Director of Content

When it comes to seeking recovery from drugs and/or alcohol, feelings of doubt, worry, or fear may keep you from pursuing professional addiction treatment or asking others for help. Because of this, it can be valuable to understand everything that goes into planning for rehabilitation and what a person can expect while in treatment.  



Although addiction cannot be cured, with professional treatment and ongoing recovery efforts, this disease may be effectively managed—even at its most severe. Learn more about addiction, how to find the right facility for you or a loved one, and what typical schedules may look like within treatment.



<h2>What is Addiction Treatment?</h2>



Substance abuse treatment is focused on helping individuals addicted to drugs and/or alcohol stop compulsive use and minimize the desire to seek out substances.1 Treatment can occur in a variety of settings and can vary in terms of recovery programming and treatment length (often 30-, 60-, or 90-day programs).



<a href="https://alcoholrehab.com/drug-addiction/">Substance use disorders</a> (SUD) and <a href="https://alcoholrehab.com/alcoholism/">alcohol use disorders</a> (AUD) may be somewhat different for everyone. Therefore, a variety of treatment approaches are available to meet each individual’s specific needs. Depending on your treatment plan, you may move through one or more of the following levels of care: medical detox, residential inpatient, partial hospitalization, intensive outpatient, or <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/outpatient/">standard outpatient</a>.2



Addiction treatment also includes the use of <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/">behavioral therapies</a> focused on addressing a patient’s attitudes and behaviors toward drug and alcohol use. Behavioral approaches help to engage patients in treatment, provide reasons for them to stay sober, and teach individuals healthier coping mechanisms to handle stressful or triggering situations.3



Ultimately, treatment should help those struggling with addiction to stop using drugs and/or alcohol, stay drug- or alcohol-free, and help them be productive within their families, at work, and in society.1


[link-bank]

<ul>

<li><a href="https://alcoholrehab.com/alcohol-treatment/americanaddictioncenters/">American Addiction Centers</a></li>
<li><a href="https://alcoholrehab.com/contact/">Does Insurance Cover Treatment?</a></li>
<li><a href="https://alcoholrehab.com/alcoholism/effects/alcohol-and-hemorrhoids">Alcohol & Hemorrhoids</a></li>
<li><a href="https://alcoholrehab.com/drug-addiction/signs-of-addiction/hiding-an-addiction/">Hiding an Addiction</a></li>
<li><a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/alcohol-abuse-treatment/">Alcohol Abuse Treatment</a></li>
<li><a href="https://alcoholrehab.com/alcohol-recovery/aftercare/sober-vacations/">Sober Vacations</a></li>
</ul>[/link-bank]

&nbsp;


<h2>What Type of Treatment Do I Need?</h2>



There is no one-size-fits-all solution to addiction treatment. Therefore, the level of care a person may need depends on a number of factors including:



<ul>
<li>A person’s current substance use and corresponding level of physical dependence.</li>
<li>Any additional substance use (i.e., which drugs are being abuse).</li>
<li>Any co-occurring medical and/or mental health conditions.</li>
<li>Any previous attempts to quit.</li>
</ul>



Along with a treating a person’s addiction, effective treatment should also address the individual as a whole and discuss any co-occurring disorders or any social, psychological, vocational, or legal problems related to substance abuse.4



It’s important to seek the guidance of medical and mental health professionals to help inform the course of treatment that is necessary.



<h2>Choosing Out-of-State or Nearby Treatment</h2>



When it comes to <a href="https://alcoholrehab.com/alcohol-treatment/americanaddictioncenters/">treatment at home or out-of-state</a>, both have their advantages and disadvantages. For some, being far from home may do more harm than good when relying heavily on the support of friends and family to remain in treatment. Or, choosing an out-of-state facility may mean that their insurance provider isn’t able to cover treatment. However, it’s still best to check with your provider since, in many cases, they’ll still offer coverage.



On the other hand, though a nearby facility may be more convenient, focusing on recovery while being away from home may be more beneficial for some. Finding a treatment center in another state may help individuals stay away from the toxic relationships and routines that may have led to abuse in the first place. Without these distractions nearby, individuals have more freedom to start over in an environment away from triggers.



<h2>What to Expect During Treatment?</h2>



The programming and amenities within various rehabilitation centers can vary by facility or level of care. But many involve a mix of:1



<ul>
<li>Medically assisted detox.</li>
<li>Medications used to ease certain withdrawal symptoms or dependence.</li>
<li>Treatment that addresses any comorbid disorders or co-occurring mental health issues.</li>
<li>Behavioral therapies.</li>
<li>Long-term aftercare planning to prevent relapse.</li>
</ul>



Regardless of setting (inpatient or outpatient), patients will attend a daily schedule of coping skills education, relapse prevention classes and individual and group therapy sessions. This type of consistent structure can also be beneficial in helping individuals develop a healthier, more well-balanced routine.



For those within residential or inpatient settings, programming typically lasts all day and includes breaks for meals and personal time in the evenings. In partial hospitalization programs, (PHP), patients will generally receive 4 hours of group therapy each day and will check in 5 days a week.



In intensive outpatient programs (IOP), individuals will go to therapy for 10-12 hours over the course of 3-4 days. Lastly, attendance requirements for outpatient vary by program with some only meeting 1 to 3 times per week and others requiring daily sessions.



Additionally, some facilities will offer alternative therapies such as music, art, yoga, and equine therapies to improve their overall experience.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />




<h2>What Happens When You Get Out of Rehab?</h2>



Prior to completing rehab, your therapeutic treatment team may work with you to develop an aftercare plan to help you maintain your sobriety and avoid relapse. Recovery is a lifelong process that requires commitment, patience and ongoing support.



Aftercare supports the positive effects of the initial forms of treatment, helping individuals strengthen the skills they learned during each phase of rehab. They can also help in promoting awareness of triggers and provide you with ongoing support through brief check-ups, telephone counseling or support group meetings.



Some of the more commonly utilized aftercare services include:



<ul>
<li>Individual and group counseling.</li>
<li>12-step meetings, like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).</li>
<li>Non-12-step groups such as SMART Recovery.</li>
<li>Sober living homes.</li>
</ul>



Utilizing aftercare services such as sober living homes are also helpful in easing the transition from rehab back to your regular life.



If a relapse does occur, it is essential to remember that it does not mean treatment failed or that you should judge yourself for the misstep. It simply means you’ve experienced a common setback that many people in recovery deal with at some or multiple points in their lives.



Speak with your treatment team or someone you trust immediately and share what you’re experiencing. Often times a relapse means that you may need to adjust your current treatment plan or take a different approach to treatment. Take this opportunity to learn from your setbacks, they don’t always need to end in relapse.



<h2>Discuss Your Treatment Options</h2>



If you or someone you care about is ready to seek treatment for drug addiction or alcoholism, American Addiction Centers’ (AAC) can help. AAC is a nationwide provider of addiction treatment centers and operator of AlcoholRehab.com.



We are committed to making recovery accessible to everyone in need and accept many insurance plans. With locations across the country, we’re able to provide a number of unique settings as your backdrop for recovery.And, if you’ve successfully completed 90 consecutive days at an AAC facility and experience a relapse, you are welcome back for a complimentary <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/30-day-program/">30 days</a> of our treatment.*



If you’d like to learn more about our approach to treatment, facility locations and/or what treatment may involve, call our admissions navigators today. All calls are 100% confidential and there’s no pressure to make a decision right away.









[sources] [1]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/what-drug-addiction-treatment" target="_blank" rel="noreferrer noopener">What is Drug Addiction Treatment?</a>



[2]. The ASAM Criteria. (2013). <a href="https://www.asamcontinuum.org/knowledgebase/what-are-the-asam-levels-of-care/" target="_blank" rel="noreferrer noopener">Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions, Third Edition.</a>



[3]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies" target="_blank" rel="noreferrer noopener">Behavioral Therapies</a>.



[4]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment" target="_blank" rel="noreferrer noopener">Principles of Effective Treatment</a>. [/sources]



*Terms and conditions may apply.

Planning for Drug and Alcohol Rehab

Several therapeutic approaches can be used to <a href="https://alcoholrehab.com/alcohol-treatment/">treat alcoholism or alcohol use disorders (AUD)</a>. Comprehensive recovery efforts commonly include some combination of behavioral therapy, medications, and mutual-support group participation, for example.1 While there is no <a href="https://alcoholrehab.com/alcoholism/cure/">one-size-fits-all solution to recovery</a>, as a part of a comprehensive treatment plan, a combination of these three approaches has helped many individuals maintain sobriety long-term.



<h2>Behavioral Treatments</h2>



Various types of behavioral therapy for alcohol addiction help people to modify their problematic drinking behaviors. Some may do so by providing rewarding incentives for remaining sober while others help people to identify maladaptive patterns of thought and alter their behaviors in response to them.2 What’s learned as a result of different behavioral therapies can also be beneficial in giving patients the tools necessary to combat stressful situations that may trigger cravings and/or use in the future.2



Below are <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/therapy/behaviorial-therapy/">effective behavioral therapies</a> used to address substance abuse:



<ul><li>Cognitive behavioral therapy (CBT) helps patients identify, avoid, and cope with situations that can lead to substance use.3</li><li>Contingency management focuses on reinforcing positive behavioral changes through rewards and special privileges such as attending counseling sessions or maintaining sobriety (measured by negative urine tests, etc.).4</li><li>Motivational enhancement helps individuals in resolving their uncertainty about treatment and stopping alcohol use.5</li><li>Twelve-step facilitation (TSF) is an active engagement strategy that promotes patient participation in 12-step meetings and other recovery programs.6</li><li>Family behavior therapy addresses potential household influences on negative alcohol use patterns in order to improve overall family functioning and the home environment.7</li></ul>



<h2>Medications/Pharmacotherapies</h2>



Along with behavioral therapies, medications may be used to treat alcoholism by helping people to decrease their drinking behavior to better maintain sobriety. The three FDA-approved medications to treat alcohol use disorder (AUD) are disulfiram, naltrexone, and acamprosate. Although not everyone will respond to these medications, for some individuals, they can be an important tool in managing their alcohol dependence.1



Disulfiram (Antabuse)&nbsp;



Disulfiram inhibits an enzyme which metabolizes alcohol.8 When taken regularly, disulfiram discourages drinking by giving rise to unpleasant effects in individuals when they consume even small amounts of alcohol.8 When used as prescribed, its effects may begin to be felt within 10 minutes after consuming alcohol.8 In turn, an association between drinking and the unpleasant symptoms is made, which can further discourage additional drinking.



Naltrexone (Vivitrol)&nbsp;



Naltrexone was approved in 1994 by the FDA as treatment for alcohol dependence.9,10 As an opioid receptor antagonist drug, naltrexone was originally used in treating individuals with opioid use disorders. Though the way naltrexone works to decrease drinking behavior isn’t entirely understood, those who’ve been treated with the drug suggest that its effects include reducing the desire to drink, therefore helping them remain abstinent.11



Acamprosate (Campral)&nbsp;



Used alongside social support and counseling, acamprosate appears to work by restoring a balance in the central nervous system between the glutamate and gamma-aminobutyric acid (GABA) systems, excitatory and inhibitory neurotransmitters, respectively.12,13 However, it doesn’t prevent symptoms of alcohol withdrawal and may not be effective in those who abuse other substances, haven’t quit drinking, or drink in large amounts.12 Though effective, acamprosate doesn’t appear to be more successful than disulfiram or naltrexone in reducing drinking behavior.12



<h2>Mutual Support Groups</h2>



Following successful completion of a rehabilitation program, an <a href="https://alcoholrehab.com/alcohol-recovery/aftercare/">aftercare plan</a> may be established in order for those in recovery to benefit from ongoing assistance and continued support in maintaining long-term sobriety. Because addiction is a lifelong struggle for so many people, aftercare is an important part of the recovery process&nbsp;that can aid in helping individuals avoid relapse when faced with challenges and temptations in their everyday lives.



Aftercare efforts vary but may involve sober-living residences, continued work with a therapist and attendance of mutual support groups or 12-step programs such as:



<ul><li>Alcoholics Anonymous (AA).</li><li>Narcotics Anonymous (NA).</li><li>SMART Recovery.</li><li>Al-Anon and Nar-Anon.</li></ul>



Combined with treatment led by health professionals, mutual support groups provide additional accountability and peer-based encouragement for people seeking to quit drinking and stay sober.1 As many mutual support groups are anonymous, it has been historically difficult for researchers to gather empirical data regarding their effects on those in recovery.1,14 However, some studies have shown higher rates of abstinence in those participating in mutual support groups than in those who do not.14



<h2>Get Help for Alcoholism</h2>



AlcoholRehab.com is operated by American Addiction Centers (AAC), a nationwide provider of addiction treatment facilities. We are dedicated to making recovery accessible to all persons in need. Our admissions navigators are available 24/7 to provide you with answers to your questions and concerns regarding alcohol addiction treatment.



We understand that making the first step toward sobriety can be overwhelming, but we’re here to support you every step of the way. We accept many insurance plans or can work with you so that finances don’t stop you from getting the help you deserve. Call our hotline to today; all calls are 100% confidential.



<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />


[sources] [1]. National Institute on Alcohol Abuse and Alcoholism. (2014). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help" target="_blank" rel="noreferrer noopener">Treatment for Alcohol Problems: Finding and Getting Help</a>.



[2]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies" target="_blank" rel="noreferrer noopener">Behavioral Therapies</a>. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).



[3]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies/cognitive-behavioral-therapy" target="_blank" rel="noreferrer noopener">Cognitive-Behavioral Therapy (Alcohol, Marijuana, Cocaine, Methamphetamine, Nicotine).</a> Principles of Drug Addiction Treatment: A Research-Based Guide (Third Ed.).



[4]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies/contingency-management-interventions-motivational-incentives" target="_blank" rel="noreferrer noopener">Contingency Management Interventions/Motivational Incentives (Alcohol, Stimulants, Opioids, Marijuana, Nicotine).</a> Principles of Drug Addiction Treatment: A Research-Based Guide (Third Ed.).



[5]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies/motivational-enhancement-therapy" target="_blank" rel="noreferrer noopener">Motivational Enhancement Therapy (Alcohol, Marijuana, Nicotine)</a>. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Ed.).



