Pharmaceutical medications were created in hopes of improving the lives of people suffering from a wide range of diseases, disorders, and conditions. Unfortunately, many of the same medications that are intended to provide relief from physical pain and mental health afflictions can become the source of a prescription drug addiction. Around 16 million Americans misuse prescription drugs in a given year, a situation that can lead to dependence and substance use disorder. Of those who misuse prescription medication, around two million become addicted.

Although the rapid path to addiction to prescription medications can take many individuals and their loved ones by surprise, the path toward recovery can be long and complex. At Maryland Recovery, our team of addiction specialists and mental health professionals provides personalized outpatient addiction treatment programs to clients in Harford County, Maryland. Learning more about the most commonly misused prescription medications and why they are so dangerous can help you or a loved one stay vigilant in the face of America’s prescription abuse problem.

What Are the Most Commonly Abused Prescription Drugs?

These commonly abused prescription drugs carry a particularly high risk of dependence and addiction. Misuse of these medications can lead to substance use disorder and the need for professional addiction treatment.

 Suboxone 

Suboxone is an important tool for people who are trying to overcome opioid addiction. As part of a medication-assisted treatment (MAT) program, Suboxone, also known as buprenorphine-naloxone, addresses the root cause of opioid addiction by blocking opioid receptors. This makes opioids less desirable to the person facing addiction. Of the three FDA-approved medications for opioid use disorder, Suboxone is one of the most commonly used.

Suboxone is usually taken as a tablet, but it can also be administered via a dissolvable film that is placed under the tongue. Suboxone is typically prescribed by a medical doctor in the following four phases: induction, stabilization, maintenance, and taper. The steps usually involve an initial dose at the beginning of treatment. The doctor then steadily tapers the dosage until the patient no longer needs the medication.

Suboxone has helped many people maintain long-term recovery from opioid addiction. Unfortunately, while it is less addictive than methadone and highly effective, it can still be misused. Over time, people can develop a dependency that requires higher and higher doses to maintain the same desirable high and relief from withdrawals. People who misuse Suboxone may resort to snorting or injecting the drug in higher and higher doses.

 Adderall 

Adderall is a popular prescription medication that is used to help individuals with attention-deficit/hyperactivity disorder (ADHD). Adderall is a combination of amphetamine salts that artificially increases the levels of certain neurotransmitters in the brain. The two main neurotransmitters affected by Adderall are dopamine and norepinephrine.

Dopamine and norepinephrine regulate attention and focus. By boosting these neurotransmitters, Adderall improves concentration and alertness. Unfortunately, the drug’s stimulant effects make it ripe for misuse. Often, people and students use this prescription drug for legitimate reasons, only to become addicted later on.

Some people enjoy the productive and focused mindset they believe Adderall gives them. Other people use it to achieve a euphoric state. Still others use Adderall to suppress their appetite and lose weight. No matter the objective, long-term use can lead to serious health issues that can affect the cardiovascular system. Worse, Adderall is frequently prescribed to people under 18, and many teens overuse or misuse the drug.

 OxyContin 

Nearly four out of five prescriptions in this country are for some type of opioid, a class of drugs created to mimic poppy-derived opiates like morphine and provide substantial pain relief. One of the strongest pain relievers commonly available after surgeries and other procedures is OxyContin, or oxycodone. Part of the reason OxyContin is so addictive is due to the intense and rather quick high it produces.

People who are addicted to OxyContin often crush and snort the drug to hasten the high the drug creates. Other people inject OxyContin. Either method of taking the drug carries the risk of a lethal overdose. Long-term use of OxyContin can lead to organ damage, respiratory depression, and other serious medical problems. Around 13 million Americans 12 and over abuse oxycodone, meaning it is one of the most abused prescription drugs.

 Xanax 

Another of the most commonly abused prescription drugs is Xanax, also known as alprazolam. This benzodiazepine medication enhances the activity of gamma-aminobutyric acid (GABA) in the brain, which calms the central nervous system. For people with certain mental health conditions, this can greatly reduce feelings of anxiety and panic. For this reason, panic disorders and anxiety disorders are commonly treated using Xanax.

Xanax is not only very addictive, but it is also commonly mixed with other prescription medications and even alcohol. The National Institute on Drug Abuse found that many people who abuse opioids also abuse benzodiazepines like Xanax. Overuse of Xanax and other depressants can lead to addiction, respiratory depression, overdose, and even death.

When taken for recreational reasons, the drug can cause severe drowsiness, confusion, impaired coordination, and memory problems. Withdrawals can lead to seizures and rebound anxiety.

 Ritalin 

Ritalin is another stimulant medication prescribed for managing attention-deficit/hyperactivity disorder (ADHD). Because of its frequent use among students, teenagers are overrepresented among the individuals who overuse or abuse this drug. Like Adderall, Ritalin can drastically increase focus and attention, a key reason people without a prescription may seek the drug – many people first use Ritalin in an attempt to stay awake when pulling all-nighters ahead of midterms or exams.

Much like Adderall, Ritalin increases dopamine and norepinephrine levels in the brain. Those are the neurotransmitters crucial for attention and focus regulation. When used recreationally or in higher doses than prescribed, Ritalin misuse can lead to addiction and health problems. These can include elevated blood pressure, irregular heartbeat, and abrupt changes in mood or behavior.

Prolonged abuse can lead to serious health complications, such as cardiovascular problems, seizures, and even psychosis.

 Vicodin 

Vicodin is a powerful pain-relieving medication that blends hydrocodone and acetaminophen. It is used to manage moderate to severe pain. While this opioid is highly effective in providing relief from various types of pain, it is frequently overused. The drug produces deep feelings of euphoria and relaxation, especially when taken in larger doses than prescribed.

People of all ages are prescribed Vicodin for legitimate reasons, but many continue to use the drug for non-medical purposes. Prolonged misuse of this drug can lead to liver damage, addiction, depressed breathing, and other potentially life-threatening conditions.

 Ambien 

Around 30% of Americans have difficulty sleeping. Ambien (also known by its generic name, zolpidem) was introduced in the United States in 1992. The drug induces a sedative-hypnotic state and can be used to treat insomnia. Ambien is in  a class of drugs called non-benzodiazepine receptor agonists. This class of drugs targets the neurotransmitter gamma-aminobutyric acid (GABA) receptors in the brain.

As one of the most abused prescription drugs, Ambien can lead to a range of adverse effects beyond its intended purpose as a sleep aid. As with most other commonly abused medications, many people begin using Ambien for legitimate reasons, only to become addicted to the effects later on.

One significant risk associated with Ambien misuse is the potential for hallucinations and memory loss. Individuals who misuse Ambien may experience vivid hallucinations – seeing or hearing things that don’t exist – which can be distressing and disorienting. Memory loss, also known as amnesia, is a common side effect of Ambien misuse. This is particularly the case when taken in higher doses or combined with alcohol or other drugs.

While many people who misuse Ambien take more than prescribed, others use it in ways not recommended by healthcare professionals to experience euphoria or a high similar to that produced by other central nervous system depressants. The potential dangers of taking Ambien can become deadly when the drug is taken along with alcohol or other substances. Combining drugs can enhance the sedative effects of the drugs and increase the risk of overdose.

 Fentanyl 

America is in the midst of a fentanyl crisis. Fentanyl was the primary drug tied to 70,601 opioid overdose deaths in 2021. The drug is used to treat patients who are in extreme pain. For example, cancer patients are often prescribed fentanyl.

This synthetic opioid is very potent and thus very addictive – even tiny amounts can lead to a deadly overdose. Fentanyl can also be synthesized by street operations and made much more potent than pharmaceutical-grade fentanyl. The drug is commonly used to enhance the intoxicating effects of heroin. It is also sold as counterfeit prescription pills or as a cheap – yet potent – addition to other drugs. This can cause serious issues when people seeking other drugs unknowingly ingest the much more potent fentanyl.

 Klonopin 

Klonopin, which is also known as clonazepam, is another benzodiazepine medication frequently prescribed to manage anxiety and panic disorders. Its mechanism of action involves enhancing the effects of gamma-aminobutyric acid (GABA), a neurotransmitter responsible for calming brain activity, which results in a soothing effect.

Klonopin is prescribed for anxiety disorders, panic disorders, and seizure disorders like epilepsy. It can also be prescribed to alleviate muscle spasms and, in some cases, to treat insomnia. Many people who initially were prescribed Klonopin for legitimate medical reasons later find that they crave the sedative, euphoric effects of the benzodiazepine medication.

When taken inappropriately, Klonopin can cause a range of adverse effects, including drowsiness, confusion, and impaired coordination. This can lead to impaired driving and a greater risk of an accident. This is just one example of how Klonopin misuse can interfere with daily functioning and pose risks, especially when individuals operate machinery or drive while under the influence of the drug.

High doses of Klonopin or recreational use of the drug can lead to severe withdrawal symptoms when the drug is discontinued. These withdrawal symptoms can be not only uncomfortable but also dangerous, potentially leading to seizures or even psychotic episodes.

 Valium 

Valium (diazepam) is classified as a benzodiazepine medication. The class of drugs is used to treat anxiety, muscle spasms, and seizures, among other medical problems. It does this by enhancing the outcomes of a neurotransmitter called gamma-aminobutyric acid (GABA) in the brain. Valium produces a calming effect on the central nervous system, which is one reason why it can become so addictive to users.

Valium is prescribed to alleviate symptoms of anxiety disorders, panic disorder, and social anxiety disorder. The sedative and calming effects of Valium make it susceptible to misuse. People become addicted to the feelings of relaxation or euphoria and begin using the drug in greater quantities.

How Can Maryland Recovery Help People Addicted to Prescription Medications?

While it may seem counterintuitive to address addiction with other prescription medications, withdrawal management and safely tapering away from prescription medication use is essential to begin a healthy recovery. Medication-assisted treatments can offer a path toward recovery for people who are addicted to the above drugs and many other substances. The MAT program at Maryland Recovery was designed to manage withdrawal symptoms by fostering a safe environment for recovery and preventing relapse.

The necessary MAT medications can differ depending on the substance of choice, but they are chosen because they target the same brain receptors as the prescription without inducing euphoria — a primary reason for substance use. At the same time, MAT medications alleviate the cravings and withdrawal symptoms that are common triggers for relapse. This approach facilitates a smoother transition into the next phases of recovery, including sober living.

Take the First Step Toward Recovery

The overprescription of pharmaceutical medications has put more people than ever before at risk of becoming addicted to lawfully prescribed medications. If you or a loved one have experienced the dangers of prescription medication addiction, we can help. Maryland Recovery offers effective, safe, and accessible substance use disorder recovery.

At Maryland Recovery, our approach to addiction treatment is patient-centered. We focus on quality, cost-effective outpatient treatment with strong support for long-term recovery. Our program includes recovery homes to aid in transitional care. To begin your journey toward recovery, contact our compassionate professionals today.

Resources:

1. National Institute on Drug Abuse. (n.d.). Benzodiazepines and opioids. Retrieved May 17, 2024, from https://nida.nih.gov/research-topics/opioids/benzodiazepines-opioids
2. National Institute on Drug Abuse. (n.d.). Overdose death rates. Retrieved May 17, 2024, from https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates#:~:text=Overall%2C%20drug%20overdose%20deaths%20rose,overdose%20deaths%20reported%20in%202021.
3. National Council on Aging. (n.d.). Sleep statistics. Retrieved May 17, 2024, from https://www.ncoa.org/adviser/sleep/sleep-statistics/#:~:text=More%20than%20a%20third%20of,38%25%20of%20the%20general%20population.
4. Prescription Drug Abuse Statistics. (n.d.). Retrieved May 17, 2024, from https://drugabusestatistics.org/prescription-drug-abuse-statistics/
5. Oxycodone Addiction And Abuse. (n.d.). Addiction Center. https://www.addictioncenter.com/opiates/oxycodone/#:~:text=According%20to%20the%20United%20States

The post The Most Commonly Abused Prescription Drugs appeared first on Maryland Recovery.

Nearly 40% of Americans who struggle with substance use disorders also have a mental health disorder. Unfortunately, treating only substance use and the physical effects it causes does not truly address the many facets that link SUD and associated mental health disorders. That’s why acknowledging dual diagnoses and developing treatment to address both the addiction and underlying mental health issues is so crucial to recovery.

