Some people are more vulnerable to drug addiction than others, just as some people are more vulnerable to cancer or diabetes than others. There is no single factor that controls whether you will become addicted. Overall, though, the more risk factors you have, the greater your chance of drug addiction is; on the other hand, the more protective factors you have the less risk of addiction you face.
Alcohol dependency is not a failure of will or lack of strength of character, as was believed for many years. However, progress in science over the last few decades has shown us that alcoholism is rooted in both biology and behaviour, making it a ‘bio-behavioural disorder’. Biology and behaviour are two sides of the same coin, and alcohol dependency cannot be treated by just focusing on one side alone.
Cocaine is a stimulant drug that causes dangerous physical effects such as rapid heart rate and increased blood pressure. Cocaine is extremely addictive due to its short half-life and method of action. It keeps a steady stream of dopamine in the brain while users are high, preventing further dopamine production and closing down dopamine receptors. When withdrawal sets in, the brain starts to crave the lost dopamine the drug once provided, making it extremely hard to recover from.10 Couples Drug Rehab Florida Couples Rehab Near Me Florida Detox Treatment Couples Inpatient Rehabs
At Priory, we recognise that without appropriate treatment, alcohol addiction can result in a whole host of long-term physical and psychological problems, and can even be fatal. However, it’s important to understand that you don’t’ have to struggle alone; alcohol addiction is treatable and our medically trained, expert addiction treatment team, consisting of psychiatrists, psychologists and therapists, are able to offer comprehensive and personalised alcohol addiction treatment at our specialist hospitals and wellbeing centres.
Addiction affects not just the addict but also everyone that person comes into contact with. The addict will likely suffer physical consequences, social consequences, emotional consequences, financial consequences, and perhaps even legal consequences as a result of their drug use. As the drug addict’s personal life falls apart, their work and health will likely suffer as well. Drug addicts are more likely to have domestic violence problems, to lose their jobs, and to be arrested than those who are not addicts, proving that addiction, if left untreated, can negatively impact every facet of a person’s life.
The dedicated staff at Searidge Alcohol Rehab Center is committed to support, guide and inspire residents to make the right moves against alcohol addiction. We offer current and research-based alcohol treatment with compassion, dignity and understanding each and every day. At Searidge Alcohol Rehab we provide our residents with all of the necessary tools for recovery by targeting the physical, psychological and social aspects of alcohol addiction.
Commitment and follow-through are key. Recovering from alcohol addiction or heavy drinking is not a quick and easy process. In general, the longer and more intense the alcohol use, the longer and more intense the treatment you’ll need. But regardless of the treatment program’s length in weeks or months, long-term follow-up care is crucial to your recovery. Drug Rehab Near Me Philadelphia PA
Alcohol dependency is different for different people. Although many sufferers share things in common, their relationships with alcohol might at first seem to be nothing alike. This can make it difficult for people to identify themselves as alcohol dependent, even as drinking has an increasingly more damaging effect on their relationships, health, and enjoyment of life.
Many chronic conditions such as arthritis or diabetes carry a risk of recurrence, even after years of successful medical management. In a similar way, there will always be a possibility of relapse for those in recovery.1 However, finding a reputable treatment program that utilizes evidence-based treatment (and staying in treatment long enough—NIDA recommends at least 3 months) gives people a head start on sobriety and gives them the tools they'll need to prevent relapse.2 Drug Rehab Near Me
Burning Tree provides relapse prevention programs specializing in long term residential drug and alcohol treatment for adults with a relapse history. We serve the substance abuse relapse adult who has been to other treatment programs and in and out of 12 step programs and just can't seem to get and stay sober. Alcohol & drug, rehab treatment, relapse prevention and a relapse prevention plan are our primary roles. We are a drug rehab program treatment center and a long-term alcohol rehab licensed by the Texas Department of State Health Services.
Disulfiram (Antabuse®) interferes with the breakdown of alcohol. Acetaldehyde builds up in the body, leading to unpleasant reactions that include flushing (warmth and redness in the face), nausea, and irregular heartbeat if the patient drinks alcohol. Compliance (taking the drug as prescribed) can be a problem, but it may help patients who are highly motivated to quit drinking.
