If you want to help someone that is abusing alcohol or drugs, whether it’s someone you love or a patient you are treating, what are the options you can point them to? If they live in San Diego, especially in any of the cities in North County, such as Carlsbad, Encinitas, Rancho Santa Fe, Oceanside, Vista, or San Marcos, there are a wide range of alternatives available.
People often ask how someone would typically go through the recovery process. Generally, someone needing services would start by having some kind of consequence that leads them to seek help. Perhaps their job is in jeopardy or they might lose a significant relationship or they just may want to reduce use before it leads to major life consequences. What’s important to know is that each person is different and will require a unique path. Not everyone is going to journey through the system of care in the same way.
Below are the common signposts a client may take when getting help for their substance abuse addiction.
Sometimes it is a good idea or even necessary to enlist the help of an interventionist, who has the experience and skills to guide families through the process of seeking and accepting treatment for the individual considering rehab.
Detox: Depending on physical dependence to alcohol or drug, a person may need to go through a detox period before they will be able to address the psychological aspects of their addiction. Different facilities offer detox as part their residential program but others require a detox period before entry into residential program. Detox typically involves support from a doctor or nurse so that withdrawal symptoms can be comfortably managed. This can be accomplished in an inpatient setting, but depending on the drug of choice it is possible to detox in an outpatient setting with the help of a psychiatrist, assuming the home environment allows for it. Withdrawal symptoms will look different depending on substance use.
Residential Treatment: Many people need structured support to address their substance abuse issues. Residential programs are typically 30, 60 or 90 days depending on insurance and the program. There are some non-profit residential treatment programs out there that offer services at a lower cost or for free thought wait lists can ensue. Residential programs give a person the opportunity to be supported by trained professionals while in a structured and monitored environment. Residential programs usually offer a schedule of groups, counseling and meetings so that the person can begin to learn how to live life without substances.
Intensive Outpatient Program (IOP): Some people opt for a more conducive program like Intensive Outpatient where the person can usually maintain their life responsibilities while learning how to manage their recovery. IOP usually offers a flexible group schedule that allows for someone to participate in groups sessions before or after work. IOP is less intensive than a Residential program yet still supports people in addressing maladaptive behavior while teaching the new skills necessary for navigating recovery. IOP is usually considered a step-down from Residential though many people choose IOP as their main recovery support because of its flexibility with maintaining a job.
Individual Psychotherapy: During Residential and IOPs, a person will be receiving counseling around their substance abuse issues. Many people choose to carry on with seeing a therapist who can be a continued ally in their recovery process. A therapist is someone who supports the person in addressing their past so that they may have a better present and future. People stay connected to therapists anywhere from short-term therapy of a few months to long-term therapy where they see their therapists for years.
Fellowship: 12 Step programs are a very common tool used during the recovery process. Often Residential and IOPs support clients in connecting with 12 Step programs so that they can carry on with a fellowship program after their immediate treatment. 12 Step programs offer peer support, sponsorship and a 12 step process to recovery. Though 12 Step programs are the most popular, there are other programs that offer similar benefits as 12 Step programs, including SMART Recovery, Moderation Management, Women for Recovery, LifeRing, Celebrate Recovery, and SOS; to name a few.
Sober Living: Many people need a sober and safe place to practice their new recovery skills. Lots of people make the mistake of re-entering their community after a Residential program by going back to the community and friends that encouraged their substance abuse issue in the first place. Often times, family will want to take the person in when really the next best move would be them continuing on with learning to live sober and learning how to manage their own life. Sober Living options are discussed with leaving Residential or an Intensive Outpatient Program.
Professional Coaches: Professional Coaches are trained in life coaching. Professional Coaches can support the person with continued accountability. Coaching includes structured sessions that support the person in taking action, addressing anything that stops forward movement and focuses on solutions to building a better future in the areas of relationships, finances and health. The coach supports the client to achieve clarity, set goals that align with their own values, and take actions to achieve the outcome they desire. Coaches are a great support before, during or after treatment and some people choose to work solely with a Coach to see if they need a higher level of care.
Though this is the typical process for most people, it is not exhaustive. My own personal journey included individual therapy, medication management, fellowship through a Spiritual Psychology Program, mentors and professional coaching. As you can see, I had my own unique path to recovery. Not everyone will need to move through each of these levels of care. What is important is that you are participating in at least one of these levels of care at any given time until you feel that you’ve reached a place of healing. This year I am celebrating 10 years of recovery, and I have remained connected to at least one of these services throughout my entire recovery.
About C.A.R.I.: C.A.R.I. provides guidance on intervention, detox, drug and alcohol rehab options in North County of San Diego, including the cities of Oceanside, Carlsbad, Encinitas, Vista, San Marcos and Rancho Santa Fe. We help not only the people who struggling with drug and alcohol abuse, but also their families and loved ones. Our program accepts PPO insurance from insurance providers such as Cigna, Aetna, UBH, Optum, Magellan and Value.