Treatment FAQ

how to preserve relationships during and after treatment for addiction scholarly

by Ferne Price Published 2 years ago Updated 2 years ago

Once you have completed a treatment or recovery program, it is essential to avoid toxic relationships and surround yourself with people who will support your sobriety. Learning how to identify codependent and enabling relationships and seek out healthier connections will help ensure that you maintain your sobriety in the long term.

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What happens when relationships don’t improve during drug addiction recovery?

 · Background. Previous qualitative studies have shed light on different aspects of social relationships that are important for SUD recovery. For example, several studies have shown that most individuals with a SUD need a change to their social network to initiate and maintain abstinence from substance use. 7 –11 Furthermore, research suggests that social support can …

Do social relationships matter in substance use disorder recovery?

 · Many people ask when it is a good time to consider the idea of dating in recovery. The need to love and be loved is part of us what makes us human; and coming out of addiction treatment, finding a special connection with someone who understands this is can be a goal in and of itself. Much of what is covered in therapy is about helping you find yourself, and when …

Why are friendships important in addiction recovery?

 · Relationships are effective in helping people in recovery stay healthy and increase their wellbeing. Healthy relationships bring out the best in both parties, and are a safe space for their fears. Healthy relationships can help individuals struggling with addiction to avoid negative attachments to people who bring out the worst in them. Engaging in toxic relationships can …

Why are relationships so important in recovery?

 · Looking at addiction and relationship, according to the PsychCentral site, for drug addicts that mix narcotics and sex, sexual activity influences drug use, drug use in turn influences sexual behavior. The drug addicts having an addiction and relationship may lead to male abusers consuming prescribed drugs for male enhancement in the hopes of ...

Can you have a successful relationship with a recovering addict?

When you're dating a recovering drug addict, then clubs or parties—where abuse may occur—can also be triggering for your potential partner. It's crucial to talk through these issues and your partner's triggers with your partner, so you can build a romantic relationship that works for both of you.

What are the four steps involved in recovery from addiction?

The four stages of treatment are:Treatment initiation.Early abstinence.Maintaining abstinence.Advanced recovery.

What is the most effective treatment for addiction?

According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.

What are the strategies that you can share to prevent and control substance use and abuse?

What are the Basic Prevention Strategies?Information Dissemination. ... Prevention Education. ... Alternatives. ... Problem Identification and Referral. ... Community-Based Process. ... Environmental Approach.

What are the 5 steps of recovery?

The five stages of addiction recovery are precontemplation, contemplation, preparation, action and maintenance. Read on to find out more about the various stages.

What are the 5 steps of addiction?

Stages of AddictionFirst Use. The first step to addiction is trying the substance. ... Regular Use. As people become regular users, they begin to display a pattern. ... Risky Use. As use deepens, people may begin to exhibit dangerous behavior, such as driving while drunk or high. ... Dependence. ... Substance Use Disorder.

What techniques are used to treat addiction?

Some of the most common forms of modern addiction treatment include behavioral therapies delivered as individual therapy, group therapy, and family therapy.

What makes a treatment effective?

3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.

What is the first step in treating a drug abuse problem?

Detoxification is normally the first step in treatment. This involves clearing a substance from the body and limiting withdrawal reactions. In 80 percent of cases, a treatment clinic will use medications to reduce withdrawal symptoms, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

What are some prevention strategies?

Prevention StrategiesPreventing SuicideCreate protective environmentsReduce access to lethal means among persons at risk of suicide Organizational policies and culture Community-based policies to reduce excessive alcohol usePromote connectednessPeer norm programs Community engagement activities6 more rows

What is the role of family in prevention of drug abuse?

Overwhelming evidence shows that a parent's lessons and involvement reduce the risk of substance abuse habits, particularly when started at an early age. Therefore, it is crucial for parents to talk to their children early and often about the drugs they may encounter.

Why are relationships important in recovery?

They may be even more important for a person recovering from addiction because the mechanics of relating to other people, understanding other people, and conducting behavior appropriately based on that understanding can dictate much of the person’s progress in recovery and the effectiveness of relapse prevention strategies. Developing a reliable and trustworthy network of friends, a smaller circle of close friends, and perhaps a significant other can be a painstaking process for a person in aftercare. It is not as easy as going out to a bar, meeting people at a club, or making connections through dealers and sellers. But cultivating and investing in the right kinds of relationships is a huge step in creating a fulfilling and rewarding life in recovery.

How to help your partner with substance abuse?

Attending therapy and counseling sessions together will allow your partner to see how your mental health problems influenced not just your substance abuse, but also other behavioral issues that made the relationship difficult. The crux is that repairing the relationship is not about assigning blame.

