Thinking of detox/rehab..any advice?

yo0123yo

Bluelighter
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Jan 22, 2009
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Malibu, California
So I have been addicted to xanax, vicodin, oxycodone, and ambien for about 5 years now and just starting to realize that these medications have basically taken over my life and I just can't seem to have a "normal" day without them...for example when I wake up, I will usually have the sweats and such and will not feel normal until my first dose of oxycodone...my daily doses started out small and now i am on about 150-200mg oxycodone daily, as well as about 60mg hydrocodone a day and until the last month or two I was on 6mg+xanax a day, and now i am on about 1-2mg daily. My brother is prescribed suboxone so if i wanted to i can try and get myself off of the opiates but i think i would prefer professional help. If anyone can help, can you please tell me what these "30 day programs" will consist of for the most and if you can recommend any facility locater? Much appreciated. and all of these things i'm hooked on were for the most part prescribed to me which sadly, i realized it about 5 years too late. Also if anyone can tell me what the difference if theres any between detox and rehab is i would greatly appreciate that as well
 
While I won't be able to give you specific advice based on experience with rehab, I heartily congratulate you for your decision to go. There are many folks here that have experience with both so hopefully they can clue you in more than I. If you are in the U.S. one thing you might do is contact your insurance company to see what rehab facilities they cover. Also, every county has a County Mental health department that should have a Recovery component. You could try contacting them for information. Have you actually talked to your doctor about wanting to taper off?
 
Hey there yo0123, I'll post some information about the 30 day treatment program that I went through. I know programs are all different. For example my program had beds to house 30 females and 30 males; females and males were housed separately and if not for the fact we were on the same grounds we were not allowed to talk to the opposite sex. They believed that it hindered the healing process. My program allowed cigarettes and coffee. I know of other programs that did not allow cigarettes and other programs that allowed both males and females to communicate. These minor things will be different with each program but the core basis will the very similar. AA meetings, group therapy, detox, very heavy structure and schedule.

This is a repost from a previous thread but it was basically the same question so I'm going to cheat :P

Here is what MY program consisted of and how it worked:

I went through an insurance paid program which worked basically like this: The first 5 days consisted of an extreme detox where you stayed in the bottom (nurses) ward where they checked on you constantly taking vitals and such. Opiate patients were given a 5 day suboxone taper and the rest of the new patients were put on a strong benzo (and I mean strong I didn't even know where I was). You weren't required to attend the daily schedule and you could take showers and eat whenever you wanted. After the 5 days you were then moved up into the dorms with everybody else for the rest of the 30 days.

The program I went through had a daily schedule that accounted for 15 hour of the day. Most of it was taken up by AA and NA meetings. The other majority was filled with classes much like a high school class. With an instructor (one of the councilors) and the classes ranged from teaching you about how AA or NA came about and why it works and encompassed a lot of topics about addiction. We were required to work the steps of AA. We had to give our story to the rest of the group and do other exercises to help us get to know our addiction and ourselves better. The program I went through was extremely thorough. We also received one on one attention with a counselor. The food was divine. The chef was actually a recovering addict just like the entire rest of the staff. All of the counselors, dean, cleaning crew, etc. Many of these people shared there stories with us in the meetings. It was very strange to see somebody who now has complete control of their life and basically your life (in the program) tell you a story about the dark days of their addiction. It was an overall very difficult experience but the teachings they instilled in me were very good.

In regards to the difference between detox and rehab. For my particular rehab location they offered both detox and 30 day programs. Usually if you have insurance or were available for a funded grant you received both detox and rehab. Meaning your first 5 of the 30 days as I explained above were spent detoxing under close supervision with the aid of detox drugs (soboxone, benzos). Some people could not afford the 30 days and if the funding wasn't available they were given just the 5 day detox as listed above.

This could be different for other programs but that is how they worked it at the location I chose.

You can rehab hunt and scout out a few. I am sure your area will have a couple to choose from. Make sure to ask them all of the rules and to explain everything to you. If you take medications on a daily basis make sure to ask what that situation will be like. They may or may not allow you to take certain medications. For example I had a roommate who had asthma and felt comfortable with a rescue inhaler on hand. They required her to keep it at the front desk. (she got her husband to sneak one in but to avoid that situation if it pertains to you that is a question to ask) If you are a smoker ask if they allow smoking. Ask them what their detox program is like and if they use medications to help ease you out. Ask them if they allow items from home (such as favorite blanket, pillow, pictures, etc) They will explain everything to you. Don't get put off by how strict they might be. They aren't going to bend to you. You are the addict and they have a set treatment regimen that works (theoretically as long as you follow the rules). But if certain things are important to you (cigarettes, medications, comfort items) you will want to choose the right program for you.
 
