All programs—residential and outpatient—have group and individual counseling. Many now offer medications for addiction and psychiatric problems and help patients become aware of “Post Acute Withdrawal Syndrome” (PAWS) that may disturb patients during the first year or so of recovery. The programs are designed to provide structure in their curriculum, trained and supervised therapists and counselors, individualized treatment planning, and monitoring for any alcohol and drug use during rehab treatment. Treatment programs arrange for continuing and follow-up care after discharge (many state agencies require rehabilitation programs to do this). The more thorough programs offer social services to help gain better employment, deal with pending legal problems, improve parenting and marital relationships, and even obtain drug-free housing.
Virtually all current research shows that a combination of treatments, with pharmaceutical support as necessary and professional counseling plus follow-up connection with support groups, works the best and for the longest time. Remember how the disease is described as “mental, physical, and spiritual”? These all things are dealed at alcohol and drug rehab. The treatments have to cover all those aspects: physical detox alone, medication alone, psychotherapy alone, or spiritual energy gained from religious experiences or support- group fellowships alone aren’t as effective as the interaction of all those ingredients.


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