NIAAA says a relapse typically follows a predictable path. The person in recovery is placed in a high-risk situation, and the person isn’t able to handle that situation effectively. That lack of effectiveness can prompt the person to feel somehow vulnerable or weak, and it can lead to a craving for alcohol. After a weak moment, people just begin to attribute life’s good things to alcohol. They then have a lapse and drink just a bit. In time, they start to drink more and more. Inpatient Alcohol Rehab Near Me
If you or a loved one is suffering from drug addiction, you may be looking for help curing the disease. One of the most well-known methods is drug rehab. However, many people don’t realize that “drug rehab” is a broad-encompassing term that represents various treatment methods. The type of drug rehab that you choose could depend on an array of factors.
Also known as Spice or K2, synthetic marijuana is a manufactured substance that contains an ingredient similar to tetrahydrocannabinol (THC) – the active ingredient in marijuana. Because synthetic marijuana can be purchased legally, many people believe it is a safer alternative to marijuana. However, synthetic marijuana is dangerously addictive and can produce psychoactive effects that are just as strong as its natural counterpart.
Treatments at inpatient centers may include behavioral therapies, the most popular of which is Cognitive Behavioral Therapy (CBT). These therapies encourage participants to change the way they react to stressful external stimuli (like failing a test or losing a job) by promoting healthy ways of coping. Many centers also offer group and individual counseling, experiential therapies and training on proper nutrition and health. Luxury Executive Rehab For Drugs and Alcohol:Rehab Near Me
Because an alcohol use disorder can be a chronic relapsing disease, persistence is key. It is rare that someone would go to treatment once and then never drink again. More often, people must repeatedly try to quit or cut back, experience recurrences, learn from them, and then keep trying. For many, continued followup with a treatment provider is critical to overcoming problem drinking.
Outpatient treatment is the next step down in a continuum of care. It is also a rehabilitation option for individuals whose addiction is less severe and doesn’t require inpatient treatment. Clients in this phase of rehab drug treatment visit the facility regularly, but do not stay overnight. This approach allows the individual to receive drug treatment while maintaining family and job responsibilities.
Ask for friends and family to support you in the recovery process; chances are, they’ll be proud of you for taking control of your life again. External support groups include Alcoholics Anonymous (AA), which originated the 12-step program and now has approximately 2 million members. The 12 steps emphasize the participant’s ability to submit to a “higher power” to ask for help. The higher power doesn’t have to be rooted in religion, though that is the case for many. Others look for a “higher power” within.
As important as evidence-based psychotherapy is for our addiction treatment program, it can’t be the only activity at Searidge Foundation. We schedule a wide variety of alternative therapies that help reinforce the more clinical drug rehab treatments and keep each day spent with us interesting and rewarding. This program includes Yoga, meditation, mindfulness meditation, acupuncture, Tai Chi, relaxation therapy, creative art therapy and Native healing rituals. These activities help renew the body, the mind, and the soul. And while these practices cannot cure you of a drug addiction, they can empower you with a healthy and entirely individual strength and spirit that will help you cope with life’s daily stresses and anxieties in a helpful constructive manner, rather than self medicating with drugs or alcohol. Drug Rehab Near Me
UKATs rehab centres are fully accredited and staffed with trained and experienced professionals who provide a top level of care and attention at all times. Our facilities are decorated to very high standards as well, ensuring patients are able to relax and feel at home throughout their stay. We believe this sort of environment is more conducive to overcoming addiction.
Our beautiful and tranquil environment is the perfect setting for focusing your full attention on healing. Here you can find wholeness. Here you can regain your authentic self. Here you can find the freedom to imagine how life might be without drugs. Peace and purpose – that’s what you can find through your dedicated effort under the guidance and support of your advisors and friends at Michael’s House.
Getting alcohol out of the addicted person’s system is the first part of recovery. People with a severe alcohol addiction can experience intense withdrawal symptoms. A supervised alcohol detox is usually necessary for people addicted to alcohol to prevent potentially fatal complications. Shaking, sweating, seizures, and hallucinations are possible alcohol withdrawal symptoms.
The one that’s right for you depends on your situation and your goals. Many people find that a combination of treatments works best, and you can get them together through a program. Some of these are inpatient or residential programs, where you stay at a treatment center for a while. Others are outpatient programs, where you live at home and go to the center for treatment.
