Tamera Martens | American Addiction Centers

How Drugs & Alcohol Can Fuel Violent Behaviors

[content-overview]Ecstasy is a synthetic psychoactive drug that can alter mood and heighten sensory perception.1 It is often taken in clubs or rave settings for its euphoric effects. Though its addiction liability may not be as pronounced as some other drugs of abuse (such as heroin or cocaine), the drug is associated with the potential for increasingly problematic patterns of use and dependence development.1[/content-overview]

The 2019 National Survey on Drug Use and Health (NSDUH) includes ecstasy in its hallucinogen category—a grouping of substances that had an estimated 6 million people, ages 12 or older, as past year users. Roughly 744,000 of these people used ecstasy for the first time that year.2 Ecstasy use is associated with certain types of drug toxicity and several adverse health issues; these risks can increase when the drug is used in combination with alcohol or other drugs.3 If you or someone you know has overdosed on ecstasy, it's important to know the signs and symptoms and seek treatment right away.

[callout-borders]American Addiction Centers offers professional addiction treatment for various types of substance use disorders. Our treatment centers expand across the country and provide multiple levels of care. Learn more by calling [phone][/callout-borders]
<h2>What Is Ecstasy?</h2>
"<a href="https://americanaddictioncenters.org/ecstasy-abuse">Ecstasy</a>" is an illicitly manufactured drug whose primary psychoactive component name is a substance called MDMA (3,4-methylenedioxymethamphetamine). Though this street drug purity is notoriously variable, ecstasy is sometimes marketed as relatively pure MDMA with the name "molly."1 MDMA is what’s known as a substituted amphetamine compound; it is a somewhat unusual substance in that is has chemical and pharmacological similarities to both stimulants and hallucinogens.4 It is usually taken in pill form, although it's sometimes sold as a powder. "Pure MDMA" is rarely found on the street, and what is sold is often laced with other drugs.5 Therefore, it can sometimes be difficult to know what exactly you’re consuming if you decide to ingest molly. The effects of MDMA typically last anywhere from 3 to 6 hours.4

[segment-cta type="phone"]

Effects produced by MDMA include increased energy, feelings of euphoria, enhanced mood, increased sensitivity to touch, and distorted perceptions of time.1,4 Ecstasy’s effects are thought to result from alterations in activity primarily within three key neurotransmitter systems:1,3
<ul>
 	<li>Serotonin. This brain chemical is involved with neural processes that influence things like sensory perception, mood, sleep, and certain types of movement. It may also be involved in triggering hormones that impact sexual arousal. The MDMA-related increase in serotonin activity is what may result in the elevated mood, emotional closeness, and heightened empathy experienced by those using ecstasy.</li>
 	<li>Dopamine. This brain chemical is associated with increased energy and activating the reward system, which can lead to the pleasurable reinforcement of continued use of the drug.</li>
 	<li>Norepinephrine. This brain chemical increases heart rate and blood pressure, and may play a hand in some of the heightened physiological responses to ecstasy use.</li>
</ul>
[callout]
<h2>Signs and Symptoms of MDMA Overdose</h2>
MDMA overdose can be dangerous and potentially lethal. MDMA overdose can result in:5
<ul>
 	<li>Abnormal heart rate and rhythm.</li>
 	<li>Body temperature dysregulation.</li>
 	<li>Hyperthermia, which is overheating of the body, particularly if you've been engaging in intense physical activity in hot settings, such as dance parties or concerts.</li>
 	<li>Hyperthermia-related rhabdomyolysis (muscle breakdown) and kidney injury.</li>
 	<li>Seizures.</li>
</ul>
The use of MDMA can also contribute to a condition called serotonin syndrome when combined with other drugs that result in increased serotonin activity.1 This is a potentially life-threatening condition and needs to be treated immediately.

If you think you or someone you are close to are experiencing ecstasy overdose symptoms, it is important to get them medical help immediately. Call 911 or get them to the nearest emergency room.[/callout]
<h2>Risk Factors of Overdose</h2>
The risk factors for MDMA overdose and/or toxicity include:1
<ul>
 	<li>Taking several doses at once (sometimes called “stacking”) or in sequence over a short time.6</li>
 	<li>Mixing MDMA with alcohol or other drugs (including some prescription drugs that have serotonergic activity).</li>
 	<li>Engaging in vigorous physical activity or using MDMA in a hot environment.</li>
</ul>
[callout]
<h2>What to Do if Someone Is Overdosing</h2>
If you suspect that someone has overdosed on MDMA, consider it a medical emergency and call 911 immediately. When you call 911 or transport the person to the ER, be sure to provide any information you may know about substances they have ingested.7

If you are worried about calling 911 because of getting in trouble, Good Samaritan laws exist to protect whistleblowers and will likely offer you full protection.[/callout]
<h2>Treatment for a Substance Use Disorder</h2>
If you or someone you love are experiencing substance use issues related to the use of ecstasy or any other drug, it's important to seek treatment. Treatment approaches like individual and group psychotherapy, cognitive-behavioral therapy, and focusing on developing relapse prevention skills help treat <a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder">substance use disorders</a>.1 Treatment may also be appropriate if you require more support.

An ecstasy overdose is a serious issue that can lead to significant health problems. The signs of ecstasy overdose may be somewhat vague or non-specific, which can make it difficult to identify when someone has overdosed on MDMA. If you think your loved one might have taken too much MDMA, be proactive and get help immediately by seeking medical attention or calling 911 for emergency help.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/ecstasy-abuse/mental-and-physical-effects" target="_blank" rel="noopener">Mental &amp; Physical Effects of MDMA</a></li>
 	<li><a href="https://americanaddictioncenters.org/ecstasy-abuse/addictive" target="_blank" rel="noopener">How Addictive is Ecstasy?</a></li>
 	<li><a href="https://americanaddictioncenters.org/ecstasy-abuse/adulterants-in-drugs-mdma" target="_blank" rel="noopener">Adulterants in MDMA</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">Free Rehab Near Me</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">Inpatient Rehabs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded" target="_blank" rel="noopener">State Funded Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">Drug Detox Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/90-day-rehab-program" target="_blank" rel="noopener">90 Day Rehab</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Meyer, J. S. (2013). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3931692/pdf/sar-4-083.pdf" target="_blank" rel="noopener">3,4-methylenedioxymethamphetamine (MDMA): Current perspectives.</a> Substance Abuse and Rehabilitation, 4, 83–99.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2020). <a href="https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-07-01-001-PDF.pdf" target="_blank" rel="noopener">Key Substance Use and Mental Health Indicators in the United States: Results from the 2019 National Survey on Drug Use and Health</a> (No. PEP20-07-01–001; NSDUH Series H-55, p. 114). Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.</li>
 	<li>National Institute on Drug Abuse. <a href="https://nida.nih.gov/publications/research-reports/mdma-ecstasy-abuse/what-are-effects-mdma" target="_blank" rel="noopener">What are the effects of MDMA?</a></li>
 	<li>National Institute on Drug Abuse. (2020, June 15). <a href="https://nida.nih.gov/publications/drugfacts/mdma-ecstasymolly" target="_blank" rel="noopener">MDMA (Ecstasy/Molly) DrugFacts.</a></li>
 	<li>National Institute on Drug Abuse. (2012, August 3). <a href="https://teens.drugabuse.gov/drug-facts/mdma-ecstasy-or-molly" target="_blank" rel="noopener">MDMA (Ecstasy or Molly) Drug Facts, Effects.</a> NIDA for Teens.</li>
 	<li>Department of Justice. <a href="https://www.dea.gov/sites/default/files/2020-06/Ecstasy-MDMA-2020_0.pdf" target="_blank" rel="noopener">Ecstasy-MDMA-2020_0.pdf.</a></li>
 	<li>Pennsylvania Department of Drug and Alcohol Programs. <a href="https://www.ddap.pa.gov/overdose/Pages/Overdose_Overview.aspx" target="_blank" rel="noopener">Overdose overview.</a></li>
</ol>
[/sources]

Ecstasy Overdose: Signs, Symptoms & Treatment for MDMA Overdose

<h2>Where Are Rehabs in Alabama Located?</h2>
Most of the 155 treatment centers in Alabama are clustered in the three most populous counties—Jefferson, Mobile, and Madison—though there are rehab programs spread across the state.2,3

There are also options just across state lines. In some instances, it’s helpful to get away from people, places, and things associated with your drug and or alcohol use and give yourself a fresh start. <a href="https://oxfordtreatment.com/" target="_blank" rel="noopener">Oxford Treatment Center in Mississippi</a> is an accredited and certified facility that is less than three hours from Birmingham (for reference). Oxford Treatment Center provides comprehensive substance abuse treatment services, including <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient rehab</a> and outpatient treatment services.
<h2>What Is the Cost of Rehab in Alabama?</h2>
Alabama rehabs vary in price depending on the level of care and types of services offered. For instance, residential inpatient care may cost more than outpatient services because individuals live at the facility during the length of treatment. The most effective treatment tailors the program to the needs of the individual. Unique plans, additional therapies, and amenities determine the exact costs. Luckily, most Alabama rehab facilities offer multiple options to pay.
<h2>Does Insurance Cover the Cost of Treatment in Alabama?</h2>
Many rehab centers in Alabama accept health insurance to pay for at least part of addiction treatment, though it’s always important to check with individual health plans to understand what’s covered and for how long. Types of insurance accepted at facilities in Alabama include:2
<ul>
 	<li>Private health insurance, which is accepted at 63.2% of the treatment centers.</li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab">Medicaid</a>, taken by 69% of the facilities.</li>
 	<li>Medicare, which is accepted at 39.4% of the rehabs in the state.</li>
 	<li>Other state-financed health plans are accepted at 29% of the centers.</li>
 	<li>Federal military insurance, which 38.1% of the facilities take.</li>
 	<li>Indian Health Service/Tribal/Urban funds are accepted at 1.9% of the treatment centers.</li>
</ul>
Oxford Treatment Center accepts a range of health insurance providers, including <a href="https://americanaddictioncenters.org/insurance-coverage/blue-cross-blue-shield-association">Blue Cross Blue Shield</a>, Meritain Health, Tricare, Aetna, Humana, Ambetter, Optum insurance, and more.
[vob]

[cta button="Use Our Cost of Addiction Calculator" link="https://americanaddictioncenters.org/addiction-cost-calculator"]Are you or a loved one struggling with addiction and are concerned about the cost of treatment? Use our cost of addiction calculator to find out how much money addiction will cost you over your life time compared to the cost of going to rehab.[/cta]
<h2>Can I Go to Alabama Drug Rehab Without Insurance?</h2>
For those without insurance, 87.7% of the treatment facilities in Alabama accept cash or self-payment for services, which may allow individuals to pay with a credit card or allow them to use some form of payment plan. Additionally, 55.5% of the treatment centers accept sliding-scale fees, which means cost is determined based on an individual’s income.2

Others may qualify for low-cost or <a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">free rehab near me</a> programs, which account for 56.1% of the treatment centers in the state.2

Don’t let cost deter you or your loved one from seeking treatment. We’re currently available to talk to you in private about finding addiction treatment near you. Give us a call at [phone]
<h2>Do Rehab Centers in Alabama Treat Alcohol and Drug Addiction?</h2>
[callout]Alabama rehabs treat a variety of substance use disorders. The most frequently treated SUDs in Alabama include (but are not limited to):4
<ul>
 	<li>Heroin.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment">Alcohol</a>.</li>
 	<li>Marijuana.</li>
 	<li>Methamphetamines/amphetamines.</li>
 	<li>Opioids other than heroin.</li>
 	<li>Cocaine.</li>
</ul>
[/callout]

In addition to providing treatment for SUDs, 82% of Alabama rehab programs treat <a href="https://americanaddictioncenters.org/co-occurring-disorders">co-occurring mental health disorders</a>, too.2 When an individual has a co-occurring disorder, they have a behavioral health disorder as well as a SUD.5

Integrated treatment programs screen, assess, and provide services for SUDs and other mental health disorders, such as PTSD. Oxford Treatment Center offers treatment for co-occurring disorders, such as addiction and depression.
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]
<h2>Other Ways to Get Help and Alabama Rehab Resources</h2>
In Alabama, there are numerous groups to help individuals with their long-term recovery. These self-help groups sponsor meetings to let individuals share their experiences and support one another. Community-based resources in Alabama include:
<ul>
 	<li><a href="https://www.aa.org/" target="_blank" rel="noopener">Alcoholics Anonymous (AA)</a>. AA is a 12-step support group that works to help people with alcohol issues recover. Meetings can be found in most communities statewide.</li>
 	<li><a href="https://na.org/" target="_blank" rel="noopener">Narcotics Anonymous (NA)</a>. NA is a 12-step support group that works with people who have a variety of drug addictions. Meetings can also be found in most communities statewide.</li>
 	<li><a href="https://www.smartrecovery.org/" target="_blank" rel="noopener">SMART Recovery (Self-Management and Recovery Training)</a>. This program focuses on science-based practices to help people recover from alcohol and drug abuse.</li>
 	<li><a href="https://ddainc.org/" target="_blank" rel="noopener">Dual Diagnosis Anonymous (DDA)</a>. This is a 12-step program that supports people with SUDs and mental health disorders.</li>
 	<li><a href="https://namialabama.org/" target="_blank" rel="noopener">National Alliance on Mental Illness (NAMI)</a>. This organization offers groups and resources for individuals and their families who struggle with mental health issues.</li>
 	<li><a href="https://mh.alabama.gov/" target="_blank" rel="noopener">Alabama Department of Mental Health</a>. This state organization provides resources to help individuals locate community-based services for SUDs, mental health, and more.</li>
</ul>
In addition, you can visit <a href="https://druguse.alabama.gov/help.html" target="_blank" rel="noopener">DrugUse.Alabama.gov</a> if you are in crisis or at risk of relapse.
<h2>FAQs About Alabama Drug Rehab Treatment</h2>
[faqs]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/medicare" target="_blank" rel="noopener">Using Medicare for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance" target="_blank" rel="noopener">3, 5, 7 Day Detox Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential &amp; Long Term Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Substance Abuse Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">Drug Abuse Hotlines</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">Drug Detox Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments" target="_blank" rel="noopener">Drug &amp; Alcohol Withdrawal Timelines</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">Overcoming Addiction</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/report/2018-2019-nsduh-state-specific-tables" target="_blank" rel="noopener">2018-2019 NSDUH State-Specific Tables|CBHSQ Data.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf" target="_blank" rel="noopener">National Survey of Substance Abuse Treatment Services (N-SSATS): 2020. Data on Substance Abuse Treatment Facilities.</a></li>
 	<li>Alabama Department of Mental Health. Provider Directory. (n.d.). <a href="https://mh.alabama.gov/providers-search/" target="_blank" rel="noopener">Alabama Department of Mental Health.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. <a href="https://www.samhsa.gov/data/sites/default/files/2015_Treatment_Episode_Data_Set_National/2015_Treatment_Episode_Data_Set_National.pdf" target="_blank" rel="noopener">Treatment Episode Data Set (TEDS): 2005-2015</a>. State Admissions to Substance Abuse Treatment Services. BHSIS Series S-95, HHS Publication No. (SMA) 17-4360. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2017.</li>
 	<li>National Institute on Drug Abuse. <a href="https://nida.nih.gov/publications/research-reports/common-comorbidities-substance-use-disorders/part-1-connection-between-substance-use-disorders-mental-illness" target="_blank" rel="noopener">Part 1: The connection between substance use disorders and mental health</a>. </li>
 	<li>Centers for Disease Control and Prevention. <a href="https://www.cdc.gov/injury/budget/opioidoverdosepolicy/pdfs/Alabama-State-Snapshot.pdf" target="_blank" rel="noopener">Overdose Prevention Snapshot: Alabama</a>.</li>
 	<li>National Institute on Drug Abuse. (2020). <a href="https://mh.alabama.gov/understanding-the-opioid-crisis/" target="_blank" rel="noopener">Alabama: Opioid-Involved Deaths and Related Harms</a>. </li>
 	<li>Alabama Department of Public Health. (2019). <a href="https://www.alabamapublichealth.gov/pharmacy/assets/overdosesurveillancedatasummary.pdf" target="_blank" rel="noopener">Overdose Surveillance Data Summary.</a></li>
 	<li>Alabama Department of Mental Health, D. of M. (2021). <a href="https://mh.alabama.gov/opioid-overdose-deaths-increase-in-2020-state-agencies-combine-efforts-to-reverse-the-crisis/" target="_blank" rel="noopener">Opioid Overdose Deaths Increase in 2020 – Alabama Department of Mental Health.</a></li>
 	<li>National Institute on Drug Abuse. (2012). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of Drug Addiction Treatment: A Research-Based Guide: Third Edition: (686332012-001)</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2019). <a href="https://www.samhsa.gov/blog/struggling-addiction-tips-finding-quality-treatment" target="_blank" rel="noopener">Struggling with Addiction? Tips on Finding Quality Treatment.</a></li>
 	<li>Alabama Public Health. <a href="https://www.alabamapublichealth.gov/pharmacy/assets/naloxonestandingorder.pdf" target="_blank" rel="noopener">Standing Order of the State Health Officer Naloxone Distribution for Overdose Prevention.</a></li>
 	<li>Alabama Public Health. (2015). <a href="https://www.alabamapublichealth.gov/pharmacy/assets/hb208.PDF" target="_blank" rel="noopener">HB208.</a></li>
 	<li>Alabama Administrative Office of Courts. <a href="https://www.alacourt.gov/EducationalPrograms.aspx" target="_blank" rel="noopener">Accountability courts – educational programs.</a></li>
 	<li>American Society of Addiction Medicine. (2022). <a href="https://www.asam.org/quality-care/clinical-recommendations/covid/supporting-access-to-telehealth-for-addiction-services" target="_blank" rel="noopener">Supporting Access to Telehealth for Addiction Services.</a></li>
</ol>
[/sources]

Finding Drug and Alcohol Rehabs in Alabama

Tamera Martens, MA | American Addiction Centers

American Addiction Centers

https://admin.americanaddictioncenters.org/wp-content/uploads/2021/12/Tamera-Martens-scaled.jpg

Home

contributors

Tamera Martens, MA

Kim Lux, RN | American Addiction Centers

Kim Lux, RN

Charity Anderson | American Addiction Centers

<h2>Inpatient Rehab and Addiction Statistics in Texas</h2>

Drug and alcohol use disorders impact countless people throughout the United States. The 2019 National Survey on Drug Use and Health (NSDUH) indicates that more than 20 million people across the nation aged 12 or older had a substance use disorder (illicit drugs and/or alcohol) and could have benefited from inpatient rehab for alcohol or substance use disorder in the past year.1 Unfortunately, many within this group did not receive any drug and alcohol treatment.1

Data obtained from the Texas Department of State Health Services (DSHS) found that there were about 16,000 opioid-related emergency department (ED) visits in 2019.2 Five counties represent most of these visits:2
<ul>
 	<li>2,226 in Harris County (Houston and surrounding areas).</li>
 	<li>1,556 in Dallas County (Dallas and surrounding areas).</li>
 	<li>1,518 in Tarrant County (Fort Worth and surrounding areas).</li>
 	<li>1,048 in Bexar County (San Antonio and surrounding areas).</li>
 	<li>835 in Travis County (Austin and surrounding areas).</li>
</ul>
People aged 18-44 comprised the largest demographic (48%) of ED visits.2 Additionally, the latest Treatment Episodes Data Sets (TEDS) found that nearly 38,000 people received inpatient drug and alcohol rehab in Texas in 2015.3 Admissions involved the following substance use disorders:3
<ul>
 	<li>6,586 people with heroin use disorders.</li>
 	<li>6,233 people with methamphetamine use disorders.</li>
 	<li>5,472 people with alcohol use disorders.</li>
 	<li>3,213 people with cocaine use disorders.</li>
 	<li>2,238 people with other opioid use disorders.</li>
 	<li>1,143 people with other substance use disorders.</li>
</ul>
Though people between the ages of 25-34 years made up the largest demographic of total admissions, the majority of those seeking treatment for marijuana use disorders and inhalant use disorders were aged 12-19 years.3 In fact, people aged 13-19 made up 25% of calls to the Texas Poison Center Network regarding marijuana and related substances in 2020.4

<h2>What is Inpatient Rehab?</h2>
Inpatient rehab can be a highly effective treatment option, especially if you have more severe or complex problems such as co-occurring disorders.5 Inpatient facilities provide 24-hour structured and focused care, safe lodging, and comprehensive medical attention.5 Inpatient settings can also provide an opportunity to break away from triggers and negative influences that may be at the center of your addiction. Furthermore, therapeutic approaches are structured to help you live a drug-free lifestyle after treatment.

Rehab centers in Texas provide addiction treatment for many types of mind-altering substances such as:
[columns]
<ul>
 	<li>Alcohol</li>
 	<li>Methamphetamines</li>
 	<li>Benzodiazepines</li>
 	<li>Prescription and illegal opioids</li>
 	<li>Cocaine</li>
 	<li>Marijuana</li>
 	<li>Inhalants</li>
</ul>
[/columns]


<h2>Inpatient Rehabs in Texas</h2>
If you're searching for inpatient rehab in Texas, American Addiction Centers offers various options for your treatment needs. For example, Greenhouse Treatment Center in Dallas, Texas, is a renowned inpatient rehab center in Dallas, Texas, that helps those suffering from substance use disorders and co-occurring mental health conditions.

[callout]
American Addiction Centers offers inpatient rehab in Texas. Call [phone] There, an admissions advisor can advise you about our Dallas, Texas treatment center and verify your insurance coverage.
[/callout]

<h2>Why Should I Go to Inpatient Rehab in Texas?</h2>
According to the 2020 National Survey of Substance Abuse Treatment Services (N-SSATS), there are 509 rehab programs throughout Texas.6 Offering varying levels of care:6
<ul>
 	<li>430 offer outpatient treatment.</li>
 	<li>122 provide <a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener noreferrer">residential rehab</a> (non-hospital) care.</li>
 	<li>43 are hospital inpatient facilities</li>
</ul>
If you are close to home, finding an inpatient drug and alcohol rehab center near your loved ones may be a part of your decision to seek treatment in Texas. With inpatient treatment facilities located in most metropolitan areas, finding a suitable fit is within reach. AAC’s Greenhouse Treatment Center is conveniently located at the center of the Dallas-Ft. Worth metro area and is accessible for anyone seeking help with substance use issues.

Regardless of whether you are a Texas local or are thinking of moving for treatment, there are benefits to seeking rehab in Texas. Some of these benefits include:7,8
<ul>
 	<li>Diverse environments. Whether you prefer a quieter, more rural setting or a fast-paced, urban setting, you will not have a problem finding either in Texas.</li>
 	<li>Recreational opportunities. Texas is home to eight major sports teams, numerous state parks, and major lakes. It also offers an abundance of fun attractions, culture, and history.</li>
 	<li>Economic affordability. Affordable housing, employment opportunities, access to resources, and more make Texas an ideal place to thrive for people in both early and sustained recovery.</li>
 	<li>Consistent climate. Texas is known for its sunny weather and steady temperatures, ensuring access to outdoor entertainment year-round.</li>
</ul>

<h2>Tips for Finding the Best Inpatient Rehab in Texas</h2>
You can find alcohol and drug rehab centers near most major metropolitan areas of Texas, including:
[columns]
<ul>
 	<li>Dallas</li>
 	<li>Fort Worth</li>
 	<li>Houston</li>
 	<li>Austin</li>
 	<li>San Antonio</li>
 	<li>Corpus Christi</li>
 	<li>El Paso</li>
</ul>
[/columns]

When deciding which rehab to choose, it is important to take your time. Finding the best Texas inpatient drug rehab center for you largely depends on your medical needs and personal goals for treatment. Since <a href="https://americanaddictioncenters.org/treatment-centers/texas" target="_blank" rel="noopener noreferrer">Texas rehabs</a> may vary in their treatment methods, finding the right fit is critical to your success in recovery. Things to consider might include staff and facility state licensure, types of therapies or specialized services offered, types of payments accepted, and extent of aftercare provided.9

As you are making your rehab decision, it may be helpful to consider asking the following questions:9
<ul>
 	<li>Is the facility accredited or licensed?</li>
 	<li>What credentials or therapeutic licenses does the clinical staff hold?</li>
 	<li>Does the level of care meet your needs and expectations?</li>
 	<li>Is the rehab licensed in providing the quality of service that you need?</li>
 	<li>Do you prefer short-term treatment (30 days or less) or long-term rehab services (60-90 days)?</li>
 	<li>What methods of payment does the addiction program accept?</li>
 	<li>Does the program provide specialized services for target populations, such as veterans, adolescents, LGBTQ+ people, or those with co-occurring disorders</li>
 	<li>Does the program offer support for families?</li>
</ul>

<h2>Does Insurance Cover Inpatient Rehab in Texas?</h2>
Yes, insurance typically covers inpatient rehab in Texas. However, the extent of your coverage will depend on your treatment center, your insurance policy, and other factors. AAC’s Greenhouse Treatment Center in Dallas accepts many private insurance plans as well as several with Blue Cross Blue Shield of Texas. If you do not have insurance, a considerable number of rehabs have the option for you to pay cash or provide self-payment.6,8

Some drug and alcohol rehabs accept insurance plans covered by state, federal, or tribal governments, such as Medicaid, Medicare, Tricare, etc.6,10 Contact your insurance provider to learn more about the extent of your coverage for substance use disorders.

If cost is a barrier, there are still opportunities to receive treatment, depending on your circumstances. <a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener noreferrer">Free rehab</a> may be available for certain individuals. Certain rehab centers may offer low-cost, flexible financing options such as sliding scale payments, payment plans, or <a href="https://americanaddictioncenters.org/rehab-guide/state-funded" target="_blank" rel="noopener noreferrer">state-funded rehab</a> to make treatment more affordable.8 

If you'd like to find out whether your inpatient treatment stay will be fully or partially covered by one of American Addiction Centers' various nationwide treatment centers, simply fill in your insurance information in the form below. An admission navigator will reach out to your shortly.

[vob]


<h2>Can Mental Health Issues Be Treated in Inpatient Rehab?</h2>
Yes, mental health issues can be treated in inpatient rehab in Texas. Many rehabs, including AAC’s rehab center in Texas, offer co-occurring disorder treatment.

During rehab, integrated treatment for co-occurring disorders typically involves using cognitive behavioral therapy (CBT) strategies to address <a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener noreferrer">co-occurring mental illnesses and substance use disorders</a> together instead of treating each diagnosis separately.11 This approach fosters practical recovery, strengthens coping abilities, and builds healthy social skills.11 Integrated co-occurring treatment involves a joint effort among clinical providers and community organizations to manage issues such as:11
<ul class="ul1">
 	<li class="li1">Homelessness.</li>
 	<li class="li1">Unemployment.</li>
 	<li class="li1">Vocational skills.</li>
 	<li class="li1">Family services.</li>
 	<li class="li1">Transportation.</li>
 	<li class="li1">Physical health.</li>
 	<li class="li1">Legal problems.</li>
</ul>

<h2>How Long Does Texas Inpatient Rehab Last?</h2>
Program length for inpatient rehab varies, often falling between 30-90 days. Inpatient rehab that lasts for 30 days or less is considered short-term and involves intensive therapy using an adapted 12-Step approach.12 Long-term rehab, on the other hand, may last between 60-90 days or more as determined by your progress and individualized needs.9,12 The National Institute on Drug Abuse (NIDA) recommends that most people require at least 90 days in rehab to effectively stop or lower drug and alcohol use.13
<h2>Other Rehab Options in Texas</h2>
Drug detox, often considered the first stage of rehab, involves the process of safely managing withdrawal symptoms after a person stops using drugs and alcohol.14

Outpatient rehab varies in intensity and types of services provided; this can be a practical option for people who are unable to go into inpatient treatment due to employment or other reasons.14

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/texas/faith-based">Faith Based Rehabs in Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/best-rehab-centers">Find the Best Rehab Center</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/medicare">Medicare for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/hmo">HMO for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/ppo">PPO for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab">Medicaid for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/texas/austin">Rehabs in Austin, Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/texas/dallas">Rehabs in Dallas, Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/texas/houston">Rehabs in Houston, Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers/texas/san-antonio">Rehabs in San Antonio, Texas</a></li>
</ul>
[/link-bank]





[sources]
<ol>
 	<li>Substance Abuse and Mental Health Services Administration. (2020). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR1PDFW090120.pdf" target="_blank" rel="noopener noreferrer">Key substance use and mental health indicators in the United States.</a></li>
 	<li>Texas Department of State Health Services. (2019). <a href="https://healthdata.dshs.texas.gov/dashboard/drugs-and-alcohol/opioid-related-emergency-department-visit" target="_blank" rel="noopener noreferrer">Opioid-related emergency department visits.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2017). <a href="https://wwwdasis.samhsa.gov/dasis2/teds_pubs/2015_teds_rpt_st.pdf" target="_blank" rel="noopener noreferrer">Treatment episode data set (TEDS): 2005-2015.</a></li>
 	<li>Texas Department of State Health Services. (2021). Marijuana-related poison center calls.</li>
 	<li>National Institute on Drug Abuse. (2019, January 17). <a href="https://nida.nih.gov/publications/drugfacts/treatment-approaches-drug-addiction" target="_blank" rel="noopener noreferrer">Treatment approaches for drug addiction drugfacts.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021, June). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf" target="_blank" rel="noopener noreferrer">National survey of substance abuse treatment services (N-SSATS): 2020.</a></li>
 	<li><a href="https://www.usnews.com/news/best-states/texas" target="_blank" rel="noopener noreferrer">Best states: Texas</a>. (2018, September 28).</li>
 	<li>Office of the Governor, Economic Development and Tourism. (n.d.) <a href="https://www.traveltexas.com/things-to-do/">Let's Texas: Things to do.</a></li>
 	<li>org. (2019, September 19). <a href="https://www.help.org/choosing-the-right-rehab-facility/" target="_blank" rel="noopener noreferrer">Choosing the right rehab.</a></li>
 	<li>National Institute on Drug Abuse. (2020, July 22). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener noreferrer">Drug addiction treatment in the United States.</a></li>
 	<li>National Institute on Drug Abuse. (2021, April 13). <a href="https://nida.nih.gov/publications/research-reports/common-comorbidities-substance-use-disorders/what-are-treatments-comorbid-substance-use-disorder-mental-health-conditions" target="_blank" rel="noopener noreferrer">Common comorbidities with substance use disorders research report: What are the treatments for comorbid substance use disorder and mental health conditions?</a></li>
 	<li>org. (2019, August 6). <a href="https://www.help.org/rehab-cost/" target="_blank" rel="noopener noreferrer">How much does rehab cost?</a></li>
 	<li>National Institute on Drug Abuse. (2020, June 3). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener noreferrer">How long does drug addiction treatment usually last?</a></li>
 	<li>National Institute on Drug Abuse. (2020, June 3). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener noreferrer">Types of treatment programs.</a></li>
</ol>
[/sources]

How to Choose the Best Inpatient Rehab in Texas

<h2>Are Substance Use Disorders Considered Disabilities?</h2>
In short, yes. Diagnosable drug and alcohol addictions, or substance use disorders (SUDs), are considered disabilities under Section 504 of the Rehabilitation Act, the Americans with Disabilities Act (ADA), and Section 1557 of the Affordable Care Act.3

The consideration of what defines a disability may vary according to its purpose for use regarding programs or services.4 Moreover, federally funded state agencies, known as State Disability Determination Services (DDSs), are responsible for providing medical evidence and making the initial determination of whether or not a person has a disability.5

<h2>Addiction &amp; the ADA</h2>
The ADA was enacted on July 26, 1990, and was designed after the Civil Rights Act of 1964.6 The ADA prohibits discrimination against persons with disabilities and ensures they have the same opportunities and rights as everyone else to engage in the activities of general society. According to the ADA, a person is recognized as having a disability and protected by the ADA if they have:6
<ul>
 	<li>A physical or mental impairment that considerably limits one or more of their major life activities, such as caring for themselves, sleeping, eating, learning, thinking, or operating bodily functions such as respiratory, neurological, or brain functioning; or</li>
 	<li>A history of an impairment that considerably limited one or more of a person’s major life activities; or</li>
 	<li>Been regarded or labeled as having such an impairment, such as being perceived as having a disability, and is treated negatively based on this assumption.</li>
</ul>
Some disabilities include but are not limited to:7
<ul>
 	<li>SUDs that have been diagnosed by a practicing, licensed physician.</li>
 	<li>Vision impairments, such as full or partial blindness.</li>
 	<li>Hearing impairments, including mild or profound loss.</li>
 	<li>Mental health conditions, such as depression, anxiety, or schizophrenia.</li>
</ul>
<h2>Can I Get Disability Benefits for Drug or Alcohol Addiction?</h2>
Being that SUDs are considered disabilities under the ADA, you may be entitled to receive behavioral health benefits. However, this applies to situations where an impairment, or disability, persists outside of drug or alcohol use. According to the SSA, this determination involves:9
<ul>
 	<li>Establishing that you have a disability.</li>
 	<li>Confirming medical evidence of your drug or alcohol addiction.</li>
 	<li>Determining whether your impairment would continue even after stopping the use of drugs or alcohol.</li>
</ul>
If you are eligible to receive paid benefits, then the SSA requires that you receive treatment services at an approved facility when it is available and that you comply with the terms, conditions, and requirements of the treatment that has been made available to you.10 These services are typically provided at no cost.

Benefits that people get under social security/disability include:11
<ul>
 	<li>Social Security Disability Insurance. Pays benefits if you are “insured,” which means that you must have worked long enough, and recently enough, in jobs covered by Social Security to qualify for disability benefits.</li>
 	<li>Supplemental Security Income. Designed to help persons with disabilities that have little or no income and provides cash to meet basic needs, such as shelter, food, and clothing.</li>
</ul>


<h2>Can Substance Abuse Impact My Disability Benefits?</h2>
Possibly. If your substance abuse is found to cause or worsen your impairments, meaning that your disability would improve if you abstain from using drugs or alcohol, you will likely not be eligible to receive disability benefits.
[vob]

<h2>Are Drug &amp; Alcohol Addictions Treated Differently Than Other Disabilities?</h2>
Under federal disability rights laws, <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol addiction</a>, whether current or past, is typically considered a disability due to the effects it has on a person’s brain and neurological functions and is protected by the ADA.7 On the other hand, though drug addiction is generally considered a disability, the ADA only allows protections for those in recovery and not currently engaging in illegal drug use.7

<h2>VA Disability &amp; Addiction</h2>
For the Department of Veteran’s Affairs (VA) to determine that alcohol or drug addiction is a disability, it must be linked to a service-related issue.12 In other words, it must be attributed to an illness or injury that occurred while serving in the military, worsened after serving, or appeared after ending service.12 Benefits of <a href="https://americanaddictioncenters.org/veterans/va-disability" target="_blank" rel="noopener">VA disability</a> may include health care or monthly financial support.12,13

[self-assessment type="vet"]


[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">Outpatient Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox">Drug Detox Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab">Using Medicaid for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/medicare">Using Medicare for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction">Tips for Overcoming Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program">30 Day Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/public-assistance">Public Assistance for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders">Co-Occurring Mental Health Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/elderly">Rehab for the Elderly</a></li>
</ul>
[/link-bank] 

[sources]
<ol>
 	<li>Centers for Disease Control and Prevention. (2020, September 16). <a href="https://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts-all.html" target="_blank" rel="noopener">Disability impacts all of us.</a></li>
 	<li>Weiss, T. C. (2020, November 12). <a href="https://www.disabled-world.com/medical/pharmaceutical/addiction/serious.php" target="_blank" rel="noopener">Addiction and substance abuse among persons with disabilities.</a></li>
 	<li>Department of Health and Human Services. (2018, October 25). <a href="https://www.hhs.gov/sites/default/files/drug-addiction-aand-federal-disability-rights-laws-fact-sheet.pdf" target="_blank" rel="noopener">Drug addiction and federal rights laws fact sheet.</a></li>
 	<li>S. Department of Labor. (n.d.). <a href="https://webapps.dol.gov/dolfaq/go-dol-faq.asp?faqid=67&amp;topicid=11&amp;subtopicid=165" target="_blank" rel="noopener">Frequently asked questions.</a></li>
 	<li>Social Security Administration. (n.d.). <a href="https://www.ssa.gov/disability/determination.htm" target="_blank" rel="noopener">Disability Determination Process.</a></li>
 	<li>S. Department of Justice. (n.d.). <a href="https://www.ada.gov/ada_intro.htm" target="_blank" rel="noopener">Information and technical assistance on the Americans with Disabilities Act.</a></li>
 	<li>ADA National Network. (2019). <a href="https://adata.org/factsheet/ada-addiction-and-recovery" target="_blank" rel="noopener">The ADA, addiction, and recovery.</a></li>
 	<li>Australian National University. (n.d.). <a href="https://services.anu.edu.au/human-resources/respect-inclusion/different-types-of-disabilities" target="_blank" rel="noopener">Different types of disabilities.</a></li>
 	<li>Social Security Administration. (1995, February 10). <a href="https://www.ssa.gov/OP_Home/cfr20/416/416-0935.htm" target="_blank" rel="noopener">Code of federal regulations: Drug addiction and alcoholism 416.935.</a></li>
 	<li>Social Security Administration. (1995, February 10). <a href="https://www.ssa.gov/OP_Home/cfr20/416/416-0936.htm" target="_blank" rel="noopener">Code of federal regulations: Drug addiction and alcoholism 416.936</a></li>
 	<li>Social Security Administration. (n.d.). <a href="https://www.ssa.gov/disability/" target="_blank" rel="noopener">Benefits for people with disabilities.</a></li>
 	<li>Department of Veterans Affairs. (2021, August 13). <a href="https://www.va.gov/disability/eligibility/" target="_blank" rel="noopener">Eligibility for VA disability benefits.</a></li>
 	<li>Department of Veterans Affairs. (2021, September 17). <a href="https://www.va.gov/disability/" target="_blank" rel="noopener">VA disability compensation.</a></li>
</ol>
[/sources]

Is Addiction a Disability? ADA Protections & Disability Benefits

<h2>What is Rock Bottom?</h2>
Rock bottom is the point at which someone with a substance use disorder feels the lowest they can possibly feel. This can be triggered by life-altering events such as losing custody of their child, getting arrested, or other eye-opening experience.

Early addiction research suggested that for someone to change their behavior and seek help for their addiction, they would need to hit rock bottom, or experience consequences that were oftentimes terrible and beyond repair.1 However, as understanding of sobriety, addiction, and the world of mental health has evolved, the concept of “rock bottom” has shifted to describe the turning point in a person’s life that inspires them to want to change their unhealthy behavior. For instance, for someone with a <a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder">substance use disorder (SUD)</a> or other mental health condition, rock bottom might involve an eye-opening or startling event that may motivate them to seek professional treatment at a facility.

It is important to note that the concept of rock bottom is subjective. In other words, a person’s circumstances and experiences (such as whether they have a co-occurring <a href="https://americanaddictioncenters.org/health-complications-addiction" target="_blank" rel="noopener">health issue</a> or mental condition like <a href="https://americanaddictioncenters.org/treating-depression-substance-abuse" target="_blank" rel="noopener">depression</a>) may vary, and their rock bottom may vary as well. With this being said, the Substance Abuse and Mental Health Services Administration (SAMHSA) suggests that a person’s rock bottom, which often represents their motivation, desire, and need to change problem behavior and substance use, is what facilitates movement toward change.1
<h2>Signs You’ve Hit Rock Bottom</h2>
Although rock bottom is different for everyone, certain situations may shed light upon your addiction and help you to recognize it as a serious problem. Some of the signs that you have hit rock bottom include, but are not limited to:
<ul>
 	<li>Experiencing a serious health crisis, such as hospitalization, injury, or overdose.</li>
 	<li>Trouble with the law.</li>
 	<li>Being fired because of substance abuse.</li>
 	<li>Losing custody of your child/children.</li>
 	<li>Divorce or break-up due to substance abuse.</li>
 	<li>Utter lack of control over everything, including substance abuse.</li>
 	<li>Feeling hopeless and that nothing “works” to feel even partially okay anymore (including your drug of choice).</li>
 	<li>Feeling that there is no escape anymore.</li>
 	<li>Feeling discouraged and demoralized.</li>
</ul>
<h2>Why Do People Reach Rock Bottom Before Getting Help?</h2>
Many people reach rock bottom before getting help due to a lack of access to treatment, denial, and a variety of other reasons. Laws such as the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 require insurance providers to provide quality coverage for SUD treatment;2 however, many people are not aware of this and prematurely assume that they are unable to afford certain treatment programs due to financial issues or lack of private insurance benefits.

If you are interested in checking your <a href="https://americanaddictioncenters.org/insurance-coverage">health insurance coverage for rehab</a> to determine whether you may have addiction treatment coverage through your benefits, fill out the quick and easy form below.

[vob]

Other people may hit rock bottom before getting help due to denial, which can manifest in many different ways.3 For example, a person may refuse to believe or could be unable to recognize that they have a substance use problem or SUD. Alternatively, a person's denial may stem from a lack of desire to stop abusing substances, or they may not feel as though they can stop.
<h2>What to Do When You’ve Hit Rock Bottom</h2>
Regardless of what circumstances or life events have caused you to hit rock bottom, seeking professional help from a physician or rehab center like American Addiction Centers (AAC) can ensure that you have the support you need as you begin your life-changing journey. Not only does AAC offer medically <a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">supervised detox</a> in a safe and comfortable environment so that patients can safely endure and overcome their <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments" target="_blank" rel="noopener">withdrawal symptoms</a>, but we also provide an array of quality treatment and therapy options such as co-occurring disorder treatment, behavioral therapies such as cognitive-behavioral therapy (CBT), and more.

Even if you do hit rock bottom, there is hope for recovery, no matter where someone is in their journey.

