Commonly Asked Questions about Addiction and Treatment
When do you walk away from a loved one that is a drug addict?
Deciding to distance yourself from a loved one who is struggling with addiction is a deeply personal and difficult decision. There's no universal right or wrong answer, as it depends on the individual circumstances, the severity of the addiction, the impact on your wellbeing, and other factors. However, there are a few circumstances where walking away might be the appropriate course of action:
- Self-preservation: If the relationship with the loved one is causing significant harm to your mental, emotional, or physical health, it may be necessary to establish boundaries or distance yourself for your own wellbeing. Remember, you can't effectively support others if you're not taking care of yourself.
- Enabling Behavior: If your actions are enabling the individual's substance abuse rather than supporting their recovery, creating distance might be beneficial. Enabling can include covering up for their substance use, providing financial support for their habit, or repeatedly rescuing them from the consequences of their behavior.
- Lack of Respect for Boundaries: If your loved one consistently ignores or disrespects boundaries that you have established, it might be time to consider distancing yourself.
- Abuse or Violence: If your loved one becomes abusive or violent under the influence of drugs, prioritizing your safety is crucial. In such instances, it's critical to seek help from local authorities or a domestic violence hotline.
- Unwillingness to Seek Help: If your loved one consistently refuses to seek help, denies they have a problem, or repeatedly relapses without making an effort towards recovery, it might be necessary to consider distancing yourself.
Is there Government assistance to pay for rehab?
Yes, in the United States, there are several forms of government assistance that can help pay for rehab.
Medicaid: Medicaid is a state and federal program that provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Many states' Medicaid programs provide coverage for a range of substance use disorder services, including detoxification, outpatient counseling, residential treatment, medication-assisted treatment, and more. The specific services covered and eligibility criteria can vary by state.
Medicare: Medicare, a federal program primarily for people age 65 and older, also provides coverage for some substance use disorder treatment. This can include inpatient rehab, outpatient treatment services, and medication-assisted treatment.
The Affordable Care Act (ACA): The ACA, also known as Obamacare, requires health insurance plans sold on the Health Insurance Marketplace to cover substance use disorder services. This means that individuals who purchase insurance through the Marketplace can access rehab services, often at a lower cost due to income-based subsidies.
Substance Abuse and Mental Health Services Administration (SAMHSA): SAMHSA offers grants to states and organizations to provide treatment and recovery services for individuals with substance use disorders. Individuals may be able to access services funded by these grants at little or no cost.
State and Local Government Programs: Many states and localities have their own programs to help residents access substance use disorder treatment. These programs may offer direct funding for treatment, operate state-funded treatment facilities, or provide vouchers to pay for private treatment.
Veterans Affairs (VA): The VA provides a range of substance use disorder treatment services to eligible veterans, including detoxification, rehab, outpatient counseling, and medication-assisted treatment.
Indian Health Service (IHS): The IHS provides a comprehensive health service delivery system for approximately 2.6 million American Indians and Alaska Natives, including services for substance use disorders.
How do I stop enabling an addict?
"Helping someone stop enabling an addict can be a challenging process, as the enabler often has deeply ingrained habits and patterns that need to be addressed. Here are some steps to consider:
Recognize Enabling Behavior: First, you need to identify the behaviors that are enabling the addiction. Enabling behaviors can include things like providing money that funds the addiction, covering for the addict's mistakes or responsibilities, or continually forgiving harmful behavior without setting boundaries.
Educate Yourself: Learn about addiction and its dynamics. Understanding that addiction is a disease and not merely a matter of willpower can help change your perspective and reactions.
Set Boundaries: Establish and communicate clear, firm boundaries regarding what you will and won't accept. Stick to these boundaries even if it's difficult.
Stop Rescuing: Refrain from protecting the person from the consequences of their addictive behavior. It is important for them to experience the full impact of their actions.
Encourage Treatment: Instead of protecting the person from their addiction, encourage them to seek professional help. Offer to assist in finding treatment options or attending support groups.
Seek Support: Enabling patterns can be tough to break. Seek help from therapy, counseling, or support groups like Al-Anon. These resources can provide you with tools and strategies to stop enabling.
Practice Self-Care: Ensure you're taking care of your own physical and emotional health. It's easy to get so wrapped up in the addicted person's problems that you neglect your own needs.
Maintain Consistency: It's essential to be consistent with your new approach. If you occasionally slip back into enabling behaviors, the person with the addiction may continue to expect it.
Be Patient: Changing long-standing patterns of behavior takes time, both for you and the person with the addiction. Remember to be patient with yourself and with them.
Remember, You're Not to Blame: Addiction is a complex disease influenced by many factors. It's important to remember that you're not responsible for the other person's addiction or recovery. Your role is to support in healthy ways, not to cure the addiction.