The Ringer Center offers outpatient services only. The facility commonly treats people for depression, anxiety, stress related problems, family problems, attention deficit and substance abuse. The first session is an evaluation and assessment process that helps the facility make a plan for success. The Ringer Center offers individual and family counseling.
The Ringer Center also offers outpatient detoxification services for those clients who may not afford inpatient or elect to try and detoxify from alcohol or other drugs without a hospital admission. Their substance abuse services are second to none and the facility offers individual counseling or the more intensive outpatient program depending on their level of need. The Ringer Center follows a twelve stepped based philosophy and have seven clinicians, three of whom are licensed substance abuse counselors and who are also recovering themselves â for a combined forty years.
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The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care.
Joint Commission Accreditation: Yes
Accreditation Number: 546976
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a branch of the U.S. Department of Health and Human Services. Established in 1992 by congress, SAMHSA's mission is to reduce the impact of substance abuse and mental illness on American's communities.
SAMHSA Listed: Yes
State Licenses are permits issued by government agencies that allow rehab organizations to conduct business legally within a certain geographical area. Typically, the kind of program a rehab facility offers, along with its physical location, determines which licenses are required to operate legally.
State License: North Carolina
License Number: MHL-041-187
Psychotropic medications (aka psychodynamic medication) are any medicines used specifically to affect and/or alter a patient's mind, emotions, and behaviors. Such psychiatric medicines are often used to change chemical levels in the brain that impact a person's mood and behavior. These medications include mood stabilizers, antidepressants, anti-ADHD drugs, and anti-anxiety medications.
Ambulatory detox is an outpatient model of detox from drugs or alcohol. You receive medically-supervised detoxification by trained clinicians, but you can be in an office, healthcare facility, or even at home while care is provided. It is usually less restrictive and more cost-effective than inpatient detox.
Buprenorphine (brand name Subutex, among others) is an opioid medication used to treat opioid addiction. Buprenorphine can prevent or significantly reduce withdrawal symptoms, making it easier to get and stay off opioids. Sometimes used alongside naloxone, dosage depends on the severity of each case. Many people stay on buprenorphine long-term, although some gradually reduce the dosage to come off it.
Vivitrol is an injectable prescription medicine used to treat alcohol and opioid dependence. Administered only with medical approval, VIVITROL blocks opioid receptors in the brain, which helps reduce cravings and prevent relapse. VIVITROL is non-addictive and extended-release, so it only needs to be taken once a month. Before starting VIVITROL, you must be opioid-free for at least 7-10 days in order to avoid sudden opioid withdrawal symptoms.
Naltrexone is an FDA-approved medication used to treat opioid and alcohol addiction. Naltrexone helps reduce cravings and prevent relapse, making recovery easier. It comes either in pill form (ReVia, Depade), taken once a day; or in an injectable form (Vivitrol), administered monthly. Patients must not have any illegal opioids or opioid medication in their system for at least 7-10 days before starting naltrexone (this includes methadone, so if youâre switching from methadone to naltrexone, you must wait until your system is clear).
Level of Care:edit
12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. Middle steps including making direct amends to those who've been hurt by the addiction, and the final step is to assist others in addiction recovery in the same way. 12-Step offshoots including Narcotics Anonymous (NA), Cocaine Anonymous (CA), Dual Recovery Anonymous (DRA), Sex and Love Addicts Anonymous (SLAA) and Gamblers Anonymous (GA).
Intensive Outpatient Programs (IOP) are for those who want or need a very structured treatment program but who also wish to live at home and continue with certain responsibilities (such as work or school). IOP substance abuse treatment programs vary in duration and intensity, and certain outpatient rehab centers will offer individualized treatment programs.
Medically Assisted Detox:
Drug and alcohol addiction often takes a heavy toll on one's body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal.
Certain drug and alcohol rehabs have standard treatment regimes they expect all patients to follow. Others offer individualized treatment, meaning they tailor treatment to a person's specific background and needs. For example, a rehab facility may adjust a treatment program to take into account the type of drug or addiction from which the person suffers, their age, medical condition(s), religious beliefs, or lifestyle.
Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.
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).
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.
The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.
Mental Health and Substance Abuse:
A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.
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.
Experiential therapy is a form of therapy in which clients are encouraged to surface and work through subconscious issues by engaging in real-time experiences. Experiential therapy departs from traditional talk therapy by involving the body, and having clients engage in activities, movements, and physical and emotional expression. This can involve role-play or using props (which can include other people). Experiential therapy can help people process trauma, memories, and emotion quickly, deeply, and in a lasting fashion, leading to substantial and impactful healing.
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.
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.
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.
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.
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.
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 ârational self-counseling,â 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.
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.
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.
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.
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.
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.
Nicotine Replacement Therapy:
Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.
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.
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