates for this approach as a way to prevent procrastination (Allen, 2001). Tackling quick tasks immediately builds momentum and makes larger tasks feel more manageable.

Time Blocking and the Pomodoro Technique

Time blocking involves setting aside specific periods of time to focus on tasks, creating a structured schedule that fosters a clear sense of priority and helps reduce procrastination. Similarly, the Pomodoro Technique—while a form of time blocking—offers a more structured approach by having individuals work in 25-minute intervals followed by a 5-minute break (Cirillo, 2018). 

Create a Reward System

Rewarding yourself after completing tasks can help keep motivation high. When tasks are boring or unpleasant, offering a reward afterward can make them feel more rewarding. For example, treat yourself to a break, a favorite snack, or a fun activity after completing a task. Self-reward can boost motivation and reduce procrastination by reinforcing productive behaviors, which increases the likelihood of forming better habits.

Practice Self-Compassion

Practicing self-compassion is a key strategy for overcoming procrastination. Instead of criticizing yourself for delaying tasks, practice kindness and understanding. Studies show that individuals who are self-compassionate tend to procrastinate less because they don’t experience the same level of guilt and shame that fuel procrastination (Sirois, 2014). Instead of berating yourself for procrastinating, recognize that it’s a normal part of life and focus on taking small steps to move forward. 

Why Common Strategies Might Not Work for Individuals with ADHD

While these strategies are effective for many, individuals with ADHD face unique challenges that make traditional procrastination techniques less effective. While pretty much everyone procrastinates from time to time, individuals with ADHD often experience chronic procrastination. Understanding the neurocognitive differences that contribute to procrastination in ADHD is crucial when it comes to finding effective solutions.

1. Impaired Executive Functioning

ADHD is associated with impairments in executive functions, such as planning, organizing, and task initiation (Gustavson & Miyake, 2017). These deficits make it challenging for individuals with ADHD to break tasks into smaller, manageable steps or develop detailed plans for completing them. As a result, strategies like task breakdowns may not be effective unless individuals are specifically taught how to make the process easier and more engaging. 

While procrastination is inherently tied to issues with executive functioning, it’s important to note that individuals with ADHD do not always respond well to typical strategies for overcoming procrastination. For example, standard techniques like setting deadlines or using time management tools may not provide the same level of effectiveness, as they do not account for the unique ways ADHD affects attention, motivation, and task initiation.

2. Skewed Time Perception

People with ADHD often struggle with “temporal discounting”—a tendency to underappreciate the amount of time a task will take and how imminent the deadline truly is (Thomas et al., 2007). This skewed sense of time makes it difficult to use time-based techniques like time blocking effectively. People with ADHD may feel that they have “plenty of time” until the deadline arrives, causing them to delay work unnecessarily.

3. Emotional Dysregulation

People with ADHD experience heightened emotional responses to tasks, especially those that feel overwhelming or uninteresting. This emotional sensitivity increases the likelihood of procrastination, as individuals with ADHD may avoid tasks to escape negative feelings such as anxiety or frustration (Van Eerde, 2003).

Tailored Approaches for ADHD

For individuals with ADHD, more tailored and personalized strategies are necessary. Here are some techniques that can be particularly effective:

1. Finding the “Why”

Connecting tasks to personal interests or long-term goals can increase motivation. Because individuals with ADHD often struggle to generate intrinsic motivation for boring tasks, linking them to a bigger “why”—such as future career benefits or personal goals—can help increase engagement (Gustavson & Miyake, 2017).

2. Gamifying Tasks

Making tasks more engaging by turning them into games or challenges can increase focus. For example, challenge yourself to complete a task in a set amount of time and track progress to add an element of competition. Gamification increases dopamine release, making tasks feel more rewarding.

3. Using Visual Cues

Visual reminders such as sticky notes, to-do lists, or color-coded calendars are especially effective for people with ADHD. These visual cues provide constant reminders, helping to trigger attention and prioritize tasks (Van Eerde, 2003).

4. Flexible Time Blocks

Rather than using rigid time blocks, allow for flexibility in work periods. People with ADHD often experience fluctuating energy and focus levels, so alternating between work and breaks can make time blocking more effective. When taking breaks, set a timer to help you get back on track. I recommend using a simple timer, separate from your phone, as this reduces the risk of distraction and prevents getting further off task.

5. Novel Rewards

Rewards are more motivating for people with ADHD when they are novel or aligned with personal interests. Instead of generic rewards like snacks, opt for activities that are personally engaging, such as watching a favorite TV show or dedicating time to a hobby. Additionally, changing up rewards regularly can help maintain their novelty and excitement.

6. Urgency

For individuals with ADHD, creating a strong sense of urgency can be crucial to overcoming procrastination (Barkley, 2015). Without a clear deadline or immediate pressure, tasks can feel endless, leading to avoidance. Setting internal deadlines that are earlier than the actual due date or breaking tasks into smaller, time-limited segments can help create that necessary sense of urgency. Additionally, having external pre-deadlines can be particularly helpful. 

For example, if you need to complete a paper for a class by a specific date, joining a writing group with an earlier deadline can create added urgency. This strategy helps ensure you finish your paper on time by giving you a deadline that’s sooner than the final due date. This approach prevents the tendency to delay work until the last minute and can increase focus by encouraging quicker decision-making and action. Creating time constraints also taps into the heightened focus people with ADHD may experience under pressure, motivating them to complete tasks efficiently.

7. Body Doubling

Body doubling is a strategy that can be particularly effective in reducing procrastination, especially for individuals with ADHD or those who struggle with focus. The concept involves having another person present while you work—whether in person or virtually. This “body double” doesn’t need to actively participate in the task, but simply their presence can create a sense of accountability and reduce the temptation to get distracted. The idea is that the act of having someone else in the room can provide the necessary external structure to stay on task and help combat feelings of overwhelm or isolation (Dittner, 2004).

8. Self-Compassion

As with anyone struggling with procrastination, practicing self-compassion is key for people with ADHD. Acknowledging the unique challenges posed by ADHD helps to reduce self-criticism and guilt. Self-compassion creates a more supportive mental environment for tackling procrastination (Sirois et al., 2013).

Final Notes

Procrastination is a challenging habit, but it’s one that can be broken. Understanding the psychological and emotional factors at play, and implementing targeted strategies, can help you regain control over your tasks and improve productivity. For individuals with ADHD, additional modifications and a more individual approach may be necessary to address unique neurocognitive differences. 

Whether it’s breaking tasks down, using time blocks, or practicing self-compassion, these strategies can help you reduce procrastination and unlock your potential.

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What Happens When You Quit Drinking Alcohol “Cold Turkey”

While the idea of immediately cutting off alcohol may seem like a fast path to recovery, it can actually be very dangerous, especially for those with long-term dependence. The body and brain become accustomed to alcohol’s presence, and suddenly removing it can trigger severe physical and psychological withdrawal symptoms. 

Safe recovery begins with knowing when to seek medical supervision and creating a plan that prioritizes your health and well-being.

Understanding Alcohol Dependence

Alcohol dependence, or alcohol use disorder (AUD), is defined by a loss of control over drinking habits1, leading to a need for alcohol and compulsive drinking. What may begin as social or stress-related drinking can cause a cycle where alcohol becomes the central part of life, regardless of its negative impact on health, relationships, and responsibilities. 

Key signs of alcohol addiction include

  • Increased tolerance
  • The inability to cut back or stop drinking
  • Withdrawal symptoms like tremors, nausea, or seizures

At large, alcohol dependence is a widespread issue, affecting around 283 million people worldwide2. It’s not confined to a specific demographic or region, but actually a global issue that affects young and old, rich and poor alike.

Alcohol dependence affects both the mind and body, creating a dual grip of addiction that makes it challenging to break free. Psychologically, alcohol becomes a coping tool. Many struggling with dependence may drink to manage underlying mental health issues3 like anxiety, depression, and trauma. 

Regular drinking interferes with the brain’s neurotransmitters4, especially those related to pleasure and reward, such as dopamine. Eventually, the brain begins to expect and depend on alcohol to maintain this pleasant state, and without it, the person experiences discomfort and distress. As the body adapts to the constant presence of alcohol, tolerance builds, requiring more to achieve the same effects. As the body becomes used to the presence of alcohol, suddenly removing it can be dangerous. 

What Does Quitting “Cold Turkey” Mean?

Quitting alcohol “cold turkey” refers to abruptly stopping alcohol consumption without safely tapering off or using any form of medical assistance—which can cause serious health consequences or be fatal. 