What is the crux of repairing a relationship?

The crux is that repairing the relationship is not about assigning blame. Instead, it should be about healing and accepting. It is not easy for a person who has suffered at the hands of an addict to do this, and if your partner is committed to making the relationship work, it will take a lot of sacrifice and hard work from them to get to this point.

Why do couples need therapy?

This may even extend to both partners entering couples therapy to resolve any issues regarding problems in the relationship that caused, and are caused by, the substance abuse and subsequent recovery. Many people, for example, are unaware that addiction is a disease that affects the functioning of the brain and the person’s ability to make good decisions. Attending therapy and counseling sessions together will allow your partner to see how your mental health problems influenced not just your substance abuse, but also other behavioral issues that made the relationship difficult.

Can you create a new relationship from the shadow of the old one?

However, it is possible to create a new relationship from the shadow of the old one; and with what you’ve learned about yourself in recovery, the new relationship can be based on a much stronger foundation of communication, honesty, support, and respect than the old one was.

How many people divorced from alcohol?

A study published in the Journal of Studies on Alcohol and Drugs found that 48 percent of people who had past or current alcoholism were divorced at some point in their lives, and couples struggling with addiction issues are four times more likely to separate than couples where no such issues are present.

Is addiction a catalyst for marriage?

When it comes to repairing relationships in aftercare, the closer a person is to you, the harder the reconciliation tends to be. Addiction is often the catalyst for many marriages or long-term relationships to come to an end. A study published in the Journal of Studies on Alcohol and Drugs found that 48 percent of people who had past or current alcoholism were divorced at some point in their lives, and couples struggling with addiction issues are four times more likely to separate than couples where no such issues are present.

How to heal from addiction?

The key to healing from addiction and rebuilding trust after the addict in your family has hurt all of you, let you down, disappointed you and caused chaos more times than you can count is a drug and alcohol treatment program. Professional help is needed for people struggling with drug addiction to learn how to live a sober lifestyle and learn how to live without their drug of choice.

How do family members react to addiction?

Family members may also react to a loved one’s addiction by stepping in to help. Their motives may be for the best of intentions, at least at first. It can take time for a family to realize that they are dealing with a loved one who has developed an addiction to drugs or alcohol. The early stages of the disease can be subtle. Addicts can be very good at persuading family members that an episode where they were under the influence was an isolated one and that it will never happen again.” Unfortunately, in the case of someone who is living with an addiction, it always happens again.

Can you lie about how much you are drinking?

Someone who is in the throes of an active addiction may lie about how much they are drinking, how many drugs they are taking or even that they are taking drugs at all. This is one of the symptoms of the disease, and it’s quite common for addicts to manipulate loved ones if it means they can get resources (money, food, a place to stay, cell phone, etc.) that will support the addiction.

Can addiction interfere with family life?

This disease has the potential to interfere with normal family life and routines. A person living with an addiction may behave in an erratic manner, depending on whether they are sober, drunk or high, or recovering from a time when they were drinking or using drugs. Someone who is in the throes of an active addiction may lie about how much they are ...

Is substance abuse a family disease?

When one person in the family develops a substance abuse issue, it doesn’t solely affect them. No matter what their particular drug of choice happens to be, their addiction is a family disease, since it causes stress to the people living in the family home and to those people closest to the addict.

What is addiction in health?

Written by Chris Clancy. Addiction is a chronic disease that has the potential to negatively affect a person’s life and health. One of the casualties of a battle with addiction is the trail of damaged relationships it leaves in its wake. With the right kind of help, repairing relationships after addiction is possible.

How to stop making someone pay for their past?

At a certain point, decide that you are going to have to stop making your loved one pay for the events that occurred in the past. Neither one of you can go back and change them, nor does holding them over their head do anything for your current relationship. Accept what happened and if you have received an apology and/or the sincere offer to make amends, decide to close the door on the issue forever. Never bring it up again, no matter how hurt or upset you become later on. It needs to remain resolved.

How can healthy relationships help with substance abuse?

Healthy relationships involving honesty, for example, can encourage partners to support or inspire individuals to communicate about substance abuse. Partners can include boundaries to discourage post-recovery relapses if this applies to their partner. Positive partnerships can thrive as the individual in recovery can develop healthy social circles, thus creating healthy connections.

How to help someone in recovery from drug and alcohol addiction?

Healthy Relationships. Forming and maintaining healthy relationships is critical for those in recovery for drug and alcohol addiction, and helps them maintain sobriety for the long term. Start the road to recovery.

