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Outpatient drug rehab has some limitations. In my own situation, outpatient treatment did not really work as far as my own recovery went. But there are some benefits to it as well, and it seems to work for some.

Outpatient is essentially the day program at a residential treatment facility without actually staying in the facility overnight. In other words, with outpatient treatment, you go from your home to the treatment center each day, and then stay there and attend lectures and groups all day, then come back home at night.

So outpatient is really a step down from staying overnight in an inpatient setting.

Is outpatient treatment effective?

Some people do find success in outpatient drug rehab, but the odds are lower than if they had checked into a residential program. The research seems to back this up.

Are there any benefits to going with outpatient over other forms of treatment?

Sure outpatient treatment is more convenient, because you can go home each night. So it does not disrupt your life as fully as if you were to go stay somewhere inpatient for a few weeks. The overall expense will be much lower, as you don’t have to pay for an inpatient facility to put you up for a few weeks and provide meals.
Some might even be able to continue working while attending outpatient treatment, so there is added convenience there as well.

Who should go to outpatient drug rehab?

Those who have never been to rehab at all in their life might find some success in outpatient, so it could be worthwhile for some to try it. If it works in your situation, this is fantastic. Sobriety is what is critical. Outcomes are what is important.

Alternatively, if you tried outpateint in the past and it did not really work for you, then you might want to open up to other possibilities for treatment. Residential treatment is just one of those possibilities. You might think about trying some AA or NA meetings or perhaps getting into some regular therapy sessions each week. There are many paths to sobriety.

If you fail to stay sober when trying one method of treatment, consider something more intensive the next time you try to get sober. If outpatient leads you to relapse, then consider more intense treatment. If that doesn’t work, try long term treatment. You get the idea.

How can you determine if you have an addiction to alcohol?

To anyone who is not struggling with alcoholism, such a question might seem bizarre because they think the answer should be obvious. This can really be a tricky situation for some people, especially if you are still in the phase of drinking where you still have fun with it but at the same time you get into trouble sometimes.

In some cases, there are alcoholics who will go weeks or months at a time without drinking, but when they do drink, they tend to binge. So this could be tricky to diagnose by yourself, because the binge drinker often goes for long periods of time without having any problems at all.  In such cases the person might not realize that they should in fact stop drinking.

So how can you know for sure? Here are a couple of suggestions:

1) Try some controlled drinking. Set a limit on yourself that you can only have 1 drink per day, max. Keep this up for at least 12 months continuous.

2) Self diagnosis. This is the only way. Others cannot diagnose you with an alcohol problem. You must accept this reality for your own self. Admitting it is not enough. You will need to come to full acceptance of your condition without any reservation about it.

3) Consider this statement: “I didn’t get into trouble every time I drank, but every time I got into trouble, I had been drinking.” Is that true for you? If so then that is a huge indicator that you might be alcoholic.

4) Consider this statement: “When I control my drinking, I don’t have any fun. When I have fun with my drinking, I tend to lose control.” Another large indication if this sounds true for you.

So go through those suggestions and give them some thought. Try to control your drinking for a set period of time (the longer the better) and pay attention to how it makes you feel when you limit your alcohol intake.  If you come to the conclusion that something needs to change then you might want to start exploring how to stop drinking.

Getting addiction help will involve contacting either professional services of some sort or a 12 step treatment program. That is what is available out there when it comes to getting help for addiction. These professional treatment services could include a stay at a drug rehab center with a medical detoxification unit as well. In addition to rehab, an addict could also seek help from meetings, therapy groups, or from professional counseling.

Many people might use these types of services after they leave treatment as a form of aftercare.

It can be quite a struggle to get someone else to take action and do something about their problem and ultimately you will find that we cannot really change anyone, only ourselves. However, we can affect their choices in the long run by being more careful about how we behave around them.

In particular, we need to stop enabling people if we play some role in their drug or alcohol use. This includes helping them out when they get into trouble or calling in sick for them if they miss work due to their drug use. We can make a big difference in the addict’s life by choosing not to enable their drinking or using.

Unfortunately this is what has to happen in order for some drug addicts to become open to the idea of change. If an addict does not experience misery in their life then they will not be likely to make a decision to do anything different. So we eventually realize in dealing with an addict that it is best not to deny them of their pain. This does not mean that we need to go out of our way to trip them up or be mean to them – instead we just have to get out of their way and let them endure the natural consequences of their actions.

Giving genuine help to an addict is sometimes difficult because many times when we think we are helping them we are actually enabling them. The key is to help them only when they agree to seek professional help for their addiction and not give in to other attempts that are merely manipulation on their part. We can always do things that affect the drug addict but it might not have an immediate result that we can see. Instead we have to do our part in the relationship as far as no longer rescuing them in any way.

Knowing how to help an alcoholic is a difficult thing to do. Perhaps the best we can do is offer a system of recovery that works for them and encourage them to find out what that system is.

Part of the problem with traditional recovery is that it usually seeks to fit the alcoholic into the program instead of fitting a program to the alcoholic. This is not good and if you consider the current success rates of most recovery programs then you will determine that these methods are not very effective overall. The rate at which most alcoholics tend to relapse are quite low on average and this can be discouraging for those in recovery.

The solution to this is in customization. It is outrageous to cling to the idea that one program can universally apply to everyone and help them all equally. This is just silly. Many recovering alcoholics have found unique paths to sobriety over the years by using different strategies and tactics. No single solution will apply to every individual. This becomes clear to people who take a step backwards and take in the whole picture. Unfortunately, most in recovery do not believe this idea and they cling to the belief that there is only one way to overcome addiction. This normally means 12 step recovery groups such as Alcoholics Anonymous that basically make up most of the recovery industry today.” These programs are widely available and even though they seem to help a ton of people they actually have very poor rates of recovery.