Brain chemistry changes when the body adapts to chronic alcohol use5. Alcohol depresses the nervous system6, so in response, the brain creates more receptors to stimulate the system. When alcohol is quickly removed, these receptors become hyperactive, leading to severe withdrawal symptoms.

Sudden alcohol cessation can trigger tremors, seizures, or even delirium tremens, a life-threatening condition. For this reason, it is vital to taper off alcohol under medical guidance. Medical professionals can monitor your vital signs, assess the severity of your withdrawal, and provide prescribed medications such as naltrexone if appropriate7 (this helps safely manage withdrawal symptoms). While quitting cold turkey may seem like a quick fix, the dangers outweigh the supposed benefits.

Immediate Risks of Quitting Alcohol Cold Turkey

When alcohol is abruptly removed from the body, common withdrawal symptoms often emerge within hours to a couple days8, including tremors, sweating, nausea, vomiting, and headaches. Many people also experience rapid heart rate, elevated blood pressure, and restlessness.

The brain, accustomed to the depressant effects of alcohol, can become hyperactive and dysregulated, making it difficult to manage emotional responses. Quitting drinking cold turkey can cause heightened anxiety, depression, irritability, and mood swings. For some, these distressing feelings can be overwhelming and lead to agitation or panic. 

Severe Complications of Alcohol Withdrawal

In the worst case scenario, seizures and delirium tremens (DTs) are the most severe and potentially life-threatening risks of suddenly quitting alcohol. Without immediate medical treatment, both seizures and delirium tremens can be fatal, which necessitates detoxing under medical supervision. 

Delirium tremens is a severe withdrawal condition that can lead to confusion, hallucinations, agitation9, and in extreme cases, heart failure. This medical emergency is characterized by sudden and extreme confusion, agitation, hallucinations, and severe changes in nervous system function. DTs usually appear 48 to 72 hours after the last drink.

The rebound effect of hyperactivity that the brain experiences after alcohol cessation leads to the intense symptoms associated with DTs.

Not everyone who experiences alcohol withdrawal will develop DTs, but some factors increase the likelihood including:

  • Chronic heavy alcohol use: Long-term, high-volume drinkers are at higher risk.
  • Previous episodes of withdrawal or DTs: Those who have gone through alcohol withdrawal before, especially if they’ve experienced DTs previously, are at greater risk.
  • Other medical conditions: Underlying health issues, particularly related to the heart, liver, or nervous system, can increase the risk of developing DTs during withdrawal.
  • Older age: Older individuals are more susceptible due to the cumulative effects of alcohol on the body and the slower withdrawal recovery rate.
  • Co-occurring substance use: Using other drugs in conjunction with alcohol, such as benzodiazepines or opioids, increases the risk of severe withdrawal symptoms like DTs.

DTs are fatal in 5-15% of untreated cases, due to complications like heart failure, severe dehydration, or head injuries from seizures. For those who survive, uncontrolled seizures can lead to permanent brain damage, cognitive impairments, or other neurological complications.

Medical Supervision and Detoxification

Detoxing under medical supervision is essential for your safety and well-being. Medically supervised detox programs provide proper care and attention to help individuals safely withdraw from alcohol, offering professional support every step of the way. 

These programs are usually held in hospitals or recovery facilities where compassionate medical staff closely monitor your condition to ensure the process is as safe as possible. The first step is a thorough assessment to understand your medical history, alcohol use patterns, and any co-existing mental or physical health issues. From this, a personalized detox plan is crafted, tailored specifically to meet your needs.

During detox, medical professionals may provide medications to help ease withdrawal symptoms and prevent serious complications. Throughout the process, they regularly check your vital signs to catch any potential concerns. In this supportive environment, any complications can be immediately managed, ensuring your safety in a way that isn’t possible when trying to detox alone.

The most effective way to manage withdrawal is a gradual tapering approach to alcohol detox, meaning slowly reducing alcohol intake or using medications to ease symptoms. This method allows time for your body to adjust, reducing both physical discomfort and emotional distress. With gradual tapering, the detox process becomes more manageable and less overwhelming. 

Psychological and Emotional Support

Therapy offers a safe space to explore the underlying reasons behind alcohol use and helps address the emotional struggles that often accompany recovery. Whether through 1-on-1 therapy sessions or group counseling, these services provide tools for managing cravings, coping with stress, and developing healthier thought patterns. A trained therapist can guide you through the ups and downs of recovery, offering encouragement and strategies to help you maintain your progress, even when challenges arise.

Support groups, such as Alcoholics Anonymous (AA), also play a vital role in long-term recovery. These groups offer a sense of community and belonging, providing a space to share experiences, struggles, and successes with others who understand what it’s like to overcome alcohol addiction. Regular meetings help keep you grounded in your commitment to sobriety and remind you that you’re not alone in this process.

Building a support network of family and friends is equally important. The people closest to you can offer emotional support, encouragement, and accountability, helping you stay focused on your goals. Surrounding yourself with loved ones who understand your commitment to recovery makes a significant impact, as they can provide a shoulder to lean on during tough times and celebrate your milestones with you. 

Long-Term Recovery and Relapse Prevention

Long-term recovery from alcohol dependence extends well beyond detox—it’s a journey that requires ongoing effort, self-awareness, and commitment. After detox, you can develop a plan with practical steps to stay on track, such as attending regular therapy sessions, continuing with support groups, and setting clear goals. These tools help provide structure and accountability, giving you the resources needed to navigate life without alcohol.

A critical part of relapse prevention is learning to recognize and manage your triggers (situations, emotions, people, or environments that may prompt the urge to drink). Understanding what triggers you and developing coping strategies—such as breathing exercises, reaching out to a trusted friend, or practicing distraction techniques—can help you manage these moments of vulnerability. 

Long-term recovery isn’t just about avoiding alcohol; it’s about creating a life you don’t want to escape from. With the right strategies, support, and self-care, you can maintain sobriety and build a future full of promise and possibility.

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Can You Quit Drinking by Working with a Recovery Coach? 

Quitting drinking can be a challenging journey, but it’s not something you have to do alone. A recovery coach can be a valuable partner in your efforts to stop drinking and build a healthier life. While there isn’t a one-size-fits-all solution, recovery coaches provide support, guidance, and resources customized to your unique needs and goals. Here’s how working with a recovery coach can help you quit drinking.

What Is a Recovery Coach?

A recovery coach is a trained professional who helps people seeking to recover from substance use, including alcohol. They aren’t therapists or counselors, but they do offer personalized support and practical help. Their role is to empower you to take charge of your recovery by creating a plan, connecting you to resources, and providing encouragement along the way.

How Can a Recovery Coach Help You Quit Drinking?

  1. Creating a Personalized Plan
    A recovery coach can help you set goals for quitting drinking and create a plan that works for you. They know that everyone’s journey is different, so they tailor their support to fit your situation.
  2. Understanding Your Triggers
    Recovery coaches can work with you to identify what triggers your drinking. Whether it’s stress, certain social situations, or emotions, they help you recognize patterns and develop strategies to manage those triggers.
  3. Building a Support System
    Quitting drinking is easier when you have support. A recovery coach can connect you with support groups or other community resources, to build a network of people who understand what you’re going through.
  4. Providing Accountability
    A recovery coach can help you stay on track by checking in regularly and keeping you focused on your goals. This accountability can be motivating, especially during tough times.
  5. Teaching Healthy Coping Skills
    Many people drink to cope with stress, anxiety, or other challenges. A recovery coach can teach you healthier ways to handle those feelings, such as practicing mindfulness, exercising, or finding hobbies you enjoy.
  6. Encouraging Self-Confidence
    Recovery coaches help you see your strengths and believe in your ability to quit drinking. They celebrate your progress and encourage you to keep moving forward, even if setbacks happen.
  7. Addressing Practical Needs
    Sometimes, practical challenges like housing, employment, or transportation can make recovery harder. Recovery coaches can help you find resources to address these issues, so you can focus on your recovery.
  8. Exploring Different Recovery Pathways
    Not everyone chooses the same path to quit drinking. Whether you’re interested in 12-Step programs, harm reduction strategies, or any number of other approaches, a recovery coach can support the path that works best for you. They are knowledgeable on many different pathways, introducing you to options you maybe didn’t know existed. 

Will a Recovery Coach Guarantee Success?

The simple answer is no— there are no guarantees. It’s important to remember that quitting drinking takes effort and commitment. A recovery coach can guide and support you, but the work ultimately depends on you. While there are some people who can quit drinking by only working with a recovery coach, for many people a recovery coach alone isn’t enough. Consider building a bigger recovery team by also working with some of the following: 

  • Primary Care Physician: Monitors overall health, prescribes medication, and addresses medical concerns.
  • Psychiatrist or Psychologist: Diagnoses mental health conditions and prescribes medication if needed.
  • Therapist: Provides therapy to address underlying issues and build coping strategies.
  • Addiction Counselor: Offers counseling and guidance on addiction and recovery.