[6]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies/12-step" target="_blank" rel="noreferrer noopener">12-Step Facilitation Therapy (Alcohol, Stimulants, Opiates).</a> Principles of Drug Addiction Treatment: A Research-Based Guide (Third Ed.).



[7]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-therapies/family" target="_blank" rel="noreferrer noopener">Family Behavior Therapy</a>. Principles of Drug Addiction Treatment: A Research-Based Guide (Third Ed.). 



[8]. MedlinePlus. (2017). <a href="https://medlineplus.gov/druginfo/meds/a682602.html" target="_blank" rel="noreferrer noopener">Disulfiram</a>. 



[9]. National Institute on Alcohol Abuse and Alcoholism. (1995). <a href="https://pubs.niaaa.nih.gov/publications/combine/faqs.htm" target="_blank" rel="noreferrer noopener">Answers to Frequently Asked Medication Questions</a>. Guidelines for the Use of Naltrexone in the Treatment of Alcoholism; 5(1). 



[10]. MedlinePlus. (2017). <a href="https://medlineplus.gov/druginfo/meds/a685041.html" target="_blank" rel="noreferrer noopener">Naltrexone.</a>



[11]. Substance Abuse and Mental Health Services Administration. (2009). <a href="https://www.ncbi.nlm.nih.gov/books/NBK64042/" target="_blank" rel="noreferrer noopener">Incorporating Alcohol Pharmacotherapies into Medical Practice</a>. Treatment Improvement Protocol (TIP) Series, No. 49(4), 27-35. 



[12]. U.S. National Library of Medicine. (2012). <a href="https://pubmed.ncbi.nlm.nih.gov/22346357/" target="_blank" rel="noreferrer noopener">Acamprosate For Treatment of Alcohol Dependence: Mechanisms, Efficacy, and Clinical Utility</a>. Therapeutics and clinical risk management; 8, 45-53.  



[13]. MedlinePlus. (2016). <a href="https://medlineplus.gov/druginfo/meds/a604028.html" target="_blank" rel="noreferrer noopener">Acamprosate</a>. 



[14]. Tracy, K., &amp; Wallace, S. P. (2016). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047716/" target="_blank" rel="noreferrer noopener">Benefits of peer support groups in the treatment of addiction</a>. Substance abuse and rehabilitation, 7, 143–154. [/sources]

Types of Treatment For Alcohol Addiction

<h2>What is an Alcohol Addiction Hotline?</h2>



Usually toll-free, an alcohol anonymous hotline can help you find licensed treatment facilities or get help in finding recovery resources and support groups (e.g., AA or Al-Anon) in the area. 



Alcohol addiction hotlines can also be useful for loved ones seeking advice on how to speak to someone about excessive alcohol use, what alcohol withdrawal symptoms look like and what <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/holistic-addiction-treatment/" target="_blank" rel="noreferrer noopener">addiction treatment</a> entails.  



Because addiction hotlines are anonymous, you don’t have to disclose any personal information, and in some cases, advisors may also have gone through treatment themselves or have had a family member in treatment.



Alcoholrehab.com is operated by AAC, a nationwide provider of addiction treatment centers. Our admissions navigators are available 24/7 to discuss treatment for you or a <a href="https://alcoholrehab.com/alcoholism/helping-an-alcoholic/">loved one</a> and are dedicated to providing a safe and private space for you to share your experiences with substance abuse.



<h2>Should I Call a Helpline?</h2>



It can be difficult to make the decision to seek <a href="https://alcoholrehab.com/alcohol-recovery/aftercare/why-aftercare-programs-are-so-important/" target="_blank" rel="noreferrer noopener">help for addiction</a>. But even if you’re unsure or hesitant about calling an alcohol anonymous hotline, there’s no harm in speaking with an advisor about your concerns. All calls are 100% confidential and chances are, once you’ve shared your experience, you’ll be glad you did.



People who misuse alcohol to the extent that they cannot control their alcohol consumption, despite the negative consequences may be diagnosed with an <a href="https://americanaddictioncenters.org/alcoholism-treatment">Alcohol Use Disorder (AUD)</a>.  Here are some warning signs for an AUD: 
<ul>
<li>The inability to control or cut down on your drinking.</li>
<li>Continued use despite negative consequences.</li>
<li>Pre-occupation with using alcohol, including cravings.</li>
<li>Using alcohol in physically dangerous situations (driving under the influence)</li>
<li>Spending a great deal of time drinking or recovering after drinking alcohol.</li>
<li>Increased tolerance, which is defined as having to drink more to get the same effect.</li>
</ul>
<h2>Getting Treatment With AAC</h2>



AAC is dedicated to making this process easy and accessible for anyone ready to begin their journey toward recovery.



Our network of facilities offers a full range of services including medical detox, residential programs, intensive outpatient program (IOP), general outpatient, partial hospitalization programs (PHP), and aftercare planning. By calling our admissions navigators you can learn more about our centers to make the best choice possible for you or your loved one.



Once you’ve completed one of our programs, you’ll also benefit from an alumni support system. Across the country, alumni host fun gatherings and events each year while alumni coordinators check in regularly to ensure those recovering from alcoholism benefit from continued support. Additionally, if you relapse after completing 90 days of treatment within an AAC program, you can return for 30 days of complimentary treatment.*
Your insurance might cover treatment for alcoholism, check instantly with the form below.
[vob type="in-content"]



<h2>Hotline Resources</h2>



The following hotline resources are free, confidential, and available 24/7:



Alcohol and Drug Abuse: 800-729-6686 SAMHSA: 1-800-662-4357 National Suicide Prevention: 1-800-273-8255 National Youth Crisis: 800-442-4673 Boys Town: 800-448-3000



Although helplines are trusted resources, they cannot provide emergency care. If you’re experiencing a medically or mentally dangerous situation (such as suicide attempts), call 911 immediately.



*Terms and conditions apply.
Other Articles On Alcoholism:
<ul>
<li> <a href="https://alcoholrehab.com/alcoholism/signs-of-alcoholism/am-an-alcoholic/">Am I an Alcoholic?</a> </li>
</ul>

Alcohol Addiction Hotline

Making the decision to seek treatment for alcoholism can be hard and overwhelming. But once you’ve made the choice to get sober, we can help you take the next steps to finding a facility and going through the admissions process.

AlcoholRehab.com is operated by <a href="https://alcoholrehab.com/alcohol-treatment/americanaddictioncenters/">American Addiction Centers</a> (AAC), a leading provider of addiction treatment services across the U.S. When you call any number on AlcoholRehab.com, you will be connected with one of AAC’s admissions navigators who will be assigned to you and your loved ones through the entire evaluation and admissions process.

Our admissions navigators are here to answer any questions you may have, discuss your treatment options, facilitate payment arrangements, and arrange travel arrangements to the facility of your choosing.

Here’s what to expect when going through the admissions process with AAC:
<h2>Calling American Addiction Centers</h2>
Before getting into any of the arrangements, the first part of seeking help for alcoholism is calling American Addiction Centers at [phone]. We understand that this may be the hardest thing you’ll have to do for yourself or a loved one, but we’re here make you feel comfortable and safe.

We want to make this process easy for you and we’ll be with you every step of the way. Our admissions navigators are ready to talk with you about what’s going on, whether you’re considering treatment for yourself or a loved one, and how to get the process started.

When you contact an AAC admissions navigator, you’ll first complete an admissions pre-assessment and have the opportunity to ask your admissions navigator any general questions you may have. Be ready to answer some basic questions about your mental and physical health history and have the following information available before calling:
<ul>
 	<li>Insurance information.</li>
 	<li>Details of alcohol and/or other substance use (frequency, amounts, family history, etc.).</li>
</ul>
<h2>Insurance &amp; Finance Options for Treatment</h2>
Treatment for drug and alcohol addiction can be expensive, but our admissions navigators can help you in understanding your options for treatment. They can help verify what is covered under your health insurance, make arrangements for scheduled payments, or direct you to other facilities should you not be covered at an AAC facility.

If you’re unsure if your insurance is covered by AAC, fill out the form below for a confidential instant verification.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />

Or learn more about <a href="https://alcoholrehab.com/alcohol-treatment/paying-for-treatment/">paying for treatment</a>.

How to Get Admitted to Rehab

Paying for drug and/or alcohol rehab can be pricey; and for some, may be a deterrent to getting the help they need. According to the Substance Abuse and Mental Health Services (SAMHSA), approximately 14.8 million people aged 12 or older had an alcohol use disorder (AUD) in 2018.1 However, only around 6.5% of adults with AUD actually seek treatment for the disorder.2

While there are many reasons people may choose not to go to rehab, cost can be one of the biggest challenges they face. As operator of AlcoholRehab.com, American Addiction Centers (AAC) is dedicated to making treatment accessible to everyone in need. We accept many <a href="https://alcoholrehab.com/insurance-coverage/">insurance plans</a> and can work with you on a manageable payment schedule so that finances aren’t a roadblock to getting help.

Whether you choose to seek treatment with AAC or at another facility, the following will help you navigate how to pay for drug and alcoholism treatment.
<h2>Does Insurance Cover Rehab for Alcohol?</h2>
In 2010, when the Affordable Care Act passed, substance use disorder (SUD) treatments were classified as an essential health benefit. This meant that all marketplace plans were required to offer coverage for SUDs treatment and could no longer discriminate against pre-existing drug and/or alcohol addiction.3

Health insurance for substance abuse treatment may cover the below (at approved facilities):
<ul>
 	<li>Inpatient care.</li>
 	<li>Outpatient care.</li>
 	<li>Medical detox, including medications.</li>
 	<li>Co-occurring mental health conditions.</li>
 	<li>Follow-up counseling.</li>
 	<li>Maintenance addiction medication.</li>
</ul>
However, you may have more coverage than you think based on your insurance provider and specific policy. Typically, any medical services that are deemed unnecessary may not be covered such as extra services at upscale treatment centers (e.g., certain holistic care services, gourmet food, or other non-medical amenities).
<h2>Ways to Pay for Drug and Alcoholism Treatment</h2>
<h3>Private Insurance</h3>
Those using private insurance can call their member services representative to see what types of treatments are covered within their specific policy. The most common healthcare plans are HMOs and PPOs—both offer a variety of options.

Though HMO plans typically have lower premiums than PPOs, if seeking a specialist or physician outside of your network, a referral from your primary care physician must be sent over first. When using a PPO, patients can see a healthcare provider in or out of their network without referrals but will typically have higher monthly premiums and co-pays.

It may also be beneficial to contact a substance abuse treatment facility since, in some cases, they can work with your provider to figure out your payment options.
<h3>Medicaid</h3>
Over 70 million people are covered by Medicaid, a government-funded insurance option for those who otherwise would not be able to afford private insurance.4 The program helps individuals of low-income families get quality healthcare based on program eligibility standards.

Following the passing of the ACA, Medicaid programs are also now required to provide coverage for substance abuse treatment. Depending on your specific plan, using Medicaid can greatly decrease the cost of addiction treatment and may even cover the costs entirely. Visit the Medicaid website to determine if you and/or your dependents qualify.
<h3>Medicare</h3>
Medicare is a national health insurance program in the U.S. for those aged 65 or older, those younger than 65 with a disability, and people younger than 65 that have end stage renal disease.5 There are certain guidelines that must be adhered to in order to cover the cost of alcoholism treatment, such as:6
<ul>
 	<li>The provider must create a plan relaying the type of services and treatment the patient needs, as well as how often they’ll need it.</li>
 	<li>Treatment must be provided by a Medicare-approved facility/provider.</li>
 	<li>The provider must state that treatment is medically necessary.</li>
</ul>
Medicare coverage is offered and broken down in three ways: Part A, Part B, and Part D.
<ul>
 	<li>Part A helps cover inpatient treatment at a hospital or inpatient rehab center.</li>
 	<li>Part B helps cover outpatient treatment services through a clinic or a hospital outpatient center.</li>
 	<li>Part D can help pay for drugs to treat substance use disorders when medically necessary.</li>
</ul>
Some additional services covered include patient education about treatment and diagnosis, psychotherapy, medically administered prescription drugs, and post hospitalization follow-up.6 Your Medicare administrator can share the full list of items covered.
<h2>Out-of-Pocket Costs for Rehab</h2>
Whether you use private or government-funded insurance, there are still certain things you’ll have to pay for out-of-pocket. Typically, policyholders are responsible for the following:
<ul>
 	<li>Premiums: The monthly or annual cost to have insurance.</li>
 	<li>Copays: The reduced fee paid in order to be seen by a doctor or to get service.</li>
 	<li>Deductibles: The amount of money the policyholder must pay before coverage starts.</li>
 	<li>Lifetime limitations: Certain insurance plans only pay for coverage up to a certain amount, leaving the policyholder to be responsible for the remaining balance.</li>
</ul>
<h2>How to Use Insurance for Treatment</h2>
Once you’ve established which insurance provider you’ll be using and verify your coverage, consider the following:
<ul>
 	<li>Have a conversation about your treatment needs: One of the stipulations for getting insurance to cover treatment is that it must be deemed medically necessary. Because of this, this will be your first step in the process and is typically covered by insurance. Your doctor will perform an assessment to determine the degree of abuse or addiction, as well as what type of treatment is needed.</li>
 	<li>Find a treatment program: While factors such as amenities, cost and location are essential, it’s also important to make sure that your specific level of care is treated at the facility of your choosing.</li>
 	<li>Contact the treatment center to discuss your level of coverage: Since coverage can vary between persons, the facility you choose will work with you to determine how much of your specific program is covered. In some cases, they may also help you create a payment plan or schedule should insurance not cover certain portions of the program.</li>
</ul>
To verify your insurance coverage with AAC, use the form below.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />
<h2>Contact AAC Admissions Navigators</h2>
If you’re unsure of what coverage you have or how to best utilize the services under your plan, our Admissions Navigators are available 24/7 to chat about your treatment options. Or you can <a href="https://alcoholrehab.com/alcohol-treatment/americanaddictioncenters/">contact one of our facilities</a> directly to speak with an insurance specialist who can help you navigate the specifics of your policy.



[sources]

[1]. Substance Abuse and Mental Health Services Administration. (2019). <a href="https://www.samhsa.gov/data/report/2018-nsduh-annual-national-report" target="_blank" rel="noopener noreferrer">The 2018 National Survey on Drug Use and Health (NSDUH)</a>.