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^ Really good post. Also that sounds like an excellent rehab program. I don't personally have experience with rehab, but I have been to a monitored detox facility. As I understand it, the difference between rehab and detox is that detox is about 5-7 days long, where as rehab is 30+ days. Detox is designed to simply get you out of the very worst of initial withdrawal. The program is much less intensive. There will probably be some group sessions for sitting and discussing addiction, but I wouldn't expect any perks like exercise equipment, swimming pools or much personalized care. Honestly though, in those first five days or so you are not going to be wanting anything to do with a treadmill, even if it were provided. The medication provided to ease the process will vary greatly from facility to facility. Some places might only give you some low-dose tramadol and a shitty sedative like seraquel to try and knock you out at night. At nicer places you might expect a rapid suboxone taper with some benzos to smooth it all out.

I personally recommend doing the full 30 day rehab. With a good program like the one mentioned above, you should receive a solid mixture of personalized compassion and unrelenting motivation. The best advice I could give in choosing a facility is that you spare no expense, within your means, when it comes to your recovery. Most of us drug addicts will unblinkingly spend thousands of dollars a week on our addictions, and then cringe at the thought of putting out the cash for a smooth rehabilitation. Your recovery from drug use is going to be the most important event in your life. Research programs, find one that has a good balance of what you are looking to get. Call and ask thorough questions about living accommodations (single rooms, two people per room, twenty people per room), cuisine (highly understated issue), schedules, programs, requirements, facilities and medications.

Then after you find the place that's right for you, show up and throw yourself into it like a marathon runner. Make it an epic event that you will undoubtedly look back on with pride and satisfaction for the rest of your life.
 
I went to rehab for ninety days at a well-known psych hospital/treatment center. My first week there was spent on the psych ward (yes, the psych ward) because I was completely out of my mind, suicidal, etc. The remainder of my time was spent in their transitional living program (that's what they call it). We were co-ed, and there were only seventeen people in our group at one time, sometimes less than that. It was based upon the 12-Step model, and our day consisted of a lot of group therapy, AA/NA meetings (and for me, Caduceus meetings), recreation (I made a great, once-in-a-lifetime, four point shot on the basketball court, not bad for a girl), and art therapy (which sounds hokey but was actually very helpful). We also had to do "Life Story" on our first day there, which damn near killed me. They had a very strong family program, too. Where I went to was a great place, and it gave me a strong foundation. They also made sure that you were hooked up with treatment in your community upon discharge which was very important. The bad part was that it was mostly private pay, my insurance paid for about half of it.
 
its between going to a facility or going to a new psychiatrist as this doctor i currently had is over prescribing me pain meds and benzo's so i will bring my rx record to the psychiatrist i am going to today and see if i can follow up treatment with him, i just do not feel comfortable going somewhere for 30 days without being around family/friends every single day
 
Most places this day in age are not 30 days. The place I went averaged a 17 day stay. This is both to reduce cost and because community based treatment is seen as more effective for recovery. I went to a semi nice insurance accepting program it was like summer camp basketball, wieghtlifting, girls and a heavy dose of 12 step. The detox they offerd was not so great for opiates it was a quick 5 day sub "taper" that dropped you like a rock 4mg, 4mg, 2mg, 2mg, skip a day then 2mg. I really thing they did it in order to put withdrawl off for a few days as most people who leave against medical advice do so in the first 72 hours. Upon leaving they strongly encouraged a half way house for everyone they actually would call and manipulate your family into trying to force you to go. Which is not cool in my opinion but is apperantly standard operating practice in the industry. Overall it was kind of a fun experience but a vacation would of been more fun and for the money my parents shelled out I could have went to Europe for a couple weeks.
 
i just do not feel comfortable going somewhere for 30 days without being around family/friends every single day

IME, no one does. I sure didn't. If those mere thirty days result in a lifetime of self-fulfillment and freedom from chemical dependency, however, I believe it would really behoove you to weight the pros and cons of not being around friends and family for a month. Once you've actually entered treatment, the days fly by as your brain and body detoxify and your un-muted self begins to speak to you again.