For many alcoholics, only giving them one of option of 12 step meetings can be extremely discouraging if they do not feel drawn to that solution. It is just a poor fit for some people and they would actually do much better with an alternative program of recovery. What usually happens in this case is that we point our finger at the alcoholic and say that they “did not want it bad enough to stay sober” or they surely would have been able to make the 12 steps work for them. This is not a helpful way to view things as far as making growth and progress in recovery is concerned.

So what is the answer? For some the solution will be in the customization of a recovery program to their own unique life. This can perhaps be done through having a sponsor or by using life coaching services, for example. Other times a person can push themselves to grow in different ways in order to achieve a successful life in recovery.

How can we give addiction help to a struggling drug addict or alcoholic?

For starters, what can really help the them in the long run is for you to change your behavior towards them. The whole point is to be firm but fair and supportive without enabling, which of course can be a very fine line at times. This means that you might have to take a stand on some issues and put your foot down in cases where in the past you might have helped them. For example, if a struggling addict has children and they come over and beg for money so that they can provide for their children – do you give it to them? Some people might think it is compassionate to give them money because it’s for their kids but this is actually hurting the addict and their children in the long run. Because they are actively using drugs and alcohol, the money you give them is actually supporting their habit, even if indirectly. Just because they played the “kids” angle on you does not mean that they are not still wasting money on dope.

Generally speaking, codependent people will be involved closely in the addicts life, and they will need to set boundaries in order to help the addict come to a decision. Make it crystal clear to the person what is allowed and what is not allowed as far as their behavior goes and what you will do in terms of consequences. If you are confused about how to go about setting boundaries then you should start by going to an Al-anon group. The folks there can show you how to deal with an addict in ways that do not enable them or push them towards further drug use.

Helping an addict can be unnatural to some because in most cases we need to put our foot down and let them experience some pain in their life instead of rescuing them whenever they run into trouble.

Helping others with Addiction



Drug addiction can affect nearly anyone because it has so many different avenues of attack these days. You have got young people and college students who are smoking dope. There is alcohol everywhere in our society and the pressure to drink can be tremendous. Then there are painkillers, which have taken over the world and become the new gateway drug among young people. Opiates have overtaken pot and other drugs among youth today and it is becoming an epidemic of sorts.

So given that the problem is so widespread, what can we do to reach out and help others who are struggling? How can we offer addiction help to those who are caught up in this deadly cycle?

The first strategy is to confront the person. Sometimes this can be tricky because your offer for help might be taken instead as being bothersome or threatening so you might have to choose whether it is really worth pursuing. In some cases you might want to just maintain the peace but at other times if someone is truly out of control or a danger to themselves then you must set those fears aside and confront them anyway. The ultimate goal is to somehow motivate them to change instead of just letting them spin out even further.

There is no way of skirting the issue if you want to see change because there is no way to motivate them indirectly. If you want to see someone change then you must talk to them about it. Formal interventions can be useful in some cases but they rarely pan out as well as planned. At best they might be a step on the path towards recovery, but don’t expect to see instant success right away just because the whole family confronted someone together in a loving manner. They can be useful and they might actually help but don’t think that an intervention is a magic bullet – it’s not.

Most people would think that it is fairly easy to spot the signs of alcohol addiction – just watch for someone who is drinking too much, right?
But it goes further than this because we will also want to tell the difference between alcohol addiction verus just abuse. They are two different things and the procedures for treating them are completely different.
First, some definitions: “Alcohol abuse” versus “alcohol addiction” (alcoholism).
1) Alcohol abuse - is when someone is abusing alcohol, which could be daily or it could be every once in a while. Just because someone is drinking large amounts on a frequent basis does not mean they are an alcoholic for sure. For example, there are a lot of college students who drink heavily on a regular basis but they are not alcohol addicts nor do they develop alcoholism.
2) Alcohol addiction - this is alcoholism (the terms can be used interchangeably). Alcoholism is a much bigger problem than alcohol abuse, though it can still be tricky to differentiate at times. In reality, the only one that has to identify themselves as being alcoholic is the person themselves, other people’s opinions will not make any difference to them. Alcoholism is characterized by:
* Craving or compulsion for booze
* Withdrawal, physical symptoms when you take the drink away
* Blackouts

And so on. Although you might experience some of these things with alcohol abuse, too. So how can you tell the difference? Alcoholism is about a lifelong struggle that happens over time. With alcohol abuse, if you remove the drinking, the problem goes away.
With alcoholism, if you remove the drinking, the problems are just starting. The person will go through detox and if they don’t return to drinking or start working some sort of recovery then eventually they will become uncomfortable enough and they will relapse. This doesn’t happen with alcohol abuse.
Therefore, we can identify some of the signs of alcohol addiction as:
1) Physical dependency - the need to drink in order to function on a physical level.
2) Withdrawal symptoms - that occur when stopping drinking.
3) Obsession with drinking - the thoughts and mental energy spent thinking about drinking or being drunk when someone is sober.
4) Compulsive drinking - the inability to stop drinking once someone has started. The lack of ability to have just a couple drinks and be done with it.
However, recognize that there are alcoholics out there who are seriously addicted to booze but at the same time will not show heavy signs of physical withdrawal. It is not about how much we drank or how often we got drunk — it’s more about how alcohol made us feel and how we reacted to it when we did drink.

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