A treatment program devised to address both aspects of a dual diagnosis can treat SUD and mental health disorders concurrently. Maryland Recovery’s compassionate team of professionals offers treatment to individuals who are struggling with a dual diagnosis.

What Is Dual Diagnosis?

If you have a substance use disorder and a mental health disorder at the same time, you have what is known as a dual diagnosis. A dual diagnosis is given due to what medical professionals call comorbidity, the condition of having two disorders at the same time. While a dual diagnosis may be alarming at first, substance use disorders and health disorders commonly occur together.

For example, some people who have an existing mental health disorder later develop a substance use disorder as they attempt to numb, eliminate, or ignore mental health symptoms. Other people who have long-standing substance use disorders later develop depression, anxiety, and other mental health problems due to the chemical changes caused by substance use and the various stressors that come along with SUD.

Regardless of origin, it is crucial to address both disorders during SUD treatment. Such treatment is frequently referred to as “dual diagnosis treatment” or a “dual diagnosis program.”

What May Cause a Co-occurring Disorder?

The same risk factors can contribute to substance use disorders and co-occurring mental health disorders. The three most common, which may result in a dual diagnosis, include stress, genetics, and trauma.

Stress

Chronic stress can lead to mental health disorders by overwhelming the body’s ability to cope with daily stressors. This can cause prolonged anxiety or depression. Over time, stress can alter brain chemistry, disrupting the neurotransmitter balance that is essential for mood regulation and worsening anxiety and other mental health symptoms. Stress can also impair cognitive functions like memory and decision-making and often leads to unhealthy coping mechanisms such as substance use or social withdrawal. Stress can also compromise the immune system, which can further deteriorate mental health because physical and mental health are often intertwined.

Genetics

Research has enabled us to develop a better understanding of how environments and life situations can turn certain genes on and off, though more work needs to be done before genetic tests can better predict mental disorder risks. Researchers are still learning how genes contribute to or protect against these conditions. For example, genes that have been linked to mental health disorders only slightly raise the risk that the person will develop enough characteristics to receive a diagnosis, meaning genetics plays a role but not a decisive role in causing mental health problems.

It’s important to recognize that science is still not able to develop a genetic test for diagnosis or treatment. That’s why family mental health history remains a significant source of information. The key is to understand that having a relative with a mental disorder increases the risk of developing bipolar disorder, depression, and other mental health problems. Knowing your family history can help healthcare providers identify early signs and suggest ways to reduce other risks.

Trauma

Trauma often results in heightened stress levels, leading to anxiety, depression, and other mental health issues; at the same time, some individuals develop an affinity for substance use to mitigate lingering trauma or the mental health symptoms that accompany it. One of the best-understood examples of this is military veterans who experience or witness acts of violence and destruction. These individuals frequently develop post-traumatic stress disorder (PTSD) which can cause symptoms like intrusive thoughts, disruptive nightmares, and a heightened state of arousal – all of which may lead the individual to seek a way to self-medicate with a substance. Similarly, trauma that occurs early in childhood can lead to a wide range of mental health problems later in life by disrupting normal brain development and stress response systems.

Why Is Understanding a Dual Diagnosis Important?

use would be difficult if not impossible without simultaneously treating existing mental health conditions. Thus, an understanding of the two and how they are linked is crucial.

Mental health disorders can lead to substance use and eventually substance use disorders as individuals self-medicate to temporarily alleviate their symptoms. The brain changes caused by prolonged substance use can increase SUD risk and worsen mental health symptoms. At the same time, substance use and SUD can alter the brain and cause their own mental health symptoms.

By fully understanding the relationship between substance use disorders and mental health disorders and how to treat them in tandem, the team at Maryland Recovery can help many individuals from a variety of circumstances.

Examples may include:

The combinations of co-occurring disorders and individual circumstances are limitless, but each scenario involves multiple mental health issues. When substance abuse intertwines with these problems, dual diagnosis treatment is necessary to address all issues simultaneously.

Treatment Options for People Who Undergo a Dual Diagnosis

Maryland Recovery offers individuals the chance to recover on their own terms via a variety of affordable extended-care treatment options. We use research-backed treatment methods for clients with substance use and co-occurring mental health conditions.

At Maryland Recovery, our outpatient program includes: 

Medication-Assisted Treatment and Other Services

Our focus on dual diagnosis treatment allows our staff to customize and adjust services based on the presence of certain mental health conditions. Patient-centered programming that considers dual diagnoses informs how strategies like medication-assisted treatment (MAT) using  FDA-approved medications like Vivitrol and Suboxone are completed.

These medications are an especially effective approach when treating opioid and alcohol use disorders. When combined with counseling and behavioral therapies, MAT can help ensure individuals reduce the severity of withdrawals and cravings and minimize the risk of a recurrence.

Vivitrol (an injectable form of naltrexone) blocks opioid receptors to reduce cravings. Suboxone (which contains buprenorphine and naloxone) eases withdrawal symptoms and cravings. Vivitrol and Suboxone are vital tools in supporting individuals on their journey to sustained sobriety, and treatments can be customized based on the results of a client’s dual diagnosis.

Other treatment services we offer include:

Dual Diagnosis FAQs

Many potential combinations of co-occurring disorders are possible for people who experience mental health disorders, and substance use only exacerbates these issues. The mental health professionals at Maryland Recovery can answer your questions about dual-diagnosis treatments.

Take the First Step Toward Recovery with Dual Diagnosis Treatment at Maryland Recovery

The dual diagnosis programs at Maryland Recovery focus on comprehensive treatment for SUD and any co-occurring disorders. Depending on your mental health and substance use disorder treatment needs, we can offer customized clinical and therapeutic treatments to address every aspect of your recovery. With multiple levels of outpatient treatment, you can experience the best SUD treatment has to offer without the inconveniences of residential care.

Our dual diagnosis recovery services have helped many people find recovery from SUD while managing their mental health. Long-term recovery for you or your loved one is possible with attention to all aspects of individual health. Contact our compassionate team to request more information today.

*Editor’s Note: This article was originally published Nov 10, 2014 and has been rewritten July 22, 2024.

Sources:

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
2. National Institute of Mental Health. (n.d.). Looking at my genes. https://www.nimh.nih.gov/health/publications/looking-at-my-genes#:~:text=How%20do%20genes%20affect%20your,the%20onset%20of%20some%20diseases.
3. National Institute on Drug Abuse. (n.d.). Comorbidity: Substance use and other mental disorders [Infographic]. https://nida.nih.gov/research-topics/comorbidity/comorbidity-substance-use-other-mental-disorders-infographic#:~:text=Of%20the%2020.3%20million%20adults,also%20had%20substance%20use%20disorders.

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Most anyone who has ever experienced a substance use disorder (SUD), whether personally or via a friend or family member, is aware that there is no quick, convenient cure. Substance use can actually cause changes in the body and brain, which become reliant on substances to function. For that reason, the most effective treatments for SUD do not work overnight.

Instead, recovery is a journey that requires perseverance, determination, and long-term commitment, and the best treatment programs help individuals develop these qualities over time. Long-term rehab programs also allow the time for physical recovery while building the new skills and supportive structures necessary to sustain long-term recovery. Learn more about long-term rehab and how Maryland Recovery has developed a successful long-term program over the past ten years.

What Is Long-Term Treatment and Recovery?

Long-term treatment is precisely what it sounds like – a treatment program designed to last much longer than standard short-term programs. While short-term treatment programs typically last around 28-30 days, long-term rehab lasts 90 days. Over those 90 days, patients will participate in a combination of individual, group, and family therapies, support groups, and medication treatments.

Long-term programs are often residential, due to their extended nature. During long-term residential programs, patients live in a home or residential facility with their peers while working together to achieve recovery. Consequently, they are often the rehabs with the best success rates.

At Maryland Recovery (MRP), we provide a stable, substance-free residential environment designed to support patients during their long-term rehabilitation program. We recognize that extended or long-term programs are better for helping people overcome the deep-seated roots of their substance use in order to achieve long-term recovery and avoid a recurrence. To do so, every treatment program is personalized – programs are customized and structured to fit individual needs.

Treatment vs. Recovery

Treatment and recovery are distinct phases, as treatment refers to the time when a patient is actively engaged in a treatment program, whether in a residential facility or outpatient care. Recovery, on the other hand, begins the first day a person begins abstaining from substance use but is generally recognized to be in full effect after the successful completion of the treatment program. That’s because recovery is the ongoing process of maintaining and building on the progress made during treatment.

Benefits of Long-Term Rehab Programs

Long-term rehab can come with many benefits that short-term rehab does not. For most people, but especially those who may need additional time and attention during their recovery journey, these benefits can make it a much better choice. These benefits are typically attributed to the holistic approach to recovery made possible by long-term programs that address the physical, emotional, mental, and social aspects of SUD.

Higher Success Rate

Time is crucial for healing, and the long-term recovery model offers continuous care throughout the phases of SUD, from rehab to recovery. According to The National Institute of Drug Abuse (NIDA), people show the most improvement after approximately three months of research-backed treatment. This model surpasses the common 30-day program timeline set by the insurance industry, which was not backed by any real data. In fact, NIDA stated that the 90-day program is a “gold standard” for treating SUD.

At MRP, we have been providing long-term care for over ten years and have observed better results for our patients. While there is no standard measurement for success in rehab, the rate of SUD recurrence one year after treatment in a 90-day program is 15%. For a 30-day program, it is 38%. 

(Note: 30-day treatment programs can and have been very helpful for some individuals to achieve lasting recovery, but the opportunity for success significantly increases at the 90-day level)

Life Skill Development for Sustained Recovery

Developing tools and strategies for life after SUD is the foundation of the recovery journey. Those in long-term treatment are afforded the time they need to work on critical thinking and problem-solving techniques, emotional intelligence, fostering empathy, improving communication skills, time management and task prioritization skills, and goal-setting. Other skills can include managing finances, meal planning, cooking, maintaining a household, and job readiness.

Life skills training reduces relapse rates by equipping individuals with effective strategies to manage their triggers and navigate life challenges. By learning how to make healthy decisions, establish boundaries, and understand the ability to say “no,” people can strengthen their ability to make positive choices in support of their recovery.

In addition to reducing the chance of relapse, research shows that a longer treatment increases a person’s likelihood of getting hired after leaving. According to a study by the Substance Abuse and Mental Health Services Administration (SAMHSA), those who actively participated in a treatment program for 90 days or longer were 22-43% more likely to have gained employment the year following treatment than those who went through a shorter treatment program.

High Level of Support

Support is essential in the recovery journey. At the beginning of this journey, a strong network of support is vital, and long-term rehab programs are capable of providing this at or above the level of a short-term program. Constant support is provided by treatment staff and peers in both individual and group sessions, so individuals can navigate the challenges of substance use disorder knowing they can seek a listening ear, helpful guidance, or strategies and skills whenever necessary.

The personalized care plan of a long-term program also provides targeted support for each individual. With ongoing assessment and monitoring from staff, adjustments can be made to ensure the support continues to be effective.

Fostering Community and Peer Relationships

In a long-term care setting, individuals have the opportunity to build a community and create new peer relationships with those who are also on their recovery journey. This can inspire a sense of belonging and reduce the feeling of isolation many people may feel while in recovery.

A network of supportive, recovering individuals can bring everyone together, celebrate milestones and achievements, reinforce healthy behaviors and choices, and provide support during challenging times through the shared recovery experience.

Focus on Mental Health and Emotional Regulation

Many people beginning recovery have a dual diagnosis, which means that both SUD and other mental health conditions are present at the same time. It can be difficult to handle mental health during treatment and recovery because many complex emotions can arise, such as anxiety and frustration. Often, too, SUD can be caused when people attempt to self-medicate to eliminate mental health symptoms, and removing the preferred substance can cause a recurrence of symptoms.

Long-term programs provide clinical therapies and self-care strategies to help individuals develop skills that can help them face their mental health struggles. In addition, peer and staff support systems can help individuals put these skills into practice and discuss successes and challenges. In this way, long-term treatment provides a holistic approach to SUD and mental health issues.

Rebuilding Self-Esteem and Confidence

People experiencing SUD often have pre-existing self-esteem issues. Many others have lost their sense of self-worth due to their substance use. Confidence comes with self-worth, positive self-image, and overall motivation during recovery.