Alcohol addiction treatment at Priory is delivered as part of a comprehensive Addiction Treatment Programme. Our Addiction Treatment Programmes typically last for 28 days, and consist of you staying at one of our nationwide hospital sites on a residential basis, for the duration of this time. During treatment, you will have the opportunity to undergo a medically assisted withdrawal detoxification process if this is required, before undergoing intensive individual and group addiction therapy in order to address the source of your addictive behaviours, increase your self-awareness and take steps towards recovery. Whilst 28 days is the recommended treatment time for alcohol addiction, treatment lengths at Priory can be flexible according to your unique needs, requirements and commitments.
^ "Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition)2014 102 Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition) Washington, DC American Psychiatric Association 2013 xliv+947 pp. 9780890425541(hbck);9780890425558(pbck) £175 $199 (hbck); £45 $69 (pbck)". Reference Reviews. 28 (3): 36–37. 2014-03-11. doi:10.1108/rr-10-2013-0256. ISSN 0950-4125.
Alcohol is considered safe in moderation, but when occasional use becomes more common and begins to interfere with everyday life, it is typically classed as abuse. The UK Government’s guidelines on alcohol consumption states that no more than fourteen units of alcohol should be consumed by adult men and women each week; which means that consuming a large amount at one time (binge drinking), may still be considered abuse, without it being a regular occurrence.
Environment. Environmental factors, such as your access to healthcare, exposure to a peer group that tolerates or encourages drug abuse, your educational opportunities, the presence of drugs in your home, your beliefs and attitudes, and your family’s use of drugs are factors in the first use of drugs for most people, and whether that use escalates into addiction.
Individual therapy will help you learn to recognize triggers and cope with them. The therapists may also help you to improve your emotional regulation skills in order to better avoid relapse. Group counseling provides you with the opportunity to practice sober social skills, as well as the coping strategies you learned in individual counseling. Family therapy sessions can help to repair broken relationships, improve communication skills, and build conflict resolution skills. Medication, such as methadone or Suboxone, may be used in combination with behavioral therapy to help opioid-addicted individuals remain abstinent. Once your rehab program nears an end, your treatment team will create an aftercare or relapse prevention plan for you consisting of ongoing support. Ongoing support may include individual therapy, group counseling, self-help group meetings (e.g., 12-step, SMART Recovery), alumni programs, or sober living homes.1,2
Addiction affects not just the addict but also everyone that person comes into contact with. The addict will likely suffer physical consequences, social consequences, emotional consequences, financial consequences, and perhaps even legal consequences as a result of their drug use. As the drug addict’s personal life falls apart, their work and health will likely suffer as well. Drug addicts are more likely to have domestic violence problems, to lose their jobs, and to be arrested than those who are not addicts, proving that addiction, if left untreated, can negatively impact every facet of a person’s life. ‘Not A Single Rehab Has Worked For Me,’ Says Woman With Alcohol Dependency
SMART Recovery was founded by Joe Gerstein in 1994 by basing REBT as a foundation. It gives importance to the human agency in overcoming addiction and focuses on self-empowerment and self-reliance. It does not subscribe to disease theory and powerlessness. The group meetings involve open discussions, questioning decisions and forming corrective measures through assertive exercises. It does not involve a lifetime membership concept, but people can opt to attend meetings, and choose not to after gaining recovery. Objectives of the SMART Recovery programs are:
For those searching specifically for drug rehabilitation, there are many treatment options available. Drug rehabilitation can include a variety of programs, levels of care and therapy options. Drug rehab centers can help those searching for help with comprehensive medical and emotional care. By working closely with clients to understand the underlying causes of addiction, a drug and alcohol treatment center can help clients heal by addressing the roots of substance use disorder. Drug Rehab Greensboro Nc | Before And After | Drug Rehabilitation Centers Near Me
Upregulation of the cAMP signal transduction pathway in the locus coeruleus by CREB has been implicated as the mechanism responsible for certain aspects of opioid-induced physical dependence. The temporal course of withdrawal correlates with LC firing, and administration of α2 agonists into the locus coeruleus leads to a decrease in LC firing and norepinephrine release during withdrawal. A possible mechanism involves upregulation of NMDA receptors, which is supported by the attenuation of withdraw by NMDA receptor antagonists. Physical dependence on opioids has been observed to produce an elevation of extracellular glutamate, an increase in NMDA receptor subunits NR1 and NR2A, phosphorylated CaMKII, and c-fos. Expression of CaMKII and c-fos is attenuated by NMDA receptor antagonists, which is associated with blunted withdrawal in adult rats, but not neonatal rats While acute administration of opioids decreases AMPA receptor expression and depresses both NMDA and non-NMDA excitatory postsynaptic potentials in the NAC, withdrawal involves a lowered threshold for LTP and an increase in spotaneous firing in the NAc.
