Carolinas HealthCare System Behavioral Health

Alcoholism

Alcohol use disorder, commonly called alcoholism, involves an inability to control the amount or frequency you drink and feeling withdrawal symptoms when you don’t drink. Treatment for alcohol addiction may involve residential or outpatient alcohol rehab in North Carolina, counseling, or 12-step programs. Typically, some form of professional treatment and support is necessary to achieve long-term recovery.

Drug Addiction

There are many types of drug rehab in North Carolina. To receive treatment for addiction, you can choose from many inpatient and outpatient programs. Often, participants start with detox and work through a full continuum of care that continues with ongoing support for long-term recovery.

Mental Health and Substance Abuse

In North Carolina, dual-diagnosis rehabs offer comprehensive care for individuals facing both mental health and substance abuse challenges. These specialized facilities integrate evidence-based therapies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), eye movement desensitization and reprocessing (EMDR), and experiential therapy to address both aspects of your well-being. By taking a holistic approach to co-occurring disorder treatment, you are dramatically improving your odds of long-term sobriety.

Opioid Addiction

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

• Medicaid
• Private insurance
• Self-pay options
• Financial aid
• Medicare

• Adolescence program
• Adult program
• Program for men
• Program for women
• Young adult program

Outpatient

Clients who are exiting detox or stepping down from intensive inpatient care typically transition directly into outpatient treatment. Outpatient programs are designed to allow clients to either re-enter or remain in their communities while receiving robust, personalized care. Many facilities offer evening, night, or weekend services to accommodate clients’ home and work schedules. The most common outpatient treatment modalities include psychotherapy, recovery-focused life skills training, and medication assisted treatment (MAT).

Inpatient

Residential treatment programs are those that offer housing and meals in addition to behavioral health treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements. They offer inpatient behavioral health treatment for adults that may be dealing with depression, bipolar disorders, withdrawal from drug and alcohol addiction and other brain disorders such as schizophrenia. Additionally, there is an inpatient unit for children and teens who are having crisis related to mental illness or substance use disorder. There are separate units for children (ages 4 to 12) and adolescents (ages 13 to 17).

Partial Hospitalization Program

A partial hospitalization program (PHP) is a short-term form of intensive rehab, usually for those with acute symptoms that are hard to manage but don’t require 24-hour care. PHPs have structured programming (i.e. individual and/or group therapy), and usually meet 3-5 days a week for around 6 hours (i.e. 9am-3m). Some PHPs are residential (patients sleep on site) and some are not, so patients sleep at home. PHPs can last from 1-6 months, and some offer transportation and meals.

Couples Therapy

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.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Electroconvulsive Therapy

ECT is a form of treatment in which controlled electric currents are passed through the brain, sometimes causing short seizures. Treatments are done under general anesthesia. ECT appears to change brain chemistry for the better, and has been shown to provide fast and sometimes dramatic improvements in severe mental health conditions that can exist alongside addiction, including depression, bipolar disorder, psychosis, and suicidality. ECT is also often used by those who prefer it to taking medication.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Recreational Therapy

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. Recreational therapy is used on children and teens.

Transcranial Magnetic Stimulation

Transcranial Magnetic Stimulation (TMS) is a non-invasive way of stimulating the brain in order to help with symptoms of depression. TMS uses elecromagnetic coils to deliver magnetic pulses to the brain, which can improve a patient's mood and ease depression. It's often used when other depression treatments haven't worked.

Trauma Therapy

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.

• Private setting