[segment-cta]
<h2>How to Help Someone Who Has Hit Rock Bottom</h2>
Though it can be very difficult to experience rock bottom as a person with a SUD, it can also be overwhelming and frightening to realize that your family member or loved one has hit rock bottom. Fortunately, there are many resources available to help you navigate this challenging process and provide you with insight on substance use, treatment options, and more. A few of these include:
<ul>
 	<li>American Addiction Centers (<a href="https://americanaddictioncenters.org/">AAC</a>), call [phone]</li>
 	<li><a href="https://www.samhsa.gov/find-treatment">SAMHSA</a>, 800-662-4357.</li>
 	<li>National Institute on Drug Abuse (<a href="https://nida.nih.gov/research-topics/treatment">NIDA</a>).</li>
 	<li>Department of Veterans Affairs (<a href="https://www.mentalhealth.va.gov/substance-use/index.asp">VA</a>), 800-698-2411.</li>
</ul>
If you believe someone you love may have hit rock bottom, there are a variety of things you may choose to do to help. These may include:
<ul>
 	<li>Staging an non-threatening intervention.</li>
 	<li>Finding out more about treatment options before you talk to your loved one</li>
 	<li>Being open, honest, empathetic, and understanding when you do decide to approach your loved one.</li>
 	<li>Asking others such as professionals for help.</li>
</ul>
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free">Free Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded">State Funded Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline">Alcohol &amp; Drug Hotlines</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance">Same Day Admit for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples">Couples Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/christian">Christian Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/pregnant-women">Rehab for Pregnant Women</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/with-a-job">Going to Rehab While Employed</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment">Treating Alcoholism</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics">Addiction Statistics &amp; Facts</a></li>
</ul>
[/link-bank]
[sources]
<ol>
 	<li>Substance Abuse and Mental Health Services Administration. (2019). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/tip35_final_508_compliant_-_02252020_0.pdf" target="_blank" rel="noopener">Enhancing Motivation for Change in Substance Use Disorder Treatment. Treatment Improvement Protocol (TIP) Series No. 35.</a> SAMHSA Publication No. PEP19-02-01-003. Rockville, MD: Substance Abuse and Mental Health Services Administration.</li>
 	<li>S. Department of Health and Human Services. (2020, September 1). <a href="https://www.hhs.gov/opioids/treatment/insurance-coverage/index.html" target="_blank" rel="noopener">Does insurance cover treatment for opioid addiction?</a></li>
 	<li>Verdejo-Garcia, A., Fernandez-Serrano, M.J., &amp; Tirapu-Ustarroz, J. (2013). <a href="https://www.sciencedirect.com/science/article/pii/B9780123983367000085?via%3Dihub" target="_blank" rel="noopener">Denial and lack of awareness in substance dependence: Insights from the neuropsychology of addiction</a>. Principles of addiction, 1, 77–86.</li>
</ol>
[/sources]

Signs You’ve Hit Rock Bottom in Your Addiction and What To Do

<h2>Statistics on Drug &amp; Alcohol Abuse in Professionals</h2>
According to a recent national report, about 9.5% of full-time workers were dependent on or abused alcohol or illicit drugs in the past year.1 Additionally, several industries have considerably high rates of <a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder">substance use disorder (SUD)</a> among workers, including:1
<ul>
 	<li>3% in construction.</li>
 	<li>9% in the arts, entertainment, and recreation.</li>
 	<li>4% in company and enterprise management.</li>
 	<li>0% in real estate, rental, and leasing.</li>
 	<li>4% in finance and insurance.</li>
 	<li>1% in transportation and warehousing.</li>
 	<li>8% in professional, scientific, and technical services.</li>
 	<li>7% in healthcare and social assistance.</li>
 	<li>5% in educational services.</li>
</ul>
[callout]
<h2>Drug &amp; Alcohol Treatment Options for Professionals</h2>
Finding <a href="https://americanaddictioncenters.org/rehab-guide/confidentiality-hipaa" target="_blank" rel="noopener">confidential treatment</a> can be difficult for professionals, primarily in cases when they are not able to leave their positions for a prolonged period of time. However, though treatment options may vary, executive and private rehabs offer an array of services and programs tailored to their unique needs.
<ul>
 	<li><a href="https://americanaddictioncenters.org/drug-detox">Detox</a> may be done on an inpatient or outpatient basis and can provide professionals with a discreet, more comfortable, and safe withdrawal process.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient rehab</a> allows professionals to receive high-quality treatment in a remote, private, and safe environment, often while continuing to work online or by phone when necessary.</li>
 	<li>Outpatient programs empower professionals to discreetly continue treatment after finishing inpatient rehab. Many programs offer flexible scheduling options and private recovery services tailored to fit your needs.</li>
 	<li>Workplace supported recovery (WSR) programs, including <a href="https://americanaddictioncenters.org/insurance-coverage/eap-employee-assistance-programs">employee assistance programs (EAP)</a>, health insurance programs, or other valuable and confidential resources, aim to reduce the stigma surrounding substance abuse and SUD by lowering barriers to seeking treatment, receiving services, and maintaining recovery.2</li>
</ul>
[/callout]

[callout-borders]

Ways to Get in Contact With Us

If you believe you or someone you love may be struggling with addiction, let us hear your story and help you determine a path to treatment.

There are a variety of confidential, free, and no obligation ways to get in contact with us to learn more about treatment.
<ul>
 	<li>Call us at [phone]</li>
 	<li><a href="https://americanaddictioncenters.org/verify-insurance">Verify Your Insurance Coverage for Treatment</a></li>
</ul>
[/callout-borders]
<h2>What Happens in Rehab?</h2>
Rehab programs for professionals are customized to fit the patient's needs. However, rehab for professionals typically begins with medical detox to ensure safe and comfortable withdrawal periods. During this time, medication may be used to help reduce some of the uncomfortable physical withdrawal symptoms that arise after a person stops using drugs or alcohol. After detox, a professional may begin a formal substance use treatment program by working with a highly skilled team of professionals to move forward in maintaining their recovery.

Specific issues, such as a person's needed length of stay, whether they will go to inpatient or outpatient treatment, and other details, are typically determined by the professional and their care team prior to starting treatment. Unfortunately, many professionals are fearful about attending inpatient rehab for fear of losing their jobs. For those who wish to keep their jobs and go to rehab, this can cause considerable stress. It is important to note, however, that there are supports in place to help working professionals pursuing quality treatment, including the <a href="https://americanaddictioncenters.org/rehab-guide/fmla" target="_blank" rel="noopener">Family and Medical Leave Act (FMLA)</a>, the Americans with Disabilities Act (ADA), and more.

[segment-cta]
<h2>Will I Get Fired for Going to Rehab?</h2>
No, you will not get fired for going to rehab. In fact, professionals seeking rehab may find protection of confidentiality and of their careers under laws such as the ADA and FMLA.

The ADA protects the rights of people with disabilities, such as professionals in recovery for addiction to alcohol, opioids, and other substances.3 To be protected under the ADA, you must:3
<ul>
 	<li>Be in recovery from a SUD.</li>
 	<li>No longer engage in the illegal use of drugs.</li>
 	<li>Currently participate in or have already completed a rehab program.</li>
</ul>
The FMLA permits eligible professionals to take unpaid, job-protected leave for certain family and medical reasons.4 Additionally, the FMLA allows them to maintain their group health insurance coverage under the same terms and conditions that they had before taking leave.4
<h2>How Long is Rehab?</h2>
Rehab for professionals varies in length and may last between 30-90 days or more. Typically, a person’s <a href="https://americanaddictioncenters.org/rehab-guide/how-long-rehab-last">length of stay</a> depends on factors like their insurance coverage, their unique needs, the capacity of the provider’s program, and others.
<h2>Will Insurance Cover Rehab?</h2>
Yes, insurance typically covers rehabilitation. In fact, American Addiction Centers (AAC) accepts most large health insurance plans and offers a variety of treatment options such as co-occurring disorder treatment, behavioral therapies, and more.

[vob]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/healthcare-professionals/rehab-for-doctors">Addiction in Doctors</a></li>
 	<li><a href="https://americanaddictioncenters.org/healthcare-professionals/rehab-for-nurses">Addiction in Nurses</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/stress-and-alcohol-abuse-in-middle-class-professionals">Alcohol Abuse in Middle Class Professionals</a></li>
 	<li><a href="https://americanaddictioncenters.org/veterans/rehab-resources">Veterans &amp; Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/police">Addiction in the Police Force</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/firefighters-first-responders">Addiction in Firefighters &amp; First Responders</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/workforce/white-collar/lawyers">Addiction in Lawyers</a></li>
 	<li><a href="https://americanaddictioncenters.org/veterans/substance-abuse-marines">Addiction in the Marines</a></li>
 	<li><a href="https://americanaddictioncenters.org/veterans/substance-abuse-navy">Addiction in the Navy</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Bush, D. M. &amp; Lipari, R. N. (2015, April 16). <a href="https://www.samhsa.gov/data/sites/default/files/report_1959/ShortReport-1959.html" target="_blank" rel="noopener">Substance use and substance use disorder by industry</a>.</li>
 	<li>National Institute for Occupational Safety and Health. (2020, July 27). <a href="https://www.cdc.gov/niosh/topics/opioids/wsrp/default.html" target="_blank" rel="noopener">Workplace supported recovery program.</a></li>
 	<li>ADA National Network. (2019). <a href="https://adata.org/factsheet/ada-addiction-and-recovery" target="_blank" rel="noopener">The ADA, addiction, and recovery.</a></li>
 	<li>S. Department of Labor. (n.d.). <a href="https://www.dol.gov/agencies/whd/fmla" target="_blank" rel="noopener">Family and Medical Leave Act.</a></li>
</ol>
[/sources]

Drug and Alcohol Rehab Treatment for Professionals

<h2>What is Enabling?</h2>
Enabling is defined as the process by which a person contributes to the self-destructive or compulsive behavior of another person.1 Instead of helping someone who is struggling with addiction, an enabler may find themselves inadvertently promoting or permitting their loved one’s continued substance misuse.1 For instance, helping a person with <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol use disorder</a> may involve you setting clear boundaries and following through on them, such as not allowing them to stay in your home if they drink or bring in alcohol. On the other hand, enabling may consist of you purchasing your loved one's drug of choice for them or even using it with them, making excuses for their addictive behaviors, and more.2

Enabling behaviors may fall into several categories, some of which include:3
<ul>
 	<li>Denial, such as assuming that your loved one can control their addiction or accepting blame for their alcohol or drug use.</li>
 	<li>Using drugs or alcohol with your loved one.</li>
 	<li>Taking over your loved one's responsibilities, such as childcare, bills, and other obligations.</li>
 	<li>Minimizing or ignoring the extent of their alcohol or drug use.</li>
 	<li>Avoiding problems, such as not mentioning their alcohol or drug use to “keep the peace.”</li>
 	<li>Justifying their substance use or making excuses for them.</li>
</ul>
It is normal to fall into adaptive, enabling behaviors when it comes to your loved one who is struggling with addiction.4 For instance, you might find yourself providing financial assistance or taking on more than your share of responsibilities for them. Regardless of how the enabling manifests, anyone can find themselves falling into these behaviors, especially when there are feelings of guilt, fear, or even hope that they will eventually get better as long as you keep helping them. However, by identifying enabling behaviors, you will be able to better assist your loved ones' recovery from drugs or alcohol.
<h2>Why Do We Enable Our Loved Ones?</h2>
People enable their loved ones for many reasons. If you are worried about your loved one using alcohol or drugs irresponsibly or engaging in addictive behaviors, you are not responsible for fixing them or saving them from the consequences of their substance abuse issues. However, certain necessary actions can help you preserve your mental health and protect your loved one (without enabling them).

Many families that are affected by substance misuse feel the need to maintain a sense of normalcy or homeostasis.4 Family members often behave as though things are normal to keep the family functioning as it usually does, and this may entail supporting their loved one’s substance misuse to avoid what they perceive as instability or imbalance.5 Unfortunately, this type of dynamic can result in the development of unhealthy patterns, rituals, relationships, and roles within families.4
<h2>Signs You Are Enabling Addiction</h2>
Some of the signs that you are enabling your loved one’s addiction include:3,4
<ul>
 	<li>Accepting blame for their alcohol or drug use or minimizing their addiction.</li>
 	<li>Using alcohol or drugs with them to monitor and limit their intake.</li>
 	<li>Engaging in caretaking responsibilities due to their drunkenness or drug use, such as caring for them, taking care of their children, or cleaning their home.</li>
 	<li>Treating your loved one like a child and attempting to control the situation.</li>
 	<li>Justifying their alcohol or drug use despite the harmful consequences.</li>
 	<li>Agreeing with or affirming their rationale when it comes to their addiction.</li>
</ul>
<h2>How to Stop Enabling Someone with Addiction</h2>
If you are worried that you are enabling someone with addiction, you are not alone. Fortunately, there are several resources available, such as:6,7
<ul>
 	<li>Al-Anon, a mutual-help group for family members and loved ones of people with an alcohol use disorder.</li>
 	<li>Co-Dependents Anonymous (CoDA), a fellowship for people in recovery from codependency.</li>
 	<li>Adult Children of Alcoholics/Dysfunctional Families (ACA), a 12-step program for people who grew up in families with addiction or other issues.</li>
</ul>
Additionally, there are other things that you can do to stop enabling your loved one’s addiction; a few include:4,5
<ul>
 	<li>Participating in family or individual therapy.</li>
 	<li>Encouraging your loved one to get inpatient treatment.</li>
 	<li>Staging an <a href="https://americanaddictioncenters.org/intervention" target="_blank" rel="noopener">intervention</a>.</li>
 	<li>Establishing healthy boundaries and upholding them.</li>
</ul>
Enabling behaviors may appear to help your loved one at the moment, but they do not help in the long run. You may be hindering their recovery by continuing to contribute to their substance misuse, despite the harm it has on their lives as well as those closest to them. If you would like help finding a recovery program for you or your loved one, American Addiction Centers is here to help.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">Drug &amp; Alcohol Addiction Hotlines</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">Drug Detox Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments" target="_blank" rel="noopener">Signs of Withdrawal</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Addiction Statistics &amp; Facts</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">Signs to Overcome Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict" target="_blank" rel="noopener">Signs of a Functioning Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener">Co-Occurring Disorder Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage" target="_blank" rel="noopener">Does Insurance Cover the Cost of Rehab?</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab" target="_blank" rel="noopener">Using Medicaid to Pay for Rehab</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>American Psychological Association. (2020). <a href="https://dictionary.apa.org/enabling" target="_blank" rel="noopener">APA dictionary of psychology: enabling</a>.</li>
 	<li>Thomas, E. J., Yoshioka, M., &amp; Ager, R. D. (1996). <a href="https://www.sciencedirect.com/science/article/abs/pii/S0899328996900917" target="_blank" rel="noopener">Spouse enabling of alcohol abuse: Conception, assessment, and modification.</a> Journal of Substance Abuse, 8(1), 61-80.</li>
 	<li>University of Pennsylvania Health System. (n.d.). <a href="http://www.uphs.upenn.edu/addiction/berman/family/enabling.html" target="_blank" rel="noopener">Enabling behaviors.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2020). <a href="https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-02-02-012-508%20PDF.pdf" target="_blank" rel="noopener">Substance use disorder treatment and family therapy.</a> Treatment Improvement Protocol (TIP) Series, No. 39. SAMHSA Publication No. PEP20-02-02-012. Rockville, MD: Substance Abuse and Mental Health Services Administration.</li>
 	<li>Lander, L., Howsare, J., &amp; Byrne, M. (2013, July 27). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3725219/#__ffn_sectitle" target="_blank" rel="noopener">The impact of substance use disorders on families and children: From theory to practice.</a> Social Work in Public Health, 28, 194-205.</li>
 	<li>Al-Anon Family Groups. (n.d.). <a href="https://al-anon.org/newcomers/how-can-i-help-my/" target="_blank" rel="noopener">How can I help my problem drinker quit drinking?</a></li>
 	<li>Co-Dependents Anonymous. (2019, May). <a href="https://coda.org/wp-content/uploads/2020/07/What-is-CoDA-BRO.-4010A.pdf" target="_blank" rel="noopener">What is CoDA?</a></li>
</ol>
[/sources]

How to Stop Enabling Your Loved One's Addictions

A recent national survey found that, from 2017 to 2019, 65.3% of American women aged 15 to 49 were currently using birth control.1 In 2021, 64.8% of women aged 18 and older reported that they drank alcohol during the last year.2 Since the majority of adult women use birth control and also drink alcohol, some may be concerned about whether drinking alcohol impacts the effectiveness of their contraception efforts.

This article discusses how alcohol may affect birth control, explores whether it is safe to drink alcohol on birth control, and reviews things that woman may want to consider when using both alcohol and contraceptives.

[callout-borders]<a href="https://americanaddictioncenters.org/treatment-centers" target="_blank" rel="noopener">American Addiction Centers</a> offers nationwide treatment to those seeking professional help for substance abuse and other co-occurring mental health conditions. Call [phone][/callout-borders]
<h2>How Does Alcohol Affect Birth Control?</h2>
Birth control (contraception) refers to any medication, device, or method used to prevent pregnancy, including intrauterine devices (IUDs), contraceptive injections, pills, patches, condoms, and other short-term and long-term methods.3,4

Overall, alcohol has not been found to reduce or change the efficacy of birth control; however, it’s important to remember that alcohol can impair a person’s judgement and may alter behavior as a result. This may interfere with any form of birth control that requires consistent compliance and consumption. For example, being under the influence of drugs and/or alcohol may make a person forget to take a pill or change a ring. Alcohol use may also lead to the ineffective or inconsistent use of condoms, which increases the risk of not only unplanned pregnancy but also  sexually transmitted infections.5

Another way intoxication may affect birth control is if you vomit after drinking too much within two hours of taking your pill. It often takes at least two hours for the pill to be absorbed by your body, so vomiting during this two-hour window may reduce the pill's effectiveness.6

In addition, heavy alcohol intake, including <a href="https://americanaddictioncenters.org/alcoholism-treatment/binge-drinking-problem" target="_blank" rel="noopener">binge drinking</a> is associated with a greater risk of developing medical complications affecting the blood, such as blood clots in the lungs or legs.7 Some women may also be at higher risk for developing a blood clot while using hormonal birth control, so heavy or binge drinking might increase that risk.8

[segment-cta type="value-prop"]
<h2>Is It Safe to Drink Alcohol on Birth Control?</h2>
In general, it is safe to drink alcohol while on birth control. However, there are some important considerations to be aware of. Alcohol has been found to leave the body slower in women on birth control.9 For instance, alcohol may interfere with a person’s ability to think clearly and move with coordination, and this may cause a person to misuse or even neglect to use contraceptives such as condoms.10,11 This may increase not only their risk of pregnancy but also their chance of acquiring sexually transmitted diseases and infections (STDs/STIs).

If you take birth control pills, drinking too much may cause you to forget or miss taking one of your pills. Though missing one dose may not cause too much of an issue, as long as you take the missed pill as soon as possible, missing multiple doses can cause your birth control to be ineffective and lead to pregnancy.12 If you become pregnant and continue to drink, you could be placing your unborn child at risk for developing serious medical complications.13
<h2>Types of Birth Control and Alcohol’s Influence on Their Effectiveness</h2>
Many forms of birth control are available to help prevent pregnancy, and several are at least 99% effective. However, abstinence from sex is the only 100% effective way to ensure that you do not become pregnant.3,14 Some common types of birth control and their respective rates of effectiveness include:5,14
<ul>
 	<li>Intrauterine Devices (IUDs): IUDs are more than 99% effective and can stay in place for 3 to 10 years. Alcohol use typically does not reduce effectiveness.</li>
 	<li>Implants: When used correctly, implants are more than 99% effective and work for up to 3 years. Alcohol use typically does not reduce effectiveness.</li>
 	<li>Injection: Injections are typically 94% effective when used correctly, andthey can last up to 3 months. Alcohol use typically does not reduce effectiveness.</li>
 	<li>Patch: When used perfectly, the patch is 99% effective, but with typicaly use, it's 91% effective. Three patches can last up to 3 weeks. Alcohol use typically does not reduce effectiveness but may interfere with weekly compliance.</li>
 	<li>Vaginal Ring: Vaginal rings are more than than 99% effective when used perfectly and 91% effective for typical use. Alcohol use typically does not reduce effectiveness, but it may interfere with compliance as the ring must be removed after 3 weeks and a new one must be inserted the following week.</li>
 	<li>Combined/Progestin-Only Pill: More than 99% effective when used perfectly (91% typical use), the pill typically isn't affected by alcohol use. However, alcohol consumption may interfere with daily compliance.</li>
 	<li>Male Condom: Condoms are 98% effective when used correctly and 82% effective with typical use). Alcohol use may reduce effectiveness as there is an increased likelihood of incorrect use or neglected use.</li>
</ul>
<h2>What to Consider When Drinking on Birth Control</h2>
Whether you are already using contraception or trying to find one that works for you, it is important to talk to your doctor or pharmacist to ensure proper use. Your provider will be able to answer questions about potential risks of drinking alcohol while on birth control, e.g., underlying health issues such as liver disease or blood clots.4 It is also important when choosing to drink alcohol that you consider the safety, availability, and accessibility of your birth control since alcohol use may lead to noncompliance with contraception requiring daily or weekly attention or ineffective contraception device use.11 Although alcohol does not typically reduce the effectiveness of contraception, drinking too much, whether in one sitting or over time, can have a serious impact on someone’s health.
<h2 id="nearme">Find Alcohol &amp; Drug Treatment Centers Near You</h2>
<a href="https://americanaddictioncenters.org/treatment-centers?utm_campaign=map-refer"><img class="aligncenter wp-image-63704" sizes="(max-width: 421px) 100vw, 421px" alt="" width="421" height="307" data-src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-300x219.png" data-srcset="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-300x219.png 300w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-768x560.png 768w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-1024x747.png 1024w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment.png 1190w" /></a>[columns count="2"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#California">California</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#florida">Florida</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#nevada">Nevada</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#rhode-island">Rhode Island</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#texas">Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#massachusetts">Massachusetts</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#mississippi">Mississippi</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#new-jersey">New Jersey</a></li>
</ul>
[/columns]

[vob]
<h2>Take Our Alcohol Abuse Self-Assessment</h2>
[self-assessment]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-long-in-system">How Long Does Alcohol Last In Your Body?</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk">How To Talk to an Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose">Signs of Alcohol Overdose</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/stages">Phases of Alcoholism</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/children">Effects of Alcoholism on Children</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/family-marital-problems">Family Problems from Alcoholism</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict">Signs of a Functioning Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/avoid-alcohol-relapse">Ways to Avoid Alcohol Relapse</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/brain-damage">Signs of Brain Damage from Alcohol</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics">Addiction Statistics &amp; Facts</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Daniels K, Abma JC. (2020, October). <a href="https://www.cdc.gov/nchs/products/databriefs/db388.htm" target="_blank" rel="noopener">Current contraceptive status among women aged 15–49: United States, 2017–2019</a>. NCHS Data Brief, no 388. Hyattsville, MD: National Center for Health Statistics.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2023). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics" target="_blank" rel="noopener">Alcohol use in the United States: Age Groups and Demographic Characteristics.</a></li>
 	<li>Office of Women’s Health. (2019, February 14). <a href="https://www.womenshealth.gov/a-z-topics/birth-control-methods#3" target="_blank" rel="noopener">Birth control methods.</a></li>
 	<li>U.S. Food and Drug Administration. (2021, June 18). <a href="https://www.fda.gov/consumers/free-publications-women/birth-control#ShortActingHormonalMethods" target="_blank" rel="noopener">Birth control.</a></li>
 	<li>Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., &amp; Johnson, B. A. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4148693/pdf/nihms200497.pdf">Risk drinking and contraception effectiveness among college women</a>. Psychology &amp; health, 23(8), 965–981. https://doi.org/10.1080/08870440701596569</li>
 	<li>Planned Parenthood. (2015, June 22). <a href="https://www.plannedparenthood.org/learn/ask-experts/does-drinking-alcohol-effect-how-well-my-birth-control-works" target="_blank" rel="noopener">Does drinking alcohol affect how well my birth control works?</a></li>
 	<li>Ballard, H. S. (1997). <a href="https://pubs.niaaa.nih.gov/publications/arh21-1/42.pdf">The hematological complications of alcoholism.</a> Alcohol health and research world, 21(1), 42-52.</li>
 	<li>Shen, C. J., Kao, C. H., Hsu, T. Y., Chen, C. Y., Lin, C. L., &amp; Shih, H. M. (2017). <a href="https://journals.lww.com/md-journal/Fulltext/2017/10200/Effect_of_alcohol_intoxication_on_the_risk_of.30.aspx" target="_blank" rel="noopener">Effect of alcohol intoxication on the risk of venous thromboembolism: A nationwide retrospective cohort study.</a> Medicine, 96(42), e8041.</li>
 	<li>Jones, M. K., &amp; Jones, B. M. (1984). <a href="https://pubmed.ncbi.nlm.nih.gov/6370017/" target="_blank" rel="noopener">Ethanol metabolism in women taking oral contraceptives. </a>Alcoholism, clinical and experimental research, 8(1), 24–28.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohols-effects-body" target="_blank" rel="noopener">Alcohol’s effects on the body.</a></li>
 	<li>Ochieng, E. O. &amp; Arude, J. (2021, April 13). <a href="https://www.journalijar.com/article/36966/influence-of-substance-abuse-on-contraceptive-use-among-undergraduate-students/" target="_blank" rel="noopener">Influence of substance abuse on contraceptive use among undergraduate students.</a> International Journal of Advanced Research, 9, 965-970. (ISSN 2320-5407).</li>
 	<li>Cornell Health. (2019, October 18). <a href="https://health.cornell.edu/sites/health/files/pdf-library/missed-birth-control-pill.pdf" target="_blank" rel="noopener">Missed a birth control pill? Here’s what to do.</a></li>
 	<li>Centers for Disease Control and Prevention. (2016, February 2). <a href="https://www.cdc.gov/media/releases/2016/p0202-alcohol-exposed-pregnancy.html" target="_blank" rel="noopener">More than 3 million US women at risk for alcohol-exposed pregnancy.</a></li>
 	<li>North Carolina Department of Health and Human Services. (n.d.). <a href="https://teenpregnancy.dph.ncdhhs.gov/docs/FDA-ApprovedMethodsBirthControlApprovedVersionAug-2013.pdf" target="_blank" rel="noopener">Food and Drug Administration (FDA) approved methods of birth control. </a>[/sources]</li>
</ol>

Birth Control and Alcohol: Risks, Effects, and Safety

<h2>Denial &amp; Addiction</h2>
The American Psychological Association (APA) defines denial as an involuntary “defense mechanism” that aims to ignore negative or unpleasant thoughts or feelings.1 In terms of substance use disorders, denial and “lack of awareness” are commonly seen among people during their early stages of recovery from substance use disorders, and they often contribute to a person’s resistance or lack of motivation in addiction treatment.2,3

Some feelings of uncertainty and ambivalence can be a normal part of the process of change -- especially during early recovery. However, uncertainty and ambivalence can also serve as obstacles and may hinder a person from changing their substance use behaviors.3 Furthermore, denial may function as a way for someone to ignore the reality of their situation or diminish the severity of their substance use, especially when it pertains to the damage caused by their resistance to stop using.4

Though denial may be considered an involuntary process that functions to help a person resolve emotional conflicts or ease anxiety,1 it can be dangerous when it pertains to addiction and problematic substance use.  Someone who is in denial about the harm their addiction is causing might be considerably resistant to change their behavior and engage in treatment. Furthermore, just as with certain other diseases, such as heart disease, type 2 diabetes, obesity, and others, when left untreated, substance use disorders can become lasting, progressing issues and can lead to overdose, long-term medical or mental health issues, and may even lead to death.5

For these reasons and more, it is essential for someone in recovery to be open and honest with themselves and others about their substance use. This can help them to understand the impact that their addiction has had on their lives, relationships, and families, and it can also empower them to actively engage in changing their unhealthy behaviors.3
<h2>Symptoms of Denial &amp; Stages of Recovery</h2>
Each person dealing with a substance use disorder is different, however, there are some symptoms that are commonly seen among people who are in denial about their substance use. A few of these include:6
<ul>
 	<li>For example, if a person’s substance use is mentioned, they may become irritable or dismissive and react by saying that you are being dramatic or blowing things out of proportion. Additionally, a person may play down their use by saying something like, “It’s not as bad as you are making it seem,” or, “I only use it recreationally.”</li>
 	<li>This behavior may involve someone blaming an outside factor, such as another person or a stressful situation, to establish a basis for their substance use. Their demeanor may come off as argumentative or imposing. An example of this might include them saying, “My spouse makes me angry, I only drink to deal with them,” or, “If it weren’t for you, I wouldn’t have to use.”</li>
 	<li>Some people with substance abuse issues try to appear in control of their addiction by having all of the “right” answers for why their substance use is different than someone else’s. They might say things like, “I know my limits, I don’t get drunk,” or, “I only use drugs for fun, I’m not addicted.”</li>
</ul>
In the Prochaska and DiClemente “stages-of-change” model, these symptoms of denial are common during the precontemplation period, which is considered the starting point of a person’s recovery.6 During this stage, a person may be in denial about the severity of their addiction, and they may not intend to change their substance use.6,7 As a person’s denial evolves, they may go through the other four stages of recovery from addiction, or the “stages of change.” These include:6,7
<ul>
 	<li>During this stage, a person starts to see their substance use as problematic. Though they may not make any changes to stop using, they recognize that there may be some need to change.</li>
 	<li>This stage involves a person developing a plan of action to change their unhealthy behaviors. They may have already begun to make small changes to their substance use, and they are ready to create more lasting change.</li>
 	<li>When a person’s denial evolves to reach this stage, they are in the midst of learning new skills and engaging in healthier behavior patterns to prevent relapse. In addition, the action stage represents the move from intention to actually doing the work to make the desired changes.</li>
 	<li>This stage is about the long term. At this point, the person is practicing and strengthening skills and coping strategies that will help them maintain their new behavior pattern and prevent relapse.</li>
</ul>
Though the goal for someone in denial is to be able to maintain healthier patterns and ultimately stop their substance use, it is important to understand that addiction is considered a relapsing disorder.5 This means that a person may find themselves cycling back and forth through earlier stages after each unsuccessful attempt to change their substance use.6
<h2>Reasons People Who Abuse Substances Deny Addiction</h2>
There are many reasons a person may be in denial about their substance use disorder. Some of these include:
<ul>
 	<li>They believe that they are in control of their substance use.</li>
 	<li>They are ashamed to admit that they have a problem.</li>
 	<li>They are using <a href="https://americanaddictioncenters.org/alcoholism-treatment">alcohol</a> or drugs to cope with other issues.</li>
 	<li>They may have loved ones who are enabling their substance abuse.</li>
 	<li>They are convinced that they are somehow “different” than other people who are addicted to drugs or alcohol.</li>
</ul>
Even if someone contemplates the idea that their substance use could be problematic, they may still find it hard to confront the severity of their addiction within themselves. One possible reason for this is that long-term drug use can impair a person’s cognitive functioning, which can impact their ability to stop using substances and to accept that they may have a substance use disorder.6 Another reason could be that they are afraid to accept their substance use as being problematic given that they would then have to change the behavior.6 This can especially be challenging for someone who views substance use as a way to cope with underlying issues.
<h2>How To Help Someone Who Is in Denial About Their Addiction</h2>
There are many treatment options available to help people who are struggling with substance use disorders, some of these include:8,9,10
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient</a> and residential treatment.</li>
 	<li>Outpatient rehab programs.</li>
 	<li>Individual drug and alcohol counseling.</li>
 	<li>Group therapy.</li>
 	<li>Virtual recovery programs.</li>
 	<li>Mutual support groups and self-help programs.</li>
</ul>
It may be difficult for someone who is in denial about their addiction to be willing to seek out some of the treatment options listed above. In this case, even for a person who does not feel that they have a substance use disorder, it may be beneficial if they attend a mutual help group recovery meeting, like Narcotics Anonymous (NA), Alcoholics Anonymous (AA), or <a href="https://americanaddictioncenters.org/therapy-treatment/smart-recovery">SMART Recovery</a>, in order to show them they are not alone and there are others who are experiencing similar issues. Additionally, speaking with a therapist, talking to people who are in recovery, confiding in their physician, and exploring recovery resources may empower a person in denial to seek help on their terms.

If you have a loved one who is struggling with addiction, you may feel overwhelmed and uncertain about how to help them, especially if they are in denial about their unhealthy substance use. Fortunately, there are resources available to help you find support for your loved one such as the Substance Abuse and Mental Health Treatment Administration (<a href="https://www.samhsa.gov/" target="_blank" rel="noopener">SAMHSA</a>) and the National Institute on Drug Abuse (<a href="https://nida.nih.gov/" target="_blank" rel="noopener">NIDA</a>). You can also start researching rehab facilities, such as American Addiction Centers (AAC) to find out about what to expect during treatment, how to pay for services, and more.

Remember to keep your own mental health intact. There are ways that you can support both your own needs that can still help your loved one on their journey to recovery. These include:6,11
<ul>
 	<li>Setting healthy boundaries and allowing your loved one to experience some of the natural consequences of their addiction.</li>
 	<li>Attending support groups for families and friends of loved ones with substance use disorders and addiction, such as <a href="https://al-anon.org/" target="_blank" rel="noopener">Al-Anon</a>, <a href="https://www.nar-anon.org/" target="_blank" rel="noopener">Nar-Anon</a>, <a href="https://www.smartrecovery.org/family/" target="_blank" rel="noopener">SMART Recovery Family &amp; Friends</a>, and more.</li>
</ul>
[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/free-centers" target="_blank" rel="noopener">Free Drug Detox Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment" target="_blank" rel="noopener">Outpatient Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">Substance Abuse Helplines</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/christian" target="_blank" rel="noopener">Christian Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded" target="_blank" rel="noopener">State Funded Rehabs</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener">Co-Occurring Disorder Treatments</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Substance Abuse Facts &amp; Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
</ul>
[/link-bank]
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]

[sources]
<ol>
 	<li>American Psychological Association. (n.d.). <a href="https://dictionary.apa.org/denial" target="_blank" rel="noopener">Denial.</a> </li>
 	<li>National Institute on Drug Abuse. (2000). <a href="https://archives.drugabuse.gov/sites/default/files/approachestodacounseling.pdf" target="_blank" rel="noopener">Approaches to drug abuse counseling</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2019). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/tip35_final_508_compliant_-_02252020_0.pdf" target="_blank" rel="noopener">Enhancing motivation for change in substance use disorder treatment.</a> Treatment Improvement Protocol (TIP) Series No. 35. SAMHSA Publication No. PEP19-02-01-003. Rockville, MD: SAMHSA.</li>
 	<li>Rinn, W., Desai, N., Rosenblatt, H., &amp; Gasfriend, D. R. (2002). <a href="https://neuro.psychiatryonline.org/doi/pdf/10.1176/jnp.14.1.52" target="_blank" rel="noopener">Addiction denial and cognitive dysfunction: A preliminary investigation.</a> Journal of Neuropsychiatry and Clinical Neurosciences, 14(1), 52-57.</li>
 	<li>National Institute on Drug Abuse. (2020, July 13). <a href="https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction" target="_blank" rel="noopener">Drug misuse and addiction.</a></li>
 	<li>DiClemente, C. C. (2003). <a href="http://ssu.ac.ir/cms/fileadmin/user_upload/vonline/etiad/manabeamoozeshi/Addiction_and_Change.pdf" target="_blank" rel="noopener">Addictions and change: How addictions develop and addicted people recover.</a> New York, NY: Guilford Press.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2012). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma12-3952.pdf" target="_blank" rel="noopener">TIP 34: Brief Interventions and Brief Therapies for Substance Abuse. </a></li>
 	<li>National Institute on Drug Abuse. (2020, June 3). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Types of treatment programs.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021, July). <a href="https://www.samhsa.gov/sites/default/files/virtual-recovery-resources.pdf" target="_blank" rel="noopener">Staying connected is important: Virtual recovery resources.</a></li>
 	<li>Rural Health Information Hub. (2020, November 23). <a href="https://www.ruralhealthinfo.org/toolkits/substance-abuse/2/recovery/support-groups" target="_blank" rel="noopener">Mutual support groups and self-help programs.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (n.d.). Alcohol and drug addiction happens in the best of families.</li>
</ol>
[/sources]

Addiction Denial: Symptoms, Behaviors & How To Help

Charity Anderson is a prevention specialist and freelance writer with over ten years of experience supporting vulnerable communities. After spending several years working in education and mental health, and seeing the gaps in services continue to widen, Charity realized that more efforts were needed in promoting primary prevention.  She decided to pursue her post-graduate work in prevention science, focusing her research on intergenerational addiction and how substance and alcohol use disorders impact youth and families. In addition to earning her certification as a prevention specialist, Charity is also a trained recovery coach.

Charity Anderson, MPS, CPS | American Addiction Centers

https://admin.americanaddictioncenters.org/wp-content/uploads/2021/11/Charity-Anderson.jpg

Charity Anderson, MPS, CPS

Megan Brice | American Addiction Centers

Contributor

[content-overview]Clinicians began using rational emotive behavioral therapy (REBT) in the 1950s, and it has since influenced other life-changing therapies such as cognitive behavioral therapy (CBT). REBT holds the potential to enhance substance abuse treatment alongside other therapies and modalities.[/content-overview]

[callout-borders]

American Addiction Centers offers REBT at some of our treatment centers across the United States, along with other therapies proven effective in the <a href="https://americanaddictioncenters.org/therapy-treatment">treatment of substance abuse issues</a>. To learn more about the therapies we offer, call [phone][/callout-borders]
<h2>About Rational Emotive Behavior Therapy (REBT)</h2>
A doctor named Albert Ellis developed REBT in 1957. This therapy was inspired by stoic philosophy and many scholars believe that from REBT spawned <a href="https://americanaddictioncenters.org/therapy-treatment/cognitive-behavioral-therapy">cognitive behavioral therapy</a> (CBT). REBT shares some similarities with CBT, but these two therapies are not the same.1

One of the primary differences between REBT and CBT is that REBT places a strong emphasis on beliefs (including irrational beliefs) and how these influence peoples’ thoughts, feelings, actions, and reactions, whereas CBT focuses on challenging cognitive distortions to mitigate maladaptive behaviors.1 It also focuses on secondary beliefs, including anti-awfulizing, high frustration tolerance, and self or radical acceptance.

As with other types of CBT, a cornerstone of REBT is the philosophy that beliefs surrounding an event influence your emotions or feelings, which, in turn, drives the way someone reacts and behaves.1

[callout]
<h2>The ABC Model of REBT</h2>
The ABC framework is the core of REBT model and it helps therapists assess and reframe irrational beliefs in clients. Reactions addressed in the ABC model might be either healthy or unhealthy.2

The key concepts of the ABC model in REBT include:1,2

A- Activating event: Adversity or an event is represented by the letter A. According to the ABC model, the activating event is not what causes someone to feel or react a certain way. Instead, someone’s beliefs and inner dialogue cause them to feel, act, and react in either a healthy or unhealthy manner.

B- Beliefs: REBT focuses on reframing irrational beliefs. The letter B represents one’s beliefs around the situation (or A, the activating event). In this model, it’s assumed that someone prescribes meaning to events (A) through their belief systems and inner dialogue.

C- Consequence: The term "consequence" is used to explain a person’s emotional or behavioral reaction to (A) the activating event. Cs might include emotional responses, such as sadness, anxiety, or anger. Or, Cs might include behaviors such as doing something repeatedly or acting angrily.[/callout]
<h2>REBT and Substance Use Treatment</h2>
Behavioral therapies are the most commonly used substance use treatment modality.3 Behavioral therapy can be delivered in individual, group, or family therapy settings and help the client to build healthy coping mechanisms, recognize maladaptive thinking and triggers, and maintain sobriety.3

Therapists and treatment providers sometimes use REBT to help a variety of mental health conditions, including addiction.4 There are few empirical research studies that specifically address the efficacy of REBT within SUD treatment.5 However, studies have found that participants introduced to one form of REBT, known as rational emotive health therapy (REHT), during <a href="https://americanaddictioncenters.org/alcoholism-treatment">alcohol use disorder</a> (AUD) treatment exhibited significant reduction in their alcohol use frequency.

These results were consistent with previous studies, which demonstrate that exposure to the REBT model of treatment resulted in a reduction of psychological and behavioral disruptions.4

REHT was developed to cater to the needs of people affected by alcohol and addiction.4 REHT was found to help people decrease their thoughts and feelings surrounding alcohol use.4 Within the study, there was evidence that REHT helped participants reduce their alcohol use.4

Find out if REBT therapy is covered by your insurance provider below.

[vob]
<h2>Other Models of REBT</h2>
Returning to the traditional ABC model, psychologists determined that additional components should be added to the ABC framework in an attempt to explain the complexities that may occur with patients.2 Expanding on the ABCs, common inclusions are:2

D- Dispute

Following the I consequence, the person attempts to determine, differentiate, and dispute their irrational belief.

E- Effects

The effect refers to the outcome of using a more rational thinking style.

F- New Feeling

There are several different meanings for (F), including force and functional consequence. The new feeling indicates that the participant will utilize their experience and new emotional and behavioral beliefs towards a new situation (A).
<h2>What Is REBT Used to Treat?</h2>
The focus of REBT on irrational beliefs has been used in substance use treatment.4 In treatment of AUD, the focus of irrational beliefs around one’s drinking behavior are evaluated using REBT.6 More studies on the efficacy of REBT in substance abuse treatment are needed to determine the effectiveness of this therapy model on AUD, <a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder">substance use disorders</a> (SUDs), and other mental health conditions.

REBT is used to treat or aid in the treatment of mental health concerns associated with irrational beliefs, including.1,5,6
<ul>
 	<li>Obsessive-compulsive behavior.</li>
 	<li>Social and other phobias.</li>
 	<li><a href="https://americanaddictioncenters.org/treating-depression-substance-abuse">Depression</a> and depressive symptoms.</li>
 	<li>Anxiety.</li>
 	<li>Anger, guilt, and shame.</li>
 	<li>Psychotic symptoms.</li>
 	<li>Disruptive behavior.</li>
</ul>
[callout]
<h2>Benefits of Rational Emotive Behavior Therapy</h2>
REBT has undergone some empirical studies to evaluate its efficacy as a therapy model when used to treat different populations and mental health concerns.5 A 2017 meta-analysis suggests that REBT is equally effective as other psychological interventions or pharmacotherapy when used with clinical participants.2 A few benefits of REBT include:1,5,6
<ul>
 	<li>Targets behaviors and conditions motivated by irrational beliefs, including anger, guilt, and shame.</li>
 	<li>Demonstrates positive effect on school performance in some patients.</li>
 	<li class="li1">May enhance and support mechanisms for change.</li>
 	<li class="li1">Confronts secondary emotional disturbances.</li>
 	<li class="li1">Serves as preparation for exposure therapies in some clients.</li>
 	<li class="li1">The ABC model of REBT is easy to remember and understand.[/callout]</li>
</ul>
<h2>REBT Examples</h2>
The backbone of REBT is the ABC model.1 REBT therapists will likely use iterations of the ABC model to help treat irrational thoughts and beliefs in clients, while making individualized adjustments when fit.2 Below is a substance use-focused example of the ABC model:

A- Activating event: You are working on your sobriety but walk past your familiar bar on the way home from work. You can hear your old friends chatting, and the smell of the bar lingers slowly out of the cracked door on your way by.