[2]. National Institute on Alcohol Abuse and Alcoholism. (2019). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics" target="_blank" rel="noopener noreferrer">Alcohol Facts and Treatment</a>. 

[3]. HealthCare.gov. (n.d.). <a href="https://www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/" target="_blank" rel="noopener noreferrer">Mental Health &amp; Substance Abuse Coverage</a>. 

[4]. Medicaid.gov (n.d.). <a href="https://www.medicaid.gov/medicaid/index.html">Medicaid</a>.

[5]. U.S. Department of Health and Human Services. (2014). <a href="https://www.hhs.gov/answers/medicare-and-medicaid/who-is-elibible-for-medicare/index.html" target="_blank" rel="noopener noreferrer">Who is eligible for Medicare?</a>

[6]. MedicareInteractive.org (n.d.). <a href="https://www.medicareinteractive.org/get-answers/medicare-covered-services/mental-health-services/treatment-for-alcoholism-and-substance-abuse" target="_blank" rel="noopener noreferrer">Treatment for Alcoholism and Substance Use Disorder</a>.
[/sources]

How to Pay for Alcohol Rehab

Alcohol is one of the most widely-used substances in the world. Drinking is commonly normalized, and embraced by many as an accepted form of social engagement. However, regularly drinking even moderate amounts of alcohol may be associated with adverse effects and may put people at risk of certain short- and long-term health consequences. Across the U.S., nearly 70% of people ages 18 or older reported that they drank alcohol in the past year while more than half reported that they drank in the past month according to the 2019 National Survey on Drug Use and Health (NSDUH).1
Because it is relatively easy to get and socially acceptable to consume (for those of legal drinking age), it can be a challenge to have people evaluate their own drinking behavior and know whether the amount of and frequency with which they drink places them at-risk for alcoholism. To help individuals better quantify their drinking patterns, the U.S. Department of Health and Human Services and U.S. Department of Agriculture’s jointly-issued 2015-2020 Dietary Guidelines for Americans defines “moderate” drinking as up to 1 drink per day for women and up to 2 drinks per day for men.2
Additional metrics may also be helpful for gauging potentially problematic drinking. For instance, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) defines binge drinking as a pattern of consumption that brings a person’s blood alcohol concentration (BAC) to 0.08% or higher.2 Typically, this is around 5 or more drinks for males and 4 or more drinks for women in about 2 hours.2 
The NIAAA describes heavy use as more than 4 drinks for men or more than 3 drinks for women on any given day.2 According to the NSDUH, in the past month of the survey, 25.8% of people ages 18 or older reported that they engaged in binge drinking while 6.3% reported engaging in heavy alcohol use. Further, an estimated 14.1 million Americans aged 18 and over were reported to have an alcohol use disorder (AUD).1
Although not everyone who drinks alcohol will become addicted or develop an alcohol use disorder, understanding the risks of heavy drinking and binge drinking may help some slow the progression of their problematic drinking behaviors. Learn more about alcoholism below and how professional addiction treatment can help those struggling with alcohol abuse work toward recovery.
<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />

<h2>What is Alcoholism?</h2>
Alcoholism, or alcohol use disorder, is a <a href="https://alcoholrehab.com/alcoholism/cure/">chronic condition</a> characterized by an inability to slow, stop, or otherwise control the use of alcohol despite the negative consequences of continued use.1 AUD is diagnosed based on an individual meeting certain criteria outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
<h3>Signs and Symptoms of Alcoholism</h3>
Individuals who meet at least 2 of 11 criteria within the same 12-month period may be diagnosed with an alcohol use disorder. People who meet these diagnostic criteria may have experienced or exhibited the following types of signs, symptoms, and behaviors within the last year:3
<ul>
<li>Had times when you drank more (or longer) than planned.</li>
<li>Wanting to stop or cut down on drinking but weren’t able to do so.</li>
<li>Spending a considerable amount of time getting alcohol, drinking, or getting over the effects of drinking.</li>
<li>Wanting an alcoholic beverage so much so that you couldn’t think of anything else.</li>
<li>Drinking (or being sick from drinking) hindered your ability to meet home, school, or job obligations.</li>
<li>Continuing to drink, despite drinking causing problems with family or friends.</li>
<li>Spending less time or giving up activities that are important or interesting to you or that gave you pleasure for the purpose of consuming alcohol.</li>
<li>During or after drinking, getting into situations where you increased your risk for getting hurt (driving a car, for example).</li>
<li>Continuing to drink, despite it making you feel anxious, depressed, or contributing to a separate health problem, or after having experienced a memory blackout.</li>
<li>Needing more alcohol to achieve the desired effect or the regular amount that you drink, no longer has the same effect.</li>
<li>Experiencing withdrawal symptoms when the effects of alcohol wear off, like restlessness, sweating, shakiness, sleeping, seizure, racing heart; or sensed things that were not present.</li>
</ul>
<h2>Effects of Alcohol Use</h2>
Even if an individual doesn’t abuse alcohol regularly, they can still experience several potentially negative <a href="https://alcoholrehab.com/alcoholism/effects/">physical and psychological effects</a>. There are a number of different short and long-term effects of alcohol consumption which can affect the body in many different ways.
<h3>Short-Term Effects of Alcohol Use</h3>
In the short-term, the effects of alcohol can range from mild, such as slight euphoria, to more severe symptoms such as passing out or vomiting.5 Depending on how much drinking has taken place, other short-term effects of alcohol can include: 5,6
<ul>
<li>Trouble concentrating.</li>
<li>Loss of coordination; clumsiness.</li>
<li>Dulled sensory perception; increased reaction time.</li>
<li>Decreased visual acuity; visual disturbances including double vision.</li>
<li>Lowered inhibitions.</li>
<li>Loss of critical judgement.</li>
<li>Fluctuating moods.</li>
<li>Reduced core body temperature.</li>
<li>Raised blood pressure.</li>
<li>Slowed breathing progressing to respiratory arrest.</li>
<li>Loss of consciousness; coma; death.</li>
</ul>
Chronic physical and mental health issues can also be caused by drinking too much over time. Drinking large amounts of alcohol for many years can damage the brain and nervous system, heart, liver and pancreas.7
<h3>Long-Term Effects of Alcohol Use</h3>
Heavy drinking can contribute to or cause issues such as cardiovascular disease, multiple types of cancer, and/or liver damage.1,6,8 Other long-term health risks associated with alcohol misuse include:7
<ul>
<li>High blood pressure.</li>
<li>Increased blood cholesterol levels.</li>
<li>Stroke.</li>
<li>Pancreatitis.</li>
<li>Depression.</li>
<li>Dementia.</li>
<li>Sexual problems (e.g., impotence, premature ejaculation).</li>
<li>Infertility.</li>
<li>Heart attack.</li>
<li>Stroke.</li>
</ul>
Long-term alcohol misuse can also make individuals more vulnerable to serious infections by weakening their immune system.7 It can also weaken a person’s bones, putting them at risk of fracturing or breaking them.7
Regular misuse of alcohol is also associated with the development of physiological dependence and an unpleasant (and potentially dangerous) acute alcohol withdrawal syndrome when drinking slows or stops.3,7
<h2>What is Alcohol Withdrawal?</h2>
A person who has been abusing alcohol regularly may develop significant alcohol dependence, which places them at risk of experiencing several symptoms of alcohol withdrawal if they suddenly quit drinking.9 Typically, symptoms occur within 8 hours after the last drink and peak by 24 to 72 hours.9 In some cases, certain symptoms may not begin until days after the last drink and go on for weeks.9
Alcohol detox and medical withdrawal management is often the first step in the rehabilitation process for people with significant alcohol dependence. The acute alcohol withdrawal syndrome may consist of symptoms that range from mild to dangerous, and left unmanaged, heavy alcohol users may experience uncomfortable and potentially severe symptoms.9
<h3>Symptoms of Alcohol Withdrawal</h3>
Exactly which symptoms are experienced may vary with each individual. Some of the more common alcohol withdrawal symptoms include :9
<ul>
<li>Depression.</li>
<li>Anxiety.</li>
<li>Irritability.</li>
<li>Fatigue.</li>
<li>Nightmares.</li>
<li>Jumpiness or shakiness.</li>
</ul>
Other symptoms may include:9
<ul>
<li>Headache.</li>
<li>Insomnia.</li>
<li>Increased body temperature.</li>
<li>Increased sweating.</li>
<li>Nausea and vomiting.</li>
<li>Loss of appetite.</li>
<li>Rapid heart rate.</li>
<li>Hallucination.</li>
<li>Agitation.</li>
<li>Profound confusion.</li>
<li>Generalized tremors.</li>
<li>Seizures.</li>
</ul>
Symptoms can vary person-to-person in terms of severity. A supervised, medical detox can help people avoid unnecessary discomfort or life-threatening complications from withdrawal. Medical detox is a challenging but necessary element of early alcohol recovery. The supervision and care of a professional detox program helps keep the individual as safe and comfortable as possible as their body clears itself of alcohol’s influence.9
Each detox facility may have its own particular set of plans and protocols. However, in general, a medical detox plan may include medications, close patient monitoring, and caring support from the treatment team at the core of treatment plan at this early stage of recovery.
<h2>Treatment Options for Alcoholism</h2>
Following detox completion and successful withdrawal management, many will continue with additional <a href="https://alcoholrehab.com/alcohol-treatment/">alcohol addiction treatment</a> to continue working toward recovery. Several individual factors may help to determine the type of treatment that will be most suitable for you such as:
<ul>
<li>Current alcohol use and corresponding level of physical alcohol dependence.</li>
<li>Any previous attempts to quit.</li>
<li>Any additional substance use.</li>
<li>Any co-occurring medical and/or mental health conditions.</li>
</ul>
Though treatment settings may vary, all incorporate a variety of recovery programming such as behavioral therapies, individual and group counseling, medications to manage AUD, coping skills education, and relapse prevention classes. Patients may experience rehab in a variety of settings including short- and long-term residential treatment and outpatient programming.10
Inpatient and residential alcohol treatment centers provide 24-hour care, giving patients access to on-call medical and psychiatric services during their stay.10 Inpatient/residential alcohol treatment centers typically offer 30- to 90-day programs in order to allow patients to focus solely on their recovery without the distractions of their everyday lives.
Outpatient treatment can vary in structure, level of care, and time commitment—from partial hospitalization programs (PHP) to intensive outpatient (IOP) to scheduled office visits with a therapist or counselor. These types of programs may be most suitable for individuals with strong social support systems and those not able to miss work for treatment.10
Regardless of the exact treatment setting, individuals seeking help for alcohol use disorders can expect to be exposed to a variety of behavioral therapies as they work toward recovery. These types of evidence-based therapies provide an opportunity for individuals to modify behaviors that can contribute to excessive drinking and learn new coping methods to avoid relapse.11
<a href="https://alcoholrehab.com/alcohol-treatment/">Types of behavioral treatments for alcoholism</a> include cognitive behavioral therapy, motivational enhancement therapy, dialectal behavioral therapy, contingency management, marital and family counseling, and 12-step facilitation.11 Along with these therapies, patients may be administered certain treatment medications as part of a long-term alcohol recovery strategy.11
There are three medications that have been approved by the U.S. Food and Drug Administration (FDA) to be used to treat alcohol dependence.11 These medications include acamprosate, disulfiram, and naltrexone.11 Though they all work differently, each has been shown to decrease continued drinking behavior. When taken regularly, these medications can be a valuable component of managing the chronic issue of alcoholism, similar to how daily medications may be used to manage other chronic health conditions such as asthma or diabetes.11
<h2>Determining the Right Treatment</h2>
If you or someone you care about is ready to seek treatment for alcoholism, there are a few questions you may want to consider when researching alcohol rehab facilities:11
<ul>
<li>How does the program work with individuals who have relapsed? Because relapse is often part of the recovery process, it’s important to know what the protocol is in these situations so you can know what to expect.</li>
<li>Is treatment tailored to fit each individual based on their unique needs? It’s important to know that your personal needs within this process are met in order to increase your chances for success.</li>
<li>What kind of treatment does the program offer? This will help you to determine if the facility only uses one approach to treatment, if they use a variety of current methods, if they offer medications with their treatment, and if they address co-occurring mental health disorders.</li>
<li>Is treatment success measured? Knowing this information may help you determine which program resonates with you the most.</li>
</ul>
As operator of Alcoholrehab.com, American Addiction Centers (AAC) offers a <a href="https://alcoholrehab.com/hotline/">toll-free hotline</a> so that you may speak with our admissions navigators about your treatment options any time of day. AAC operates a nationwide network of treatment centers and is dedicated to making recovery accessible to all persons in need.
Our approach to alcoholism treatment is rooted in evidence-based therapies and tailored to fit each individual’s unique needs. With locations across the country, we’re able to provide a number of unique settings as your backdrop for recovery. We are also equipped to treat co-occurring disorders throughout our network of facilities via an integrated approach to treatment.
To improve your overall experience, patients can also participate in a number of alternative therapies such as yoga, equine, music and art therapies while at one of our facilities. Depending on location, these programs are open to all patients and are overseen by licensed therapists. 
If you’d like to learn more about our approach to treatment, facility locations and/or what treatment may involve, call us today at [phone]. All calls are 100% confidential and there’s no pressure to make a decision right away. We’re here for you and are excited to discuss your path to recovery with you. 


Or learn more about <a href="https://alcoholrehab.com/alcohol-treatment/paying-for-treatment/">paying for treatment</a>.


[sources] [1]. National Institute on Alcohol Abuse and Alcoholism. (2020). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics" target="_blank" rel="noreferrer noopener">Alcohol Facts and Statistics</a>.



[2]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking" target="_blank" rel="noreferrer noopener">Drinking Levels Defined</a>.



[3]. American Psychiatric Association. (2013). Alcohol Use Disorder. Diagnostic and Statistical Manual of Mental Disorders, Vol 5; 490-491.



[4]. National Institute on Alcohol Abuse and Alcoholism. (2007). <a href="https://pubs.niaaa.nih.gov/publications/aa72/aa72.htm#:~:text=Most%20of%20the%20ethanol%20in,CHO)%2C%20a%20known%20carcinogen." target="_blank" rel="noreferrer noopener">Alcohol Metabolism: An Update</a>. Alcohol Alert, No. 72.