Final Thoughts

Quitting drinking is a big step, and it’s one you can take with the right support. Recovery coaches offer guidance, accountability, and encouragement, but they’re just one part of the puzzle. By combining their help with other resources, you can improve your chances of success. With determination and a strong support system, you can move toward a healthier, happier future.

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Celebrities That Are Open About Their Mental Health

Celebrities have the unique ability to reduce mental health stigma with just a quote or two about their experiences. Many well-known celebrities, like Emma Stone and Howie Mandel, exercise this ability to show 1) mental health issues don’t discriminate and 2) how they healed, and that recovery exists for everyone. 

We’ll cover a few of the many celebrities changing the narratives about mental health and championing the freedom to heal openly.

Chrissy Teigen

Chrissy Teigen is a model and muse for her husband, singer John Legend. She’s also opened up to the public about her struggles with postpartum depression. Despite support from her family, fame, and fortune, she found herself unable to control or lessen her symptoms. 

Chrissy spoke up about her struggles to show how “postpartum does not discriminate,” even though she “has a good life.”

Selena Gomez

Singer and actress Selena Gomez has experienced depression, anxiety, and anxiety attacks. She posits them as side effects of, and exacerbated by, her medical condition, lupus. Her mental health led her to take a break from performing and speak up about her struggles, saying, “I know I am not alone by sharing this, I hope others will be encouraged to address their own issues.”

Emma Stone

Actress Emma Stone began experiencing anxiety and overwhelming anxiety attacks at a young age. For three years, the debilitating attacks and constant anxiety of something going wrong plagued her. She’s since learned to use her “big emotions” as an acting superpower and credits acting for helping her manage the anxiety. 

Dwayne Johnson

Dwayne Johnson, known more commonly as The Rock, is an actor and boxer. He’s tall and buff and stars in action movies, comedies, and children’s films. He’s also publicly acknowledged his struggles with mental health and the importance of maintaining mental well-being. By opening up about his struggles with depression, he hopes to give hope to others struggling and be the voice to tell them, “Hey, it’s gonna be OK. It’ll be OK.”

Lizzo

Body-positive rapper and singer Lizzo has spoken about her challenges with mental health, specifically after coming to fame. She notes, “My anxiety didn’t go away. My depression didn’t go away.” 

She’s taken to social media to document her struggles, bring fans into her healing, and acknowledge her progress, recently saying she’s much happier now than before. 

Lady Gaga

Lady Gaga experienced depression and anxiety at the sudden soar of her success as a musician and singer. She remembers little of this time, besides it being “traumatizing.” Now, she’s using resources like antidepressants to stabilize her mood and speaks out about her experience. She says,

“I openly admit to having battled depression and anxiety and I think a lot of people do. I think it’s better when we all say: ‘Cheers!’ And ‘fess up to it.”

Adele

Singer Adele has wowed listeners for years with her powerful voice and deep lyrics, but has also opened up to how mental health issues have impacted her career. She struggles with depression and experienced postpartum depression after the birth of her son. Talking about it was daunting at first, like it was for Chrissy Teigen, but she believes this openness can reduce stigma and embarrassment. 

Miley Cyrus

Singer, actress, and former Disney star Miley Cyrus has opened up about her depression and how it affects her. She acknowledges it is out of her control and unrelated to her lifestyle and status as a superstar, but recognizes she can help others by talking about it. She says,

“There’s not much that I’m closed off about, and the universe gave me all that so I could help people feel like they don’t have to be something they’re not or feel like they have to fake happy.”

Jared Padalecki

Despite the fame and acceptance actor Jared Padelecki experienced from a young age, he still struggled with depression and suicidal thoughts—even with career success, good friendships, and a strong fanbase. He notes how mental illness doesn’t discriminate, saying,

“It’s not just people who can’t find a job, or can’t fit in society that struggle with depression sometimes.”

Lili Reinhart

Actress Lili Reinhart’s struggles with anxiety peaked as she tried to navigate the world of auditions, hoping for roles and her non-acting life. Her anxiety became so severe it impacted her ability to work and made her physically unwell. She’s also spoken on social media about body image and her experiences in the spotlight, helping others (especially young girls) realize it’s okay to struggle and it’s okay to ask for help.

Kristin Bell

Depression is different than sadness, which actress Kristin Bell highlights after struggling with the condition. She describes it as much more than needing a hug or just “shaking off” the feeling, but rather needing professional help to challenge her thoughts and feel like herself again.

By voicing her experience, she hopes to validate others’ feelings and help them get the care they need. She says, “It’s important for me to be candid about this so people in a similar situation can realize that they are not worthless and that they do have something to offer. We all do.”

Gwyneth Paltrow

Famous for her wellness brand Goop and her skills as an actress, Gwyneth Paltrow has also come out to share her struggles with postpartum depression and how her experience differed widely from common perceptions. Rather than crying everyday and being unable to take care of her baby, she instead felt like a “zombie, unable to access emotions.”

Gwyneth notes, “But there are different shades of it and depths of it, which is why I think it’s so important for women to talk about it. It was a trying time. I felt like a failure.”

Howie Mandel

Comedian and actor Howie Mandel judges America’s Got Talent and advocates for more accessible and affordable mental health treatment. He was diagnosed with obsessive compulsive disorder (OCD) in his 40s, though the condition began early in his childhood. Receiving a diagnosis and beginning treatment validated his experiences and relieved the weight of managing it on his own.

Since his diagnosis, Howie strives to reduce the stigma around mental health conditions, particularly OCD, and help others get the care he needed.

Prince Harry

British royal Prince Harry has talked publicly about the effects of losing his mother, Princess Diana, and navigating grief and trauma in the public eye. He spent decades holding in his emotions and presenting a positive front, which he says strained his relationships and work. Now, he’s more upfront with his emotions and less focused on masking them.

Lil Wayne

Rapper Lil Wayne revealed he struggled with depression and loneliness as a young kid. He also disclosed the bullet wound by his heart, once called an accident, was actually the product of a suicide attempt. Lil Wayne rose to fame not long after the attempt, which he said didn’t cure his depression or loneliness.

But he feels better now than ever before, and wants others to know they can get better. He says, “(I’m) hoping I can help anyone else out there who’s dealing with mental health problems by… being vulnerable. To me, I look at it by being brave and stepping up.”

Why Is Addressing Mental Health Important?

Stigma thrives in silence and misconceptions. Speaking on mental health issues shows what the experience is really like—and that people heal. Celebrities set an example when they share their struggles, championing for vulnerability and community and showing that mental health conditions typically break the stereotypes that lead to stigma. 

Destigmatizing mental health conditions can encourage more people to seek help and view their mental wellbeing as a crucial aspect of their overall health. Both are vital components to recovery.

Find Treatment For Mental Health

Imagine your favorite actor or singer telling you they struggle with the same mental health condition you do. Discovering this connection point, and seeing how they’ve navigated the condition, can inspire hope and the willingness to get treatment. People heal in many different ways, and there’s a path for everyone.


You can find mental health treatment providers on Recovery.com and see pictures, reviews, insurance information, and more to find the best treatment for you.

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Guide to Finding State-Funded Rehab

A state-funded rehab receives funding from state governments, which means they can offer care at a lower cost—a solution for those without insurance or limited coverage. Each state may have different budgets and allotments for rehab funding.

To find a state-funded rehab, you can access your state government’s resources using the web, connect with helplines, or use a national locator like the Substance Abuse and Mental Health Services Administration’s (SAMHSA) website.

Understanding State-Funded Rehab Programs

State-funded rehabs meet the needs of people needing effective programs for residential treatment, detox, outpatient care, and medication-assisted treatment (MAT) programs—but without health insurance or excess money to shell out for private-pay centers. They’re instead funded by state and/or federal funding through Medicare, Medicaid, TRICARE, and other public insurance. Other grants and funding support people who don’t qualify for state insurance. 

State-funded rehabs come as a response to this ever-growing need, especially with rates of overdose and addiction increasing1. People living in poverty or low incomes are most at risk for addiction2. Various grants from the government3 (through SAMHSA) specifically address the needs of those incarcerated, pregnant, disabled, and more to make treatment accessible. Public health insurance may cover the costs of state-funded rehabs for those who qualify for Medicare and/or Medicaid.

Eligibility for State-Funded Rehabs

To attend a state-funded rehab, you’ll need to live in the state providing the care and have proof of your inability to cover the costs of private treatment through insurance or private pay.