B- Beliefs: Irrational beliefs might be, “I’ll never maintain my sobriety,” “I’ll never not have a drink again,” or “I’m such a failure for wanting a drink.”

C- Consequence: Walking past the bar may be a triggering event for irrational thoughts, leading you to emotional behavior. Such behaviors might include going into the bar to have a drink or getting angry and yelling at your partner.

The above example is a common substance-use focused ABC. Continuing with the expanded model of ABC are the following:

D- Dispute: You determine your irrational belief is “I’m a failure,” and you’re able to separate your feelings of failure from your choice to maintain your abstinence. You can dispute the irrational belief of “I’m a failure” by looking at the supporting facts: you have not broken your abstinence, recovery is a lifetime process, and it’s normal to grieve.

E- Effects: Recognizing that your irrational belief might drive a negative behavior, you instead call your sponsor and continue on your way home. Who knows, maybe you’ll even have time to catch that 6 o’clock meeting.

F- New Feeling: You feel proud of yourself and how you handled the situation. Now when walking by the bar, you feel empowered to continue along your way.

[sources]
<ol>
 	<li class="p1">Turner M. J. (2016, September 20). <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2016.01423/full" target="_blank" rel="noopener">Rational emotive behavior therapy (REBT), irrational and rational beliefs, and the mental health of athletes</a>. Frontiers in psychology, 7.</li>
 	<li class="p1">Şahin, E. S., &amp; Voltan Acar, N. (2019). <a href="https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/Rationalemotivebehavior/3306" target="_blank" rel="noopener">Rational emotive behavior therapy from a new perspective.</a> Journal of human sciences, 16(4), 894-906.</li>
 	<li class="p1">National Institute on Drug Abuse. (2020, September 18). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of effective treatment</a>.</li>
 	<li>Omeje, J. C., Otu, M. S., Aneke, A. O., Adikwu, V. O., Nwaubani, O. O., Chigbu, E. F., ... , &amp; Eze, N. M. (2018, August). <a href="https://journals.lww.com/md-journal/Fulltext/2018/08310/Effect_of_Rational_Emotive_Health_Therapy_on.2.aspx" target="_blank" rel="noopener">Effect of rational emotive health therapy on alcohol use among community-dwelling, HIV-positive patients</a>. Medicine, 97(35), e11688.</li>
 	<li>David, D., Cotet, C., Matu, S., Mogoase, C., &amp; Stefan, S. (2017, September 12). <a href="https://onlinelibrary.wiley.com/doi/10.1002/jclp.22514" target="_blank" rel="noopener">50 years of rational-emotive and cognitive-behavioral therapy: A systematic review and meta-analysis</a>. Journal of clinical psychology, 74(3), 304–318.</li>
 	<li>Hickey, M. (2019). <a href="https://link.springer.com/chapter/10.1007/978-3-030-02723-0_1" target="_blank" rel="noopener">REBT and anxiety disorders.</a> In: Dryden W., Bernard M. (eds) REBT with Diverse Client Problems and Populations. Springer, Cham.</li>
</ol>
[/sources]

Rational Emotive Behavior Therapy (REBT) for Substance Abuse Near Me

[content-overview]Dialectical behavioral therapy, commonly referred to as DBT is an evidence-based form of psychotherapy used to treat people with multiple mental health conditions.1 Developed by psychologist Dr. Marsha Linehan and her colleagues in the 1980s, DBT, largely based on <a href="https://americanaddictioncenters.org/therapy-treatment/cognitive-behavioral-therapy" target="_blank" rel="noopener">cognitive-behavioral therapy (CBT)</a>, was used to treat severe mental health conditions and high-risk behaviors, such as chronic suicidal ideation, specifically.2 The main difference between CBT and DBT is that the latter focuses on validating and accepting uncomfortable feelings rather than avoiding or working around them.2 Now, individual and group treatments commonly employ DBT for conditions such as <a href="https://americanaddictioncenters.org/co-occurring-disorders/bpd" target="_blank" rel="noopener">borderline personality disorder (BPD)</a>, depression, anxiety disorders, and substance use disorders (SUD), a medical condition defined by an uncontrollable use of substances despite the negative consequences.1 [/content-overview]
<h2>The DBT Approach</h2>
The DBT approach is multidimensional and comprehensive and relies on learning skills to change unhelpful thoughts and behaviors.
Therapists using DBT teach critical behavioral skills by modeling, providing instructions, telling stories, practicing, giving feedback, and coaching.1 DBT uses a variety of strategies and techniques to do this including:1

<ul>
 	<li>Mindfulness. Central to all other skills in DBT, mindfulness is at the core of treatment. Individuals learn about and practice bringing awareness into the moment. By mastering the observation of what’s happening inside—feelings, thoughts, sensations, and impulses—and tuning into their senses and the environment around them, individuals can effectively slow down and focus on healthy coping skills during pain.</li>
 	<li>Interpersonal effectiveness. Since many participants in DBT struggle with challenges in their relationships, interpersonal effectiveness works to repair, maintain, and establish healthy relationship behaviors, which also includes ending destructive ones. This strategy incorporates assertiveness training to help individuals create and enforce their boundaries with others and communicate effectively.</li>
 	<li>Emotional regulation. This technique focuses on identifying, naming, and changing the negative effects of an emotional response. By helping an individual recognize and cope with intense negative emotions—and create an opposite action—therapists help them have more positive emotional experiences.</li>
 	<li>Distress tolerance. This section of DBT discusses and teaches individuals to sit with discomfort and accept negative emotions. For individuals who experience distress or crisis, the implementation of learned techniques such as distraction and self-soothing skills empower them to cope with intense emotions with a more positive, long-term outlook.</li>
</ul>
<h2>DBT Treatment Components</h2>
Dialectical behavioral therapy is now used to treat other conditions and consists of four key components, including:3,4

<ul>
 	<li>Individual therapy. In these one-on-one, weekly sessions, individuals learn to apply DBT skills they’ve learned to real-life challenges. Homework encourages utilizing these new learned skills in everyday life situations.</li>
 	<li>Group skills training. Individuals work on developing new, healthy coping skills during group skills sessions, where they actively practice the skills. Within the DBT group, the environment is supportive and reinforces positive behaviors. Outside of the group, the individual works to structure their environment to set them up for success.</li>
 	<li>Phone coaching. For in-the-moment help when a difficult situation arises in between sessions, individuals can contact their therapist to get support when they need it the most.</li>
 	<li>Consultation team for therapists. For therapists to be effective and the most helpful to an individual, they need to feel supported and validated. For this reason, a therapist consultation team meets weekly to help fellow therapists problem-solve and implement effective treatment in challenging situations—a suicidal individual or one who frequently misses sessions, for instance.</li>
</ul>
[segment-cta type="value-prop"]
<h2>What Conditions Can DBT Help Treat?</h2>
Dialectical behavioral therapy was created with the intent to primarily treat women with suicidal tendencies.3 Since its development nearly 40 years ago, DBT has proven to be most effective for treating individuals with borderline personality disorder (BPD) when compared to other community-based behavioral therapy approaches.4 However, studies have shown that DBT is effective at treating other disorders. Researchers continue to investigate DBT’s effectiveness with other mental health conditions besides BPD. These include:1,4-9
<ul>
 	<li>Other personality disorders, such as antisocial personality disorder and narcissistic personality disorder.</li>
 	<li>Anxiety disorders.</li>
 	<li><a href="https://americanaddictioncenters.org/treating-depression-substance-abuse" target="_blank" rel="noopener">Depression</a>.</li>
 	<li>Eating disorders.</li>
 	<li><a href="https://americanaddictioncenters.org/bipolar-and-addiction" target="_blank" rel="noopener">Bipolar disorder</a>.</li>
 	<li>Substance use disorders.</li>
 	<li><a href="https://americanaddictioncenters.org/adhd-and-addiction" target="_blank" rel="noopener">Attention deficit hyperactivity disorder (ADHD)</a>.</li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders/ptsd-addiction" target="_blank" rel="noopener">Post-traumatic stress disorder (PTSD)</a>.</li>
</ul>
<h2>Dialectical Behavioral Therapy and Substance Abuse Treatment</h2>
Research indicates that dialectical behavioral therapy is effective in treating people with borderline personality disorder with <a href="https://americanaddictioncenters.org/co-occurring-disorders">co-occurring substance use disorders</a>.1 Several clinical trials suggest that DBT may also be effective in treating individuals with a substance use disorder and other co-occurring disorders, or individuals who have not responded to other <a href="https://americanaddictioncenters.org/rehab-guide/evidence-based">evidence-based substance use disorder treatments</a>.7

A substance use-focused DBT approach encourages individuals to commit to abstinence and work to bolster their motivation to change through the various activities and techniques.7 DBT for alcohol and drug addiction treats relapse as a problem to solve; therefore, therapists help the individual assess the events that led to the relapse and work to help them repair the harm they caused themselves and others as a result of the relapse.7 The idea is to increase the individual’s awareness surrounding the negative consequences associated with drug or alcohol use.7
<h2>Effectiveness of DBT for Addiction Treatment</h2>
While there is no conclusive evidence that DBT helps to treat a stand-alone substance use disorder, studies indicate that DBT can be a helpful component in a comprehensive treatment plan for an individual with a SUD and co-occurring mental health disorders, such as depression or borderline personality disorder (BPD).10 In one study of women with BPD and co-occurring substance use disorders, individuals who received DBT showed reductions in substance misuse during a year of treatment (and in the 4-month follow-up) and dropped out of treatment less often than individuals who did not receive DBT as part of their treatment plan.3
<h2>Benefits of DBT in Addiction Treatment</h2>
By taking an addiction-focused approach to DBT, many individuals can benefit from treatment. Some of the benefits might include:7
<ul>
 	<li>A decrease in substance use.</li>
 	<li>A decrease in the physical discomfort associated with <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments">withdrawal symptoms</a>.</li>
 	<li>A drop in substance-related impulsivity, cravings, and temptations.</li>
 	<li>Creating and enforcing boundaries necessary for abstinence.</li>
 	<li>Avoiding triggers and precipitating events that could lead to substance use.</li>
 	<li>Reducing problematic behaviors that contribute to substance use.</li>
 	<li>Increasing healthy interpersonal relationships through community and other environments that support the individual’s success.</li>
</ul>
<h2>How to Find DBT Treatment</h2>
Therapists who facilitate DBT groups are specifically trained on providing effective treatment. The first step in finding if dialectical behavioral therapy is right for you is to talk with your doctor and mental health provider, who can evaluate your symptoms, treatment history, and therapy goals.

American Addiction Centers (AAC) offer DBT at select treatment facilities. If you’re unsure whether DBT might be appropriate for you, you can talk with your mental health professional or talk with a knowledgeable admissions navigator at AAC to find a treatment facility where you can be evaluated.
<h2>Does Insurance Cover the Cost of Dialectical Behavioral Therapy?</h2>
DBT may be covered by your insurance provider in conjunction with your inpatient or outpatient treatment plan. This depends on your specific health insurance plan. To see if your insurance provider covers all or at least part of the <a href="https://americanaddictioncenters.org/rehab-guide/rehab-cost">cost of rehab treatment</a>, call us or use our online verification form below.

[callout-borders]
<h2>Ways to Get in Contact With Us</h2>
If you believe you or someone you love may be struggling with addiction, let us hear your story and help you determine a path to treatment.

There are a variety of confidential, free, and no obligation ways to get in contact with us to learn more about treatment.
<ul>
 	<li>Call us at [phone]</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-referrals">Refer Someone to Treatment.</a></li>
 	<li><a href="https://americanaddictioncenters.org/verify-insurance">Verify Your Insurance Coverage for Treatment</a></li>
</ul>
[vob]

[/callout-borders]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/12-step-alternatives" target="_blank" rel="noopener">Alternatives to 12 Step Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/neurofeedback" target="_blank" rel="noopener">Neurofeedback Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/group-individual" target="_blank" rel="noopener">Group &amp; Individual Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/yoga" target="_blank" rel="noopener">Yoga Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/rational-emotive-behavior-therapy" target="_blank" rel="noopener">Rational Emotive Behavior Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders/dual-diagnosis-rehab">Dual Diagnosis Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Addiction Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/experiential" target="_blank" rel="noopener">Experiential Therapy</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Linehan, M.M. and Wilks, C.R. (2018, April 30). <a href="https://psychotherapy.psychiatryonline.org/doi/full/10.1176/appi.psychotherapy.2015.69.2.97" target="_blank" rel="noopener">The Course and Evolution of Dialectical Behavioral Therapy</a> in The American Journal of Psychotherapy 69(2)</li>
 	<li>National Alliance on Mental Illness. (n.d.).  <a href="https://www.nami.org/About-Mental-Illness/Treatments/Psychotherapy" target="_blank" rel="noopener">Psychotherapy.</a></li>
 	<li>Chapman A. L. (2006). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963469/" target="_blank" rel="noopener">Dialectical behavior therapy: current indications and unique elements.</a> Psychiatry (Edgmont (PA: Township)), 3(9), 62–68.</li>
 	<li>May, J. M., Richardi, T. M., &amp; Barth, K. S. (2016). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007584/" target="_blank" rel="noopener">Dialectical behavior therapy as treatment for borderline personality disorder. </a>The mental health clinician, 6(2), 62–67.</li>
 	<li>Rizvi, S.L. and Linehan, M.M. (2005, July 1). <a href="https://focus.psychiatryonline.org/doi/full/10.1176/foc.3.3.489" target="_blank" rel="noopener">Dialectical Behavior Therapy for Personality Disorders</a>. Focus, 3(3), 489-494.</li>
 	<li>Eisner, L., Eddie, D., Harley, R., Jacobo, M., Nierenberg, A. A., &amp; Deckersbach, T. (2017). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145450/" target="_blank" rel="noopener">Dialectical Behavior Therapy Group Skills Training for Bipolar Disorder. </a>Behavior therapy, 48(4), 557–566.</li>
 	<li>Dimeff, L. A., &amp; Linehan, M. M. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797106/" target="_blank" rel="noopener">Dialectical behavior therapy for substance abusers.</a> Addiction science &amp; clinical practice, 4(2), 39–47.</li>
 	<li>Gharamaleki, N.S., Pourabdol, S., Saravani, R., and Saravani S. (2017, January 16). <a href="https://brieflands.com/articles/zjrms-5703.html" target="_blank" rel="noopener">The Effectiveness of Dialectical Behavior Therapy in Decreasing High Risk Behaviors Among Students Suffering From Attention Deficit/Hyperactivity Disorder</a>. Zahedan Journal of Research Medical Sciences, 19(1).</li>
 	<li>Bohus M, Kleindienst N, Hahn C, et al. (2020). <a href="https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2768029" target="_blank" rel="noopener">Dialectical Behavior Therapy for Posttraumatic Stress Disorder (DBT-PTSD) Compared With Cognitive Processing Therapy (CPT) in Complex Presentations of PTSD in Women Survivors of Childhood Abuse: A Randomized Clinical Trial. </a>JAMA Psychiatry, 77(12):1235–1245.</li>
 	<li>Flynn, D., Joyce, M., Spillane, A., et al. (2019). <a href="https://d-nb.info/1202284973/34" target="_blank" rel="noopener">Does an adapted Dialectical Behaviour Therapy skills training programme result in positive outcomes for participants with a dual diagnosis? A mixed methods study</a>. Addiction, Science, &amp;Clinical Practice, 14(28), 1-10.</li>
</ol>
[/sources]

Dialectical Behavior Therapy (DBT) for Addiction Treatment

[content-overview]

Deciding to get help for addiction and recovery support is a difficult first step. It can feel overwhelming trying to figure out which one is best suited for you and your current situation. Of course, aspects such as location, treatment options, and accepted insurance play important parts in the decision, but <a href="https://americanaddictioncenters.org/rehab-guide/accreditation" target="_blank" rel="noopener">rehab accreditations</a> is something to consider as well. Accreditation means that the program has met a set standard provided by an overseeing entity.[/content-overview]

Accreditation is an important quality to consider when researching a rehabilitation facility because it means there are set policies, guidelines, and standards of practice and care. For you, this means that you are receiving quality services. Several accreditation bodies help govern rehabilitation facilities. One of the many accreditations that American Addiction Centers has is from The Commission on Accreditation of Rehabilitation Facilities (CARF). CARF has been around since 19661 and offers guidelines for rehabilitation facilities to follow to ensure the best care. As of 2020, 4,763 substance use facilities in the United States received CARF accreditation.2
<h2>What is CARF Accreditation?</h2>
The Commission on Accreditation of Rehabilitation Facilities or CARF is an international nonprofit organization accrediting more than 60,000 programs at over 28,000 locations in aging services, behavioral health, child and youth services, employment and community service, medical rehabilitation, and <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient rehab</a> programs.3 Elected board members, who all have expertise and experience in related programs, oversee policies and standards as well as provide ongoing consultation to members.3
<h2>CARF Accreditation Standards and Regulations</h2>
Becoming accredited shows a provider’s ability to meet international standards of quality that have been fine-tuned for more than 50 years.4 When providers decide to pursue accreditation, they go through the application and review process, which can involve a year or more of preparation before the site survey even happens.5

[callout]
<ol>
 	<li>Consultation The provider reaches out to CARF resource specialist to receive guidance and technical assistance regarding the accreditation process. Consultation with CARF is encouraged throughout the duration of the application process to help answer questions.</li>
 	<li>Self-Evaluation The provider conducts a self-study to evaluate their values and standards of care to ensure the facility is in conformance with CARF standards.</li>
 	<li>Survey application The application takes important information like leadership, programs, services, and location into consideration. A typical application fee is approximately $995.6</li>
 	<li>CARF invoice CARF sends an invoice. As stated on CARF’s website, “The CARF fee is based on the number of surveyors and days needed to complete the survey. The CCRC fee is fixed, with additional fees if additional programs are added to the survey.”5</li>
 	<li>CARF selects survey team CARF selects surveyors based on their area of expertise and experience and matches that to the provider’s unique requirements.</li>
 	<li>The team conducts the survey The team determines the applicant’s standards of care by observing services, interviewing consumers, and looking through documentation. The fee is $1,585 per surveyor per day for digitally enabled sites and $1,840 per surveyor per day for on-site surveys. 6</li>
 	<li>Accreditation decision Based on the survey, the team decides on either a one-year, three-year, provisional, or non-accreditation status.5 This process takes 6 to 8 weeks.</li>
 	<li>Quality Improvement Plan (QIP) Within 90 days of the accreditation decision, the provider submits a QIP to CARF, outlining actions that have been or will be taken in response to their areas for improvement identified in the report.</li>
 	<li>Annual Conformance to Quality Report (ACQR) The provider completes this form every year on the anniversary of their accreditation as well as a QIP if updates or changes have been made.[/callout]</li>
</ol>
<h2>Why is CARF Accreditation Important?</h2>
The weight that CARF accreditation carries is recognized internationally in health and human services fields. During the thorough review and application process, the surveyors are looking for consistency in procedures and policies. Insurance companies require CARF accreditation for rehabilitation services.7 Even if you're receiving <a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">free drug rehab</a>, you may want to seek treatment in a CARF accredited facility because beyond the insurance logistics, the providers are committing to continued learning and growth within their field, which is reviewed annually.

Addressed in their mission statement, CARF aims to “promote the quality, value, and optimal outcomes of services through a consultative accreditation process and continuous improvement services that center on enhancing the lives of persons served.”8 Facilities and providers are abiding by CARF’s core values that all people deserve to be treated with respect, have access to high-quality services, and utilize informed choice.8

When choosing a facility, accreditation should be researched and taken into consideration. As someone considering a CARF accredited program, you can rest assured that the providers have been reviewed, interviewed, and strive to give quality and consistent care. CARF also addresses diversity and cultural competency within their standards,8 which can have monumental benefits as a client seeking treatment.

[callout-borders]

Ways to Get in Contact With Us

If you believe you or someone you love may be struggling with addiction, let us hear your story and help you determine a path to treatment.

There are a variety of confidential, free, and no obligation ways to get in contact with us to learn more about treatment.
<ul>
 	<li>Call us at [phone]</li>
 	<li><a href="https://americanaddictioncenters.org/verify-insurance">Verify Your Insurance Coverage for Treatment</a></li>
</ul>
[vob]

[/callout-borders]
<h2>How to Find a CARF Rehab Near Me</h2>
Finding a CARF accredited rehab facility is simple. On the <a href="http://www.carf.org/providerSearch.aspx" target="_blank" rel="noopener">CARF international site</a>, there is a tool to help you find a provider based on your location and program type. Looking independently on the CARF site, you can review rehab facilities’ accreditations and standards of care.

<a href="https://americanaddictioncenters.org/accreditations" target="_blank" rel="noopener">Our accreditations</a> at American Addiction Centers’ include CARF, among others. Explore our facilities and their various certifications, accreditations, and amenities below.
<h2>Explore AAC's CARF Accredited Rehab Facilities Near Me</h2>
[callout title="Our Treatment Centers by State"]
[columns count="2"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers" target="_blank" rel="noopener">All Treatment Centers</a></li>
 	<li><a href="/treatment-centers/laguna-treatment-hospital" target="_blank" rel="noopener">California Rehab Center</a></li>
 	<li><a href="/treatment-centers/recovery-first-hollywood" target="_blank" rel="noopener">Miami, Florida Rehab Center</a></li>
 	<li><a href="/treatment-centers/river-oaks" target="_blank" rel="noopener">Tampa, Florida Rehab Center</a></li>
 	<li><a href="/treatment-centers/desert-hope" target="_blank" rel="noopener">Las Vegas Rehab Center</a></li>
 	<li><a href="/treatment-centers/adcare-hospital" target="_blank" rel="noopener">Massachusetts Rehab Center</a></li>
 	<li><a href="/treatment-centers/oxford" target="_blank" rel="noopener">Mississippi Rehab Center</a></li>
 	<li><a href="/treatment-centers/sunrise-house" target="_blank" rel="noopener">New Jersey Rehab Center</a></li>
 	<li><a href="/treatment-centers/adcare-rhode-island" target="_blank" rel="noopener">Rhode Island Rehab Center</a></li>
 	<li><a href="/treatment-centers/greenhouse" target="_blank" rel="noopener">Texas Rehab Center</a></li>
 	<li>Locations Nationwide: <a href="/treatment-centers/resolutions" target="_blank" rel="noopener">Resolutions Recovery Residences</a></li>
</ul>
[/columns]

[/callout]

We’re currently available to talk to you in private about finding addiction treatment near you. Give us a call at [phone]
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]
<h2>Other CARF FAQs</h2>
[faqs]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener">Dual Diagnosis Rehabs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Addiction Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehabs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Stop an Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">Drug Detox Centers Near Me</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance" target="_blank" rel="noopener">3, 5 &amp; 7 Day detox Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage" target="_blank" rel="noopener">Does Insurance Cover Rehab?</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded" target="_blank" rel="noopener">State Funded Rehab Near Me</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Commission on Accreditation of Rehabilitation Facilities. (2021). <a href="http://www.carf.org/About/History/" target="_blank" rel="noopener">History of CARF International.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf" target="_blank" rel="noopener">National survey of substance abuse treatment services (N-SSATS): 2020. Data on substance abuse treatment facilities.</a></li>
 	<li>Commission on Accreditation of Rehabilitation Facilities. (2021). <a href="http://www.carf.org/About/WhoWeAre/" target="_blank" rel="noopener">Who we are.</a></li>
 	<li>Commission on Accreditation of Rehabilitation Facilities. (2021). <a href="http://www.carf.org/Accreditation/AccreditationProcess/" target="_blank" rel="noopener">What is the CARF accreditation process?</a></li>
 	<li>Commission on Accreditation of Rehabilitation Facilities. (2021). <a href="http://www.carf.org/Accreditation/AccreditationProcess/StepstoAccreditation/" target="_blank" rel="noopener">Steps to Accreditation.</a></li>
 	<li>CARF International. (n.d). <a href="https://www.dmas.virginia.gov/media/3496/carf-accreditation-fees-us.pdf" target="_blank" rel="noopener">Accreditation fees - United States.</a></li>
 	<li>ORACLE Billing and Services, Inc. (2021). <a href="https://www.oraclebillingandservices.com/licensing-and-accreditation/carf-accreditation/" target="_blank" rel="noopener">What is CARF Accreditation?</a></li>
 	<li>Commission on Accreditation of Rehabilitation Facilities. (2021). <a href="http://www.carf.org/About/Mission/" target="_blank" rel="noopener">CARF's mission, vision, core values, and purposes.</a></li>
 	<li>CARF International. <a href="http://www.carf.org/Accreditation/AccreditationProcess/FAQ/">Frequently Asked Questions</a>.</li>
</ol>
[/sources]

CARF Accredited Rehab Facilities Near Me (Benefits & Guidelines)

<h2>Statistics on Drug &amp; Alcohol Abuse in Teachers</h2>
Educators are among one of the most stressed populations for various reasons, putting them at high risk for burnout.2,3 A study in 2020 found an association between <a href="https://americanaddictioncenters.org/adult-addiction-treatment-programs/stress-and-addiction">levels of stress</a> and substance use disorder symptoms.3 Here is a glimpse of what educators face:1,4,5
<ul>
 	<li>High teacher stress is associated with psychological distress, often alleviated through poor coping skills.</li>
 	<li>7% heavy drinking in educational occupations.</li>
 	<li>8% illicit drug use in educational occupations.</li>
 	<li>5% of a diagnosed substance use disorder in educational occupations.</li>
 	<li><a href="https://americanaddictioncenters.org/harm-reduction/stigma-of-addiction">Stigma associated with substance use</a>.</li>
</ul>

<h2>Why Do Educators Abuse Substances?</h2>
There is limited research on the explicit reasons educators might use substances. However, the following list includes some possible reasons as to why educators might be more susceptible to using (and abusing) substances:
<ul>
 	<li>High levels of stress: Nearly 93% of teachers in a 2018 study indicated high levels of stress.6 Research has shown that increased stress levels can put you at greater risk of using substances.3 Below are some triggers for educator stress.
<ul>
 	<li>School organization. The different dynamics within a school and the district can cause stress on teachers.7</li>
 	<li>Job demands. Teachers are frequently asked to take on a full workload which can feel overwhelming if not managed appropriately.7 </li>
 	<li>Work resources. A lack of support from leadership can lead to teacher’s stress.7</li>
 	<li>The teacher’s ability to manage stress. Teachers often have limited access to emotional development resources.7</li>
</ul>
</li>
 	<li>Increase of depression and anxiety in educators during the COVID-19 pandemic.8</li>
 	<li>Substance use increase during COVID-19.5</li>
 	<li>Burnout. Persistent professional stress and low or absent coping skills.6</li>
</ul>


<h2>Is Substance Abuse Treatment Confidential for Educators?</h2>
Finding treatment can be intimidating, especially if you’re concerned about how it might impact your career. The good news is that there is hope and certain laws and policies exist to help you protect your career as an educator. Rehabilitation and substance abuse treatment falls under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.9 HIPAA protects your privacy with a few limitations; you can seek treatment <a href="https://americanaddictioncenters.org/rehab-guide/confidentiality-hipaa" target="_blank" rel="noopener">confidentially</a> except if you or someone else’s safety are in danger.10

Many educators have an <a href="https://americanaddictioncenters.org/insurance-coverage/eap-employee-assistance-programs">Employee Assistance Program (EAP)</a> which is a benefit that allows employees to utilize counseling and other services.11 EAP services abide by confidentiality standards.11 Similar to HIPAA standards, EAP providers cannot release private information unless there is a signed document from you or the provider believes that releasing the information would protect you or others from imminent danger.11

Seeking rehab treatment through your EAP can be intimidating if you aren’t sure what information might be shared with your employer. EAP providers are required to disclose any outside relationships or conflicts of interest, further securing your privacy.11 If you are using the EAP, be aware that your employer will be billed for the treatment.11 As someone seeking rehab treatment, you are also covered by the Confidentiality of Alcohol and Drug Abuse Patient Records privacy rule which keep your records private unless you give your written consent.10

<h2>Can I Still Be a Teacher If I Go to Rehab?</h2>
Returning to teaching after attending rehab might be an option but is contingent upon several factors. Some of these factors include location, professional organization, and personal decisions. For example, Florida has a <a href="https://www.fldoe.org/teaching/professional-practices/recovery-network-program.stml" target="_blank" rel="noopener">Recovery Network Program</a> that helps teachers seek <a href="https://americanaddictioncenters.org/alcoholism-treatment">treatment for alcohol</a> and substance use without fear of being unable to attain a job again.

Other organizations, like the United Federation of Teachers, offer protections to aid you in seeking treatment.

<h2>Rehab & Treatment Options for Teachers</h2>
There are a couple of different types of rehab options including <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient rehab</a>, outpatient rehab, and detox. Depending on your concerns, one of these formats will likely suit your needs. The different programs have different lengths of time for treatment. You can call <a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">AAC's drug addiction helpline</a> to get more information about treatment programs.

Alcohol and substance use treatment might be covered by your insurance or EAP benefits.11 You can check your individual plan or call the helpline to find programs near you that take your insurance. With your EAP, you should receive a list of approved providers where you can get help. If you need to take time off from your work, the <a href="https://americanaddictioncenters.org/rehab-guide/fmla" target="_blank" rel="noopener">Family and Medical Leave Act</a> (FMLA) covers employees pursuing rehab.12

[vob]


[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential">Residential Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics">Substance Abuse Statistics &amp; Demographics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/public-assistance">Financial Assistance for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded">State Funded Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders">Co-Occurring Disorder Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/90-day-rehab-program">90 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction">How to Overcome Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/hmo">HMO Insurance for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/ppo">PPO Insurance for Rehab</a></li>
</ul>
[/link-bank]


[sources]
<ol>
 	<li>M. Bush and R.N. Lipari. (April 16th, 2015). <a href="https://www.samhsa.gov/data/sites/default/files/report_1959/ShortReport-1959.html" target="_blank" rel="noopener">The CBHSQ report: Substance use and substance use disorder, by industry.</a> Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Rockville, MD.</li>
 	<li>Travers C. (2017) <a href="https://link.springer.com/chapter/10.1007/978-3-319-53053-6_2" target="_blank" rel="noopener">Current knowledge on the nature, prevalence, sources and potential impact of teacher stress.</a> In: McIntyre T., McIntyre S., Francis D. (eds) Educator Stress. Aligning Perspectives on Health, Safety and Well-Being. Springer, Cham.</li>
 	<li>Lin, S.-Y., Fried, E. I., &amp; Eaton, N. R. (2020). <a href="https://psycnet.apa.org/record/2019-63839-001" target="_blank" rel="noopener">The association of life stress with substance use symptoms: A network analysis and replication</a>. Journal of Abnormal Psychology, 129(2), 204–214.</li>
 	<li>Cameron Montgomery, &amp; André A. Rupp. (2005). <a href="https://www.jstor.org/stable/4126479" target="_blank" rel="noopener">A meta-analysis for exploring the diverse causes and effects of stress in teachers.</a> Canadian Journal of Education / Revue Canadienne de l’éducation, 28(3), 458–486.</li>
 	<li>Shatterproof &amp; The Hartford. (2021). <a href="https://www.shatterproof.org/sites/default/files/2021-10/Shatterproof%20Addiction%20Stigma%20Index%202021%20Report.pdf" target="_blank" rel="noopener">Shatterproof Addiction Stigma Index in collaboration with the Hartford.</a></li>
 	<li>Herman, K.C., Hickmon-Rosa, J., and Reinke, W.M. (2018). <a href="https://files.eric.ed.gov/fulltext/EJ1173521.pdf" target="_blank" rel="noopener">Empirically derived profiles of teacher stress, burnout, self-efficacy, and coping and associated student outcomes</a>. Journal of Positive Behavior Interventions, Vol. 20(2) 90–100</li>
 	<li>Greenberg, M. T., Brown J. L., Abenavoli, R.M.(2016). <a href="https://www.prevention.psu.edu/uploads/files/rwjf430428-TeacherStress.pdf" target="_blank" rel="noopener">Teacher Stress and Health Effects on Teachers, Students, and Schools</a>. Edna Bennett Pierce Prevention Research Center, Pennsylvania State University.</li>
 	<li>Jakubowski TD, Sitko-Dominik MM. (2021). <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0257252" target="_blank" rel="noopener">Teachers’ mental health during the first two waves of the COVID-19 pandemic in Poland.</a> PLoS ONE 16(9): e0257252.</li>
 	<li>The Department of Health and Human Services. (n.d). <a href="https://www.hhs.gov/sites/default/files/hipaa-privacy-rule-and-sharing-info-related-to-mental-health.pdf" target="_blank" rel="noopener">HIPAA Privacy Rule and Sharing Information Related to Mental Health</a></li>
 	<li>U.S. Department of Health and Human Services. (June, 2004). <a href="https://www.samhsa.gov/sites/default/files/part2-hipaa-comparison2004.pdf" target="_blank" rel="noopener">The confidentiality of alcohol and drug abuse patient records regulation and the HIPPA privacy rule: Implications for alcohol and substance abuse programs.</a> Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment</li>
 	<li>International EAP Association. (August, 2009). <a href="https://www.eapassn.org/About/About-Employee-Assistance/Ethical-Issues-and-Codes" target="_blank" rel="noopener">EAPA code of ethics.</a></li>
 	<li>U.S. Department of Labor. (n.d.). <a href="https://www.dol.gov/general/topic/benefits-leave/fmla" target="_blank" rel="noopener">Family and medical leave (FMLA).</a></li>
</ol>
[/sources]

Drug Rehab for Teachers, Professors & Educators (Is it Confidential?)

[content-overview]According to the National Center on Substance Abuse and Child Welfare, approximately 1 in 8 children live with at least one parent with a substance use disorder (<a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder">SUD</a>), a medical condition defined by the uncontrollable use of a substance despite negative consequences.1 Parents can lose custody of their child or children where substance abuse issues may impact the ability of the parent to provide shelter, food, and safety to a child as determined in court.  [/content-overview]

During a divorce or other custody cases, the court decides child placement arrangements by considering what’s in the child’s best interest.2 Although state statutes may vary in terms of “best interest” determinations, there are several guiding principles that are typically used—all of which can be affected by substance use. For instance, a parent who struggles with substance abuse might also struggle to meet their child’s physical and mental health needs or provide shelter, food, and safety for their child.2
<h2>Overview of Child Custody</h2>
Can you lose custody due to drug use? Are you guaranteed custody if you’re in a custody battle with someone who abuses substances? There’s not a simple answer. Custody is the delegation of parental responsibilities for a child under the age of 18.3 All decisions are made by a judge with the child’s or children’s best interests in mind. There are a few different forms of custody, including:3,4,5
<ul>
 	<li>Legal custody. Legal custody describes who is responsible for making decisions about the child’s welfare. This includes school enrollment, medical care, and other legal consents.</li>
 	<li>Physical custody. This determines where the children will live.</li>
 	<li>Joint custody. Joint legal custody means shared decision making among the parents or guardians; joint physical custody refers to the child residing with each parent for specified amounts of time.</li>
 	<li>Sole custody. In this arrangement, only one parent or guardian maintains physical custody and/or legal custody. Sole physical custody means the child lives with one parent or guardian. Sole legal custody means that one parent or guardian makes the major decisions for the child and does not have to consult the other parent.</li>
</ul>
In many instances, custody might include a combination of these scenarios. One parent might maintain sole physical custody, but legal custody may be ruled to be a joint effort, for instance.
[callout-borders]

Ways to Get in Contact With Us

If you believe you or someone you love may be struggling with addiction, let us hear your story and help you determine a path to treatment.

There are a variety of confidential, free, and no obligation ways to get in contact with us to learn more about treatment.
<ul>
 	<li>Call us at [phone]</li>
 	<li><a href="https://americanaddictioncenters.org/verify-insurance" target="_blank" rel="noopener">Verify Your Insurance Coverage for Treatment</a></li>
</ul>
[vob]

[/callout-borders]
<h2>Can Substance Abuse Affect Child Custody?</h2>
It is possible for a mother or father to lose custody of their child or children due to substance abuse. Parental substance use can affect a child’s academic, social, and family functioning, as well as the child’s safety and well-being, too.1 In child custody cases, the judge determines what is in the best interest of the child.2 Drug courts get involved when substance abuse hinders a parent or guardian’s ability to care for a child or when the parent poses a danger to the child.6

In 2019, an average of 38.9% of children removed from the home were removed for substance-use-related concerns.7

Substance abuse from a welfare position is defined as a pattern of substance use that results in at least 1 of 4 consequences in the last 12 months, which may include: 8
<ul>
 	<li>Failure to fulfill parental, work, home, or school obligations.</li>
 	<li>Putting oneself or others at risk or harm (e.g., <a href="https://americanaddictioncenters.org/alcoholism-treatment/dui">driving under the influence</a>).</li>
 	<li>Substance-related legal problems, such as possession of illicit substances, for instance.</li>
 	<li>Continued substance use despite having persistent or recurrent interpersonal or social problems.</li>
</ul>
One of the major reasons children enter the foster care system is due to abuse or neglect associated with parental alcohol or drug abuse.8 But it doesn’t have to be for good. Child welfare workers partner with <a href="https://americanaddictioncenters.org/treatment-centers">drug and alcohol treatment centers</a> to help parents with substance abuse issues retain or regain a parental role in their child or children’s lives. Thus, as part of the Child Protective Services (CPS) investigation, alcohol and/or drug involvement is assessed through screening and in-home evaluations.8
[callout-borders]

At American Addiction Centers, our healthcare providers will work with you to provide treatment and care that works best for you and your family's needs. Call us at [phone] An admissions navigator can discuss treatment options that meet your and your family's unique needs.

[/callout-borders]
<h2>Can a recovering alcoholic get custody?</h2>
Most states have family treatment courts (FTCs), also referred to as family drug courts or dependency drug courts. These courts work with professionals in child welfare, substance recovery, mental health agencies, and the court system to embrace a collaborative approach to treating families with SUDs.9 The goal is to help the individual with the SUD achieve safe, stable, long-term recovery; reunification with their child or children; and permanency.9

While each case is different, parents in recovery need to show the court that they have successfully completed an alcohol or drug treatment program, provide evidence of successful recovery—typically through drug tests and active participation in rehab treatment aftercare programs (which may include the support of recovery specialists and/or peers)—and proof that they can remain drug- and alcohol-free (usually with continued drug testing).10

<a href="https://americanaddictioncenters.org/therapy-treatment">Substance use treatment</a> is essential to both the parent and child’s well-being.1 Early identification and treatment of substance abuse leads to more successful outcomes.11 Therefore, for parents in treatment, child welfare, substance-use clinicians, and the court system consistently communicate with each other to monitor the individual’s progress through treatment.11 From there, recommendations regarding custody may be made based on the parent’s recovery.11
<h2>Can a DUI Affect Custody?</h2>
It depends. The determination is ultimately up to the judge presiding over the case, so the particulars matter.2 For instance, a single DUI might affect a custody case differently than multiple DUIs, which might establish a pattern of reckless behavior in the court’s eyes.12 Other factors that may influence the court’s decision regarding custody after a DUI is whether the child was in the vehicle at the time, blood alcohol concentration (BAC) level, and the overall seriousness of the DUI.12
<h2>Can Child Protective Services Take My Child Away?</h2>
While not every child, whose parent or caregiver misuses substances, experiences abuse or neglect, they are at an increased risk.8 In fact, a parent who abuses alcohol or drugs is considered a serious risk for child safety. Therefore, a child welfare worker might deem it best to place the child in foster care.8 

According to the Adoption and Safe Families Act, a child placed in foster care will need a permanency plan within 12 months.8 Maintaining the family unit is one of the guiding principles in determining what’s in the child’s best interest, so removing a child isn’t preferred.2 It’s important to note that although courts work hard to keep children with their families, a parent may forfeit their parental rights if they refuse substance abuse treatment.2,8
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]
<h2>How Long Does Rehab Last?</h2>
Treatment length varies depending on your needs, the treatment type, and your progress.13 Outpatient programs allow individuals to come to the rehab facility to participate in therapies and counseling but return to work or home after.13 This option can be helpful for parents <a href="https://americanaddictioncenters.org/rehab-guide/with-children" target="_blank" rel="noopener">attending rehab with a child</a>, allowing the parent to continue to share in child care responsibilities while also receiving the help that they need.

For others, <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient addiction treatment</a>, where treatment takes place at a live-in, residential facility with 24/7 care, might be the best option for long term recovery. Inpatient rehab can range from a couple weeks to a month or more. In this instance, children may stay with a spouse, partner, or relative. Or child welfare workers might put the child or children in foster care if there’s no other trusted, safe option.