How long does it take to get sober in rehab?

With just 30 days at a rehab center, you can get clean and sober, start therapy, join a support group, and learn ways to manage your cravings.

What is a codependent?

Codependents are often empathic and caring people who wish to support their partners; however, codependents helping alcoholics and addicts may experience distress over their partners condition. In some instances, the codependent may begin to drink or abuse to enable their partner’s habit.

What are the different types of unhealthy relationships?

There are different types of unhealthy relationships directly related to addiction, like codependent/enabling relationships . Codependent relationships have positive intention to help loved ones in need; however, they may not have boundaries that allow individuals sufficient independence to grow.

What does it mean when someone is stressed in a relationship?

Relationships with these types of qualities can make someone feel anxious, depressed, or frustrated. An individual battling relationship stress can have secrets , use substances as an outlet for stress, hit each other, and dramatically threaten each other’s wellbeing.

What is unhealthy relationship?

Unhealthy relationships are toxic, consisting of various damaging or draining dynamics. Unhealthy relationship put pressure on someone, using overly forceful means of attaining goals, or subtle coercive means. Examples of ways selfish and toxic behaviors in relationships can manifest include:

How does coping with a drug addict affect a spouse?

When coping with a spouse that is a drug addicts, the effects of a drug abuse issue are usually divided into economical and psychological (and subsequent behavior). When addiction and relationship is involved, money may be diverted from investments and mutual interests to fund a habit. Mood swings, lack of commitment from the person they love, decreased sexual desire and functioning, and other emotional neglect types could be experienced by the partners of drug addicts psychologically (and behaviorally).

How does drug abuse affect relationships?

Among the multiple aspects of relationships is sexuality, and how this sexuality is affected by drug abuse can have an effect on how all of the other elements of their relationship work out in the drug addicts’ life. Increased chances of emotional and physical abuse among partners as trust levels and intimacy are affected by decreasing sexual ability, escalated periods of being depressed, and wild mood swings (which occurs because of comedown and withdrawal effects). This is a very important aspect while considering addiction and relationship in drug addicts.

Why do cocaine addicts keep abusing cocaine?

Some cocaine drug addicts can keep abusing cocaine to gain the short time improvement in libido, utter ly oblivious to the fact that the cocaine is also to blame for the decline in sexual performance.[7]

Is sexuality a complex topic?

The sexuality of humans is a complicated topic in and of itself, and adding an addiction and relationship issue altogether to the equation can have devastating long-term implications on drug addicts.

Can drug abuse cause erectile dysfunction?

The drug addicts having an addiction and relationship may lead to male abusers consuming prescribed drugs for male enhancement in the hopes of compensating for their impaired sexual function as a result of their abuse of recreational drugs. Excessive use of some recreational drugs, such as alcohol, marijuana, and cocaine, can result in erectile dysfunction in drug addicts. [3]

How does drug addiction affect sexual behavior?

Looking at addiction and relationship, according to the PsychCentral site, for drug addicts that mix narcotics and sex, sexual activity influences drug use, drug use in turn influences sexual behavior. The drug addicts having an addiction and relationship may lead to male abusers consuming prescribed drugs for male enhancement in the hopes ...

Is substance abuse a sneaky concern?

Substance abuse is a sneaky concern. A cocktail to take the pressure off a bad day becomes a drink just to get through the day; a drag of a marijuana joint while hanging out with friends becomes any reason to light up and get high.

How to maintain a recovery from drug use?

Avoiding your former drinking buddies or drug-using friends is a key step in maintaining your recovery, but it doesn't stop there. Developing new positive friendships with people who can support your recovery efforts can be even more important.

What are the relationships that can be formed during addiction?

It is possible that during the development of your addiction you also formed relationships with others who were codependent. This may include a spouse, partner, friend, or even an employer.

What does a caseworker do to help you in recovery?

Identifying supportive relationships: Your counselor or caseworker will also try to help you identify any positive, healthy family or social relationships that you have that can be a support to you in your recovery.

How to change a problem relationship?

You might need to work on the relationship itself through counseling or focus on setting boundaries with that individual. Identifying supportive relationships: Your counselor or caseworker will also try ...

What is enabling behavior?

Enabling behavior can include making excuses, lying, and covering up for you. These types of behaviors are a way of protecting you from the consequences of your actions. In other cases, enabling can involve outright furnishing you with money for drugs or alcohol.

Why is codependents problematic?

Codependents have allowed you to define their reality. This is problematic because your "reality" was highly distorted when you were using drugs or alcohol.

What is a codependent?