General Eligibility Criteria

Here are the general criteria for attending a state-funded rehab:

  1. Proof you live in the state (like a bill from your water company sent to your address.)
  2. Proof you can’t afford non-state-funded rehab via your pay stubs and lack of insurance coverage.
  3. Documented need for addiction treatment and the specific level of care, like a doctor’s note saying you have a substance use disorder and need residential care.
  4. Proof of American citizenship.

How to Determine Eligibility

If you have questions about your eligibility for a state-funded rehab, you’ll likely get the quickest and most accurate answer by contacting the facility itself. Their admissions coordinators will ask what your income is, if you have private or public insurance, where you live, and your citizenship status. They may also ask questions to see if you qualify for other scholarships and grants offered by their facility or the state you live in. For example, some treatment centers may offer scholarships to Indigenous peoples or other minority groups.

You can also navigate to your state’s government website and search for addiction treatment to see their specific qualification criteria. This can help you determine your eligibility.

Benefits of State-Funded Rehab

State-funded rehabs often provide evidence-based care from experienced clinicians, along with a full continuum of care: detox, residential treatment, day treatment, intensive outpatient, outpatient care, and MAT. Lower costs don’t lower the impact treatment can have on your life. Their price makes treatment more accessible to people nationwide.

Affordability is another major benefit, since costs can be such a daunting barrier to care. Going to rehab has its challenges, but with costs off your plate, you have one more reason to commit to healing.

Locating State-Funded Rehab Programs

State-funded rehabs are under the umbrella of other government programs and initiatives, which means you can find out more about them on your state’s government website and online locators, like SAMHSA.

State Health Department Resources

Your state’s health department includes key information on how your state responds to health crises and day-to-day health needs. For example, the state of Wisconsin has a page of their website devoted to substance use care, your rights under state and federal laws, and resources for those needing to locate treatment facilities or find state-funded care. You can find this information on your state’s legal website too—search for “your state name”.gov.

SAMHSA (Substance Abuse and Mental Health Services Administration) remains the top-tier government resource for information on addiction and mental health treatment. It also provides additional grants and funding for rehabs and other recovery services.

Using Locators and Helplines

SAMHSA has a 24/7 helpline for finding treatment—they can help you locate a state-funded rehab near you. There’s also FindTreatment.gov, which is an American government-backed service for finding addiction and mental health treatment. They also list agencies by state, which oversee the recovery centers in each state and can help you pick a reputable center.

Application Process for State-Funded Rehab

Knowing what you’ll need to apply for a state-funded rehab program can make the process faster and easier. 

Documents Needed

Have these documents on hand for your application:

  1. Proof of income, like your most recent pay stub.
  2. A recent bill from a utility company or government agency to prove your address.
  3. Your driver’s license, passport, or other form of government identification to confirm your identity.
  4. Your insurance card, if you have one.

Step-by-Step Application Guide

To apply for state-funded rehab, you’ll use the provider’s website or go directly to their office to begin the admissions process. Once you submit the above documents, their team will review it and let you know if you got into the program. You’ll either join a wait list or start treatment right away. Preliminary tests may include drug testing, physical assessments, psychological assessments, testing for sexually transmitted diseases, and consultations with therapists.

After this process, you’ll be shown your room and given a tour of the facility. Staff will explain the typical schedule for day-to-day activities and expectations. Then, you’ll start treatment.

What to Expect in State-Funded Rehab

State-funded rehabs, like other centers, typically offer evidence-based therapies like cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing. They’ll likely offer less 1:1 time with therapists and focus more on group sessions and peer recovery groups like Alcoholics or Narcotics Anonymous, which use the principles of the 12 Steps.

Clinicians and treatment providers will likely expect you to attend each session and socialize with peers during meals and free time. You may take assignments and homework with you after sessions, like a journal prompt or writing exercise to fill out. And though the center may not offer family therapy or have a family program, they’ll have a phone you can use to call loved ones at set times in the day. Your phone and electronics will likely go into a locker for safekeeping during your stay, given back at your release.

Challenges and Considerations

State-funded addiction treatment comes with several challenges and caveats, just like private treatment. Knowing the potential challenges can help you make an informed decision that’s most beneficial to you and your recovery.

Wait Times

Many people qualify for state-funded rehab, which can lengthen wait times. Each facility can only take a set number of patients at a time; once a current patient graduates, they can take someone off the waitlist. 

Not everyone has time to wait, though, which can make state-funded care an impractical option for some. While waiting, you can apply for lower levels of care (like outpatient instead of residential) or broaden your scope to rehabs further away. You can also attend peer recovery groups in the meantime—read our article on what to do if you get waitlisted for more tips and strategies. 

Limitations of State-Funded Rehabs

Due to limited funds, state-funded rehabs can’t offer all the bells and whistles of a private rehab funded by private insurance or out-of-pocket payments in full. A few limitations include:

  • Lack of 1:1 therapy
  • Fewer therapies available
  • Less activities and variety in daily life
  • Treatment plans aren’t personalized to each patient
  • Lack of advanced and/or alternative treatments, like ketamine therapy, transcranial magnetic stimulation (TMS), and trauma-focused therapies

Alternatives to State-Funded Rehab

Depending on impractical wait times and your willingness to attend a state-funded rehab, you can consider various other options to still get the care you need at an affordable cost. These include:

  1. Not-for-profit centers (offer treatment for lower costs; primarily funded by donations).
  2. Scholarships offered by the treatment center. You can check their websites or reach out to their admissions team to see what scholarship options they may have.
  3. Centers with sliding scale fees. Check with their admissions team to see if this is an option.
  4. If you direly need to detox and receive intensive care, go to the nearest emergency room for assessment and inpatient detox services at a hospital.

Affordable + Accessible = Hopeful

Going to a state-funded rehab connects you to vital recovery resources, including detox services, residential care, and a continuum of outpatient services to keep you on the path to long-term recovery. While these centers admittedly lack luxe amenities and more personalized treatment plans, they serve a vital need and purpose in the treatment industry—restoring lives and inspiring hope.

You can use Recovery.com to find rehabs near you and see photos, reviews, pricing information, and more.

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Does Rehab Work?

Going to rehab requires investing what you can’t get back: time (and money). It’s an investment in your future and wellbeing. 

Fortunately, it’s time and money well spent since rehab does work for various reasons, mainly willingness to get help and a commitment to recovery. While it’s true that rehab isn’t a guaranteed success for everyone, if you have those in your pocket, you’ve got no reason to doubt rehab will benefit you. 

What Is Rehab?

Rehab is where you go for intensive treatment for addiction and/or mental health conditions. You can go to rehab for drug and alcohol addiction, mental health conditions, eating disorders, and co-occurring conditions (having an addiction and a mental health condition, for example).

You don’t have to be at your rock bottom or last leg to go to rehab. However, those with more urgent or intense needs often attend rehab because it’s the most intensive form of treatment—compared to outpatient levels of care or therapy sessions every so often. But reaching that point isn’t a prerequisite for treatment.

Rehabs typically provide both medical and therapeutic care, helping patients detox if needed, address health needs, and then begin the process of emotional growth and healing. Rehabs can vary widely in terms of the therapeutic approaches they use and the specific therapies offered. But you’ll often see a blend of evidence-based and holistic therapies tailored to comprehensive recovery.

Effectiveness of Rehab

No level of treatment expertise, fancy therapies, or luxurious amenities can guarantee rehab will be effective—thankfully, those aren’t what you need to make it successful for you. Here’s an overarching look at what makes rehab effective:

  • Desire to attend treatment
  • Commitment to recovery; willing to ‘put in the work’
  • Personalized care
  • Qualified staff

Success Rates

About 75% of people with an addiction recover1. Because recovery is diverse and variable by person, few ‘true’ statistics for the success of rehab specifically exist. But many researchers, clinicians, and scientists agree willingness to get treatment and get better leads to success. 

Factors Influencing Success

Going to rehab and getting treatment is largely credited for recovery, though not everyone who recovers from an addiction or mental health condition receives formal treatment in rehab. But for those who do, the length of time in treatment correlates strongly to its success2.  

Care that aligns with your preferences and culture can also improve your chances of success. For example, if spirituality plays an important role in your life, treatment that includes that will likely resonate better with you. 

Components of Effective Rehab Programs

Several components, such as a broad range of approaches, personalized care, and compassionate staff, set rehabs up for success.

Evidence-Based Practices

An evidence-based practice means there’s evidence backing its effectiveness. It’s been vetted by scientists, clinicians, and published case studies demonstrating how and why it works, and who it may not be as effective for. 