There’s no one-size-fits-all treatment plan. Instead, effective treatment needs to be customized for the individual and their circumstances.13 Some factors that may affect the <a href="https://americanaddictioncenters.org/rehab-guide/how-long-rehab-last">duration of treatment</a> include:14,15
<ul>
 	<li>The severity of substance use.</li>
 	<li>The substance(s) used.</li>
 	<li>Other <a href="https://americanaddictioncenters.org/co-occurring-disorders">co-occurring mental health problems</a>.</li>
 	<li>Underlying physical health issues.</li>
 	<li>The length of time covered by insurance.</li>
 	<li>Your support system outside of treatment.</li>
</ul>
Your family members may also choose to take part in <a href="https://americanaddictioncenters.org/therapy-treatment/family-therapy">family therapy</a> during treatment, where family members take an active part in the treatment process.
<h2>Can I Go to Rehab Today?</h2>
There are some <a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance" target="_blank" rel="noopener">same-day admission rehab</a> programs depending on your location, facility capacity, and resources available to you.16 This is called treatment on demand, but it is typically dependent on sufficient staffing.16 If same-day rehab treatment is not available, there may be interim options accessible for some individuals.16 For instance, individuals with opioid use disorder may be able to begin methadone maintenance prior to being admitted to a rehab facility.16 Others may start participating in a 12-step program such as <a href="https://al-anon.org/" target="_blank" rel="noopener">Al-Anon</a> or <a href="https://www.nar-anon.org/" target="_blank" rel="noopener">Nar-Anon</a>.8,16 Another factor to take into consideration is that you might need medical detoxification or stabilization before entering rehab.8 The best way to figure out what you need in terms of treatment is to talk to your medical provider.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/children" target="_blank" rel="noopener">How Alcoholism Affects Children</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/family-members" target="_blank" rel="noopener">Rehab Guide for Family Members</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">Call a Drug Abuse Helpline</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/family-marital-problems" target="_blank" rel="noopener">Alcoholism &amp; Marital Problems</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Drug Addiction Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/hmo" target="_blank" rel="noopener">HMO Insurance for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/ppo" target="_blank" rel="noopener">PPO Insurance for Rehab</a></li>
</ul>
[/link-bank]
<h3>Sources</h3>
<ol>
 	<li>Lipari, R.N. &amp; Van Horn, S.L. (2017, August 24). <a href="https://www.samhsa.gov/data/sites/default/files/report_3223/ShortReport-3223.html" target="_blank" rel="noopener">Children living with parents who have a substance use disorder. The CBHSQ Report: August 24, 2017.</a> Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, Rockville, MD.</li>
 	<li>Child Welfare Information Gateway. (2020, June). <a href="https://www.childwelfare.gov/pubpdfs/best_interest.pdf" target="_blank" rel="noopener">Determining the best interests of the child.</a> Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families, Children's Bureau.</li>
 	<li>Child Welfare Information Gateway. (n.d.) <a href="https://www.childwelfare.gov/glossary/glossaryc/" target="_blank" rel="noopener">Glossary C</a>.</li>
 	<li>National Center for State Courts (n.d.). <a href="https://cdm16501.contentdm.oclc.org/digital/collection/famct/id/185" target="_blank" rel="noopener">Looking at Joint Custody Through the Language and Attitudes of Attorneys</a>.</li>
 	<li>Legal Information Institute. (August 2021). <a href="https://www.law.cornell.edu/wex/sole_custody" target="_blank" rel="noopener">Sole Custody</a>.</li>
 	<li>Child Welfare Information Gateway. (n.d.). <a href="https://www.childwelfare.gov/pubPDFs/courts_26.pdf" target="_blank" rel="noopener">The Interplay Between Child Maltreatment Legislation and Caseworker Practice</a>.</li>
 	<li>National Center on Substance Abuse and Child Welfare. (2019). <a href="https://ncsacw.acf.hhs.gov/research/child-welfare-and-treatment-statistics.aspx" target="_blank" rel="noopener">Child welfare and alcohol and drug use statistics.</a></li>
 	<li>National Center on Substance Abuse and Child Welfare. (n.d.). <a href="https://ncsacw.acf.hhs.gov/files/UnderstandingSAGuide.pdf" target="_blank" rel="noopener">Understanding Substance Abuse and Facilitating Recovery: A Guide for Child Welfare Workers</a>.</li>
 	<li>Center for Children and Family Futures and National Association of Drug Court Professionals. (2019). <a href="https://www.cffutures.org/files/OJJDP/FDCTTA/FTC_Standards.pdf" target="_blank" rel="noopener">Family Treatment Court Best Practice Standards</a>. </li>
 	<li>Child Welfare Information Gateway. (January 2021). <a href="https://www.childwelfare.gov/pubPDFs/parentalsubuse.pdf" target="_blank" rel="noopener">Parental Substance Use: A Primer for Child Welfare Professionals</a>. </li>
 	<li>National Center on Substance Use and Child Welfare. (n.d.). <a href="https://ncsacw.acf.hhs.gov/files/drug-testing-brief-2-508.pdf" target="_blank" rel="noopener">Brief 2: Drug testing for parents involved in child welfare: Three key practice points.</a></li>
 	<li>H Law Group. (2021, March 25). <a href="https://www.thehfirm.com/blog/can-a-dui-affect-child-custody" target="_blank" rel="noopener">Can a DUI affect child custody?</a></li>
 	<li>National Institute on Drug Abuse. (2018, January). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).</a></li>
 	<li>McGovern, M.P. &amp; Carroll, K.M. (2003). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678283/" target="_blank" rel="noopener">Evidence-based practices for substance use disorders.</a> The Psychiatric clinics of North America, 26(4), 991–1010.</li>
 	<li>National Institute on Drug Abuse. (2018, July 2). <a href="https://archives.drugabuse.gov/publications/media-guide/science-drug-use-addiction-basics" target="_blank" rel="noopener">The science of drug use and addiction: The basics.</a></li>
 	<li>Redko, C., Rapp, R.C., &amp; Carlson, R.G. (2006). <a href="https://journals.sagepub.com/doi/10.1177/002204260603600404" target="_blank" rel="noopener">Waiting Time as a Barrier to Treatment Entry: Perceptions of Substance Users.</a> Journal of drug issues, 36(4), 831–852.</li>
</ol>

Can Addiction Make Me Lose Custody of My Child?

[content-overview]Drug rehab in Georgia can help people living in this southern state recover from substance use disorders and co-occurring mental health conditions. Between 2018 and 2019, there were 1226 unintentional overdose deaths in Georgia.1 Thankfully, treatment and rehab facilities are becoming more available across the nation.2 In 2020, there were 348 substance use facilities or rehabs in Georgia.2 Figuring out where you want to attend drug addiction treatment can be difficult, and it requires taking your individual needs into account.[/content-overview]

[callout-borders]American Addiction Centers offers addiction treatment at each of our nationwide treatment centers, along with co-occurring disorder treatment. Call [phone][/callout-borders]
<h2>Where Is Addiction Treatment Located in Georgia?</h2>
Drug and alcohol treatment is becoming more accessible. In 2020, there were 348 substance use treatment facilities in Georgia.2 Atlanta, Georgia's capital, has a higher concentration of treatment centers, but there are rehabs for <a href="https://americanaddictioncenters.org/adult-addiction-treatment-programs/gender" target="_blank" rel="noopener">men and women</a> in several other cities across Georgia.3 Georgia has a variety of rehab centers, including <a href="https://americanaddictioncenters.org/rehab-guide/upscale">luxury rehab centers</a>, <a href="https://americanaddictioncenters.org/rehab-guide/lgbt" target="_blank" rel="noopener">LGBTQ rehabs</a>, <a href="https://americanaddictioncenters.org/veterans/rehab-resources" target="_blank" rel="noopener">rehab for veterans</a>, and more.

Cities like Decatur, Savannah, Marietta, and Augusta also offer multiple rehab facility options.3 Additionally, Georgia is next to Florida, South Carolina, and Alabama, all of which offer access to beautiful beaches. Georgia also has a variety of museums, zoos, and aquariums.
<h2 id="nearme">Find Drug &amp; Alcohol Treatment Centers Near You</h2>
Though American Addiction Centers does not have a rehab center in Georgia state, River Oaks Treatment Center is just a short plane ride away in Florida state. Call us today and we can help you organize transportation to one of our rehab facilities near you. For some, finding treatment options nearby but not directly located in their town or state is a more desirable option. It allows the patient time away from their usual triggers and environments that may cause them to use. Explore our other rehab facilities near you, as there may be a treatment program that meets your needs, even if it is a bit farther from home.

<a href="https://americanaddictioncenters.org/treatment-centers?utm_campaign=map-refer"><img class="aligncenter wp-image-63704" sizes="(max-width: 421px) 100vw, 421px" alt="map of locations of American Addiction Centers' rehab centers" width="421" height="307" data-src="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-300x219.png" data-srcset="https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-300x219.png 300w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-768x560.png 768w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment-1024x747.png 1024w, https://admin.americanaddictioncenters.org/wp-content/uploads/2019/10/state-funded-treatment.png 1190w" /></a>[columns count="2"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#California">California</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#florida">Florida</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#nevada">Nevada</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#rhode-island">Rhode Island</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#texas">Texas</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#massachusetts">Massachusetts</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#mississippi">Mississippi</a></li>
 	<li><a href="https://americanaddictioncenters.org/treatment-centers#new-jersey">New Jersey</a></li>
</ul>
[/columns]
<h2>Take Our Substance Abuse Self-Assessment</h2>
Take our free, 5-minute substance abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]
<h2>What Is the Cost of Rehab in Georgia?</h2>
Since there are several drug treatment facilities in Georgia, the cost can vary significantly. Factors like treatment type, length of stay, and location can influence the cost of treatment. Thankfully, over half of Georgia rehabs accept some form of insurance, both private or <a href="https://americanaddictioncenters.org/rehab-guide/state-funded">state-funded</a>, and most accept private payment options.2 In Georgia in 2020, 88.5% of payments for substance use facilities were cash or self-funded compared to 56.9% for private health insurance and 54.9% for Medicaid.2

The River Oaks rehab center accepts many insurance plans through common providers like <a href="https://americanaddictioncenters.org/insurance-coverage/aetna">Aetna</a>, Blue Cross Blue Shield, and United. The best way to check if your treatment will be covered is to go to the AAC insurance check website. For many people, insurance is not an option. In Georgia, 47.4% of facilities offered a sliding scale fee option, and 40.8% offered free or low-cost treatment services.2

[cta button="Use Our Cost of Addiction Calculator" link="https://americanaddictioncenters.org/addiction-cost-calculator"]Are you or a loved one struggling with addiction and are concerned about the cost of treatment? Use our cost of addiction calculator to find out how much money addiction will cost you over your life time compared to the cost of going to rehab.[/cta]
<h2>Do Georgia Rehabs Take Insurance?</h2>
Yes, Georgia rehabs typically accept health insurance plans. This means that drug or alcohol addiction treatment, as well as <a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener">co-occurring mental health condition treatment</a>, may be fully or partially covered through your insurance plan. However, the extent of your coverage will depend on your particular needs, your provider, your health insurance plan, and more. To discover what behavioral health benefits your health insurance plan offers, fill out the form below.

[vob]
<h2>Do Rehab Centers in Georgia Treat Alcohol and Drug Addiction?</h2>
Substance use treatment facilities treat all forms of addiction including drugs and alcohol. Some rehabs may offer many levels of care, while others may only offer one or a few levels of care, such as <a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">drug detox</a> or outpatient treatment. Select rehab centers might specialize or only treat one form of addiction, however, it is more common that rehab centers are equipped to handle many different forms of addiction.2 In fact, 87% of facilities in the United States were able to treat both substance and alcohol addiction, and 88.1% were able to also address mental health conditions concurrent with addiction.2 This flexibility creates more access, reflecting the 31.8% of clients that entered rehab for both drug and alcohol abuse, 54.3% for just substance abuse, and 14% for alcohol abuse only in 2020 in the United States.2

Some drug and alcohol rehab centers offer young adult or <a href="https://americanaddictioncenters.org/rehab-guide/teens" target="_blank" rel="noopener">teen rehab</a>, while others may have specialized <a href="https://americanaddictioncenters.org/rehab-guide/christian" target="_blank" rel="noopener">faith-based programs</a>.

In Georgia specifically, 76.9% of facilities treated both alcohol and drug use.2 The most common substance that clients detoxed from was opioids, followed by alcohol.2 Below is a list of commonly abused or misused substances in Georgia in 2020:2
<ul>
 	<li>Opioids</li>
 	<li>Alcohol</li>
 	<li>Benzodiazepines</li>
 	<li>Cocaine</li>
 	<li>Methamphetamines</li>
</ul>
<h2>Other Ways to Get Help &amp; Georgia Rehab Resources</h2>
Deciding to seek treatment can be an intimidating first step. Aside from rehab or treatment facilities, there are other resources available for you in Georgia. Support groups and faith-based and community-led programs are all accessible within the state. Below is a list of some, but not all, groups with a presence in the state of Georgia:
<ul>
 	<li><a href="https://www.aa.org/">Alcoholics-Anonymous (AA)</a></li>
 	<li><a href="https://www.na.org/">Narcotics-Anonymous (NA)</a></li>
 	<li><a href="https://www.celebraterecovery.com/">Celebrate Recovery</a></li>
 	<li><a href="https://doseofrealityga.org/">Dose of Reality</a></li>
 	<li><a href="https://providersearch.beaconhealthoptions.com/#/provider/home/277">Georgia Crisis and Access line</a></li>
 	<li><a href="https://sherecovers.org/">She Recovers</a></li>
 	<li><a href="https://www.smartrecovery.org/">SMART Recovery</a></li>
 	<li><a href="https://www.samhsa.gov/">SAMSHA Programs</a></li>
</ul>
For a full list of Georgia-specific resources, you can visit the <a href="https://gasubstanceabuse.org/resources/">Georgia Council on Substance Abuse</a> resource page.

[callout]
<h2>Common GA Rehab &amp; Addiction Statistics:</h2>
<ul>
 	<li>60% of overdose deaths in 2018 involved opioids.4</li>
 	<li>Both alcohol and drug use were treated in 76.9% of facilities.2</li>
 	<li>4% of facilities offered a sliding-scale fee option, while 40.8% offered free or low-cost treatment services.2</li>
 	<li>Between 2018 and 2019, there were 1,226 unintentional overdose deaths in Georgia.1</li>
 	<li>In 2020, there were 348 substance-use facilities in the state of Georgia.2</li>
 	<li>17,642 clients were admitted to a substance use facility in 2020.2</li>
 	<li>In unintentional overdoses between 2018-2019, 90% tested positive for more than 2 substances.1</li>
</ul>
[/callout]
<h2>Frequently Asked Questions Regarding Georgia Rehab</h2>
[faqs]
<h3>Sources</h3>
<ol>
 	<li>Georgia Department of Public Health. (13 January 2021). <a href="https://dph.georgia.gov/document/document/2020-sudors-brief-reportfinalpdf/download">State Unintentional Drug Overdose Reporting System (SUDORS) All Drug Overdose Deaths, Georgia, July 2018 - June 2019.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf">National survey of substance abuse treatment services (N-SSATS): 2020. Data on substance abuse treatment facilities.</a> Rockville, MD: Substance Abuse and Mental Health Services Administration, 2021.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (n.d.). <a href="https://findtreatment.samhsa.gov/locator">Locator Map.</a></li>
 	<li>NIDA. (2020). <a href="https://law.georgia.gov/key-issues/opioid-abuse">Georgia: Opioid-Involved Deaths and Related Harms.</a></li>
 	<li>NIDA. (2018). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf">Principles of Drug Addiction Treatment: A Research-Based guide (Third Edition).</a></li>
 	<li>Fox Firm, P.C. (2020.). <a href="https://www.hg.org/legal-articles/georgia-drug-possession-laws-24521">Georgia Drug Possession Laws.</a></li>
 	<li>Athen-Clarke County Unified Government. (n.d.). <a href="https://www.accgov.com/1497/Felony-Drug-Court-Program-Information">Felony Drug Court Program Information.</a></li>
 	<li>NASEN. (n.d.). <a href="https://www.nasen.org/map/?go=process">SSP Locations.</a></li>
 	<li>NIDA. (2021.). <a href="https://nida.nih.gov/research-topics/comorbidity/covid-19-substance-use">COVID-19 and Substance Use.</a></li>
</ol>

Georgia Drug and Alcohol Rehab Treatment Centers

[content-overview]According to the 2019 National Survey on Drug Use and Health, 14.5 million people aged 12 and older had an alcohol use disorder, a medical condition defined by the uncontrollable use of alcohol despite the negative consequences.1 Unfortunately, only 7.2% of those individuals received treatment.1 Recent research indicates that there may be several reasons why individuals who need it don’t seek treatment, including the cost and convenience, societal stigmas, and the attitudes and behaviors they perceive from healthcare providers.2[/content-overview]

The problem is that, left untreated, addiction tends to worsen over time, hurting the individual misusing alcohol—and their family and friends, too.

Addressing your concerns for a family member, friend, or loved one often feels overwhelming and daunting. On one hand, you want to maintain your relationship; however, you want your loved one to get the help they need. Alcohol <a href="https://americanaddictioncenters.org/intervention" target="_blank" rel="noopener">interventions</a> have been used to help people confront their substance use problems.
<h2>What is an Alcohol Intervention?</h2>
The first step is recognition of the problem, which may not always be apparent to the individual misusing alcohol.

An intervention allows family and friends to talk to their loved who is misusing alcohol, express their concerns, and advocate for treatment.3 For some, this prompts treatment. In fact, studies indicate that certain family behaviors that support a loved one’s initiation for change may be the key to making it happen. These strategies include (among other things) making specific requests for changes in a loved one’s drinking behavior—like reducing how much or how often they consume alcohol—or seeking help.4 For some people with alcohol misuse issues, these requests may help them make the decision to get treatment.

Formal interventions involve a structured gathering, the presence of other supportive people (besides just family and friends), who might be impacted by the person's alcohol use, and an addiction specialist.3 However, a more informal intervention provides a way to start the dialogue about a loved one’s substance use.3
<h2>Signs it is Time for an Alcohol Intervention</h2>
When does alcohol use become problematic? It may be difficult as a family member or friend to determine when a loved one’s alcohol use crosses the line into misuse. Below, are the criteria that doctors use to diagnose a person with an alcohol use disorder (AUD). A person must display two of these criteria to be diagnosed:5 
<ul>
 	<li>An individual consumes alcohol in large quantities or over a longer period than intended.</li>
 	<li>The person wants to decrease or discontinue use.</li>
 	<li>Their efforts to cut alcohol use have been unsuccessful.</li>
 	<li>They spends a large amount of time seeking, drinking, and recovering from alcohol use.</li>
 	<li>Normal daily functioning and work, school, financial, and relationship obligations suffer as a result of their alcohol use.</li>
 	<li>They continue to misuse alcohol even when problems related to drinking are present.</li>
 	<li>The person finds difficulty maintaining activities they once enjoyed due to alcohol use.</li>
 	<li>They have participated in physically dangerous situations, such as driving while intoxicated.</li>
 	<li>The individual acknowledges that they have a problem with alcohol but continue to drink.</li>
 	<li>They’ve developed a tolerance for alcohol, meaning they require more alcohol to get the desired effect.</li>
 	<li>The person experiences withdrawal symptoms with decreased or discontinued alcohol use.</li>
</ul>
<h2>Take Our Alcohol Abuse Self-Assessment</h2>
Take our free, 5-minute alcohol abuse self-assessment below if you think you or someone you love might be struggling with alcohol abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of an alcohol use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment]
<h2>Alcohol Abuse Intervention: The Dos and Don’ts of Talking to a Loved One About Their Alcohol Misuse</h2>
When talking to someone about their alcohol use, there are certain ways to approach it and situations to try and avoid. You want to present your concerns in a way that might help them see how their behavior affects family and friends and convinces them that they need help, not put them on the defensive. Some things to remember include:6-8
<ul>
 	<li>DON’T try to confront the person if they are intoxicated. Wait until they are sober and not feeling alcohol's effects to address your concerns.</li>
 	<li>DO plan what you’re going to say ahead of time. Do some research on alcohol use disorder and talk with medical and mental healthcare professionals about questions you may have regarding the disease. Maybe even practice your talk with someone else because these conversations can get emotional, and you’ll want to remain focused.</li>
 	<li>DON’T attempt to talk when you’re angry. Yelling may create additional, unwanted conflict. Talk to your loved one when you’re both calm and can talk without distractions.</li>
 	<li>DO get specific about the reasons for your concerns based on what you’ve seen or felt.</li>
 	<li>DON’T use stigmatizing language such as alcoholic.</li>
 	<li>DO offer support. Be available for your loved one. Help them replace alcohol-centered activities with healthier pursuits, such as exercise or learning a new skill with you.</li>
 	<li>DON’T attack or punish the person.</li>
 	<li>DO make a plan for next steps together. What goals can you set for them together? Create measurable actions to hold them accountable.</li>
 	<li>DON’T get defensive or respond if there is a personal attack.</li>
 	<li>DO encourage your loved one to see their doctor or other healthcare provider. You can offer to go with them, too.</li>
</ul>
<h2>What Are the Goals of an Alcohol Intervention?</h2>
While the intervention is an important step to help lead the conversation about a loved one’s <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol addiction</a>, it might not end with them in treatment.8

Goals might differ depending on the individual and the conversation. If your loved one is willing to talk about treatment, discuss their preferences. Maybe they want to start with a doctor visit, schedule an appointment with a therapist, or attend a mutual help meeting before diving into a treatment program.9 On the other hand, your loved one may reject the idea of treatment altogether. These individuals might need a break from the treatment talk. Additionally, the intervention may set off other issues or complicate your relationship with them. Regardless of the outcome of the intervention, it’s important to be patient.
<h2>Is an Alcohol Intervention Enough?</h2>
Talking to a loved one is only the first step. Research suggests that seeking treatment as soon as the individual is ready increases the likelihood of a positive outcome.10 The key is that they must be ready.

There is no one-size-fits-all when it comes to treatment. What’s right for one might not be the right fit for another, and it may be important to help your loved one understand that, especially if they think rehab only consists of a 12-step program or a 30-day stay at a specialized facility.11 In fact, there are multiple types of treatments used to help individuals with alcohol use disorders.11 Simply understanding some of them might help your loved one feel more comfortable in seeking treatment. These treatments may include:10-11
<ul>
 	<li>Detoxification. Medically managed detoxification from alcohol to help treat alcohol use disorder may only be the first step on the path to recovery. While for some, medically managed detoxification can pave the way for effective, long-term treatment, detoxification alone is rarely sufficient to help addicted individuals achieve lasting abstinence.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/inpatient" target="_blank" rel="noopener">Inpatient alcohol rehab</a>. Inpatient rehab involves staying at the facility while receiving intensive individual and group counseling, psychiatric care, education, and possibly medication. Inpatient treatment helps individuals resolve the issues that lead to alcohol misuse and develop alternative coping strategies.</li>
 	<li>Outpatient treatment. Outpatient treatment offers services, therapies, and treatment that looks similar (or exactly the same) as inpatient care but allows individuals to participate in their normal routine. Treatment occurs during scheduled, clinic-based appointments and is provided during group and individual sessions.</li>
 	<li>Medication management. Doctors or other healthcare professionals may prescribe a FDA-approved medication designed to help people reduce their drinking and prevent relapse.</li>
 	<li>Behavioral therapies. Behavioral treatment uses counseling and evidence-based therapies to help individuals change their thinking and drinking behaviors. Therapy may include family, may be part of the formal treatment program or an aspect of the continuing aftercare. Behavioral therapy helps individuals develop healthy coping skills, learn to lower the risk of relapse, and strengthen relationships.</li>
 	<li>Mutual help groups. Combined with other treatment, Alcoholics Anonymous (AA) and other peer support groups provide another layer of support for individuals to maintain their sobriety and other alcohol-related goals.</li>
</ul>
Rehab is an effective treatment for substance use.10 In 2019, of the participants who entered some type of <a href="https://americanaddictioncenters.org/therapy-treatment" target="_blank" rel="noopener">substance use treatment</a>, 42% completed their entire program. Additionally, 54% of people who entered short-term residential treatment completed their program and 42% of individuals who started outpatient treatment finished the course of their treatment.12
Talking to your loved one about their alcohol use is only one part of the process. The first conversation or intervention is likely one of many. And if your loved one completes treatment and relapses, that too may be part of the process.8 Relapse is common as people work to overcome their alcohol problems.8 Professional addiction treatment works to incorporate relapse prevention into treatment.8 One of the best ways that you can help your loved one through this complicated process is to offer your support.
[callout-borders]
<h2>Ways to Get in Contact With Us</h2>
If you believe you or someone you love may be struggling with addiction, let us hear your story and help you determine a path to treatment.

There are a variety of confidential, free, and no obligation ways to get in contact with us to learn more about treatment.
<ul>
 	<li>Call us at [phone]</li>
 	<li><a href="https://americanaddictioncenters.org/verify-insurance">Verify Your Insurance Coverage for Treatment</a></li>
</ul>
[vob]

[/callout-borders]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/cost" target="_blank" rel="noopener">How Much Does Alcohol Rehab Cost?</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk" target="_blank" rel="noopener">How to Talk to an Alcoholic Loved One</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose" target="_blank" rel="noopener">Signs of Alcohol Overdose</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/insurance-coverage" target="_blank" rel="noopener">Does Insurance Cover Alcohol Rehab?</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict" target="_blank" rel="noopener">Signs of a Functioning Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/christian" target="_blank" rel="noopener">Christian Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/executive" target="_blank" rel="noopener">Executive Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">Free Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/upscale" target="_blank" rel="noopener">Luxury Rehab Centers</a></li>
</ul>
[/link-bank]

[sources]
<h3>Sources</h3>
<ol>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2021, June). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-facts-and-statistics" target="_blank" rel="noopener">Alcohol Facts and Statistics.</a></li>
 	<li>Marchand, K., Beaumont, S., Westfall, J., MacDonald, S., Harrison, S., Marsh, D. C., Schechter, M. T., &amp; Oviedo-Joekes, E. (2019). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739978/" target="_blank" rel="noopener">Conceptualizing patient-centered care for substance use disorder treatment: findings from a systematic scoping review</a>. Substance abuse treatment, prevention, and policy, 14(1), 37.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (n.d.). Alcohol and drug addiction happen in the best of families.</li>
 	<li>McCrady, B. S., &amp; Flanagan, J. C. (2021). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104924/" target="_blank" rel="noopener">The Role of the Family in Alcohol Use Disorder Recovery for Adults</a>. Alcohol research : current reviews, 41(1), 06.</li>
 	<li>American Psychological Association. (2013). Alcohol Use Disorder. In Diagnostic and statistical manual of mental disorders (5th ed.).</li>
 	<li>U.S. Department of Health and Human Services. (2022, March 9). <a href="https://health.gov/myhealthfinder/healthy-living/mental-health-and-relationships/alcohol-use-conversation-starters" target="_blank" rel="noopener">Alcohol Use: Conversation Starters</a>.</li>
 	<li>Partnership to End Addiction. (n.d.) <a href="https://drugfree.org/article/want-help-adult-family-member-friend-drug-alcohol-problem-7-suggestions/" target="_blank" rel="noopener">Helping an Adult Family Member or Friend with a Drug or Alcohol Addiction</a>. </li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://alcoholtreatment.niaaa.nih.gov/support-through-the-process" target="_blank" rel="noopener">Support through the process</a>.</li>
 	<li>Partnership for Drug-Free Kids. (n.d.). <a href="https://drugfree.org/wp-content/uploads/2017/02/Intervention-eBook.pdf" target="_blank" rel="noopener">Intervention ebook. What to do if your child is drinking or using drugs.</a></li>
 	<li>National Institute on Drug Abuse. (2018, January). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).</a></li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2021, August). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help#pub-toc1" target="_blank" rel="noopener">Treatment for Alcohol Problems: Finding and Getting Help</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Treatment Episode Data Set (TEDS): 2019. <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35314/2019_TEDS_Proof.pdf" target="_blank" rel="noopener">Admissions to and discharges from publicly funded substance use treatment.</a> Rockville, MD: Substance Abuse and Mental Health Services Administration.</li>
</ol>
[/sources]

Alcohol Intervention: When Should I Stage an Alcohol Intervention?

<h2>Reasons Rehab May Require Waiting Lists</h2>
Wait times are generally viewed in the context of a single period—either before assessment or after assessment but before entering treatment.4 There are several reasons that a facility might have a waiting list for rehab, including:4-9
<ul>
 	<li>Staff case overload. Large caseloads and excessive workloads make it difficult for the treatment facility staff to serve patients effectively.</li>
 	<li>Capacity limits at treatment centers. Studies indicate that private for-profit facilities may be twice as likely to provide on-demand treatment. However, these facilities are less likely to accept Medicaid or other state-funded health insurance plans, according to the 2020 National Survey of Substance Abuse Treatment Services.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/how-long-rehab-last" target="_blank" rel="noopener">Length of treatment</a>. Research found that facilities with longer treatment stays generally have a longer waiting period.</li>
 	<li>Employee shortages. The COVID-19 pandemic drove worker shortages up, and many facilities have yet to rebound.</li>
 	<li>Insurance approval and coverage. Some plans impose prior authorization or notification requirements, meaning the insurance provider must know in advance of an individual’s admittance to a treatment facility before they will authorize coverage. For some, there might be delays in finding out how much insurance can cover or coming up with sufficient copays. In 2020, 74.4% of drug and alcohol treatment facilities accepted private health insurance plans, 42% accepted Medicare, 70.7% accepted Medicaid, and 49.5% accepted a state-funded health insurance plan (other than Medicaid). For individuals without insurance, 90.4% accepted cash or self-payment, 57.1% offered an income-based sliding fee scale, and 43.7% of facilities provided free treatment for individuals who could not pay.</li>
</ul>
<h2>Risks of Waiting for Rehab</h2>
Some individuals, who must wait for treatment, continue using, while others may view their sobriety during the waiting period as proof that they don’t need rehab.3 Whether the wait is based on personal or facility reasons, there are risks associated with prolonging entry into treatment, including:4-5
<ul>
 	<li>Deciding not to enter treatment. In one study, 45% of individuals who needed treatment and were placed on a wait list ultimately did not seek treatment because “the wait was too long.” Another study indicated that the likelihood of an individual to go to rehab after having an assessment but having to wait is less than 50%.</li>
 	<li>Continuing to use drugs or alcohol, which can increase the risk of health complications. Some individuals continue to misuse substances while they wait to be admitted into a treatment facility, which puts them at an increased risk of overdose and infectious diseases such as hepatitis.</li>
 	<li>Partaking in criminal behavior. One study found that individuals seeking treatment for heroin misuse participated in drug- and property-related crimes, as well as prostitution, while waiting to receive treatment.</li>
 	<li>Dropping out after admission. Research indicates that longer wait times have been linked to higher dropout rates after admission.</li>
</ul>
<h2>How Long Is the Rehab Process?</h2>
Rehab facilities offer several different options for treatment types and length of treatment, too.2 There isn’t a magic formula that determines the length of rehab for any one individual. Instead, effective treatment considers the type of drug and the unique needs of the individual and may draw on a variety of components, including:2
<ul>
 	<li>Detoxification. Detox allows you to rid your body of substances, including experiencing withdrawal symptoms, while being monitored by medical and mental healthcare staff 24/7. Medically managed detoxification ensures your safety and keeps you as comfortable as possible.</li>
</ul>
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">Inpatient treatment</a>. Inpatient rehab involves staying at a facility while receiving intensive individual and group counseling, psychiatric care, and education to help you understand and resolve issues that lead to substance misuse as well as develop alternative coping strategies.</li>
 	<li>Outpatient treatment. Outpatient treatment offers services, therapies, and treatment that looks similar (even identical) to inpatient care but allows you the ability to participate in your normal routine. Treatment occurs during regularly scheduled, clinic-based appointments and is provided in group and individual sessions.</li>
</ul>
While treatment programs are individualized, the generally the length of treatment options include <a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30-day rehab programs</a>, 60-day treatment programs, and 90-day programs as well as extended options for sober living after the residential treatment ends.
<h2>What to Do While You’re on a Wait List</h2>
If you are put on a wait list for rehab, it can feel frustrating. It’s important to remember why you initiated treatment in the first place and start to prepare for rehab until you’re admitted. While you wait, there are options to keep yourself or a loved one safe, motivated, and moving towards treatment, including:9
<ul>
 	<li>Investigating other options. Perhaps your first treatment facility choice isn’t available. Look into other programs. Search treatment centers outside your immediate location and explore all the options—inpatient and outpatient programs.</li>
 	<li>Getting recommendations: Try reaching out to a couple of different rehabilitation centers. Many times, rehab centers will have a referral list or sister facility that they can suggest. If you are a member of a support community, you can ask your facilitator or other participants if they can make treatment recommendations, too.</li>
 	<li>Preparing for rehab: This may be a good time to get things aligned for rehab. You may need to consider child care, make work arrangements, and complete the intake paperwork, which can be time-consuming. Use this time to get everything in order before rehab.</li>
 	<li>Joining a community support group: A vast majority of community support groups, including Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) are <a href="https://www.aa.org/aa-contributions-self-support" target="_blank" rel="noopener">funded through contributions from participant donations</a>. This can be a great first step to begin while waiting for rehab.</li>
 	<li>Create a safety plan: Depending on the substance used and the amount you are using, it might be dangerous to discontinue without proper medical detoxification. Consult with your doctor before stopping your substance of choice cold turkey. Your safety plan might include looking into safe needle exchanges, not using substances without someone knowing, or not mixing substances.</li>
</ul>
<h2>Exploring Other Options</h2>
You’re ready to get into treatment and you’re motivated to start now. While you might be on a wait list, consider other options to use this time to your advantage. American Addiction Centers (AAC) have multiple rehab facilities across the country. You can call AAC today if you’re ready to get started on recovery. The helpful support staff at AAC can help you determine which treatment option might be best for you depending on your individual needs.

There are several reasons to <a href="https://americanaddictioncenters.org/why-aac/top-10-reasons-to-come-to-aac" target="_blank" rel="noopener">choose an AAC facility</a> for your addiction treatment. Availability and same-day intake at AAC depend on the facility and when you choose to seek treatment. The best way to find out is to call AAC and <a href="https://americanaddictioncenters.org/admissions" target="_blank" rel="noopener">begin the admissions process</a>. At AAC, we believe in our clients’ success; therefore, we offer a <a href="https://americanaddictioncenters.org/90-day-promise" target="_blank" rel="noopener">90-day promise</a>. If you successfully complete 90 consecutive days of drug rehabilitation treatment, we welcome you back for an additional 30 days at no cost to you, if you relapse.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/travel-transportation" target="_blank" rel="noopener">Traveling to Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Drug Addiction Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/60-day-rehab-program" target="_blank" rel="noopener">60 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/90-day-rehab-program" target="_blank" rel="noopener">90 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance" target="_blank" rel="noopener">Same Day Admits for Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">Free Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/state-funded" target="_blank" rel="noopener">State Funded Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/report/2020-nsduh-detailed-tables" target="_blank" rel="noopener">Results from the 2020 National Survey on Drug Use and Health: Detailed tables</a>.</li>
 	<li>National Institute on Drug Abuse. (2018, January). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of Drug Addiction Treatment Effective Treatment: A Research-Based Guide (Third Edition).</a></li>
 	<li>Redko, C., Rapp, R. C., &amp; Carlson, R. G. (2006). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396562/" target="_blank" rel="noopener">Waiting Time as a Barrier to Treatment Entry: Perceptions of Substance Users.</a> Journal of drug issues, 36(4), 831–852.</li>
 	<li>Carr, C. J., Xu, J., Redko, C., Lane, D. T., Rapp, R. C., Goris, J., &amp; Carlson, R. G. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2268628/" target="_blank" rel="noopener">Individual and system influences on waiting time for substance abuse treatment</a>. Journal of substance abuse treatment, 34(2), 192–201.</li>
 	<li>Andrews, Christina &amp; Shin, Hee-Choon &amp; Marsh, Jeanne &amp; Cao, Dingcai. (2012). <a href="https://pubmed.ncbi.nlm.nih.gov/22783953/" target="_blank" rel="noopener">Client and Program Characteristics Associated with Wait Time to Substance Abuse Treatment Entry</a>. The American Journal of Drug and Alcohol Abuse. 39. 10.3109/00952990.2012.694515.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021, June). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf" target="_blank" rel="noopener">National Survey of Substance Abuse Treatment Services (N-SSATS): 2020. Data on Substance Abuse Treatment Facilities.</a></li>
 	<li>S. Department of Health and Human Services. (March 2019). <a href="https://aspe.hhs.gov/sites/default/files/private/pdf/260791/BestSUD.pdf" target="_blank" rel="noopener">Best Practices and Barriers to Engaging People with Substance Use Disorders in Treatment.</a></li>
 	<li>Johnson, K.A., Keough, C., Hills, H. et al. <a href="https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-021-00258-2" target="_blank" rel="noopener">Protecting patients and staff in residential treatment centers during exposure to COVID-19: commentary.</a> Addict Sci Clin Pract 16, 49 (2021).</li>
 	<li>Partnership to End Addiction. (2018 October). <a href="https://drugfree.org/article/no-beds-available-what-to-do-when-youre-on-a-waitlist-for-addiction-treatment/" target="_blank" rel="noopener">No Beds Available: What to do when you’re on a waitlist for addiction treatment</a>.</li>
</ol>
[/sources]

What to Do If You’re on a Rehab Wait List

<h2>Where Is Rehab Located in Clark County, Nevada?</h2>
AAC’s <a href="https://americanaddictioncenters.org/treatment-centers/desert-hope" target="_blank" rel="noopener">Desert Hope Treatment Center</a> is a substance use treatment facility located in Las Vegas, Nevada. This treatment center offers specialized treatment tracks and varying levels of care, including medically assisted detox, behavioral therapies, an inpatient program, and an outpatient program. Desert Hope Treatment Center provides community support through 12-Step programs and SMART recovery groups.
<h2>What Is the Cost of Rehab in Clark County?</h2>
The National Institute on Drug Abuse (NIDA) estimates that substance use costs in the United States add up to around $600 billion every year.3 By seeking treatment, you are not only potentially reducing future healthcare expenses for yourself, but you are also investing in your future.3 The cost of substance use treatment in Clark County will vary depending on a few factors. Factors that might affect the cost of your treatment might include:4
<ul>
 	<li>Your insurance coverage.</li>
 	<li>Residential vs outpatient treatment.</li>
 	<li>Length of stay.</li>
 	<li>Treatment provided.</li>
 	<li>Whether you have a dual diagnosis or are part of another special population.</li>
</ul>
<h3>Does Insurance Cover Rehab in Clark County?</h3>
Most rehabs in Clark County, Nevada accept payments in the form of insurance.5 Your insurance coverage will depend greatly upon your insurance plan’s details and behavioral health benefits.6 The best way to find out if your insurance will cover rehab in Clark County, Nevada will be to call the number on the back of your insurance card. You can also call any rehab facility you’re interested in going to and ask them about insurance and payment options.

If you are wondering whether American Addiction Centers will accept your insurance coverage as payment for detox, inpatient treatment, or outpatient treatment in Nevada, fill out the quick form below.

[ssvob]
<h3>Can I Go to Drug Rehab in Clark County Without Insurance?</h3>
Yes. If you don’t have insurance, don’t assume that rehab is no longer an option for you. In 2020, 84.4% of substance use facilities allowed cash or self-payments as a valid form of <a href="https://americanaddictioncenters.org/payment-options">paying for rehab</a>.5 If you are paying out of pocket for rehab, many rehab facilities offer sliding fee scales or lower costs for patients who may not be able to pay the full price of treatment up-front.5 Try calling the rehab center that you are interested in to find out more about their accepted payment forms.
<h2>Do Rehab Centers in Clark County, NV Treat Alcohol and Drug Addiction?</h2>
Substance use facilities in Nevada treat several conditions. In 2020, around 90% of facilities in Nevada treated both alcohol and drug use.5 That same year 88% of Nevada substance use facilities treated co-occurring mental health concerns.5 Many people with substance use concerns also have mental health concerns.3 Effective addiction treatment not only addresses the substance use, but also other needs like vocational needs, legal needs, and medical needs.3

At Desert Hope Treatment Center, there are different levels of care ranging from medical detox to residential and aftercare programs. Depending on your needs and the type(s) of drugs you used, you and an intake counselor will determine the level of care fit for your comprehensive needs. Below is a list of common substances, but not comprehensive, that can be treated at Desert Hope Treatment Center:
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment">Alcohol.</a></li>
 	<li>Adderall.</li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine">Benzodiazepines</a> (like Xanax or Valium).</li>
 	<li><a href="https://americanaddictioncenters.org/cocaine-treatment">Cocaine.</a></li>
 	<li><a href="https://americanaddictioncenters.org/fentanyl-treatment">Fentanyl.</a></li>
 	<li><a href="https://americanaddictioncenters.org/heroin-treatment">Heroin.</a></li>
 	<li><a href="https://americanaddictioncenters.org/inhalant-abuse">Inhalants</a>.</li>
 	<li><a href="https://americanaddictioncenters.org/meth-treatment">Methamphetamine</a> and crystal meth.</li>
 	<li><a href="https://americanaddictioncenters.org/opiates">Opioids</a> (like morphine, codeine, or hydromorphone).</li>
 	<li><a href="https://americanaddictioncenters.org/prescription-drugs">Prescription drugs</a>.</li>
</ul>
<h2>Other Ways to Get Help &amp; Clark County Rehab Resources</h2>
Since Clark County is the most populated county in Nevada, there a wide variety of treatment options available here.1 A few local resources include:
<ul>
 	<li><a href="https://lvcentraloffice.org/" target="_blank" rel="noopener">Alcoholics Anonymous Las Vegas Central Office</a> – 24/7 hotline at 702-598-1888.</li>
 	<li><a href="https://www.na.org/meetingsearch/text-results.php?country=USA&amp;state=Nevada&amp;city=Las%20Vegas&amp;zip=&amp;street=&amp;within=20&amp;day=0&amp;lang=&amp;orderby=datetime" target="_blank" rel="noopener">Narcotics Anonymous</a> meetings in Las Vegas, NV and surrounding areas.</li>
 	<li><a href="https://behavioralhealthnv.org/provider-search/" target="_blank" rel="noopener">Behavioral Health NV’s provider search</a> can help you sort and filter services in specific locations</li>
 	<li><a href="https://www.nevada211.org/mental-health-services/" target="_blank" rel="noopener">Nevada 211</a> is a Department of Health and Human Services program to help Nevada residents connect with services 24/7 – Call 2-1-1 or 1-866-535-5654 to talk with a representative surrounding the following issues:
<ul>
 	<li>Housing services</li>
 	<li>Transportation</li>
 	<li>Food resources</li>
 	<li>Mental Health</li>
 	<li>Healthcare and psychiatric care</li>
 	<li>Substance Use</li>
 	<li>Children and adolescent services</li>
 	<li>Senior services</li>
 	<li>Utility assistance</li>
 	<li>Crisis services</li>
</ul>
</li>
 	<li>Nevada Medicaid – Call 1-800-992-0900.</li>
 	<li>Clark County Social Services – Call 702-455-4270.</li>
</ul>
<h2>Common Clark County, NV Rehab &amp; Addiction Statistics</h2>
<ul>
 	<li>In Las Vegas, 16.8% of people aged 12 or older used illicit drugs in the previous year, based on annual averages from 2005 to 2010.7</li>
 	<li>Clark County coalitions saw higher admissions of mental health conditions like schizophrenia, bipolar disorder, and suicidal ideation according to a 2019 report.1</li>
 	<li>Lower rates of deaths caused by alcohol and substance use were seen in Clark County compared to the rest of Nevada in 2018.1</li>
 	<li>Around 9.9% of adults in Las Vegas, NV had a substance use disorder between 2005 and 2010.7</li>
 	<li>The rate of non-medical use of prescription pain relievers was higher in Las Vegas than compared with the rest of the nation, according to annual averages from 2005 to 2010.7</li>
</ul>
<h2>Can I Detox in Clark County, Nevada?</h2>
The first step in addiction treatment for many people is medically assisted detox.3 To understand whether detox is the first place you should start to achieve recovery, reach out to your doctor or desired treatment center.

