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Treatment approaches for Drug Addiction

Posted on August 16, 2017 at 1:35 PM
Treatment Approaches for Drug Addiction Share Revised July 2016 NOTE: This fact sheet discusses research findings on effective treatment approaches for drug abuse and addiction. If you???re seeking treatment, you can call the Substance Abuse and Mental Health Services Administration's (SAMHSA's) National Helpline at 1-800-662-HELP (1-800-662-4357) or go to www.findtreatment.samhsa.gov for information on hotlines, counseling services, or treatment options in your state.  What is drug addiction? Drug addiction is a chronic disease characterized by compulsive, or uncontrollable, drug seeking and use despite harmful consequences and changes in the brain, which can be long lasting. These changes in the brain can lead to the harmful behaviors seen in people who use drugs. Drug addiction is also a relapsing disease. Relapse is the return to drug use after an attempt to stop. The path to drug addiction begins with the voluntary act of taking drugs. But over time, a person's ability to choose not to do so becomes compromised. Seeking and taking the drug becomes compulsive. This is mostly due to the effects of long-term drug exposure on brain function. Addiction affects parts of the brain involved in reward and motivation, learning and memory, and control over behavior. Addiction is a disease that affects both the brain and behavior. Can drug addiction be treated? Yes, but it???s not simple. Because addiction is a chronic disease, people can???t simply stop using drugs for a few days and be cured. Most patients need long-term or repeated care to stop using completely and recover their lives. Addiction treatment must help the person do the following: stop using drugs stay drug-free be productive in the family, at work, and in society  Principles of Effective Treatment Based on scientific research since the mid-1970s, the following key principles should form the basis of any effective treatment program: Addiction is a complex but treatable disease that affects brain function and behavior. No single treatment is right for everyone. People need to have quick access to treatment. Effective treatment addresses all of the patient???s needs, not just his or her drug use. Staying in treatment long enough is critical. Counseling and other behavioral therapies are the most commonly used forms of treatment. Medications are often an important part of treatment, especially when combined with behavioral therapies. Treatment plans must be reviewed often and modified to fit the patient???s changing needs. Treatment should address other possible mental disorders. Medically assisted detoxification is only the first stage of treatment. Treatment doesn't need to be voluntary to be effective. Drug use during treatment must be monitored continuously. Treatment programs should test patients for HIV/AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as teach them about steps they can take to reduce their risk of these illnesses. How is drug addiction treated? Successful treatment has several steps: detoxification (the process by which the body rids itself of a drug) behavioral counseling medication (for opioid, tobacco, or alcohol addiction) evaluation and treatment for co-occurring mental health issues such as depression and anxiety long-term follow-up to prevent relapse A range of care with a tailored treatment program and follow-up options can be crucial to success. Treatment should include both medical and mental health services as needed. Follow-up care may include community- or family-based recovery support systems. How are medications used in drug addiction treatment? Medications can be used to manage withdrawal symptoms, prevent relapse, and treat co-occurring conditions. Withdrawal. Medications help suppress withdrawal symptoms during detoxification. Detoxification is not in itself "treatment," but only the first step in the process. Patients who do not receive any further treatment after detoxification usually resume their drug use. One study of treatment facilities found that medications were used in almost 80 percent of detoxifications (SAMHSA, 2014). Relapse prevention. Patients can use medications to help re-establish normal brain function and decrease cravings. Medications are available for treatment of opioid (heroin, prescription pain relievers), tobacco (nicotine), and alcohol addiction. Scientists are developing other medications to treat stimulant (cocaine, methamphetamine) and cannabis (marijuana) addiction. People who use more than one drug, which is very common, need treatment for all of the substances they use. Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine®), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behavior and help them become more open to behavioral treatments. Tobacco: Nicotine replacement therapies have several forms, including the patch, spray, gum, and lozenges. These products are available over the counter. The U.S. Food and Drug Administration (FDA) has approved two prescription medications for nicotine addiction: bupropion (Zyban®) and varenicline (Chantix®). They work differently in the brain, but both help prevent relapse in people trying to quit. The medications are more effective when combined with behavioral treatments, such as group and individual therapy as well as telephone quitlines. Alcohol: Three medications have been FDA-approved for treating alcohol addiction and a fourth, topiramate, has shown promise in clinical trials (large-scale studies with people). The three approved medications are as follows: Naltrexone blocks opioid receptors that are