Commonly Asked Questions about Addiction and Treatment
Will insurance companies pay for substance abuse treatment?
Yes, many insurance companies do provide coverage for substance abuse treatment, but the extent and specifics of the coverage can vary widely depending on the individual insurance policy and the provider.
This coverage is largely due to the Mental Health Parity and Addiction Equity Act of 2008 in the United States, which requires health insurers and group health plans to provide the same level of benefits for mental and/or substance use treatment and services that they do for medical/surgical care.
Here's a closer look at some key aspects:
Types of Treatment Covered: Many insurance policies cover a range of substance abuse treatments, including detoxification, inpatient rehab, outpatient rehab, medication-assisted treatment, and ongoing counseling or therapy. However, the specific treatments covered will depend on your particular insurance policy.
Co-Pays and Deductibles: Even if an insurance policy covers substance abuse treatment, you may still be responsible for co-pays, deductibles, or coinsurance. These costs can vary depending on the specifics of your insurance plan.
Network Restrictions: Some insurance plans may only cover treatment provided by certain providers or facilities within their network. It's important to check with your insurance company to determine which providers are covered under your plan.
Preauthorization: Some insurance plans require preauthorization for certain types of substance abuse treatment. This means that the treatment must be approved by the insurance company before they will cover the cost.
Duration of Coverage: The duration of coverage for substance abuse treatment can vary. Some insurance plans may only cover a certain number of days of inpatient treatment or a certain number of therapy sessions, for example.
Affordable Care Act (ACA): Under the ACA, all health insurance plans sold on Health Insurance Exchanges must cover substance use disorder services.
What medications are used for the treatment of addiction?
Several medications have been approved by the U.S. Food and Drug Administration (FDA) for the treatment of addiction to alcohol and certain types of drugs. The specific medication used can depend on the substance the person is addicted to, their overall health, and other individual factors. Here are a few examples:
For Alcohol Addiction:
- Disulfiram (Antabuse): This medication causes unpleasant effects such as nausea and flushing of the skin if a person drinks alcohol. The aim is to discourage them from drinking.
- Naltrexone (Revia, Vivitrol): Naltrexone blocks the euphoric and sedative effects of alcohol, helping to reduce cravings.
- Acamprosate (Campral): Acamprosate works by restoring the balance of certain chemicals in the brain that may become disrupted due to alcohol addiction. It can help people maintain abstinence from alcohol after they quit drinking.
For Opioid Addiction:
- Methadone: This is a long-acting opioid agonist that can prevent withdrawal symptoms and reduce cravings for opioids. It is dispensed through specialized opioid treatment programs.
- Buprenorphine (Subutex, Suboxone): Buprenorphine is a partial opioid agonist that can help manage cravings and withdrawal symptoms. Suboxone also contains naloxone to prevent misuse.
- Naltrexone (Revia, Vivitrol): Like its use in alcohol addiction treatment, naltrexone can block the euphoric effects of opioids.
For Nicotine Addiction:
- Nicotine Replacement Therapies (NRTs): These come in various forms like gums, patches, lozenges, nasal sprays, and inhalers, and can help manage withdrawal symptoms and cravings when quitting smoking.
- Bupropion (Zyban): Initially developed as an antidepressant, bupropion can also help reduce cravings and the symptoms of nicotine withdrawal.
- Varenicline (Chantix): Varenicline helps reduce cravings for nicotine and decrease the pleasurable effects of cigarettes and other tobacco products.
Why do drug addicts blame everyone but themselves?
Drug addiction can significantly distort a person's thinking patterns and perceptions, leading them to behave in ways that are often self-protective and defensive. One of these behaviors can be a tendency to shift blame onto others. This occurs for a few reasons:
- Denial: One of the key psychological symptoms of addiction is denial. This is a defense mechanism that allows individuals to avoid confronting the reality of their addiction and its negative consequences. By blaming others, they deflect responsibility and maintain their state of denial.
- Avoiding Shame and Guilt: Addiction often carries a heavy burden of guilt and shame. Blaming others can be a way for individuals struggling with addiction to avoid these painful feelings and protect their self-image.
- Rationalizing Behavior: Blaming others can serve as a way for individuals to justify their drug use and associated behaviors. If they can convince themselves that their actions are a response to the actions of others, they may feel more justified in continuing their substance use.
- Fear of Consequences: Acknowledging personal responsibility could mean having to face significant consequences, including damage to relationships, legal issues, or the need for treatment. Blaming others allows the person to avoid these potential repercussions.
- Altered Brain Function: Drug abuse can lead to changes in the brain that impact judgment, decision making, learning, and behavior control, which might lead to a tendency to shift blame onto others.