These issues can be addressed comprehensively during long-term rehab via counseling and support groups. Long-term programs also allow individuals to engage in activities that promote a sense of accomplishment and self-efficacy.

Increased Opportunity for Family Involvement

Substance use disorder affects not only the individual consuming the substances but their loved ones as well. Including family members in educational and therapeutic programming can help mend relationships and build the supportive home environment that is essential for long-term recovery.

In addition, many family members develop undesirable behaviors of their own in their well-intentioned attempts to deal with or control their environment or the individual with SUD. Providing therapy to help family members deal with these issues can be beneficial to both the person with SUD and their loved ones. With increased opportunities for family involvement in a longer program, we can ensure that people exit treatment with a positive environment awaiting them at home.

Medication-Assisted Treatments

Studies indicate that medication-assisted treatment (MAT) can support long-term sobriety. MAT programs provide comprehensive care, including medications to alleviate withdrawal symptoms and psychological cravings. These medications are most effective when administered in the treatment setting and can substantially reduce the risk of a recurrence.

Increased Time for the Brain to Heal

Substance use disorder is a chronic condition that negatively affects the body and changes the brain. Addictive substances trick the brain’s “reward system” by artificially elevating dopamine levels and causing pleasurable sensations. Over time, the brain reduces its natural production of dopamine, reinforcing reliance on the substance to feel “normal.”

Long-term substance use also alters the structures of the brain in other ways. It can impact decision-making skills, impulse control, behavior regulation, and memory and learning skills.

Ceasing substance use allows the brain to begin to heal, but it will require more than 30 days to do so. During the treatment process, the brain gradually restores the chemical balances, improving mood, motivation, and overall mental health. During recovery, the brain regions affected by substance use will start to recover, along with the impacted skills. Long-term treatment helps the individual along this continuum and enables them to learn how to manage their “new normal” as the brain continues to heal.

Complete Focus on Recovery

While many people may be hesitant to commit 90 days to treatment or leave behind family, friends, and jobs, an intense personal focus is beneficial during treatment. The ability to commit an extended amount of time and effort to recovery away from outside influences is one of the most important aspects of a long-term program.

Long-term programs allow for sufficient time for individuals to: 

Experiencing a new treatment environment long-term can help people break free from old patterns and work on new, healthier behaviors. The extra time individuals are afforded in the 90-day model allows them to understand and thoroughly address the root causes of their substance use disorder.

Additional Strategies for Long-Term SUD Recovery

Recovery program success rates do not occur in a vacuum. Recovery is lifelong and does not end after people leave long-term treatment. Building upon the strategies you learned during treatment will help them maintain successful long-term recovery. This can include managing triggers, attending meetings, making lifestyle changes, and a variety of other strategies unique to each individual.

Attend Meetings

Choosing to remain involved in the recovery community, such as through Alcoholics Anonymous, Narcotics Anonymous, or other group meetings, can help people stay accountable and provide access to emotional support systems. Hearing others share their struggles and successes can be reassuring and help all group members feel less isolated during the recovery journey.

In addition, many recovery groups have established networks that can provide assistance with employment, housing, and other essential needs, helping to rebuild a stable life for members in recovery.

Establish Healthy Habits

Individuals typically establish habits during active SUD that must now be replaced with healthier ones. Creating healthier habits can not only improve physical and mental health but can also prevent individuals from sliding back into the old ones. What’s more, many healthy habits afford people an opportunity to strengthen their social networks.

Some better habits may include:

These are just a few examples of habits individuals frequently begin developing during long-term treatment and maintain throughout recovery. The ideal combination will be unique to each individual, but making positive choices is an important part of strategizing recovery.

Involve Family and Friends

Choosing to surround themselves with positive, supportive people can significantly impact individual recovery. If family and friends were involved in the long-term treatment process or received SUD education, the individual could remain motivated to stay in recovery. A healthy environment helps reduce stress, and having healthy role models can reinforce new positive habits and choices.

Family and friends can also remain involved in family therapy sessions that can help address issues, improve communication, and strengthen relationships.

Find a Purpose

Everyone needs a purpose in life, whether that is to help others achieve sobriety, volunteer at an animal shelter, career advancement, completing an education, or something else. Establishing purpose enables and motivates individuals to move forward from active substance use. Finding a purpose can occur through self-exploration, engaging in activities, seeking support, and overall remaining open to growth. A purpose can be a powerful pillar for long-term recovery.

Join the Alumni Community

At MRP, we offer an Alumni Community to support individuals through their recovery journey. This is a safe community, judgment-free, and supportive of what recovery looks like for each individual. We regularly publish information about our Alumni Community, including meeting times and locations.

Is Long-Term Rehab in Maryland Right for You?

Long-term rehab can seem daunting, especially if you consider the time commitment you’ll need to be successful. However, studies have shown that long-term treatment is more beneficial for most people than the short term option. In addition, many individuals are especially likely to need long-term treatment to maintain recovery.

Long-term rehab may be right for you if you: 

SUD can look different for every individual, but if you or a loved one identify with any of the above, long-term help can be a critical resource for finding your path to recovery.

Client Testimonials

Listen to what our clients have to say about the long-term rehabilitation community at Maryland Recovery.

The Path to Long-Term Substance Use Disorder Recovery

The benefits of long-term rehab are crucial to your chances of successful, long-term recovery. If you believe you or a loved one would benefit from long-term treatment, our team can answer any questions about short and long-term rehab in Maryland. Reach out to Maryland Recovery so we can help you begin your recovery journey.

Sources:

1. Administration (US), S. A. and M. H. S., & General (US), O. of the S. (2016). THE NEUROBIOLOGY OF SUBSTANCE USE, MISUSE, AND ADDICTION. In www.ncbi.nlm.nih.gov. US Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424849
2. ‌Institute of Medicine (US) Committee for the Substance Abuse Coverage Study, Gerstein, D. R., & Harwood, H. J. (2018). The Effectiveness of Treatment. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK235506/
3. ‌Moos, R. H., & Moos, B. S. (2006). Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction, 101(2), 212–222. https://doi.org/10.1111/j.1360-0443.2006.01310.x
4. National Institute on Drug Abuse. (2020, July). Treatment and Recovery. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery
5. ‌American Psychiatric Association. (2022, December). Opioid Use Disorder. Psychiatry.org; American Psychiatric Association. https://www.psychiatry.org/Patients-Families/Opioid-Use-Disorder
6. ‌SAMHSA. (2019). Key Substance Use and Mental Health Indicators in the United States: Results from the 2019 National Survey on Drug Use and Health. Www.samhsa.gov. https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR090120.htm
7. ‌Substance Abuse and Mental Health Services Administration. (2023). Medications for Substance Use Disorders. Www.samhsa.gov.  https://www.samhsa.gov/medications-substance-use-disorders
8. NIDA. (2020). Drugs and the Brain. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain

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Alcoholism is hardly a newly discovered condition. The terms alcoholism and alcoholic were first used in the mid-1800s, but people have been experiencing the difficulties alcohol can cause for far longer. In fact, ancient Romans documented excessive alcohol consumption, and repeated or constant states of inebriation were even described as a type of insanity.

While we’ve been aware of the problems alcohol can cause for centuries, experts in the modern era continue to refine treatments for alcoholism. Now, we refer to continued alcoholism as an alcohol use disorder and recognize that it is, in fact, a disorder. Modern treatment focuses on treating alcohol use disorder using a comprehensive series of innovative approaches.

Learn more about modern treatments for alcohol use disorders.

What Is Alcoholism?

Alcoholism, or alcohol use disorder, is considered a brain disorder and is characterized by the inability of the individual to control alcohol consumption regardless of the adverse effects it may cause in their life. Alcohol use disorder (AUD) may be mild initially, but it typically progresses to the point where the person feels as if they cannot function normally without alcohol.

Eventually, the brain becomes accustomed to operating in the presence of alcohol, affecting communication pathways, reflexes, and more, causing negative side effects known as withdrawals when alcohol is removed. AUD can lead to neuron death and affect brain pathways, leading to issues with memory, cognition, mood, decision-making, impulse control, and more. Alcohol can also cause physical health issues like high blood pressure, liver damage, kidney damage, and more.

The Evolution of Alcoholism Treatment

The treatment of alcoholism has a long history. As early as the seventeenth century, treatments involving spiritual practices and herbs were used as a means of bringing a person back to a healthy state. Unfortunately, when spiritualism gave way to more practical approaches, the common form of treatment was sending individuals to asylums to be kept from the outside world.

Disease Theory of Alcohol Use Disorder

Ideas about the treatment for AUD changed significantly, however, when a physician named Benjamin Rush considered alcoholism a disease rather than simply being part of a moral failure of the individual. As alcohol use disorders became more understood, the kinds of treatments available began to evolve.

When AUD was treated as a disease, new research-based treatment centers began to open. The first inpatient treatment center to open during the 1930s for substance use was the U.S. Narcotic Farm, located in Kentucky. Some of the first patients to undergo treatment there were several well-known jazz musicians of that time period.

Alcoholics Anonymous

Alcoholics Anonymous (AA) began in 1935 with its 12-step program.  The main purpose of AA is to help and support one another in defeating the destructive habits and compulsive behaviors of substance use disorder.

The twelve steps that aid the person in handling a substance use disorder include: 

Today, Alcoholics Anonymous has a worldwide presence in about 180 countries, boasting over two million members. It remains a free resource for persons wanting to gain control over their alcohol use disorder.

Psychoanalysis and Substance Use

Another advancement in treatment came with the concept of psychoanalysis, a theory developed by Sigmund Freud. This theory posited that unhealthy substance use could be associated with psychological issues that the individual wasn’t even aware of. With an awareness of these new ideas came experimentation with treatments based on the psychological issues that are associated with a dependency on substance use.

Treatment Centers and Treatment Organizations

As treatments continued to evolve, the use of holistic and integrated approaches was implemented due to the need to resolve the psychological, social, and physical factors that are tied to substance use disorders. Starting in the 1970s, more treatment centers and organizations were established, such as The Betty Ford Clinic, Rational Recovery, and Secular Organizations for Sobriety (SOS).

Modern Approaches to Treating Alcoholism

The evolution of treatments for substance use disorders and alcoholism shows the need for a deeper understanding and further research in regard to behaviors associated with these disorders. Those who continue to experiment and research the holistic and integrative approaches help to advance the effectiveness of treatments.

Medication-Assisted Treatment (MAT)

Medication-assisted treatment (or MAT) is a kind of treatment that combines the use of medication and therapy for those suffering from substance use disorders. The purpose of MAT is to return the brain to its normal functioning while also helping to relieve cravings and reduce withdrawals, minimizing the chances of relapse. In most cases, the more time spent in this treatment, the more effective it will be for the recovery process.

MAT uses several FDA-approved medications as part of the treatment process.

Below are a few of the most commonly used for treating alcohol disorders: 

There are many benefits to using MAT for treating alcoholism, as it can reduce a person’s desire for alcohol, help them continue to refrain from using alcohol, and prevent dangerous withdrawals associated with alcohol detoxification. When MAT is used in conjunction with counseling, patients experience significant improvements in clinical outcomes in the 12 months following the treatment. Additionally, it was found that fewer people needed to undergo further mental health treatment after completing MAT. MAT continues to be used and evaluated in AUD treatment.

Behavioral Therapies and Counseling

Cognitive Behavioral Therapy (CBT) is frequently a component of modern treatments for alcohol use disorders. CBT is often used to help with anxiety as well as substance use disorders. It is a common type of psychotherapy that helps a person connect their thoughts to their behaviors. Once that connection is made, behavior can change. CBT has been found to be effective, especially when used with Motivational Interviewing (MI) and Contingency Management (CM).

MI and CM

Motivational Interviewing can be seen as a unique way of staging an intervention. Rather than simply instructing the person how to change their behaviors, helpful information is given only when requested. It is typically integrated with CBT to increase the individual’s motivation and help reinforce everything they are learning during treatment. Contingency management is a systematic therapy that reinforces positive behavior and disincentivizes negative behavior.

Individual and Group Therapies

Additionally, therapy for the entire family can prove to be effective for the healing and recovery process as it provides additional support for the individual struggling with AUD. Al-Anon, a group for families and friends of persons suffering from alcohol use disorder, can be helpful whether or not the affected person attends Alcoholics Anonymous. Al-Anon believes that increasing the family’s knowledge about the disease can aid in the recovery process.