involved in the rewarding effects of drinking and in the craving for alcohol. It reduces relapse to heavy drinking and is highly effective in some patients. Genetic differences may affect how well the drug works in certain patients. Acamprosate (Campral®) may reduce symptoms of long-lasting withdrawal, such as insomnia, anxiety, restlessness, and dysphoria (generally feeling unwell or unhappy). It may be more effective in patients with severe addiction. Disulfiram (Antabuse®) interferes with the breakdown of alcohol. Acetaldehyde builds up in the body, leading to unpleasant reactions that include flushing (warmth and redness in the face), nausea, and irregular heartbeat if the patient drinks alcohol. Compliance (taking the drug as prescribed) can be a problem, but it may help patients who are highly motivated to quit drinking. Co-occuring conditions: Other medications are available to treat possible mental health conditions, such as depression or anxiety, that may be contributing to the person???s addiction. How are behavioral therapies used to treat drug addiction? Behavioral therapies help patients: modify their attitudes and behaviors related to drug use increase healthy life skills persist with other forms of treatment, such as medication Patients can receive treatment in many different settings with various approaches. Outpatient behavioral treatment includes a wide variety of programs for patients who visit a behavioral health counselor on a regular schedule. Most of the programs involve individual or group drug counseling, or both. These programs typically offer forms of behavioral therapy such as: cognitive-behavioral therapy, which helps patients recognize, avoid, and cope with the situations in which they are most likely to use drugs multidimensional family therapy???developed for adolescents with drug abuse problems as well as their families???which addresses a range of influences on their drug abuse patterns and is designed to improve overall family functioning motivational interviewing, which makes the most of people's readiness to change their behavior and enter treatment motivational incentives (contingency management), which uses positive reinforcement to encourage abstinence from drugs Treatment is sometimes intensive at first, where patients attend multiple outpatient sessions each week. After completing intensive treatment, patients transition to regular outpatient treatment, which meets less often and for fewer hours per week to help sustain their recovery. Inpatient or residential treatment  can also be very effective, especially for those with more severe problems (including co-occurring disorders). Licensed residential treatment facilities offer 24-hour structured and intensive care, including safe housing and medical attention. Residential treatment facilities may use a variety of therapeutic approaches, and they are generally aimed at helping the patient live a drug-free, crime-free lifestyle after treatment. Examples of residential treatment settings include: Therapeutic communities, which are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. The entire community, including treatment staff and those in recovery, act as key agents of change, influencing the patient???s attitudes, understanding, and behaviors associated with drug use. Read more about therapeutic communities in the Therapeutic Communities Research Report at https://www.drugabuse.gov/publications/research-reports/therapeutic-communities. Shorter-term residential treatment, which typically focuses on detoxification as well as providing initial intensive counseling and preparation for treatment in a community-based setting. Recovery housing, which provides supervised, short-term housing for patients, often following other types of inpatient or residential treatment. Recovery housing can help people make the transition to an independent life???for example, helping them learn how to manage finances or seek employment, as well as connecting them to support services in the community. Is treatment different for criminal justice populations? Scientific research since the mid-1970s shows that drug abuse treatment can help many drug-using offenders change their attitudes, beliefs, and behaviors towards drug abuse; avoid relapse; and successfully remove themselves from a life of substance abuse and crime. Many of the principles of treating drug addiction are similar for people within the criminal justice system as for those in the general population. However, many offenders don???t have access to the types of services they need. Treatment that is of poor quality or is not well suited to the needs of offenders may not be effective at reducing drug use and criminal behavior. In addition to the general principles of treatment, some considerations specific to offenders include the following: Treatment should include development of specific cognitive skills to help the offender adjust attitudes and beliefs that lead to drug abuse and crime, such as feeling entitled to have things one???s own way or not understanding the consequences of one???s behavior. This includes skills related to thinking, understanding, learning, and remembering. Treatment planning should include tailored services within the correctional facility as well as transition to community-based treatment after release. Ongoing coordination between treatment providers and courts or parole and probation officers is important in addressing the complex needs of offenders re-entering society. Challenges of Re-entry Drug abuse changes the function of the brain, and many things can "trigger" drug cravings within the brain. It???s critical for those in treatment, especially