IVRS focuses on helping clients develop insight into the negative role that drugs and alcohol play in their lives. Usually, substance abuse has taken a great toll on family relations, employment, and their health. Many clients have experienced legal problems, lost jobs, failed in school and/or lost their families as a result of drug and alcohol abuse. IVRS teaches clients to live without drugs and alcohol, thus improving the quality of their lives.
Contemplation represents the first evidence of dynamic behavior. The individual expresses a tentative belief in the possibility that alcohol use might be harmful. The hallmark of this stage is ambivalence and skepticism. Skepticism is not the same as denial but instead allows some degree of personal reflection. The patient is receptive to new information, or just as likely reassured that current behavior is acceptable, in the absence of information. Thus, the clinician should influence the ambivalence characteristic of contemplation in a direction favoring change. This can include pointing out that the patient's actions are not congruent with their goals, giving pamphlets concerning alcohol abuse, and suggesting an abstinence trial.
Rehabs.com is a comprehensive guide for the entire treatment process - from spotting issues to find and enrolling into rehabillation. Yet it’s more than that; it’s also an extensive educational resource that includes up to date statistics, policy and regulation information as well as a section on careers in the industry. If that’s not enough, this site also cover a list of hot button issues that can be found on the blog and in the infographics library.
Note: These PET scans compare the brain of an individual with a history of cocaine use disorder (middle and right) to the brain of an individual without a history of cocaine use (left). The person who has had a cocaine use disorder has lower levels of the D2 dopamine receptor (depicted in red) in the striatum one month (middle) and four months (right) after stopping cocaine use compared to the non-user. The level of dopamine receptors in the brain of the cocaine user are higher at the 4-month mark (right), but have not returned to the levels observed in the non-user (left).
More than 7 percent of all American adults have an alcohol use disorder. These adults drink too much, too often, and in ways that harm their health, their happiness, and their relationships. An intervention, in which the family outlines alcohol’s consequences, can push these people to enter treatment programs. Once there, counseling sessions, relapse prevention coaching, and support group work can help to support recovery. Relapse rates for alcohol fall within the 40-60 percent range, so people often need to stick with aftercare for the rest of life.
Inpatient addiction treatment focuses on stabilization and assessment of your health to ensure you are ready--physically, psychologically and emotionally--to learn about core recovery concepts and to begin practicing recovery principles. Each day, you will be given a schedule of treatment activities, appointments and services tailored to meet your specific recovery needs and goals. Learn more about what happens in a typical day of inpatient addiction treatment.
Cognitive–Behavioral Therapy can take place one-on-one with a therapist or in small groups. This form of therapy is focused on identifying the feelings and situations (called “cues”) that lead to heavy drinking and managing stress that can lead to relapse. The goal is to change the thought processes that lead to excessive drinking and to develop the skills necessary to cope with everyday situations that might trigger problem drinking.
Drug addiction causes sufferers to experience physical and psychological dependency on illicit, mind-altering substances. Habitual drug use causes changes in the structure and operation of the brain that deepen and reinforce drug addiction, to the point where a desire to stop using drugs is not enough to make it happen. Drug addiction is a destroyer of hopes, dreams, and lives, but with inpatient treatment plus a comprehensive aftercare program drug addicts can find lasting relief from the ravages of chemical dependency, regardless of how long they’ve been addicted.
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Alcoholism can also be categorized into 2 types: early-onset (biological predisposition to the disease) or late-onset (brought on by environmental or psychosocial triggers). Understanding and studying the difference between early- and late-onset alcoholism facilitate the selection of the appropriate therapy. Drugs that affect the rewarding behavior of neural activities, such as ondansetron, naltrexone, topiramate, and baclofen, have been shown to alter drinking behavior. 
