Addiction treatment options

[Alfa]

What different treatment options are available? Please post links to relevant threads here and help expand this thread.

[hippie_lain]

the holy spirit. see the bible for guidence...lol

but seriously it works for alot of people, it worked for me

[imyourlittlebare]

www.suboxone.com

suboxone. It stopped intrusive depressed thoughts that normally come for swim when opiates are stopped and the WD is way over. There is literature on its effectiveness as an antidepressant as well

Buprenorphine Treatment of Refractory Depression

J. Alexander Bodkin, MD, Gwen L. Zornberg, MD, Scott E. Lukas, PhD,
and Jonathan O. Cole, MD.
Journal of Clinical Psychopharmacology, 1995, 15, pp. 49-57
Abstract Opiates were used to treat major depression until the mid-1950s. The advent of opioids with mixed agonist-antagonist or partial agonist activity, with reduced dependence and abuse liabilities, has made possible the reevaluation of opioids for this indication. This is of potential importance for the population of depressed patients who are unresponsive to or intolerant of conventional antidepressant agents. Ten subjects with treatment-refractory, unipolar, non-psychotic, major depression were treated with the opioid partial agonist buprenorphine in an open-label study. Three subjects were unable to tolerate more than two doses because of side-effects including malaise, nausea and dysphoria. The remaining seven completed 4 to 6 weeks of treatment and as a group showed clinically striking improvement in both subjective and objective measures of depression. Much of this improvement was observed by the end of 1 week of treatment and persisted throughout the trial. Four subjects achieved complete remission of symptoms by the end of the trial (Hamilton Rating Scale for Depression scores < 6), two were moderately improved, and one deteriorated. These findings suggest a possible role for buprenorphine in treating refractory depression.

[JaWill88]

yes suboxone is great swim has been on it for 1 year. but swim must say it has its down. that is a lot of people have a pretty bad time getting off of it. not quite as bad as methadone but almost the same. they both give milder withdrawals but much longer duration. there are many treatment options. the most well known is the twelve steps (AA, NA, MA, CA, ect.). There is intpatient treatment for various lenghts of times (like 3 weeks to 6 months or something around that area)which you live there for the duration. then there is out patient treatment. again duration varies, maybe like 3 months to 2 years. this is living at home or in a sober home(half way house or something). oh yeah and for religous people you can find treatment centers that are faith based or whatever as well as other religions to suite your needs. of course there is detox which is EXTREMELY important depending on what drugs one is taking (esp. alcohol and benzodiazepines or related like barbituates). the only other class of drugs that needs detox for is opioids. if one isn't addicted to one of these classes of drugs then they don't need detox. but for those whodo, detox is the very first step towards recovery. psychological counseling is very important too. that is a very good form of treatment. it helps with psychological addiction which is the worst part of addiction. it is where it began and where it has to end. this is probably the most important thing besides detox if its necessary. as said above, finding religion/going to church could work for some people. for those who don't like 12 step meetings, there are other meetings that take place regularly such as SMART recovery and Maintenance Management. swim certainly doesn't like 12 step meetings as it failed to help 95% of people who have sought out their treatment approach. so thats 5% that have some long term sobriety. 5% of people with addictions naturally just grow out of them as well. AA has the same success rate as doing nothing. swim is not trying to bash on AA at all, just trying to warn people for their own good. swiy may be one of those 5%. at least give it a try, anythings better than having a severe addiction. this is all swim can think of for now.

[imyourlittlebare]

I would attribute AA and NA's success to their philosophy rather than dumb luck. The most intelligent things they teach are "the 4th hit isnt the worst. neither is the 8th 16th or 17th. Its the first". They also dont let you forget the last time you were high because when you forget that, thats when doubts come. Also, they constantly remind you that you are totally helpless when it comes to the powers of alcohol and drugs. They remind you youve tried time and time again to control them, but they always take control. So rather than letting them again, you have to believe you are totally powerless against them, and that you can never use again because there is no risk of anything bad with sobriety. And you take it day by day hour by hour so as not to overwhelm yourself

I mean when you really think about it and get it down on paper. That is AMAZING philosophy.

