Commonly Asked Questions about Addiction and Treatment
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.
Does Medicaid pay for a person to go to a drug rehab?
Yes, Medicaid, the U.S. government's health insurance program for individuals with low income, does cover substance use disorder services, including drug rehabilitation. However, the specific services covered and the extent of coverage can vary from state to state, as Medicaid is a joint federal and state program.
Commonly, Medicaid coverage can include services such as:
Screening and assessment: This helps to determine the level of addiction and the most suitable treatment plan.
Outpatient counseling: This can include individual therapy, group therapy, and family therapy.
Inpatient care: This includes residential treatment programs where individuals receive intensive care, usually for severe addictions.
Medication-assisted treatment: Medications can be used to help manage withdrawal symptoms, reduce cravings, and treat any co-occurring mental health conditions.
Follow-up care and long-term maintenance: This could include case management services, peer supports, and other recovery services.
It's important to note that while Medicaid does cover drug rehabilitation services, there might be certain eligibility criteria to meet or pre-authorization requirements. Furthermore, not all treatment centers accept Medicaid, so it's crucial to check with the specific facility about their payment options.
For the most accurate information, individuals should contact their state's Medicaid office or visit the official Medicaid website.
How do I repair relationships damaged by my drug and alcohol abuse?
"Repairing relationships damaged by substance abuse is a process that takes time, effort, and a sincere commitment to change. Here are some steps to consider:
Achieve Sobriety: The first step in repairing relationships is to focus on your recovery. Demonstrating commitment to sobriety shows your loved ones that you are serious about making a change.
Acknowledge the Damage: Be open and honest about the harm your substance abuse has caused to your relationships. Acknowledging the problem is the first step towards making amends.
Apologize Sincerely: Offer a sincere and heartfelt apology. It's essential to take responsibility for your actions and the pain they've caused, without making excuses.
Make Amends: Making amends goes beyond apologizing. It involves taking action to correct past wrongs where possible, whether that means repaying debts, resolving past disputes, or simply making a commitment to behave differently in the future.
Open Communication: Maintain open, honest, and regular communication with your loved ones. Be open to their feelings and feedback, even if it's tough to hear.
Be Patient: Healing takes time. Your loved ones may not be ready to immediately forgive or trust you again. Respect their feelings and give them the time they need to heal.
Seek Professional Help: Family or relationship therapy can provide a safe and structured environment to address issues, improve communication, and begin the process of rebuilding trust.
Maintain Consistency: One of the most crucial steps in repairing relationships is consistently demonstrating your commitment to your recovery and to positive change. This consistency helps to rebuild trust over time.
Support Their Healing: Understand that your addiction may have caused significant pain and trauma to your loved ones. Support them in their own process of healing, which may include their own therapy or participation in support groups.
Rebuild Trust: Broken trust is often the most challenging aspect of a relationship to mend. Proving through actions over time that you're committed to your sobriety and to being reliable and truthful can gradually rebuild trust.