Examples of evidence-based practices include:

Personalized Treatment Plans

Therapies are more effective when they’re delivered in a personalized treatment plan. For example, if horses scare you, equine therapy probably wouldn’t be a great fit for you. Instead, a center with personalized care plans would offer you another option, like art therapy or EMDR.

Personalized treatment accounts for your conditions and diagnoses, cultural background, family history, and your preferences. Tailored treatment can help you connect more to the recovery process and feel hopeful on your journey.

Challenges in Measuring Rehab’s Effectiveness

Trying to measure the overall effectiveness of rehab is a bit like answering the question, “Does going to college mean you’ll get a good job?”

Theoretically, yes. But everyone’s experience is different. If you went to college, even got into Harvard, but didn’t put in the effort to pass your classes and loathed your time there, you wouldn’t get the same post-graduation results as someone who studies, does all their homework, and wants the education for the job they have in mind.

Similarly, someone who goes to rehab but doesn’t engage in treatment with the goal of recovery won’t have the same experience as someone who does. For them it wouldn’t be as effective, even though they went. 

Most Outcomes Go Unmeasured

Rehabs may try to collect information on their success rates so they can publish it on their website and make their outcomes public. But gathering that information takes time and work. Even if a rehab sends out a short questionnaire to each patient a year or so after their discharge,

  1. Not everyone will respond.
  2. There’s no way of knowing if their responses are truthful.
  3. People may do the survey but decline to have the information collected and published, especially if confidentiality is a major issue.

Plus, addiction can be a relapsing disorder3 like asthma and diabetes. Some consider ‘successful treatment’ as a recovery with zero relapses. Some view relapses as a natural part of the recovery process—they happen, but don’t mean rehab didn’t work. There’s no right way to feel about relapses. But they can alter the overall perception of rehab’s effectiveness.

Patient Experiences and Testimonials

Rehab can have life-changing effects, whether people go once, twice, or two dozen times. Many rehabs post the testimonials of past clients, highlighting their experiences in treatment. We asked two of our own at Recovery.com for their stories: Amanda Uphoff, Chief of Staff, and Cliff McDonald, Chief Growth Officer.

Success Stories

Amanda describes her rehab experience as this,

“My first residential treatment experience was eye-opening in that I truly learned the meaning of the phrase, “Wherever you go, there you are.” I was hoping for a silver-bullet situation, only to find that I was still me, with the same obsessions and character defects, just in a different place. I wasn’t ready to do whatever it took, and ended up back in treatment a couple years later. This program was a much better fit for me: gender-specific, farther away from home, and with a strong spirituality component. My recovery took root there, and for the first time, I practiced surrender. I admitted into a step-down IOP program before leaving that residential program, and began working with a mentor assigned through IOP. While relapse is a part of my recovery, I will celebrate 5 years of continuous sobriety this year. Don’t quit before the miracle!”

Amanda Uphoff, Chief of Staff

Cliff says, 

“I went to the same residential treatment center (rehab) twice in 2018 – the first time I went I didn’t want to go and I went because my family gave me an ultimatum – I checked myself out “AMA” (against medical advice) after two weeks. The counselors and the staff implored me to stay longer as they knew I was far from being prepared to deal with the real world – I had no idea that I was a really sick person and I was so naive. At the time I had a 34 year relationship with alcohol and hadn’t gone more than a week or two without being intoxicated from alcohol. I did manage to have 90 days of sobriety followed by a brutal relapse which landed me back there for a second tour – the relapse convinced me that I was powerless as I truly didn’t want to drink again. In the first week of my second visit I experienced a major shift in mindset and willingness and I surrendered – that was almost six years ago – I don’t think I could have achieved sobriety without residential treatment and I may not even be alive today had I not had this second opportunity with residential treatment. I am so grateful that these resources were available for me.”

Cliff McDonald, Chief Growth Officer

Challenges and Setbacks

Some people go to rehab to appease others. They don’t want to be there or recover, which makes committing to the process harder. A lack of willingness can become a setback when someone goes through the motions of rehab, gets released, and immediately goes back to substance use. While relapses don’t erase progress, they can delay long-term recovery and the benefits that come with it.

Rehabs with low-quality care can also set back someone’s recovery. Cost doesn’t always mean the care will match the value; any rehab can have great, or less passionate, professionals. Patient reviews, checking what therapies they have, and the clinician’s credentials can shed light on the true quality of a rehab’s care.

Role of Support Systems in Recovery

The support of family and friends can make all the difference in someone’s recovery4. They can 1) offer encouragement and motivation to stay committed to recovery and 2) help their loved one find their treatment options and go with them to any initial appointments as emotional support.

Many rehabs involve related or chosen family in the recovery process directly through family therapy. This setting helps the family unit heal emotional wounds, process their addiction, and strengthen relationships. Family members also learn how to better support their loved one once they return home, which can be crucial in preventing a relapse—and helping families know what to do if one happens.

Alternatives to Traditional Rehab

The ‘traditional’ route of residential rehab may not work for everyone, and that’s okay. Many other options exist just for that reason. For example,

  • Peer-support programs: Peers in recovery lead these sessions, instead of therapists or other mental health professionals. Groups may discuss a certain topic, challenges they’re facing, or what’s going well in life. They form bonds and a crucial sense of belonging. The 12-Step meetings of Alcoholics Anonymous (AA) are an example of a peer-support program.
  • Alternative treatments: A more holistic approach may appeal to those with different cultural backgrounds or spiritual preferences. Alternative treatments include Ayurveda, acupuncture, nature therapy, supplements, herbal remedies, and more. 
  • Psychedelics: As an emerging treatment option, psychedelics are becoming a more mainstream treatment option for addiction and mental health recovery. For some, they can have a more immediate and long-lasting effect than traditional therapies and medications. 
  • Virtual options: Virtual rehab is also becoming more and more mainstream. Those living in remote areas or with mobility limitations may find virtual options most effective.

Continuing Care and Relapse Prevention

Imagine treatment for a broken leg—even if you spend a lot of time at the hospital and leave with it in a nice cast, it still needs help and attention to heal completely. If you began walking on it, not going to follow-up appointments, or even taking the cast off simply because you got released from the hospital, the results wouldn’t be good.

Addiction treatment often follows a similar scenario. If you leave rehab and return to all your usual habits and behaviors, neglecting follow-up sessions and maintaining your progress, it’ll likely be much harder to stay on the path to recovery. 

Importance of Aftercare

Aftercare begins after you leave rehab. It’s less intensive and requires less time than residential treatment, like weekly therapy sessions and 12-Step meetings. Residential rehabs often offer their own form of aftercare, which typically includes check-ins from staff and resources for the patient to connect with help 24/7. 

Aftercare serves as a crucial median between the world of residential rehab and outside life5. It eases the transition, helping patients strengthen their newfound recovery and avoid relapse. It also solidifies that patients are still cared for and valued, even after they leave intensive care. 

Back to the example of the broken leg, aftercare would look like using crutches and going to all your doctor’s appointments. You would avoid stairs, bumpy terrain, and practice pain-reducing habits like icing and elevating your leg to make the recovery process smoother. Addiction recovery isn’t all too different—you’ll avoid places you used to go to use substances (like a bar or club), go to your aftercare sessions and join a recovery group, and practice habits like self-care and stress reduction to proactively address the intense emotions that could lead to relapse. 

Strategies for Long-term Success

Recovery is an active state you have to continually choose. Strategies and habits can strengthen this practice and help you get back on track in case of a relapse. Here are some examples:

  1. Have accountability partners. Identify which friends or family members could help you stay accountable to your sobriety. They may send you a text each morning to check in, or they can be the person you call when cravings and temptations get strong.
  2. Integrate self-care into your routines. This doesn’t mean take a bubble bath every night (though you could), rather, to habitually practice activities that relieve negative emotions and bring you joy. Set aside a little time each day to spend time doing these activities.
  3. Connect to a support group. Join a local recovery community to stay in regular contact with others in recovery. This could be a 12-Step group, a SMART (Self-Management and Recovery Training) Recovery group, or even a sports league with people in recovery.
  4. Prioritize continued care. Maintaining your recovery is as important as achieving it in the first place. Going to therapy or an outpatient program can help you navigate stressors and challenges as they arise, strengthen your overall recovery, and keep you connected with treatment professionals. 

Making The Decision to Enter Rehab

How do you know if going to rehab is the right thing to do?

A crystal-clear answer likely won’t come—you’ll have to listen to yourself and your gut. Ask yourself questions like,

  • Do I want to keep living the way I am now, or am I willing to make a serious effort for change?
  • Can I get through a day without using substances?
  • Are the physical effects of stopping too uncomfortable to bear? (Note: it’s always safest to detox in a professional setting and not by yourself.)
  • Can I really get better on my own or do I need help?
  • Will I lose relationships with my loved ones if I go on like this?

