TREATMENT
First,
we must candidly state there is no single treatment approach that is effective
for all persons with substance problems. We believe that the cause(s)
of addiction
are not yet certainly known. We use a cognitive behavioral approach to treating
individuals with opiate addictions. This approach has
been proven effective as a
treatment tool with “adjunctive medication”.
Most
individuals view themselves as having a sense of perceived self-control. When
confronted with high-risk situations,
this sense is threaten. High risk situations for the
opiate-using individual might include negative or positive emotional
or physical states,
interpersonal conflicts, social pressure, or exposure to drug cues.
Thus, persons faced with these
high-risk situations develop effective coping responses
and learn to believe that they can manage their lives effectively
without the temptations
to use drugs. The use of the medication, Methadone as an adjunct to the behavioral
management
tools will yield effective results.
We believe in the concept of a blocking dose. This means an administration of a
medication dose that will totally eliminate not only the feelings of withdrawal, but the
sense of craving. It is the
craving that causes the individual to engage in self-destructive
behavior. Our physicians will assist you in achieving
the blocking dose.
During this phase, the patient is stabilized on an optimum dosage of Methadone.
Acute medical problems are
addressed and use of alcohol and other drugs is minimized.
A therapeutic relationship is developed.
The primary goal is to achieve balance and stability in the primary areas of adult functioning.
The patient
is on a comfortable Methadone dosage and begins forming a new identity based
on a healthy, drug-free lifestyle. This stage
includes demonstrating a commitment to mature
participation in family and community life, as well as meaningful involvement
in career or
work-related activities.
The purpose of this phase is to taper off Methadone without relapsing to drug use or other
self-destructive
behavior. Activities during this phase include maintaining abstinence from
all drugs, relapse prevention techniques and
developing a support system that will assist
in the next phase.
The patient is reaching “zero dose” of Methadone and begins to participate in aftercare.
The primary goal
is to reinforce relapse prevention and coping skills to maintain a
balanced and stable lifestyle.
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