Group therapy is also extremely important for people with AUD as it reminds the individual that they are not alone in their struggles. Participation in these types of therapies can help a person stick with treatment for alcohol use disorder, as well as decrease the chances of relapse in the future.

Holistic and Integrated Approaches

A holistic approach to the treatment of alcoholism considers all aspects of a person, such as their physical, emotional, and spiritual facets. This approach suggests that all of these aspects of the self must be restored for true healing to take place. A holistic approach considers how the mind and body work together, as well as determining and treating underlying contributing factors, rather than just the symptoms.

This kind of approach to treatment empowers the individual to make changes in their health and in their life. Some of the important factors of the holistic approach involve continuous outpouring of love from supporters to help throughout the healing process, focusing on the person and not their disorder, and treating the root issue rather than just the symptoms of the disease.

Several practices are associated with holistic approaches. 

The holistic approach can complement traditional forms of treatment. It can give a person a tangible way to begin to feel better and experience real healing. It is also a creative and unique way for an individual to undergo treatment that may be more effective than traditional treatments.

The Addition of Research-Based Therapies to Address Co-Occurring Disorders

The integrative approach also uses evidence-based research strategies for alcohol use disorders and mental health therapy. This may include individual, group, and even family therapies, all of which are thoroughly described above. It also incorporates a balance of this therapy with creativity and flexibility for the person’s specific needs.

Just as important as these approaches is understanding how alcohol use disorders and co-occurring mental health disorders relate to each other. Further knowledge of these two issues can help create more integrated approaches to help lead to recovery. Because alcohol use disorders and mental health issues are commonly associated with each other, dual diagnosis treatment is a solution for treating both issues at one time.

After utilizing these approaches in their treatment, many have found the support, encouragement, and knowledge to allow them to begin their journey of recovery and stay on that path. For those who have once lost all hope that anything could ever change, wholeness can be found again when both mind and body are restored.

Technology and Telehealth in Alcoholism Treatment

Support Systems and Aftercare

If an individual hopes to remain on the path to recovery, it is critical to seek continuous support to ensure that they are staying on the right path. Self-care is also important as a way of staying in tune with what their mind and body need to stay healthy. Getting involved in a sober living home, alumni programs, and community support groups are essential to maintaining healthy living patterns and recovery.

Developing a plan of action to prevent relapses is also important. No one leaves alcohol treatment planning to relapse, but it often happens. The important thing is having a plan in place that will help guide the person back to recovery.

The Need for Innovative Approaches to Treating Alcoholism

Alcoholism is a disease that affects millions of people. Treatments must be available to everyone based on their unique needs, as one form of treatment will not be effective for all. Integrating modern methods as research gives further knowledge of treating alcoholism, which will allow more people to find healing and recovery.

Whether you are looking for alcoholism treatment in Maryland or additional resources, follow the Maryland Recovery blog. There, you can learn more about Maryland Recovery’s innovative, affordable treatment programs, which can help you or your loved one on a journey to recovery. Please contact us now to get in touch with our experienced treatment team.

Sources:

1. National Institute on Alcohol Abuse and Alcoholism. (2020). Understanding Alcohol Use Disorder. Www.niaaa.nih.gov; National Institute on Alcohol Abuse and Alcoholism. https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/understanding-alcohol-use-disorder
2. History of Addiction Treatment & Rehab – Arista Recovery. (2024). Aristarecovery.com. https://www.aristarecovery.com/blog/history-of-addiction-treatment-and-rehab
3. The Twelve Traditions | Alcoholics Anonymous. (n.d.). Www.aa.org. https://www.aa.org/the-twelve-traditions
4. Henken, W. (2021, November 18). The Evolution And History Of Rehab. Addiction Center. https://www.addictioncenter.com/community/evolution-history-of-rehab
5. Patterson, E. (2022, March 4). How Does Medication-Assisted Treatment Work for Alcohol Use? GoodRx; GoodRx. https://www.goodrx.com/conditions/substance-use-disorder/medication-for-alcoholism
6. Robertson, A. G., Easter, M. M., Lin, H., Frisman, L. K., Swanson, J. W., & Swartz, M. S. (2018). Medication-Assisted Treatment for Alcohol-Dependent Adults With Serious Mental Illness and Criminal Justice Involvement: Effects on Treatment Utilization and Outcomes. American Journal of Psychiatry, 175(7), 665–673. https://doi.org/10.1176/appi.ajp.2018.17060688
7. Center, I. L. (2021, February 2). What is a Holistic Treatment Approach? Integrative Life Center. https://integrativelifecenter.com/treatment-programs/what-is-a-holistic-treatment-approach/#:~:text=A%20holistic%20treatment%20approach%20is
8. Encouraging a Whole Person, Integrated Approach to Health | National Institute on Alcohol Abuse and Alcoholism (NIAAA). (2024). Nih.gov. https://www.niaaa.nih.gov/about-niaaa/strategic-plan-fiscal-years-2024-2028/cross-cutting-research-themes/encouraging-whole-person-integrated-approach-health
9. Patient Success Stories – Long Term Alcohol and Drug Addiction Recovery Program | The Reprieve. (2022, December 28). Long Term Alcohol and Drug Addiction Recovery Program | the Reprieve. https://experiencethereprieve.com/patient-success-stories/
10. Carroll, K. M., & Kiluk, B. D. (2018). Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychology of Addictive Behaviors, 31(8), 847–861. NCBI. https://doi.org/10.1037/adb0000311
11. Motivational Interviewing and Enhancement Therapies. (n.d.). Recovery Research Institute. https://www.recoveryanswers.org/resource/motivational-interviewing-motivational-enhancement-therapies-mi-met/
12. The Twelve Traditions | Alcoholics Anonymous. (n.d.). Www.aa.org. https://www.aa.org/the-twelve-traditions

The post Innovative Approaches in Treating Alcoholism: A Modern Perspective appeared first on Maryland Recovery.

Physicians frequently prescribe a range of medications to treat an illness or disease or help manage symptoms related to a medical issue. However, even though prescription medications were created to address health problems, many can pose health risks. While the side effects of medications can be concerning, certain prescription medications can create dependence, leading to misuse, addiction, and substance use disorder (SUD). This can result in a host of serious health issues, especially if the medication is misused for an extended period of time.

What Is Prescription Medication Misuse?

Unlike street drugs and alcohol, which have no approved medical use, prescription medications have a designated beneficial effect of improving the physical or mental health of people who take them. Misusing a medication means that either the person prescribed that medication or someone else fails to take the medication as intended. According to the National Center for Drug Abuse Statistics, 16.3 million people improperly use medications each year.

Misuse can result from dependency on the effects of the medication or can exacerbate dependency. For example, someone may become dependent on using pain medication to eliminate pain; they may also come to enjoy or rely on the associated euphoric feeling that accompanies a too-large dose of many pain medications.

Many addictive prescription medications are addictive because they release dopamine, the feel-good hormone associated with pleasure, to the brain, which causes a temporary feeling of pleasure. People with SUD continue to use the medication to keep experiencing those positive feelings. As the individual takes the medication consistently, they will most likely develop a tolerance to it, meaning that they will have to take more to experience the same pleasurable feelings.

Substance Use Disorder and Dependence on Medications

Developing a dependency on prescription medication and developing a SUD are actually two different things. As mentioned, dependence on a medication occurs when a person develops a need for the psychological or physical impact that it has on the body. Someone who is dependent on their medication may be following the proper usage instructions without actually developing an SUD.

However, dependency can mean the individual needs to take more and more of their prescription to achieve the same effects. When a dependency on prescription medication becomes an addiction or SUD, misuse continues even though use results in negative side effects and life impacts.

An SUD occurs when chemical or even physical changes occur within the brain due to an illicit or prescription drug. People may act compulsively or differently from how they did before taking the medication. A substance use disorder can cause a variety of related physical and mental health issues. Without undergoing proper treatment, such as attending one of the prescription drug rehab centers in Maryland, the consequences of a SUD may be serious, even deadly.

Most Addictive Prescription Drugs in Maryland

While physicians prescribe myriad medications to treat a host of different medical and mental health conditions, there are some drugs that are notorious for their addictive potential. Below are some commonly misused prescription drugs.

Opioids

Opioids are a medication derived from or synthetically mimicking a compound found in the poppy flower. They are typically prescribed to treat pain and are very effective at decreasing the amount of pain felt. Unfortunately, this medication type also impacts the reward center of the brain, which can result in calm and euphoria in addition to pain relief. Because of how opioids affect the brain, they can quickly lead to dependency, addiction, and SUD.

Opioid prescription medication has resulted in many overdoses, led to many deaths, and has even caused the US workforce to experience unprecedented financial losses due to employee inefficiency, missed work, and deaths. The overdose rates and staggering associated costs of addressing opioid addiction in the US have been called the Opioid Epidemic.

As a result, Maryland business owners have begun educating employees on the dangers of opioids in the workplace.

Fentanyl

Fentanyl is an extremely powerful opioid medication originally developed to treat post-surgical pain. Unfortunately, many illicit street dealers are now producing even more powerful varieties of this potent drug. Very small amounts of fentanyl can result in an overdose.

Worse, other prescription medications and illicit drugs purchased on the street may be cut with fentanyl. This issue has become so severe that over 70% of all stimulant drug overdoses are now also associated with fentanyl. Aside from the pain-relieving and euphoric qualities of fentanyl, this medication can cause dangerously slow breathing, sedation, drowsiness, dizziness, and nausea.

Other Opioids

Medications like hydrocodone and oxycodone, along with oxymorphone, codeine, and morphine, are also opioid medications. These drugs all interact with the brain’s opioid receptors to block pain sensations and cause euphoria. They range in strength and side effects, but all have addictive potential. In general, the strongest opioid medications have the highest pain relief potential but also carry the most risk for addiction.

Benzodiazepines

This kind of medication is a type of central nervous system depressant that is meant to treat sleep disorders and anxiety. It works by decreasing the brain’s activity, which causes the person taking the medication to feel calm, relaxed, and tired.

Benzodiazepines can help the body achieve sleep. When benzodiazepines are used as sleeping aids, they act as stimulants to a chemical found in the brain called gamma-aminobutyric acid (GABA). Once stimulated, this chemical relaxes the muscles, calms the mind, and decreases anxiety, allowing the person to experience a good night’s rest.

Benzodiazepines can become habit-forming and can cause dangerous withdrawal if the patient suddenly stops taking the medication. Some of these withdrawal symptoms can include excessive swelling, difficulty sleeping, headaches, nausea, muscle pain, anxiety, panic attacks, and seizures. Many people develop substance use disorders after taking benzodiazepines for an extended period of time to avoid withdrawals.

Some of the most commonly taken benzodiazepines are clonazepam, alprazolam, and diazepam.

Alprazolam

This kind of benzodiazepine is usually sold under the name Xanax. This medication is prescribed as a treatment for panic disorders and anxiety, as it works to depress the central nervous system, which has a calming effect. Signs that someone is misusing this medication include difficulty sleeping, tremors, and swelling in the hands and feet.

Clonazepam and Diazepam

Both clonazepam and diazepam are benzodiazepines. Clonazepam is typically recognized as Klonopin, and diazepam is known as Valium. They are designed to treat symptoms related to panic disorders, anxiety, and seizures.

These medications are misused due to their calming impact on the body. Those who use clonazepam and diazepam may experience a feeling similar to being drunk or just feel completely relaxed. Some of the signs that a person is not properly using these medications include hallucinations, paranoia, and constipation.

Stimulants

Stimulants are another group of addictive prescription medications. Also known as central nervous system stimulants, stimulant medications work by increasing important brain chemicals like norepinephrine and dopamine. These help boost energy levels, attentiveness, and alertness and are typically used to assist with conditions such as attention deficit hyperactivity disorder (ADHD), narcolepsy, and depression.

Because stimulants affect dopamine levels, medications are often misused because they create energy and feelings of intense pleasure. Those who have become dependent on stimulants may begin to experience side effects. These include paranoia, hallucinations, aggression, decreased appetite, weight loss, headaches, increased heart rate, nausea, vomiting, changes in vision, and personality changes.

Two types of stimulants that often cause addiction are amphetamines and methylphenidate.