Clark County, Nevada has resources available for you to detox safely from substances. At Desert Hope Treatment Center, medical detox can help you be as comfortable as possible while experiencing withdrawal symptoms. While detoxing at Desert Hope, you will receive 24/7 supervision by medical professionals.
<h2>What Can I Expect in Clark County Rehab Centers?</h2>
Your experience will be different depending on which rehab you attend, what your presenting concerns are, and the type of services received. Common treatment programs include:
<ul>
 	<li><a href="https://americanaddictioncenters.org/drug-detox">Medical Detox</a>:3 Symptoms of withdrawal can be uncomfortable and potentially dangerous. Medical detox allows you to have the support of medical professionals to help monitor and make your withdrawal as safe as possible.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient Treatment</a>:3 Sometimes referred to as residential care, clients live at the facility. The days are typically structured around group and individual therapy.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">Outpatient Treatment</a>:3 For people with work, school, or family obligations, outpatient programs allow the flexibility to attend substance use treatment during designated times and return to their normal routine.</li>
 	<li>Support Groups:3 12-Step programs and other types of support groups, help create community and increase social accountability.</li>
</ul>
<a href="https://americanaddictioncenters.org/therapy-treatment">Behavioral therapies</a> are a common part of substance use treatment.3 There are many different types, or modalities, of therapy that can be used for substance use treatment.3 Since rehab is not one-size-fits-all, different therapies might be used for different reasons.3 Rehabs in Clark County, Nevada may use one or a few of these behavioral therapy modalities:
<ul>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/cognitive-behavioral-therapy">Cognitive-behavioral therapy (CBT)</a>3</li>
 	<li>Contingency management interventions (CM)3</li>
 	<li>Community reinforcement approach plus vouchers3</li>
 	<li>Motivational enhancement therapy (ME)3</li>
 	<li>12-Step facilitation therapy3</li>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/family-therapy">Family behavior therapy</a>3</li>
</ul>
<h2>Does Clark County Have Special Addiction Laws &amp; Programs?</h2>
In 2010, the Affordable Care Act (ACA) was passed making affordable health insurance more accessible.7 Through this act and the mental health parity act, mental and behavioral health are required to be covered under a marketplace plan.6 Due to parity protections, limits on mental health and substance use treatment can’t be more restrictive than medical or surgical services.6

In Clark County, Nevada, there are several types of specialty courts including Felony DUI Court, Mental Health Court, Family Dependency Court, Dependency Mother’s Drug Court, and Co-Occurring Treatment Court.8 All specialty courts, including those not listed, require participants to attend individual and group therapy for substance use and mental health, random drug/alcohol testing, and regular legal check ins.8 These specialty drug courts support participants in completing substance use treatment and reduce crime rates.8
<h2>How Can I Seek Treatment in Clark County During COVID-19?</h2>
American Addiction Centers' rehab centers across the country are all fully operative during COVID-19. Our rehab centers follow the CDC's guidelines for save medical practices as well as COVID-19 and other infectious disease precautions. Learn more about our COVID-19 policies in our <a href="https://americanaddictioncenters.org/covid-19-update" target="_blank" rel="noopener">COVID-19 update</a>.
<h2>Where &amp; Why Should I Find Treatment Out of State?</h2>
American Addiction Centers (AAC) offers <a href="https://americanaddictioncenters.org/treatment-centers" target="_blank" rel="noopener">drug and alcohol rehab services in several states</a> across the nation. If you decide you need a change of scenery and are able to travel for treatment, AAC has a wide variety of program options. Leaving your city or region to attend rehab can be helpful for you if you want to get away from triggers and start fresh. However, before committing to an out-of-state treatment program, talk to your medical and mental health professional to determine whether traveling for treatment is beneficial for you. When deciding whether to attend in-state or out-of-state, take into consideration the following:
<ul>
 	<li>Work, school, and social obligations.</li>
 	<li>Cost of treatment.</li>
 	<li>Transportation to and from rehab.</li>
 	<li>Availability of sober living communities and aftercare.</li>
 	<li>Importance of anonymity.</li>
 	<li>Services and amenities offered.</li>
</ul>
<h2>Are There Emergency and Same-Day Rehabs in Clark County?</h2>
When you decide that it’s time to seek help for alcohol or substance use, acting quickly is critical.3 In Clark County, NV, many rehab and detox centers may be able to admit you the same day that you call to inquire about treatment. However, this is highly dependent on facility and staff availability, as well as each treatment center's protocol.

Before checking into a rehab center, call ahead to determine whether they can admit you the same day. While talking with the potential rehab center, communicate your urgency and desire to begin treatment.

AAC works hard to provide same-day services when our capacity allows. You can call the AAC helpline 24/7 to discuss which rehabs are available and where they are located. Knowledgeable staff are ready to take your call and help you get connected to the best treatment services in the area you choose.
<h2>How Do I Choose the Best Rehab in Clark County, Nevada?</h2>
You have control your recovery path. Researching your options can be helpful to determine factors like cost, length of stay, and what treatments are available. When deciding which rehab is best for you, think about factors such as your:
<ul>
 	<li>Personal needs and preferences.</li>
 	<li>Medical conditions (or medical concerns that may impact your decisions).</li>
 	<li>Mental health concerns.</li>
 	<li>Recovery support system’s strength.</li>
 	<li>Proximity to your support system.</li>
 	<li>Culture.</li>
 	<li>Religious beliefs.</li>
 	<li>Financial capabilities and payment method(s).</li>
</ul>
Choosing a rehab program can be overwhelming. If you want to discuss your recovery options, your doctor, psychiatrist, or mental health professional can help you figure out what might be best for you. Another resource available to you is AAC’s helpline, where you can ask questions about addiction treatment and get information about your next best steps.

[sources]
<ol>
 	<li>Nevada Department of Health and Human Services. (2023). <a href="https://dhhs.nv.gov/uploadedFiles/dhhsnvgov/content/Programs/Office_of_Analytics/Bureau%20of%20Behavioral%20Health%20Wellness%20and%20Prevention,%20Epidemiologic%20Profile%20for%20Nevada,%202020.pdf" target="_blank" rel="noopener">Behavioral Health Wellness and Prevention 2022 Epidemiologic Profile: Nevada.</a></li>
 	<li>Clark County Nevada. (n.d.). <a href="https://www.clarkcountynv.gov/residents/new_residents/index.php">Living in Clark County.</a></li>
 	<li>National Institute on Drug Abuse. (2020, September 18). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of effective treatment</a>.</li>
 	<li>French, M. T., Popovici, I., &amp; Tapsell, L. (2008). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2614666/#FN3" target="_blank" rel="noopener">The economic costs of substance abuse treatment: updated estimates and cost bands for program assessment and reimbursement.</a> Journal of substance abuse treatment, 35(4), 462–469.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf" target="_blank" rel="noopener">National Survey of Substance Abuse Treatment Services (N-SSATS): 2020. Data on substance abuse treatment facilities.</a></li>
 	<li>Healthcare.gov. (n.d.). <a href="https://www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/" target="_blank" rel="noopener">Mental health &amp; substance abuse coverage.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (n.d.). <a href="https://www.samhsa.gov/data/sites/default/files/NSDUHMetroBriefReports/NSDUHMetroBriefReports/NSDUH-Metro-Las-Vegas.pdf" target="_blank" rel="noopener">The NSDUH Report: Substance Use and Mental Disorders in the Las Vegas-Paradise MSA.</a></li>
 	<li>Healthcare.gov. (n.d.). <a href="https://www.healthcare.gov/glossary/affordable-care-act/" target="_blank" rel="noopener">Affordable Care Act</a>.</li>
 	<li>Eighth Judicial District Court Clark County Nevada. (n.d.). <a href="http://www.clarkcountycourts.us/departments/specialty-courts/" target="_blank" rel="noopener">Eighth Judicial District Court Specialty Court Programs.</a></li>
</ol>
[/sources]

Drug and Alcohol Rehab Centers in Clark County, NV

Megan received her Bachelors of Science in Human Services with an emphasis in Rehabilitation Counseling and a minor in Psychology from the University of Northern Colorado. During her undergraduate studies, Megan learned about the different areas of rehabilitation counseling and how to serve people. She then went on to receive her Masters of Science in Community Mental Health Counseling from the University of Wyoming. Since graduating, Megan has been working with diverse populations in individual therapy. Her areas of specialization include relationships, sexual health and education, and Evidence Based Therapies.

Megan Brice, MS, LPC | American Addiction Centers

https://admin.americanaddictioncenters.org/wp-content/uploads/2021/11/Megan-Brice-1.jpg

Megan Brice, MS, LPC

Erica Slaughter | American Addiction Centers

Alcohol and Pregnancy: Dangers of Drinking Alcohol While Pregnant

<h2>Is Alcohol Tolerance Genetic?</h2>
Alcohol tolerance means that equal amounts of alcohol lead to lesser effects over time, generating a need for higher quantities of alcohol to feel the same desired effects.2 While it may seem like there is a genetic predisposition for alcohol tolerance, tolerance is not inherited.

<a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict" target="_blank" rel="noopener">Tolerance</a> results from drinking substantial amounts of alcohol over long periods of time.3 However, alcohol intolerance may be genetic.4 Most commonly seen in those of Asian descent, alcohol intolerance is when the body has an adverse reaction to the presence of alcohol, such as when a person's skin flushes or their nose gets stuffy right after drinking alcohol.4 This is a result of issues with alcohol metabolism, which is believed to be hereditary.4 Key definitions related to this topic include:
<ul>
 	<li>Genetics. This is the study of how genes and their building blocks (i.e., DNA) contain sequences that determine the qualities and traits of a person. Each person has approximately 20,000 genes.5</li>
 	<li>Heredity. Heredity is the passage of characteristics and traits from parent to offspring through changes in DNA.5</li>
 	<li>Genetic predisposition. When someone has a genetic predisposition, their  genes and heredity create an increased likelihood of having a certain disease, trait, or behavior.6 A predisposition doesn’t always cause a disease or trait to develop, but instead it tends to contribute to its development.6 Therefore, you may be predisposed to something but it never develops.6</li>
 	<li>Learned behavior. This term refers to behavior developed from observing your surroundings or through direct experience. It is not heritable. Learned behavior can be established through associating one stimulus with another (classical conditioning), imitating parents in the early stages of life (imprinting), and failing to respond to a stimulus after repetition (habituation).2</li>
</ul>
<h2>Is There an Alcohol Addiction Gene?</h2>
Many genes and variations of genes impact a person’s risk of developing an <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol use disorder</a>.7 Thus, no one “alcohol gene” leads to the development of an alcohol use disorder.7,8 Researchers have found more than 400 locations in all the genetic information in an organism (genome), and at least 566 variants within these locations could influence the extent that someone may suffer from alcohol misuse.9 Genes that relate to alcohol metabolism, particularly ADH1B and ALDH2, seem to be most closely tied to the risk for problem drinking.7

A family history of alcohol use disorders may increase the risk of a genetic predisposition to developing an alcohol use disorder, with risks heightened for parent-child transmission.8 Environmental factors also play a role in developing an alcohol use disorder when an individual has a family history of alcohol misuse. However, with multiple genes involved in the development of an AUD, it is possible that this disease could skip a generation. If parents do not have an alcohol use disorder, it does not mean that the offspring cannot develop an AUD.8 Similarly, if a grandparent has an alcohol problem but the parents don't, that doesn't mean a child won't be predisposed to alcoholism.8
<h2>Can a Person Be Born with an Alcohol Use Disorder?</h2>
Because of the interaction of genetics and environment, a person cannot be born with an alcohol use disorder.10 Although people can have genes that predispose them to developing an alcohol use disorder, genetics only account for approximately half of a person’s overall risk.10 The rest of these predispositions come from the social and environmental factors that a person encounters throughout their childhood and life.7,10
<h2>Tests Used to Diagnose Alcoholism</h2>
A physician may use several tests to diagnose an AUD. These include:
<ul>
 	<li>The Alcohol Use Disorders Identification Test (AUDIT).11 This is a 10-item clinician-administered and self-reported screening to assess alcohol consumption, drinking behaviors, and alcohol-related problems. Questions such as "How often do you have six or more drinks on one occasion?" are scored. A score of 8 or higher indicate hazardous or harmful alcohol use.11</li>
 	<li>The carbohydrate-deficient transferrin (CDT) test. The CDT is a blood test that detects biomarkers of excess alcohol use.13 It can potentially detect if someone is a binge drinker or a daily heavy drinker.12</li>
 	<li>Electroencephalography (EEG). A diagnostic and screening tool uses EEG to identify patients with possible AUDs.13 Some researchers advocate for this to reduce the subjectivity of the AUDIT screening tool.13 Alcohol-misuse-related EEG signals could enable physicians to make a more definitive diagnoses of AUD.13</li>
</ul>
<h2>Am I at Risk of Becoming Addicted to Alcohol?</h2>
According to the <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-use-disorder/genetics-alcohol-use-disorder" target="_blank" rel="noopener">National Institute on Alcohol Abuse and Alcoholism (NIAAA)</a>, a person’s genetic makeup accounts for roughly half of their risk for developing an AUD. However, environmental influences (including how those exposures interact with a person’s genes) also play a significant role.10 So while genetics may affect your likelihood of having issues with alcohol, you may be able to mitigate some of the inherent risks through recognition of certain potentially problematic scenarios and modification of corresponding behaviors.

Just like drug and <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol treatment</a> isn’t a one-size-fits-all solution, there’s no single best way to sidestep alcohol issues. The key is to try one approach, and if it doesn’t work, opt for another tactic. Along with permanently abstaining from alcohol use, the <a href="https://www.rethinkingdrinking.niaaa.nih.gov/thinking-about-a-change/strategies-for-cutting-down/tips-to-try.aspx" target="_blank" rel="noopener">NIAAA</a> offers the following tips to reduce your chances of developing alcohol misuse issues:14
<ul>
 	<li>Establish goals. If you’re going to drink, decide how many days per week you will drink and how many drinks per day you will consume. It’s probably helpful to have some days when you don’t consume any alcohol, but by planning your consumption—and sticking to the plan—you’ll have established some personal guidelines around your drinking. Plus, your guidelines will help quickly clue you in to any developing issues.</li>
 	<li>Track your consumption. To ensure you stick to your plan and you’re not consuming more than you think, keep track of your drinking. You can do this via simply making check marks on a printed calendar or in a notebook, or you can get a little fancy and use some kind of tracking app. Also be sure to educate yourself about what constitutes <a href="https://www.niaaa.nih.gov/alcohols-effects-health/overview-alcohol-consumption/what-standard-drink">a standard drink</a> so you can count your drinks properly.</li>
 	<li>Identify alternatives. If many of your activities and hobbies involve alcohol, it may be helpful to find alternatives that deliver similarly rewarding social interactions minus the alcohol. Similarly, if you’ve used alcohol to cope with stress, help ease the jitters in social situations, etc., seek out other coping methods and/or professional guidance to work on coping skills.</li>
 	<li>Sidestep triggers. People, places, and events can often trigger people to drink. If you want to curb or eliminate drinking, it helps to first identify these triggers and then make plans to sidestep them before they occur.</li>
 	<li>Remember your reasons. When you have an urge to drink at a time outside of your plans, try to remind yourself of the reasons you’ve made your plans in the first place. Consider making note of these reasons and storing them in a wallet, purse, or phone for easy reference. Also consider reaching out for support from family, friends, and/or <a href="https://americanaddictioncenters.org/treatment-centers" target="_blank" rel="noopener">professionals</a>. Some proactive measures can reduce risky behaviors before they lead to an AUD.</li>
</ul>
<h2>Tips to Stop the Family Cycle</h2>
If you’re a parent and alcohol misuse runs in your family, there are several things you can do to prevent or delay alcohol use in your children and discourage use in adult children. Some strategies include:16
<ul>
 	<li>Sharing developmentally appropriate information and education about the <a href="https://americanaddictioncenters.org/alcoholism-treatment/body-effects" target="_blank" rel="noopener">dangers of alcohol use</a> and your family history.</li>
 	<li>Keeping track of how your child spends their time and recommending alcohol-free activities.</li>
 	<li>Setting family rules that include abstaining from alcohol use.</li>
 	<li>Helping your child develop skills such as problem-solving, communication, and listening.</li>
 	<li>Building your child’s confidence and sense of responsibility through youth leadership programs and the observation of older role models.</li>
</ul>
<h2>Take Our Alcohol Abuse Self-Assessment</h2>
Take our free, 5-minute alcohol abuse self-assessment below if you think you or someone you love might be struggling with substance abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment type="alcohol"]

[sources]
<ol>
 	<li>National Institute on Drug Abuse. (2019). <a href="https://nida.nih.gov/download/20362/genetics-epigenetics-addiction-drugfacts.pdf" target="_blank" rel="noopener">Genetics and epigenetics of addiction DrugFacts.</a></li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).</li>
 	<li>Morozova, T.V, Mackay, T.F.C., &amp; Anholt, R.R.H. (2014, Jan 7). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037586/pdf/438_2013_Article_808.pdf" target="_blank" rel="noopener">Genetics and genomics of alcohol sensitivity</a>. Molecular Genetics and Genomics, 28(3), 253-269.</li>
 	<li>Genetic and Rare Diseases Information Center. (2019). <a href="https://rarediseases.info.nih.gov/diseases/12634/acute-alcohol-sensitivity" target="_blank" rel="noopener">Acute alcohol sensitivity.</a></li>
 	<li>National Institute of General Medical Sciences. (2022). <a href="https://nigms.nih.gov/education/fact-sheets/Pages/genetics.aspx" target="_blank" rel="noopener">What is genetics?</a></li>
 	<li>National Cancer Institute. (2021). <a href="https://www.cancer.gov/publications/dictionaries/genetics-dictionary/def/genetic-predisposition" target="_blank" rel="noopener">Genetic Predisposition.</a></li>
 	<li>Edenber, H.J., Foroud, T. (2013, May 28) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056340/" target="_blank" rel="noopener">Genetics and alcoholism.</a> Nature Reviews Gastroenterology &amp; Hepatology, 10(8), 487-494.</li>
 	<li>University of Rochester Medical Center. (2021). <a href="https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=1&amp;contentid=4141" target="_blank" rel="noopener">Alcoholism and Family History.</a></li>
 	<li>Liu M, Jiang Y, Wedow R, et al. (2019). <a href="https://www.nature.com/articles/s41588-018-0307-5" target="_blank" rel="noopener">Association studies of up to 1.2 million individuals yield new insights into the genetic etiology of tobacco and alcohol use.</a> Nat Genet. 2019;51(2):237-244.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2008). <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-use-disorder/genetics-alcohol-use-disorder" target="_blank" rel="noopener">Genetics of alcohol use disorder.</a></li>
 	<li>National Institute on Drug Abuse. (2021). <a href="https://nida.nih.gov/sites/default/files/audit.pdf" target="_blank" rel="noopener">Alcohol Use Disorders Identification Test.</a></li>
 	<li>Fleming M, Mundt M. (2004). <a href="https://www.jabfm.org/content/17/4/247" target="_blank" rel="noopener">Carbohydrate-deficient transferrin: validity of a new alcohol biomarker in a sample of patients with diabetes and hypertension.</a> J Am Board Fam Pract. 2004;17(4):247-255.</li>
 	<li>Mumtaz W, Vuong PL, Malik AS, Rashid RBA. (2018). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852012/" target="_blank" rel="noopener">A review on EEG-based methods for screening and diagnosing alcohol use disorder.</a> Cogn Neurodyn. 2018;12(2):141-156.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.rethinkingdrinking.niaaa.nih.gov/thinking-about-a-change/strategies-for-cutting-down/tips-to-try.aspx" target="_blank" rel="noopener">Rethinking Drinking. Alcohol &amp; Your Health. Tips to Try</a>.</li>
 	<li>U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020. Available at <a href="https://www.dietaryguidelines.gov/" target="_blank" rel="noopener">DietaryGuidelines.gov</a>.</li>
 	<li>Komro, K.A. &amp; Toomey, T.L. (2002). <a href="https://pubs.niaaa.nih.gov/publications/arh26-1/5-14.htm" target="_blank" rel="noopener">Strategies to prevent underage drinking.</a></li>
</ol>
[/sources]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk">How to Approach an Alcoholic Loved One</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/support">How to Support an Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/effect-of-alcoholic-mother-on-children">Effects of Alcoholic Mothers</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/alcoholic-father">Effects of Alcoholic Fathers</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/children">Alcoholism's Effect on Children</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/inpatient">Inpatient Alcohol Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline">Alcohol Addiction Helpline</a></li>
 	<li><a href="https://americanaddictioncenters.org/self-assessment">Am I An Addict Self Test</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/insurance-coverage">Insurance Coverage for Alcohol Rehab</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab">Medicaid for Rehab</a></li>
</ul>
[/link-bank]

Genetics and Alcoholism: Is Alcoholism Genetic or Hereditary?

Alcohol content and percentage can vary widely depending on the drink. Different types of alcoholic beverages have their own alcohol by volume (ABV), which means that there are different percentages of alcohol per the volume of liquid. Accordingly, the number of alcoholic beverages you consume will have a direct effect on the way your body responds.1

Understanding ABV is vital to being able to make informed decisions concerning alcohol intake and its possible effects on your health and behavior. Alcohol can cause negative consequences by interfering with the way your brain operates, making it more difficult to think clearly, make good decisions, and remember information accurately. In worst case scenarios, these effects of alcohol can result in job loss, injury, or worse.2 Making responsible decisions when it comes to alcohol consumption begins by knowing how much alcohol is in a given drink.
<h2>Alcohol Percentage by Drink Type</h2>
The main types of alcoholic beverages are beer, wine, and liquor. There are also subcategories within each of these types that may have slightly varying percentages of alcohol. This highlights the importance of reading labels and considering how a particular alcoholic beverage may affect you:
<ul>
 	<li>Beer: Alcohol Percentage usually ranges between 4–8%
<ul>
 	<li>Craft beers: typically have higher alcohol percentages, at 8–12% and higher</li>
</ul>
</li>
 	<li>Fortified Wine: Alcohol Percentage 16–24%</li>
 	<li>Unfortified Wine: Alcohol Percentage 14–16%</li>
 	<li>Malt beverage: Alcohol Percentage 15%</li>
 	<li>Champagne: Alcohol Percentage 12.5%</li>
 	<li>Vodka: Alcohol Percentage 40–95%</li>
 	<li>Gin: Alcohol Percentage 36–50%</li>
 	<li>Tequila: Alcohol Percentage 50–51%</li>
 	<li>Rum: Alcohol Percentage 36–50%</li>
 	<li>Whiskey (including Bourbon, Canadian whiskey, Irish whiskey, and Scotch): Alcohol Percentage 36–50%</li>
 	<li>Liqueur: Alcohol Percentage 15%</li>
 	<li>Hard seltzer: Alcohol Percentage 4–12%
<ul>
 	<li>White Claw hard seltzer: 5%; lower-calorie versions: 3.7%; seltzer surge: 8%</li>
 	<li>Truly hard seltzers: 5% ABV; Truly Extra: 8%</li>
 	<li>Jose Cuervo Playmar (tequila-based seltzers): 4.5%</li>
 	<li>High Noon (vodka-based seltzers): 4.5%</li>
 	<li>Bud Light seltzers: 5%; Premium Seltzers: 8%</li>
 	<li>Natural Light seltzers: 6%</li>
 	<li>Four Loko hard seltzers: 12%</li>
</ul>
</li>
 	<li>Kombucha: Alcohol Percentage 0.5–2.5%</li>
</ul>
Alcohol percentage varies widely by drink. Beers, light hard seltzers, and kombucha tend to have lower alcohol percentages. Conversely, vodka, tequila, rum and whiskey can have much higher alcohol percentages.
<h2>How Are Servings of Alcohol Measured?</h2>
ABV is a worldwide standard for measuring alcohol content in an alcoholic beverage. It may surprise you to learn that the measurement of alcohol in a "standard drink" can vary by country. This can make it difficult to estimate the amount of alcohol being consumed.3

In the U.S., for example, one standard drink is defined as any beverage that contains 0.6 fluid ounces or 14 grams of pure alcohol. In the United Kingdom, units of alcohol are used to measure the alcohol content within the volume of an alcoholic beverage. And in European countries, a standard drink has 10 to 12 grams of alcohol.3 This confusion could lead to unintended and serious consequences, so it's important to understand the local measurements of alcohol before drinking.4
<h2>ABV vs. Proof: What Is the Difference?</h2>
Sometimes you’ll see both the ABV and “Proof” on the label of a bottle of liquors like vodka. The two measures indicate the percentage of alcohol in the liquid. The proof of the liquor is exactly double that of the ABV. For example, 80 proof vodka is equal to 40% alcohol, and 110 proof vodka is equal to 55% alcohol.
<h2>How Much Is Too Much?</h2>
While an occasional drink with food or during social occasions may not adversely affect your health and behavior, excessive drinking can cause a difference.5

Some short-term effects of excessive alcohol use may include:6
<ul>
 	<li>Out-of-control emotions, anger, depression, and other mood changes.</li>
 	<li>Dizziness, vertigo, and poor balance.</li>
 	<li>Slurred speech.</li>
 	<li>Alterations in energy level, from restlessness and exhilaration to stupor and disorientation.</li>
</ul>
<h2>What Are the Beginning Signs of an Alcohol Problem?</h2>
A casual drinking habit evolving into an alcohol problem can be a gradual and sometimes insidious process, which is why it's important to make periodic and honest assessments. Inviting feedback from family and friends can help recognize potential problems.7

Excessive alcohol use is often accompanied by behavioral changes. Some warning signs of alcoholism are:7
<ul>
 	<li>Failing to fulfill obligations at home, school, or work.</li>
 	<li>Drinking more alcoholic beverages than planned, despite negative effects on relationships and health.</li>
 	<li>Engaging in risky behavior while drinking, like <a href="https://americanaddictioncenters.org/alcoholism-treatment/dui">drunk driving.</a></li>
 	<li>Lying or being secretive about drinking.</li>
 	<li>Becoming socially isolated or losing interest in activities once enjoyed.</li>
 	<li>Drinking alcohol at all times of day.</li>
 	<li>Interrupted sleep patterns.</li>
 	<li>Rapid weight gain or loss.</li>
 	<li>Facial puffiness and redness.</li>
 	<li>Glazed eyes.</li>
</ul>
People who <a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose">consistently drink alcohol excessively</a> in spite of adverse social, occupational, or health consequences can develop<a href="https://americanaddictioncenters.org/alcoholism-treatment"> alcoholism</a>. According to a 2019 national survey, 14.1 million adults ages ≥18 had AUD, as well as an estimated 414,000 adolescents ages 12-17.7 Diagnosing AUD promptly can keep the disorder from getting worse, and it can save lives and relationships. Using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), an AUD diagnosis can be determined to be mild, moderate, or severe. These criteria are as follows:
<ul>
 	<li>The person wishes to stop excessive alcohol consumption but hasn’t succeeded.</li>
 	<li>They spend long periods drinking and suffering the aftereffects of alcohol use, like a hangover or a <a href="https://americanaddictioncenters.org/alcoholism-treatment/blackout">black out</a>.</li>
 	<li>They’ve missed commitments and have had difficulties in performing duties at home, work, or school.</li>
 	<li>They continue to drink despite it causing problems with family or loved ones.</li>
 	<li>The aftereffects of excessive alcohol consumption keep the person from properly attending to household duties and children, or result in difficulties performing on the job or at school.</li>
 	<li>They have discontinued or limited involvement in activities to choose to drink excessively instead.</li>
 	<li>They increase their chance of being injured because of excessive drinking.</li>
 	<li>They continue to drink even though they feel sad or distressed, or it affects an already existing health problem.</li>
 	<li>They continue to drink despite having memory and functional problems that result in consequences at home, work, or school.</li>
 	<li>They continue to increase their consumption when <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments/alcohol">tolerance</a> is reached.</li>
</ul>
The presence of two or more symptoms of these criteria signifies mild AUD, sometimes referred to as problem drinking. When a person has four to five criteria, the AUD diagnosis is considered moderate. People who have 6 or more of the criteria are diagnosed with severe AUD.9
<h2>How Can I Find Help for an Alcohol Problem?</h2>
The NIAAA Alcohol Treatment Navigator helps you find the right treatment for you or your loved one. The Substance Abuse and Mental Health Association (SAMHSA) has a national helpline, 1-800-662-HELP (4357), which is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish.

Before entering a treatment program, you'll need to verify your insurance coverages. The Patient Protection and Affordable Care Act (ACA), passed in 2010, is an increasingly popular way of paying for addiction treatment. Ultimately, there is no one-size-fits-all solution, and what may work for one person may not be a good fit for someone else. Simply understanding the different options can be an important first step. Some treatment options may include:
<ul>
 	<li>Detoxification, which usually takes from two to seven days, and may include medications to prevent withdrawal symptoms. This treatment usually takes place at an inpatient treatment center or a hospital.</li>
 	<li>Individual or group therapy, which provides education about <a href="https://americanaddictioncenters.org/alcoholism-treatment/symptoms-and-signs">alcohol dependency</a> and the support needed during recovery. Couples or family therapy may be beneficial.</li>
 	<li>Support groups, which help you manage relapses and learn to cope with changes in your lifestyle.</li>
 	<li>Residential treatment, which is often required for those with severe AUD. It involves staying at a residential treatment center and may include individual and group therapy, support groups, and participation by family members.</li>
</ul>
<h3>Sources</h3>
<ol>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://www.niaaa.nih.gov/alcohols-effects-health/overview-alcohol-consumption/what-standard-drink">What is a standard drink?</a></li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-and-brain-overview">Alcohol and the brain</a>.</li>
 	<li>Sunrise House Treatment Center. (2021, July 12). <a href="https://sunrisehouse.com/stop-drinking-alcohol/percentage-contents/">How alcohol servings are measured</a>.</li>
 	<li>Mongan, D. &amp; Long, J. (2015). <a href="https://www.researchgate.net/publication/322273447_Standard_drink_measures_throughout_Europe_peoples_understanding_of_standard_drinks_and_their_use_in_drinking_guidelines_alcohol_survey_and_labelling">Standard Drink Measures Throughout Europe; Peoples Understanding of Standard Drinks and Their Use in Drinking Guidelines, Alcohol Survey, and Labelling</a>.</li>
 	<li>Sullivan, E.V.; Harris, R.A.; and Pfefferbaum, A. (2010) <a href="https://psycnet.apa.org/record/2010-23622-013">Alcohol’s Effects on Brain and Behavior</a>.</li>
 	<li>Centers for Disease Control. <a href="https://www.cdc.gov/alcohol/features/excessive-alcohol-deaths.html">Deaths from Excessive Alcohol Use in the U.S</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder">Understanding Alcohol Use Disorder</a>.</li>
 	<li>Mayo Clinic. <a href="https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/symptoms-causes/syc-20369243">Alcohol Use Disorder.</a></li>
 	<li>Mayo Clinic. <a href="https://www.mayoclinic.org/diseases-conditions/alcohol-use-disorder/diagnosis-treatment/drc-20369250">Alcohol Use Disorder</a>.</li>
</ol>

Alcohol Percentage Content in Drinks: Comparing ABV by Drink Type

Erica Slaughter has a Master's degree in Exercise Physiology and has served as a research assistant in developing articles for scientific publications

https://admin.americanaddictioncenters.org/wp-content/uploads/2021/10/Erica-Slaughter.png

Erica Slaughter

Wendy Manwarren Generes headshot | American Addiction Centers

<h2>Does Insurance Cover Rehab for Alcohol Misuse?</h2>
<a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder" target="_blank" rel="noopener">Substance Use Disorders</a> (SUD) continue to be a problem in the United States. In 2021, more than 46 million Americans aged 12 or older suffered from an SUD. Of those, 94% did not receive treatment for the disorder.1 <a href="#_ftnref1" name="_ftn1"></a>

For many, the cost of healthcare services for <a href="https://americanaddictioncenters.org/alcohol-rehab" target="_blank" rel="noopener">alcohol addiction treatment </a> is a barrier to recovery. As a result, these people don’t seek help because they believe it is out of their financial reach. However, the truth is that health insurance typically covers alcohol rehab—either fully or partially—for individuals.

While various factors influence the amount and type of coverage each insurance plan provides for alcohol addiction treatment, insurance carriers are under legal obligation to cover some or all substance use disorder services. Plus, for rehab services not included in insurance coverage, private pay and personal loans can help cover gaps, making treatment more financially feasible for those in need of care.

<h2>Using Insurance to Cover Alcohol Rehab</h2>
In 2010, the Affordable Care Act passed. By 2014, it required all new small group and individual insurance plans to cover 10 essential health benefit categories, including mental health and substance use disorder services. Furthermore, it called for health plans and insurers that offer mental health and substance use disorder benefits to provide coverage that is comparable to that offered for general surgical and medical care.2

As a result, health insurance may cover <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient rehab</a>, <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment" target="_blank" rel="noopener">outpatient rehab</a>, and other services for the treatment of substance use disorders. But policies—and even individual plans—differ on the level of coverage they provide for rehab.

Therefore, it can be challenging to navigate the coverage, exclusions, and whether the specific treatment program being considered accepts payment through insurance. Luckily, most rehab centers employ insurance specialists to help prospective clients understand their policies.

In addition, those seeking addiction treatment can contact their insurance providers directly to ascertain coverage specifics.

<h2>How to Find Insurance for Alcohol Rehab</h2>
First, check your policy. Call the insurance company and ask about the types of addiction treatment the policy covers. While private insurance plans often have the most comprehensive coverage, they tend to cost more. In other words, if a particular plan has extensive rehab coverage, it is likely that those benefits include high premiums, paid for by the policyholder.

Common insurance companies that may be able to cover at least some of the cost of rehab include: <a href="https://americanaddictioncenters.org/insurance-coverage/blue-cross-blue-shield-association" target="_blank" rel="noopener">Blue Cross Blue Shield</a>, <a href="https://americanaddictioncenters.org/insurance-coverage/aetna" target="_blank" rel="noopener">Aetna</a>, <a href="https://americanaddictioncenters.org/insurance-coverage/anthem" target="_blank" rel="noopener">Anthem</a> (Elevance Health in California and Nevada), <a href="https://americanaddictioncenters.org/insurance-coverage/cigna-insurance" target="_blank" rel="noopener">Cigna</a>, <a href="https://americanaddictioncenters.org/insurance-coverage/humana" target="_blank" rel="noopener">Humana</a>, <a href="https://americanaddictioncenters.org/insurance-coverage/unitedhealth-group" target="_blank" rel="noopener">United Healthcare</a>, and more. For Veterans, <a href="https://americanaddictioncenters.org/insurance-coverage/tricare" target="_blank" rel="noopener">TRICARE</a> may also cover rehab depending on your plan as well.

Similarly, employer-provided group insurance plans can be expensive and may be subject to restrictions.

For self-employed individuals, people not insured through work, and those who don’t otherwise have insurance, the Affordable Care Act Marketplace and state exchange plans provide options for getting coverage for addiction treatment.

If the policyholder is seeking alcohol addiction treatment for the first time, for instance, the insurance plan may cover rehab.

However, if the person relapses and needs to return to treatment–which is often part of the recovery process–insurance plans may exclude additional treatments.
<h2>Types of Insurance Plans for Alcohol Rehab </h2>
While there are several types of insurance plans, each of which offer various levels of coverage for alcohol rehab, two of the most common are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). 

An <a href="https://americanaddictioncenters.org/insurance-coverage/hmo" target="_blank" rel="noopener">HMO</a> provides services at a fixed fee via a contracted network of healthcare providers. Members need to select providers within this network in order for care to be covered under the plan. Generally speaking, an HMO has fixed premiums at a slightly lower cost than PPOs. However, you usually need to select a primary care provider that then manages your health and from which you’ll typically need a referral before visiting a specialist. Most major carriers (e.g., Blue Cross Blue Shield, Cigna, etc.) offer some kind of HMO program.  

A <a href="https://americanaddictioncenters.org/insurance-coverage/ppo" target="_blank" rel="noopener">PPO</a> also comprises a network of providers contracted to provide services as an agreed-upon rate to members of that plan. Often, PPO premiums are slightly higher than HMOs, but you’re free to see almost any provider of your choosing without obtaining a referral from a primary care provider first. Granted, you’ll typically pay less for in-network rather than out-of-network providers, but the choice is yours. Again, most large insurance companies (e.g., Aetna, Anthem (Elevance Health in California and Nevada), Blue Cross Blue Shield, United Healthcare, etc.) offer PPO options.


[vob]

<h2>Finding Alcohol Rehab that Accepts Private Insurance</h2>
Most rehabs accept some form of insurance. Many of the rehab facilities under the American Addiction Centers umbrella are <a href="https://americanaddictioncenters.org/rehab-guide/in-network" target="_blank" rel="noopener">in-network</a> with insurance providers, which can help with the cost of treatment. Explore our treatment centers near you to find the best treatment for your needs.


<h2>Is Addiction Considered a Pre-Existing Condition?</h2>
Under the Affordable Care Act, which went into effect for plans beginning on or after January 1, 2014, health insurance companies can’t refuse coverage or charge more for pre-existing conditions.3 In the past, insurance companies used pre-existing conditions (such as addiction) as reasons to deny people health insurance or charge fees that made getting insurance cost prohibitive. <a href="#_ftnref1" name="_ftn1"></a>
<h2>Can I Go to Alcohol Rehab Without Insurance?</h2>
If you don’t have insurance, various state-funded health programs can help with the cost of rehab. These programs include Medicare and Medicaid. In addition, most treatment facilities accept payment options such as <a href="https://americanaddictioncenters.org/payment-options" target="_blank" rel="noopener noreferrer">payment plans</a>, loans, and public assistance. If the cost of rehab is deterring you or someone you love from finding treatment, call us today at [phone].
<h2>Does Medicare Cover Alcohol Rehab?</h2>
<a href="https://americanaddictioncenters.org/rehab-guide/medicare" target="_blank" rel="noopener">Medicare</a> parts A and B include coverage for addiction treatment. Part A helps pay for hospitalization for substance abuse treatment. Part B covers partial hospitalization or outpatient addiction treatment services.4

In addition, Medicare Part D provides coverage for medications that doctors consider medically necessary for the policyholder’s alcohol addiction treatment. However, some medications, such as methadone, are not eligible for coverage under Part D.

[callout]
<h4>More Topics About Insurance Coverage for Alcohol Treatment</h4>
<ul>
 	<li><a href="/insurance-coverage" target="_blank" rel="noopener noreferrer">Insurance Coverage</a></li>
 	<li><a href="/drug-detox/insurance" target="_blank" rel="noopener noreferrer">Insurance for Detox</a></li>
 	<li><a href="/drug-detox/cost" target="_blank" rel="noopener noreferrer">Cost of Detox</a></li>
 	<li><a href="/alcohol-rehab/cost" target="_blank" rel="noopener noreferrer">Expense for Alcohol Rehab</a></li>
 	<li><a href="/intensive-outpatient-programs/cost" target="_blank" rel="noopener noreferrer">Price for Outpatient</a></li>
 	<li><a href="/personal-finance-in-recovery" target="_blank" rel="noopener noreferrer">Personal Finances in Recovery</a></li>
 	<li><a href="/rehab-guide/public-assistance" target="_blank" rel="noopener noreferrer">Public Assistance Help</a></li>
 	<li><a href="/rehab-guide/state-funded" target="_blank" rel="noopener noreferrer">State Funded Options</a></li>
</ul>
[/callout]

<h2>Does Medicaid Cover Alcohol Rehab?</h2>
<a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab" target="_blank" rel="noopener">Medicaid</a> is the public health insurance program, funded jointly by states and the federal government, for low-income families. It covers the basics of alcohol dependency recovery—such as inpatient care, outpatient visits, and more. In most states, Medicaid recipients don't pay a co-pay for addiction treatment services. However, not all facilities accept Medicaid as a form of payment.


<h2>What Does Health Insurance Cover for Alcohol Treatment?</h2>
Heath insurance coverage varies by policy. As a result, outpatient and inpatient rehab coverage differ by individual health plan and treatment provider. Generally, alcohol use disorder treatment coverage includes medically necessary therapies, medications, and services, which may include:
<ul>
 	<li>Screening and <a href="https://americanaddictioncenters.org/alcoholism-treatment/intervention" target="_blank" rel="noopener">alcohol intervention services.</a></li>
 	<li><a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments/alcohol" target="_blank" rel="noopener noreferrer">Detoxification from alcohol.</a></li>
 	<li>Medication for detox or recovery maintenance.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener noreferrer">Inpatient services at a hospital or specialty care center.</a></li>
 	<li>Outpatient rehab or treatment services.</li>
 	<li>Individual or group counseling.</li>
</ul>
Additional services deemed not medically necessary are less likely to be covered. For example, some facilities feature amenities such as gourmet food, recreation programs, holistic care services, and other luxury accommodations, which may not be covered by insurance.

Furthermore, the out-of-pocket cost of Medication-Assisted Treatment (MAT) prescription programs vary by on provider. For instance, naltrexone’s cost with insurance may be different from plan to plan.