[5]. Herron, J.H, &amp; Brennan, T.K. (2015). The ASAM Essentials of Addiction Medicine, Second Edition.



[6]. Piano M. R. (2017). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513687/" target="_blank" rel="noreferrer noopener">Alcohol's Effects on the Cardiovascular System</a>. Alcohol Research: current reviews, 38(2), 219–241.



[7]. National Health Services. (2018). <a href="https://www.nhs.uk/conditions/alcohol-misuse/risks/" target="_blank" rel="noreferrer noopener">Alcohol Misuse</a>.



[8]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body" target="_blank" rel="noreferrer noopener">Alcohol’s Effects on the Body</a>.



[9]. National Library of Medicine, MedlinePlus. (2020). <a href="https://medlineplus.gov/ency/article/000764.htm" target="_blank" rel="noreferrer noopener">Alcohol Withdrawal</a>.



[10]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs" target="_blank" rel="noreferrer noopener">Types of Treatment Programs</a>.



[11]. National Institute on Alcohol Abuse and Alcoholism. (2014). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help#4" target="_blank" rel="noreferrer noopener">Treatment for Alcohol Problems: Finding and Getting Help.</a> [/sources]

What is Alcohol Abuse & Alcoholism?

Because alcohol is considered socially acceptable to consume at a legal age, it can be easy to regard all drinking as harmless. Joking about overconsumption is common, and the line between moderate consumption and problem drinking can be quickly blurred. This can make it challenging to recognize the real signs of alcohol abuse in your own life or in that of a loved one’s.



However, detecting the signs early may help you avoid developing this chronic condition or allow you to identify someone in your life who may benefit from alcohol addiction treatment.



<h2>What Are Standard Drinking Levels?</h2>



Before diving deeper into the warning signs of alcoholism, it can be helpful to clarify the measure of a standard drink. In people who are of legal age to drink alcohol, up to 1 drink daily for women or up to 2 drinks daily for men is considered moderate drinking according to the U.S. Department of Health and Human Services and U.S. Department of Agriculture’s jointly issued 2015-2020 Dietary Guidelines for Americans.1



The National Institute on Alcohol Abuse and Alcoholism considers the following amounts of alcohol equal to one standard drink in the U.S.:2,3



<ul>
<li>12 ounces of beer (5% alcohol).</li>
<li>5 ounces of wine (12% alcohol).</li>
<li>1.5 ounces of liquor (40% alcohol).</li>
</ul>



Further, binge drinking involves consuming a large amount of alcohol in a short period.1,4 It is considered binge drinking when a woman has 4 or more drinks, and a man has 5 or more drinks, in approximately 2 hours.1,4 Heavy alcohol use involves consuming more than 3 drinks daily for women and more than 4 drinks daily for men, or binge drinking at least 5 times in a month. 1,4



Binge and heavy drinking can raise the likelihood of developing an alcohol use disorder (AUD); however, a person doesn’t have to drink heavily to develop an AUD.1,3,4



<h2>Warning Signs of Alcohol Use Disorder</h2>



Based on the Diagnostic and Statistical Manual of Mental Disorder (DSM-5), to be diagnosed with an <a href="https://alcoholrehab.com/alcoholism/">alcohol use disorder (AUD)</a>, a person must display at least two of 11 outlined criteria within a 12-month period.5,6 When examining your own drinking habits, ask yourself the following:5,6,7



<ul>
<li>Do you have strong urges or cravings to drink alcohol?</li>
<li>Do you have an inability to stop drinking even after it has caused problems in relationships with family members, friends, or loved ones?</li>
<li>Are you unable to cut back or stop drinking alcohol, even if you really want to?</li>
<li>Do you consistently struggle to complete responsibilities at home, school, or work due to alcohol?</li>
<li>Have you continued to drink after it has caused or worsened a physical or psychiatric health issue?</li>
<li>Have you cut back on or quit enjoyable hobbies or activities due to alcohol use?</li>
<li>Have you developed a tolerance to alcohol so that the usual amount has less of an effect on you?</li>
<li>Do you have difficulty controlling how much alcohol you consume or the length of time you spend drinking?</li>
<li>Do you repeatedly drink alcohol in situations that are physically dangerous, such as while driving?</li>
<li>Do you spend a significant amount of time getting alcohol, drinking it, or dealing with its negative effects (e.g., hangovers)?</li>
<li>Are you experiencing symptoms of withdrawal when alcohol use is stopped? These symptoms can include sleep difficulties, tremors, nausea, vomiting, sweating, and/or hallucinations.</li>
</ul>



The number of criteria that are met indicate how severe the disorder is, with 2 to 3 indicating mild AUD, 4 to 5 indicating moderate AUD, and 6 or more symptoms indicating severe AUD.6,7 Keep in mind that although you may meet these criteria, only a psychiatrist or mental healthcare provider can screen and officially diagnose an AUD.
[self-assessment type=”alcohol”]



<h2>How to Cut Down on Drinking Alcohol</h2>



If you are concerned that your drinking is problematic or is <a href="https://alcoholrehab.com/alcoholism/effects/">causing negative consequences</a>, you may want to reduce your alcohol use. Drinking less may have a positive impact on your physical and mental health, improve your relationships with others, and lower your risk of developing AUD.8



There are many different tips for cutting down on drinking, but not all of these methods will help every individual. It is important to experiment and figure out which techniques work for you. Some ideas for reducing alcohol intake include:8,9



<ul>
<li>Be aware of how much you are drinking. Keeping a tally of how many drinks you are consuming can illustrate how much you are consuming daily and weekly. It is important to be aware of the size of your drinks. For example, you may fill a glass of wine to the top and consider that to be 1 drink, but it could be more than a standard drink, depending on the size of the glass.</li>
<li>Create a budget. The cost of alcohol can add up, especially if you often go out drinking. Set aside a specific dollar amount that you can spend on alcohol and stick to it. If you plan to go out, you may want to bring a limited amount of cash with you instead of a credit or debit card.</li>
<li>State your intentions. You may want to drink only on certain days of the week and have a specific number of drinks on those days. It could be a good idea to set aside non-drinking days. Let your family and friends know what you are trying to do. They can offer you support in cutting back.</li>
<li>Take baby steps. Scaling back your drinking a little at a time can be more attainable than cutting back a lot all at once. Setting one large goal can be discouraging. It’s often easier to reach several small goals.</li>
<li>Identify hobbies that don’t involve alcohol. This is an especially helpful tip for people who have lost touch with activities that don't involve drinking. Hiking, biking, or other exercise with friends, cooking, learning a new skill, or engaging in activities that you used to enjoy can help to occupy your time.</li>
<li>Identify and manage your triggers. Stay away from certain people, places, or things that increase your desire to drink alcohol. Develop a plan to handle triggers that you can’t avoid. Social support, activities to keep you distracted, and an awareness of why you want to cut back on drinking can help you manage cravings. Finally, remind yourself that all urges do pass.</li>
<li>Practice saying no. Alcohol is present in a variety of situations, and you may be presented with a drink when you don’t plan on drinking. With practice, you can become comfortable saying no right away in any situation when you don’t want to accept a drink.</li>
</ul>



While these are good places to start to cut back on drinking, not everyone will be successful in doing so. If you experience symptoms of withdrawal when not drinking or haven’t been able to cut back at all after several months, you may want to consider quitting alcohol completely.8 In these cases, seeking formal treatment can be an important step in quitting alcohol.



<h2>Ways to Get Sober</h2>



If you have tried to quit drinking and have been unsuccessful, it may be time to seek professional care. <a href="https://alcoholrehab.com/alcohol-treatment/">Alcohol addiction treatment</a> involves a variety of techniques that can be used to help people work toward recovery and maintain long-term sobriety. These include:



<ul>
<li>Detox. A supervised, medical detox is typically the starting place prior to beginning formal addiction treatment. Medical detox can help people avoid unnecessary discomfort or life-threatening complications when experiencing alcohol withdrawal. Some symptoms of withdrawal are uncomfortable while others are potentially fatal (such as seizures).3,10 Facilities provide medical supervision around the clock and medications to ensure your safety through the detox process.3,10</li>
<li>Inpatient or outpatient treatment. Depending on the level of care you need, treatment may involve an inpatient or outpatient setting. Inpatient treatment involves staying at a facility for the duration of treatment and receiving 24/7 supervision and access to on-call medical staff. Outpatient treatment is less intensive than inpatient treatment and allows individuals to return home each day following recovery programming.11 Treatment lengths vary but regardless of setting, all will involve a mix of intensive counseling, behavioral therapies, medications to manage AUD, coping skills education, and often encourage self-help meeting attendance.11,12</li>
<li>Behavioral therapies. Many types of therapy can be used to treat alcoholism. Some treatment facilities combine different methods for optimal effectiveness.13 Cognitive behavioral therapy, motivational enhancement therapy, and contingency management are commonly used techniques to help people get sober, identify and manage triggers and cravings, change negative behaviors, prevent relapse, and maintain their motivation to remain sober.5,10,13</li>
<li>Counseling. Relationship and family counseling aim to strengthen family bonds through sessions with a spouse, partner, and other family members of the person in treatment.5 This can also help loved ones learn how to better support your recovery efforts.3</li>
<li>Medications. Naltrexone, acamprosate, and disulfiram are all FDA-approved medications for the treatment of AUD.13 They aren’t addictive and can be combined with counseling and self-help meeting attendance.5,13</li>

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />

</ul>



<h2>Does Alcoholism Treatment Work?</h2>



A variety of factors can influence how effective treatment for alcohol use disorder is, such as the severity of the diagnosis, the person’s level of motivation, the type of treatment received, types of available support, and if they have physical or psychiatric health issues in addition to an AUD.10



Studies show that approximately 33% of people who have received treatment for alcoholism <a href="https://alcoholrehab.com/alcoholism/cure/">show no symptoms a year after treatment</a>.5 Even more showed significant improvement in symptoms, with follow-ups showing that up to half of people who received alcoholism treatment were able to maintain sobriety after 3 years.5,14



Studies show that <a href="https://alcoholrehab.com/alcoholism/cure/">treatment helps people maintain sobriety long-term</a> as well; more than 57% of people who remained sober after 3 years continued to maintain sobriety after 16 years.14 Even if a relapse does happen, many people can reduce their drinking markedly or quit completely with additional treatment and the proper supports.15



<h2>Getting Help For Alcoholism</h2>



If you’re ready to seek treatment for alcoholism or would like to learn more about your options, American Addiction Centers (AAC) can help. AAC is a nationwide provider of addiction treatment centers and is dedicated to making recovery accessible to everyone in need.



As operator of AlcoholRehab.org, AAC offers a <a href="https://alcoholrehab.com/hotline/">toll-free hotline</a> so that you may speak with our admissions navigators any time of day and learn more about our approach to alcoholism treatment. With locations across the country, we’re able to provide a number of unique settings as your backdrop for recovery and are equipped to treat co-occurring disorders via an integrated approach to treatment.



If you’d like to learn more about your treatment options, facility locations and/or what treatment may involve, call us today. All calls are 100% confidential and there’s no pressure to make a decision right away. We’re here for you and are excited to discuss your path to recovery with you
Other Articles On Alcoholism:
<ul>
<li> <a href="https://alcoholrehab.com/alcoholism/signs-of-alcoholism/am-an-alcoholic/">Am I an Alcoholic?</a> </li>
</ul>





[sources] [1]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking" target="_blank" rel="noreferrer noopener">Drinking levels defined</a>.



[2]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/What-counts-as-a-drink/Whats-A-Standard-Drink.aspx" target="_blank" rel="noreferrer noopener">What’s a “standard” drink?</a>



[3]. American Psychological Association. (2018). <a href="https://www.apa.org/topics/alcohol-disorders" target="_blank" rel="noreferrer noopener">Understanding alcohol use disorders and their treatment</a>.



[4]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/How-much-is-too-much/Is-your-drinking-pattern-risky/Drinking-Levels.aspx" target="_blank" rel="noreferrer noopener">What are the different drinking levels?</a>



[5]. National Institute on Alcohol Abuse and Alcoholism. (2014). <a href="https://www.niaaa.nih.gov/sites/default/files/publications/treatment_pub.pdf" target="_blank" rel="noreferrer noopener">Treatment for alcohol problems: Finding and getting help</a>.



[6]. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.



[7]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-use-disorder" target="_blank" rel="noreferrer noopener">Alcohol use disorder</a>.



[8]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/Thinking-about-a-change/Strategies-for-cutting-down/Tips-To-Try.aspx" target="_blank" rel="noreferrer noopener">Tips to try</a>.



[9]. National Health Service. (2018). <a href="https://www.nhs.uk/live-well/alcohol-support/tips-on-cutting-down-alcohol/" target="_blank" rel="noreferrer noopener">Tips on cutting down</a>.



[10]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/download/675/principles-drug-addiction-treatment-research-based-guide-third-edition.pdf?v=74dad603627bab89b93193918330c223" target="_blank" rel="noreferrer noopener">Principles of drug addiction treatment: A research-based guide (Third edition)</a>.



[11]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/drug-addiction-treatment-in-united-states/types-treatment-programs" target="_blank" rel="noreferrer noopener">Types of Treatment Programs</a>.



[12]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment" target="_blank" rel="noreferrer noopener">Principles of Effective Treatment</a>.



[13]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/Thinking-about-a-change/Support-for-quitting/Professional-Help.aspx" target="_blank" rel="noreferrer noopener">Professional help</a>.



[14]. Moos, R.H., &amp; Moos, B.S. (2006). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976118/pdf/nihms25121.pdf" target="_blank" rel="noreferrer noopener">Rates and predictors of relapse after natural and treated remission from alcohol use disorders</a>. Addiction, 101(2), 212-222.