those treated at an inpatient facility or prison, to learn how to recognize, avoid, and cope with triggers they are likely to be exposed to after treatment. How many people get treatment for drug addiction? According to SAMHSA's National Survey on Drug Use and Health, 22.5 million people (8.5 percent of the U.S. population) aged 12 or older needed treatment for an illicit* drug or alcohol use problem in 2014. Only 4.2 million (18.5 percent of those who needed treatment) received any substance use treatment in the same year. Of these, about 2.6 million people received treatment at specialty treatment programs (CBHSQ, 2015). *The term "illicit" refers to the use of illegal drugs, including marijuana according to federal law, and misuse of prescription medications. Points to Remember Drug addiction can be treated, but it???s not simple. Addiction treatment must help the person do the following: stop using drugs stay drug-free be productive in the family, at work, and in society Successful treatment has several steps: detoxification behavioral counseling medication (for opioid, tobacco, or alcohol addiction) evaluation and treatment for co-occurring mental health issues such as depression and anxiety long-term follow-up to prevent relapse Medications can be used to manage withdrawal symptoms, prevent relapse, and treat co-occurring conditions. Behavioral therapies help patients: modify their attitudes and behaviors related to drug use increase healthy life skills persist with other forms of treatment, such as medication People within the criminal justice system may need additional treatment services to treat drug use disorders effectively. However, many offenders don???t have access to the types of services they need. Learn More For more information about drug addiction treatment, visit: www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/acknowledgments For information about drug addiction treatment in the criminal justice system, visit: www.drugabuse.gov/publications/principles-drug-abuse-treatment-criminal-justice-populations/principles For step-by-step guides for people who think they or a loved one may need treatment, visit: www.drugabuse.gov/related-topics/treatment References Center for Behavioral Health Statistics and Quality (CBSHQ). 2014 National Survey on Drug Use and Health: Detailed Tables. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2015. Substance Abuse and Mental Health Services Administration (SAMHSA). National Survey of Substance Abuse Treatment Services (N-SSATS): 2013. Data on Substance Abuse Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2014. HHS Publication No. (SMA) 14-489. BHSIS Series S-73. This publication is available for your use and may be reproduced in its entirety without permission from the NIDA. Citation of the source is appreciated, using the following language: Source: National Institute on Drug Abuse; National Institutes of Health; U.S. Department of Health and Human Services.

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11 Comments

Reply carl love
8:47 AM on October 19, 2018 
I'm Carl Jerry by name i want to share a testimony on how Dr AKHERE was able to bring back my wife back to me, myself and my wife were on a serious breakup, even before then we were always quarreling fighting and doing different ungodly act..My wife packed her things out of the house and we had to live in different area, despite all this i was looking for a way to re_unite with her, not until i met Dr AKHERE the great spell caster who was able to bring my wife back home, Dr AKHERE cast a love spell for me, and after some time i started seeing results about the spell....Today my family is back again and we are happy living fine and healthy, with Dr AKHERE all my dream came through in re_uniting my marriage, friends in case you need the help of Dr AKHERE kindly contact him now:

Email: [email protected]
or
call/whatsapp:+2349057261346
Reply Wilson Joe
5:23 AM on October 22, 2018 
HERPES SIMPLEX VIRUS TYPE 2 CURE
I am from USA i was diagnosed with HSV TPYE 2 while I was pregnant .I cried for days. I was devastated and looking up info on it just made it worse. I don't know how long I have had it for. I don't know if my partner has it or if he was the one who transferred it to me. I had one outbreak while pregnant. That's how I found out I had the virus. I started taking and antiviral and took it everyday twice a day to make sure I wasn't able to get an outbreak. I debated whether I wanted to have my daughter natural or c- section. I was terrified. Stress wasn't helping my situation. I ended up having her natural and she is a beautiful healthy 2 month old baby girl. I try not to think about me having the virus because of my depression i couldn't. so I have to focus more on how to get rid of HSV TPYE 2 because i don't want anything to happen to my daughter and thank God she was born fine. i visited different hospital but they gave me list of drugs like acyclovir, Zovirax, and (valacyclovir)Valtrex without without get rid of my virus. one day i decide to surf the internet for cure so i saw a testimony total cure of HERPES by Dr. JOHN with NATURAL HERBS so i pick up the email Address: [email protected] and contact he an hour later he reply explain to me how am going to get the herbs and how am going to use it to cure my virus i give a try believe me it work perfectly i used it within seven days now am tested negative i am free from the virus thanks Doc. for so many passing through this contact Dr. JOHN to help you get rid of the virus. here is his email address: [email protected] you can also call or add him on whats app +2347064365391 He can as well cure so many diseases like...........