A codependent can be defined as an individual who has come to believe that supporting and even enabling addictive behaviors is the only way to maintain your acceptance, love, security, and approval.

How to help someone in recovery?

Kindness and compassion can provide the emotional salve to smooth over many bumps and bruises and can make the difference between success and failure, in both your recovery and your relationship.

How can a partner help a recovering partner?

Having a partner with established communication and emotional coping strategies can help the recovering partner learn and practice such skills by providing invaluable feedback and modeling. A healthy relationship can boost the self-esteem of the person in recovery.

Can a relationship become codependent?

A relationship can easily become co-dependent. If partners are not careful, and recovery is not sufficiently established, a relationship can devolve into codependency, where partners excessively rely on one another for emotional and psychological support, rather than developing their own independently.

Can a relationship thwart recovery?

When in a relationship, self-reflection, introspection and the intense focus on one’s self is often sidelined as the maintenance of the relationship requires a focus on another and on shared goals. A relationship can easily become co-dependent.

Can a relationship replace addiction?

A relationship can be a substitute addiction itself. For some people, especially in early recovery, the emotional “high” that accompanies a relationship can replace an addiction to substances, but the addictive process itself is still maintained. A relationship can thwart recovery goals.

What is a committed partner?

A relationship can provide a built-in support system: A committed partner can be a cheerleader, a gentle task-master and a source of motivation to help the recovering person stay on track.

Is it wise to start a relationship while in recovery?

With all the concerns that need to be considered, is it wise to start a relationship while in recovery? Many recovery programs, Including Alcoholics Anonymous, suggest a “one year rule” regarding relationships for people who are new to recovery. Recovery, especially early in the process, requires one to be self-focused. This is a time when inner reflection, personal evaluation and the gaining of new insights, skills and behaviors must be prioritized in order to have the best chance for achieving one’s sobriety goals.

What is the best thing about addiction recovery?

One of the great things about addiction recovery is that our self-esteem can take a major boost. Sometimes though, the old feelings and thinking can re-occur. That is when self-esteem tips can be a useful recovery tool. When people talk about improving self-esteem, they usually mean self-confidence.

What does the recovering person want?

The recovering person sincerely believes and wants this to be the last time, and wants everybody around him to believe in support him. That’s great, however here is the flaw. This may hurt, but I’ll let you have it right between the eyes; your track record stinks. Why should anybody believe you this time?

Why are social, occupational, or recreational activities given up or reduced?

Important social, occupational, or recreational activities are given up or reduced because of substance use.

What is the goal of an addict?

A person who is active in their addiction has one the self-centered goal in mind: to continue using drugs and alcohol. If someone close to them points out that they are hurting themselves and others around them, the natural thing to do is to put up walls insulating themselves from the message.

Do addicts come from a less than ideal family?

Unfortunately, many people who suffered through addiction come from less than ideal and emotionally functional families. Now I’m not all about blaming our parents, I really believe they did the best job that they could, but the fact is some of us were raised in less than ideal family situations. Think about that. We learn from what is modeled around us.

Do you have low self esteem if you are raised in a leave it to Beaver situation?

If we are raised in a healthy family, a Leave It to Beaver situation, where our needs are met, love and reassurance freely given, I don’t think there will be low self-esteem issues.

What are the criteria used to diagnose substance dependence?

Two of the criteria from the DSM, the Diagnostic and Statistical Manual of Mental Disorders , which mental health professionals use to diagnose substance dependence are: A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its defects.

Why do people seek treatment for relapse?

Relapse prevention is why most people seek treatment. By the time most individuals seek help , they have already tried to quit on their own and they are looking for a better solution. This article offers a practical approach to relapse prevention that works well in both individual and group therapy.

What is the goal of relapse prevention?

The goal of treatment is to help individuals recognize the early stages, in which the chances of success are greatest . Second, recovery is a process of personal growth with developmental milestones. Each stage of recovery has its own risks of ...

What is emotional relapse?

During emotional relapse, individuals are not thinking about using. They remember their last relapse and they don't want to repeat it. But their emotions and behaviors are setting them up for relapse down the road. Because clients are not consciously thinking about using during this stage, denial is a big part of emotional relapse.

What is recovery process?

Recovery is a process of personal growth in which each stage has its own risks of relapse and its own developmental tasks to reach the next stage [2] . The stages of recovery are not the same length for each person, but they are a useful way of looking at recovery and teaching recovery to clients.

Why are setbacks a part of recovery?