I have been to two inpatient treatment programs in my life - one lasted 11 days, and was poorly run and I found it simple to con my way through. However, this was probably partially due to the fact that I was, in no way/shape/form, ready to accept the naked truth about my drug addiction. I certainly had no true desire to quit, then. And thus, it was useless - an eleven day waste of insurance, my family's patience and my self-esteem.

The second time I went was for 37 days. I went to The Caron Foundation in Pennsylvania, and I believe there is one in Houston, TX, too. It is a pristine facility, one of the highest rated in the entire country, and provided ample daily support while I was in withdrawal from nasty concurrent benzodiazepine and heroin addictions.

My experience can be summed up relatively briefly.

My picture was taken. This was for the purpose of comparison between my initial intake and how I looked on my release date. At the time, I felt that it was a strange approach - but my god, the difference 37 days made!! I looked like a new human being - a live human being. To this day, I think that the photo system is a strange and very positive initiative.

The units were divided by age and gender. At the time, I was 19 years old and was on the unit relegated to 12-21years of age. In my case, my side was all males.

Over the days and weeks, we all came to be true pals. Towards the end, it was incredible to watch new admissions enter - wide-eyed and afraid, as no doubt I was, too - and grow/mature to the point where they felt comfortable expressing their deepest secrets, darkest moments and most sincere desires to get and remain sober.
The staff were amazing, too. All of them were recovering addicts with stories that amazed and compelled us. They were dynamic individuals, and were some of our best confidants throughout the weeks.

We had groups each night where we would go around the room of about twenty guys, each discussing where we felt we were. Input was welcome from other group members; it was essentially an open-discussion where we could think critically about an incomprehensibly devastating disease that had, in some way, taken us all out in the recent past. There were times, of course, when the issues we discussed got heated. In retrospect, as angering as it was to be called out on one's bullshit, the feeling of anger was the emotional archway when, once passed through a sufficient number of times, opened the floodgates for properly experiencing the remaining spectrum of human emotions that we found we had collectively shunned from existence through the use of drugs. By the tenth day, I felt reborn. We called it the "Pink Cloud," where our minds were beginning to open back up to us - and the feeling was indescribable. It represented the point at which I became enthused with the idea of staying sober. Pink clouds do not last forever, as they warp and change to meet our own personal failures and achievements - but it was a wonderful time and felt like the embrace of sanity that had so often eluded me in the years prior to entering treatment.

We had visitations on weekends from family and friends, could receive packages and letters (as well as send/write them ourselves), and had ample time to explore outdoor activities, movies, bowling and other tangible ways to interact with the real world whilst under the supervision of staff who kept those of us who acted out in line and provided repositories of moving experience that we all found comfort in listening to.

At some point, when I had demonstrated a good level of active participation in the programming within the facility, I was granted the right to go off-campus with my peers and staff and attend AA and NA meetings in a nearby city. This was a great way to introduce us to the real world of remaining vigilant and active in the quest for continuous sobriety, and made attending these meetings after treatment inexplicably easier, since I had been exposed to it before.

Afterwards, I enrolled in an IOP program for several months to ensure that I did not immediately slip back into my old ways. Thirty days *seems* like an eternity by day 1, but at day 30, it's truly common for one to still be so fragile that relapsing is very easy. The first year, in fact, is considered by many to be of critical importance - for it is what you do with your time in that first year (actively participating in new ways of life and self-exploration vs. merely remaining, to the best of your ability, just abstinent).

In summation, I really applaud you for even considering, however seriously, the option of an inpatient treatment facility. Without it, I would never have remained clean and sober for the time that I did, and I sure as shit would not have known where to turn after my most recent relapse (which I owe the past five and a half months of my life clean to - I stayed sober for 3 years after Caron, relapsed and stayed out for 3 years, and am now back. But the time I amassed before was not "lost" in the sense of it having been a waste of time. I know what to do now and what footwork comes in handy in various situations).

I can't recall a single guy on our unit who wasn't frightened in the beginning. Fear motivates us. Without fear, I would not be alive today.
I wish you the most sublime journey to rediscover yourself. You'd be suprised at the delightment you will likely feel once you're able to "feel," again.