[15]. National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/Thinking-about-a-change/Support-for-quitting/Choose-Your-Approach.aspx" target="_blank" rel="noreferrer noopener">Choose your approach</a>. [/sources]

Warning Signs of Alcoholism

Alcohol Addiction Treatment

Secular Alternatives to Alcoholics Anonymous (AA)

<h2>What is Drug Addiction?</h2>
Drug addiction is a chronic medical disease characterized by compulsive substance seeking and drug use that persists despite the detrimental effects of drug use.1 Addiction is considered to be a disease because of the brain changes that are accompanied by ongoing exposure to drugs.1 These brain changes may themselves be associated with changes in a person’s ability to make decisions or control their actions, which contributes to an inability to stop using the substance even if they it is causing harm.1
Taking drugs affects the brain’s key reward chemical, known as dopamine, which contributes to developing a self-reinforcing cycle of drug use.1 Over time, as dopamine activity subsides; the person may experience a subsequent low or crash, which can cause them to want to use again to feel good.1 Alternating between intense highs and lows fuels the cycle of abuse, because with repeated exposure, the brain becomes desensitized to dopamine and it needs more of the substance to experience previous results (known as tolerance).1
While the decision to start using drugs may be voluntary, the resulting brain changes contributes to an individual losing their ability to resist drugs over time.1 Not everyone who takes drugs will become addicted, there are numerous other factors that can contribute to developing a drug addiction, including genetics, the environment a person functions in, and developmental factors or individual lifetime experiences. Drug addiction is a complex disease, but it is also treatable and can be successfully managed. 
<h3>Drug Addiction Facts &amp; Stats</h3>
Drug addiction is a worldwide problem. According to the World Health Organization (WHO), 270 million people (or 5% of the world's population) between the ages of 15 and 64 have used psychoactive drugs (including alcohol and nicotine) in the past year.2 Among them, 35 million people suffer from drug use disorders.2 About half a million people worldwide are estimated to die from drug-abuse related reasons every year.2
In the United States, 49.2% of people aged 12 and over reported having used illicit drugs during their lifetime; 19.4% said they had used illicit drugs in the past year, and 11.7% of people aged 12 and older reported that they were current drug users (meaning they reported using illicit drugs in the past month) in 2018, according to the National Survey of Drug Use and Health.3 
In addition to the risk of addiction, taking drugs also carries with it a risk of life-threatening overdose. According to preliminary data released by the CDC, there were 71,327 drug overdoses in the United States in 2019, up 5.1% from the previous year.4
Substance abuse places a tremendous financial burden on society. According to the National Institute on Drug Abuse (NIDA), alcohol, tobacco, and illicit drug abuse costs “more than $740 billion annually related to crime, lost work productivity, and health care [expenses].”5
Additionally, people who have mental health disorders like anxiety or depression may turn to drugs as a way of easing or reducing their symptoms.6 But people with these disorders can also develop substance use disorders. The Anxiety and Depression Association of America reports that around 20% of people with anxiety or depression also have a substance use disorder, and around 20% of people with a substance use disorder also struggle with anxiety or depression.6
<h2>Risk Factors Contributing to Addiction </h2>
Many factors can increase a person’s risk for drug addiction. While none guarantees an addiction will develop, they may increase a person’s chances for drug abuse. Most individuals at risk for drug abuse do not start using drugs or become addicted, and a risk for one person may be a protective factor for another. General risk factors for drug addiction include:1,7,8 
<ul>
<li>Biological factors such as genetics, family history of substance abuse, gender, ethnicity, and whether a person has other mental health disorders.</li>
<li>Environmental factors such as poverty, an unsafe living environment, peer pressure, abuse, stress, lack of parental guidance or supportive role models, or childhood exposure to drugs or alcohol.</li>
<li>Developmental factors, meaning the ways that biological and environmental factors intersect at critical moments during development. For example, peer pressure and developmental brain changes in teenagers can lead to poor decision-making and excessive risk-taking behaviors.</li>
</ul>
<h2>Warning Signs of Addiction </h2>
While the <a href="https://alcoholrehab.com/drug-addiction/signs-of-addiction/">warning signs of addiction</a> can vary from person to person, the American Psychiatric Association defines diagnostic criteria for a person struggling with drug addiction. Although only a doctor or appropriately trained mental health clinician can diagnose a substance use disorder, the criteria are useful warning signs that may indicate a problem with substance use.
According to the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-5), some warning signs of drug abuse to look for include:9
<ul>
<li>Having times when you used the substance more (or longer) than intended.</li>
<li>Wanting to stop or cut down on use but aren’t able to do so.</li>
<li>During or after using drugs, getting into situations where you increased your risk for getting hurt (driving a car, for example).</li>
<li>Spending a considerable amount of time getting drugs or getting over the effects of them.</li>
<li>Spending less time or giving up activities that are important or interesting to you or that gave you pleasure for the purpose of doing drugs.</li>
<li>Wanting drugs so much that it’s hard to think about anything else.</li>
<li>Using drugs (or being high) has hindered your ability to meet home, school, or job obligations.</li>
<li>Continuing to use drugs, despite them causing problems with family or friends.</li>
<li>Continuing to do drugs, despite them making you feel anxious, depressed, or contributing to a separate health problem, or after having experienced a memory blackout.</li>
<li>Needing more drugs to achieve the desired effect or the regular amount that you drink, no longer has the same effect.</li>
<li>Experiencing withdrawal symptoms when the effects of the drugs wear off, like restlessness, sweating, sleeping, seizure, or racing heart.</li>
</ul>
Anyone who has experienced at least 2 of the listed criteria within the same 12-month period may be diagnosed with a substance use disorder.9 
<h2>Effects of Drug Addiction </h2>
<a href="https://alcoholrehab.com/drug-addiction/effects/">Drug abuse and addiction have many negative effects</a> on a person’s life including their physical health, social life, career, finances, and family. It can also begin to affect your loved ones and those around you.
Some detrimental effects of drug abuse and addiction include:10 
<ul>
<li>Poor physical health and an increased risk of diseases such as lung or heart disease, stroke, cancer, nerve damage, and mental health conditions.</li>
<li>Dental problems (particularly among people who use methamphetamine).</li>
<li>An increased risk of bloodborne disease infections (particularly among injection drug users), such as hepatitis C or HIV, as well as infections of the heart and skin.</li>
<li>Worsened mental health, especially if you have a co-occurring psychiatric condition such as schizophrenia, anxiety, or depression.</li>
<li>Risk of overdose or death.</li>
<li>Harm to others, such as:
<ul>
<li>Negative impact on your unborn baby or to your child if you are breastfeeding. This includes neonatal abstinence syndrome, a condition that occurs when your baby goes into withdrawal after birth. Symptoms can include problems sleeping or feeding, tremors, or seizures. Children who were exposed to drugs in the womb may also experience developmental problems such as disturbances in attention, behavior, and thinking.</li>
<li>Increased risk of motor vehicle accidents. Nearly 12 million people aged 16 and older reported driving while under the influence of illicit drugs in 2016, according to NIDA.</li>
</ul>
</li>
</ul>
<h2>Treatment for Drug Addiction </h2>
Drug addiction is similar to other chronic relapsing diseases like heart disease or asthma. It cannot be cured, but it can be successfully managed and treated. Treatment is designed to help people learn to abstain from drug use and develop effective coping mechanisms for common triggers, such as stress, so they can lead clean and sober lives. According to NIDA, treatment can help counteract the negative effects of substance abuse on your brain and behavior.11
The <a href="https://alcoholrehab.com/drug-addiction/treatment/">type of treatment you receive can vary based on your individual needs</a>. People often start with medical detox, which helps clear the substance from your body in a safe and supervised setting. They then move on to participate in some form of inpatient (or residential) care—especially if they have serious or long-standing addictions—or outpatient treatment. Outpatient treatment may be used as either a step down from inpatient care or as of the first line of treatment for people whose addictions are less severe or for those who may do well in a less supportive environment.
Depending on the substance of addiction, you may receive medications as a way to help manage withdrawal and addiction symptoms.11 Most inpatient and outpatient rehabs also implement a variety of individual and group therapies. These usually include:11,12
<ul>
<li>Cognitive-behavioral therapy, which is designed to help change negative and unhealthy thoughts and behaviors.</li>
<li>Contingency management, which relies on positive reinforcement for meeting goals, usually through a type of reward system.</li>
<li>Motivational enhancement therapy, which is designed to increase motivation and willingness to change.</li>
<li>Family therapy, because addiction doesn’t just affect you—it impacts everyone in your family. Additionally, if the family environment influenced the development of your addiction, it often plays a critical role in recovery.</li>
<li>12-step, or mutual-help group participation, is a highly structured, individual, manual-guided approach where a person works through their history of substance use and learns how it is negatively impacting their life. It also helps to identify triggers of substance abuse and encourages you to engage in 12-step or other mutual help support groups as a form of social support both during and after treatment.</li>
</ul>
Like other chronic conditions such as diabetes and hypertension, relapse is normal and may occur anytime during addiction recovery. However, it does not mean that treatment has failed, but it may suggest the need for a different type of treatment or an adjustment to your current treatment plan. According to NIDA, addiction relapse rates are as high as 60%. 11 As a comparison, relapse rates for hypertension and asthma are estimated to be 50% to 70%.11
Finally, it’s important to engage in some form of aftercare; recovery doesn’t end once treatment has been completed. <a href="https://alcoholrehab.com/alcohol-recovery/aftercare/">Aftercare is supportive care</a> designed to help you stay sober and avoid relapse. It may consist of 12-step mutual help groups such as Narcotics Anonymous, non-12-step groups like SMART Recovery, or individual and/or group counseling. Some people benefit from supportive living environments, known as sober living homes, which can help them transition from formal treatment back to their normal lives.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />

<h2>Seek Help for Addiction</h2>
As operator of Alcoholrehab.com, American Addiction Centers (AAC) offers a <a href="https://alcoholrehab.com/hotline/">toll-free hotline</a> so that you may speak with our admissions navigators about your treatment options any time of day. AAC operates a nationwide network of treatment centers and is dedicated to making recovery accessible to all persons in need.
With locations across the country, we’re able to provide a number of unique settings as your backdrop for recovery.  If you’d like to learn more about our approach to treatment, facility locations and/or what treatment may involve, call us today. All calls are 100% confidential and there’s no pressure to make a decision right away. We’re excited to discuss your path to recovery with you!




[sources] [1]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/drugfacts/understanding-drug-use-addiction" target="_blank" rel="noreferrer noopener">Understanding drug use and addiction DrugFacts</a>.



[2]. World Health Organization. (n.d.). <a href="https://www.who.int/health-topics/drugs-psychoactive#tab=tab_2" target="_blank" rel="noreferrer noopener">Drugs (psychoactive): Impact</a>.



[3]. National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/drug-topics/trends-statistics/national-drug-early-warning-system-ndews/national-survey-drug-use-health" target="_blank" rel="noreferrer noopener">National survey on drug use and health: Trends in prevalence of various drugs for ages 12 or older, ages 12 to 17, ages 18 to 25, and ages 26 or older; 2016 - 2018 (in percent)</a>.



[4]. Centers for Disease Control and Prevention. (2020). <a href="https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm" target="_blank" rel="noreferrer noopener">Provisional drug overdose death counts.</a> National Center for Health Statistics.



[5]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/trends-statistics/costs-substance-abuse" target="_blank" rel="noreferrer noopener">Costs of substance abuse</a>.



[6]. Anxiety and Depression Association of America. (n.d.). <a href="https://adaa.org/understanding-anxiety/related-illnesses/substance-abuse" target="_blank" rel="noreferrer noopener">Substance use disorders</a>.



[7]. Centers for Disease Control and Prevention. (2020). <a href="https://www.cdc.gov/healthyyouth/substance-use/index.htm" target="_blank" rel="noreferrer noopener">High-risk substance use among youth</a>.



[8]. National Institute on Drug Abuse. (2011). <a href="https://www.drugabuse.gov/publications/preventing-drug-use-among-children-adolescents/chapter-1-risk-factors-protective-factors/what-are-risk-factors" target="_blank" rel="noreferrer noopener">Preventing drug use among children and adolescents (in brief): What are risk factors and protective factors?</a>



[9]. American Psychiatric Association. (2013). Substance Use Disorder.&nbsp;Diagnostic and Statistical Manual of Mental Disorders, Vol 5; 483-485.



[10]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/addiction-health" target="_blank" rel="noreferrer noopener">Drugs, brains, and behavior: The science of addiction: What are the other health consequences of drug addiction?</a>



[11]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery" target="_blank" rel="noreferrer noopener">Drugs, brains, and behavior: The science of addiction: Treatment and recovery</a>.



[12]. Mee-Lee D, Shulman GD, Fishman MJ, Gastfriend DR, Miller, eds.&nbsp;(2013). The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions. 3rd ed. The American Society of Addiction Medicine. [/sources]

What is Drug Abuse and Addiction?

According to the 2019 National Survey on Drug Use and Health (NSDUH) survey, approximately 19.3 million people have a <a href="https://alcoholrehab.com/drug-addiction/">substance use disorder</a> (SUD) in the United States.1 Of those with an SUD in the past year, 71.1% had a past year alcohol use disorder, 40.7% had an illicit drug use disorder, and 11.8% had both.1

Though there may be a growing awareness of the need for accessible treatment options to address our country’s pervasive issue of substance use disorders, a staggeringly small percentage of people actually utilize these services.