Barbiturates

Barbiturates, like benzodiazepines, are central nervous system depressants and are sometimes used to treat health issues such as seizures and sleep disorders. They also react to the natural neurotransmitter chemical GABA, which helps to relax the mind and body.

These medications are prescribed less frequently than in the past because many have been found to be unsafe. They create a range of dangerous side effects and have a high risk of dependency. Additionally, there is a high risk of overdose.

Butalbital is a type of barbiturate that is often found in prescription migraine medications. It is usually a part of a combination of other medications, such as caffeine, aspirin, codeine, or acetaminophen, and can be found in medications like Fiorinal and Fioricet. This combination of medications can result in physical and psychological dependence, addiction, and SUD.

Prescription Sleeping Medications

Many people who struggle with insomnia and other sleeping disorders begin with over-the-counter aids. However, they may not be enough to treat the issue. Prescription medications have a higher potency and are often more effective.

Unfortunately, these medications are often habit-forming. Healthcare providers do not often prescribe them for long-term use, as they are not meant to cure the root cause of the sleep issue, but many people come to rely on them to get to sleep. Some prescription sleeping medications include barbiturates, benzodiazepines, and Z-drugs such as Ambien and Lunesta.

Those who become dependent on prescription sleeping medications may experience: 

Stopping use of a sleep medication taken for long periods can cause withdrawal symptoms. In addition, the sleep disorder may return worse than it was before taking the medication. Other issues that can develop include parasomnia, when a person participates in daily tasks, such as doing chores, having a conversation, or even driving while not being fully conscious.

Finding Help for Prescription Drug Recovery in Maryland

If you or a loved one is struggling with misusing prescription drugs and has developed a substance use disorder, don’t attempt to handle it on your own. Abruptly ceasing prescription medication use can cause dangerous withdrawal symptoms that can endanger your recovery, harm your mental health, and cause severe physical health issues. Detox and medication-assisted treatment from a reputable substance use disorder treatment center can help you safely eliminate prescription drugs from your system and then build the skills necessary to navigate life without them.

Maryland Recovery offers personalized, medically-assisted help for those who are dependent on prescription medications and want to begin their journey to recovery.

Contact Maryland Recovery to consult with our caring, compassionate staff and learn more about how we can help.

Sources:

1. Drug Abuse Statistics. (n.d.). Prescription drug abuse statistics. Retrieved January 24, 2025, from https://drugabusestatistics.org/prescription-drug-abuse-statistics/#:~:text=16.3%20million%20people%20misuse%20prescriptions,32.1%25%20use%20sedatives%20or%20tranquilizers
2. Cleveland Clinic. (n.d.). Sleeping pills: Uses, risks, and precautions. Retrieved January 24, 2025, from https://my.clevelandclinic.org/health/treatments/15308-sleeping-pills
3. Sleep Education. (n.d.). Sleep disorders. Retrieved January 24, 2025, from https://sleepeducation.org/sleep-disorders/#Parasomnias
4. National Institute on Drug Abuse. (n.d.). Overdose death rates. Retrieved January 24, 2025, from https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates
5. National Institute on Drug Abuse. (2011). Rx drugs placemat. Retrieved January 24, 2025, from https://nida.nih.gov/sites/default/files/rx_drugs_placemat_508c_10052011.pdf
6. National Institute on Drug Abuse. (n.d.). Commonly used drugs charts. Retrieved January 24, 2025, from https://nida.nih.gov/research-topics/commonly-used-drugs-charts

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Substance use disorder (SUD) has an enormous impact, not only on the individual struggling but also on their loved ones. It is not easy to watch someone you love suffering from a life-altering issue. SUD is not a life sentence, however – you can break the cycle and achieve sobriety. Getting sober in Bel Air, Maryland, is possible. In fact, it’s a great place to begin your journey to recovery.

Fortunately, many local outpatient options can help you find the personalized support and connection you need from your community. Maryland Recovery offers effective treatment for those who are looking for help getting sober.

Why Choose Bel Air, Maryland, for Your Sobriety Journey?

Bel Air, like Maryland as a whole, has seen a high number of overdose-related deaths. According to this Opioid Operational Command Center Review of Demographic Overdose Trends in Maryland by Local Jurisdiction, 2020, there were 2,799 deaths related to overdoses in the state. Unfortunately, the number of deaths related to alcohol and other substance use disorders that year has been the highest on record within the state. Still, despite the SUD crisis in Maryland, a strong community has also been built for those in recovery.

As a result, many resources are available for those getting sober in Maryland, including detox centers, inpatient and outpatient programs, and support groups like Alcoholics Anonymous and Narcotics Anonymous.

As you can see, there are several options for care in Bel Air, but outpatient programs are highly recommended and more convenient than inpatient care. With outpatient programs, you can access treatment and therapy sessions that fit your schedule, meaning you can attend a program and return home on the same day.

Depending on the treatment you receive, you may have daily visits, or you may only be required to attend every other day. You can continue your normal daily routine while also receiving treatment. Keep in mind that the best outpatient programs help you establish a support system that can keep you on track while you’re not in treatment.

Understanding Outpatient Rehab in Bel Air

Outpatient treatment has many benefits, and it could be an ideal fit for you. However, there are several differences between inpatient and outpatient programs, and it’s important to understand them before starting your recovery journey.

What Is Outpatient Treatment?

Inpatient programs provide residential treatment that includes around-the-clock care and support from healthcare professionals. They are intended to provide continual treatment for those who are going through withdrawal. Like outpatient programs, inpatient programs provide educational resources, therapy, and support to those who are looking to remain in recovery.

Outpatient treatment is designed to provide flexibility, but many individuals in recovery transition into sober living environments rather than returning directly to work or home. Instead of staying in a facility full-time, you attend scheduled treatment sessions during the day or evening while building a support system in a structured setting.

Outpatient programs offer many of the same resources as inpatient programs, including support groups, individual and family counseling, and educational tools to aid recovery. While outpatient care is considered less intensive than inpatient treatment, it remains a vital option for those who need continued support while working toward long-term sobriety.

Benefits of Outpatient Drug Rehab in Bel Air

Finding drug rehab in Bel Air may seem daunting, as there are a variety of outpatient programs available in the area. When choosing a program, consider its location and whether it is convenient for you. You will also need to determine how long the program will take to complete and think about your financial options.

For those who do not have insurance, look for available payment plans, loans, or possible grants to make treatment more affordable. Fortunately, most outpatient programs are much more affordable than inpatient programs.

Outpatient programs give you the tools that you need to build a solid foundation for maintaining long-term sobriety, as well as resources for staying sober and continuing your personal growth even after treatment has been completed.

Many programs offer life skills training to help you learn how to implement healthy coping skills into your life. If you have experienced serious trauma, many outpatient programs offer trauma care to assist you in learning how to cope, accept, and thrive after a traumatic event.

For those who have suffered from loss and struggled with grief, grief and loss groups may be available as part of the program. All of these resources are essential to assist you in reaching recovery and starting a new, healthier lifestyle.

Make sure that whatever program you choose can be tailored to meet your needs. Everyone’s road to recovery is different, as are their needs for treatment. This can include the types of treatment involved in the program, the amount of counseling sessions needed, and the length of the program.

Steps to Getting Sober in Bel Air

Recovery is not something that happens within a set number of days, weeks, or months. Rather, it is a lifelong process that involves implementing new lifestyle changes that require time, effort, and the support of friends and loved ones.

Consider taking the following steps to become sober in Bel Air:

Tips for Staying Sober in Bel Air

Beginning recovery is an outstanding achievement, but remaining in recovery can be just as challenging. Aside from having your loved ones’ support and attending support groups, there are many other things you can do to be proactive in your quest to stay sober.

Engage in Healthy Activities

One way to help yourself remain sober is to implement healthy activities into your daily routine. Frequent exercise is a great way to improve your health and well-being. Consider trying new activities, continue participating in an activity you currently do, or return to something you enjoyed in the past.

Yoga and meditation are great ways to center both your mind and body. Join a fitness center that offers a variety of exercise machines and equipment. If you prefer something more simple (and free), visit a local hiking trail to do some cardio while enjoying the beauty of nature.

Avoid Triggers and High-Risk Environments

A trigger can cause someone who has struggled with SUD to experience a sudden urge to use the substance of choice. It is expected, and very normal, for those in recovery from SUD to be triggered. Everyone’s triggers are unique, so what may be a trigger for one person may not be for another. For example, some may be triggered by spending time with certain individuals or in certain environments. Another trigger may be experiencing stressful situations.

There are several ways you can avoid your triggers and high-risk environments. First, it’s important to understand what triggers you and what environments are too risky so that you can avoid them. Try to fill your downtime with positive things. If you have too much free time, this can cause boredom, which can lead to the desire to use substances again. Pick up a new hobby or go back to a hobby that you once enjoyed.

Whenever you face a setback in your recovery journey, which will happen, try to look at it as a learning experience. The belief that setbacks indicate an inability to ever achieve sobriety only slows down your progress. In fact, it can lead to a relapse if you allow yourself to spiral into negativity.

Many people develop SUD after they’ve used substances to numb pain or discomfort experienced due to their life circumstances. Changing your mindset about feeling uncomfortable is a part of the recovery process. Understanding that discomfort happens in everyday life and learning how to handle it in a healthy way is a significant step in your recovery journey.

Why Maryland Recovery Is Your Partner in Recovery

Maryland Recovery’s outpatient program has been one of the leading choices for those beginning their recovery from SUD in the Bel Air area. You’ll find affordable, extensive treatment right in the heart of town, especially convenient for those who live in the surrounding areas. Here, the staff uses holistic methods to help those struggling with SUD find long-term sobriety, regardless of where they are in the recovery process.

Our alumni can attest to the effectiveness of our programs:

Discover how Maryland Recovery can assist you in getting sober in Bel Air and kickstarting your recovery journey.

Start Your Recovery Journey in Bel Air

Addiction can feel debilitating and endless for those seeking sobriety, but with all the resources available in Bel Air, there is hope. Quality outpatient programs are available to provide the treatment and supportive community you need.

For over twenty years, Maryland Recovery has provided affordable, holistic, and effective drug and alcohol treatment programs. You, too, can reach recovery with personalized care and extensive aftercare through our MD outpatient recovery center. Take your first step to sobriety by contacting Maryland Recovery for a consultation.

Sources:

1. Maryland Overdose Operational Command Center. (2023). OOCC grants reference demographic information. Maryland Department of Health. https://stopoverdose.maryland.gov/wp-content/uploads/sites/34/2023/03/OOCC-Grants-Reference-Demographic-Information-.pdf
2. Maryland State Archives. (n.d.). Mental health and addiction services. Maryland Manual On-Line. Retrieved March 10, 2025, from https://msa.maryland.gov/msa/mdmanual/16dhmh/mha/html/mhaf.html

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Substance use disorder (SUD) affects many individuals and families across Maryland, creating emotional, physical, and societal challenges. The road to recovery can feel daunting due to the complexity of managing both the physical symptoms of withdrawal and the emotional struggles tied to recovery. Finding an approach that addresses these interconnected challenges is key to fostering meaningful, long-term recovery.

Medication-assisted treatment offers hope in this struggle, providing a pathway that combines medical intervention with counseling and behavioral therapy to address the whole person. MAT supports individuals in managing cravings, reducing withdrawal symptoms, and fostering long-term recovery.

At Maryland Recovery, our Medication-assisted treatment (MAT) in Maryland incorporates medications like Vivitrol and Suboxone alongside therapeutic care to support individuals on their recovery journey. This comprehensive approach helps patients regain stability and work toward lasting recovery.

What Is Medication-Assisted Treatment (MAT)?

Medication-assisted treatment (MAT) involves using FDA-approved medications, behavioral therapies, and counseling to deliver a comprehensive, “whole-patient” approach to addressing substance use disorders, as defined by the Substance Abuse and Mental Health Services Administration (SAMHSA). This method uses FDA-approved medications, such as Vivitrol and Suboxone, to address the symptoms of withdrawal so that treatment can progress safely.

It is important to recognize that effective MAT is more than dispensing medications to people in recovery. It is a comprehensive approach to treating substance use disorder. This method is clinically driven and customized to suit each individual’s unique needs. It incorporates medications along with therapy to address the physical, emotional, and psychological aspects of recovery. Unlike traditional detox or abstinence-only models, MAT is evidence-based and tailored to meet the needs of individuals on their path toward recovery.