<h2>What Are Out-of-Pocket Expenses For Rehab Treatment?</h2>
While many insurance plans cover a healthy portion of treatment expenses, there are still costs for which the policyholder is responsible. These include:
<ul>
 	<li>Premiums: The cost of having insurance.</li>
 	<li>Coinsurance payments or co-pays: A lesser fee paid to access a doctor or service.</li>
 	<li>Deductibles: A certain amount the policyholder is expected to pay before coverage begins.</li>
 	<li>Lifetime limitations: Some insurance plans only pay for coverage up to a certain point; the policyholder is responsible for all costs beyond that.</li>
</ul>
[quote]In short, depending on the type of insurance plan, costs vary.[/quote]
<h2>How to Use Insurance to Pay for Alcohol Rehab</h2>
After verifying coverage levels for the specific policy, use insurance to help pay for rehab. Here’s how:
<ol>
 	<li>Talk to a doctor to determine treatment needs. A doctor performs an assessment–which is generally covered–to determine the degree of misuse or addiction and the medically necessary treatment needs. This information meets the requirement for coverage, and consequently, helps inform the decision about the right facility for the individual.</li>
</ol>
<ol start="2">
 	<li>Find the appropriate rehab program. Ask the healthcare provider for rehab suggestions or consider one of <a href="https://americanaddictioncenters.org/treatment-centers" target="_blank" rel="noopener">American Addiction Centers' facilities.</a> Or check a state or municipality’s Behavioral Health or Health and Human Services department to find a convenient regional facility. In all cases, verify that the rehab program provides professional medical treatment to ensure that insurance will cover it.</li>
</ol>
<ol start="3">
 	<li>Determine the ability to use insurance. After finding the appropriate facility with the recommended level of treatment, verify that it not only accepts insurance but that it accepts the specific plan.</li>
</ol>
<ol start="4">
 	<li>Work with the rehab center to determine insurance coverage. A reputable rehab center employs specialists who can work with the insurance company to determine the level of coverage for the specific program. In some cases, these specialists can help individuals navigate payment options not covered by insurance, such as deductibles, co-pays, and other out-of-pocket costs. Some facilities also offer various financing options, so inquire about this prior to enrollment.</li>
</ol>
[quote]
Complete these steps, check into the program, and start the path to recovery from alcohol addiction.
[/quote]


[faqs]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/inpatient" target="_blank" rel="noopener noreferrer">Inpatient Alcohol Treatment</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener noreferrer">Call an Alcohol Addiction Hotline</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk" target="_blank" rel="noopener noreferrer">How to Talk to an Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose" target="_blank" rel="noopener noreferrer">Alcohol Overdose &amp; Poisoning Symptoms</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict" target="_blank" rel="noopener noreferrer">How to Spot a Functioning Addict</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/children" target="_blank" rel="noopener noreferrer">Effect of Alcohol on Children</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/christian" target="_blank" rel="noopener noreferrer">Christian Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener noreferrer">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener noreferrer">Free Rehab Treatment</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Substance Abuse and Mental Health Services Administration. (2022). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt39443/2021NSDUHFFRRev010323.pdf" target="_blank" rel="noopener noreferrer">Key Substance Abuse and Mental Health Indicators in the United States: Results from the 2021 National Survey on Drug Use and Health</a>.</li>
 	<li>Office of the Assistant Secretary for Planning and Evaluation. (2013) <a href="https://aspe.hhs.gov/reports/affordable-care-act-expands-mental-health-substance-use-disorder-benefits-federal-parity-protections-0" target="_blank" rel="noopener noreferrer">Affordable Care Act Expands Mental Health and Substance Use Disorder Benefits and Federal Parity Protections for 62 Million Americans</a>.</li>
 	<li>U.S. Department of Health and Human Services. <a href="https://www.hhs.gov/healthcare/about-the-aca/pre-existing-conditions/index.html" target="_blank" rel="noopener noreferrer">Affordable Care Act: Pre-Existing Conditions.</a></li>
 	<li>Medicare.gov. <a href="https://www.medicare.gov/coverage/mental-health-substance-use-disorder-services" target="_blank" rel="noopener noreferrer">Mental Health &amp; Substance Use Disorder Services.</a></li>
</ol>
[/sources]

Does Insurance Cover Rehab for Alcohol Misuse?

<h2>Oh the Places You Can Go Without Alcohol</h2>
Looking for a last-minute summer getaway or planning a future trip that doesn’t involve alcohol. Traveling can have its triggers, and while it used to be harder to find “dry” adventures in the booze-soaked travel industry, substance-free vacationing is actually a lot easier—and more fun—thanks to dry tour companies, new hotel beverage programs that involve zero booze, and more.

While sober travel seems to be all the buzz right now, it’s not new—and it’s not necessarily just for people in recovery. However, thanks to more people interested in alcohol-free vacation plans, there are a lot more companies offering sober services.
<h2>Special Agents<img class="alignright wp-image-35503 size-medium" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2016/07/bigstock-Man-Traveler-relaxing-alone-in-84557870-300x200.jpg" alt="man in recovery" width="300" height="200" /></h2>
<a href="https://sobervacations.com/" target="_blank" rel="noopener">Sober Vacations International</a> has been leading tours for individuals in 12-step programs since 1987. Meetings are worked into the itinerary as are meals and excursions. The company also offers once-a-year Sober Village, a retreat-like getaway that involves the takeover of an entire resort, where everyone in attendance is sober, and coffee, tea, juice, soda, water, and energy drinks replace all the alcohol at the bars and in the mini bars. Agendas include 12-step and Al-Anon meetings, workshops, yoga, trivia, and more.

<a href="https://travelsober.com/" target="_blank" rel="noopener">Travel Sober</a> also provides travel experiences for individuals in 12-step recovery programs, including their families and friends. Travel Sober offers lots of options—from domestic and international cruises to African safaris—fit for a range of budgets.

<a href="https://hooked-on-travel.com/" target="_blank" rel="noopener">Hooked</a>, founded in 2021, offers alcohol-free travel that’s meant to inspire self-discovery through healthy hands-on experiences. From domestic destinations like Nashville to international adventures in Mexico, Canada, Tanzania, Morocco, and Iceland, Hooked provides daily itineraries for each of the places they explore.

<a href="https://www.welovelucid.com/" target="_blank" rel="noopener">We Love Lucid</a>, a company based in the United Kingdom that started in 2019, encourages individuals to spend time in nature and connect with culture and others. Geared toward the solo sober traveler, We Love Lucid creates shorter itineraries for small groups to places in England and Spain that include activities like hiking, paddleboarding, windsurfing, yoga, cooking classes, and alcohol-free drink tastings.

<a href="https://www.soulblissjourneys.com/" target="_blank" rel="noopener">Soul Bliss Journeys</a> hosts wellness retreats for women in Bali. The Balance in Bali, Discovery in Recovery, Sober Sisterhood, and Sobriety Simplified retreats help sober women and those in recovery relax, connect, rejuvenate, and have fun without alcohol.

<a href="https://www.sobercelebrations.com/" target="_blank" rel="noopener">Sober Celebrations</a> helps individuals in recovery travel without fear of relapsing by hosting a few trips each year to places all over the globe. Each vacation package includes keynote speakers, 12-step meetings, 24-hour fellowship, Al-Anon meetings, and excursions.

<a href="https://www.chooselifeadventures.com/" target="_blank" rel="noopener">Choose Life Sober Adventures</a> takes groups of like-minded individuals on booze-free, immersive getaways to places like Peru, Costa Rica, and Africa, where individuals hike, explore, visit museums, take cooking classes, and relax instead of consume alcohol.
<h2>Mixing in Mocktails<img class="alignleft wp-image-15712" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2015/07/4th-of-July-Layered-Drink-2.jpg" alt="" width="343" height="210" /></h2>
Besides tour operators, conventional hotels and resorts are now incorporating nonalcoholic beverage programs into their offerings.

<a href="https://www.wynnlasvegas.com/" target="_blank" rel="noopener">Wynn Las Vegas</a> launched a whole “Living Well” program earlier this year to promote health and wellness on vacation. Their Replenish program includes libations packed with healthful adaptogens, such as lion’s mane (yep, that’s right), instead of booze.

At some <a href="https://www.clubmed.us/" target="_blank" rel="noopener">Club Med</a> locations, adults-only bars don’t serve alcohol but instead mix up mocktails and fresh juices.

<a href="https://www.hyatt.com/info/wellbeing" target="_blank" rel="noopener">Hyatt’s Zero Proof, Zero Judgement</a> program, which it rolled out in several of its properties in 2021, uses alcohol-free spirit alternatives, mixers, and seasonal ingredients to create innovative drinks.

Additionally, <a href="https://www.carnival.com/" target="_blank" rel="noopener">Carnival</a> and <a href="https://www.ncl.com/" target="_blank" rel="noopener">Norwegian</a> cruise lines offer a full range of adult alcohol-free beverages aboard most ships.
<h2>Tips for Staying Sober While You Travel</h2>
While these companies and services support recovery, there are some things you should keep in mind when you head out of town. These considerations can ensure that you stay sober on vacation:

Plan, plan, plan.

Your choice of travel companions can be as important as your destination and activities. Don’t vacation with the people that trigger substance use. Additionally, call ahead to the hotel and ask that they remove the alcohol from the minibar. Know when and how to leave a situation that challenges your sobriety and have your own key to the place you’re staying.

Pack your sober toolkit.

Whatever you’ve made part of your daily routine in recovery should join you on vacation. Maybe that’s a journal, a meditation book or app, a sober counter, a scented candle, or a cooler filled with alcohol-free beverages.

Stay active.<img class="alignright wp-image-17568" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2015/09/bigstock-Young-woman-doing-yoga-exercis-87864098.jpg" alt="" width="300" height="200" />

There are so many ways you can explore your destination without alcohol. Try kayaking, visit museums, book a walking or food tour, go snorkeling, rent a bicycle, attend a yoga or other exercise class, or pack a picnic and find a park.

Pamper instead of party.

Instead of spending your money on a night out, treat yourself to a spa service or other self-care activity.

Stay connected to your support system.

You can still attend mutual-help groups while away. Most large organizations have a worldwide presence, or there’s always the option to attend a virtual meeting. Or maybe you schedule a call with your therapist or talk to an encouraging friend or family member at home.

The key to vacationing sober means making your recovery the first priority.

If you or a loved one are currently struggling with alcohol or drug misuse, American Addiction Centers (AAC) can help. Call [phone], and speak to one of our knowledgeable and compassionate admissions navigators, who can listen to your story, answer your questions, explain your treatment options, and help you begin your recovery journey.

&nbsp;

Sober Travel: What to Know Before You Go

<h2>Oh the Places You Can Go Without Alcohol</h2>
Looking for a last-minute summer getaway or planning a future trip that doesn’t involve alcohol. Traveling can have its triggers, and while it used to be harder to find “dry” adventures in the booze-soaked travel industry, substance-free vacationing is actually a lot easier—and more fun—thanks to dry tour companies, new hotel beverage programs that involve zero booze, and more.

While sober travel seems to be all the buzz right now, it’s not new—and it’s not necessarily just for people in recovery. However, thanks to more people interested in alcohol-free vacation plans, there are a lot more companies offering sober services.
<h2>Special Agents<img class="alignright wp-image-35503 size-medium" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2016/07/bigstock-Man-Traveler-relaxing-alone-in-84557870-300x200.jpg" alt="man in recovery" width="300" height="200" /></h2>
<a href="https://sobervacations.com/" target="_blank" rel="noopener">Sober Vacations International</a> has been leading tours for individuals in 12-step programs since 1987. Meetings are worked into the itinerary as are meals and excursions. The company also offers once-a-year Sober Village, a retreat-like getaway that involves the takeover of an entire resort, where everyone in attendance is sober, and coffee, tea, juice, soda, water, and energy drinks replace all the alcohol at the bars and in the mini bars. Agendas include 12-step and Al-Anon meetings, workshops, yoga, trivia, and more.

<a href="https://travelsober.com/" target="_blank" rel="noopener">Travel Sober</a> also provides travel experiences for individuals in 12-step recovery programs, including their families and friends. Travel Sober offers lots of options—from domestic and international cruises to African safaris—fit for a range of budgets.

<a href="https://hooked-on-travel.com/" target="_blank" rel="noopener">Hooked</a>, founded in 2021, offers alcohol-free travel that’s meant to inspire self-discovery through healthy hands-on experiences. From domestic destinations like Nashville to international adventures in Mexico, Canada, Tanzania, Morocco, and Iceland, Hooked provides daily itineraries for each of the places they explore.

<a href="https://www.welovelucid.com/" target="_blank" rel="noopener">We Love Lucid</a>, a company based in the U.K. that started in 2019, encourages individuals to spend time in nature and connect with culture and others. Geared toward the solo sober traveler, We Love Lucid creates shorter itineraries for small groups to places in England and Spain that include activities like hiking, paddleboarding, windsurfing, yoga, cooking classes, and alcohol-free drink tastings.

<a href="https://www.soulblissjourneys.com/" target="_blank" rel="noopener">Soul Bliss Journeys</a> hosts wellness retreats for women in Bali. The Balance in Bali, Discovery in Recovery, Sober Sisterhood, and Sobriety Simplified retreats help sober women and those in recovery relax, connect, rejuvenate, and have fun without alcohol.

<a href="https://www.sobercelebrations.com/" target="_blank" rel="noopener">Sober Celebrations</a> helps individuals in recovery travel without fear of relapsing by hosting a few trips each year to places all over the globe. Each vacation package includes keynote speakers, 12-step meetings, 24-hour fellowship, Al-Anon meetings, and excursions.

<a href="https://www.chooselifeadventures.com/" target="_blank" rel="noopener">Choose Life Sober Adventures</a> takes groups of like-minded individuals on booze-free, immersive getaways to places like Peru, Costa Rica, and Africa, where individuals hike, explore, visit museums, take cooking classes, and relax instead of consume alcohol.
<h2>Mixing in Mocktails<img class="alignleft wp-image-15712" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2015/07/4th-of-July-Layered-Drink-2.jpg" alt="" width="343" height="210" /></h2>
Besides tour operators, conventional hotels and resorts are now incorporating nonalcoholic beverage programs into their offerings.

<a href="https://www.wynnlasvegas.com/" target="_blank" rel="noopener">Wynn Las Vegas</a> launched a whole “Living Well” program earlier this year to promote health and wellness on vacation. Their Replenish program includes libations packed with healthful adaptogens, such as lion’s mane, instead of booze.

At some <a href="https://www.clubmed.us/" target="_blank" rel="noopener">Club Med</a> locations, adults-only bars don’t serve alcohol but instead mix up mocktails and fresh juices.

<a href="https://www.hyatt.com/info/wellbeing" target="_blank" rel="noopener">Hyatt’s Zero Proof, Zero Judgement</a> program, which it rolled out in several of its properties in 2021, uses alcohol-free spirit alternatives, mixers, and seasonal ingredients to create innovative drinks.

Additionally, <a href="https://www.carnival.com/" target="_blank" rel="noopener">Carnival</a> and <a href="https://www.ncl.com/" target="_blank" rel="noopener">Norwegian</a> cruise lines offer a full range of adult alcohol-free beverages aboard most ships.
<h2>Tips for Staying Sober While You Travel</h2>
While these companies and services support recovery, there are some things you should keep in mind when you head out of town. These considerations can ensure that you stay sober on vacation:

Plan, plan, plan.

Your choice of travel companions can be as important as your destination and activities. Don’t vacation with the people that trigger substance use. Additionally, call ahead to the hotel and ask that they remove the alcohol from the minibar. Know when and how to leave a situation that challenges your sobriety and have your own key to the place you’re staying.

Pack your sober toolkit.

Whatever you’ve made part of your daily routine in recovery should join you on vacation. Maybe that’s a journal, a meditation book or app, a sober counter, a scented candle, or a cooler filled with alcohol-free beverages.

Stay active.<img class="alignright wp-image-17568" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2015/09/bigstock-Young-woman-doing-yoga-exercis-87864098.jpg" alt="" width="300" height="200" />

There are so many ways you can explore your destination without alcohol. Try kayaking, visit museums, book a walking or food tour, go snorkeling, rent a bicycle, attend a yoga or other exercise class, or pack a picnic and enjoy it in a park.

Pamper instead of party.

Instead of spending your money on a night out, treat yourself to a massage, steam room, or other spa service or do another self-care activity you enjoy.

Stay connected to your support system.

You can still attend mutual-help groups while away. Most large organizations have a worldwide presence, or there’s always the option to attend a virtual meeting. Or maybe you schedule a call with your therapist or talk to an encouraging friend or family member at home.

The key to vacationing sober means making your recovery the first priority.

If you or a loved one are currently struggling with alcohol or drug misuse, American Addiction Centers (AAC) can help. Call [phone], and speak to one of our knowledgeable and compassionate admissions navigators, who can listen to your story, answer your questions, explain your treatment options, and help you begin your recovery journey.

&nbsp;

<h2>What are Hard Seltzers?</h2>
Hard seltzers consist of clear carbonated water mixed with an alcohol base—usually derived from fermented cane sugar—and flavored with real fruit or natural flavors. Most hard seltzers are free of gluten and contain 4%-7% alcohol by volume (ABV). Less alcohol means less calories, which is part of the appeal for some. Many of them are low carb and low in sugar, too.
<h2>Dangers Associated with Hard Seltzers</h2>
Many hard seltzers market themselves as a healthier alternative to other alcoholic drinks. The truth of the matter is hard seltzer is not a healthier option. Like other beverages containing alcohol, hard seltzers are empty calories void of any real nutrients. Additionally, studies show that alcohol—even in small amounts—can increase your risk of certain cancers and other <a href="https://americanaddictioncenters.org/alcoholism-treatment/body-effects" target="_blank" rel="noopener">health problems</a>.1,2

Because hard seltzers have a lower ABV and don’t make you feel full when you drink them, it can be easy to drink more than you intend to, even <a href="https://americanaddictioncenters.org/alcoholism-treatment/binge-drinking-problem" target="_blank" rel="noopener">binge drink</a> them. Heavy consumption means drinking 8 or more alcoholic beverages each week for women and 15 or more for men.

In the short term, binge or heavy drinking can lead to a number of harmful circumstances, including:3
<ul>
 	<li>Injuries, such as automobile accidents, falls, and drownings.</li>
 	<li>Violence, including suicide and sexual assault.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose" target="_blank" rel="noopener">Alcohol poisoning</a>.</li>
 	<li>Risky behaviors, like having unprotected sex.</li>
</ul>
According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), if a person engages in problematic drinking—including binge and heavy drinking—regularly or almost daily, they have an increased risk of developing an <a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">alcohol use disorder</a>.4
<h2>When Does Drinking Become a Problem?</h2>
While there’s no evidence to suggest that an individual can become addicted to hard seltzers specifically, the chronic use of any beverage containing alcohol can lead to negative consequences, including addiction.

Only a medical or mental healthcare professional can diagnose an alcohol use disorder. In clinical settings, they use the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as part of a comprehensive assessment.5 However, it can be helpful to recognize some of the <a href="https://americanaddictioncenters.org/alcoholism-treatment/symptoms-and-signs" target="_blank" rel="noopener">signs</a>, which include:6
<ul>
 	<li>Drinking hard seltzers (or other alcoholic beverages) in larger amounts or over a longer period than originally intended.</li>
 	<li>Spending a great deal of time obtaining alcohol, consuming it, or recovering from its effects.</li>
 	<li>Failing to fulfill responsibilities at school, work, or home because of recurrent alcohol use.</li>
 	<li>Continuing to use alcohol despite having persistent or recurrent social or relationship problems caused by or exacerbated by it.</li>
 	<li>Using alcohol in hazardous situations, like operating a vehicle, which can result in a <a href="https://americanaddictioncenters.org/alcoholism-treatment/legal-consequences" target="_blank" rel="noopener">DUI or worse</a>.</li>
</ul>
<h2>Treatment and Outlook</h2>
If you think you or someone you love might be drinking too much or too often, you should start by talking to your primary care physician, licensed therapist, or addiction treatment specialist. They can perform an assessment, discuss treatment options, and provide referrals for treatment.7

Evidence-based treatment that’s tailored to your specific needs and combines behavioral therapies, mutual-help groups, and medication (if necessary) can help you stop drinking and regain control of your life.7

Individuals with an alcohol use disorder typically begin treatment with medically managed <a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">detoxification</a> before transitioning to a more comprehensive treatment plan in an <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient</a> or <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment" target="_blank" rel="noopener">outpatient</a> setting.

American Addiction Centers (AAC) is a leading provider of treatment for alcohol misuse and addiction and has treatment centers located throughout the United States. We offer a variety of <a href="https://americanaddictioncenters.org/rehab-guide/levels-of-care" target="_blank" rel="noopener">levels of care</a> and customized treatment plans that are geared to your unique needs. Call [phone] to speak to one of our compassionate and knowledgeable admissions navigators, who can listen to your story, answer your questions, explain your treatment options, verify your insurance, and help you begin your road to recovery.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-long-in-system" target="_blank" rel="noopener">How Long Does Alcohol Stay In Your System?</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk" target="_blank" rel="noopener">How to Talk to an Alcoholic Loved One</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/depression" target="_blank" rel="noopener">Alcoholism &amp; Depression</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/brain-damage" target="_blank" rel="noopener">Alcoholism &amp; Brain Damage</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/addiction-statistics" target="_blank" rel="noopener">Alcohol Abuse Statistics</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Facilities</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/confidentiality-hipaa" target="_blank" rel="noopener">Is Rehab Confidential?</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/insurance-coverage" target="_blank" rel="noopener">Is Alcohol Rehab Covered by Insurance?</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Centers for Disease Control and Prevention. (2023). <a href="https://www.cdc.gov/cancer/alcohol/index.htm" target="_blank" rel="noopener">Alcohol and Cancer</a>.</li>
 	<li>World Health Organization. (2023). <a href="https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health" target="_blank" rel="noopener">No level of alcohol consumption is safe for our health</a>.</li>
 	<li>Centers for Disease Control and Prevention. (2022). <a href="https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm" target="_blank" rel="noopener">Alcohol Use and Your Health</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (n.d.). <a href="https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking" target="_blank" rel="noopener">Drinking Levels Defined</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2023). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder" target="_blank" rel="noopener">Understanding Alcohol Use Disorder</a>.</li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2022). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/treatment-alcohol-problems-finding-and-getting-help" target="_blank" rel="noopener">Treatment for alcohol problems: finding and getting help</a>.</li>
</ol>
[/sources]

Hard Seltzers: Addiction, Side Effects, and Dangers

Alcohol Use Disorder (AUD)

<h2>Importance of Diversity, Equity, and Inclusion</h2>
As a trusted healthcare provider, we at American Addiction Centers (AAC) are committed to diversity, equity, and inclusion in all aspects of what we do.

Addiction does not discriminate. The disease affects individuals from all walks of life, regardless of their sexual orientation, gender identity, religious beliefs, cultural background, ethnicity, age, socioeconomic status, or any other factors. Treatment shouldn’t discriminate either.

That’s why we at AAC constantly strive to make improvements in how we incorporate aspects of diversity, equity, and inclusion.
<h2>Our Foundational Principles on Diversity, Equity, and Inclusion</h2>
While the terms are interrelated, each has a distinct meaning.

Diversity refers to all the ways in which people differ.

Equity establishes and ensures accountability to policies and practices that give fair treatment, access, opportunity, and advancement to individuals while also eliminating the systemic barriers that prevent full participation by any individuals or communities.

Inclusion intentionally fosters an environment where all individuals feel empowered, heard, and seen.
<h2>How American Addiction Centers Focuses on Diversity, Equity, and Inclusion</h2>
As a company, we are committed to:
<ul>
 	<li>Recruiting and retaining a diverse workforce.</li>
 	<li>Fostering an inclusive culture.</li>
 	<li>Ensuring fair and equitable treatment of everyone.</li>
 	<li>Providing care that draws on the customs, characteristics, experiences, and perspectives of the individuals who seek treatment from us.</li>
</ul>
To that end, we never want language to be a barrier to treatment. Each of our facilities can accommodate individuals who call with questions in English or Spanish any time 24/7. Other languages require a translator, which we can be made available in a timely manner. Please call [phone] for more information.

Additionally, AAC offers specialized treatment programs for certain individuals to be able to connect with staff and peers who understand their unique challenges. These specialized programs include Veterans services, programs for first responders, services for members of the LGBTQ+ community, young adult programs, and more.

Diversity, Equity, and Inclusion Standards at American Addiction Centers

Rehab Admissions Process

The Legal Consequences of Alcohol Misuse

<h2>Physical Effects &amp; Dangers of Alcohol</h2>
Alcohol abuse, also known as alcohol misuse, occurs when a person consumes alcohol inappropriately or in ways that cause harm to themselves and the people around them. For example, blacking out, binge drinking, drinking too frequently, or using alcohol as a negative coping mechanism are examples of alcohol misuse which can contribute to several health-related issues. In fact, it's been linked to over 200 diseases and <a href="https://americanaddictioncenters.org/alcoholism-treatment/health-issues" target="_blank" rel="noopener">health issues</a>, including:1-3

[columns count="2"]
<ul>
 	<li>High blood pressure.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/alcoholic-gastritis">Gastritis, or inflammation of the stomach</a>.</li>
 	<li>Heart disease.</li>
 	<li>Liver disease (hepatitis, cirrhosis, <a href="https://americanaddictioncenters.org/alcoholism-treatment/alcoholic-fatty-liver">fatty liver</a>, liver cancer)</li>
 	<li>Pancreatitis (infection and inflammation of the pancreas).</li>
 	<li>Stomach ulcers.</li>
 	<li>Mouth cancer.</li>
 	<li>Depression.</li>
 	<li>Immune system dysfunction, which makes individuals vulnerable to infections.</li>
 	<li>Stroke.</li>
 	<li>Colon cancer.</li>
 	<li>Breast cancer.</li>
 	<li>Dementia.</li>
 	<li>Osteoporosis.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/symptoms-of-fetal-alcohol-syndrome-a-guide-for-pregnant-mothers" target="_blank" rel="noopener">Fetal alcohol syndrome</a>.</li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment" target="_blank" rel="noopener">Alcohol use disorder</a>.</li>
</ul>
[/columns]

Even small amounts of alcohol can cause:1
<ul>
 	<li>Memory loss.</li>
 	<li>Slurred speech.</li>
 	<li>Balance problems.</li>
 	<li>Slowed reaction times.</li>
 	<li>Blurred vision.</li>
 	<li>Poor night's sleep.</li>
 	<li>Lowered inhibitions.</li>
</ul>
[quote]
Drinking too much also increases the risk of suicide, unintended pregnancy, sexually-transmitted diseases, and other negative health outcomes.
[/quote]

<a name="Understanding the Phases of Intoxication"></a>
<h2>Blood Alcohol Concentration (BAC): Phases of Intoxication</h2>
While the full visible effects of alcohol might take some time to surface after an individual consumes alcohol, alcohol begins to impair thinking, reasoning, and muscle coordination quickly. That's because alcohol is absorbed from the stomach and small intestine into the bloodstream, where it accumulates until it's metabolized by the liver.4 The rate of absorption depends on several factors, including the amount, concentration, and type of alcohol consumed, the presence of food, the rate of gastric emptying (food moving from stomach to small intestine), gastrointestinal motility (the rate at which food moves from the mouth, through the digestive tract, and out of the body), and blood flow.5

Blood alcohol concentration (BAC) is a measurement of the percentage of alcohol in the bloodstream at a given time.6 For instance, if an individual has a BAC of 0.10%, it means their blood contains one part alcohol for every 1,000 parts blood. Therefore, it's an individual's BAC, not the exact amount of alcohol they've consumed, that determines the effects the alcohol will have on them.

The following is an overview of the somewhat predictable stages of alcohol intoxication, illustrated by BAC levels, through which an individual may pass as they continue to drink.7
<ul>
 	<li>0.020-0.099%: At this stage, individuals usually experience pleasurable effects but typically experience some loss of muscle coordination. There might be changes in mood, personality, and behavior. Inhibitions have likely lessened at this point. Individuals usually believe they are functioning better than they are, which can lead them to operate a vehicle. A BAC of 0.08% is considered the legal limit to operate a motorized vehicle in all 50 states. In other words, if your BAC is equal to or greater than .08%, then you are over the legal limit to drive and will get a DUI if you are pulled over.</li>
 	<li>0.100-0.199%: The euphoric effects of alcohol will likely still be felt. Neurological impairment prolongs reaction times; impairs coordination, balance, and speech; and causes poor judgment.</li>
 	<li>0.20-0.299%: At this point, intoxication is obvious except in individuals with marked tolerance. For those without a very high tolerance, all mental, sensory, and physical capabilities become impaired. The individual may begin to feel nauseous; vomit; and exhibit significant lack of coordination, balance, and speech.</li>
 	<li>0.300-0.399%: Life-threatening conditions, such as hypothermia, severe dysarthria (muscles used to produce speech are damaged, paralyzed, or weakened from brain damage), amnesia (lack of memory), and stage 1 anesthesia (consciousness begins to slip) happen when the BAC reaches this level.</li>
 	<li>0.400-0.599%: The onset of alcoholic coma begins—the precise level depends on the individual's degree of tolerance. Consciousness progressively reduces, and breathing, blood pressure, and body temperature decrease. In addition, individuals with this BAC level typically experience urinary incontinence or retention, and nearly or completely absent reflexes.</li>
 	<li>0.600-0.800% and above: This stage is often fatal because of a loss of airway due to obstruction by a paralyzed tongue, inhaling vomit through the windpipe and into the lungs, or the individual stops breathing.</li>
</ul>
Although BAC is a conclusive measure of the amount of alcohol in one's body, it can be difficult to put into everyday language what this level means. To help clarify, consider how the BAC translates into the following (estimated) number of drinks for a 160-pound male:8
<ul>
 	<li>A BAC of 0.02% equals approximately 2 alcoholic drinks.</li>
 	<li>Three alcoholic beverages would raise his BAC to 0.05%.</li>
 	<li>Four alcoholic drinks would increase his BAC to 0.08% and result in a <a href="https://americanaddictioncenters.org/alcoholism-treatment/dui">DUI</a>, DUII, or DWI in all 50 states if he got behind the wheel of a car.</li>
 	<li>His BAC goes up to 0.10% when he consumes 5 drinks.</li>
 	<li>And he is at approximately a BAC of 0.15% after 7 alcoholic drinks.</li>
</ul>
<h2>What Is An Alcohol Use Disorder?</h2>
Researchers, psychiatrists, medical clinicians, therapists, and other addiction professionals rely on the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM V) to diagnose mental health disorders. Alcohol misuse (alcohol abuse) can potentially develop into an alcohol use disorder (AUD).  Alcohol use disorder is a medical condition that is defined by the inability to control alcohol consumption despite harmful consequences. In other words, an alcohol use disorder occurs when an individual compulsively misuses alcohol and continues abusing alcohol despite knowing the negative impact it has on their life.

The term “alcoholism”, although commonly still used in everyday language is considered outdated by addiction and health professionals because it carries a negative stigma and bias. . Medical understanding of problematic alcohol consumption has progressed considerably. Today, clinicians understand that the condition is a mental health disorder and treat it as they would diabetes or high blood pressure.

AUD is a diagnosable medical condition that requires a person to meet at least 2 of the 11 DSM criteria. If 2-3 factors are present, the person is considered to have a mild-grade AUD. If 4-5 factors are present, the disorder is graded moderate. If six or more symptoms manifest, the individual is deemed to have a severe AUD. The following is a selected sample of the criteria used in DSM-5 for AUD. In the past year, have you:9
<ol>
 	<li>Had such a strong desire to drink that it was difficult to think about anything else?</li>
 	<li>Continued to use alcohol despite being aware that you were at risk for  depression, anxiety, medical complications, blackouts or risky decision making?</li>
 	<li>Found that on more than one occasion binge drinking has caused exposure to a dangerous activity, such as driving, swimming, operating machinery, or having unprotected sex?</li>
 	<li>Realized that you drink more alcohol than you used to in order to achieve the same desired intoxicated feeling; this is also known as developing an increased tolerance.</li>
</ol>
Individuals who are concerned that they may have signs and symptoms associated with an AUD should consider contacting a qualified clinician, therapist, or other addiction specialist so they can make a formal diagnosis and start treatment recommendations. It is important to keep in mind that alcohol use disorder can be treated with effective <a href="https://americanaddictioncenters.org/alcohol-rehab">alcohol rehab services</a>. A diagnosis is an important first step in recovery.
<h2>Binge Drinking Effects</h2>
A person who <a href="https://americanaddictioncenters.org/alcoholism-treatment/binge-drinking-problem">binge drinks or drinks heavily</a> may or may not have an AUD. According to the Centers for Disease Control and Prevention, binge drinking is defined as excessive drinking—bringing an individual's BAC to 0.08% or higher—in a confined period. This typically happens when men consume 5 or more drinks in 2 hours, and women drink 4 or more alcoholic beverages in the same time frame. Unfortunately, binge drinking is the most common form of excessive alcohol use in the United States.10 In fact, 44.4% of current alcohol users were classified as binge drinkers, according to the 2020 National Survey on Drug Use and Health.11 Binge drinking has serious short-term and long-term effects.
<h3>Short-Term Effects of Binge Drinking</h3>
Short-term effects can happen whether an individual regularly participates in binge drinking or does it once. Some of the short-term effects of binge drinking alcohol include:12
<ul>
 	<li>Decreased motor coordination leading to injuries, such as falls, drownings, burns, and car crashes.</li>
 	<li>Nausea or vomiting.</li>
 	<li>Violence, including sexual assault, domestic abuse, and suicide.</li>
 	<li>Clouded judgement, which may lead to risky sexual behaviors, such as having unprotected sex.</li>
 	<li>Miscarriage or stillbirth among pregnant women.</li>
 	<li>Blackouts.</li>
 	<li>Alcohol poisoning.</li>
</ul>
As BAC increases so do the risks. Binge drinking produces such dramatic increases in BAC that a person can suffer alcohol poisoning, a serious—and sometimes deadly—consequence of drinking high volumes of alcohol in a short period of time even after they stop consuming alcohol. The <a href="https://americanaddictioncenters.org/alcoholism-treatment/overdose">symptoms associated with alcohol poisoning</a> may include:12
<ul>
 	<li>Irregular breathing (slowed breathing or shallow breathing).</li>
 	<li>Low body temperature leading to paleness or bluish skin color.</li>
 	<li>Seizures.</li>
 	<li>Difficulty staying alert and awake; loss of consciousness.</li>
 	<li>Vomiting.</li>
 	<li>Slow heart rate.</li>
 	<li>Clammy to the touch.</li>
 	<li>Dulled or nonexistent reflexes.</li>
</ul>
Seek medical attention immediately. Do not wait for symptoms to progress. Someone who is passed out can die from alcohol overdose.12
<h3>Long-Term Effects of Binge Drinking</h3>
For individuals who binge drink repeatedly, the repeated behavior can cause long-term, negative health effects. The following are some long-term side effects associated with repeated binge drinking:10,13-15
<ul>
 	<li>Alcohol use disorder.</li>
 	<li>Brain damage. Unfortunately, if individuals consume a heavy volume of alcohol over an extended period of time, they may cause <a href="https://americanaddictioncenters.org/alcoholism-treatment/brain-damage" target="_blank" rel="noopener">structural changes in the brain</a>, especially the complexes associated with learning and decision-making. Damage may range from memory lapses to debilitating conditions. In the adolescent brain, studies show that binge drinking and heavy alcohol use affects learning, attention, executive functioning, impulsivity, memory, depth perception, and spatial navigation—issues that may persist into adulthood.</li>
 	<li>Liver damage. It is well established that alcohol damages the liver and disrupts its healthy functioning and ability to repair itself. Some individuals may develop alcohol-induced liver damage as a result of chronic drinking or binge drinking.</li>
 	<li>Cardiovascular disease. Over time, individuals who binge drink may develop high blood pressure and/or suffer a heart attack or stroke.</li>
 	<li>Fetal alcohol spectrum disorders. Repeated episodes of binge drinking among pregnant women can lead to birth defects and other problems in the fetus.</li>
 	<li>Cancer. Heavy alcohol consumption has been linked to breast, mouth, throat, esophagus, colon, and liver cancers.</li>
</ul>
[segment-cta]
<h2>Take Our Alcohol Abuse Self-Assessment</h2>
Take our free, 5-minute alcohol abuse self-assessment below if you think you or someone you love might be struggling with alcohol abuse. The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of an alcohol use disorder. The test is free, confidential, and no personal information is needed to receive the result.

[self-assessment substance="alcohol"]

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/loving-an-addict" target="_blank" rel="noopener">How to Cope With Loving an Addict</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/how-to-talk" target="_blank" rel="noopener">How to Talk to an Addict You Love</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/the-functioning-addict" target="_blank" rel="noopener">Signs of a High Functioning Alcoholic</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcoholism-treatment/inpatient" target="_blank" rel="noopener">Inpatient Alcohol Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/alcohol-rehab/insurance-coverage" target="_blank" rel="noopener">Does Alcohol Rehab Take Insurance?</a></li>
 	<li><a href="https://americanaddictioncenters.org/drug-detox/same-day-admittance" target="_blank" rel="noopener">Same Day Drug Detox</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Long Term Rehab Centers</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">Guide to Overcoming Addiction</a></li>
</ul>
[/link-bank]
<h3>Sources</h3>
<ol>
 	<li>Centers for Disease Control and Prevention. (2021). <a href="https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm" target="_blank" rel="noopener">Alcohol Use and Your Health</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://pubs.niaaa.nih.gov/publications/10report/chap04b.pdf">Alcohol and the Immune System</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://pubs.niaaa.nih.gov/publications/arh26-4/292-298.htm" target="_blank" rel="noopener">Alcohol and Other Factors Affecting Osteoporosis Risk in Women</a>.</li>
 	<li>Centers for Disease Control and Prevention. <a href="https://www.cdc.gov/alcohol/faqs.htm" target="_blank" rel="noopener">About Alcohol</a>.</li>
 	<li>Perry, Paul J., Doroudgar, Shadi, and Van Dyke, Priuscilla. (2017). <a href="http://jaapl.org/content/45/4/429" target="_blank" rel="noopener">Ethanol Forensic Toxicology</a>. The Journal of the American Academy of Psychiatry and the Law, 45(4), 429-438.</li>
 	<li>World Health Organization. <a href="https://www.who.int/data/gho/indicator-metadata-registry/imr-details/1407" target="_blank" rel="noopener">The Global Health Observatory: Blood alcohol concentration (BAC) limit when driving a vehicle</a>. </li>
 	<li>Miller, S. C., Fiellin, D. A., Rosenthal, R. N., &amp; Saitz, R. (2019). The ASAM Principles of Addiction Medicine, Sixth Edition. Philadelphia: Wolters Kluwer.</li>
 	<li>Centers for Disease Control and Prevention. (2018). <a href="https://www.cdc.gov/transportationsafety/impaired_driving/impaired-drv_factsheet.html" target="_blank" rel="noopener">Transportation Safety Impaired Driving: Get the Facts</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2021). <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/alcohol-use-disorder-comparison-between-dsm" target="_blank" rel="noopener">Alcohol Use Disorder: A Comparison Between DSM-IV and DSM-5</a>.</li>
 	<li>Centers for Disease Control and Prevention. (2019). <a href="https://www.cdc.gov/alcohol/fact-sheets/binge-drinking.htm" target="_blank" rel="noopener">Alcohol and Public Health: Binge Drinking</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. <a href="https://www.samhsa.gov/data/release/2020-national-survey-drug-use-and-health-nsduh-releases" target="_blank" rel="noopener">2020 National Survey of Drug Use and Health</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-dangers-of-alcohol-overdose" target="_blank" rel="noopener">Understanding the Dangers of Alcohol Overdose</a>.</li>
 	<li>National Institute on Alcohol Abuse and Alcoholism. (2004). <a href="https://pubs.niaaa.nih.gov/publications/aa63/aa63.htm" target="_blank" rel="noopener">Alcohol Alert: Alcohol’s Damaging Effects on the Brain.</a></li>
 	<li>Lees, Briana, Meredith, Lindsay R., Kirkland, Anna E., Bryant, Brittany E., and Squeglia, Lindsay M. (2020). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7183385/" target="_blank" rel="noopener">Effect of alcohol use on the adolescent brain and behavior</a>. Pharmacology, Biochemistry, and Behavior. </li>
 	<li>Shield, Kevin D., M.H.Sc., Perry, Charles, Ph.D, and Rehm, Jürgen, Ph.D. (2013). <a href="https://pubs.niaaa.nih.gov/publications/arcr352/155-173.htm" target="_blank" rel="noopener">Focus On: Chronic Diseases and Conditions Related to Alcohol Use</a>. Alcohol Research: Current Reviews, 35(2), 155-173.</li>
</ol>

Physical Effects of Alcohol and Risk of Disease

Benzodiazepine Addiction: How to Stop Benzodiazepines

[content-overview]

<a href="https://americanaddictioncenters.org/benzodiazepine" target="_blank" rel="noopener">Benzodiazepines</a>, often referred to as benzos, are central nervous system (CNS) depressants primarily prescribed for the treatment of specific anxiety disorders such as, panic disorder as well as sleep disorders. Additionally, healthcare professionals use benzodiazepines to treat seizure disorders, alcohol withdrawal, involuntary muscle disorders, and presurgical sedation.1,2[/content-overview]

Benzodiazepines are widely prescribed in the United States.2 In fact, Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), and Ativan (lorazepam)—all benzodiazepines—are among the top 100 most commonly prescribed medications.2

While considered to be effective, benzodiazepines carry some notable side effects, including the development of tolerance and dependence, which can occur even when benzodiazepines are taken at therapeutic doses.3

Keep reading to understand how benzodiazepines work, the short- and long-term effects of use, and how to get help if you or a loved one struggle with benzodiazepine misuse and addiction.
<h2>How Do Benzodiazepines Work?</h2>
Benzodiazepines exert calming effects by manipulating the body’s primary inhibitory neurotransmitter in the CNS, gamma-aminobutyric acid, or GABA.4 Benzodiazepines facilitate the binding of GABA at receptors throughout the brain and spinal cord, causing an overly excited central nervous system to calm down; promoting feelings of relaxation.4

With repeated use, over time, this neuroadaptive process can build tolerance, which can take two forms: An individual requires more benzodiazepines to achieve the same desired effect or there is a markedly diminished effect with continued use of the same amount of benzos.1,5 Tolerance can be a contributing factor to developing a physiological dependence to benzodiazepines.1 

Dependence on a drug occurs when a person’s body physically adapts to the drug to the extent that it is needed to function normally. In the absence of the drug, withdrawal symptoms appear.1,3,6 With significant levels of physiological dependence, a person may continue to compulsively use benzodiazepines to avoid the unwanted withdrawal symptoms, which in the case of benzos, can be uncomfortable but also potentially dangerous and life-threatening.1,3

Seizures are of particular concern with benzodiazepine withdrawal.1 

<img src="/wp-content/uploads/2015/09/bigstock-Pills-In-Pill-Bottle-On-White-91011863-250x167.jpg" alt="Pills In Pill Bottle On White Background" width="250" height="167" align="right" />
<h3>Benzodiazepine Misuse</h3>
The Drug Enforcement Administration classifies benzodiazepines as Schedule IV substances, which means there is a lower potential for misuse than drugs in Schedules I-III.7 However, in 2019, the U.S. Food and Drug Administration (FDA) included a boxed warning—its most prominent warning—on all benzodiazepines, cautioning prescribers and patients about the potential for misuse and addiction, even when benzodiazepines are taken at the recommended therapeutic dose.8 And in 2020, 4.8 million people aged 12 and older misused benzodiazepines in the past year.9

Misuse of benzodiazepines includes: 4,10
<ul>
 	<li>Taking more of the benzodiazepine than was prescribed.</li>
 	<li>Buying benzodiazepines illicitly after a prescription runs out.</li>
 	<li>Taking them in a manner other than was prescribed, such as crushing the pills and snorting them through the nose.</li>
 	<li>Taking them with other medications, illicit drugs, or alcohol. For instance, individuals may combine benzodiazepines and opioids to enhance the euphoric effects of each. On the other hand, benzos may be used to self-manage the feelings of irritability and agitation or alleviate sleeplessness induced by cocaine or other stimulant drugs.</li>
</ul>
<h2>Benzodiazepine Side Effects</h2>
Benzodiazepines are generally safe when taken as prescribed for short periods of time—no more than a few weeks.1,3 While all benzos affect the brain similarly (as mentioned above), the side effects may differ, impacted by the type of benzo taken, the dose, and the duration of use.1,3

[callout]

The most common effects of benzodiazepine use include drowsiness, fatigue, and lethargy.11 At higher doses, benzodiazepines can cause other effects, including:11,12
<ul>
 	<li>Slurred speech.</li>
 	<li>Confusion.</li>
 	<li>Dizziness and disorientation.</li>
 	<li>Decreased motor coordination.</li>
 	<li>Problems with memory.</li>
 	<li>Poor concentration.</li>
 	<li>Decreased blood pressure.</li>
 	<li>Slowed breathing.</li>
</ul>
[/callout]

<a href="https://americanaddictioncenters.org/benzodiazepine/mixing" target="_blank" rel="noopener">Combining benzodiazepines with other substances</a>, including other CNS depressants, such as opioids and alcohol can further slow heart rate and breathing.13
<h2>Effects of Long-Term Benzodiazepine Use</h2>
Benzodiazepines produce almost immediate effects; therefore, they are typically prescribed for short-term or “as-needed” use.3 Individuals who take benzodiazepines may develop tolerance, though the rate depends on the type of benzo taken and duration of use. With long-term, high-dose use, benzodiazepines also become less effective.3

[callout]

Other side effects of long-term benzodiazepine use may include:3,14,15
<ul>
 	<li>Tolerance.</li>
 	<li>Dependence.</li>
 	<li>Addiction.</li>
 	<li>Cognitive impairment.</li>
 	<li>Cognitive decline.</li>
 	<li>Dementia, especially in older adults.</li>
</ul>
[/callout]

Additionally, there is an increased risk of <a href="https://americanaddictioncenters.org/benzodiazepine/overdose" target="_blank" rel="noopener">overdose</a> if individuals use benzodiazepines with other sedative drugs, such as opioids and alcohol.14
<h2>Benzodiazepine Overdose</h2>
Deaths resulting from a benzodiazepine overdose alone are rare. Severe overdose and/or fatal overdose is more likely to occur with the concomitant use of benzodiazepines and other substances, particularly, other CNS depressants like alcohol and opioids.16

According to the Centers for Disease Control and Prevention (CDC), which published a data set on benzodiazepine-involved overdose rates in 38 states and the District of Columbia, of the 41,496 overdose deaths reported by 23 states from January to June 2022, 16.8% involved benzodiazepines, while 91% involved both benzodiazepines and opioids.16
<h2>Benzodiazepine Dependence and Withdrawal</h2>
As previously mentioned, dependence can occur even when benzodiazepines are taken as prescribed. Thus, <a href="https://americanaddictioncenters.org/benzodiazepine/how-to-stop" target="_blank" rel="noopener">abruptly stopping or trying to cut back</a> use after developing a physiological dependence to the drug can result in unpleasant, potentially dangerous, and even life-threatening <a href="https://americanaddictioncenters.org/benzodiazepine/symptoms-and-signs" target="_blank" rel="noopener">withdrawal symptoms</a>, which may include:1,3,17
<ul>
 	<li>Anxiety.</li>
 	<li>Agitation.</li>
 	<li>Increased heart rate.</li>
 	<li>Elevated blood pressure.</li>
 	<li>Hand tremors.</li>
 	<li>Insomnia.</li>
 	<li>Nausea or vomiting.</li>
 	<li>Fleeting visual, auditory, and tactile hallucinations or illusions.</li>
 	<li>Seizures.</li>
</ul>
Several factors impact the severity and <a href="https://americanaddictioncenters.org/benzodiazepine/length-of-withdrawal" target="_blank" rel="noopener">duration of withdrawal symptoms</a>.4,18 For a small portion of individuals, who use benzodiazepines long term, prolonged withdrawal—which can last for weeks, months, even up to a year—can occur after they discontinue use.18
<h2>Benzodiazepine Addiction Treatment</h2>
If you or a loved one struggles with benzodiazepine misuse or addiction, help is available. Treatment can aid you in stopping the use of benzodiazepines—and other substances—and allow you to regain control of your life.