You can start your search for the best treatment for you using Recovery.com. Talk about it with your support system, too; they can help you with the technical details and offer emotional support.

As you make your decision and commit to treatment, keep in mind rehab isn’t a cure-all and often reaps benefits based on your willingness to recover, and if you’re ready to commit. Not everyone goes to rehab once and never relapses again, and that’s okay. 
Rehab is much more than a substance-free place—it teaches you skills for recovery, connects you to peers, and addresses underlying causes of addiction through therapy and personalized healing. Find a rehab that fits your needs on Recovery.com.

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What Happens in Family Therapy?

Family therapy for addiction or mental health conditions may come as an unexpected aspect of treatment. If you’re not the one getting treatment, why are you getting involved? Many families initially wonder the same thing.

Many family members also want to, and would, do anything to help their loved one get better. If that means going to family therapy, they’ll do it in a heartbeat, even if it’s unexpected. Others may feel more skeptical and resistant, depending on the nature of their family dynamics and their mental health literacy. 

However, each group will likely have the same question: what’s family therapy like? What happens? 

We’ll help you learn more about it and what to expect in this article. You can also explore more about family therapy and group work by listening to our recent podcast episode with Dr. Claudia Black.

What Is Family Therapy?

Some family members first assume family therapy means hearing everything they did wrong and getting blamed for their loved ones predicament. That’s false. If behaviors from family did contribute to the patient’s condition, that will likely come up, but in a respectful, compassionate way. Family therapy isn’t a trick for the patient and their therapist to gang up on family members—it’s meant to restore loving relationships and heal their family dynamics.

The therapist, psychologist, or counselor who leads family therapy strives to help both the patient and their loved one verbalize and work through problems with respect and love, not judgment or blame. Through open communication, patients and their families can resolve issues, forgive, and learn how to modify potentially harmful behaviors. 

Many treatment centers strongly suggest and offer family therapy as part of their core treatment. That’s because family therapy has the power to heal relationships, improve the support system of the person in treatment, and give the whole family unit hope in recovery. You can also attend family therapy as a stand-alone service, without your loved one being in a residential or outpatient program.

Goals and Reasons for Family Therapy

The ultimate goal of family therapy is to help the person in treatment get better. Since family is often an extension of ourselves, their involvement in this healing is often crucial. 

And, after patients leave treatment, the closest and most impactful support system they return to is often their family. Discussing concerns, past issues, and resolving conflict in family therapy can create a stronger support system for when they get back. 

Another crucial reason for family therapy is to give loved ones the chance to heal. They often have their own recovery journeys to walk, even if they weren’t the one struggling with an addiction or a mental health concern. For example, some family members fall into codependency as a way to have some grasp at control over their loved one’s condition. Family therapy can help you recognize your own recovery needs and process the experience of your loved one’s condition without guilt, anger, or self-responsibility.

What Family Therapy Looks Like: First and Continuing Sessions

Family therapy typically begins once your loved one has stabilized, expressed approval for family therapy, and has shown initial progress in their treatment. This means your sessions could start anywhere from a couple weeks to 1+ months after they admit into treatment. It’ll depend on their preferences and progress. Once they’re ready and their treatment team determines it beneficial, you’ll come in for your first session.

Before that, you’ll likely meet with the family therapist to go over expectations, ask questions, and become more comfortable in the space. This might happen as soon as your loved one admits into treatment or just before your first official session.  

First Session

Your very first family therapy session will likely include these key parts:

  1. Setting expectations together.
  2. Agreeing (and even signing a written contract) on how you will conduct yourself and treat others in your session. For example, you may all sign a contract promising to listen without interrupting or to not raise your voices.
  3. Outlining what your goals are for family therapy and how the therapist will know if they’re being met.
  4. Defining a direction and plan for your future sessions.
  5. If time allows, diving into how everyone’s feeling and any conversations they’d like to have now, or something they’d like to understand about their loved one in treatment.

You’ll likely sit in a small, private room—probably the therapist’s office, or the designated family therapy room if the treatment center has one. Your sessions will stay confidential and what’s shared won’t leave the room. Before you leave, your therapist may check in with how you’re all feeling and how you think the session went.

Continuing Sessions

Treatment centers vary in how often they provide family therapy. Some will schedule it once a week or once every couple weeks; others will designate 3-5 consecutive days for loved ones to engage in education and family therapy. This format is called a family week, or family program. Family programs often split their focus between 1) education and multi-family support groups and 2) family therapy with the patient and their loved ones. 

If your loved one isn’t participating in a residential or outpatient treatment program and instead attending family therapy as a stand-alone treatment, your sessions may be more regular and adaptable to your schedules. For example, you could request weekly or bi-weekly appointments. 

In continuing sessions, you’ll build off the goals and outlines set in your first session. They may also flow more organically, addressing issues as they arise or as they come to mind. For example, you may talk about something that happened recently or, during your session, your discussions may remind you of a past event you want to go over.

You’ll check in continuously with others and the therapist to ensure you’re meeting the goals set in the beginning, and that you’re finding the therapy beneficial. If you have changes or suggestions in mind, you may discuss these at the very beginning or end of the session.

Who Can Go to Family Therapy?

You don’t need to share DNA to go to family therapy. Chosen family can come too—anyone who supports the patient and that they trust. When asking the patient about family therapy, the therapist will see who they’d like included or excluded. Here are just some of the people that can come to family therapy:

  • Parents
  • Siblings
  • Friends
  • Cousins
  • Step-siblings
  • Step-parents
  • Coworkers
  • Children
  • Foster parents
  • Foster children
  • Grandparents
  • Grandchildren
  • Honorary and/or chosen family members

Is Family Therapy Required?

No. The patient may not want to engage in family therapy, or family members may not want to participate. No one is forced to, though family therapy is often strongly recommended.

For example, patients who were abused and traumatized by their families would not find it appropriate to bring their family members into treatment. Their treatment providers would agree. In these cases, and any other time the patient doesn’t want their family involved, family therapy will not be required or pursued.

Family Therapy vs. Family Education

Therapy and education for families aren’t the same things. They may overlap in some ways, but they have different goals and purposes. 

Family Therapy

Family therapy aims to heal relationships and reconnect loved ones, strengthening their bond and support system. They learn how to communicate better and process disagreements with respect and love. 

Family Education

Family education focuses on teaching loved ones about addiction and mental health conditions. It covers how conditions develop, contributing factors, and the recovery process. Families learn the biological background of addiction and mental health conditions, helping them see behavioral health conditions don’t arise from a lack of willpower. 

If a treatment center offers a family program, they may include workshops and presentations from a variety of professionals or those with lived experience. These sessions are often more interactive between the educator and other family members. 

Family therapy will likely touch on these aspects as questions arise or to explain behaviors of the patient. But the main focus of family therapy isn’t education.

Resources for Family Healing and Education

Family members have many resources and support available, whether their loved one is in treatment or not. 

Online Resources and Groups

Here’s a few online resources to access support:

Call Lines

And here are some numbers you can call for support or crisis care:

Books

These books offer education and support for family members of someone with behavioral health concerns:

  • Undaunted Hope by Dr. Claudia Black, “Stories of Healing from Trauma, Depression, and Addictions”
  • Unspoken Legacy by Dr. Claudia Black, “A far-ranging examination of how the effects of addiction and trauma in the family can reverberate for generations”
  • Codependent No More by Melody Beattie, “How To Stop Controlling Others And Start Caring For Yourself”
  • Addict in The Family by Beverly Conyers, “Rather than providing simple solutions or definitive answers to every question, Conyers’ careful research and warm writing offer education and support from those who “have been where you are” and the healing, isolation-breaking power of shared experiences.”

Family members can also attend individual therapy to discuss their experiences, process trauma, and develop coping skills in a 1-1 setting. These private sessions offer greater personalization and may be helpful for family members who don’t feel comfortable sharing in a family setting.

Ultimately, family therapy in rehab benefits both the person in treatment and the ones who love them. It’s often a critical aspect of recovery, and one you can support simply by attending and participating in sessions. 
To learn more about family therapy and its importance in recovery, you can listen to our recent podcast episode with expert Dr. Claudia Black!

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Unravelling Risk Factors and Strategies for Prevention of Mental Illnesses

Within the global health landscape, the prevalence of Substance Use Disorders (SUDs) and mental illnesses is quite significant. Data reveals that almost 1 in 4 adults have experienced a mental illness in the past year. Approximately 60% of the population1 consumed tobacco products, consumed alcohol, or used illicit drugs in the past month in the US. 