[Fight Club]

Prometha - treatment for Meth, Cocaine and other stimulants. From 60 minutes feature this past Sunday.
http://www.cbsnews.com/sections/i_vi...ayer3415.shtml

FC

[toe]

Links to secular recovery groups with meetings all over the world. Non 12-steps options.

[~lostgurl~]

Please add all drug related media to the file archive. I have added Prescription For Addiction

[Chemotrophic]

Ibogaine therapy is an option for some, unfortunately illegal in the US, but legal in nearly all the rest of the world. Here's a list of worldwide ibogaine treatment facilitators: http://www.myeboga.com/providers.html
For those living in the 95% of the world where iboga is not outlawed, ordering it yourself from a smart shop is an option, though taking it alone is highly not recommended.

Caveats:

1) If you do it on your own instead of with an established therapist, a sitter is a requirement. There will be minimum 6-24 hours in which you won't be able to care for yourself.
2) There's a small but real risk for those who have existing heart rhythm problems. Get your heart checked first if you can.
3) Liver problems are no-go as well, get those checked too.
4) Try to follow it up with a recovery group or some psychological counseling. Taken alone, all it does is cut the withdrawals immediately. Believe it or not, kicking a habit takes more than that.

Ibogaine is nearly a sure thing if you follow it up with counseling or a recovery group. You need some accountability to keep you honest. Beware, however, as many 12-step groups are not friendly to iboga therapy, with their dogma of "you can't kick a drug with another drug". If you go with a public 12-step group, best not to share your iboga experience with the group.

[yvonne lee]

There are two different types of treatment: Inpatient treatment and outpatient programs.

Inpatient treatment are:
- Short-term residential programs
- Long-term residential programs
- Rapid medical detoxification

Outpatient program are:
- Methadone maintenance
- The “Matrix Model”- Bio-physical method
- Criminal justice programs

http://www.helpguide.org/mental/drug_abuse_addiction_rehab_treatment.htm
This link will provide a more detail information regarding the treatment of drug addiction.

[Alfa]

• Partial Hospitalization or Day Substance Abuse Treatment
• Drug Rehab with a Dual Diagnosis Treatment Component
• Drug Addiction Treatment Component for the Gay and Lesbian Community

[Motumba]

Has anyone considered using plants to help with withdrawal and addiction/retardent withdrawal syndromes'
Iboga treatment' Aya-huasca' mushrooms' Blue lilly extract'(apomorphine)


It worked for swim, and has worked for many others' who are not swim

Never have to feed a doctor or pharm company ever again'

It is worth looking into anyawys'

swim tryed all the rest'

blessed be'

Motumba'

[oliveralexander]

Does someone you know have ever heard/experienced ANR method?
(ACCELERATED NEUROREGULATION METHOD)
If so iwould greatly appreciate anyi nfo you can provide me with.

Thanks in advance

Oliver

[purplehaze]

Phazes step father was on methadone then suboxyone, now he is in an experimental based treatment program were he earns money to be a test subject.

He is taking strips that to phazes understanding he puts inside his mouth. Has anyone else heard of this?

If not phaze has been meaning to get this information for the forum, if possible he will eventually post it, though i believe some form of waver was signed that only he can own a copy until he is out of the experiment. Have to look over the paperwork.