Among people with an SUD aged 12 or older in 2019, only 1.5% received any treatment in the past year.1 Thankfully, however, even at its most severe—with professional treatment and ongoing recovery efforts—addiction may be effectively managed.2 For example, studies on alcohol use disorders have shown that 1 year post treatment, 1/3 have fewer alcohol-related problems and others substantially reduce their drinking.3

While it may feel overwhelming, getting help for substance abuse is the best thing you can do for you or a loved one struggling with drugs and/or alcohol. Addiction treatment can take place in a number of settings. When considering the different inpatient options, there are several residential program types with various lengths of stay. Learn more about inpatient treatment, what happens within it, and how drug and alcohol rehab can help people recover.
<h2>How Is Addiction Is Treated?</h2>
Addiction is a treatable, yet chronic medical condition characterized by a the compulsive <a href="https://alcoholrehab.com/alcoholism/">use of drugs and/or alcohol</a> despite experiencing significant negative consequences due to such use.4

Addiction affects a person on many levels. Addiction development may be accompanied by characteristic physical and chemical changes in the brain, which may reinforce the compulsive nature of the disease.5,6 Left unmanaged, addiction may become progressively debilitating to a person’s health and lifestyle.5,6

Therefore, it is important that substance abuse treatment addresses not only the factors that contributed to the addiction, but the consequences of that addiction as well. Many effective substance abuse treatment strategies are built around some of the below key principles:2
<ul>
 	<li>There isn’t a one-size-fits-all approach to treatment; recovery plans should be tailored to each individual.</li>
 	<li>Effective treatment should address not only substance use, but additional needs such as social, medical, and mental health issues.</li>
 	<li>Treatment plans should be reviewed and modified, as needed, throughout the rehabilitation process.</li>
 	<li>Counseling and other behavioral therapeutic approaches constitute the most common elements of treatment.</li>
 	<li>For some substance use disorders, medications will be key elements of treatment alongside of behavioral therapies.</li>
 	<li>Medical detoxification, while important for many types of substance use disorder recovery, is only the first step in a process of rehabilitation.</li>
</ul>
Like many other chronic medical issues, there is no easy cure for addiction, though it can be successfully managed with ongoing treatment efforts.2 <a href="https://alcoholrehab.com/alcohol-treatment/">Successful substance abuse treatment</a> is multilayered and comprehensive. Generally, effective treatment is made-up of behavioral counseling, medication, substance abuse education, private and group therapy, and long-term follow-up to prevent relapse.2
<h2>What Is Inpatient Rehab?</h2>
In contrast with their outpatient counterparts, inpatient treatment programs allow for 24/7 supervision and support throughout the rehabilitation stay. Though the full range of treatment offerings may vary, many inpatient programs provide access to doctors, medical care, and other clinical services throughout their stay. Often, once a participant completes an inpatient treatment program, they may transition to relatively-less intensive levels of care in an outpatient setting to continue their recovery efforts.2

The length of treatment you receive will be determined by many factors including the severity of your addiction, any concurrent medical and mental health issues, as well as insurance coverage. To help determine an appropriate length of treatment, an addiction specialist or medical professional will first assess an individual’s specific needs. These factors can include:7 
<ul>
 	<li>The severity of alcohol and/or drug use, including the amount used, duration, and frequency.</li>
 	<li>Prior attempts at treatment including outcomes.</li>
 	<li>Underlying medical and mental health issues.</li>
 	<li>Amount of social support from friends and family.</li>
 	<li>Living environment.</li>
 	<li>Access to transportation.</li>
 	<li>Legal issues.</li>
</ul>
<h2>Are Detox and Inpatient Rehab the Same?</h2>
Detox and inpatient treatment, while both may take place at the same facility, are somewhat different concepts. A period of detoxification is often the first phase of many kinds of addiction treatment, including those that take place on either an outpatient or inpatient basis.

The term detox, as it pertains to addiction medicine, describes the treatment approaches used to manage any remaining intoxication as well as withdrawal. Professional detoxification efforts focus on keeping a person safe and comfortable as they rid themselves of the lingering toxic effects of chronic drug and alcohol use.8

Though they vary by substance, the often unpleasant developments associated with different types of withdrawal may include symptoms such as mood swings, confusion, sleep disturbances, body aches, gastrointestinal issues and, in more severe instances, health complications such as seizures.8

Especially for those at risk of severe or complicated withdrawal, detox under the supervision of medical professionals can be helpful in providing a safer and more comfortable process.8 In such instances, during a medical detox, you may be administered certain medications to help reduce the more serious <a href="https://alcoholrehab.com/drug-addiction/withdrawals/">risks of withdrawal</a>.8

In addition to the potential for added safety and comfort, a professional detox program can serve as an individual’s first point of contact with addiction treatment in general, helping to facilitate their transition from early withdrawal management into longer-term recovery work.8
<h2>How Effective Is Rehab Treatment?</h2>
A major goal of rehab is to help patients return to productive functioning in the family, workplace, and community following successful completion of treatment.9 Many individuals who complete treatment are able to stop using drugs or alcohol; improve their social, psychological and occupational functioning; and decrease their criminal activity.9

Additionally, treatment can help people examine potential vulnerabilities to relapse and build a plan for them to more effectively cope with stress, cravings, and other life challenges without the use of drugs and alcohol.9 And, though any treatment can provide much needed recovery help, the length of time in treatment may be significant, as longer treatment times are associated with relatively improved treatment outcomes.10 According to the National Institute on Drug Abuse, most addicted individuals need at least 3 months of treatment to significantly reduce or stop their drug use.11

Treatment lengths don’t dictate the whole story, however. Treatment outcomes will also be influenced by the strength of the relationship between the patient and their treatment providers, the nature and extent of that patient’s problems, and the appropriateness of treatment in addressing those issues.9
<h2>How Common are Relapses in Substance Abuse?</h2>
It is important to understand that relapse can be a common occurrence in recovery despite completing a substance abuse treatment program.12 Addiction is a chronic condition much in the way that medical issues such as cancer, diabetes, and cardiovascular disease are.12

A relapse is said to have occurred when a person who had previously been making efforts to reduce or altogether avoid using drugs or alcohol returns to prior levels of use.13 Many things can contribute to a person relapsing, including stress at home or work, ongoing emotional and psychological issues, or problems with a person’s social support networks.13

It’s important to note that should a relapse occur, it does not necessarily mean that <a href="https://alcoholrehab.com/alcohol-recovery/">treatment failed</a>; rather, it should be taken as is an indicator that your treatment plan may need to be evaluated and modified to get your recovery efforts back on track to better prevent future relapses.11 Many treatment programs have a plan for relapse, with some offering discounted services or complimentary treatment for a specified length of time. Notifying your treatment provider of a relapse can be an essential first step in getting back on track.
<h2>Finding a Rehab Facility</h2>
If you or someone you care about is ready to seek help for addiction, American Addiction Centers (AAC) is ready to speak with you. Operator of AlcoholRehab.com, AAC is a nationwide provider of addiction treatment facilities.

Whether you’re ready to start treatment or just need to ask a few questions, our admissions navigators are available 24/7 to provide you with answers and address any concerns you may have. We are committed to making recovery accessible to everyone in need and accept many insurance plans or can work with you so that finances aren’t a roadblock to getting the help you need.

Call our hotline at [phone] to get your journey toward recovery started today; all calls are 100% confidential. Or fill out the form below to see if your insurance covers treatment with AAC.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />


[sources]

[1]. Substance Abuse and Mental Health Services Administration. (2019). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR090120.htm#txc" target="_blank" rel="noopener noreferrer">The National Survey on Drug Use and Health.</a>

[2]. National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction" target="_blank" rel="noopener noreferrer">Treatment approaches for drug addiction drug facts</a>.

[3]. National Institute on Alcohol Abuse and Alcoholism. (2018). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help" target="_blank" rel="noopener noreferrer">Treatment for Alcohol Problems: Finding and Getting Help.</a>

[4]. American Society of Addiction Medicine. (2019. <a href="https://www.asam.org/Quality-Science/definition-of-addiction" target="_blank" rel="noopener noreferrer">Definition of Addiction</a>.

[5]. National Institute on Alcohol Abuse and Alcoholism. (2020). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder" target="_blank" rel="noopener noreferrer">Understanding Alcohol Use Disorder</a>.

[6]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction" target="_blank" rel="noopener noreferrer">What is Drug Addiction?</a>

[7]. National Institute on Alcohol Abuse and Alcoholism. (2021). <a href="https://alcoholtreatment.niaaa.nih.gov/what-to-know/different-people-different-options" target="_blank" rel="noopener noreferrer">Why do different people need different options?</a>

[8]. Substance Abuse and Mental Health Services Administration. (2006). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf" target="_blank" rel="noopener noreferrer">Detoxification and </a><a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf">Substance Abuse Treatment</a>. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131.

[9]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-effective-drug-addiction-treatment" target="_blank" rel="noopener noreferrer">How Effective is Drug Addiction Treatment?</a>

[10]. Gerstein DR, Harwood HJ, et. al. (1990). <a href="https://www.ncbi.nlm.nih.gov/books/NBK235506/" target="_blank" rel="noopener noreferrer">The Effectiveness of Treatment</a>. Treating Drug Problems: Volume 1: A Study of the Evolution, Effectiveness, and Financing of Public and Private Drug Treatment Systems.

[11]. The National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment" target="_blank" rel="noopener noreferrer">Principles of Effective Treatment</a>.

[12]. National Institute on Drug Abuse. (2005). <a href="https://archives.drugabuse.gov/publications/drug-abuse-addiction-one-americas-most-challenging-public-health-problems/addiction-chronic-disease" target="_blank" rel="noopener noreferrer">Addiction is a Chronic Disease</a>. Drug Abuse and Addiction: One of America's Most Challenging Public Health Problems. 

[13]. Alcohol and Drug Foundation. (n.d.). <a href="https://adf.org.au/reducing-risk/relapse/" target="_blank" rel="noopener noreferrer">Relapse</a>.

[/sources]

Inpatient Drug and Alcohol Treatment

Drug abuse can result in short- and long-term negative consequences ranging from issues such as disrupted sleep patterns to loss of employment and problems with relationships.1, 2 Problematic substance use can also increase a person’s risk for developing long-term medical issues such as heart disease, cancer, as well as certain co-occurring mental health conditions.1



Which specific type of drug or drugs, <a href="https://alcoholrehab.com/drug-addiction/effects/habitual-drug-use/" target="_blank" rel="noreferrer noopener">how much and how they are used</a>, and an individual’s health are some factors that can contribute to the potential range of adverse effects a person may experience.3 While some consequences result directly from drug abuse and addiction, others may occur indirectly in relation to drug use.



Learn more about the effects of drug abuse and how a substance use disorder (SUD) may negatively impact your life below.



<h2>Health Effects of Drug Abuse</h2>



Though the associated, <a href="https://alcoholrehab.com/drug-addiction/effects/reasons-for-substance-abuse/" target="_blank" rel="noreferrer noopener">substance-related effects</a> may vary from one drug to the next, general short-term health consequences of drug use can include issues such as:3



<ul>
<li>Changes in appetite.</li>
<li>Disturbances in sleep patterns.</li>
<li>Cardiovascular issues including stroke and heart attack.</li>
<li>Psychosis.</li>
<li>Overdose toxicity or death.</li>
</ul>



Long term use of some drugs may also increase the likelihood of certain cancers; developing heart, liver, and kidney disease; as well as experiencing neurological issues such as seizures.4, 5 Injecting drugs such as cocaine, heroin, and methamphetamine is also associated with an increased risk of contracting hepatitis, HIV/AIDS, and other infections.6,7 Drug use may also negatively impact cognitive functioning, resulting in impaired responses, planning, decision-making, and memory.8



Drug use can alter the activity of several brain chemicals—or neurotransmitters—including dopamine. Dopamine is a neurotransmitter associated with pleasure, reward, and satisfaction, and several different drugs have been found to influence dopamine pathways in the brain.9



Though the neurochemical details are complicated, consistently elevated dopamine activity as a result of substance use can strongly reinforce drug seeking behavior and compulsive drug use. Additionally, as someone’s brain and body adjusts to frequently being high, they may experience relatively diminished reward from otherwise normally reinforcing activities like sex or eating food.9



Substance abuse and mental illness commonly coincide, with research showing that about half of those who experience a mental illness during their lives will also experience a substance use disorder and vice versa.10 Commonly co-occurring mental health disorders include depression, anxiety, attention-deficit hyperactivity disorder (ADHD), bipolar disorder, schizophrenia, borderline personality disorder, and antisocial personality disorder.10

[link-bank]
<ul class="ul1">
<li class="li2"><a href="https://alcoholrehab.com/about/">American Addiction Centers</a></li>
<li class="li2"><a href="https://alcoholrehab.com/insurance-coverage/">Does Insurance Cover Treatment?</a></li>
<li class="li2"><a href="https://alcoholrehab.com/alcoholism/effects/alcohol-and-hemorrhoids/">Alcohol &amp; Hemorrhoids</a></li>
<li class="li2"><a href="https://alcoholrehab.com/drug-addiction/signs-of-addiction/hiding-an-addiction/">Hiding an Addiction</a></li>
<li class="li2"><a href="https://alcoholrehab.com/alcohol-treatment/">Alcohol Abuse Treatment</a></li>
<li class="li2"><a href="https://alcoholrehab.com/alcohol-recovery/aftercare/sober-vacations/">Sober Vacations</a></li>
</ul>
[/link-bank]

<h2>Impact of Substance Abuse on Relationships</h2>



Drug abuse can affect more than just the person getting high, it can also be detrimental to their relationships with friends, family members, and coworkers.11 Often, couples in which one or both partners abuse drugs are less happy than couples who don’t.11 Using drugs seems to cause significant conflict between intimate partners; these couples tend to fight more often than couples in which both partners don’t use drugs.11 Unfortunately, substance abuse can sometimes lead to violence in intimate relationships as well. 11



<h2>Drug Addiction and Financial Problems</h2>



The use of illicit drugs can not only affect an individual’s health and relationships but can cause issues for individuals financially—both in their personal and professional lives. It has been estimated that substance abuse—including alcohol, prescription opioids, illicit drugs, and tobacco—has cost the nation more than $740 billion annually in lost work productivity, health care costs and crime.13



Research has shown that drug use is related to a number of problematic work behaviors such as decreased performance levels and increased accident rates.14 Additionally, those using illicit drugs may be prone to absenteeism at work, abuse of work benefits, and low workplace rule abidance.14 These issues, in turn, could result in the loss of employment and difficult obtaining new work in the future.



When it comes to the cost of drugs, paying for them can also begin to be a burden on an individual’s income, especially as increasing amounts of the drugs may become necessary to overcome a growing tolerance to their effects. Since drug use can also result in serious health problems, those struggling with addiction may be faced with increased medical fees and/or insurance premiums.



Drug use can also lead to costs associated with criminal activities such as DUI charges, bail, attorneys, court-mandated classes, court fines, and public transportation due to the loss of a vehicle or license.