^ Blum K, Werner T, Carnes S, Carnes P, Bowirrat A, Giordano J, Oscar-Berman M, Gold M (2012). "Sex, drugs, and rock 'n' roll: hypothesizing common mesolimbic activation as a function of reward gene polymorphisms". Journal of Psychoactive Drugs. 44 (1): 38–55. doi:10.1080/02791072.2012.662112. PMC 4040958. PMID 22641964. It has been found that deltaFosB gene in the NAc is critical for reinforcing effects of sexual reward. Pitchers and colleagues (2010) reported that sexual experience was shown to cause DeltaFosB accumulation in several limbic brain regions including the NAc, medial pre-frontal cortex, VTA, caudate, and putamen, but not the medial preoptic nucleus. Next, the induction of c-Fos, a downstream (repressed) target of DeltaFosB, was measured in sexually experienced and naive animals. The number of mating-induced c-Fos-IR cells was significantly decreased in sexually experienced animals compared to sexually naive controls. Finally, DeltaFosB levels and its activity in the NAc were manipulated using viral-mediated gene transfer to study its potential role in mediating sexual experience and experience-induced facilitation of sexual performance. Animals with DeltaFosB overexpression displayed enhanced facilitation of sexual performance with sexual experience relative to controls. In contrast, the expression of DeltaJunD, a dominant-negative binding partner of DeltaFosB, attenuated sexual experience-induced facilitation of sexual performance, and stunted long-term maintenance of facilitation compared to DeltaFosB overexpressing group. Together, these findings support a critical role for DeltaFosB expression in the NAc in the reinforcing effects of sexual behavior and sexual experience-induced facilitation of sexual performance. ... both drug addiction and sexual addiction represent pathological forms of neuroplasticity along with the emergence of aberrant behaviors involving a cascade of neurochemical changes mainly in the brain's rewarding circuitry. How to stop drinking alcohol - how to help an alcoholic
It isn’t easy to change environmental factors such as socioeconomic status, but there are ways to mitigate against unfavorable environmental factors and work to fight drug addiction or prevent it from happening in the first place. One tactic is to delay onset of drug use entirely. Another is to nurture environmental motivators for positive behavior, such as educational attainment and job training. Vigilant friends and family can also model positive behaviors and engage with at-risk users in sober activities.
Exposure to other demographic groups in treatment can be an equalizing experience, demonstrating the reality of alcoholism as a universal disease. On the other hand, some patients feel more comfortable and can express themselves more effectively in settings where they can associate with their peers. Patients who are also professionals have unique stressors and needs that can be more effectively addressed in specialized programs.
Of those treatment methods that are medically approved, not all are equally effective in terms of providing the best possible basis for a permanent recovery. It’s generally agreed that residential rehabilitation – “rehab” – is the best approach to treating addiction, and has consistently delivered the highest rate of success. Of course, every addict is unique and responds differently to different types of treatment, different therapy models, different medications et cetera; however, the medical and therapeutic staff at rehab have experience of working with countless individuals and their expertise can be invaluable when it comes to optimising your own journey to recovery.
Medical detox in an addiction treatment center takes place in a fully-staffed medical facility where patients are monitored around the clock, and treatment for the side effects of withdrawal is provided as needed. Medications to reduce the intensity of withdrawal symptoms may be administered, and patients will not be released from detox until they are symptom-free and physically and mentally well enough to handle the daily routine of an addiction treatment regimen.
Ongoing support and aftercare are essential to this type of sustained, long-term recovery. Many drug abuse rehab centers feature robust aftercare programs, including ongoing individual therapy sessions on a periodic basis, group therapy meetings, and alumni events. Oftentimes, alumni are also encouraged to get involved in their own recovery community by participating in 12-step meetings or residing in a sober living home. If recovering addicts have people they can turn to for support when they are tempted to relapse, they are more likely to stand strong and resist the urge to use again.
Alongside our psychotherapy, we offer more varied alternative therapies that help reinforce the clinical alcohol rehab treatments. This keeps the days spent with us at Searidge Alcohol Rehab both interesting and rewarding. Our program includes mindfulness meditation, acupuncture, yoga, relaxation therapy, creative art therapy, Tai Chi and First Nations Healing Rituals. The harm reduction model of drug addiction treatment | Mark Tyndall
Your first step is to call our Patient Access Team for a confidential phone assessment. You will talk with a recovery expert who will determine whether drug or alcohol treatment is needed and, if it is, will recommend the appropriate level of care and work with you to coordinate insurance benefits. If alcohol or drug addiction is not clearly indicated or if you’re not ready to commit to an inpatient stay, you can learn more about your situation and possible next steps by participating in one of our residential evaluation programs. Residential evaluations typically involve a four-day stay at one of our treatment centers where a number of screenings and assessments will help to identify your particular needs and challenges.