1. ALS
2. HPV
3. SHINGLES
4. CANCER
5. HIV/AIDS
6 IF YOU WANT YOUR EX LOVER BACK
7. BREAST AND PENIS ENLARGEMENT and others diseases i can't remember now.Thanks Doc am so happy today
Reply Wilson Joe
5:24 AM on October 22, 2018 
HERPES SIMPLEX VIRUS TYPE 2 CURE
I am from USA i was diagnosed with HSV TPYE 2 while I was pregnant .I cried for days. I was devastated and looking up info on it just made it worse. I don't know how long I have had it for. I don't know if my partner has it or if he was the one who transferred it to me. I had one outbreak while pregnant. That's how I found out I had the virus. I started taking and antiviral and took it everyday twice a day to make sure I wasn't able to get an outbreak. I debated whether I wanted to have my daughter natural or c- section. I was terrified. Stress wasn't helping my situation. I ended up having her natural and she is a beautiful healthy 2 month old baby girl. I try not to think about me having the virus because of my depression i couldn't. so I have to focus more on how to get rid of HSV TPYE 2 because i don't want anything to happen to my daughter and thank God she was born fine. i visited different hospital but they gave me list of drugs like acyclovir, Zovirax, and (valacyclovir)Valtrex without without get rid of my virus. one day i decide to surf the internet for cure so i saw a testimony total cure of HERPES by Dr. JOHN with NATURAL HERBS so i pick up the email Address: [email protected] and contact he an hour later he reply explain to me how am going to get the herbs and how am going to use it to cure my virus i give a try believe me it work perfectly i used it within seven days now am tested negative i am free from the virus thanks Doc. for so many passing through this contact Dr. JOHN to help you get rid of the virus. here is his email address: [email protected] you can also call or add him on whats app +2347064365391 He can as well cure so many diseases like...........
1. ALS
2. HPV
3. SHINGLES
4. CANCER
5. HIV/AIDS
6 IF YOU WANT YOUR EX LOVER BACK
7. BREAST AND PENIS ENLARGEMENT and others diseases i can't remember now.Thanks Doc am so happy today
Reply Theresa
9:58 PM on October 22, 2018 
I want to thank Dr OSATO for the help he has rendered to me by getting Rid of my HIV. I was Diagnosed of this Virus over 3 years now but after the Usage of Dr.OSATO Herbal Medicine, I was cured from HIV and the virus was completely gone from my body. The Symptoms of the HIV Virus is completely Gone.. So anyone who is having the virus should contact Dr OSATO to give you the herbal medicine to cure yourself. Dr Osato also have the cure for different types of diseases like HERPES 1$2, HIV, DIABETES, CANCER ect. You can contact Dr Osato on email: [email protected] or call and whatsapp him +2347051705853. His website is https://osatoherbalcure.wordpress.com
Reply RUTH MARIS
7:41 AM on October 23, 2018 
All thanks to Dr Alli for curing my herpes virus/hpv with his herbal medicine, i do not have much to say but with all my life i will forever be grateful to him and God Almighty for using Dr Alli to reach me when i thought it was all over, today i am happy with my life again after the medical doctor have confirmed my HERPES SIMPLEX VIRUS / HPV of 5 is gone,i have never in my life believed that HERPES SIMPLEX VIRUS could be cured by herbal medicine. so i want to use this means to reach other persons who have this disease by testifying the power of Dr Alli that all hope is not lost yet, try and contact him by any means for any kind of disease with his email: ( [email protected] ) or his whatsapp number +2348100772528 and get your healing..,.