<h2>Dangers of Overdosing</h2>



Regardless of how often a person uses certain types of substances—such as cocaine, sedatives, heroin, or other opioids—there is always some risk of overdose, especially when these drugs are mixed with other drugs and/or alcohol. In 2018, more than 65,000 Americans died as a result of overdoses, including those that involved illicit drugs and prescription opioid medications.15



Overdoses can occur when a drug is used to excess, resulting in toxicity or injury and, in some cases, death.16 Various factors can play into whether someone overdoses on a drug, such as a person’s body weight, gender, tolerance, the potency of the drug, and the other drugs that may have been taken with it.17
<h3>Warning Signs of Overdose</h3>



The signs and symptoms of overdoses can vary based on the drug. Some signs include:17



<ul>
<li>Vomiting.</li>
<li>Pale and/or clammy face.</li>
<li>Changes in pulse rate and blood pressure.</li>
<li>Shallow, erratic breathing.</li>
<li>Loss of consciousness.</li>
<li>Agitation.</li>
<li>Paranoia</li>
<li>Severe stomach pain.</li>
<li>Seizures.</li>
</ul>



If you believe someone is experiencing an overdose, call 9-1-1 immediately and wait for medical assistance.



<h2>Getting Help For Drug Addiction</h2>



Drug abuse and addiction can greatly impact your life, resulting in negative consequences to every part of your life. If you feel you’re ready to make a change and quit using drugs and/or alcohol, American Addiction Centers (AAC) is here to help.



AAC operates AlcoholRehab.com and is a nationwide provider of addiction treatment facilities. Our admissions navigators are available 24/7 to speak with you about your options for treatment today. It’s never too late to get clean and take back control of your life, relationships and finances.



All calls are 100% confidential and there’s no pressure to make any decisions right away. We’re here for you and will walk with you every step of the way as you embark on your journey to recovery.


<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />




[sources] [1]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/health-consequences-drug-misuse/introduction" target="_blank" rel="noreferrer noopener">Health Consequences of Drug Misuse.</a>



[2]. Better Health: State of Victoria. (2020). <a href="https://www.betterhealth.vic.gov.au/health/HealthyLiving/How-drugs-affect-your-body" target="_blank" rel="noreferrer noopener">How Drugs Affect Your Body.</a>



[3]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/health-consequences-drug-misuse/introduction" target="_blank" rel="noreferrer noopener">Health Consequences of Drug Misuse: Introduction.</a>



[4]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/health-consequences-drug-misuse/cancer" target="_blank" rel="noreferrer noopener">Health Consequences of Drug Misuse: Cancer.</a>



[5]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/health-consequences-drug-misuse/cardiovascular-effects" target="_blank" rel="noreferrer noopener">Health Consequences of Drug Misuse: Cardiovascular Effects.</a>



[6]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/research-reports/heroin/why-are-heroin-users-special-risk-contracting-hivaids-hepatitis-b-c" target="_blank" rel="noreferrer noopener">Why does heroin use create special risk for contracting HIV/AIDS and hepatitis B and C?</a>



[7]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/research-reports/cocaine/are-cocaine-abusers-risk-contracting-hivaids-hepatitis-b-c">Why are cocaine u</a><a href="https://www.drugabuse.gov/publications/research-reports/cocaine/are-cocaine-abusers-risk-contracting-hivaids-hepatitis-b-c" target="_blank" rel="noreferrer noopener">s</a><a href="https://www.drugabuse.gov/publications/research-reports/cocaine/are-cocaine-abusers-risk-contracting-hivaids-hepatitis-b-c">ers at risk for contracting HIV/AIDS and hepatitis?</a>



[8]. American Psychological Association. (2001). <a href="https://www.apa.org/monitor/jun01/cogcentral.html" target="_blank" rel="noreferrer noopener">Cognition is central to drug addiction.</a>



[9]. Justinova, Z., Panlilio, L. V., &amp; Goldberg, S. R. (2009). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3039293/" target="_blank" rel="noreferrer noopener">Drug addiction</a>. Current topics in behavioral neurosciences, 1, 309–346.



[10]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders/part-1-connection-between-substance-use-disorders-mental-illness" target="_blank" rel="noreferrer noopener">The Connection Between Substance Use Disorders and Mental Illness</a>.



[11]. American Association for Marriage and Family Therapy. (2020). <a href="https://www.aamft.org/Consumer_Updates/Substance_Abuse_and_Intimate_Relationships.aspx" target="_blank" rel="noreferrer noopener">Substance Abuse and Intimate Relationships.</a>



[12]. American Psychological Association. (2017). <a href="https://www.apa.org/career-development/understanding-addictions.pdf" target="_blank" rel="noreferrer noopener">Understanding People With Substance Use Disorders and Addiction. </a> 



[13]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/drug-topics/trends-statistics/costs-substance-abuse" target="_blank" rel="noreferrer noopener">Costs of Substance Abuse.</a>



[14]. National Research Council (US) and Institute of Medicine (US) Committee on Drug Use in the Workplace. (1994). <a href="https://www.ncbi.nlm.nih.gov/books/NBK236258/" target="_blank" rel="noreferrer noopener">Impact of Alcohol and Other Drug Use: Observational/Field Studies</a>. Under the Influence? Drugs and the American Work Force.



[15]. National Institute on Drug Abuse. (2020).<a href="https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates" target="_blank" rel="noreferrer noopener"> Overdose Death Rates.</a>



[16]. Centers for Disease Control and Prevention. (2020). <a href="https://www.cdc.gov/drugoverdose/opioids/terms.html" target="_blank" rel="noreferrer noopener">Commonly Used Terms</a>.



[17]. Alcohol and Drug Foundation. (2017). <a href="https://adf.org.au/insights/overdose/" target="_blank" rel="noreferrer noopener">Overdose.</a> [/sources]

The Effects of Drug Abuse & Addiction

For some, drug addiction starts with recreational substance use or experimentation among friends, colleagues, family and/or other social settings. And although not everyone who uses drugs will become addicted, some substances carry a higher risk of dependence and addiction than others.



According to the 2019 National Survey of Drug Use and Health (NSDUH), more than 138 million Americans aged 12 and older have used illicit drugs in their lifetime.1 However, some may not recognize that their use has become a problem or choose not to seek treatment until it’s too late. The NSDUH reports an estimated 20.4 million Americans aged 12 and older suffered from a substance use disorder (SUD).1 In that same year, approximately 71,300 Americans died of a drug overdose according to the Centers for Disease Control and Prevention (CDC).2



It’s evident that drug abuse and addiction are serious problems in the United States. However, early recognition of the developing signs of problematic drug use may help some to avoid addiction and its adverse consequences. At any point, treatment can help, and may just save a life.



Learn more about the signs and symptoms of substance abuse, what addiction treatment entails, and how individuals can successfully work toward recovery from substance use disorders.



<h2>Signs and Symptoms of Drug Addiction</h2>



The warning signs of <a href="https://alcoholrehab.com/drug-addiction/">addiction</a> can vary from person to person; however, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) outlines the criteria used by treatment professionals to diagnose substance use disorders in people struggling with problematic substance use. While such diagnoses are most commonly made by medical or mental health professionals, it may be helpful to know which warning signs to look for early on.



Some of the characteristic signs, symptoms, and behavioral changes that may be exhibited in people with a substance use disorder include:3,4



<ul>
<li>A persistent desire or failed efforts to reduce drug use.</li>
<li>Spending a significant amount of time and money seeking drugs, doing drugs, and recovering from their effects.</li>
<li>Craving drugs after not using them for a short period of time.</li>
<li>Choosing drugs over commitments to your career, education, relationships, or previously enjoyed recreational activities.</li>
<li>Continuing to use drugs in dangerous situations (i.e., driving a car).</li>
<li>Building a tolerance to the drug (needing a higher dose to achieve the desired effect).</li>
<li>Developing symptoms of withdrawal when drug use slows or stops; or, requiring additional drug use to diminish withdrawal symptoms.</li>
</ul>



Anyone who meets at least 2 of the DSM’s 11 criteria within the same 12-month period may be diagnosed with a substance use disorder.4


<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />



<h2>Myths About Drug Addiction</h2>



Unfortunately, there are many harmful myths and stereotypes about individuals who struggle with addiction that contribute to the stigma that may prevent people from seeking the treatment they need.



Below are some of the most prevalent and enduring myths about drug addiction:



MYTH: Addiction is a choice. FACT: One of the more common and damaging myths is that compulsive drug use is a result of personal choice or that addiction is indicative of a character flaw, whether than substance use disorders actually being chronic brain diseases.5,6



Addiction may be accompanied by certain brain changes that strongly reinforce the continued acquisition and use of the drug in question.7 These changes can impact the structure and neurochemical functioning of the brain in ways that promote compulsive and/or uncontrollable drug use.7 Because of this, while the option to begin using drugs is a choice, addiction takes hold as a person is no longer able to stop using drugs even if they want to.



MYTH: It’s easy to tell if someone is addicted to drugs. FACT: People may have some preconceived notions about what drug addiction looks like, based on what they’ve seen portrayed in movies, TV, or elsewhere in the media. In reality, however, drug addiction affects people of all ethnicities, genders, socio-economic statuses, and upbringings.1



Individuals struggling with addiction may not always appear “out of control” or be honest about how much and how often they are using drugs. Additionally, some people addicted to drugs are still able to maintain their careers, relationships, and daily obligations giving the illusion of a healthy lifestyle. In these instances, being able to detect any of the more subtle signs of addiction could make a big difference in a friend or loved one receiving the support and encouragement they need to seek help.



MYTH: People addicted to drugs just lack the willpower to get clean. FACT: Another harmful myth about addiction is that individuals abusing illicit substances are too lazy or simply don’t want to quit. However, there are a variety of reasons why people have difficulty giving up drugs, including:



<ul>
<li>Mental factors. First, there may be significant mental obstacles between someone and their sobriety: the brain changes that accompany addiction development can make it more likely that an individual is no longer in control of their use.7,8 Because it is a brain disorder that involves functional changes to brain circuits, those changes may last long after drug use has stopped.8 Long-term recovery often requires extensive therapy to unlearn behaviors and replace them with positive coping mechanisms.8 Further complicating matters is the prevalence of co-occurring mental disorders in individuals with substance use disorders. Approximately half the people with substance use disorder will also suffer from another mental illness during their lifetime and vice versa.9 Mental health issues that are themselves not well managed could potentially substance use and worsen the course of addiction progression.</li>
<li>Social stigma. There is a stigma and other societal factors associated with addiction that may prevent someone from seeking treatment. Individuals with substance use disorders may be ashamed of their problem and therefore choose to conceal their addiction from their loved ones or employer.10 Although such stigma may not be the only concern for individuals seeking treatment, it can play a factor in someone choosing to seek help.10</li>
<li>Economic factors. Finally, many people suffering from substance use disorders may have difficulty affording treatment. With the introduction of the Affordable Care Act (ACA) passed in 2010, health insurance providers must provide coverage for addiction treatment services. These plans must provide cover inpatient behavioral health services, behavioral health care and addiction treatment. Yet, because addiction treatment is expensive, those without insurance may not be able to pay out-of-pocket.</li>
</ul>



MYTH: Drug treatment must be voluntary. FACT: Some people believe that in order to successfully get clean, someone has to want drug treatment. Yet, research has shown that that is not always the case. Often, people seek treatment for their drug addiction due to pressure from their loved ones or because of a court order.7 Studies show that people in treatment that feel pressure to remain in recovery do comparatively better than those who do not, regardless of why they entered rehabilitation in the first place.7



<h2>Treating Drug Addiction</h2>



If you or someone you care about has tried unsuccessfully to quit using drugs on their own, it may be time to seek professional help and addiction rehabilitation. Initially, the thought of treatment can be scary and overwhelming when you’re unsure of what to expect and whether it will be successful or not. But the good news is, no matter how severe the problem, with ongoing treatment and continued recovery efforts, recovery is possible.



Regardless of your specific situation, there is no single treatment or method for quitting drugs that will work for everyone. Effective treatment is tailored to the individual and addresses all of the patient’s needs, not just their addiction.8



Many people complete a period of <a href="https://alcoholrehab.com/drug-addiction/treatment/medical-detoxification/">detoxification</a> and <a href="https://alcoholrehab.com/drug-addiction/withdrawal/">withdrawal management</a> before continuing on with a rehabilitation program. Depending on your needs, you may undergo medical detox in a hospital setting where you are monitored for 24-hours-a-day to minimize the risk of unpleasant or life-threatening complications.14



Following successful detox, you may be encouraged to continue working toward recovery with the help of rehabilitation program. Addiction treatment falls into two main categories: <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/inpatient/">inpatient</a> or <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/outpatient/">outpatient</a>.15 Some programs offer varying levels of both residential and outpatient options, including partial hospitalization and intensive outpatient treatment. It is common for patients to start in relatively more intensive levels of care and gradually “step-down” to less intensive treatment before completing rehabilitation.16



Regardless of setting, most substance rehabilitation programs will provide behavioral therapy and counseling delivered in both private and group sessions. Medications may also be prescribed to ease withdrawal symptoms and treat any co-occurring mental health issues for certain types of substance addiction and individual addiction-related issues.15



Research has shown that rehabilitation treatment can be very effective in helping individuals maintain a life of sobriety.17 According to research, most people who get treatment and remain in it for an adequate amount of time stop using drugs, reduce their criminal activity, and improve their social, occupational, and psychological functioning.18



<h2>Getting Treatment for Drug Addiction</h2>



Sometimes taking the first step to sobriety is the hardest. If you are interested in learning more about drug or alcohol rehabilitation treatment for yourself or a loved one, consider reaching out to American Addiction Centers (AAC).



AlcoholRehab.com is operated by AAC, a nationwide provider of addiction treatment centers. Our admissions navigators are available 24/7 to answer questions about treatment, our approach to recovery, what to expect within our facilities and see if your insurance covers treatment with us.



Call our hotline to discuss your options today! There is no obligation to make any decisions; we are here for you and look forward to helping you get the help you deserve.









[sources] [1]. Substance Abuse and Mental Health Services Administration. (2020). <a href="https://www.samhsa.gov/data/report/2019-nsduh-detailed-tables" target="_blank" rel="noreferrer noopener">2019 National Survey on Drug Use and Health.</a>



[2]. Centers for Disease Control and Prevention. (2020). <a href="https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm" target="_blank" rel="noreferrer noopener">Provisional drug overdose death counts.</a>



[3]. National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/publications/step-by-step-guides-to-finding-treatment-drug-use-disorders/if-your-adult-friend-or-loved-one-has-problem-drugs/how-to-recognize-substance" target="_blank" rel="noreferrer noopener">How to recognize a substance use disorder.</a>



[4]. American Psychiatric Association. (2013). Substance Use Disorder. Diagnostic and Statistical Manual of Mental Disorders, Vol 5; 483-485.



