Commonly Asked Questions about Addiction and Treatment
How long do drug withdrawal symptoms last?
The duration of drug withdrawal symptoms can vary widely depending on several factors, including the type of substance used, the duration of use, the degree of dependence, individual metabolism and health status, and whether one quits cold turkey or with medical assistance.
Generally, withdrawal symptoms can be divided into acute and post-acute phases:
Acute Withdrawal: This is the initial phase of withdrawal, where physical symptoms are typically the most severe. Depending on the substance, acute withdrawal symptoms can begin within a few hours to a few days after the last use and can last anywhere from a few days to a few weeks. For example, alcohol withdrawal symptoms often start within 8 hours of the last drink and can last up to a few days or weeks, while opioid withdrawal symptoms usually start within 12-30 hours of the last dose and can last approximately a week.
Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a second phase of withdrawal known as Post-Acute Withdrawal Syndrome. PAWS refers to a group of symptoms that occur after the acute withdrawal phase, predominantly psychological, such as anxiety, irritability, mood swings, depression, and sleep disturbances. PAWS can last from a few weeks to a year or more after the cessation of substance use.
It's important to remember that withdrawal can be dangerous and even life-threatening in some cases, especially when it comes to substances like alcohol and benzodiazepines. Therefore, withdrawal should always be done under medical supervision. The support and treatment offered by medical professionals during detoxification can also help to mitigate withdrawal symptoms and make the process safer and more comfortable.
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.
Where can I get help for my addiction to drugs with very little money?
If you're seeking help for your addiction to drugs and have limited financial resources, there are several options available to you. These organizations and services can provide support, counseling, and treatment at little to no cost:
- National Helplines: Our own helpline (1-877-882-9275) or the SAMHSA National Helpline (1-800-662-HELP) provides free, confidential, 24/7 assistance in English and Spanish.
- Local Support Groups: Many communities have support groups, such as Narcotics Anonymous (NA) or SMART Recovery, that offer peer-to-peer support and resources for individuals struggling with addiction. These meetings are typically free and can be found in various locations.
- Non-profit and Faith-based Organizations: Some non-profit and faith-based organizations offer free or low-cost addiction treatment services, such as counseling, group therapy, and recovery programs. Contact local community centers, churches, mosques, or synagogues to inquire about available resources.
- Sliding Scale Treatment Centers: Some addiction treatment centers offer services on a sliding scale, meaning they adjust fees based on your income level. Contact local treatment centers and inquire about their financial assistance options.
- State-Funded Treatment Programs: Many states provide funding for addiction treatment programs that offer free or low-cost services to eligible residents. Contact your state's health department or substance abuse agency to learn more about available programs.
- Medicaid: If you are eligible for Medicaid, it may cover substance abuse treatment services, including detoxification, counseling, and medication-assisted therapy. Check with your state's Medicaid office for more information on covered services and eligibility requirements.