Drug addiction is a progressive, fatal disease. It needs rehabilitation and a willingness to work a program of recovery.
Rehab for drug abuse is meant to teach the person about the disease. The first step is to do a thorough assessment and evaluation. It will determine if there are any co-occurring psychiatric disorders.
Understanding Cocaine’s Addictive Nature
Cocaine is a powerful and addictive stimulant. It accelerates the entire mind and body. It can make a person feel full of energy, happy and on top of the world. It can make someone feel “invincible”. People become addicted to these feelings of elation and euphoria. It can be sexually stimulating as well.
The process of rehabilitation for substance abuse is both educational and therapeutic. Experts now know drug abuse is a brain disorder. Drug use alters the chemical and physical structure of the human brain. What that means is in order to be successful, a person must stop using illegal drugs and rebuild their brain with healthier habits, thoughts and actions.
Good programs incorporate evidenced-based practices. Evidenced-based therapy includes cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET). The addicted person needs to understand the disease concept and be willing to work on changing their lifestyle.
Substance abuse is often a symptom of an underlying psychological condition. Many addicts have a “co-occurring disorder“, such as depression, bipolar, anxiety, or PTSD. In some cases the person has been using drugs and or alcohol to “self-medicate” the undiagnosed or untreated psychiatric issue. Good facilities will do a thorough assessment and evaluation to diagnose any possible co-occurring disorders. Any psychiatric issues should be addressed simultaneously, along with the substance abuse.
Length of Stay
Today’s best programs take a long-term approach to recovery. It’s best to should start in an inpatient residential facility, if possible.
Most experts agree 30 days is the minimum length of stay in an inpatient program. If someone has tried and failed before, then even longer is recommended. Once the inpatient phase is completed, “stepping down” into a sober living environment is the ideal scenario. This should include enrolling in an Intensive Outpatient Program (IOP) as well as a support group such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
Levels of Care
There are 4 levels of programs. Each separate level has its own type of therapies and criteria for admission.
Outpatient, also known as an Intensive Outpatient Program (IOP), consists of going to therapy (usually groups), 3 to 5 times a week.
- Partial Day
Partial day programs, also known as partial hospitalization (PHP), consists of attending therapy daily for half of the day, usually in the morning.
- Inpatient – Residential
People attending inpatient residential treatment reside inside the facility and participate in the program on a full-time basis.
Users have major mood swings from euphoria to paranoid, angry, nervous and afraid. After the “high” of the cocaine wears off, a user will seriously “crash” and feel tired and sad. At some point the cravings to do more comes on to get that adrenaline “rush”, and feel good again. It puts you on an emotional roller coaster that’s difficult to control.
Legally, it is a Schedule II drug, meaning it has high potential for abuse.
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