Commonly Asked Questions about Addiction and Treatment
Can alcohol withdrawal be fatal?
Yes, alcohol withdrawal can be fatal in severe cases, which is why it should always be managed under the supervision of healthcare professionals. This is especially true for individuals who have been drinking heavily for a long period of time or who have a history of severe withdrawal symptoms.
The most serious form of alcohol withdrawal is called delirium tremens (DTs), which occurs in approximately 5% of patients undergoing withdrawal. It typically starts 48 to 72 hours after the last drink, and symptoms can include severe confusion, hallucinations, high blood pressure, fever, heavy sweating, and rapid heartbeat. In addition to these, seizures can occur, which add to the risk.
Delirium tremens is a medical emergency and can be life-threatening if not treated promptly. Mortality rates without treatment are estimated to be as high as 35%, but with appropriate treatment, this rate drops to 5-15%.
Even less severe cases of alcohol withdrawal can be dangerous because they can lead to dehydration, severe vomiting, or other complications. Furthermore, withdrawal symptoms can make it difficult for an individual to maintain abstinence from alcohol, increasing the risk of a potentially dangerous relapse.
Is there free help for drug and alcohol addiction?
Yes, there is free help available for individuals struggling with drug and alcohol addiction. Numerous resources and support systems exist to provide assistance at no cost. Some of these options include:
National Helplines: Many countries have dedicated helplines for substance abuse and mental health issues. In the United States, the SAMHSA National Helpline (1-800-662-HELP) offers free, confidential, 24/7 assistance in English and Spanish.
Peer Support Groups: Local support groups, such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), provide free peer-to-peer support, guidance, and resources for individuals facing addiction. Meetings can be found in various locations and are open to all.
Non-profit and Faith-based Organizations: Some non-profit and faith-based organizations offer free addiction support services, including counseling, group therapy, and recovery programs. Local community centers, churches, mosques, and synagogues may have information about available resources in your area.
Online Support Communities: Several websites and online forums offer free support and resources for individuals in recovery from addiction. These virtual communities can provide valuable information, advice, and encouragement from peers facing similar challenges.
State-Funded Treatment Programs: In many regions, state-funded addiction treatment programs provide free or low-cost services to eligible residents. Contact your local health department or substance abuse agency for information on available programs in your area.
Public Libraries: Local libraries often have free resources related to addiction, recovery, and mental health, including books, DVDs, and pamphlets. Librarians can also help you locate additional resources and services within your community.
What is smart recovery?
SMART Recovery (Self-Management and Recovery Training) is a global community of mutual-support groups that provide a structured, scientifically grounded program to help people manage their recovery from any type of addictive behavior, including substance abuse and behavioral addictions.
SMART Recovery's approach is different from other recovery programs like Alcoholics Anonymous or Narcotics Anonymous, which are based on the 12-step model. Instead of focusing on the concept of "powerlessness" over addiction, SMART Recovery emphasizes self-empowerment and self-reliance. It promotes the ability of individuals to change their own thoughts and behaviors to overcome addiction.
The SMART Recovery program is based on principles of cognitive-behavioral therapy (CBT) and motivational interviewing. It is designed around a 4-point program:
- Building and maintaining motivation: This helps individuals to build their motivation to change and avoid relapsing.
- Coping with urges: This gives individuals the skills to deal with urges or cravings as they arise.
- Managing thoughts, feelings, and behaviors: This is about developing healthy thoughts, emotions, and actions in place of the destructive ones that can lead to addictive behaviors.
- Living a balanced life: This involves individuals identifying what they truly value in life and building their lives around those values, leading to satisfaction and fulfillment beyond their addiction.
SMART Recovery meetings, both in-person and online, are facilitated by trained volunteers and are free to attend, though donations are appreciated. The program also offers a variety of tools and techniques for self-empowerment and self-directed change, available in various formats such as handbooks, worksheets, and online resources.