A Holistic Approach to Recovery

MAT combines medications with structured therapy and counseling sessions to provide a holistic approach to recovery. At a MAT recovery center in Maryland, medications like Suboxone can alleviate withdrawal symptoms, while counseling addresses the underlying causes of substance use. This combination helps individuals build a strong foundation for long-term recovery.

How MAT Works

MAT works by targeting the changes in the brain caused by substance use disorder. MAT with Vivitrol, Suboxone, and other medications can block the euphoric effects of substances like opioids or alcohol, reducing cravings and the risk of relapse. When paired with therapy, individuals gain tools to identify triggers, build coping mechanisms, and develop sustainable strategies for recovery. This evidence-based approach significantly improves the likelihood of long-term success.

Benefits of MAT in Maryland

Medication-assisted treatment offers a transformative approach to addressing substance use disorder. By combining FDA-approved medications with therapeutic care, MAT addresses both the physical and psychological challenges of recovery. This evidence-based method not only reduces cravings but also creates a stable foundation for long-term success. At Maryland Recovery, our personalized MAT programs prioritize the individual’s needs, ensuring effective and compassionate care.

Improved Recovery Outcomes

Medically-assisted treatment in Maryland is designed to support individuals in overcoming the challenges of SUD by reducing cravings and alleviating withdrawal symptoms. This stability helps patients focus on the emotional and behavioral aspects of their recovery journey. Evidence shows that MAT reduces the likelihood of relapse, fostering a more sustainable path to recovery. Through this holistic approach, individuals are empowered to rebuild their lives and develop the tools needed for long-term success.

Customized Treatment Plans

At our MAT recovery center in Maryland, treatment is never one-size-fits-all. Each patient’s journey begins with a comprehensive evaluation to determine the best combination of medications, such as MAT with Vivitrol or MAT with Suboxone, and therapeutic interventions. Our compassionate team crafts personalized care plans tailored to address unique needs, helping individuals overcome the challenges of SUD and regain stability. This patient-first approach ensures a supportive and transformative recovery experience.

MAT at Maryland Recover: What We Offer

At Maryland Recovery, medication-assisted treatment is a cornerstone of our commitment to helping individuals overcome substance use disorders. Our MAT program integrates FDA-approved medications like Vivitrol and Suboxone with comprehensive therapeutic support to address all aspects of recovery. This multi-faceted approach ensures that each patient receives the care and tools needed for long-term success.

MAT with Vivitrol

MAT with Vivitrol offers a highly effective solution for individuals recovering from opioid or alcohol use disorders. Victrol, a non-addictive, periodic injection, works by blocking the brain’s opioid receptors. This prevents the euphoric effects associated with substance use. By reducing cravings and mitigating the risk of relapse, Vivitrol enables patients to focus on therapy, group support, and other vital aspects of their recovery journey. At Maryland Recovery, this medication is administered with careful oversight, ensuring both safety and effectiveness.

MAT with Suboxone

Opioids remain a major driver of substance use disorders in the United States. According to the National Institute on Drug Abuse (NIDA), an estimated 2.7 million people in 2020 had an opioid use disorder, including those involving prescription opioids.

For those managing opioid withdrawal, MAT with Suboxone provides a safe and supportive pathway to recovery. Suboxone combines buprenorphine, which eases withdrawal symptoms and curbs cravings, with naloxone, which helps prevent misuse. At Maryland Recovery, our licensed professionals tailor Suboxone treatment to each patient’s unique needs.

Experience Onsite Support

Maryland Recovery offers experienced onsite support to guide patients through every stage of MAT. Our licensed medical and clinical teams ensure medications are safely administered while providing ongoing monitoring and encouragement. This personalized care model ensures that patients feel supported as they navigate the challenges of recovery. By combining expert guidance with tailored treatment, Maryland Recovery’s MAT program employs individuals to reclaim their lives and embrace lasting wellness.

How MAT Supports Different Recovery Journeys

MAT offers a flexible and effective approach to recovery that caters to the diverse needs of individuals battling substance use disorders. Unlike one-size-fits-all solutions, MAT combines FDA-approached medications with tailored counseling and therapy to meet patients where they are in their journey. This holistic approach allows for both short-term stabilization and long-term recovery, thereby addressing the unique challenges faced by individuals with opioid or alcohol use disorders.

Addressing Opioid and Alcohol Addiction

Medication-assisted treatment has been utilized in the United States since 1947 when methadone was first introduced as a treatment for opioid use disorder. The treatment is particularly suited for individuals struggling with the overwhelming symptoms of opioid or alcohol dependence.

By easing withdrawal symptoms and curbing cravings, MAT medications like Vivitrol and Suboxone provide the stability necessary to focus on other aspects of recovery. For those who have tried abstinence-based programs without success, MAT offers an alternative that bridges the gap between physical dependence and emotional healing.

MAT for Long-Term Recovery

Recovery is a long journey that doesn’t end after initial treatment, and MAT helps individuals maintain their progress as they transition back into daily life. MAT allows patients to build a stable foundation for their futures by providing ongoing support to manage triggers and stress. Maryland Recovery’s comprehensive approach to outpatient programs, combines MAT and behavioral therapies that ensure patients are equipped with the tools to sustain a healthier, substance-free lifestyle over the long term.

What Sets Maryland Recovery Apart

Maryland Recovery stands out as a leader in outpatient MAT by offering a comprehensive, patient-centered approach to recovery. With decades of experience, the center combines FDA-approved medications with therapy and holistic support to help individuals regain control of their lives. The focus on research-based practices and personalized care ensures that every patient receives the unique tools and guidance they need for lasting recovery.

Comprehensive Outpatient Programs

Maryland Recovery takes a multi-faceted approach to MAT, incorporating it into structured outpatient recovery programs. Unlike facilities focused solely on inpatient care, Maryland Recovery provides tailored MAT options within a broader outpatient framework. This allows individuals to receive the necessary support while managing daily responsibilities.

By integrating FDA-approved medications with evidence-based therapies, Maryland Recovery helps patients manage withdrawal symptoms, reduce cravings, and regain stability during their recovery journey.

A Trusted Name in Maryland

As a leading MAT recovery center in Maryland, Maryland Recovery has built a reputation for delivering compassionate, effective care. With decades of experience helping individuals overcome substance use disorder, the center combines proven treatment methods with personalized support.

Patients benefit from our dedicated team of professionals who understand the complexities of recovery and provide guidance every step of the way. Maryland Recovery’s success in achieving long-term recovery for its clients stems from its commitment to research-backed practices and individualized care plans. By fostering an environment of trust and understanding, the center continues to set itself apart as a trusted resource for recovery in Maryland.

Common Questions About MAT

MAT has become a cornerstone of modern recovery programs, helping individuals overcome the challenges of substance use disorder and offering a safe and structured path toward long-term recovery. Below, we answer common questions about the safety and duration of MAT to help new and prospective patients better understand the benefits.

Take the First Step with Maryland Recovery

Choosing to address substance use disorder is a powerful decision, and the caring and compassionate team at Maryland Recovery is here to guide you on this transformative journey. Whether you are managing opioid or alcohol use disorder, our MAT services are designed to meet you where you are and help you move forward toward meaningful and lasting recovery.

We prioritize accessibility and support for all individuals seeking help. Our outpatient programs provide comprehensive care tailored to your needs, ensuring you receive the tools and resources to build a healthier future. With licensed professionals, proven medications like Vivitrol and Suboxone, and a commitment to compassionate care, we make starting your recovery journey easier and more effective.

Don’t wait to reclaim your life from the challenges of substance use disorder. Contact Maryland Recovery today to learn how our MAT services can support you. Our team is ready to answer your questions and help you take the first step toward a brighter, substance-free future. Reach out today to begin your path to recovery.

A Path to Lasting Recovery with MAT

Medication-assisted treatment offers a transformative opportunity for individuals working to overcome substance use disorder. By addressing both the physical and psychological challenges of recovery, MAT provides a foundation for lasting change and a healthier and more fulfilling future. With proven medications like Vivitrol and Suboxone, paired with counseling and support, this approach empowers individuals to reclaim their lives.

At Maryland Recovery, every individual receives care tailored to their unique needs. Our team focuses on holistic recovery, combining evidence-based therapies with compassionate support. This ensures each person has the tools to succeed.

Our MAT program stands as a trusted resource for those seeking a comprehensive, research-backed path to recovery. With a focus on personalized care, our team is here to guide you every step of the way. If you are ready to take control of your life and start your journey toward long-term recovery, reach out to the compassionate and experienced team at Maryland Recovery today and discover the difference MAT can make.

Sources:

1. U.S. Food and Drug Administration. (2022, August 8). Development & Approval Process (Drugs). U.S. Food and Drug Administration; www.fda.gov. https://www.fda.gov/drugs/development-approval-process-drugs
2. ‌on, I. (2018, June). How effective are medications to treat opioid use disorder? | National Institute on Drug Abuse. National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/medications-to-treat-opioid-addiction/efficacy-medications-opioid-use-disorder?utm_source=chatgpt.com
3. ‌National Institute on Drug Abuse. (2022, January 21). Medications to Treat Opioid Use Disorder Research Report. National Institute on Drug Abuse. https://nida.nih.gov/publications/research-reports/medications-to-treat-opioid-addiction/overview
4. ‌Douaihy, A. B., Kelly, T. M., & Sullivan, C. (2013). Medications for Substance Use Disorders. Social Work in Public Health, 28(3-4), 264–278. https://doi.org/10.1080/19371918.2013.759031

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Substance use disorders (SUD) impact many Americans, with 2021 seeing nearly 46 million aged 12 and up diagnosed. Unfortunately, of these individuals, only 6% received treatment for the disorder, and in many cases, those who have an SUD are also struggling with another disorder. That’s why holistic addiction treatment is so essential as a way to treat the mental, physical, emotional, and spiritual needs of the individual so that they may experience a full recovery.

When it comes to achieving substance abuse recovery, it is essential to treat the whole person, including their mind, body, and spirit. Maryland Recovery programs use a holistic approach while also focusing on integrative care.

What Is Holistic Addiction Treatment?

Holistic substance use disorder programs are not simply defined, as they typically contain various components to meet the unique needs of the person struggling with an SUD.

In general, these programs focus on treating the whole individual by:

Holistic therapy remedies and treatment can be viewed as different from traditional rehabilitation programs, as they have the unique approach of treating the mind, body, and spirit rather than just treating the symptoms of the issue. Key holistic therapy components include focusing on mind-body healing, in which the individual uses certain therapies such as meditation or yoga, massage therapy, energy healing practices, and more. Certain lifestyle changes may also be required, such as attention to nutritious food and dietary supplements. Alternative medicines, such as herbal medicines, are frequently involved.

The Science Behind Holistic Recovery

So, does holistic recovery work for addiction? To answer this question, it is important to consider their benefits to people in holistic recovery programs.

First, holistic programs rely on counseling and therapy sessions to help the person understand the reasoning behind their substance use and address all root causes and associated factors. As a result, although holistic programs often feature access to 12-step groups as a component of healing, the focus is placed on recovery for the whole individual rather than just the absence of substance use, as with many 12-step recovery systems.

As mentioned, many individuals struggle with mental health issues in addition to substance use disorder – and many others experience mental health impacts of long-term substance use. For these individuals, the Journal of Holistic Nursing research reveals that the holistic approach may be especially beneficial, as it considers all aspects of the human experience and condition. Some studies have shown that psychological issues and other factors are linked to health-related changes in clients after being treated for substance use disorders.

Research published in Nordisk Alkohol Nark suggests that a combination of holistic therapy along with other traditional methods, such as 12-step groups, produces more positive outcomes for long-term abstinence from substance use. Individuals also report improvements in mental health and chemical dependency.

Key Components of Holistic Substance Abuse Programs

The best alternative therapies for substance abuse can be found in holistic treatment approaches for substance use recovery. Holistic substance use disorder programs frequently include some or all of the following strategies:

Nutrition and Diet Therapy

Nutrition and diet therapy play an important part in substance use recovery. Personalized diet and nutrition regimens are created to address nutrient deficiencies and unique needs related to substance use. Proper nutrition also helps support better health, easing the recovery process.