Stopping the use of benzodiazepines abruptly (or on your own) is not recommended. If you’re ready to stop, talk to your healthcare provider. You may benefit from <a href="https://americanaddictioncenters.org/drug-detox">medical detox</a> since withdrawal from benzodiazepines can be uncomfortable and, in some cases, life-threatening.17,20 Medically managed detoxification allows your body to rid itself of the substances safely and as comfortably as possible. However, detox alone is typically not sufficient to help someone maintain lasting recovery; it’s usually the first step in a more comprehensive treatment plan.21

The subsequent treatment depends on your individual needs but may include a combination of individual and group counseling, behavioral therapies, psychoeducation, medication,<a href="https://americanaddictioncenters.org/co-occurring-disorders"> co-occurring disorder treatment</a>, polysubstance addiction treatment, continuing care, and more. It may take place in either an <a href="https://americanaddictioncenters.org/rehab-guide/inpatient">inpatient</a> or <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">outpatient</a> setting.20 

To understand your treatment options, you can contact your primary care physician or mental healthcare provider. You can also call American Addiction Centers [phone]

AAC is a leading provider in evidence-based treatment. Talk to one of our compassionate Admissions Navigators who can answer your questions, verify your insurance, and explain your treatment options.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine/length-of-withdrawal" target="_blank" rel="noopener">How Long Does Benzo Withdrawal Last?</a></li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine/dangers-of-withdrawal" target="_blank" rel="noopener">Dangers of Benzo Withdrawal</a></li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine/symptoms-and-signs" target="_blank" rel="noopener">Signs of Benzo Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine/how-long-in-system" target="_blank" rel="noopener">How Long Do Benzos Stay In the Body?</a></li>
 	<li><a href="https://americanaddictioncenters.org/benzodiazepine/how-to-stop" target="_blank" rel="noopener">How to Quit Benzo Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/using-medicaid-to-pay-for-rehab" target="_blank" rel="noopener">Medicaid Insurance</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/medicare" target="_blank" rel="noopener">Medicare Insurance</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Couples Rehab Near Me</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Christian &amp; Faith Based Rehab Near Me</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/residential" target="_blank" rel="noopener">Residential Rehab</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Edinoff, A.N., Nix, C.A., Hollier, J., Sagrera, C.E., Delacroix, B.M., Abubakar, T., ..., &amp; Kaye, A.D. (2021, November 10). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629021/" target="_blank" rel="noopener">Benzodiazepines: Uses, dangers, and clinical considerations</a>. Neurol Int. 13(4):594-607.</li>
 	<li>Mehdi, T. (2012, March). <a href="https://www.bjmp.org/files/2012-5-1/bjmp-2012-5-1-a501.pdf" target="_blank" rel="noopener">Benzodiazepines revisited</a>. British Journal of Medical Practitioners5(1), 501-509.</li>
 	<li>Longo, L.P. &amp; Johnson, B. (2000). <a href="https://www.aafp.org/pubs/afp/issues/2000/0401/p2121.html" target="_blank" rel="noopener">Addiction: Part I. Benzodiazepines - Side effects, abuse risk and alternatives</a>. American Fam Physician 61(7), 2121-2128</li>
 	<li>Drug Enforcement Administration. (2019, December). <a href="https://www.deadiversion.usdoj.gov/drug_chem_info/benzo.pdf" target="_blank" rel="noopener">Benzodiazepines</a>.</li>
 	<li>Schmitz, A. (2016, May). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007645/" target="_blank" rel="noopener">Benzodiazepine use, misuse and abuse: A review.</a> The Mental Health Clinician 6(3), 120-126.</li>
 	<li>Preuss, C.V., Kalava, A., &amp; King, K.C. (2022, September 21). <a href="https://www.ncbi.nlm.nih.gov/books/NBK537318/" target="_blank" rel="noopener">Prescription of controlled substances: benefits and risks</a>. Treasure Island, FL: StatPearls Publishing.</li>
 	<li>Drug Enforcement Administration. (n.d.). <a href="https://www.dea.gov/drug-information/drug-scheduling" target="_blank" rel="noopener">Drug Scheduling</a>.</li>
 	<li>U.S. Food and Drug Administration. (2020, September 23). <a href="https://www.fda.gov/media/142368/download" target="_blank" rel="noopener">FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class: Includes potential for abuse, addiction, and other serious risks</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021, October). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf" target="_blank" rel="noopener">Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health</a>. </li>
 	<li>National Institute on Drug Abuse. (2022, May 10). <a href="https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/overview#:~:text=Misuse%20of%20prescription%20drugs%20means,i.e.%2C%20to%20get%20high)." target="_blank" rel="noopener">Misuse of prescription drugs research report: overview</a>.</li>
 	<li>Griffin C.E., Kaye, A.M., Bueno F.R., &amp; Kaye, A.D. (2013). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684331/" target="_blank" rel="noopener">Benzodiazepine pharmacology and central nervous system-mediated effects</a>. Ochsner J.13(2), 214-223.</li>
 	<li>National Institute on Drug Abuse. (2020, August). <a href="https://nida.nih.gov/download/2918/commonly-used-drugs-charts.pdf?v=297a7d6c889a22228d2e4ab83541d494" target="_blank" rel="noopener">Commonly used drugs charts</a>.</li>
 	<li>U.S. Food and Drug Administration. (2017, September 20). <a href="https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-warns-about-serious-risks-and-death-when-combining-opioid-pain-or#:~:text=Concomitant%20use%20of%20opioid%20pain,coma%2C%20and%2For%20death." target="_blank" rel="noopener">FDA Drug Safety Communication: FDA warns about serious risks and death when combining opioid pain and or cough medicines with benzodiazepines; requires its strongest warning</a>. </li>
 	<li>Johnson, B. &amp; Streltzer, J. (2013, August 15). <a href="https://www.aafp.org/pubs/afp/issues/2013/0815/p224.html" target="_blank" rel="noopener">Risks associated with long-term benzodiazepine use</a>. American Fam Physician 88(4), 224-225.</li>
 	<li>He, Q., Chen, X., Wu, T., Li, Liyuan, Fei, X. (2019). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325366/#__ffn_sectitle" target="_blank" rel="noopener">Risk of Dementia in Long-Term Benzodiazepine Users: Evidence from a Meta-Analysis of Observational Studies</a>. J Clin Neurol, 15(1): 9-19.</li>
 	<li>Liu, S., O’Donnell, J., Gladden, R.M., McGlone, L., &amp; Chowdhury, F. (2021, August 27). <a href="https://www.cdc.gov/mmwr/volumes/70/wr/mm7034a2.htm" target="_blank" rel="noopener">Trends in nonfatal and fatal overdoses involving benzodiazepines — 38 states and the District of Columbia, 2019–2020</a>. Morbidity and Mortality Weekly Report70(34), 1136–1141.</li>
 	<li>National Institute on Drug Abuse. (2018, March). <a href="https://nida.nih.gov/download/22002/prescription-cns-depressants-drugfacts.pdf?v=5a1c8a6d418d387bcfc3ec055a9c3291" target="_blank" rel="noopener">Prescription CNS depressants DrugFacts</a>.</li>
 	<li>Brett, J. &amp; Murnion, B. (2015, October). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4657308/" target="_blank" rel="noopener">Management of benzodiazepine misuse and dependence</a>. Australian Prescriber38,(5), 152-155.</li>
 	<li>Liebrenz, M., Gehring, MT., Buadze, A. et al.(2015). <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-015-0493-y" target="_blank" rel="noopener">High-dose benzodiazepine dependence: a qualitative study of patients’ perception on cessation and withdrawal</a>. BMC Psychiatry15, 116.</li>
 	<li>National Institute on Drug Abuse. (2020, June). <a href="https://nida.nih.gov/download/37630/misuse-prescription-drugs-research-report.pdf?v=add4ee202a1d1f88f8e1fdd2bb83a5ef" target="_blank" rel="noopener">Misuse of prescription drugs research report</a>.</li>
 	<li>National Institute on Drug Abuse. (2019, January). <a href="https://nida.nih.gov/download/1136/treatment-approaches-drug-addiction-drugfacts.pdf?v=5fa0687e4e3a8d98d73b91e518979b9d" target="_blank" rel="noopener">Treatment approaches for drug addiction DrugFacts</a>.</li>
</ol>
[/sources]

Side Effects of Benzodiazepine Use and Addiction

[content-overview]Xanax belongs to the <a href="https://americanaddictioncenters.org/benzodiazepine" target="_blank" rel="noopener">benzodiazepine</a> class of drugs.1 It’s the most prescribed benzodiazepine in the United States.2 Unfortunately, it is also often misused, which puts people at greater risk of dangerous <a href="https://americanaddictioncenters.org/xanax-treatment/long-term-severe" target="_blank" rel="noopener">side effects</a>.1

This article explores Xanax, its uses, its potentially dangerous effects, including addiction, and treatment for individuals who struggle with Xanax misuse or addiction.[/content-overview]
<h2>What is Xanax?</h2>
Xanax, the brand name for alprazolam, is a central nervous system (CNS) depressant that, like other benzodiazepines, works to calm an otherwise overexcited nervous system.1,3

Xanax is federally classified as a Schedule IV drug under the Controlled Substances Act, which means there is a recognized risk for misuse and dependence.1

It is legally distributed with a prescription from a licensed healthcare professional as oral tablets, imprinted with “Xanax”, which come in different colors and strengths.3 Unfortunately, Xanax is also one of the top three prescriptions diverted and sold on the street, as well as appearing as counterfeit pills that aren’t necessarily even alprazolam, according to the Drug Enforcement Administration (DEA).1
[cta button="Learn More and verify Your Insurance with AAC" link="/insurance-coverage"]AAC is in-network with many insurance companies. Your addiction treatment could be free depending on your policy and deductible.[/cta]
[segment-cta type="value-prop"]
<h3>What is Xanax Used For?</h3>
The Food and Drug Administration (FDA) approved Xanax for the short-term treatment of generalized anxiety disorders and panic disorder.3 Off label, Xanax may be prescribed to treat insomnia and depression.4

It is the most commonly prescribed benzodiazepine. In fact, in 2019, U.S. outpatient pharmacies dispensed approximately 92 million prescriptions for benzodiazepines, 38% of those were prescriptions for alprazolam.5 In 2020, more than 3.4 million individuals aged 12 and older misused alprazolam. 6

Misuse of Xanax includes taking it in higher doses or in a manner other than that which was prescribed, taking someone else’s Xanax prescription, or taking it for the effects it produces—such as lowered inhibitions, euphoria, or to modulate the effects of other substances.1,7
<h2>Is Xanax Addictive?</h2>
As previously mentioned, Xanax carries the potential for misuse and dependence. Xanax also has the potential to become addictive, especially for individuals with a personal or family history of substance misuse or substance use disorder.2,3

In 2020, an estimated 1.2 million Americans aged 12 and older met the criteria for a sedative, hypnotic or anxiolytic use disorder, the clinical term used to describe an addiction to benzodiazepines like Xanax.8

[callout title="Other Benzodiazepines &amp; Related Drugs"]
<ul>
 	<li><a href="/klonopin-treatment" target="_blank" rel="noopener">Klonopin</a></li>
 	<li><a href="/ativan-treatment" target="_blank" rel="noopener">Ativan</a></li>
 	<li><a href="/valium-treatment" target="_blank" rel="noopener">Valium</a></li>
 	<li><a href="/ambien-treatment" target="_blank" rel="noopener">Ambien</a></li>
 	<li><a href="/halcion-addiction" target="_blank" rel="noopener">Halcion</a></li>
 	<li><a href="/lunesta-treatment" target="_blank" rel="noopener">Lunesta</a></li>
 	<li><a href="/phenibut" target="_blank" rel="noopener">Phenibut</a></li>
</ul>
[/callout]
<h3>Xanax Addiction Symptoms</h3>
When a person experiences problems with daily functioning as a result of compulsive use of Xanax or other benzodiazepines, it’s clinically referred to as a sedative, hypnotic, or anxiolytic use disorder in the Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5).9 To diagnose a sedative, hypnotic, or anxiolytic disorder, there are 11 criteria that clinicians use which are outlined in the DSM-5:9
<ul>
 	<li>Taking more of a sedative, hypnotic, or anxiolytic drug, like Xanax or other benzodiazepine, than intended, or for longer periods than intended.</li>
 	<li>Having a persistent desire to cut back or stop using Xanax but being unable to do so.</li>
 	<li>Spending an increasing amount of time obtaining, using, or recovering from Xanax use.</li>
 	<li>Experiencing cravings or intense urges to use Xanax.</li>
 	<li>Failing to fulfill responsibilities at home, school, or work due to recurrent Xanax use.</li>
 	<li>Continuing to use Xanax despite having persistent social or relational problems that are caused by or worsened by use.</li>
 	<li>Giving up previously important or meaningful activities or commitments due to Xanax use.</li>
 	<li>Repeatedly using Xanax in physically dangerous situations.</li>
 	<li>Continuing to use Xanax despite knowing that it causes or worsens ongoing physical or psychological problems.</li>
 	<li>Developing tolerance to Xanax, which means needing more of the drug to achieve the desired effect or the effect is greatly reduced when using the same dose.</li>
 	<li>Experiencing withdrawal symptoms when cutting back or trying to quit Xanax.</li>
</ul>
An individual who experiences 2 or more of these symptoms in a 12-month period meets the diagnostic criteria for a sedative, hypnotic, or anxiolytic use disorder.9
[video-popup src="https://www.youtube.com/watch?v=x-7sNPF0pKo"]
<h2>Xanax Withdrawal</h2>
Regular Xanax use can cause a person to develop a physiological dependence to it, wherein the body becomes so used to having the substance present that if use suddenly stops or drastically reduces, withdrawal symptoms can surface.3,10

Quitting Xanax can prove difficult—even dangerous—and avoiding these unpleasant withdrawal symptoms may contribute to an individual’s continued, compulsive use of Xanax.7,9

Xanax withdrawal symptoms can include:3
<ul>
 	<li>Heightened sensory perception.</li>
 	<li>Impaired concentration.</li>
 	<li>Changes to the sense of smell.</li>
 	<li>Inability to think clearly.</li>
 	<li>Tingling, burning, or prickling sensation in the hands, arms, legs, or feet.</li>
 	<li>Muscle cramps.</li>
 	<li>Muscle twitching.</li>
 	<li>Diarrhea.</li>
 	<li>Blurred vision.</li>
 	<li>Loss of appetite.</li>
 	<li>Weight loss.</li>
 	<li>Anxiety.</li>
 	<li>Insomnia.</li>
 	<li>Seizures.</li>
</ul>
Xanax dependence generally results in experiencing acute withdrawal symptoms within 6 to 8 hours of discontinuing use, peak at day 2, and last for 4-5 days.9 Certain symptoms of withdrawal, such as depression, anxiety, and insomnia, may persist beyond acute withdrawal for several weeks or months after discontinuing Xanax.
<h2>Xanax Overdose</h2>
Overdose on benzodiazepines alone, including Xanax, is rare but not impossible.12 Xanax overdose generally results in symptoms of oversedation and CNS depression, including:12
<ul>
 	<li>Slurred speech.</li>
 	<li>Loss of coordination.</li>
 	<li>Confusion or other changes in mental state.</li>
</ul>
Most benzodiazepine overdoses are not fatal. However, overdoses involving benzodiazepines taken concurrently or alongside other substances, particularly opioids, alcohol, and other CNS depressants, can result in severe respiratory depression that can lead to brain damage, coma, and death.13 In fact, according to data collected from 38 states and the District of Columbia by the Centers for Disease Control and Prevention (CDC) from January 2020-June 2020, 92.7% of deaths involving benzodiazepines also involved opioids.14 

Individuals who buy Xanax illicitly run the risk of unintentionally combining benzodiazepines and opioids since fake and adulterated Xanax have been increasingly found. In fact, the DEA found that 6 out of every 10 fake prescription pills contained fentanyl, a potent opioid, in 2022. An individual who purchases Xanax on the street, may take a pill they think is legitimate Xanax but is, in reality, laced with fentanyl, which can significantly increase the likelihood of a fatal overdose.15

An overdose is a medical emergency. If you suspect an overdose, call 911 immediately. If available, naloxone (Narcan) should be administered as soon as possible. Naloxone won’t reverse the effects of Xanax or other benzodiazepines, but it can reverse the respiratory depressing effects of opioids and won’t harm an individual who has not taken opioids.14
<h2>Xanax Treatment and Relapse Prevention</h2>
Effective Xanax addiction treatment typically involves a variety of interventions, and may include education, medications, counseling, and behavioral therapies. While treatment is tailored to the unique needs of the individual, components of treatment may include:11,16
<ul>
 	<li><a href="https://americanaddictioncenters.org/drug-detox">Medically managed detox</a>. As previously mentioned, due to the possibility of experiencing life-threatening withdrawal symptoms, you should never abruptly stop or significantly reduce your Xanax intake without medical guidance. A supervised medically managed detox can allow your body to rid itself of Xanax and other substances safely and comfortably under the watchful eyes of trained professionals. With supervised detox, medications may be used to taper off Xanax and help minimize withdrawal symptoms. It should be noted, however, that detox alone is rarely sufficient to sustain long-term recovery from substances in someone with a substance use disorder. Instead, detox is often considered a first step in a more comprehensive treatment plan that addresses the thoughts, emotions, and behaviors behind addiction, and arms people with skills and techniques to avoid triggers that might result in a return to drug use or a relapse of the disease.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient treatment. </a>Inpatient or residential treatment consists of 24/7 care in a hospital or residential facility. You usually participate in educational sessions, as well as individual and group counseling that uses behavioral therapies to help you get to the root of your addiction and learn coping strategies to assist you in identifying triggers, managing stressors, and preventing relapse.</li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">Outpatient treatment.</a> Outpatient programs vary in intensity and time commitment. Treatment is generally similar to what’s experienced in inpatient treatment but allows you to return home or to a sober living environment at the end of treatment each day.</li>
 	<li>Continued care. Sometimes referred to as aftercare, continued care can include continued counseling, group support (e.g., mutual-help groups), monitoring, and accountability to help you stay substance free after formal inpatient or outpatient treatment ends.</li>
</ul>
If you or a loved one struggle with Xanax use, help is available. Often, insurance companies provide partial or full coverage for mental health and substance use disorder services.

Call American Addiction Centers (AAC) at our confidential helpline [phone]

We can answer questions about insurance coverage, explain the admissions process, and help you understand your treatment options so you can stop the cycle of Xanax misuse and start your path to recovery.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/xanax-treatment/long-term-severe" target="_blank" rel="noopener">Long Term Effects of Xanax Use</a></li>
 	<li><a href="https://americanaddictioncenters.org/xanax-treatment/pregnancy" target="_blank" rel="noopener">Xanax &amp; Pregnancy</a></li>
 	<li><a href="https://americanaddictioncenters.org/xanax-treatment/dangers-cold-turkey" target="_blank" rel="noopener">Dangers of Quitting Xanax Cold Turkey</a></li>
 	<li><a href="https://americanaddictioncenters.org/xanax-treatment/how-addictive" target="_blank" rel="noopener">How Addictive is Xanax Really?</a></li>
 	<li><a href="https://americanaddictioncenters.org/xanax-treatment/depression" target="_blank" rel="noopener">Xanax &amp; Depression</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/couples" target="_blank" rel="noopener">Rehab for Couples</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/executive" target="_blank" rel="noopener">Rehab for Executives</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/free" target="_blank" rel="noopener">Free Rehabs</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Drug Enforcement Administration. (2019, December). <a href="https://www.deadiversion.usdoj.gov/drug_chem_info/benzo.pdf" target="_blank" rel="noopener">Benzodiazepines</a>.</li>
 	<li>Ait-Daoud, N., Hamby, A.S., Sharma, S., &amp; Blevins, D. (2018, March 12). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846112/" target="_blank" rel="noopener">A review of alprazolam use, misuse, and withdrawal.</a> Journal of Addiction Medicine, 12(1), 4-10.</li>
 	<li>U.S. Food and Drug Administration. (2021, February). <a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/018276s055lbl.pdf" target="_blank" rel="noopener">Xanax alprazolam tablets, USP</a>.</li>
 	<li>George, T.T. &amp; Tripp, J. (2022, May 1). <a href="https://www.ncbi.nlm.nih.gov/books/NBK538165/" target="_blank" rel="noopener">Alprazolam</a>. StatPearls Publishing.</li>
 	<li>U.S. Food and Drug Administration (2020, September 23). <a href="https://www.fda.gov/news-events/press-announcements/fda-requiring-labeling-changes-benzodiazepines" target="_blank" rel="noopener">FDA requiring labeling changes for benzodiazepines.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2022, January). <a href="https://www.samhsa.gov/data/report/2020-nsduh-detailed-tables" target="_blank" rel="noopener">Results from the 2020 National Survey on Drug Use and Health: Detailed Tables</a>.</li>
 	<li>National Insitute on Drug Abuse. (2018, March 6). <a href="https://nida.nih.gov/publications/drugfacts/prescription-cns-depressants" target="_blank" rel="noopener">Prescription CNS depressants drugfacts</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35319/2020NSDUHFFR1PDFW102121.pdf" target="_blank" rel="noopener">Key substance use and mental health indicators in the United States: Results from the 2020 National Survey on Drug Use and Health</a> (HHS Publication No. PEP21-07-01-003, NSDUH Series H-56). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.</li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edition).</li>
 	<li>National Institute on Drug Abuse. (2020, July 13). <a href="https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drug-misuse-addiction" target="_blank" rel="noopener">Drug misuse and addiction</a>.</li>
 	<li>Center for Substance Abuse Treatment. <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf" target="_blank" rel="noopener">Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45</a>. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment, 2006.</li>
 	<li>Kang, M., Galuska, M.A., Ghassemzadeh, S. (2022, June 27). <a href="https://www.ncbi.nlm.nih.gov/books/NBK482238/" target="_blank" rel="noopener">Benzodiazepine toxicity</a>. StatPearls Publishing.</li>
 	<li>Sarangi, A., McMahon, T., &amp; Gude, J. (2021). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294026/#:~:text=Over%20the%20past%20few%20decades,the%20years%201996%20and%202013" target="_blank" rel="noopener">Benzodiazepine misuse: an epidemic within a pandemic</a>. Cureus, 13(6), e15816.</li>
 	<li>Liu, S., O’Donnell, J., Gladden, R.M., McGlone, L., &amp; Chowdhury, F. (2021). <a href="https://www.cdc.gov/mmwr/volumes/70/wr/mm7034a2.htm#suggestedcitation" target="_blank" rel="noopener">Trends in nonfatal and fatal overdoses involving benzodiazepines—38 states and the District of Colombia, 2019-2020</a>. CDC MMWR Morbidity and Mortality Weekly Report, 70(34), 1136–1141.</li>
 	<li>U.S. Drug Enforcement Administration. (n.d.). <a href="https://www.dea.gov/onepill" target="_blank" rel="noopener">One pill can kill</a>.</li>
 	<li>National Institute on Drug Abuse. (2018, January). <a href="https://nida.nih.gov/sites/default/files/podat-3rdEd-508.pdf" target="_blank" rel="noopener">Principles of drug addiction treatment: a research-based guide (third edition).</a></li>
</ol>
[/sources]

Xanax Addiction: Signs, Effects, and Treatment

[content-overview]

Klonopin is a central nervous system (CNS) depressant medication.1 When used as prescribed, Klonopin can be helpful in the treatment of seizure and panic disorders.2 However, it also carries with it a risk of misuse, dependence, and addiction.2

[/content-overview]

This article explains Klonopin, how it works, what it is used for, its addiction potential, signs of misuse, symptoms of withdrawal, and details about available options for treatment.

[segment-cta type="value-prop"]
<h2>What Is Klonopin?</h2>
Klonopin, the brand name for clonazepam, is a relatively potent and long-acting <a href="https://americanaddictioncenters.org/benzodiazepine" target="_blank" rel="noopener">benzodiazepine</a>.2 The Drug Enforcement Administration (DEA) classifies clonazepam and other benzodiazepines as Schedule IV controlled substances, which means they have a lower potential for misuse than drugs in Schedules I, II, and III.3 
<h3>What Is Clonazepam Used For?</h3>
When taken as prescribed, clonazepam, an oral tablet, is approved by the U.S. Food and Drug Administration (FDA) to treat panic disorders and seizures.4 However, it may be prescribed off-label to treat other conditions, including acute mania, insomnia, and irregular and uncontrollable face and body movements (tardive dyskinesia).2
<h2>How Does Clonazepam Work?</h2>
Like other benzodiazepines, clonazepam works to inhibit excitation within the brain by interacting with and facilitating the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) at its receptors.2,4 Put more simply, clonazepam calms an otherwise overexcited nervous system, specifically resulting in anticonvulsant and anxiolytic (or anti-anxiety) effects.2

[callout title="Other Benzodiazepines &amp; Related Drugs"]
<ul>
 	<li><a href="/xanax-treatment" target="_blank" rel="noopener">Xanax</a></li>
 	<li><a href="/ativan-treatment" target="_blank" rel="noopener">Ativan</a></li>
 	<li><a href="/valium-treatment" target="_blank" rel="noopener">Valium</a></li>
 	<li><a href="/ambien-treatment" target="_blank" rel="noopener">Ambien</a></li>
 	<li><a href="/halcion-addiction" target="_blank" rel="noopener">Halcion</a></li>
 	<li><a href="/lunesta-treatment" target="_blank" rel="noopener">Lunesta</a></li>
 	<li><a href="/phenibut" target="_blank" rel="noopener">Phenibut</a></li>
</ul>
[/callout]
<h2>Is Clonazepam Addictive?</h2>
While the short-term, therapeutic use of clonazepam is generally considered safe and effective, clonazepam does have the potential for misuse and addiction. Individuals with a history of substance use disorder are at an increased risk for developing a clonazepam addiction.5,6

Additionally, misuse of clonazepam often occurs in conjunction with other substance use. For instance, individuals may use clonazepam (or other benzodiazepines) either to enhance the euphoric effects of opioids and alcohol or to reduce the unwanted <a href="https://americanaddictioncenters.org/klonopin-treatment/side-effects" target="_blank" rel="noopener">side effects</a> associated with stimulant use, such as insomnia.7 Engaging in polysubstance use (the concurrent use of multiple substances) increases the likelihood of adverse effects, overdose, and death.4

Longer-term and higher-dose clonazepam use also increases the risk of an individual developing a physical dependence—the body’s adaptation to having the drug present in the system.8 While dependence is not the same thing as addiction, physical dependence does have the potential to escalate the compulsive use of the substance, a characteristic of addiction.4
<h3>Signs of Clonazepam Misuse and Addiction</h3>
Clinicians use criteria listed in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to diagnose benzodiazepine addiction, or sedative use disorder.9 Some of the symptoms, according to this criteria, include:9
<ul>
 	<li>Using clonazepam in higher doses or for longer periods than they intended.</li>
 	<li>Expressing desire or making unsuccessful efforts to cut back or stop their clonazepam use.</li>
 	<li>Spending a lot of time and effort obtaining, using, or recovering from clonazepam.</li>
 	<li>Having a persistent and strong desire, craving, or urge to use clonazepam.</li>
 	<li>Recurring use leads to failure to fulfill responsibilities at school, home, and work.</li>
 	<li>Recurring use of clonazepam despite the ongoing negative impact it has on social interactions and interpersonal relationships.</li>
 	<li>Experiencing withdrawal when stopping or significantly reducing their use of clonazepam—though the presence of withdrawal symptoms does not meet the criteria when an individual takes clonazepam as prescribed.</li>
</ul>
As the loved one of an individual struggling with clonazepam use, it’s helpful to understand the above criteria, however, a formal diagnosis can only be made by a healthcare professional.9
<h2>Clonazepam Withdrawal</h2>
Individuals who become dependent on clonazepam may experience withdrawal symptoms when they suddenly stop or drastically reduce their use after a period of continuous use.9 As listed in the DSM-5, these withdrawal symptoms may include:9

[columns count="2"]
<ul>
 	<li>Hyperactivity of the autonomic nervous system, such as sweating and an increased heart rate.</li>
 	<li>Hand tremors.</li>
 	<li>Sleep disturbances, including insomnia.</li>
 	<li>Vomiting.</li>
 	<li>Nausea.</li>
 	<li>Repetitive, unintentional movements.</li>
 	<li>Anxiety.</li>
 	<li>Short-term auditory, visual, or tactile hallucinations.</li>
 	<li>Grand mal seizures</li>
</ul>
[/columns]

Clonazepam withdrawal, like other benzodiazepines, can be severe—and dangerous—and therefore should not be done without medical input and supervision.10 During medical detox, healthcare professionals may administer tapering doses of a long-acting benzodiazepine to mitigate the risk of seizures and severity of other withdrawal symptoms, as well.10

Medical detox, however, is not typically enough for sustained recovery. It is typically the first step in a more comprehensive treatment plan that addresses all aspects of the substance use and co-occurring mental health disorders, too.11
<h2>Treatment for Clonazepam Addiction</h2>
If you or a loved one struggles with clonazepam misuse or addiction, treatment is available, and as mentioned above, may start with <a href="https://americanaddictioncenters.org/drug-detox">medically managed detoxification</a>, which helps the body rid itself of clonazepam (and other substances). Medical supervision and pharmacological management can help keep you or your loved one safe and as comfortable as possible.10

After detox, you may continue treatment in an <a href="https://americanaddictioncenters.org/rehab-guide/inpatient">inpatient</a> or <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">outpatient program</a>, depending on the advice and recommendations made by your treatment team and your individual needs. In either scenario, services may include group and individual counseling, behavioral therapy, relapse prevention skills training, and treatment for co-occurring mental health conditions. Additionally, aftercare, following the cessation of formal treatment, may include ongoing counseling and therapy, participation in mutual-help groups, and other interventions to promote and support lasting recovery.11

It is important to remember that not every treatment option is the right fit for everyone.11 Effective treatment addresses the whole person, not just the drug misuse.11

Have additional questions? Call American Addiction Centers [phone]

Let one of our experienced and compassionate Admissions Navigators answer your questions and help you find the option that may be best for you.

[sources]
<ol>
 	<li>National Institute on Drug Abuse. (2018, March). <a href="https://nida.nih.gov/publications/drugfacts/prescription-cns-depressants" target="_blank" rel="noopener">Prescription CNS depressants DrugFacts.</a></li>
 	<li>Basit, H., Kahwaji, C.I. (2022). <a href="https://www.ncbi.nlm.nih.gov/books/NBK556010/" target="_blank" rel="noopener">Clonazepam.</a> Treasure Island, FL: StatPearls Publishing LLC.</li>
 	<li>Drug Enforcement Administration. (n.d.). <a href="https://www.dea.gov/drug-information/drug-scheduling" target="_blank" rel="noopener">Drug Scheduling</a>.</li>
 	<li>U.S. Food and Drug Administration. (2021, February). <a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/017533s061lbl.pdf" target="_blank" rel="noopener">Klonopin tablets (clonazepam)</a>.</li>
 	<li>Drug Enforcement Administration. (2019, December). <a href="https://www.deadiversion.usdoj.gov/drug_chem_info/benzo.pdf" target="_blank" rel="noopener">Benzodiazepines</a>.</li>
 	<li>Schmitz A. (2016). <a href="https://doi.org/10.9740/mhc.2016.05.120" target="_blank" rel="noopener">Benzodiazepine use, misuse, and abuse: A review</a>. The mental health clinician, 6(3), 120–126.</li>
 	<li>Sarangi, A., McMahon, T., &amp; Gude, J. (2021). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294026/" target="_blank" rel="noopener">Benzodiazepine misuse: an epidemic within a pandemic</a>. Cureus, 13(6), e15816.</li>
 	<li>Lüscher, C. Rudolph, U., &amp; Tan, K. R. (2011). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020178/" target="_blank" rel="noopener">Hooked on benzodiazepines: GABAA receptor subtypes and addiction</a>. Trends in neurosciences. 34(4): 188–197.</li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th). Arlington, VA: American Psychiatric Publishing.</li>
 	<li>Center for Substance Abuse Treatment. (2015). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf" target="_blank" rel="noopener">Detoxification and substance abuse treatment: A Treatment Improvement Protocol</a>(TIP series, No. 45, HHS Publication No. (SMA) 15-4131).</li>
 	<li>National Institute on Drug Abuse. (2019, January). <a href="https://nida.nih.gov/publications/drugfacts/treatment-approaches-drug-addiction" target="_blank" rel="noopener">Treatment approaches for drug addiction DrugFacts.</a></li>
</ol>
[/sources]

Klonopin Addiction: Signs, Effects, and Treatment

Between April 2020 and April 2021, more than 75,000 people died in the United States because of an <a href="https://americanaddictioncenters.org/fentanyl-treatment/symptoms-associated-with-a-fentanyl-overdose">overdose involving synthetic opioids</a> other than methadone (primarily from fentanyl and fentanyl analogues).3
Thankfully, there is effective treatment for fentanyl addiction and abuse for those who are struggling.

<h2>Statistics on Fentanyl Use and Misuse</h2>
Fentanyl use is dangerous, as it can lead to addiction or a life-threatening overdose. The following are statistics on fentanyl use and misuse:1,4-6
<ul>
 	<li>More than 150 people die each day from <a href="https://americanaddictioncenters.org/prescription-drugs/opiate-overdose" target="_blank" rel="noopener">overdoses</a> related to synthetic opioids, like fentanyl.</li>
 	<li>Approximately 356,000 people aged 12 or older misused prescription fentanyl products in 2020. This number does not include the individuals who misused illicitly manufactured fentanyl or those who mixed it with other substances such as heroin.</li>
 	<li>In 2021, there were nearly 123,000 fentanyl-related emergency department visits in the U.S.</li>
 	<li>Between 2014 and 2018, the number of fentanyl traffickers increased by more than 4,000%.</li>
</ul>
<h2>What Is Fentanyl?</h2>
Fentanyl is a synthetic <a href="https://americanaddictioncenters.org/opiates">opioid</a> originally derived from the opioid poppy (Papaver somniferum).7 Doctors prescribe it to treat people suffering from intense pain after surgery. Additionally, physicians may also prescribe fentanyl for cancer patients with <a href="https://americanaddictioncenters.org/adult-addiction-treatment-programs/chronic-pain">chronic pain</a> who have developed a tolerance—meaning it takes more of a drug to produce the same effects—to less powerful opioids or who experience breakthrough or other transient exacerbations of pain.8

Fentanyl works by binding to the body’s opioid receptors in areas of the brain that control pain and emotions.8 These are the same receptors that bind endorphins, the body’s natural painkiller. There are many types of endorphins, and beta-endorphins are released during or after the body’s physiological response to a stressor or pain. Endorphins are also released as a result of pleasurable things like laughter, sex, and exercise.9 When opioids bind to those receptors, the body experiences similar feelings of both pain relief and pleasure in its reward circuit.10

However, administration of opioid drugs inhibit the production of endorphins and in addition to increased analgesia can also overload the brain with reward circuit signals, resulting in feelings of euphoria.10,11 With repeated use, the brain adapts to the presence of opioids, which can make it difficult to feel pleasure without opioids like fentanyl and can lead to an inability to feel pleasure from things one previously enjoyed, which may indicate someone has an opioid use disorder, the clinical term for an addiction to fentanyl or other opioids.8,10 

Individuals who take prescription fentanyl get it as a shot, lozenge, or patch.8 The illegally produced fentanyl, on the other hand, comes as a powder or liquid.1,8 Because it has no taste or smell and is cheap to illicitly manufacture, it is commonly mixed into other drugs, such as <a href="https://americanaddictioncenters.org/heroin-treatment">heroin</a>, <a href="https://americanaddictioncenters.org/cocaine-treatment">cocaine</a>, and <a href="https://americanaddictioncenters.org/meth-treatment">methamphetamine</a>, often unknowingly by those purchasing them.1 It is also made into pills to look like other <a href="https://americanaddictioncenters.org/opiates" target="_blank" rel="noopener">prescription opioids</a> and medications, such as Xanax or Adderall.8 Additionally, as a liquid, fentanyl gets put in eye drops, nasal sprays, and candy.1,8

[video-popup src="https://www.youtube.com/watch?v=gR1YZUnYIWM"]
<h2>Symptoms of Fentanyl Addiction</h2>
Recognizing the symptoms of an opioid addiction is imperative to getting treatment. Addiction is a treatable, chronic medical condition involving complex interactions between brain circuits, genetics, environment, and life experiences. Individuals with addiction engage in uncontrollable substance use and continue despite the harmful consequences.12
More specifically, you may have a fentanyl addiction if you experience 2 or more of a set of symptoms outlined in the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, which is used by clinicians who are trained to diagnose individuals with opioid use disorders and other substance use disorders. The symptoms of an opioid use disorder include:13

<ul>
 	<li>Using more opioids than you intended.</li>
 	<li>Using opioids for longer than you intended.</li>
 	<li>Spending a great amount of time obtaining, using, or recovering from the effects of fentanyl or other opioids.</li>
 	<li>Having cravings to use fentanyl or other opioids.</li>
 	<li>An inability to complete duties at work, school, or home due to opioid use.</li>
 	<li>Continuing to use fentanyl or other opioids even if it negatively impacts your relationships.</li>
 	<li>Giving up things you previously enjoyed due to opioid use.</li>
 	<li>Frequently using fentanyl or other opioids in physically dangerous situations.</li>
 	<li>Continuing to use opioids despite physical or mental problems you know are caused by it.</li>
 	<li>Developing tolerance to opioids.</li>
 	<li>Experiencing withdrawal symptoms when stopping the use of fentanyl or other opioids.</li>
</ul>
Even if you use fentanyl as prescribed, it is possible to develop tolerance and experience withdrawal symptoms (i.e., dependence).14 In cases where a person is prescribed fentanyl or other opioids, the last two criteria don’t count toward a diagnosis of OUD.
Tolerance and dependence are natural consequences of taking opioids long term. Tolerance to fentanyl is a need to use more of the drug to achieve the desired effect, whether that is intoxication or pain relief.14 As you continue to use the same amount of the drug, there is a diminished sensitivity to its effects.14


[caption id="attachment_89985" align="alignnone" width="853"]<img class="wp-image-89985" src="https://admin.americanaddictioncenters.org/wp-content/uploads/2022/07/fentanyl-addiction-scaled.jpg" alt="The science behind fentanyl addiction." width="853" height="510" /> Fentanyl addiction impacts many different parts of the body including; brain, heart, muscles, gastrointestinal system, and the respiratory system.[/caption]
<h3>Fentanyl Withdrawal Symptoms</h3>
Individuals who have developed a dependence to fentanyl experience <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments/fentanyl">withdrawal symptoms</a> when they stop taking it. These symptoms may include:8
<ul>
 	<li>Nausea or vomiting.</li>
 	<li>Achy muscles and bones.</li>
 	<li>Cold flashes.</li>
 	<li>Goosebumps.</li>
 	<li>Uncontrollable leg movements.</li>
 	<li>Diarrhea.</li>
 	<li>Insomnia.</li>
 	<li>Severe cravings.</li>
</ul>
An opioid use disorder occurs as opioid use starts to take over a person’s life, resulting in continued drug use despite negative consequences. There is no way to predict exactly who will develop an addiction. However, addiction becomes more likely for people who use higher doses, for longer periods, start at a young age, or who have a parent with a substance use disorder.10

<h2>Side Effects of Fentanyl Use</h2>
As with any drug, fentanyl can cause adverse side effects, including:10
<ul>
 	<li>Constipation.</li>
 	<li>Confusion.</li>
 	<li>Drowsiness.</li>
 	<li>Slowed breathing.</li>
 	<li>Nausea.</li>
 	<li>Sedation.</li>
 	<li>Unconsciousness.</li>
</ul>
Anybody using fentanyl or taking opioid medications is at increased risk of overdose. Overdose occurs when fentanyl produces serious, potentially life-threatening side effects. When individuals overdose on fentanyl, their breathing can dangerously slow or stop, thus decreasing the amount of oxygen getting to the brain and producing a condition called hypoxia.10 Hypoxia can lead to coma, brain damage, or even death.10 Opioid overdose is considered a medical emergency but can be reversed with the administration of <a href="https://americanaddictioncenters.org/addiction-medications/naloxone">naloxone</a>.15
<h2>What to Expect in Fentanyl Addiction Treatment</h2>
If you or a loved one struggle with fentanyl use or the misuse of opioids, there are treatment options. There is no one-size-fits-all for the treatment of fentanyl misuse. Effective treatment is tailored to each person’s individual needs but may include:16

Detox. <a href="https://americanaddictioncenters.org/drug-detox">Medically managed detoxification</a> is often the first step in a comprehensive treatment plan. Detox allows your body to safely rid itself of the fentanyl while you experience the physical and emotional withdrawal symptoms as comfortably as possible under the guidance of a medical professional.