One of the top luxury rehabs in South Florida, Ocean Breeze Recovery accommodates all their clients’ needs by providing individualized treatment. Their philosophy is centered on healing each person as a whole, providing compassionate treatment for the mind, body and spirit. The center offers a variety of programs and specialized therapy options, including inpatient and intensive outpatient treatment, gender-specific care and yoga therapy. Ocean Breeze Recovery’s certified and licensed staff are also experienced in diagnosing and treating co-occurring disorders, as well as behavioral addictions. The treatment center accepts most health insurance plans.
The way it works is when people normally drink alcohol, endorphins are released into the brain, and this reinforces the behavior of drinking alcohol. Revia and Vivitrol block the feel-good endorphins. Much like when Pavlov's dogs were presented with food when a bell was rung, these dogs became conditioned to salivate at the sound of the bell alone. However, when these dogs continued to be presented with the ringing bell and no food, the salivating stopped.
From the comfort of your home you can connect with the greater Aftercare community via our private online social network site. As an alumnus of our alcohol recovery program, you can also participate in our refresher weekend getaways. As part of the Smart Recovery community we run an Aftercare program that hosts virtual meetings all across Canada, England, the USA and Australia.
Alcohol is known for lowering inhibitions, but when alcohol is combined with risky activities, such as driving/operating machinery or taking drugs (either prescription or recreational), this may be an indication that alcohol is being taken in at abusive levels. The National Institute on Alcohol Abuse and Alcoholism warns that mixing alcohol with medication can cause internal bleeding and heart problems, as well as cause liver damage and make the medications toxic to the body.
Treating addiction – whether at rehab or not – can be divided into three main phases. Firstly is detoxification, the process by which an addict’s system is cleansed of substances of abuse. Once this cleansing process has taken place, and the immediate pressures of drug dependency have been lifted, the addict will then need to address the psychological aspects of their addiction, including understanding the root causes and seeking to put measures in place to ensure that they do not stumble back into addiction by relapsing.
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Don't let financial constraints stop you from living a life free of alcoholism. Regardless of whether you don't have insurance, your insurance benefits ran out, or your insurance refuses to cover your alcohol dependency treatment, you can get treatment. Free alcohol rehabilitation is available if you really want it. By admitting you have a problem and need help you have already completed the first and most important step of pursuing a life of sobriety.
With the Sinclair Method, people only take Revia or Vivitrol before drinking and never otherwise. Revia and Vivitrol are not like other anti-alcohol drugs that cause intense sickness and hangover sensations when taken with alcohol. The change in behavior only appears over time. With the Sinclair Method, Revia or Vivitrol is taken one hour before drinking alcohol. At the end of four to six months of treatment with the Sinclair Method, 80 percent of people who had been overusing alcohol are either drinking moderately or abstaining entirely. Transformations Drug & Alcohol Treatment Centers
Living on a limited income is challenging enough; having to deal with recovery from a drug or alcohol addiction on a limited income is even more so. Finding help with treatment can make ease some of this burden, and it can help those struggling with addiction to get their lives back. Once recovery is in progress, it can help to be surrounded by others who understand and who can help the recovering individual through the process, such as by participating in self-help groups and other counseling programs. Opioid Addiction and Treatment
Whether or not you can successfully cut back on your drinking depends on the severity of your drinking problem. If you’re an alcoholic—which, by definition, means you aren’t able to control your drinking—it’s best to try to stop drinking entirely. But if you’re not ready to take that step, or if you don’t have an alcohol abuse problem but want to cut back for personal or health reasons, the following tips can help:
The specific medicines prescribed will vary depending upon your own particular experience of withdrawal and the symptoms you are manifesting, and it may be that certain medications will not be appropriate depending on your substance of abuse or your own personal health history; an experienced medical professional will be able to make those decisions to ensure you go through withdrawal as safely as possible. What happens in rehab?