Exercise and Movement Therapy

Exercise is an essential part of maintaining a healthy lifestyle for all individuals, not just those experiencing substance use disorder. Promoting exercise as a part of alternative SUD treatment can enhance the individual’s recovery process. Many individuals experience positive benefits from participating in exercise programs like yoga, Tai Chi, or even hiking or biking, releasing stress, promoting physical wellness, and helping with hormone balance.

Mindfulness and Meditation

Holistic mental health treatment often includes meditation and mindfulness practices. Mindfulness and medication can help to quiet the parts of the brain associated with addiction tendencies and cravings. Research published in the Journal of Clinical Psychology suggests that mindfulness meditation can help interrupt the tendency to revert back to the impulsive behaviors that lead to substance misuse. Mindfulness may be an effective way to prevent relapses.

Acupuncture and Alternative Medicine

Acupuncture is promoted as a positive way to induce stress relief and is often used to bring balance to the body after experiencing the negative effects of substance use. Herbal medicine can also prove to be beneficial to those in recovery from substance use disorder, especially for those experiencing issues such as insomnia, mood swings, and reduced appetite.

Energy healing is another type of alternative addiction treatment that restores balance as it stimulates the body’s energy fields that have been impacted by emotional, physical, and mental elements. Touch therapies are often used as a means of restoring energy balance.

Therapeutic Arts and Creative Expression

Art therapy gives individuals a unique opportunity to use their creativity to work through complex emotions throughout their recovery journey. Meanwhile, they have the chance to fully experience all of their senses. Art therapy and music therapy can also enable individuals to make connections between their emotions and feelings related to their substance use.

Journaling can be another crucial part of holistic therapy, as it promotes inner reflection, leading the person to connect to the source of the emotions, feelings, and outside factors that led to the substance use. By expressing themselves in a creative way, individuals can begin healing emotionally, which is essential to recovery.

Nature and Outdoor Therapy

Regularly spending time in nature can be beneficial in the recovery process, as it helps promote healthier habits to replace the destructive ones. Being outside can also give a person a chance to reflect, recharge, and relax in a healthy manner. Ecotherapy is an interesting component of nature and outdoor therapy that uniquely connects mental and physical well-being, promoting the importance of connecting with nature to experience inner peace and balance.

Why Holistic Treatment Leads to Full Recovery

More and more people are learning how holistic rehab helps addiction recovery compared to traditional models because the holistic approach prioritizes treating all areas affected by substance use disorder. This type of treatment addresses the mental, emotional, spiritual, and physical roots and impacts of substance use.

Traditional methods focus on addressing the symptoms of substance use, but holistic treatment understands that a person’s whole being is impacted by substance use. When clients prioritize their physical health, address mental health in a trauma-informed manner, and develop healthy physical and emotional coping skills to avoid future use, they have a better chance of attaining and remaining in recovery.

Maryland Recovery employs a unique and personalized holistic approach that helps clients feeling trapped in SUD and an unhealthy lifestyle to experience recovery. Personalized programs that address individual needs can rebuild the mind, body, and spirit, better equipping people to recognize their triggers and avoid relapses.

Who Benefits Most From Holistic Recovery?

Everyone can benefit from holistic recovery programs, but certain groups are especially responsive to holistic treatment:

An integrative rehab approach – an approach that utilizes multiple techniques and therapies – can be beneficial for just about anyone; however, integrative rehab can especially help the following groups:

Finding the Right Holistic Rehab Program

If you believe holistic drug rehab is a positive option for you, it is important to thoroughly research your options before making such an important decision.

Consider these three crucial factors in finding the right program for you:

Another key factor that is especially crucial for finding a quality holistic SUD program is the credibility of the holistic program itself. This means ensuring that the staff is well-qualified and holds the proper credentials, including a variety of medical professionals with different specialties, such as nutritionists, psychologists, and therapists. Ensure the holistic therapies involved are evidence-based and carefully considered to meet the needs of each individual.

Maryland Recovery’s Holistic Approach

For two decades, Maryland Recovery has employed a holistic SUD treatment approach to transform the lives of our clients and enable them to achieve lasting recovery. We take pride in offering a wide variety of therapy options, such as yoga, acupuncture, art therapy, meditation, and more, to ensure each client experiences a personalized approach to healing. By addressing the diverse contributors to SUD, our programs can provide a path to healing when you need it most.

Contact us at Maryland Recovery to learn more about our holistic SUD program or request help from our experts.

Editor’s Note: This article was originally published August 6, 2014 and has been updated April 2, 2025.

Resources:

1. American Hospital Association. (2023, January 6). Survey: Most Americans with substance use disorders don’t receive treatment. Retrieved March 27, 2025, from https://www.aha.org/news/headline/2023-01-06-survey-most-americans-substance-use-disorders-dont-receive-treatment
2. National Institute on Drug Abuse. (n.d.). Co-occurring disorders and other health conditions. Retrieved March 27, 2025, from https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions
3. Grove Recovery Center. (n.d.). Nutrition counseling for addiction treatment. Retrieved March 27, 2025, from https://grovetreatment.com/addiction/treatment/therapy/nutrition-counseling/
4. Khanna, S., & Greeson, J. M. (2013). A narrative review of yoga and mindfulness as complementary therapies for addiction. Journal of Clinical Psychology, 69(8), 846–864. https://doi.org/10.1002/jclp.20237
5. Zgierska, A., Rabago, D., Chawla, N., Kushner, K., Koehler, R., & Marlatt, A. (2009). Mindfulness meditation for substance use disorders: A systematic review. Substance Abuse, 30(4), 266–294. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2818765/
6. National Institute on Drug Abuse. (n.d.). Co-occurring disorders and other health conditions (expanded version). Retrieved March 27, 2025, from https://nida.nih.gov/research-topics/co-occurring-disorders-health-conditions#:~:text=Treatment%20for%20co%2Doccurring%20disorders…
7. Garland, E. L., Geschwind, N., Peeters, F., & Wichers, M. (2015). Mindfulness training promotes upward spirals of positive affect and cognition: Multilevel and autoregressive latent trajectory modeling analyses. Frontiers in Psychology, 6, 15. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753025/
8. White, W. L., & Kelly, J. F. (2011). Revisiting holistic interventions in substance abuse treatment. ResearchGate. https://www.researchgate.net/publication/271622364_Revisiting_Holistic_Interventions_in_Substance_Abuse_Treatment
9. White, W. L. (2024). The evolution of recovery support services: Implications for the future of addiction treatment. Journal of Social Work Practice in the Addictions, 24(1), 7–25. https://journals.sagepub.com/doi/full/10.1177/08980101241237903
10. Choi, Y. J., & Kim, S. (2024). Community engagement and culturally responsive recovery approaches: A systems perspective. Journal of Social Work Practice in the Addictions, 24(1). https://journals.sagepub.com/doi/full/10.1177/08980101241237903
11. Addolorato, G., Mirijello, A., Leggio, L., Ferrulli, A., D’Angelo, C., Vonghia, L., … & Gasbarrini, G. (2022). Alcohol use disorder and gut-brain axis: The role of probiotics in healing the microbiota. Frontiers in Psychiatry, 13, 927749. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549220/

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Outpatient addiction treatment provides individuals the ability to receive treatment for substance use disorder (SUD) without the need to be a patient in a clinical setting. Still, clients can remain in a safe environment designed to help them on their journey to long-term sobriety. Learn how this multi-phase treatment can be a positive, highly effective approach to addiction recovery.

Effective Three-Phase Approach to Outpatient Addiction Treatment

Outpatient care is an essential option for meeting the myriad needs of a person with a substance use disorder (SUD). It provides many of the same resources as inpatient programs, with additional flexibility, structure, and long-term support.

At Maryland Recovery, we offer three phases of outpatient care, including:

1. Partial Hospitalization (PHP)
2. Intensive outpatient treatment (IOP)
3. Extended Outpatient Care (OP)

These three phases give clients the opportunity to implement healthy habits, promote abstinence from substance use, and support long-term care. Together, they provide access to the optimal outcome for any treatment program: sustained recovery.

What Is Outpatient Addiction Treatment?

It is important to note that outpatient addiction treatment differs from inpatient rehabilitation in a number of ways. Inpatient rehabilitation commences when a patient is admitted to a hospital or rehabilitation facility for residential treatment in a controlled environment. Detoxing is typically the primary focus, followed by becoming physically and mentally ready to begin the recovery process.

While outpatient care also provides a structured setting for substance use disorder treatment, individuals do not stay in the facility 24/7. Instead, individuals are able to receive treatment and then return home. However, those who have recently been in an inpatient treatment setting may benefit greatly from outpatient care.

In fact, one of the most significant benefits of outpatient treatment is that it provides flexibility for attending treatment sessions while the individual eases into a new phase of life, such as moving into a sober living environment. Even comprehensive programs typically offer customized options that incorporate detox, medication-assisted treatment (MAT), Partial Hospitalization Programs (PHP), and Intensive Outpatient Programs (IOP).

Phase 1: Partial Hospitalization Program (PHP)

A partial hospitalization program (PHP) for substance use disorder serves as a bridge between inpatient and outpatient services by providing intensive, structured treatment during the day without an overnight stay. This level of care offers a step down from the 24/7 supervision of inpatient treatment, supporting patients in transitioning to outpatient care by maintaining accountability and therapy while fostering independence.

What Is PHP?

PHP offers a middle ground between inpatient and outpatient care. Patients attend therapy and medical sessions during the day – typically five to seven days a week for several hours – but return to a sober living environment in the evenings. This structure allows individuals to maintain some independence. It provides comprehensive support, including group therapy, individual counseling, and medication management, to help stabilize patients while preparing them for less intensive outpatient treatment.

What to Expect in PHP

If you are considering PHP, you can expect to attend treatment between five and seven days each week, usually lasting between four and eight hours. Treatment typically includes intensive therapies and medical supervision that will prepare you for the next steps in your recovery. The typical PHP lasts for about four weeks, but the duration can vary depending on the program and your unique circumstances.

Key PHP Therapies

There are several types of therapies available in this phase of treatment.

Some of the most common therapies used in PHP include:

Benefits of PHP for Addiction Recovery

There are multiple advantages to PHP treatment. While it is considered more intensive than an intensive outpatient program (IOP), PHP allows for some flexibility as an overnight stay is not mandatory. This gives individuals more independence and can foster a smoother transition from inpatient care to outpatient settings while also encouraging the development of coping skills. Additionally, PHPs can be more cost-effective than full inpatient programs.

Most importantly, PHPs reduce the risk of relapse by offering consistent monitoring and accountability during a critical recovery phase.

Phase 2: Intensive Outpatient Program (IOP)

As Phase 2, Intensive Outpatient Programs (IOP) offer a step-down from Phase 1, PHP, for individuals with substance use disorder. IOPs provide a flexible yet supportive environment, focusing on relapse prevention, skill-building, and long-term recovery while requiring less time commitment than higher levels of care.

What is IOP?

IOP is designed to offer more support than typical outpatient programs but not as intensive as PHP. While there are fewer therapeutic sessions scheduled each week, there is still structured support focusing on how to avoid relapse, healthy coping skills, psychosocial support, and targeting any individual needs.

What to Expect in IOP

Typical IOP treatment occurs three to five days each week for a few hours per session. Clients can attend continued therapy and receive group support from those dealing with similar issues. These programs focus on relapse prevention while also teaching individuals new skills upon which they can build a new life based on healthy habits, positive coping mechanisms, and trigger identification and avoidance strategies.

Key IOP Therapies

IOP treatment often involves multiple therapeutic options.

Here are a few of the most common:

IOP versus PHP: What’s the Difference?

While IOP and PHP may seem very similar, there are differences between the two. Perhaps the most significant is the amount of time involved in completing the treatment. PHPs typically involve hours more time spent in therapeutic sessions per week than IOPs. Additionally, PHP is a more intensive program and offers more structure for those who need more help working through their substance use disorder. PHPs also tend to be more heavily supervised than IOPs, with consistent access to healthcare professionals.

Phase 3: Extended Outpatient Care and Aftercare

The third and final phase of comprehensive outpatient addiction treatment is known as extended outpatient care and aftercare. For many individuals moving through the recovery process, extended outpatient care can feel very similar to life outside rehab.

What Is Extended Outpatient Care?