[5]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/preface" target="_blank" rel="noreferrer noopener">Preface.</a>



[6]. World Health Organization. (n.d.). <a href="https://www.who.int/substance_abuse/about/en/dependence_myths&amp;facts.pdf" target="_blank" rel="noreferrer noopener">What do People Think They Know About Substance Dependence?</a>



[7]. National Institute on Drug Abuse. (n.d.). <a href="https://archives.drugabuse.gov/exploring-myths-about-drug-abuse" target="_blank" rel="noreferrer noopener">Exploring myths about drug abuse.</a>



[8]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/principles-effective-treatment" target="_blank" rel="noreferrer noopener">Principles of effective treatment.</a>



[9]. National Institute on Drug Abuse. (2020). <a href="https://www.drugabuse.gov/publications/research-reports/common-comorbidities-substance-use-disorders/part-1-connection-between-substance-use-disorders-mental-illness" target="_blank" rel="noreferrer noopener">The connection between substance use disorders and mental illness.</a>



[10]. Crapanzano, K. A., Hammarlund, R., Luce, L., Mulligan, L., &amp; Ward, K. M. (2018). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260179/" target="_blank" rel="noreferrer noopener">Review of the effects of self-stigma and perceived social stigma on the treatment-seeking decisions of individuals with drug- and alcohol-use disorders. </a>Substance abuse and rehabilitation, (9): 115–136.



[11]. MedlinePlus. (2020). <a href="https://medlineplus.gov/ency/article/000949.htm" target="_blank" rel="noreferrer noopener">Opiate and Opioid Withdrawal</a>.



[12]. Pétursson H. (1994). <a href="https://pubmed.ncbi.nlm.nih.gov/7841856/">The benzodiazepine withdrawal syndrome</a>. Addiction (Abingdon, England), 89(11), 1455–1459.



[13]. MedlinePlus. (2019). <a href="https://medlineplus.gov/ency/article/000764.htm" target="_blank" rel="noreferrer noopener">Alcohol Withdrawal</a>.



[14]. Center for Substance Abuse Treatment. (2015). Detoxification and substance abuse treatment. <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf" target="_blank" rel="noreferrer noopener">Treatment Improvement Protocol (TIP) Series, No. 45.</a> Rockville, MD: U.S. Department of Health and Human Services.



[15]. National Institute on Drug Abuse. (2019). <a href="https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction" target="_blank" rel="noreferrer noopener">Treatment approaches for drug addiction</a>.



[16]. Center for Substance Abuse Treatment. (2006). Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. <a href="https://www.ncbi.nlm.nih.gov/books/NBK64094/" target="_blank" rel="noreferrer noopener">Treatment Improvement Protocol (TIP) Series, No. 47.</a> Rockville, MD: Substance Abuse and Mental Health Services Administration.



[17]. National Institute on Alcohol Abuse and Alcoholism. (2014). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help#1" target="_blank" rel="noreferrer noopener">Treatment for Alcohol Problems: Finding and Getting Help.</a>



[18]. National Institute on Drug Abuse. (2018). <a href="https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-effective-drug-addiction-treatment" target="_blank" rel="noreferrer noopener">How effective is drug addiction treatment?</a> [/sources]

Warning Signs of Drug Addiction

Is There a Cure For Alcoholism?

<h2>What is Aftercare?</h2>



Recovery from <a href="https://alcoholrehab.com/alcoholism/">alcoholism</a> is a lifelong process that doesn’t end once professional treatment is complete. Aftercare is an essential component of recovery and a form of continuing care that takes place any time you switch from different levels of care (such as when you move from inpatient to outpatient treatment or after you’ve completed outpatient treatment).



The planning for aftercare starts at the very beginning of the treatment process, starting with the transition from <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/alcohol-detox/">detox</a> to inpatient treatment (or another form of care if appropriate for you). A variety of aftercare options can help you avoid relapse and maintain your hard-earned sobriety by promoting awareness of triggers and providing you with ongoing support, such as through brief check-ups, individual and group therapy, telephone counseling, and support group meetings.1



Aftercare supports the positive effects of the initial forms of treatment, meaning that it helps cement the skills you learned during each phase of rehab. While more research is needed, most evidence supports the idea that aftercare interventions that have a “longer planned duration of therapeutic contact” are more effective than briefer interventions.1



Additionally, active approaches that engage the person in recovery (such as outreach services or telephone contact), and are more convenient for them, may be better and more feasible alternatives for some people than traditional types of aftercare, such as 12-step groups or group therapy, although this can vary from person to person.1



<h2>What is a Relapse?</h2>



Relapse is prevalent among people with alcohol use disorders and, for many, is a common feature of their recovery. A <a href="https://alcoholrehab.com/alcohol-recovery/aftercare/risk-of-relapse/">relapse</a> can be said to have taken place when a person no longer maintains their goal of abstinence and resumes previous levels of drinking behavior.2



While there are many potential contributing factors, people often relapse because they have difficulty handling or responding to various triggers, such as ongoing stress, emotional or psychological problems, financial issues or housing concerns, social issues such as rejection by peers, or other types of personal problems.2



However, treatment may reduce your chance of relapse. Studies examining relapse rates have had varied results, so more research is needed; yet, the available studies tend to show that treatment can have a positive effect on a person’s ability to maintain abstinence. One meta-analysis showed that average short-term abstinence rates have been estimated at “21% for untreated individuals in waiting-list, no-treatment or placebo conditions, compared to 43% for treated individuals.”3 Among those treated individuals who have maintained short-term abstinence, estimated long-term relapse rates have ranged from 20% to 80%.3



<h3>Phases to Relapses</h3>



Relapse tends to happen over time and in phases. Different researchers have posited their ideas about the stages of relapse. For example, the addiction researcher Terence Gorski has outlined 11 phases of relapse, and while this can be helpful for addiction professionals who want to examine the relapse process in their clients, it can be overwhelming to fully understand.



One addiction expert, medical doctor, and researcher Dr. Steven Melemis, explains that relapse can more easily be understood in terms of 3 stages—the emotional, mental, and physical stages.4 Dr. Melemis explains the 3 stages as follows:4



<ul>
<li>The emotional stage of relapse is characterized by denial. During this stage, you are not actively thinking about using, but you may start to experience emotional issues such as bottling up your emotions, isolating yourself from others, avoiding recovery meetings, going to meetings but not sharing, placing more attention on other people and their problems (instead of your own), and neglecting self-care (which includes poor sleep habits).</li>
<li>The mental stage of relapse is characterized by an inner war between wanting to use and wanting to stay sober. You may experience increased cravings for alcohol, have increasing thoughts about people, things, or places that are related to your previous alcohol use, trivialize the consequences of your previous alcohol use (i.e. having thoughts such as, “It wasn’t really that bad, I wasn’t drunk every day”), start bargaining (meaning you make deals with yourself such as “I can just have 1 drink and then stop again”), lie to yourself or others, try to come up with ideas of how you can control your drinking if you start again, seek out opportunities to relapse, and actively start planning your relapse.</li>
<li>The physical stage of relapse occurs when you start drinking again.</li>
</ul>



<h2>Relapse Warning Signs</h2>



Some common emotional and mental <a href="https://alcoholrehab.com/alcohol-recovery/aftercare/signs-of-relapse/">relapse warning signs</a> are indicated in the above stages of relapse. However, everyone also has their own unique triggers for relapse that cause or exacerbate these feelings and thoughts. Learning to recognize what makes you want to start drinking again is crucial for preventing relapse.



What causes someone else to relapse may not affect you, and vice versa. For example, you may not be as affected if you’re at a dinner party with friends who are drinking, but another person may be unable to tolerate it. Or you may have no trouble walking by the beer aisle in the grocery store, but another person may be unable to resist the temptation to make a purchase.



With that being said, being aware of relapse warning signs may help you stay sober by alerting you to when it’s time to reach out for help. If you feel a temptation to drink, you can then take action, such as by reaching out to your sponsor or counselor or other sober supports.



Keep in mind that there might be more than one warning sign in relapse; often, people experience multiple warnings that build on top of each other until they are no longer able to resist the urge to drink.
<h3>Common Warning Signs of Alcohol Relapse</h3>



Common relapse warning signs can include:2,5



<ul>
<li>Exposure to stressful events, people, or situations.</li>
<li>Exposure to alcohol or alcohol-related stimuli.</li>
<li>Anxiety, depression, or other mental health issues.</li>
<li>Trauma.</li>
<li>Violence.</li>
<li>Loss (i.e. death of a family member, divorce, loss of your home, etc.)</li>
<li>Poor social support.</li>
<li>Problems at work.</li>
<li>Interpersonal conflict.</li>
<li>Social stigma.</li>
<li>Poor physical health.</li>
<li>Guilt due to a one-time slip-up (i.e. you may continue drinking as a way to cope with your feelings of shame of having had “that one drink”).</li>
<li>Increasing negative thoughts, usually in the form of self-criticism, catastrophizing, or all-or-nothing thinking.</li>
<li>Fear of alcohol recovery (meaning that you don’t believe you are capable of recovering from your addiction or that you aren’t able to live an alcohol-free life).</li>
<li>Feeling resentful that you can’t “have fun” in the ways that you are used to (i.e. by drinking).</li>
</ul>



<h2>What Do I Do If I Relapse?</h2>



If you relapse, it is important to practice self-compassion and avoid judging yourself harshly. Relapse does not mean that treatment didn’t work; it means that you’ve experienced a common setback that many people in recovery deal with at some point. And sometimes, at multiple points.



It also means that you need to adjust your current treatment plan; perhaps even a different approach or form of treatment. Learning from your setbacks during alcohol recovery is also important because they don’t need to always end in relapse. For example, if things don’t work out the way you want them to in your life or you experience frustrations, you don’t need to give up and start drinking again.



One goal of treatment is to help people understand that relapse is a gradual process that starts way before you have the first drink. It’s important to understand your relapse as much as possible. Take a look at the reasons that you relapsed and think about them in the context of the above-mentioned stages of relapse and triggers.



Try to pinpoint when you started experiencing the first cravings to drink and think about what was going on in your life at that time. Developing an awareness of the specific warning signs that preceded your relapse may allow you to prevent a relapse in the future. It's crucial to be aware of the early warning signs because that is when it’s easiest to reduce the risk of relapse.4



<h2>Developing an Aftercare Plan</h2>



The risk of relapse is the main reason why it’s necessary to have a comprehensive aftercare plan in place even before you’ve completed treatment. Aftercare is designed to help you stay sober in the early alcohol recovery period and to help you achieve your other life goals long-term.



Aftercare programs include:



<ul>
<li><a href="https://alcoholrehab.com/12-steps-aa/">12-step groups</a> like Alcoholics Anonymous (AA).</li>
<li>SMART Recovery.</li>
<li>12-step facilitation efforts designed to help you better engage with 12-step groups, such as Making AA Easier and Systematic Encouragement and Community Access procedures.</li>
<li>Individual therapy.</li>
<li>Group counseling.</li>
<li>Sober living homes.</li>
<li>Regular telephone contact with a counselor or sponsor.</li>
<li>Home visits from a nurse or other medical practitioner.</li>
<li>Case management services (usually provided by a social worker).</li>
<li>Social clubs.</li>
<li>Family support, such as through family counseling, one-on-one counseling sessions for partners, children, or other family members, educational programs about addiction for family members, and 12-step groups for family members, such as Al-anon.</li>
</ul>



Continued therapy and <a href="https://alcoholrehab.com/alcohol-treatment/types-of-treatment/outpatient/">outpatient</a> services are important tools in the transition from or “step down” to less intensive forms of treatment. You may be able to continue these services at the facility where you first received treatment, or you may switch to a different facility if that works better for your needs.



Certain situations should be avoided in aftercare planning, such as households or places where you may experience triggers or be offered alcohol. For those whom may need extra residential support, sober living homes provide alcohol- and drug-free residences designed to support you as you transition back to your regular life.



Or you may consider bumping up your attendance of 12-step meetings during stressful times or engaging in individual therapy in addition to self-help groups. Your counselor or care provider must understand and take into account your unique triggers when formulating your aftercare plan so that you are well-equipped to recognize the signs of and avoid a relapse before it occurs.



<h2>Treating an Alcohol Relapse</h2>



If you’ve recently experienced a relapse and are ready to adjust your treatment plan, American Addiction Centers (AAC) can help. As operator of AlcoholRehab.com, AAC’s admissions navigators can discuss your treatment options with you today.



Remember, a relapse doesn’t mean you have failed, don’t let it keep you from getting the help you deserve. Call our hotline 24/7 to speak with one of our admissions navigators; all calls are 100% confidential. Or, fill out the form below to see if your insurance covers treatment within an AAC facility.

<hr />
Not sure if your insurance covers alcohol treatment?
Check your insurance coverage or text us your questions for more information.
[vob-aktify-cta]


<hr />



[sources]
[1]. McKay, J. R. (2009). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2670779/" target="_blank" rel="noreferrer noopener">Continuing care research: what we have learned and where we are going</a>. Journal of Substance Abuse Treatment, 36(2), 131–145.



[2]. Alcohol and Drug Foundation. (n.d.). <a href="https://adf.org.au/reducing-risk/relapse/" target="_blank" rel="noreferrer noopener">Relapse</a>.



[3]. Moos, R. H., &amp; Moos, B. S. (2006). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1976118/" target="_blank" rel="noreferrer noopener">Rates and predictors of relapse after natural and treated remission from alcohol use disorders</a>. Addiction, 101(2), 212–222.



[4]. Melemis, S. M. (2015). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553654/" target="_blank" rel="noreferrer noopener">Relapse prevention and the five rules of recovery</a>. The Yale Journal of Biology and Medicine, 88(3), 325–332.



[5]. Sinha R. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732004/" target="_blank" rel="noreferrer noopener">Chronic stress, drug use, and vulnerability to addiction</a>. Annals of the New York Academy of Sciences, 1141, 105–130.
[/sources]

Kristina Ackermann

About

Credentials

Authored Posts

Edited Posts