Drug and alcohol addiction not only effects the individual captured by the substance, but also the entire support system including the family, which we refer to as “the recovery alliance”. They believe that the best healing occurs within the entire recovery alliance. The alliance can be critical to a drug addict and alcoholic’s long-term success by reducing the relapse potential.
Individual therapy is the process whereby a psychiatrist, therapist or counselor works with a patient on a one-one-one basis. Individual therapy is critical in the treatment of patients in drug and alcohol rehab. Although the mainstay of drug and alcohol treatment is group treatment and activities, individual therapy is necessary to give patients a forum to discuss and process thoughts, emotions and events that they may not be comfortable sharing in a group setting.
Cognitive Behavioral Therapy:
Cognitive behavioral therapy (CBT) is a commonly used type of talk therapy for a wide-variety of mental health and psychological disorders, including drug and alcohol addiction and dual diagnosis disorders. CBT is also effective to learn how to better manage life stressors and is not necessarily used only for diagnosable illnesses.
The underlying theme of using cognitive behavioral therapy is reframing. In reframing, the patient will learn how to nonjudgmentally evaluate his/her line of thinking and to change inaccurate or negative thoughts. The line of thinking affects emotions, which in-turn affect behaviors.
Dialectical Behavior Therapy:
Dialectical Behavior Therapy (DBT) incorporates cognitive and behavioral therapy, combining methodologies from various practices including Eastern mindfulness techniques. This unique therapy model brings together what seem to be opposing views, acceptance and change, to produce better results than either one alone. Initially developed to treat chronically suicidal individuals with borderline personality disorder, DBT has evolved to include treatment of individuals with multiple different disorders. Dialectical Behavioral Therapy has had excellent success in treating individuals who struggle with: substance abuse, mood disorders, depression, anxiety, obsessive compulsive disorder (OCD), attention deficit – hyperactivity disorder (ADHD), and post-traumatic stress disorder (PTSD).
Motivational Interviewing (MI) is a commonly used therapeutic modality for the treatment of drug and alcohol addiction. Motivational Interviewing is nonjudgmental and not confrontational. Rather, it empowers the patient and the therapist to form a partnership and assists the patient in overcoming his/her ambivalence about change. As is well-known, confrontational and directive therapy can lead to defensiveness and resistance, and an overall negative treatment experience.
Nutrition therapy, aka medical nutrition therapy (MNT), is a way of treating physical, emotional, and medical conditions through diet. Specific dietary plans are designed by professional nutritionists or registered dietitians, and patients follow them in order to positively affect their physical and mental health. Patient’s meals at BWR are prepared by a Certified Food Manger in their specially designed dining room. The dining room is organized in such a fashion as to promote communication and socialization between peers.
Group process therapy is a type of counseling where a trained therapist or counselor treats a small number of patients simultaneously as a group. It can be used to treat many issues such as grief, trauma and depression but it’s also used in drug and alcohol treatment centers. It’s most often used in conjunction with individual counseling and family counseling.
Recreation therapy offers patients the opportunity to practice new patterns of behavior through engaging in a variety of activity-based interventions. Recreation therapists utilize diverse modalities, such as music, sports, art, creative writing, psychodrama, and teambuilding activities to develop skills that are fundamental to recovery. Sessions are designed to address the specific treatment goals of individuals, and the group overall. The focus is on improving social, cognitive, and emotional wellbeing.
Life skills trainings involve all the skills a person must have in order to function successfully in the world. These include time management, career guidance, money management, and effective communication. Truly successful addiction recovery is based on the ability to not only live substance-free, but to thrive. Life skills teaches the practical necessities of functioning in society, which sets clients up for success in life, and therefore sobriety.
Creative Arts Therapy:
Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself.
Rational Behavior Therapy:
Rational Behavior Therapy (RBT) is a form of cognitive behavioral therapy meant to be short-term and comprehensive. It was intended to help clients become more self-sufficent and move forward without the need for expensive, ongoing therapy. It includes an emotional self-help method called “rational self-counseling,” the purpose of which is to give clients all the skills needed to handle future emotional issues by themselves, or with significantly less professional help.
Recreational therapy (aka therapeutic recreation) uses creative and fun activities to help with addiction recovery. Recreational therapists lead patients in entertaining and engaging activities like sports or games; art (drawing, painting, sculpture); drama, music, and dance; and/or community outings (field trips) to improve patients' physical, social, and emotional well-being.
Fitness therapy blends exercise with psychotherapy for a fun, inspiring, and effective way of treating addiction and other issues. By incorporating movement into counseling sessions, clients become more empowered, motivated, and goal-oriented, all while strengthening their bodies and becoming more flexible. Fitness Therapy is usually used to complement a course of treatment (inpatient or outpatient) to make it even more successful. Increasing the connection between a patient’s mind and body helps both with healing as well as in creating new, healthy habits.
Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.
Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals.
Eye Movement Desensitization and Reprocessing:
EMDR is a therapeutic modality originally developed to help process trauma. In an EMDR session, a patient is prompted to undergo eye movements that mimic those of REM sleep. This is accomplished by watching a therapist's finger move back and forth across, or following a bar of light. The goal is repetitive sets of eye movements that help the brain reprocess memory, which can significantly reduce the intensity of remembered traumatic incidents. Associated memories can heal simultaneously, leaving patients significantly calmer, more stable, and more emotionally relaxed.
Eating Disorder Treatment:
Eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Many psychologists and other mental health professionals consider eating disorders to be food addictions, meaning food is being used in an addictive way (similar to drug or alcohol addiction). Certain substance abuse treatment programs will have treatment for eating disorders as one of the services offered. An eating disorder may also present as a co-occuring disorder or dual diagnosis alongside drug and alcohol addiction.