Q: How do I know if I’m addicted?
A: Although there is no definitive answer to this question, there are some important things to consider:
- Are friends and/or family members concerned about your using, telling you to stop or slow down?
- Have you been in trouble with the law as a result of your using?
- Have you ended up in the hospital or ER as a result of your using?
- Have family or friends given you an ultimatum or set boundaries around your using?
- Is it affecting your job (being late, not showing up, using on the job, etc.)
- Are you in financial distress due to your using habit?
- Have you tried to quit for any amount of time, but are unable to, are afraid to?
- If you do try to quit, does your body goes through withdrawals (sweats, shaking, vomiting, loss of appetite, loss of sleep, diarrhea, etc.)?
If you answered YES to any of these, then you might have a problem with addiction.
In general- If using is not a problem, then not using (or stopping) should not be a problem.
Q: What is Detox?
A: Detoxification, simply put, is withdrawing from alcohol or drugs in a medically managed setting. The purpose of treatment is to medically manage symptoms of withdrawal, which may include: Sleeplessness, anxiety, sweats, nausea, seizures, etc.
There are two types of Detox services: In-patient, and Outpatient.
In-Patient Detox is recommended most often when the client has medical complications, has a history or risk of seizures, or lacks family support. During this process, the client will recuperate in a home-like setting, with 24/7 medical supervision. The client’s stay will range from 3 to 10 days, based on the level of severity of addiction, and other factors.
Outpatient Detox involves an initial visit at the Office by a Physician or Nurse Practitioner, to evaluate the client and initiate treatment and dispense medications. The initial visit is followed by a daily ‘check-in’ at the office, followed by recuperation at home, with a family member present. 75% of clients, on average, are appropriate candidates for this level of treatment.
Q: How do I know if I need to Detox?
A: The decision of whether to undergo Detox is a serious one, and should be made with care by a Physician, or a professional with experience in Drug and Alcohol detoxification protocols. Factors that affect that decision may include: quantity and frequency of use, length of time the person has been using/drinking, medical complications (ie history of seizures) and the age of the person, among other things.
Q: What are the levels of care?
A: The primary levels of care for Chemical Dependency/ Substance Abuse are: Residential Treatment, Intensive Outpatient Program (IOP), and Individual counseling.
Residential Treatment involves staying overnight at a facility for an average of 28 days. The advantage of residential care is that all activities during the client’s stay are centered around getting sober. These may include Detoxification Services, Group and Individual Therapy, 12-step meetings, Medical monitoring, and other programs. Also, for some clients, the isolation from old associations, combined with the inability to obtain alcohol or drugs while in treatment is a necessary requirement. The downside is cost (an average stay at a quality facility can range from $25,000 to $50,000 per month, or more.) Also, many facilities are in another city or state, which makes contact with family difficult, and keeping one’s employment may be an obstacle as well. It’s important to note that Residential Treatment, for some clients, is a necessary beginning to their recovery. From that point, they may transition to the IOP and Continuing Care programs to ensure lasting sobriety.
The Intensive Outpatient Program (IOP) includes many of the crucial elements of Residential treatment. If Detoxification Services are required, it can be done on an Inpatient, or (most likely) Outpatient basis. The Intensive Outpatient Program consists of Group therapy three days per week (usually in the evening, allowing the client to continue to work), as well as Individual Therapy once per week. Our program lasts 10 weeks, followed by a lower level of Continuing Care afterward. One key strength of IOP is that the Client develops strong relationships in accountability with other clients. This is a powerful and lasting tool in staying sober, and isn’t available in Residential or Individual Treatment. Lastly, Family is encouraged to participate in the Client’s recovery, which offers healing for loved ones, as well as the client.
Individual Counseling involves weekly meetings with a Substance Abuse-trained Therapist. Individual Therapy can be instrumental in identifying the nature of addiction, and working to overcome addictive behaviors. However, it falls short in effectiveness for recovery, due to the infrequency of visits, and lack of accountability and structure.
Q: How do I talk to my loved one about treatment if they don’t want it?
A: You cant ‘make’ anyone get treatment if they don’t want it. The best thing to do in this case is to look at your own situation. Have you set boundaries to take care of yourself around their using? Are you being consistent with consequences around these boundaries? Do you have support? (family, al-anon/ nar-anon, therapist)
Addiction affects the whole family. Anyone that loves or lives with an alcoholic/addict has been affected, and often times they need to seek recovery themselves. At Turning Point, we work with family members of addicts and alcoholics to educate them on addiction, and the roles surrounding this disease. We help family members set boundaries, we guide them through the process of building and maintaining a healthy support network.
Q: How do I get started?
A: You will start with an initial visit, which will last about two hours. You can call our office and schedule a time for this appointment. We’ll work to get you in to see us in 24 hours or less. During your visit, we will verify your Insurance benefits and provide financial counseling for your co-insurance requirements. You will meet with a Therapist to talk about your issues, and then you’ll decide on a treatment plan that works best for you. You may be able to start the IOP immediately.
Q: How much does IOP cost?
A: We accept most insurance at TPRC. During your initial visit, your benefits will be verified, and you will be given an estimate of any co-insurance or co-pays that are associated with the program. If you have Medicaid coverage, we recommend our sister facility, Focused Recovery of New Mexico. You may contact them at 505.835.5711.
Q: I’m worried about confidentiality. What information gets shared?
A: Your privacy is a priority at TPRC. All of your Client information, including your name/address info, medical, and therapeutic notes will be kept absolutely confidential, unless we receive written permission from you to share with someone else (ie, your primary physician, an employer, another therapist, etc.)