The rising prevalence of substance use is a concerning trend, as it often escalates into Substance Use Disorders (SUDs) and other mental illnesses. Excessive substance use can lead to a range of problems, from deteriorating physical and mental health to strained family relationships. This escalation can result in various challenges, including financial issues, legal troubles, and decreased academic or professional performance.

Prevention refers to strategies and measures aimed at stopping or mitigating the initiation and escalation of substance use. Proactively addressing these concerns is crucial. By implementing prevention efforts, individuals and communities can work together to create environments that deter substance use.

Levels of Prevention

Prevention involves taking action and adopting strategies to avoid or reduce the development of mental health problems. It aims to promote well-being and create conditions that support mental health, ultimately preventing or minimising the occurrence of mental illnesses. 

Prevention can be done at different stages. Primary prevention works before the illness starts, while secondary and tertiary prevention focuses on dealing with the illness after it has begun.

Level 1: Primary Prevention – Stopping Mental Illness Before It Starts

Primary prevention involves actions and strategies that aim to prevent the initial occurrence of a health issue or condition before it develops. In the context of mental health, primary prevention focuses on addressing risk factors and promoting protective factors to stop mental health problems from emerging. 

It includes interventions designed to create supportive environments, enhance resilience, and reduce exposure to factors that may contribute to the development of mental illnesses. Primary prevention is proactive, aiming to build a foundation of mental well-being and resilience in individuals and communities.

Level 2: Secondary Prevention – Early Intervention for Emerging Issues

Secondary prevention involves efforts to detect and address a health issue at an early stage, especially after it has already begun but before it becomes more severe or leads to complications. In the context of mental health, secondary prevention focuses on identifying and intervening with individuals who may show early signs of mental health challenges.

By recognising and addressing problems in their early stages, secondary prevention plays a crucial role in minimising the impact of mental health challenges. It provides an opportunity for timely support, interventions, and resources to enhance overall well-being and prevent the exacerbation of mental health issues.

Level 3: Tertiary Prevention – Rehabilitating and Preventing Relapse

Tertiary prevention involves efforts to manage and minimise the impact of an existing health issue, especially one that has already reached a more advanced or chronic stage. In the context of mental health, tertiary prevention focuses on rehabilitation and preventing the recurrence of mental health problems.

It includes interventions designed to support individuals who have experienced mental health challenges, aiding in their recovery and implementing strategies to prevent further complications or relapses. Tertiary prevention aims to enhance the overall quality of life and well-being of individuals already dealing with mental health issues.

Risk Reduction as a Preventive Measure

The risk reduction approach is a systematic and proactive strategy aimed at minimizing the likelihood or impact of potential harm in various aspects of life. This method involves identifying potential risks, analysing their causes and consequences, and implementing targeted measures to mitigate or eliminate them.

For example, common risk factors of cardiovascular issues include unhealthy eating habits, lack of physical activity, and excessive consumption of processed foods high in saturated fats. To mitigate these risks, individuals can adopt a balanced diet rich in fruits, vegetables, and whole grains, engage in regular physical activity, and limit the intake of processed foods. These proactive measures work to manage weight, regulate cholesterol levels, and improve overall cardiovascular health, reducing the likelihood of heart-related problems.

To understand this in the context of mental health, consider the example of stress management. Chronic stress is a recognised risk factor for mental health issues such as anxiety and depression. To mitigate this risk, individuals can implement stress reduction techniques such as mindfulness, meditation, or engaging in activities that bring relaxation. By proactively managing stress, individuals decrease its potential negative effects on mental well-being, fostering resilience and reducing the risk of developing mental health issues.

Common Risk Factors of Mental Illness and Substance Use Disorders

With an understanding of how risk reduction plays a role in preventing mental illnesses, let’s delve into the common risk factors associated with mental health challenges. In the following section, we will examine how these factors might be effectively addressed both at the community and personal levels.

The Interplay of Genetics

Genetics plays a significant role in shaping an individual’s vulnerability to both mental illness and SUDs. Certain genetic factors may predispose someone to a higher risk of developing conditions such as depression, anxiety, or addiction.

Although we have limited control over genetics, understanding family history can pinpoint a vulnerable population, offering valuable insights for targeted interventions. If substance use disorders or other mental illnesses are prevalent in your family, it may indicate a heightened risk for you.

Environmental Influences

Environmental factors, encompassing early life experiences, trauma, and living conditions, contribute significantly to the risk of mental health challenges and substance use. 

  • Adverse childhood experiences (ACEs): Stressful or traumatic events during childhood such as physical, emotional or sexual abuse, can serve as catalysts2 for both mental illness and SUDs. 
  • Parenting Practices: Harsh parenting and physical punishment during childhood have been shown to undermine child well-being. 
  • Bullying: Bullying stands out as a primary risk factor for mental health issues. 
  • Socio-economic Factors: Lower education, unstable employment, and financial stress were associated with a higher risk of depression.

Coping Mechanisms and Stress

Individuals facing chronic stress or lacking effective coping mechanisms may be at a higher risk of both mental illness and substance use. Substance use can sometimes emerge as a maladaptive coping strategy, further exacerbating mental health challenges.

Substance Use

Excessive alcohol consumption, smoking, and marijuana use were identified as risk factors for depression. In India, 17% of children aged 13 to 15 years reported consuming alcohol3. These figures emphasise the vulnerability of the younger population, demanding a focused approach to prevention and support. 

Children whose parents use substances may face an elevated risk2 of developing a mental illness or substance use disorder. The environment in which children grow plays a critical role in their overall well-being. When parents engage in substance use, it introduces a complex set of factors that can impact their children’s mental health.

Childhood Symptoms of Depression

Childhood mental illness notably predicts adult mental health issues. The onset of many mental illnesses often occurs during adolescence. Timely identification during this crucial stage can significantly improve the prognosis and outcomes for individuals.

This list is not exhaustive, and various other risk factors contribute to mental illnesses. Research indicates that mental illnesses are at least partially preventable4. In the following section, let’s explore strategies to mitigate or manage these risk factors, aiming to decrease the likelihood of adult mental illness and substance use disorders.

Strategies to prevent mental illnesses and substance use disorders

Preventing mental illness necessitates coordinated actions both at the policy level and the individual level. The “Origins of Adult Mental Illness” (OrigAMI) model4 provides a structured approach to crafting a prevention program. The initial step is to identify modifiable risk factors, followed by the identification of vulnerable populations, such as children displaying early signs of mental illness. Subsequent steps entail determining effective intervention techniques and establishing a suitable workforce. 

In low to middle-income countries, task shifting may be essential, involving the collaboration of teachers, counsellors, parents, and volunteers. The final step involves a thorough policy analysis, ensuring that prevention efforts are integrated into broader healthcare policies for comprehensive and sustainable impact.

At the community level, schools and colleges play a pivotal role in fostering mental health awareness. Implementing intervention programs within these settings, where children and parents are easily accessible, can significantly contribute to preventive efforts. Equipping young individuals with healthy coping techniques early on is crucial for enhancing stress management skills. Integrating fundamental mental health education into the school curriculum ensures that children receive essential knowledge from an early age.

Beyond academics, educating children and adolescents about the potential effects of substance use is imperative. Workshops for new parents can serve as valuable platforms for learning about children’s needs and promoting healthy communication and parenting practices. Educational institutes should establish and strictly enforce protocols against bullying, recognizing that both the bullied and the bully may exhibit signs of psychological distress that require appropriate counseling.

Additionally, to curb substance use among adolescents, it is essential to limit advertisements and ensure restricted access to substances like cigarettes and alcohol. By adopting these comprehensive measures within educational institutions, communities can create environments that prioritize mental well-being, resilience, and healthy interpersonal dynamics.