As the name suggests, extended outpatient care provides long-term treatment for people with substance use disorder who continue to need support as they continue their journey in recovery. In many cases, this treatment includes outpatient services provided by a treatment center, continuing therapy, support groups, and assistance with medication management.

Extended outpatient programs focus on providing the tools necessary for starting a life free from substance use and remaining in long-term recovery. This is an approach commonly used for those who have struggled with an SUD for a long time. Extended outpatient programs aim to gently ease clients into becoming fully independent. Depending on the person, most clients can complete the program within one to three weekly sessions.

Aftercare and Long-Term Recovery Planning

Many programs are available to provide continuous aftercare and assistance during long-term recovery.

Some of the most common include:

How to Choose the Right Outpatient Treatment Program

The ultimate goal of any substance use disorder treatment is long-term recovery, but finding the right program for you can drastically increase your chances of success.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), it is critical to consider several factors during your search:

Maryland Recovery’s evidence-based approach involves numerous services as components of our outpatient programs, including individual and group therapy, family education and treatment, relapse prevention skill-building, education to help manage cravings and identify triggers, and 12-step meetings. Personalized treatment programs that carefully select multiple services in a tailored combination can be the most effective strategy for recovery.

Maryland Recovery’s Outpatient Care Model

At Maryland Recovery, we understand the importance of providing long-term, comprehensive care that is flexible enough to meet each individual where they currently are – the basis for our three-phase approach to outpatient programming.

PHP begins the road to recovery with access to a highly structured environment and professional medical staff without committing to an overnight stay. The next phase, IOP, provides individual and group counseling sessions to help work through the root of substance use while beginning the process of easing clients back into daily life. Finally, the extended care phase completes the supervised path to recovery by providing ongoing resources and support to help clients remain in recovery.

If you or a loved one is ready to explore an outpatient addiction treatment to begin your journey to recovery, contact the compassionate staff at Maryland Recovery for more information.

Editor’s Note: This article is a combination of posts from 2014 that have been updated April 12, 2025.

Resources:

1. National Research Council (US) and Institute of Medicine (US) Committee on Developing Evidence-Based Standards for Psychosocial Interventions for Mental Disorders. (2015). Psychosocial interventions for mental and substance use disorders: A framework for establishing evidence-based standards. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK64088/
2. National Institute for Occupational Safety and Health (NIOSH). (2019). Stress at work: Workplace solutions. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/docs/wp-solutions/2019-133/pdfs/2019-133.pdf
3. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Psychiatric Services, 44(3), 254–260. https://pubmed.ncbi.nlm.nih.gov/10106610/
4. Yale Medicine. (n.d.). Dialectical behavior therapy (DBT). Retrieved March 27, 2025, from https://www.yalemedicine.org/conditions/dialectical-behavior-therapy-dbt#:~:text=DBT%20treatment%20involves%20teaching%20people…
5. Becker, S. J., & Curry, J. F. (2008). Outpatient interventions for adolescent substance abuse: A quality of evidence review. Substance Abuse: Research and Treatment, 2, 13–28. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4152944/
6. O’Neil, M. E., & Peterson, K. (2021). Treatment for co-occurring substance use disorder and mental health conditions. In Substance Use Disorders: Assessment and Treatment. Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK571088/
7. Laudet, A. B., & Humphreys, K. (2013). Promoting recovery in an evolving policy context: What do we know and what do we need to know about recovery support services? Journal of Psychoactive Drugs, 45(4), 310–317. https://www.tandfonline.com/doi/abs/10.1080/02791072.2013.844381
8. Substance Abuse and Mental Health Services Administration (SAMHSA). (2022, July 20). Struggling with addiction? Tips for finding quality treatment. https://www.samhsa.gov/blog/struggling-addiction-tips-finding-quality-treatment

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12-step programs have been around for nearly 100 years. In that time, they have likely helped millions of individuals on their journeys to recovery. While Alcoholics Anonymous (AA) is the best known of these, all 12-step programs provide a series of steps designed to help individuals overcome substance use disorder and develop long-term coping skills through focused, strategic actions.

What Is a 12-Step Program?

12-step programs were introduced in the mid-1930s by Bill Wilson and Dr. Bob Smith, who were the co-founders of Alcoholics Anonymous. Unlike other methods, which viewed substance use disorders as diseases that could be cured, Wilson and Smith suggested that people who experience substance use disorders continued to struggle with urges to use their substance of choice, even when in recovery.

AA and other 12-step programs posit that, with the right mindset and proper support, individuals engaging in 12-step programs can empower themselves to not only cease substance use but also engage in their lives again. The structured approach within a 12-step program is guided by principles such as spiritual growth, behavioral change, and personal accountability. All of these elements work together to give struggling individuals the motivation, hope, and determination to reduce the compulsion to use substances and maintain recovery.

Spiritual Growth

The spiritual aspect of the 12-step program encourages individuals to explore their beliefs and find a source of strength beyond themselves. This is typically referred to as a “Higher Power.” Instead of any one religious figure, however, the term “Higher Power” is left intentionally broad to facilitate each individual’s interpretation, whether that power is a deity, religious icon, element of nature, or even their own support structure..

12-step programs like AA also focus on spiritual principles, including honesty, hope, surrender, faith, courage, integrity, willingness, humility, love, self-discipline, and service. While everyone in a program may identify more strongly with different aspects, the spiritual principles of the program provide integral support from within.

Behavioral Change

12-step programs also guide individuals toward the positive behavioral changes necessary for recovery. They focus on making choices that support a healthy lifestyle, which includes examining past mistakes and harms caused, admitting wrongdoings, making amends, practicing self-correction, promoting ongoing growth, adopting healthy behaviors, attending meetings, and seeking a sponsor.

Personal Accountability

Personal accountability is interwoven throughout the fabric of a 12-step program. This aspect emphasizes an individual’s responsibility for their recovery journey. In a 12-step program, accountability includes taking ownership, being honest with oneself, setting goals, making commitments, accepting consequences, seeking support, making a continuous effort, and working to prevent relapse.

The 12 Steps: A Roadmap to Sobriety

The 12-step process provides a structured path for recovery for any individual struggling with substance use disorder. For AA, the steps are outlined in “Alcoholics Anonymous: The Story of How Many Thousands of Men and Women Have Recovered from Alcoholism,” also called the “Big Book.”

Acceptance and Surrender: Steps 1-3

The initial steps of a 12-step program focus on acknowledging the problem and beginning to relinquish control.

This phase emphasizes the importance of accepting your own limitations and seeking help from a higher power or other support system.

Self-Examination and Accountability: Steps 4-7

After you have acknowledged the problem and embraced the possibility of recovery with help from a higher power, the next steps dive deep into an honest self-assessment.

This requires you to critically examine behaviors, motivations, and actions as well as their impact on yourself and those around you. 

Making Amends and Repairing Relationships: Steps 8-9

After you have a clearer understanding of past wrongdoing and the harm it caused, the focus can then shift to repairing relationships and making amends.

At this point, you can acknowledge the impact of your past actions, offer genuine apologies, and work on rebuilding trust with your loved ones. 

Ongoing Growth and Support: Steps 10-12

Recovery is a journey, not a destination, and thus it is never complete. It is an ongoing process of growth and maintenance that requires continuous self-reflection, commitment, and effort.

Individuals will need to adapt to new challenges, continue to reinforce positive behaviors, and persist in working towards a healthier, more balanced life. 

How a 12-Step Program Can Help Individuals Recover

By providing a clear pathway for self-examination, accountability, and connection with others facing similar challenges, 12-step programs empower individuals to confront their substance use, develop crucial coping mechanisms, and ultimately build a life free from the hold of drugs and alcohol. This holistic approach extends beyond simply ceasing substance use and fosters personal growth and sustainable living.

Scientific Studies Find That It Helps

There are multiple scientific studies, including a review of a substantial body of research – a Stanford systematic review – that offer compelling evidence for the effectiveness of 12-step programs.

The Stanford review provided a meta-analysis of an earlier Cochrane review of over 10,000 participants across 27 studies. The initial review found that treatment coupled with AA or another 12-step program led to significantly higher rates of continuous abstinence from substance use compared to other treatments like cognitive-behavioral therapy. This finding was consistent across multiple follow-up periods of the study, at 12, 24, and 36 months.

The Stanford review concluded that individuals who participated in a 12-step program were 20-60% more likely to maintain abstinence than those receiving alternative interventions or no treatment at all. (Kelly, et al., 2020)

12-Step Programs as a Code of Behavior

12-step programs provide a set of rules that help individuals recovering from substance use act and think in healthier ways. Instead of engaging in problematic behaviors, a program can help them learn new ways to live their lives while dealing with these challenges. It’s not just about stopping a bad habit, but about transforming your life.

Essential aspects of 12-step programs include being humble, helping others, and understanding yourself better. Being humble means realizing that you can’t solve your problem alone and that you are willing to seek help. Helping others, such as sharing your story or supporting someone else in the program, makes you feel connected and gives you a sense of purpose. Additionally, the program encourages you to gain a deeper understanding of yourself by examining your actions closely and reflecting on the reasons behind certain choices.

A significant part of recovery is reflecting on past mistakes and attempting to rectify them. This is often referred to as creating a moral inventory and making amends. When you honestly examine your past actions from a different perspective, you begin to understand how they have affected others and why you need to change. Working to rectify past mistakes can help you heal and also teach you to be a better person in the future.

Who Benefits From the 12 Steps?

While most people associate 12-step programs with alcohol recovery, they can also help individuals grappling with substance use disorders that involve drugs. The core principles of AA are also present in NA (Narcotics Anonymous), including self-reflection, acceptance, making amends, and spiritual growth. These principles transcend specific substances and can provide a universal pathway toward healing and lasting change.

It is important to mention that 12-step programs are for people at any stage of recovery. Newcomers can find a structured path to navigate recovery, while those who are experiencing a relapse can rediscover hope and a renewed commitment. Even individuals who have remained in recovery for years can utilize the steps for ongoing personal growth and to support others in their journey.

12-step programs’ adaptability and accessibility enable individuals to engage in a manner that best suits their needs, fostering a stronger sense of connection and promoting sustained recovery.

12-Step Support at Maryland Recovery

Maryland Recovery supports clients in connecting with local 12-step fellowships, though it is not a requirement. We recognize the diverse needs of those we serve and craft individualized treatment plans to facilitate recovery. For patients where a 12-step approach is not the optimal path, we offer guidance while exploring comparable options. Our clinical team regularly holds group meetings to explore the differences across several 12-step alternatives.

Bel Air, Maryland, and the wider Harford County community embrace individuals as they travel their recovery journeys.

As a result, beyond the numerous 12-step-based recovery meetings in the area, there are several non-12-step group options as well, including:

To help our clients make informed decisions about the options they include in their care, Maryland Recovery provides clear information and comprehensive education. We take time to explore the differences between these groups, while supporting each individual in moving forward with their chosen path or organization. This support extends throughout the recovery journey, as clients have ample time to attend 12-step or similar meetings each week thanks to our recovery home-outpatient format.

12-step meetings (or their equivalent) are just one component of the overall treatment process at Maryland Recovery. We offer individual and group counseling sessions, in addition to holistic activities, to create a comprehensive and personalized approach to addiction treatment that provides a higher chance of long-term recovery. Reach out to us today for more information or to begin your personal journey.

Sources:

1. Recovery Research Institute. (2020, June 25). Why does it work? Perspectives on change in 12-step & non-12-step mutual-help groups. https://www.recoveryanswers.org/research-post/why-does-it-work-perspectives-change-12-step-non-12-step-mutual-help-groups/
2. Stanford Medicine. (2020, March 11). Alcoholics Anonymous most effective path to alcohol abstinence, Stanford researcher says. https://med.stanford.edu/news/all-news/2020/03/alcoholics-anonymous-most-effective-path-to-alcohol-abstinence.html
3. Kelly, J. F., Humphreys, K., & Ferri, M. (2020). Alcoholics Anonymous and other 12‐step programs for alcohol use disorder. Cochrane Database of Systematic Reviews, (3), CD012880. https://doi.org/10.1002/14651858.CD012880.pub2
4. Kelly, J. F., & White, W. L. (2020). Recovery groups. Alcohol Research: Current Reviews, 40(3), 1–9. https://pubmed.ncbi.nlm.nih.gov/32628263/

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