Good luck and best wishes :)
<3
~ Vaya
 
I've been to two treatment facilities, both 30 day programs. The first was in a psych ward where addictions and mental health patients were housed in a locked down hallway. They switched me to outpatient after I detoxed though for they felt I was not at the risk of relapse (I played them). The second one I went to was in Cleveland Ohio and I spent the full 30 days there. Detox was on the first floor and received constant nurse attention if the patient was in serious withdrawals. This detox period was 5-7 days depending on the rate of recovery for the patient. The "recovery unit" as was called the rehab portion was on the second floor surrounding an atrium (beautiful trees and pond with fish and a water fountain). This unit was co-ed with males and females on the same floor but opposite sex was not allowed in the rooms. Also, it was not allowed to initiate intimacy with the opposite sex though we were allowed to communicate and hang out in the day rooms with eachother (I broke this rule in the elevator with a few of the female patients lol). During the day we would get up at 7am, have "goals group" which consisted of us setting a goal for the day and reading the morning meditation. After was breakfast and then we broke down into small groups with our counselors (32 people divided between 4 counselors). Then we'd have a couple groups about learning the 12 step programs, the biology and psychology of addiction, or on some days we would have a morning 12 step group come to the facility. Then we would break for lunch and go to the skills class which was either gym or life skills which taught us how to manage ourselves on the outside. Then we would have a 2 hour break til dinner, then we would do a coin-out (when someone is graduating the program they receive a coin) or have an education lecture/large group to discuss any issues. After that was the evening 12 step group and finally the gender group (the men and women split up and have their own group to discuss any issues that we want to keep private). The end of the day was around 930 at night and lights out was 1100pm. At 1100pm, TVs go off and the door to go to the smoke area outside was locked and so was the door to the vending machine (which sucked cuz I get hungry at night).
To be honest I miss rehab, I found an amazing girl while I was there who, as foolish as it may sound, I might try to start a life with down the line. I was friends with her bunky and her bunky told me that danielle (the girl I like) couldn't stop talking about me and that she was falling in love with me (I feel strongly for her too). I know I'm not really in the place to say this but be careful of relationships in rehab. I'm was StL and Danielle is in Cleveland Ohio so even if one of us were to relapse we wouldn't necessarily bring eachother down. I think you will enjoy rehab though, especially to come off multiple types of substances, it will help with the pain, and also you will make friends with people who will help you out. Think of it as living with the people from TDS when we're all dopesick and shit and helping eachother out lol. Without rehab, I know I couldn't quit on my own, especially if I was prescribed my drug of choice (HAH if I had script for H I would still be using probably). I recommend you go to treatment, what's the worst that could happen really. It's gonna be tough to get clean, but rehab makes it a hell of a lot easier. Lots of love and "strength and honor" as my Hungarian rehab buddy would say.
 
ok i just got back from the psychiatrist appointment and he said hes going to give me 14 1mg klonopin tablets to take 2 pills a day until i see him again next week for my next scheduled apointment, he also gave me .1mg clonidine tablets to take 2x daily and a sample of seroquelXR 50mg's he said to take at night time or once a day if i am having a hard time sleeping, what do you guys think about this? he said he is not comfortable prescribing me 60 pills and definitely not prescribing me Xanax because of the short life it has and said he would much rather use clonazepam instead of valium..the thing i dont get is what do psychiatrists mainly prescribe clonidine and seroquel for? he said clonidine to help with my opiate withdrawals and he chose the seroquelxr's over ambien to help me sleep because he said ambien is somehow kind of like a benzo but is not a benzo. all input is greatly appreciated
 
i just do not feel comfortable going somewhere for 30 days without being around family/friends every single day

Another important thing I forgot to mention about my program is we were allowed one 5 minute phone call per night and on Sundays family was available to visit from 12-4.

We were allowed to send and receive mail daily (as much as we were being sent) with no limit. I think they know that writing out our thoughts is therapeutic and time consuming and actually helps a lot.

So you will be without family most likely for a lot of the time. It is hard but trust me you NEED that alone time to help find yourself. They limit distractions on purpose (family contact, contact with the other sex) so that you can focus on you and you only.

I found it simple to con my way through. However, this was probably partially due to the fact that I was, in no way/shape/form, ready to accept the naked truth about my drug addiction. I certainly had no true desire to quit, then. And thus, it was useless - an eleven day waste of insurance, my family's patience and my self-esteem.

This is so true. If you go at it with doubt in your mind on whether you actually want to be clean or not you will probably just go through the process conning the system just to make it through.

You need to know you want it and need it.

My program also took the picture approach as well. The picture was scary and I didn't actually even remember them taking it I was so gonzoed when I went in.
 
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Since we're naming names, I went to Silver Hill in Connecticut. Caron has an excellent rep. In fact, Liza Minnelli credits Caron with saving her life (but not her marriage).

