Choices – Substance Abuse and Mental 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.

Dual Diagnosis

In North Carolina, dual-diagnosis addiction treatment programs focus on providing integrated care for individuals with co-occurring substance use disorders and mental health diagnoses. You can generally expect a range of programs, including intensive outpatient, inpatient residential, and partial hospitalization options. Therapies like cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed therapy, and family therapy address both disorders and promote mental health and well-being, giving you the tools to sustain 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.

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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).

Intensive Outpatient

Intensive outpatient programs (IOP) evolve with clients’ changing needs and are often well-suited for clients exiting inpatient rehab and those at an increased relapse risk. These programs typically involve between nine and 20 hours of treatment weekly, with the intensity and frequency of care decreasing as clients stabilize. Most intensive outpatient rehabs integrate a variety of treatment modalities to maintain a high level of individualized care. Services generally include counseling, recovery education, and medication assisted treatment (MAT).

12-Step

12 step programs are based on a model of life-long recovery and are rooted in peer support and spiritual development. Regular attendance at 12 step meetings is the cornerstone of treatment, as is the selection of a peer sponsor to guide participants through the steps of recovery. These steps are based on non-denominational spiritual principles and are designed to foster self-awareness, forgiveness, acceptance, and accountability. Specialized programs are widely available, including programs for teens, seniors, and families.

Aftercare Support

Completing a drug or alcohol rehab program shouldn't spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse.

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.

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.

Life Skills

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.

Motivational Interviewing

Motivational Interviewing (MI) is a clinical approach to helping people with substance abuse issues and other conditions shift behavior in positive ways. It is more goal-oriented than traditional psychotherapy, as MI counselors directly attempt to get clients to consider making behavioral change (rather than wait for them to come to conclusions themselves). Its primary purpose is to resolve ambivalence and help clients become able to make healthy choices freely.

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.

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