Setbacks are a normal part of progress. They are not failures. They are caused by insufficient coping skills and/or inadequate planning, which are issues that can be fixed [8]. Clients are encouraged to challenge their thinking by looking at past successes and acknowledging the strengths they bring to recovery [8]. This stops clients from making global statements, such as, “This proves I’m a failure.” When individuals take an all-or-nothing, dichotomous view of recovery, they are more likely to feel overwhelmed and abandon long-term goals in favor of short-term relief. This reaction is termed the Abstinence Violation Effect [8].

Why do recovery people see setbacks as failures?

Recovering individuals tend to see setbacks as failures because they are unusually hard on themselves [9]. Setbacks can set up a vicious cycle, in which individuals see setbacks as confirming their negative view of themselves. They feel that they cannot live life on life's terms. This can lead to more using and a greater sense of failure. Eventually, they stop focusing on the progress they have made and begin to see the road ahead as overwhelming [16].

Why is therapy important?

One of the important tasks of therapy is to help individuals redefine fun. Clinical experience has shown that when clients are under stress, they tend to glamorize their past use and think about it longingly. They start to think that recovery is hard work and addiction was fun. They begin to disqualify the positives they have gained through recovery. The cognitive challenge is to acknowledge that recovery is sometimes hard work but addiction is even harder. If addiction were so easy, people wouldn’t want to quit and wouldn’t have to quit.

How can addiction be improved?

Cleary, Hunt, Malins, Matheson, and Escott (2009)found the knowledge and attitudes of caregivers and family members toward persons with co-morbid psychiatric illnesses and substance abuse could be improved through education on substance use/abuse and strategies to support those experiencing these conditions . However, even among trained substance abuse counselors, resistance is evident to adoption of evidence-based practices in the treatment of persons with addiction. Thus, education of all care providers about the nature of and treatment for addiction may be needed to improve health care (Ducharme, Knudsen, Abraham, & Roman, 2010). According to Anton (2010), recognizing addiction as a disease much like diabetes or asthma is the only way addictions and its sequelae will be addressed adequately, with more effective treatment approaches or even cures found.

What can a nurse do to help with addiction?

Nurses also can give persons with addiction information about hepatitis A and B (transmission, symptoms, course of the illnesses, need for vaccines), and identify any sources where persons at high risk may obtain vaccines at no cost.

What is the National Institute on Drug Abuse?

The National Institute on Drug Abuse (2010)has a useful booklet that contains research-based information about how to prevent abuse/addiction. Evidence also indicates persons with addiction are ill, just as persons with heart disease or kidney disease are ill (Roy & Miller, 2010).

What are the negative attitudes of caregivers toward addiction?

Negative attitudes by caregivers toward persons with addiction may affect a caregiver's willingness to assess patients for substance problems, affect caring relationships with persons suffering from addictive diseases, and exacerbate avoidance of health care by those with substance problems (Howard & Chung, 2000a).

Do nurses stigmatize addiction?

Current society stigmatizes addiction, and nurses are susceptible to the same ways of thinking about persons with addiction. Howard and Chung (2000a; 2000b) reviewed 30 years of research on nurses' attitudes toward persons with addiction. While some improvement had occurred over time, many nurses still held negative views of individuals who abuse substances. In fact, nurses were more judgmental than were other health care workers. In a newer study of nurse and physician attitudes regarding injection drug users in New Zealand (Brener, Von Hippel, Kippax, & Preacher, 2010), care providers who believed users were in control of their addictive behavior attributed other health care conditions suffered by the user to the drug use. In a study of nurses in the United Kingdom, Monks, Topping, and Newell (2013)found most of the interviewed nurses had negative views of injection drug users.

What are the attitudes of health care providers?

Attitudes of Health Care Providers and Others. Addiction is often an emotional and uncomfortable topic for health care providers. Even popular media sometimes portray addicted individuals negatively. Persons who struggle with addiction often are depicted as criminals or prostitutes, weak, lazy, and morally corrupt.

How do addicts develop?

The majority of addicted persons began their illness trajectory in adolescence. Adolescents' brains react differently to substances than do adults' brains. Also, individuals differ in their susceptibility to drug addictions. Research has confirmed 40%-60% of the predisposition to addiction can be attributed to genetics (NIDA, 2008). A person's environment and level of development are also important factors. Adolescents are more apt to engage in risk-taking behaviors, including experimenting with drugs, and thus experience marked risk for addiction (NIDA, 2011).

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  • Your family and friends may be hesitant about contacting you in the early days of your recovery. They may not know what to expect or understand what it means to you. Take the initiative and contact them to show them that you are still the same person as you were, but a much healthier version than they have seen for some time. You still have a sense...
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