I credit Silver Hill with saving my life, too. I didn't want to go, either, especially when they told me that I couldn't have my cell phone (if you do go, make sure you bring a prepaid phone card and list of phone numbers with you). The first few days were excruciating, but truthfully, by the end, I didn't want to leave! In fact, I am still in touch with people from rehab, and it was six years ago that I went to treatment.


WRT to your question about Seroquel, it is an effective sleep aid in small doses. Ambien works on the same receptor as benzodiazepines. It has a high potential for abuse.
 
ok i just got back from the psychiatrist appointment and he said hes going to give me 14 1mg klonopin tablets to take 2 pills a day until i see him again next week for my next scheduled apointment, he also gave me .1mg clonidine tablets to take 2x daily and a sample of seroquelXR 50mg's he said to take at night time or once a day if i am having a hard time sleeping, what do you guys think about this? he said he is not comfortable prescribing me 60 pills and definitely not prescribing me Xanax because of the short life it has and said he would much rather use clonazepam instead of valium..the thing i dont get is what do psychiatrists mainly prescribe clonidine and seroquel for? he said clonidine to help with my opiate withdrawals and he chose the seroquelxr's over ambien to help me sleep because he said ambien is somehow kind of like a benzo but is not a benzo. all input is greatly appreciated

Clonidine is usually prescribed for high blood pressure, and is commonly prescribed for people in detox. At 50mgs seroquel is a sleep aid (actually an antihistamine) and in doses above 100mg it is commonly prescribed to treat bipolar disorder and some other mental disorders. Ambien binds to your GABA receptors in the same place that benzodiazepines do, so there is some cross tolerance and dependence issues between the Ambien and benzos, and Ambien will complicate a benzo detox or taper.
 
In my experiences with detoxes/rehabs...

28-30 day programs just get you clean and begin to chip away at the top of the iceberg of all the shit that it as the very core of your addiction. Often they introduce you to AA/NA which is great. Then all of a sudden you're out there and the dealers and the grog shops and the chemists are waiting and beckoning and you either throw yourself into the fellowships or your go back. Some people I know have stayed clean and sober without AA/NA and good on them, but there's not many.

If you REALLY want to look at your shit, I suggest a therapeutic community program that lasts for AT LEAST 6 months. It's a long time, but not such a long time in the scheme of things. You will go into family of origin therapy, group therapy, individual therapy, physical labour, exercise, yoga, meditation and all that good stuff.

Just my .02.
 
thanks guys i appreciate it but all these great places you guys are naming like in connecticut are kind f far from me (chicago) which i don't know of any detox/rehab facility around me here in chicago with a great rep
 
So tomorrow is my next appointment with my psychiatrist and during my last week appointment we talked about my opiate dependency and he said he can prescribe Suboxone but i dont have insurance so it is going to cost a lot, so I said no. So far what he has me on is working fine (1mg clonazepam two x daily, .1mg clonidine two x daily, to help me for my opiate w/d's) and he gave me a sample of 8 tablets of Seroquel XR 50mg when I asked him for something to sleep since he declined my ambien request. My question to you guys is, do you think when I go in tomorrow that I would be able to possibly get methadone prescribed to me since it is a MUCH cheaper alternative than Suboxone for my opiate withdrawals? Also, how are psychiatrists when it comes to prescribing methadone for opiate withdrawals? I appreciate all of the help and input everyone has
 
after taking the seroquel 50mg XR pills what am i supposed to feel? i am taking 2 of them every night but dont really feel anything anymore from them, when i started taking seroquel it just made me real tired at first. And also how does clonidine which is a blood pressure medication help with opiate withdrawals?
 
Bringing up the issue of treatment facilities should be a no-brainer between you and your doctor. Doctors (both psychologists and psychiatrists) have very vested interests in being aware of the good programs and facilities in their areas, as many of their clientele are or have been involved with these types of programs. I would ask your local psychiatrist for recommendations!
 
I went to a 28 day inpatient rehab outside of Montreal called Heritage Home. It was really healing. It was 10,000$ USD. U got your own room and bathroom. Were allowed medications and tapering off even oxycontin and benzos (back in May 2 0 0 8), had custom farm/organic food (vegetarian and vegan if u wanted), lots of new age events, one-on-one counseling, personal trainer, kayaking, trips to the city, group counseling, optional AA/NA meetings, guys and girls, very natural setting. Smoking allowed outside, music allowed, laptop allowed and wireless.

So much better than institutional places which imo are much like jail.
 
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