Reply SANDRO GREG
1:18 AM on November 16, 2018 
God bless Dr Larry for his marvelous work in my life, I was diagnosed of HERPES SIMPLEX VIRUS since 2010 and I was taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr Larry, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine within 3days. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES contact him [email protected] once again thanks to you Dr Larry. cure the flowing virus, contact his web site: http://assurancesolutionhome.wordpress.com
http://assurancesolutionhome.website2.me/ or add him on whatsapp +1(424)-261-8520

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Reply mark alhsy
5:36 PM on November 16, 2018 
I will like to share this great testimony of [email protected] or website https://bubaherbalmiraclemedicine.wordpress.com/ that helped me to save my marriage by increasing my Penis size and i now know that penis size really matters in a relationship or marriage. I got married to my wife about 2 month after we met on a photo studio, we lived happily for the first 5 months of our marriage until i and my wife start having quarrels at home because i couldn't satisfy her on bed with my small penis. Actually my penis was very small, it measured about 3.5 inch long on erection and i am 35 years old ,man. My wife said it was forbidden by the women of this world.. Sometimes i will return from work without finding my wife at home and whenever i call or ask her where she was, she will always snub at me and sometimes just tell me to go get a larger dick. All this continued for a long time and it hurt me so much that i was at the edge of breaking up on the marriage till when i read about a Herbal doctor called DR. MOSES BUBA online. I never thought i could smile and be in a happy marriage again if not for the help of DR MOSES BUBA I got the DR MOSES BUBA on his Emails: [email protected] on the internet and i emailed him, and he got back to me with some encouraging words, he got me some herbal cream which i use for just 7 days and i began to feel the enlargement of my penis, and without surgery. This went on for a little period of about 10 days and to my greatest surprise my wife keeps screaming that she love my big dick now. Now my wife no longer fight with me, and my penis is now about 11.5 inches long on erection and off course very large round. And now my wife uses breasts, hips and bums enlargement. I and my wife are very happy for the help rendered to me by DR.MOSES BUBA, and i want to say a big thanks to DR MOSES BUBA for the help. You can contact DR MOSES BUBA on his Email: [email protected] or visit his website https://bubaherbalmiraclemedicine.wordpress.com/
i am so thankful to DR MOSES BUBA for helping me. you can call OR whatsapp him
Reply Ava Mia
3:57 AM on November 30, 2018 
God bless Dr Lobo for his marvelous work in my life, I was diagnosed of HERPES since 2017 and I was taking my medications, I wasn't satisfied i needed to get the HERPES Cured out of my system, I searched about some possible cure for HERPES i saw a comment about Dr Lobo, how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS SPEED POST. I took the medicine as prescribed by him and 2weeks later i was cured from HERPES, Dr Lobo truly you are so great and powerful in spiritual works, do you need his help also? Why don't you contact him through his VIA EMAIL: ([email protected]) whatsapp him on +2349078118695
Reply Lucy
10:48 PM on December 4, 2018 
Hello everyone I want to appreciate the great work of Dr. Ehoh , I have been diagnose of herpes simplex virus for years,I?ve lost all hope and that there is no cure and I have been taken medicine to sustain myself till I got to know about Dr. Eboh through a friend who he cured of Hiv. I contacted him and he sent me his herbal remedy which I took as he directed me to do for some days and I went to the hospital after consuming his Herbal medicine and I was confirmed Herpes Negative after years of pains and suffering , it is indeed a miracle, his web site: https://holycurecenter.wordpress.com is a great man, I have heard so much about how he hashelp lot of people, if you have any issue you can contact him for help.via: [email protected] or add him on whatsapp +2348053823815.you can contact me for more information via: [email protected]
Reply carol harding
5:36 AM on December 18, 2018 
Its a pleasure for me to write this testimony about how i got my Genital Herpes cured a month ago. i have been reading so many comments of some people who were cured from various diseases by Dr .Usifoh but i never believed them. I was hurt and depressed so I was too curious and wanted to try Dr. Usifoh , then i contacted him through his email when i contact him, he assured me 100% that he will heal me, i pleaded with him to help me out. My treatment was a great success, he healed me just as he promised. he sent me his medication and ask me to go for check up after one weeks of taking the medication. i agreed with him i took this medication and went for check up a , to my greatest surprise my result was negative after the treatment, i am really happy that i am cured and healthy again. I have waited for 3weeks to be very sure i was completely healed before writing this testimony. I did another blood test one week ago and it was still Herpes negative. so i guess its time i recommend anyone going through Herpes HSV-1 or HSV-2, HIV, HPV, Hepatitis B, Diabetes, Cancer reach him through Email [email protected] com OR add on whatsapp +2348136788465
Reply mary johnson
6:18 AM on January 7, 2019 
IN THIS LIFE SOMEONE NEEDS TO TAKE A RISK.
I?m MARY JOHNSON, I contracted HIV in 2011, I was told by my doctor that there?s no possible cure for HIV. I started taking my ARV?s, My CD4 was 77 and viral load was 112,450. I saw a website of Dr.OSO, also I saw a lot of testimonials about him on how he uses herbal medicine to cure HIV. I contacted him and told him my problems, He sent me the herbal medicine and I took it for 7 days after then I went for check-up and I was cured. The medicine has NO SIDE EFFECT, there?s no special diet when taking the medicine. He also cure ALS, HEPATITIS B, CANCER, HERPES and lots more. You can reach him on [email protected] or .call/Whats-app +2348162084839.. here is the dr website.
https://sites.google.com/view/drosohaberhome/
His blog page https://drosohaberhome.blogspot.com

you can also email me for more info about DR oso via [email protected] ////