Drug rehabilitation occurs in a multitude of forms. It may be provided in outpatient or inpatient settings, be publicly or privately funded, and may or may not involve the administration of medication.
The differences among the philosophies of, and the services provided in, various drug abuse treatment programs may be enormous. What is remarkable is that some form of drug abuse counseling or psychotherapy is almost invariably a part of every type of comprehensive drug abuse treatment.
Individual therapy or counseling is available in about 99 percent of the drug-free, methadone maintenance, and multiple-modality drug abuse treatment units in USA. It is also available in approximately 97 percent of the detoxification units.
Despite the fact that drug abuse counseling and psychotherapy are nearly universal in drug abuse treatment, surprisingly little is known about these forms of treatment. Much more research has focused on pharmacological treatments for drug abuse than on non-pharmacological, even though non-pharmacological interventions are almost always utilized and are sometimes the only form of treatment offered to the drug abuser.
In part, the paucity of research in this field is due to the inherent difficulties in scientifically investigating psychotherapy and counseling. It has not been uncommon for a psychotherapy/counseling research study to be denied funding because reviewers believed that fundamental, minimal standards for a scientific investigation had not been met. There are two major dilemmas here:
(1) Thousands of drug abusers are being treated every day with psychotherapy and counseling, and no one can say for certain what forms of psychotherapy and counseling are most effective, what types of therapists and counselors can best provide it, how long it should be provided, when psychotherapy is necessary, when counseling is sufficient, and so on;
(2) Doing research in this field is so messy that many a scientist would hesitate to attempt it, and those that do may end up discouraged by their difficulty in acquiring funds.
In order to address the complexity of clinical methods, programmatic research as well as individual investigations on drug abuse treatment is needed. Only in planned programmatic efforts will researchers be able to tease apart the various components and interactions among components that contribute to treatment efficacy.
Research proceeds most efficiently by following theory. While the usual theories that guide clinical research are based upon the etiology of behavior, there is also a significant need for the development of models of treatment selection and decision-making that combine psychosocial interventions from different theoretical systems. Only by implementing a systematic program of research based upon a rational set of dimensions and principles of influence, however, can we hope to sort out the processes that make the drug treatment maximally successful.
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Feb 27, 2008
Psychotherapy and Counseling in Drug Treatment Therapy
Labels: Drug-therapy, Drug-Treatment, Psychotherapy
Feb 8, 2008
Understand Drug Therapy
This is another self-explanatory term. However, how it works is infinitely more complex. On the outside, you simply take pills. But pills are, for the most part, different and how they work is complicated. They work by latching onto neurotransmitters in the brain and changing how they read signals sent by other neurotransmitters. All of it sounds complex, but in the end, the two names that they go by accurately describe them: they are anti-depressants and they are happy pills. They help to make you happy.
Drugs come in different shapes, sizes and colors. Which is right for you? One of the new drugs available now is called Lexapro and is sometimes preferred because it requires lower dosages than Citopropham, which it is based off of. Therefore it sometimes has fewer side effects. The drugs in this family come in three doses: 10 (20) mg, 20 (40) mg and 30 (60) mg. The dosage in parenthesis is for the citopropham with the smaller number being the dosage of lexapro. This works because lexapro has reduced the amount of inactive ingredient in the pills. These dosages are used, and can be raised or lowered by a psychiatrist as they try to find how high a dose you require.
Another common medication right now is Effexor, which is a higher dosage drug. It also combats GAD and SAD which accounts, partially for its higher amount per pill. However, as it is created differently, it also creates different necessities. It is important to look at the dosage as relative to other dosages of the pill, instead of the exact amount given.
While these are two drugs available, different drugs interact with people in different ways. Your doctor may need to try a few to find the one that works best for you.
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Labels: Drug-therapy