The initial step toward recovery from substance use disorder involves discontinuing the use of the substance, allowing the body to eliminate toxins and overcome physical dependencies. Medical detox becomes necessary for some individuals to alleviate withdrawal symptoms and ensure a safe transition.
The level of care required during detox varies from Level 0.5 (no withdrawal symptoms) to Level 4 (requiring full hospital care due to life-threatening withdrawal). Monitored detox is often recommended, even for lower-level patients, as withdrawal stress can pose physical risks, particularly for those with pre-existing health issues. After detox, individuals may proceed to a treatment facility, such as New Day Recovery. Since withdrawal experiences vary, the entire process’s duration depends on factors like the substance used, duration and frequency of use, and personal and family medical histories. It’s crucial to note that medical detox alone is insufficient for substance use disorder treatment, and immediate follow-up with inpatient or outpatient programs is essential, often including education and therapy, with a focus on long-term support services.
Substance use disorder is widespread, with a significant impact on the United States, costing nearly $530 billion annually for alcohol, prescription opioids, and illicit drugs combined. In 2017, the National Survey of Drug Use and Health reported that almost 40% of adults aged 18-25 had used illicit substances in the previous year, with 74% using alcohol. Alcohol alone caused around 73,000 deaths in 2017, and over 23.5 million people needed medical treatment for detox in 2018, with only 11% receiving it. Prolonged substance use leads to physical dependence, impacting the brain’s normal functioning and resulting in tolerance, necessitating increased substance consumption.
When tolerance transforms into dependence, the body craves the drug to function normally, leading to withdrawal symptoms when the drug is not used within a certain timeframe. Symptoms may include vomiting, headache, fever, body aches, and difficulty breathing. Medical detox becomes necessary for safely discontinuing substance use in cases of substance dependence, offering 24-hour supervision and medical support in a secure inpatient setting. Medically-supervised detox centers have the resources to help patients navigate withdrawal safely. Home detoxification is an option for less severe cases, but if intense cravings are present, inpatient detox is recommended. While home detox kits may be available, their effectiveness in curbing cravings is limited, and they mainly provide nutrition and hydration.
Medical detox typically involves three stages: patient evaluation, stabilization, and preparation for treatment. Evaluation includes questionnaires, blood tests, physical exams, and screenings for co-occurring mental health disorders to develop a comprehensive treatment plan. Stabilization involves cessation of drug use, and medications may be used to alleviate withdrawal effects. This phase lasts between one and three weeks, with medications such as benzodiazepines, anticonvulsants, antipsychotics, methadone, and buprenorphine being employed based on the substance used. The preparation phase focuses on overcoming physical withdrawal effects and addressing psychological challenges, emphasizing the importance of participating in a 12-step program. The recovery process can then continue at a treatment center like New Day Recovery, incorporating the 12-step philosophy and other therapies for long-term support.
Quitting cold turkey, abruptly ceasing substance use without medical intervention, can be dangerous and is often unsuccessful. Ultra-rapid detox, involving sedation and accelerated withdrawal, has shown risks of complications and fatality, with studies questioning its effectiveness.
Detox centers are designed to guide patients through the recovery process, with success rates judged by federal agencies and publicly available. Accredited staff, including certified medical professionals, contributes to a center’s efficacy. A detox center’s location away from potential triggers like nightclubs and bars enhances its impact. Support groups and follow-up care significantly reduce relapse rates, emphasizing the importance of maintaining a robust support network. Open communication with family and friends about progress is key. For those dealing with substance use disorder, help is readily available at New Day Recovery to start a new life free from drugs or alcohol.
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