[Ilsa]

most of us probably know someone who has dealt with addiction...more than once. according to current addiction treatment dogma, addiction is a chronic disease, the therapy for which is abstinence. however, the relapse rate for those who underwent court-ordered treatment was 90%. in contrast, data from a study of vietnam vets addicted to heroin upon their departure from vietnam was only 12-14% three years after returning to the states (reference, sections (2.6-2.8). obviously, much of the discrepancy is due to environment (availability, legality, cost, etc), but the data clearly do not support the disease model in this specific case. yet it is supported in many other instances. many individuals must abstain from using completely, while others can scale back and use only occasionally. many of us cobble together coping strategies by taking ideas from various sources, so i thought i'd outline some of the strategies/theories i've read about and i invite others to do the same.

models of addiction

the disease model

cause: congenital defect/deficit, inherent chemical imbalance

treatment: lifeling abstinence from any mind-altering substance (except caffeine/nicotine), use of support groups (NA/AA), maintenance (opiates)

addiction is a physical and/or psychological compulsion over which the addict has no control and which is causing dysfunction in his/her life. organizations like NA/AA center their treatment methods around this model, as described thoroughly by Dickon here.

the social education models

social learning model
Climento, Carlo C. Addiction and Change, pp. 14-15


cause: poor socialization/social anxiety, poor coping skills, poor role model

treatment: desensitization (by recounting specific experiences) and reconditiong

using experiences reinforce/reward the actions leading up to and during use, generating sensitivity to environmental, stress, and habit-induced cues an dconditioned behavior. the user chooses to use because it is rewarding. behavioral conditioning results in 'habits' that are more rewarding than are daily activities. the user uses because drugs and the environmental and emotional cues leading up to use trigger the reward pathway, often before any substance is ingested. see pavlov.

moral model
reference

cause: moral weakness, character flaws, poor values (strictly non-biological)

treatment: focus on personal choices and restructuring of personal values

the user has poor decision-making and impulse-control skills and/or a poor "values system." this was particularly popular when the clergy was considered the authority on human behavior.

behaviour-choice model
reference
1. repeated use of an addictive drug decreases its future value and the future value of competing activities.
2. the frequency of an activity is a function of its relative (not absolute) value...an activity that reduces the values of competing behaviors can increase in frequency even if its own value also declines.
3. effective reinforcement contingencies are relative to a frame of reference, and this frame of reference can change so as to favor optimal or sub-optimal choice.
4. if the frame of reference is local, reinforcement contingencies will favor excessive drug use, but if the frame of reference is global, the reinforcement contingencies will favor controlled drug use. The transition from a global to local frme of reference explains relapse and other compulsive features of addiction.

**this one makes sense, but i need to do more reading before i feel comfortable commenting on it or summarizing it myself


types of therapy include the following (feel free to add to this)

biophysical therapy

addresses first the issue of getting a user to a physioligically stable state, and then addresing underlying emotional issues.


cognitive-behavioral therapy

a therapist works with a patient to identify the thought and subsequent behavior patterns that are problematic. this often includes implementing changes in behaviors such as socializing: depressed individuals often avoid social situations, which further isolates the individual and perpetuates a visious cycle. an example of a cognitive excercise would be mentally walking a patient through a fearful situation and rehearsing a new behavior, making it easier for the patient to implement when (perceived) threatening situations actually do arise. other techniques include positive reinforcement of the patient's successful employment of changes in thought and/or behavioral patterns (conditioning), desensitization to perceived threats by repeated exposure and, when possible, direct confrontation of the threat, and teaching the patient to actively evaluate their psychological reactions and trust that they are appropriate.


supportive-expressive psychotherapy
reference

focused on generating a safe atmosphere in which the patient feels comfortable expressing his/her experiences and feelings, allowing for identification of problematic issues. interestingly, this method is targeted to those recovering from heroin and cocaine addictions
that's what i have so far, there are more on a couple of the links, but i chose the ones was able to cross-reference among the sources listed or that i had some prior knowledge of...i'll add more as i come across it

Reputation Comments on this post:

	excellent work ilsa! thanks for starting this comprehensive post on the different models of addiction and treatment
	Useful information. Succinct, and clearly expressed.
	Excellent information that's well presented. Great job.