Empowering Yourself for Mental Health And Wellbeing

Empowering yourself with knowledge and practical measures can significantly contribute to overall well-being. Here are a few things you can try to incorporate: 

  • Maintain a healthy lifestyle: Poor overall health is also a risk factor for poor mental health. Prioritize regular physical activity, a balanced diet, and adequate sleep to support overall well-being. 
  • Stress management techniques: Chronic stress is a common trigger to anxiety and depression. Learn and practice stress-reducing activities such as mindfulness, meditation, or deep breathing exercises.
  • Build a support system: Cultivate strong social connections with friends and family, fostering a support network for challenging times.
  • Seek professional help when needed: Don’t hesitate to consult mental health professionals if experiencing persistent emotional challenges. Seeking help early on can reduce the impact on daily functioning and improve prognosis.
  • Limit substance use: Be mindful of alcohol, tobacco, and drug consumption, keeping it within recommended limits to prevent substance use disorders. Substance use can put you and your loved ones mental wellbeing at risk. 
  • Educate yourself: Stay informed about mental health, substance use, and their potential risks to make informed lifestyle choices.
  • Mindful parenting: For parents, focus on creating a supportive and nurturing environment for children, fostering positive mental health from a young age.
  • Educate children on substance use: Initiate open and honest discussions with your children about the harmful effects of substance use. Provide them with accurate information, emphasizing the potential risks and consequences associated with alcohol, tobacco, and drug consumption.
  • Bullying awareness and action: Be vigilant for signs of bullying and engage in open conversations with your children about their experiences. If your child is facing bullying, take proactive steps by communicating with the school, teachers, or relevant authorities to address the issue promptly.
  • Educate others: Share knowledge and awareness about mental health and substance use disorders to contribute to a more informed and supportive community.

In closing, it’s essential to recognize that mental illnesses and substance use disorders are preventable to some extent through proactive measures and informed choices. Education plays a pivotal role in this prevention journey – empowering yourself and your loved ones with knowledge about risk factors, early signs, and effective preventive strategies. Additionally, embracing a culture of seeking professional help when needed fosters a supportive environment for overall well-being. Let’s prioritize mental health, advocate for awareness, and foster a community where wellbeing is a shared priority.

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Ethical Care and Recovery: A Cornerstone for Healing

Ethics and quality treatment go hand-in-hand. One often doesn’t exist without the other and if they do, the impact of either lessens. In an industry shaped by unethical practices, some of which have just become the norm, a pursuit of ethics sets many organizations and providers apart.

We’ll explore what ethics are in the behavioral health industry and why they’re such an important part of recovery—regardless of the conditions present, the level of care, or patient preferences. Ethics remain the baseline of effective care.

Listen to our podcast episode with Marvin Ventrell, CEO of the National Association of Addiction Providers (NAATP), to learn more about ethics in treatment from the person who spearheaded the effort.

Ethics: What They Are and Why They Matter

At first thought, ‘being ethical’ may sound like feeding the homeless, treating others fairly, or being honest. People without ethics often star as villains in books and films, but in reality, a lack of ethics often shows in more subtle ways. Sometimes, that’s because we or another party don’t know the ethics of a certain industry, place, or demographic and act unethically by accident. Other times, acting unethically is an intentional choice to manipulate and mislead for personal gain. Usually, monetary.

Treatment that prioritizes ethics both improves the chances of success and helps patients feel respected and cared for, which maintains their dignity. Lacking ethics has consequences, from being hurtful to costing someone the recovery opportunity they deserved. In dire cases, unethical practices can directly or indirectly end someone’s life. 

Unethical Practices in Addiction Treatment

Ethics in the addiction treatment space have gotten more robust and structured, but that wasn’t always the case. Old practices still happen today and, unfortunately, can marr the otherwise respectable reputation of treatment providers. These are some of those practices.

Patient Brokering

Patient brokering is the practice of unethically attracting people to a certain treatment center through a broker that offers free flights, gifts, money, or even drugs. The ‘broker’ who refers them to treatment gets a compensation fee. Sometimes, brokers will help people relapse and then encourage them to go to the specific treatment center that gives them compensation. Brokers may share their fees to encourage patients to relapse and go to treatment.

The Affordable Care Act requires insurance companies to pay for addiction treatment, which means patients with good-paying insurance are often the targets of patient brokering, or body brokering. Once the patient’s insurance is charged, they’re run through treatment quickly, primed to relapse and return again to the center (so they can charge their insurance again). 

Thankfully, patient brokering has become illegal and therefore less common. But it still happens. States like Florida and California still battle shady providers and brokers, shutting them down as soon as they can. 

Misleading Marketing

Some treatment centers rely on misleading marketing to draw in patients—and their insurance. AI-generated images or generic stock photos make the center look nicer than it is, or advertise amenities and therapies that don’t actually exist (like private bedrooms, a pool, or equine therapy). The center could also claim they have more experienced or higher qualified staff than they actually do, like saying all their therapists are masters-level when they aren’t.

Thinking they’ve found an amazing center at an equally amazing price, patients or their loved ones may commit to treatment and pay upfront for their care without realizing they’ve been duped. 

Paying for Leads

Some treatment providers pay for ‘leads’ to their website, which are website clicks, phone calls, or messages indicating interest in treatment. For example, a treatment center may pay a directory or call center to send them a certain amount of leads. One way a call center can do this is by saying other treatment centers are full or closed, leaving the one paying them as ‘the only option.’ 

Lack of Transparency

Some treatment centers purposefully make it difficult to ascertain what they do and how they do it. They may also distort what the living conditions will look like, using vague statements like, “Patients are onsite.” (Living where? What are the rooms like? Is it actually residential? Will there be meals?)

The admissions staff are often just as vague, encouraging you to make your payments, get through the admissions process, and start treatment instead of answering questions. Once you get to the center, you may realize it’s not a good fit or not at all what you expected. 

Exposing Patient Identities

One of the last things many patients want is to see their face plastered over marketing materials or used on the website of the place they went to get treatment. Addiction and mental health treatment is deeply personal and often vulnerable; not something people often want disclosed (especially celebrities or high-ranking corporate employees/employers).

Unethical providers sometimes use pictures of patients to capture their treatment services and amenities. If treatment centers do use pictures of patients in their marketing materials or on social media, the patient must be fully aware and give their approval before the image can show anywhere on the internet or printed materials. 

Ethical Practices in Addiction Treatment

Many treatment providers and industry leaders recognize and prioritize ethics in treatment, slowly but surely changing the entire industry and restoring its reputation. Here’s how.

Clear Advertising

This applies to the treatment center advertising themselves and 3rd-party sites advertising the center. For the center, it means any material or messaging about their center is clear and not misleading. They clearly state what they are, what they do, and what patients can expect. Not only is this ethical and kind, it reduces fear of the unknown (FUD), which can be a barrier to treatment.

Third parties prioritize ethics by clearly marking which listings on their website are paid advertisers. At Recovery.com, for example, you’ll see we mark each treatment provider that pays for an extended reach. This lets visitors and potential patients know what is and isn’t an ad. 

Accurate Language and Images

The way a center portrays themself makes a big difference. If they say they’re the best rehab ever and upload a dozen stock images of a luxury spa, that’d likely change the way a potential patient views them—and sway their treatment decision. 

Sticking to the facts of what they treat, how they treat it, and including pictures of their center only make for a more ethical portrayal. Clear content and pictures also help potential patients make quick, informed decisions at a difficult time.

Updated and Accessible Licensing Information

A good indicator of quality care comes from 1) clinical licensure from the center’s country and state and 2) accreditation from organizations like the NAATP, The Joint Commission, LegitScript, and CARF. 

Many providers make these accreditations and licenses easily viewable on their website. You can also search the accreditor’s website for the specific treatment center to see if they’ve been accredited by them.

While licensure and accreditations don’t guarantee successful treatment, they can help you decide on a center and feel more confident in the quality of care you or a loved one will receive. 

Cultural Competency

Cultural competency means the staff at a treatment center have a learned or lived experience that allows them to understand someone’s culture, and how their culture can affect treatment. Cultural competency can help LGBTQ+, non-white, religious, and disabled people feel more comfortable, safe, and understood in treatment.

Making Every Effort to Offer Effective Care

Imagine if you went to the doctor for a sprained ankle and the staff only tossed you an ice pack. Some treatment providers do close to the same thing for addiction and mental health treatment; bare minimum services that don’t address core issues. 

Ethical providers do the opposite: making every effort to give you the best, most effective care they can. They collaborate with each other to better understand your needs and check that they’re addressing them. Depending on their services and available resources, you’ll receive the therapies and practices best attuned to what you need to recover.

Though effort and best intentions don’t guarantee recovery, they go infinitely farther than lackluster care and band-aid solutions. 

Organizations Enforcing Ethics

How does the treatment space enforce the concept of ethics and ethical practices? It takes the bravery and efforts of many organizations determined to improve the space and save lives. One of those organizations is the NAATP, who’s CEO we were privileged to talk with in our recent podcast episode. You can listen to that to learn more about his story and how the NAATP put their stamp on ethics. 

The Joint Commission also offers accreditation for many types of treatment providers. To gain accreditation from the NAATP and The Joint Commission, treatment providers go through rigorous screenings and approvals similar to state licensing. These organizations focus more on ethical care, though, which differs them from a center meeting the state requirements to operate. 
With these organizations and the passion behind them, finding quality, ethical addiction treatment is more than possible. People care. Hope is for everyone.