Commonly Asked Questions about Addiction and Treatment
How can a homeless person get help for substance abuse?
For homeless individuals struggling with substance abuse, accessing help can be particularly challenging due to factors such as limited resources, absence of stable housing, and potential co-occurring mental health disorders. However, there are a number of avenues that a homeless person can explore to get help:
Government Programs: Many cities have government-funded programs that provide services for homeless individuals, including substance abuse treatment. These may include detoxification, outpatient counseling, residential treatment, and medication-assisted treatment. The U.S. Department of Housing and Urban Development (HUD) and the Substance Abuse and Mental Health Services Administration (SAMHSA) are two significant sources of such assistance.
Community Health Clinics: Community health clinics often offer a range of services, including substance abuse treatment, on a sliding scale based on income. These clinics also frequently provide referrals to other necessary services.
Nonprofit Organizations: Many nonprofit organizations offer resources and support for homeless individuals struggling with substance abuse. These may include recovery support groups, transitional housing, job training programs, and other services.
Outreach Programs: Outreach programs are designed to connect with individuals who may not seek help on their own. Outreach workers may go to places where homeless individuals congregate to provide resources and assistance.
Housing First Programs: These programs, which prioritize providing individuals with stable housing without requiring sobriety or participation in treatment first, have been shown to be effective in helping people maintain recovery and improve their quality of life.
Emergency Departments and Hospitals: In a crisis, emergency medical personnel can provide immediate assistance and connect individuals with longer-term substance abuse treatment resources.
Veterans Services: If the individual is a veteran, the U.S. Department of Veterans Affairs offers many services, including substance abuse treatment, mental health services, and housing assistance.
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.
What you should do and how to cope if you are living with an addict?
Living with an individual struggling with addiction can be challenging and emotionally taxing. It's essential to find effective strategies to cope with this situation, protect your own well-being, and potentially influence your loved one towards recovery. Here are some strategies:
- Educate Yourself: Understand that addiction is a disease, not a choice or moral failing. Learn about the specifics of the addiction, its effects, and treatment options. This knowledge can help you better empathize with your loved one and give you an idea of what they're facing.
- Set Boundaries: Establish boundaries that protect your mental, emotional, and physical health. This could involve rules around drug use in the house, or not covering for the addict's responsibilities. Be firm in maintaining these boundaries.
- Avoid Enabling: While it can be difficult to watch a loved one suffer, avoid actions that enable their addiction, such as providing money that may be used on drugs or alcohol, or making excuses for their behavior.
- Communicate Openly and Honestly: Express your concerns without blame or judgment. Use "I" statements to express how their behavior affects you and others in the house.
- Encourage and Support Treatment: Encourage them to seek professional help. Show support for their efforts to engage in treatment and maintain recovery.
- Take Care of Yourself: It's crucial to look after your own health too. Make time for activities you enjoy, maintain a healthy lifestyle, and seek support when needed. You cannot pour from an empty cup, so ensure you're well-equipped mentally and physically to cope with the situation.
- Seek Support: Consider joining a support group for families and friends of individuals with addiction, such as Al-Anon or Nar-Anon. These groups can provide a community of people who understand your experiences and can provide advice, support, and a safe space to share your feelings.
- Consider Professional Guidance: If the situation becomes unmanageable or you're unsure how to proceed, seek help from a counselor or therapist familiar with addiction. In extreme cases, a professional intervention may be necessary.