[Ilsa]

agonist maintenance: think methadone--covered elsewhere in the forum

antagonist maintenance: naltrexone, focuses on decreasing/eliminating reward associated with the drug of choice

long-and short-term residential treatments: differ in duration but are both centered around the 12 steps and subsequent participation in groups like NA/AA; long-term emphasizes "resocialization" occurring over a 6-12 month period

medical detoxification: subutex/suboxone is a good example, this focuses on getting the patient physically stable, increasing the effectiveness of subsequent therapeutic approaches. coming off of benzodiazepines, barbiturates,and alcohol can result in delirium tremens, due to GABA deficiencies, which in severe cases can cause seizures and death

voucher-based reinforcement in methadone maintenance: vouchers are given to patients that test clean in urine tests....consecutively clean tests earn vouchers of higher value. i'd like to add this reference to the file archive, but need some help; i've attached it as voucher.

i also found an article comparing 12 step to cognitive-behavioral therapy here. and have attached it as Ouimette97.

[~lostgurl~]

Please upload pdfs to the file archive: Quick Links > Add File

[Ilsa]

done, thanks!

[stephy171072]

One more out there treatment option is hypnotherpy. Now swim knows that some people do not belive in this and no it dosn't work for everyone (but then again what does what it comes to this?) but there have been a large number of cases that this does work for people.

Swim is actually trying out this method at the moment so can hopefully add to this with some experience from that person when she has gone through it. It is to soon for swim to tell yet.

Here is an articel swim found that has two succsess stories and there is also another link worth looking at on that page.
http://www.drugs-forum.com/forum/sho...t=hypnotherapy

Swim has only been to a few sessions herself but advice that she can give is if anyone does decied to give it a try they should really go in there beign totally open to it. Swim would not advice anyone going with a feeling of 'this just isnt going to work' or likleyhood is that it wont. Also keep it up! Do not give up after one session because that didn't cure you. Swiy must be prepared to give it some time.

As far as swim can gather hypnosis works with the subconscious mind so the suggestions that are conveyed are deep inside of the mind so it can take effect immediately. The mind cannot tell between memorys that have allready happened and ones made up so hypnonsis uses that to make the person belive things.Hypnosis relaxes the body and eases the mind into a pleasant, relaxed, altered state. Within this state, the mind is then able to take "suggestions." successfully. These suggestions can encourage and motivate you when your rational mind cannot encourage and motivate itself.

For hypnonsis to work though the person does need to have an honest will to quit.

[wonky]

There is also the SMART program, SWIM doesn't know too much about it, she is just looking into it herself. SMART stands for 'Self-Management And Recovery Training". SWIM believes it is based on cognitive behavioral therapy. There is a section on their website where one can find meetings near them. It has been around for a few years, maybe 5 that SWIM knows of. SWIM will post more when she knows more about it.

[Motumba]

Originally Posted by Chemotrophic

Ibogaine therapy is an option for some, unfortunately illegal in the US, but legal in nearly all the rest of the world. Here's a list of worldwide ibogaine treatment facilitators: http://www.myeboga.com/providers.html
For those living in the 95% of the world where iboga is not outlawed, ordering it yourself from a smart shop is an option, though taking it alone is highly not recommended.

Caveats:

1) If you do it on your own instead of with an established therapist, a sitter is a requirement. There will be minimum 6-24 hours in which you won't be able to care for yourself.
2) There's a small but real risk for those who have existing heart rhythm problems. Get your heart checked first if you can.
3) Liver problems are no-go as well, get those checked too.
4) Try to follow it up with a recovery group or some psychological counseling. Taken alone, all it does is cut the withdrawals immediately. Believe it or not, kicking a habit takes more than that.

Ibogaine is nearly a sure thing if you follow it up with counseling or a recovery group. You need some accountability to keep you honest. Beware, however, as many 12-step groups are not friendly to iboga therapy, with their dogma of "you can't kick a drug with another drug". If you go with a public 12-step group, best not to share your iboga experience with the group.

Taken alone, all it does is cut the withdrawals immediately.

Bro' that comment is a downright lie'
Iboga helps with withdrawal' and then goes on to teach you of who and what you are and of why you use "Drugs" Take enough an you shall "Stop" taking drugs'

Be safe

Nobuoni +