What are some treatment options for someone who is suffering from alcoholism?
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For many, taking the first step in seeking help for alcoholism can feel exceedingly overwhelming, especially if you are already feeling alone in your struggle. But the good news is, even at its most severe—with professional treatment and ongoing recovery efforts—this disease may be effectively managed.1 Research has even shown that 1 year later, about 1/3 of people who have completed alcohol addiction treatment have no further symptoms and fewer alcohol-related problems.1 Show
In the U.S., approximately 14.8 million people aged 12 or older had an alcohol use disorder (AUD) in 2018.2 This accounts for 5.4% of the population or about 1 in 19 people.2 Yet, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), only around 6.5% of adults with AUD actually seek treatment.3  Whether it’s for you or someone you love, choosing where to seek alcohol treatment, what type of care you need, and what daily life will look like post-treatment can make the process seem even more challenging. However, there are a number of alcohol treatment options available for those in need, ranging from medical detox to residential inpatient, partial hospitalization, intensive outpatient, and standard outpatient treatment programs. AUD may be somewhat different for everyone, and for that reason, a variety of treatment approaches are available to better speak to each person’s individual needs. There is no one-size-fits-all solution, and often, understanding the different options can facilitate the choice. Read on to find out more on each of the different types of treatment for alcoholism and how to get help. Types of Treatment for AlcoholismThe type of alcoholism rehab that will be most suitable for you may be determined by several individual factors such as your current alcohol use and corresponding level of physical alcohol dependence, any additional substance use, any previous attempts to quit, and any co-occurring medical and/or mental health conditions. However, regardless of your level of alcohol abuse, seeking the guidance of medical and mental health professionals can promote a better understanding of this chronic disease and help inform the course of treatment that you ultimately select. Medical DetoxFollowing a period of chronic and/or heavy alcohol use, and in anticipation of treatment, the initial step on the path to recovery commonly involves a detoxification or withdrawal management period. When a person has developed a significant physical dependence on alcohol and they decide to quit drinking, symptoms of alcohol withdrawal may develop.4 As it may be associated with an unpleasant and, in some instances, life-threatening withdrawal syndrome, medical detox is a challenging but necessary element of early alcohol recovery.4 This process allows the body to rid itself of the toxic influence of alcohol while keeping the individual as safe and comfortable as possible. While each detox facility has its own set of specialized plans and protocols, your medical detox plan may include medications, emotional support, nutrition, stress management, and other complementary therapeutic approaches. Residential Inpatient Alcohol TreatmentInpatient/residential alcohol treatment centers are able to provide 24-hour rehabilitation and care, while giving patients access to on-call medical and psychiatric services during their stay. Residential facilities vary in amenities and services, but all incorporate a variety of recovery programming such as individual and group counseling, coping skills education, and relapse prevention classes. Most residential treatment facilities offer 30- to 90-day programs in order to allow patients to focus solely on their recovery without the distractions of their everyday lives. Research indicates that remaining in treatment for an adequate amount of time—based on the severity of addiction and other individual needs—can be critical to recovery.5 Research supports at least 90 days in treatment to optimize treatment outcomes.5 Partial Hospitalization Program (PHP)A partial hospitalization program (PHP), also known as day programming, provides a relatively intensive level of care but in a slightly more flexible environment than residential inpatient treatment. This level of care allows patients to attend treatment during the day before heading back home when the day is over. In PHP, you’ll check in 5 days a week and will receive 4 hours of group therapy daily. PHP treatment settings may be most appropriate for those individuals with relatively stable living environments and stronger support networks; eligibility for PHP treatment may be based on a physician’s assessment of a person’s needed level of care. This type of program may not be ideal for those with relatively severe cases of addiction or co-occurring disorders. Intensive Outpatient Program (IOP)Intensive outpatient programs (IOPs) focus on disorders or other dependencies that do not necessarily require 24-hour supervision or detoxification. These types of programs still allow patients to continue with their normal lives off-site and require less time weekly in therapies than PHPs. IOPs are designed to provide coping strategies, establish support mechanisms, and help with relapse management. Although you could initially go through a medical detoxification phase elsewhere, you could still move into this level of treatment as you progress through your recovery programming. IOPs require that a person’s home environment be alcohol/drug-free and have a safe support system. They are also sometimes utilized after completion of an inpatient program (i.e., step-down treatment) as a way of easing the transition back to an individual’s everyday life. Outpatient Alcohol TreatmentOutpatient rehab for alcohol addiction may operate in a variety of settings, including hospital clinics, counselor’s offices, community mental health clinics, or inpatient/residential rehab facilities.6 Treatment times may be limited to a few hours throughout the week, mostly in the evenings and on weekends.6 Attendance requirements vary by program, with some offering daily sessions and others only meeting 1 to 3 times per week.6 Patients are able to live at home while in treatment, allowing for a level of flexibility that many individuals need to fulfill family or work obligations. Those participating in outpatient treatment would need to have a stable home environment that is alcohol and drug-free. Behavioral Therapies Used to Treat Alcohol AddictionSince addiction is usually accompanied by pathological changes in thoughts and actions, treatment plans include behavioral therapies to modify maladaptive behaviors and attitudes related to alcohol abuse. Over the course of alcohol addiction programs, these therapies may be administered though several group and individual counseling sessions. With these types of behavioral interventions, patients learn to better handle triggers and situations that may lead to alcohol use.7 Some of the therapies you may experience include:7
Alcoholism Aftercare ProgramsAftercare is an important part of the recovery process that begins once an alcohol addiction treatment program has been successfully completed. Once you leave a rehabilitation program, you may face challenges and temptations that can lead to relapse. Aftercare programs are designed to give individuals ongoing assistance and continued support to maintain long-term sobriety. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), 84% of treatment facilities offer aftercare services.13 Those that don’t, however, can typically work with you to devise a plan using other outlets prior to program completion. Aftercare efforts vary but include sober-living arrangements, continued sessions with a therapist, and ongoing participation in peer support groups such as:
Does My Insurance Cover Rehab for Alcohol Addiction?If you’re ready to chat with someone today about treatment, American Addiction Centers’ (AAC) Admissions Navigators on our treatment hotline are available 24/7 to discuss your options today. How can you support a person suffering from alcoholism?Supportive tips. Be empathetic when approaching your loved one.. Be honest about your concerns and offer your support.. Let the person know you're there if they need someone to talk to.. Offer to take them to meetings.. Take good care of yourself.. What is the first line of treatment for alcoholism?Naltrexone — For most newly diagnosed patients with moderate or severe alcohol use disorder, we suggest initial treatment with naltrexone. Naltrexone is our preferred choice due to its preferable dosing schedule and the ability to begin treatment for alcohol use disorder while the individual is still drinking.
What method of treatment has been found to be the most effective for alcoholics?A new study concludes that the Alcoholics Anonymous program is the most effective way to treat alcohol use disorder. The researchers said people who complete the organization's 12-step program have better success at abstinence as well as relationships with family members and friends.
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