Inpatient rehab. <a href="https://americanaddictioncenters.org/rehab-guide/inpatient">Inpatient addiction treatment</a> refers to 24/7 care. It requires you to move into a hospital or residential treatment center for the duration of treatment, which may include individual and group counseling, education, behavioral therapies, and medication if needed. Living in the treatment facility helps remove the stress of home or work and allows you to focus on recovery in a supportive environment.

Outpatient rehab. <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment">Outpatient rehab programs</a> require you to attend onsite (or virtual) counseling sessions and therapies, which look similar or identical to inpatient services, but return home or to a sober living environment after treatment.

Aftercare. <a href="https://americanaddictioncenters.org/rehab-guide/aftercare">Aftercare</a> is also called continuing care, and it sets you up for lasting recovery with community support and accountability after completing a formal treatment program and may include mutual-help groups and/or sober living environments.
<h2>The Cost of Fentanyl Addiction Treatment</h2>
Most rehab facilities accept a variety of insurance plans and self-pay options; other centers offer sliding-scale payment plans based on your income or low-cost and free treatment for individuals who cannot pay.

In general, the cost of <a href="https://americanaddictioncenters.org/fentanyl-treatment/rehab-treatment">fentanyl addiction treatment</a> is based on a few factors, including:
<ul>
 	<li>The type of care provided.</li>
 	<li>The duration of treatment.</li>
 	<li>The type of insurance coverage you have.</li>
 	<li>The facility’s location.</li>
 	<li>Amenities offered, such as private rooms and recreational activities, for instance.</li>
</ul>
Typically, inpatient care, which provides 24/7 treatment, costs more than an outpatient program. Similarly, luxury amenities cost more than standard treatment programs.

[vob]
<h2>How Long Does Rehab for Fentanyl Last?</h2>
The length of treatment for fentanyl addiction depends on the severity of your addiction, your specific treatment needs, and your continued engagement with treatment.16

Substance use disorders are chronic diseases, and recovery is a lifetime commitment. Therefore, remaining in fentanyl addiction treatment for the entire duration and setting up a lifestyle and support system after treatment that aids you in maintaining your goals can help you live a healthy, substance-free life long term.

[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage" target="_blank" rel="noopener">Does Insurance Cover Rehab?</a></li>
 	<li><a href="https://americanaddictioncenters.org/insurance-coverage/suboxone" target="_blank" rel="noopener">Does Insurance Cover Suboxone?</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/alcohol-drug-hotline" target="_blank" rel="noopener">Drug Addiction Hotlines</a></li>
 	<li><a href="https://americanaddictioncenters.org/opiates/how-to-taper-off-opioids" target="_blank" rel="noopener">Tapering Off Opioids</a></li>
 	<li><a href="https://americanaddictioncenters.org/veterans/opioid-addiction" target="_blank" rel="noopener">Opioids &amp; Veterans</a></li>
 	<li><a href="https://americanaddictioncenters.org/opiates/the-effects-of-opioid-abuse-on-women" target="_blank" rel="noopener">Opioids &amp; Women</a></li>
 	<li><a href="https://americanaddictioncenters.org/opiates/the-risks-of-opioid-use-while-pregnant" target="_blank" rel="noopener">The Risk of Opioid Use While Pregnant</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/30-day-rehab-program" target="_blank" rel="noopener">30 Day Rehab Programs</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/overcoming-addiction" target="_blank" rel="noopener">How to Overcome Addiction</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>Centers for Disease Control and Prevention. (2022, February 23). <a href="https://www.cdc.gov/stopoverdose/fentanyl/index.html" target="_blank" rel="noopener">Fentanyl facts</a>.</li>
 	<li>U.S. Department of Justice Drug Enforcement Administration Diversion Control Division. (2022). <a href="https://www.deadiversion.usdoj.gov/schedules/" target="_blank" rel="noopener">List of Controlled Substances</a>.</li>
 	<li>Centers for Disease Control and Prevention. (2021). <a href="https://www.cdc.gov/nchs/pressroom/nchs_press_releases/2021/20211117.htm" target="_blank" rel="noopener">Drug Overdose Deaths in the U.S. Top 100,000 Annually</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf" target="_blank" rel="noopener">Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP22-07-03-001.pdf" target="_blank" rel="noopener">Preliminary Findings from Drug-Related Emergency Department Visits, 2021: Drug Abuse Warning Network (DAWN).</a></li>
 	<li>United States Sentencing Commission. (2018). <a href="https://www.ussc.gov/sites/default/files/pdf/research-and-publications/quick-facts/Fentanyl_FY18.pdf" target="_blank" rel="noopener">Quick Facts: Fentanyl Trafficking Offenses</a>. </li>
 	<li>Pathan, H., &amp; Williams, J. (2012, February). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590096/" target="_blank" rel="noopener">Basic opioid pharmacology: an update</a>. British Journal of Pain. 6(1), 11-16.</li>
 	<li>National Institute on Drug Abuse. (2021, June 1). <a href="https://nida.nih.gov/publications/drugfacts/fentanyl" target="_blank" rel="noopener">Fentanyl DrugFacts</a>.</li>
 	<li>Chaudhry, S.R. (2022, April 5). <a href="https://www.statpearls.com/ArticleLibrary/viewarticle/21114" target="_blank" rel="noopener">Biochemistry, endorphin</a>. Statpearls Publishing.</li>
 	<li>National Institute on Drug Abuse. (2018, June). <a href="https://nida.nih.gov/publications/drugfacts/understanding-drug-use-addiction" target="_blank" rel="noopener">Understanding drug use and addiction DrugFacts.</a></li>
 	<li>Sprouse-Blum AS, Smith G, Sugai D, Parsa FD. (2010). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104618/" target="_blank" rel="noopener">Understanding endorphins and their importance in pain management</a>. Hawaii Med J, 69(3):70-1.</li>
 	<li>American Society of Addiction Medicine. (2019). <a href="https://www.asam.org/quality-care/definition-of-addiction" target="_blank" rel="noopener">Definition of Addiction</a>.</li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th). Arlington, VA: American Psychiatric Publishing.</li>
 	<li>Centers for Disease Control and Prevention. (2020, May 19). <a href="https://www.cdc.gov/drugoverdose/training/oud/accessible/index.html" target="_blank" rel="noopener">Module 5: Assessing and addressing opioid use disorder.</a></li>
 	<li>Substance Abuse and Mental Health Services Administration. (2022). <a href="https://www.samhsa.gov/medication-assisted-treatment/medications-counseling-related-conditions/naloxone" target="_blank" rel="noopener">Naloxone</a>.</li>
 	<li>National Institute on Drug Abuse. (2018). <a href="https://nida.nih.gov/sites/default/files/675-principles-of-drug-addiction-treatment-a-research-based-guide-third-edition.pdf" target="_blank" rel="noopener">Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).</a></li>
</ol>
[/sources]

Fentanyl Addiction: Side Effects and Rehab Treatment

[content-overview]Ativan (lorazepam) is a prescription <a href="https://americanaddictioncenters.org/benzodiazepine" target="_blank" rel="noopener">benzodiazepine</a> that may be used for different purposes, including the short-term treatment of anxiety.1 While it is generally safe if taken as directed under a doctor’s supervision, lorazepam can be misused, which increases the risk of physical dependence and addiction, as well as other potential harms.2,3 People who are concerned about Ativan addiction or misuse should know that treatment is available to help them stop substance misuse and regain control of their lives.[/content-overview]
<h2>What is Ativan?</h2>
Ativan is a brand name formulation of lorazepam, a prescription benzodiazepine that is FDA-approved in tablet form for the short-term management of anxiety disorders, and as an injectable solution as a pre-anesthetic sedative and treatment for status epilepticus.1,2 In its various formulations, lorazepam may also be prescribed for certain off-label purposes such as to manage alcohol withdrawal or to treat panic disorders.1

Like other benzodiazepines, lorazepam is a central nervous system (CNS) depressant, which means it works to calm an otherwise over-excited nervous system, producing drowsiness, sedation, and a calming effect.4

Lorazepam is listed as a Schedule IV substance under the Controlled Substances Act, which means that it has an accepted medical use and a relatively lower potential for abuse and dependence than drugs in Schedules I, II, and III.1,5

In 2019, pharmacists in the United States filled an estimated 92 million benzodiazepine prescriptions—20% of which were scripts for lorazepam.6 And according to the U.S. Drug Enforcement Administration (DEA), lorazepam is one of the top 5 most prescribed, as well as the most frequently found, benzodiazepines on the illegal drugs market.7

While using lorazepam as prescribed—and for short periods of time—can be helpful and generally considered to be safe, there is potential for misuse, especially among individuals who take lorazepam for long periods of time (longer than 4 months), use it for its euphoric effects, or take it in combination with other substances such as alcohol, opioids, or other illicit drugs.1,6,8

[callout]
<h4 class="faded">Other Benzodiazepines and Related Drugs</h4>
<ul>
 	<li class="faded"><a href="/xanax-treatment" target="_blank" rel="noopener">Xanax</a></li>
 	<li class="faded"><a href="/klonopin-treatment" target="_blank" rel="noopener">Klonopin</a></li>
 	<li class="faded"><a href="/valium-treatment" target="_blank" rel="noopener">Valium</a></li>
 	<li class="faded"><a href="/ambien-treatment" target="_blank" rel="noopener">Ambien</a></li>
 	<li class="faded"><a href="/halcion-addiction" target="_blank" rel="noopener">Halcion</a></li>
 	<li class="faded"><a href="/lunesta-treatment" target="_blank" rel="noopener">Lunesta</a></li>
</ul>
[/callout]
<h2 class="faded">Is Ativan Addictive?</h2>
Yes, lorazepam can be a very addictive medication.1 In 2020, 4.8 million individuals aged 12 and older misused lorazepam and other prescription benzodiazepines.9 That same year, the FDA added a boxed warning to Ativan and other benzodiazepine medications to highlight the risks of misuse, physical dependence, and <a href="https://americanaddictioncenters.org/ativan-treatment/long-term" target="_blank" rel="noopener">addiction</a>.6

Obviously not everyone who misuses lorazepam develops an addiction or a substance use disorder, which involves compulsive misuse of the drug despite negative consequences such as health problems or failure to meet responsibilities at work, school, or home.4,10
<h3 class="faded">Symptoms of Ativan Addiction</h3>
Only a qualified mental health or medical professional can diagnose an addiction to lorazepam. Clinicians use criteria from the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to make a diagnosis of a substance use disorder involving lorazepam, which is known as a sedative, hypnotic, or anxiolytic use disorder.10

To receive a diagnosis, individuals need to meet at least 2 of the following diagnostic criteria within a 12-month period:10
<ul>
 	<li>Taking lorazepam in larger amounts or for longer periods of time than originally intended.</li>
 	<li>Being unable to cut down on lorazepam use despite expressing a desire to do so.</li>
 	<li>Spending a lot of time trying to obtain, use, or recover from the effects of lorazepam use.</li>
 	<li>Feeling cravings, or a strong desire to use lorazepam.</li>
 	<li>Being unable to fulfill major obligations at work, home, or school because of lorazepam use.</li>
 	<li>Continuing to use lorazepam despite having interpersonal or social problems that are likely due to drug use.</li>
 	<li>Giving up important social, work, or recreational activities because of lorazepam use.</li>
 	<li>Recurrent use of lorazepam in situations where it is dangerous to do so (such as driving or operating machinery).</li>
 	<li>Continued use despite knowledge of having a persistent or recurrent physical or psychological problem that is likely caused or exacerbated by lorazepam use.</li>
 	<li>Tolerance, which, as mentioned above, means taking higher amounts or more frequent doses of lorazepam to feel the same effects.</li>
 	<li>Withdrawal, which means experiencing unpleasant physical and mental symptoms when lorazepam use stops or is drastically reduced.</li>
</ul>
[segment-cta]
<h2>Ativan Overdose</h2>
While it is possible to overdose on lorazepam and other benzodiazepines alone, fatal toxicity is rare. Most benzodiazepine-related overdose deaths occur due to polysubstance use, especially the concomitant use of benzodiazepines with opioids, alcohol, or other CNS depressants.1,8

According to estimates from the Centers for Disease Control and Prevention (CDC), in the first six months of 2020, 92.7% of benzodiazepine-involved deaths also involved opioids, and 66.7% involved illicitly manufactured fentanyls.8 

Individuals who purchase Ativan and other benzodiazepines illicitly on the street may be ingesting opioids without even knowing it since counterfeit pills often contain harmful additions—like fentanyl—to make them more potent.12,13

This combination can be fatal because both benzodiazepines and opioids can lead to pronounced sedation and dangerously slowed breathing.14
<h3>Symptoms of Ativan Overdose</h3>
Taken alone, benzodiazepine overdose can result in significant over-sedation and other symptoms that may include:2
<ul>
 	<li>Extreme drowsiness</li>
 	<li>Profound lethargy.</li>
 	<li>Mental confusion.</li>
 	<li>Slurred speech.</li>
</ul>
When combined with opioids, alcohol, or other CNS depressants, a lorazepam-involved overdose can be life-threatening. Signs of overdose may include:1,2
<ul>
 	<li>Profound sedation, sleepiness, and loss of consciousness.</li>
 	<li>Poor or no muscle control.</li>
 	<li>Slowed, shallow, or stopped breathing.</li>
 	<li>Coma.</li>
 	<li>Death.</li>
</ul>
[callout-borders borders="sides"]

An overdose can be fatal. If you think you or someone else might be experiencing an overdose, call 911 immediately.

[/callout-borders]
<h2>Ativan Withdrawal</h2>
Individuals who misuse lorazepam at higher than recommended doses and/or over a prolonged period of time may be more likely to develop significant physical dependence and experience withdrawal symptoms when they drastically cut back or abruptly stop using the drug.1

Lorazepam withdrawal symptoms may include:2,10
<ul>
 	<li>Sweating.</li>
 	<li>Increased heart rate.</li>
 	<li>Anxiety.</li>
 	<li>Insomnia.</li>
 	<li>Agitation.</li>
 	<li>Restlessness.</li>
 	<li>Confusion.</li>
 	<li>Irritability.</li>
 	<li>Hypersensitivity to light or noise.</li>
 	<li>Hallucinations.</li>
 	<li>Nausea and vomiting.</li>
 	<li>Tremors.</li>
 	<li>Seizures.</li>
</ul>
The DSM reports that with relatively short-acting benzodiazepines like lorazepam, withdrawal symptoms can start within 6-8 hours of the last dose. Symptoms may then peak in intensity around day 2 and noticeably improve by day 4 or 5.10 However, some individuals may experience relatively less intense, longer-term symptoms that persist for several months.10 

The severity of symptoms can vary, impacted by several factors, including the duration and frequency of use, the dosage of lorazepam used, and an individual’s physical and mental health.10 

[callout-borders borders="sides"]

Withdrawal from lorazepam and other benzodiazepines can be severe and potentially deadly. Therefore, it’s a withdrawal syndrome—along with alcohol and opioids—for which supervised medical detox is recommended.15

[/callout-borders]
<h2>Ativan Addiction Treatment</h2>
Ativan addiction treatment can include a variety of options. Treatment should be tailored to your unique situation and specific needs.16 As mentioned above, you should not attempt to detox from lorazepam or other benzodiazepines on your own.4 <a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">Medical detox</a> can provide supervision and pharmacological support to keep you as safe and comfortable as you gradually withdraw from lorazepam.15 While detox can be an important first step in the recovery process that sets the stage for further treatment, it’s not a substitute for more <a href="https://americanaddictioncenters.org/therapy-treatment" target="_blank" rel="noopener">comprehensive addiction treatment</a>.18

After detox, you may transition to <a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">inpatient</a> or <a href="https://americanaddictioncenters.org/rehab-guide/outpatient-treatment" target="_blank" rel="noopener">outpatient</a> treatment. Inpatient rehab requires you live onsite at a treatment facility and receive care, housing, and medical attention on a 24-hour basis. Inpatient treatment may be a good option for you if your addiction is severe, you have co-occurring disorders or physical health conditions, your housing situation is unsafe or unstable, or you lack a supportive network outside of rehab.18

Outpatient rehab means that you continue to live at home or in a sober living facility but attend treatment at an outpatient facility on a regular basis. Outpatient rehab may be well suited for you if your addiction is less severe, you have a stable home environment, supportive family and friends, and access to reliable transportation.18

Regardless of the setting, treatment can involve a combination of medication, which is primarily used to help with withdrawal, as well as behavioral therapy.4 Research indicates that benzodiazepine addiction can be treated with specific types of behavioral therapy, which may include:4,17-19
<ul>
 	<li><a href="https://americanaddictioncenters.org/therapy-treatment/cognitive-behavioral-therapy">Cognitive-behavioral therapy (CBT).</a> CBT helps you identify stressors and teaches you how to make more adaptive, healthy changes in your thinking, expectations, and behaviors.</li>
 	<li>Contingency management (CM). CM involves providing tangible rewards when you meet specific behavioral targets in your recovery.</li>
 	<li>Motivational interviewing (MI). MI helps you resolve any lingering ambivalence towards treatment to better engage you in your recovery efforts.</li>
 	<li>Relapse prevention. Relapse prevention teaches you how to avoid triggers that might result in a return to substance use and focuses on you taking personal responsibility for your recovery.</li>
</ul>
Individuals who misuse benzos like Ativan often struggle with misuse of multiple substances, so treatment addresses the other substances use disorders as well.4

If you are concerned about your Ativan misuse or that of a loved one, or if you think you may have an addiction, you should know that treatment can help, and it can potentially prevent things from getting worse.

Don’t let the <a href="https://americanaddictioncenters.org/rehab-guide/rehab-cost" target="_blank" rel="noopener">cost of treatment</a> prevent you from getting the help you need.

If you have insurance, the Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 requires health insurers and group health plans to provide the same benefits for mental health care and substance use treatment and services that they do for medical and surgical care.20

If you don’t have insurance, there are always ways to make things work. Some facilities offer free or low-cost care, sliding-scale fees based on your income, or payment assistance.21

Let American Addiction Centers help you navigate all of your options. Call us toll-free, 24/7. One of our compassionate Admissions Navigators will listen to your story, answer your questions, and help you find your path to recovery. Don’t wait; the decision to reach out can save your life. Call [phone]

[sources]
<ol>
 	<li>Ghiasi, N., Bhansali, R. &amp; Marwaha, R. (2022, February 7). <a href="https://www.ncbi.nlm.nih.gov/books/NBK532890/?report=reader" target="_blank" rel="noopener">Lorazepam</a>. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing.</li>
 	<li>U.S. Food &amp; Drug Administration. (2016, September). <a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/017794s044lbl.pdf" target="_blank" rel="noopener">Medication labelling guide: Ativan C-IV (lorazepam)</a>.</li>
 	<li>DailyMed. (n.d.). <a href="https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=89057c93-8155-4040-acec-64e877bd2b4c&amp;audience=consumer" target="_blank" rel="noopener">Ativan – lorazepam tablet</a>.</li>
 	<li>National Institute on Drug Abuse. (2018, March). <a href="https://nida.nih.gov/download/22002/prescription-cns-depressants-drugfacts.pdf?v=5a1c8a6d418d387bcfc3ec055a9c3291" target="_blank" rel="noopener">Prescription CNS depressants drugfacts</a>.</li>
 	<li>United States Drug Enforcement Administration. (n.d.). <a href="https://www.dea.gov/drug-information/drug-scheduling" target="_blank" rel="noopener">Drug scheduling</a>.</li>
 	<li>U.S. Food and Drug Administration (2020, September 23). <a href="https://www.fda.gov/news-events/press-announcements/fda-requiring-labeling-changes-benzodiazepines" target="_blank" rel="noopener">FDA requiring labeling changes for benzodiazepines.</a></li>
 	<li>United States Drug Enforcement Administration. (2019, December). <a href="https://www.deadiversion.usdoj.gov/drug_chem_info/benzo.pdf" target="_blank" rel="noopener">Benzodiazepines</a>.</li>
 	<li>Centers for Disease Control and Prevention. (2021, August 27). <a href="https://www.cdc.gov/mmwr/volumes/70/wr/mm7034a2.htm" target="_blank" rel="noopener">Trends in nonfatal and fatal overdoses involving benzodiazepines—38 states and the District of Columbia, 2019–2020</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/sites/default/files/reports/rpt35319/2020NSDUHFFR1PDFW102121.pdf" target="_blank" rel="noopener">Key substance use and mental health indicators in the United States: Results from the 2020 National Survey on Drug Use and Health (HHS Publication No. PEP21-07-01-003, NSDUH Series H-56)</a>. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.</li>
 	<li>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</li>
 	<li>National Institute on Drug Abuse. (2022, May 10). <a href="https://nida.nih.gov/publications/research-reports/misuse-prescription-drugs/overview" target="_blank" rel="noopener">Misuse of prescription drugs research report: overview</a>.</li>
 	<li>Centers for Disease Control. (2022, February 23). <a href="https://www.cdc.gov/stopoverdose/polysubstance-use/index.html" target="_blank" rel="noopener">Polysubstance use facts</a>.</li>
 	<li>Drug Enforcement Administration. (n.d.). <a href="https://www.dea.gov/sites/default/files/2021-09/DEA_Fact_Sheet-Counterfeit_Pills_0.pdf" target="_blank" rel="noopener">Counterfeit pills fact sheet</a>.</li>
 	<li>National Institute on Drug Abuse. (2022, November 7). <a href="https://nida.nih.gov/research-topics/opioids/benzodiazepines-opioids" target="_blank" rel="noopener">Benzodiazepines and opioids.</a></li>
 	<li>Center for Substance Abuse Treatment. (2015). <a href="https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf" target="_blank" rel="noopener">Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131</a>. Rockville, MD: Center for Substance Abuse Treatment.</li>
 	<li>National Institute on Drug Abuse. (2019, January 17). <a href="https://nida.nih.gov/publications/drugfacts/treatment-approaches-drug-addiction" target="_blank" rel="noopener">Treatment approaches for drug addiction drugfacts</a>.</li>
 	<li>Weaver, M. F. (2015). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553644/" target="_blank" rel="noopener">Prescription sedative misuse and abuse</a>. The Yale journal of biology and medicine, 88(3), 247–256.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2019, October). <a href="https://findtreatment.gov/content/treatment-options/types-of-treatment/" target="_blank" rel="noopener">Treatment options: Types of treatment</a>.</li>
 	<li>McPherson, S. M., Burduli, E., Smith, C. L., Herron, J., Oluwoye, O., Hirchak, K…&amp; Roll, J. M. (2018). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095117/" target="_blank" rel="noopener">A review of contingency management for the treatment of substance-use disorders: adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies</a>. Substance abuse and rehabilitation, 9, 43–57.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2019, October). <a href="https://findtreatment.gov/content/paying-for-treatment/understanding-the-cost-of-treatment/" target="_blank" rel="noopener">Paying for treatment: Understanding the cost of treatment</a>.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2019, October). <a href="https://findtreatment.gov/content/paying-for-treatment/if-you-dont-have-insurance" target="_blank" rel="noopener">Paying for treatment: If you don't have insurance</a>.</li>
</ol>
[/sources]

Ativan Addiction: Signs, Symptoms, and Treatment

[content-overview]Ambien, the brand name for zolpidem, is a sedative-hypnotic medication commonly prescribed for the short-term treatment of insomnia.1 While effective, Ambien does have risks, including the potential for next-day drowsiness, misuse and dependence. Ambien use can cause several side effects—some of which are relatively benign while, although rare, others can lead to serious injury or even death. Additionally, the use of Ambien with other substances, especially opioids and other central nervous system (CNS) depressants, like alcohol and benzodiazepines, can be dangerous and potentially life-threatening.1[/content-overview]

Continue reading to understand how Ambien works; its potential side effects and risks, including complex sleep behaviors, its addictive potential, and signs of misuse and overdose. Additionally, get a better understanding of the how to stop if you or a loved one struggle with Ambien, sedative, or other prescription drug misuse.
<h2>What is Ambien?</h2>
Zolpidem (<a href="https://americanaddictioncenters.org/ambien-treatment" target="_blank" rel="noopener">Ambien</a>), zaleplon (Sonata), and eszopiclone (Lunesta) are three non-benzodiazepine prescription <a href="/sedatives">sedatives</a> collectively referred to as “z-drugs.” All three work as CNS depressants and all three belong to the DEA Schedule IV controlled substances list, which means there is currently a medical use in the United States, but the drug may lead to limited physiological dependence.1-3 
Ambien is intended for short-term use and the drug label cautions that treatment should be “as short as possible.” The risk of dependence of z-drugs like Ambien increases with longer-term usage (more than 10 nights).  Combining Ambien with opioids or other CNS depressants—including alcohol and benzodiazepines—and taking higher doses of the drug can result in potentially dangerous symptoms of oversedation.1 In fact, case reports suggest that Ambien may have some misuse potential when taken at higher doses, even among individuals with no prior history of misusing drugs or alcohol.4
<h2>Ambien Side Effects</h2>
The side effects of Ambien may range from mild symptoms such as drowsiness to more severe symptoms that should be discussed with your doctor, including complex sleep behaviors, suicidal thoughts, and significant next-day impairment.

[callout]
<h3>Side Effects of Ambien</h3>
The most common side effects of Ambien during short-term treatment (up to 10 nights) and longer-term treatment (up to 35 nights), according to clinical trials include:1
<ul>
 	<li>Headache.</li>
 	<li>Nausea.</li>
 	<li>Vomiting.</li>
 	<li>Daytime drowsiness.</li>
 	<li>Diarrhea.</li>
 	<li>Dizziness.</li>
 	<li>Falls.</li>
 	<li>Feeling like you’ve been drugged.</li>
</ul>
[/callout]
<h2>Serious Side Effects and Potentially Dangerous Adverse Effects of Ambien</h2>
Ambien has many potentially serious side effects that can lead to adverse outcomes and warrant notifying a doctor immediately. These include experiencing complex sleep behaviors, significant next-day impairment, abnormal behavioral changes (e.g., depression and suicidal thoughts and actions), and overdose. A person’s risk of experiencing potentially dangerous adverse effects are greater with longer-term use, use at higher doses (particularly for women and adults over the age of 65), and with concomitant use of opioids, benzodiazepines, or other CNS depressants (including alcohol).1,5

<h3 class="paragraph" style="margin: 0in; vertical-align: baseline;">
Complex Sleep Behaviors</h3>
While Ambien and other z-drugs were originally marketed as being safer and less addictive than other sedative-hypnotics, reports of complex sleep behaviors caused the U.S. Food and Drug Administration (FDA) to add a boxed warning to the Ambien label in 2019. It states that complex sleep behaviors—such as sleepwalking, sleep-driving, sleep-cooking, and engaging in other activities while not fully awake may occur—and carry a risk (though rare) of serious and potentially fatal injury to oneself or others. The FDA also added a contraindication, which means individuals who have experienced complex sleep behaviors in the past should not take Ambien or any of the z-drugs and should inform their prescriber. Complex sleep behaviors can occur at therapeutic doses of zolpidem with or without another CNS depressant or alcohol.1,6
<h3>Next-Day Impairment</h3>
Even before the boxed warning, the FDA lowered the recommended dose for all zolpidem products due to next-day impairment. Additionally, the FDA suggested that individuals taking the extended-release zolpidem (Ambien CR) not drive or participate in activities that require complete alertness the day after taking the sleep medication since zolpidem levels can remain high enough to impair them—even the next day.7

The risk of experiencing next-day impairment is highest for those taking controlled-release zolpidem (Ambien CR or generics), and higher for women, since zolpidem is eliminated more slowly in women than it is in men.8
<h3>Depression and Suicide Risk with Ambien</h3>

Research indicates that the use of Ambien and other sedative-hypnotic medications may worsen depression or suicidal thoughts and behaviors in primarily depressed individuals.1 Thus, the drug’s FDA label cautions that individuals with depression should be prescribed the lowest number of tablets to avoid intentional overdose.1

It’s important to note that, in general, behavioral therapy is the mainstay of treatment for insomnia, and pharmacological interventions should be considered only when necessary.9 

<h3 class="paragraph" style="margin: 0in; vertical-align: baseline;">
Ambien Overdose</h3>

Overdose is possible if zolpidem is used alone or in conjunction with other substances and can lead to coma or even death. The likelihood of experiencing an Ambien overdose is higher when the drug is taken in higher doses or if it is taken with opioids or another CNS depressant (e.g., benzodiazepines, alcohol, other z-drugs). Symptoms of potential overdose may include:1

<ul>
 	<li>Impaired consciousness.</li>
 	<li>Extreme sedation.</li>
 	<li>Severe respiratory depression (i.e., slowed, shallow, or irregular breathing).</li>
</ul>
<h2>
Ambien Misuse, Addiction, and Withdrawal</h2>
In 2020, approximately 803,000 (0.3%) adults aged 18 or older reported misusing zolpidem products.10
Individuals with a history of <a href="https://americanaddictioncenters.org/health-complications-addiction" target="_blank" rel="noopener">addiction</a> or <a href="https://americanaddictioncenters.org/rehab-guide/substance-use-disorder" target="_blank" rel="noopener">substance use disorder</a> are at an increased risk for Ambien misuse and addiction.1 The risk of misuse increases the longer a person takes Ambien.1

Although it’s rare, use of Ambien can lead to physiological dependence.1 Dependence is a physiological adaptation of the body to a substance, meaning the body becomes so used to the drug being present in the system that when an individual decreases their use significantly or quits altogether, withdrawal symptoms surface. The risk of dependence increases the longer a person takes Ambien.1 

When an individual becomes dependent on Ambien and they abruptly stop taking it or drastically reduce their dose, they may experience withdrawal symptoms. This is not common, and in clinical trials occurred in 1% (or less) of individuals who stop their use of the drug—but case studies and anecdotal evidence suggest that rate is likely higher. <a href="https://americanaddictioncenters.org/withdrawal-timelines-treatments/ambien" target="_blank" rel="noopener">Withdrawal symptoms</a> may include:1,11
[columns count="2"]
<ul>
 	<li>Fatigue.</li>
 	<li>Nausea.</li>
 	<li>Lightheadedness.</li>
 	<li>Vomiting.</li>
 	<li>Trouble sleeping.</li>
 	<li>Panic attack.</li>
 	<li>Abdominal pain.</li>
 	<li>Nervousness.</li>
 	<li>Uncontrollable crying.</li>
 	<li>Flushing.</li>
 	<li>Stomach cramps.</li>
 	<li>Seizures.</li>
</ul>
[/columns]

[callout]
<h3>What Are the Side Effects of Other Drugs</h3>
[columns count="2"]
<ul>
 	<li><a href="/adderall/side-effects" target="_blank" rel="noopener">Adderall</a></li>
 	<li><a href="/ativan-treatment/side-effects" target="_blank" rel="noopener">Ativan</a></li>
 	<li><a href="/barbiturate/side-effects" target="_blank" rel="noopener">Barbiturates</a></li>
 	<li><a href="/fentanyl-treatment/side-effects" target="_blank" rel="noopener">Fentanyl</a></li>
 	<li><a href="https://americanaddictioncenters.org/oxycodone/side-effects" target="_blank" rel="noopener">Hydrocodone</a></li>
 	<li><a href="https://americanaddictioncenters.org/ketamine-abuse/ketamine-side-effects" target="_blank" rel="noopener">Ketamine</a></li>
 	<li><a href="/klonopin-treatment/side-effects" target="_blank" rel="noopener">Klonopin</a></li>
 	<li><a href="/kratom/side-effects" target="_blank" rel="noopener">Kratom</a></li>
 	<li><a href="https://americanaddictioncenters.org/health-complications-addiction/permanent-effects" target="_blank" rel="noopener">Lunesta</a></li>
 	<li><a href="/methadone-addiction/side-effects" target="_blank" rel="noopener">Methadone</a></li>
 	<li><a href="/oxycodone/side-effects" target="_blank" rel="noopener">Oxycodone</a></li>
 	<li><a href="/phenobarbital-abuse/long-term-side-effects" target="_blank" rel="noopener">Phenobarbital</a></li>
 	<li><a href="/psychedelics/side-effects-of-dmt" target="_blank" rel="noopener">DMT</a></li>
 	<li><a href="/suboxone/side-effects" target="_blank" rel="noopener">Suboxone</a></li>
 	<li><a href="/tramadol-abuse/side-effects" target="_blank" rel="noopener">Tramadol</a></li>
</ul>
[/columns]

[/callout]
<h2>
How to Safely Use and Safely Stop Ambien Misuse</h2>
Individuals should adhere to the dose, duration, and other instructions provided on the Ambien drug label and those given by their healthcare provider. Any abnormal behavior, specifically complex sleep behaviors, suicidal thoughts, or significant next-day impairment should be reported to your doctor as soon as possible.1
 

Additionally, individuals should avoid consuming alcohol or taking opioids and other CNS depressants (benzodiazepines, other z-drugs, or other prescription sedatives) with Ambien.

If you or a loved one struggles with Ambien misuse—or other sedative or prescription drug misuse—it might be time to seek treatment.

If you’re ready to stop, it’s a good idea to talk to your doctor, but you may also benefit from <a href="https://americanaddictioncenters.org/drug-detox" target="_blank" rel="noopener">medical detox</a>, especially if your misuse of Ambien takes place in conjunction with additional substances, such as alcohol, opioids, or other sedatives. Withdrawal symptoms resulting from one or more CNS depressant substances can be extremely unpleasant and potentially dangerous.12

While detoxification can stabilize a person as their body rids itself of a substance, it’s generally not sufficient to support long-term abstinence, and is considered a first step in a more comprehensive treatment plan, which benefits many people in their recovery efforts.

Addiction treatment typically includes individual and group counseling, behavioral therapies, and education to help you identify the emotions, thoughts, and behaviors that led to substance misuse and teach you strategies to aid you in identifying triggers, developing coping techniques, preventing relapse, and remaining substance free.
[link-bank title="You Might Also Be Interested In"]
<ul>
 	<li><a href="https://americanaddictioncenters.org/ambien-treatment/no-longer-in-system" target="_blank" rel="noopener">How Long Does Ambien Stay in Your System?</a></li>
 	<li><a href="https://americanaddictioncenters.org/co-occurring-disorders" target="_blank" rel="noopener">Co-occurring Mental Health Disorders</a></li>
 	<li><a href="https://americanaddictioncenters.org/adult-addiction-treatment-programs/talk-say-addiction" target="_blank" rel="noopener">How to Talk With Someone About Addiction</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/inpatient" target="_blank" rel="noopener">Inpatient Rehab Facilities</a></li>
 	<li><a href="https://americanaddictioncenters.org/rehab-guide/confidentiality-hipaa" target="_blank" rel="noopener">Is Rehab Confidential?</a></li>
</ul>
[/link-bank]

[sources]
<ol>
 	<li>U.S. Food and Drug Administration. (2022). <a href="https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/019908s40s044s047lbl.pdf#page=24" target="_blank" rel="noopener">Highlights of prescribing information</a>.</li>
 	<li>Drug Enforcement Administration. (2018). <a href="https://www.dea.gov/drug-information/drug-scheduling" target="_blank" rel="noopener">Drug scheduling</a>.</li>
 	<li>U.S. Department of Justice/Drug Enforcement Administration. (2020). <a href="https://www.dea.gov/sites/default/files/2020-04/Drugs%20of%20Abuse%202020-Web%20Version-508%20compliant-4-24-20_0.pdf" target="_blank" rel="noopener">Drugs of abuse: A DEA resource guide</a>.</li>
 	<li>Licata SC, Mashhoon Y, Maclean RR, Lukas SE. (2011). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3077937/" target="_blank" rel="noopener">Modest abuse-related subjective effects of zolpidem in drug-naive volunteers</a>. Behav Pharmacol, 22(2),160-6.</li>
 	<li>Moore TJ, Mattison DR. (2018). <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2687525" target="_blank" rel="noopener">Assessment of Patterns of Potentially Unsafe Use of Zolpidem</a>. JAMA Intern Med, 178(9),1275–1277.</li>
 	<li>U.S. Food and Drug Administration. (2019). <a href="https://www.fda.gov/consumers/consumer-updates/taking-z-drugs-insomnia-know-risks" target="_blank" rel="noopener">Taking Z-drugs for Insomnia? Know the Risks</a>.</li>
 	<li>U.S. Food and Drug Administration. (2017). <a href="https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-approves-new-label-changes-and-dosing-zolpidem-products-and" target="_blank" rel="noopener">FDA Drug Safety Communication: FDA approves new label changes and dosing for zolpidem products and a recommendation to avoid driving the day after using Ambien CR</a>.</li>
 	<li>U.S. Food and Drug Administration. (2018). <a href="https://www.fda.gov/drugs/drug-safety-and-availability/questions-and-answers-risk-next-morning-impairment-after-use-insomnia-drugs-fda-requires-lower" target="_blank" rel="noopener">Questions and Answers: Risk of next-morning impairment after use of insomnia drugs; FDA requires lower recommended doses for certain drugs containing zolpidem (Ambien, Ambien CR, Edluar, and Zolpimist).</a></li>
 	<li>Matheson E, Hainer BL. (2017). <a href="https://www.aafp.org/pubs/afp/issues/2017/0701/p29.html#afp20170701p029-b27" target="_blank" rel="noopener">Insomnia: Pharmacologic Therapy</a>. Am Fam Physician, 96(1), 29-35.</li>
 	<li>Substance Abuse and Mental Health Services Administration. (2021). <a href="https://www.samhsa.gov/data/report/2020-nsduh-detailed-tables" target="_blank" rel="noopener">Results from the 2020 National Survey on Drug Use and Health: Detailed Tables</a>.</li>
 	<li>Haji Seyed Javadi, S. A., Hajiali, F., &amp; Nassiri-Asl, M. (2014). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4329938/" target="_blank" rel="noopener">Zolpidem dependency and withdrawal seizure: a case report study</a>. Iranian Red Crescent medical journal, 16(11), e19926.</li>
 	<li>National Institute on Drug Abuse. (2018). <a href="https://nida.nih.gov/publications/drugfacts/prescription-cns-depressants" target="_blank" rel="noopener">Prescription CNS Depressants DrugFacts</a>.</li>
</ol>
[/sources]

Ambien Side Effects: Short-Term & Adverse Effects of Ambien

Wendy Manwarren Generes is a Senior Web Editor at American Addiction Centers.

Wendy Manwarren Generes | American Addiction Centers

https://admin.americanaddictioncenters.org/wp-content/uploads/2021/10/2019-03-30_10-53-14_000-scaled.jpg

Wendy Manwarren Generes

American Addiction Centers (AAC) contributors are writers, content editors, and medical editors. Their efforts are to keep AAC's content accurate to help those wanted to learn more about substance addiction and treatment.

Contributors