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.
What will a rehab do to help me get through my withdrawal symptoms?
Rehabilitation centers use a combination of medical, psychological, and supportive care to help you manage and overcome withdrawal symptoms during the detoxification stage of recovery. Here's what you can expect:
Medical Supervision and Care: During withdrawal, you'll be under the constant care of medical professionals who monitor your vital signs and general health. This is crucial because withdrawal from certain substances can be life-threatening.
Medication-Assisted Treatment: Depending on the substance you're withdrawing from and the severity of your symptoms, the medical team may administer medications to alleviate discomfort and reduce cravings. For example, methadone or buprenorphine might be used for opioid withdrawal, while benzodiazepines might be used for alcohol withdrawal.
Psychological Support: Mental health professionals provide psychological support during withdrawal. This might include individual counseling, group therapy, or cognitive-behavioral techniques to help manage cravings and cope with the emotional stress of withdrawal.
Comfort Measures: Rehab centers often use comfort measures to help manage withdrawal symptoms. These might include a quiet and comfortable room to rest in, nutritional support, hydration, and complementary therapies such as acupuncture, massage, or yoga.
Preparation for Ongoing Treatment: Detox and withdrawal management are just the first steps in the recovery process. While helping you through withdrawal, staff at the rehab center will also be preparing you for the next phases of treatment, which may include therapy, medication management, and skill-building to maintain long-term sobriety.
Peer Support: Many rehab centers facilitate peer support groups, where you can share experiences and coping strategies with others who are going through a similar process.
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.