Drunk Sex

Want to know more about druk sex? What does alcohol do for or against you during sex?

Alcohol affects sexual desire, arousal, and performance

The effects of alcohol on the body are not yet fully understood. Some studies have shown a negative correlation between chronic alcohol use and reduced libido and performance during sexual intercourse. Other studies have shown that men who drink excessively are more likely to develop erectile dysfunction and other issues related to sex, such as lowered libido and decreased sex desire.

A recent study by psychologists at the University of Washington reviewed an enormous body of research regarding the effect of alcohol on sex. These researchers found that men and women have similar beliefs about how alcohol affects their sex lives. A typical “drink” is around 14 grams of pure alcohol, which is equivalent to five ounces of wine, 12 ounces of beer, or 1.5 ounces of distilled spirits.

Although the effects of alcohol on sex drive can be difficult to recognize in the short term, it is important to understand how alcohol works. Studies have shown that alcohol affects libido in several ways. It decreases libido, and arousal, as well as the quality and pleasure of sex. In addition, it affects mood and body functions. Alcohol is not the only problem, as it can lead to depression and anxiety.

While some studies suggest that women are not affected by alcohol during sex, they are based on a small number of studies, which are often biased and do not represent a general population. Furthermore, women are typically liberal and young, making these studies unlikely to be representative of daily life. Therefore, the results of these studies cannot be used to draw firm conclusions. While these studies are a starting point for research, further study is needed to assess the effects of alcohol on women.

Alcohol also has many other effects on a person’s ability to engage in sex. In fact, it can lower libido, which is the primary component of sex. In addition to impairing libido, alcohol may lead to physical and psychological dysfunction, including erectile dysfunction, delayed, or nonexistent ejaculation, and decreased vaginal lubrication.

It prolongs sex

Drunk sex is often a great way to lengthen sex time and make your partner swoon. People who drink exclusively for sex usually limit their sex to the morning or afternoon. They also limit themselves to certain types of sex, including less intense or challenging ones. Sober and drunk sex are both different, but you’re more likely to try something new and different while drunk. Sober orgasms are stronger, too.

In a study of men in nine European cities, researchers found that about one-third of men and one-quarter of women consumed alcohol specifically to prolong sexual intercourse. The most common reasons for alcohol use were to increase arousal, lengthen an erection, or deriving sexual excitement. The researchers concluded that heavy drinking promotes sexuality and boldness and helps men and women overcome social stigma.

It causes delayed ejaculation

While drunk sex can delay ejaculation, it is not the only cause of the problem. Alcohol can also affect men’s sexual function, causing delayed ejaculation. A doctor may suggest a number of treatment options, including stopping certain drugs, reducing alcohol consumption, or switching prescription drugs. Other treatments include addressing mental health issues and drug use. Treatments may include reducing the dosage of prescription drugs, changing sexual habits, or addressing the underlying causes of the delayed ejaculation.

There are numerous psychological and physical causes of delayed ejaculation. Some causes are diabetes, surgery, certain prescription medications, street drugs, or mental disorders. The other causes of delayed ejaculation are due to psychological factors, such as feelings of guilt or fear. Delay in ejaculation can cause you to feel physically drained and uncomfortable, which can make your partner feel uncomfortable.

If the cause of the delayed ejaculation is alcohol, you may need to cut down on alcohol intake. Alcohol, as a social lubricant, can prolong libido and increase arousal. However, alcohol also constricts blood vessels and can interfere with an erection. In addition to delayed ejaculation, alcohol can also contribute to poor performance.

If alcohol is the cause of delayed ejaculation, you can seek treatment to help improve your sexual function. A therapist can help you determine whether alcohol is a factor. Some medications may affect your sexual function, including alcohol. If you do have mental health concerns, alcohol may also play a role in delayed ejaculation. In addition to alcohol, drug abuse and substance use can contribute to delayed ejaculation.

Alcohol can slow your brain’s activity, making it difficult to process information and react quickly. While alcohol makes social interactions easier, it can also slow down your nervous system. Your nerve endings can’t receive the same signals from your brain as they would when you’re sober. Thus, you will not reach orgasm during sexual intercourse. It’s essential to consult with a professional to learn more about your condition.

It increases testosterone levels in females

Drinking alcohol affects the hypothalamic-pituitary-gonadal (HPG) axis, which controls the production of both sperm and testosterone. Alcohol alters this balance, causing the body to produce less testosterone and therefore less sperm. This can adversely affect fertility. Alcohol causes the liver to produce byproducts, including estrogen and prolactin. In addition to this, drinking alcohol lowers the levels of testosterone and other key hormones in the body.

The study conducted in pigs revealed that alcohol consumption decreased females’ testosterone levels during sex. This is despite the fact that the level of testosterone returned to normal within 30 minutes. However, the amount of deuterium was higher in the drunken testes of male participants. Moreover, the study showed that testosterone levels were significantly increased in females when the drinking was moderated. While the study found no differences between males and females, it is important to note that alcohol consumption may negatively impact a woman’s libido.

Previous studies have found that increased levels of male and female testosterone are associated with arousal. However, these studies had mixed results. While earlier studies showed no correlation between drunken sex and higher testosterone levels, more recent studies conducted in a natural setting and with a larger number of subjects found similar results. Sexual stimulation and activity to raise levels of testosterone. However, in this case, the effects are limited.

Alcohol consumption during pregnancy is also a risk factor for increased levels of testosterone. Studies on twins have shown that the presence of a male co-twin reduces the risk of alcohol dependence. The association between high levels of testosterone and increased alcohol intake was not present in males who were not co-twins. Although, it is not clear why alcohol affects alcohol levels in pregnant women. However, in general, alcohol abuse does increase testosterone levels.

In a study published in the British Journal of Sports Medicine, researchers found that the increase in testosterone significantly boosted the performance capacity of young, physically active women. The increase in testosterone levels was attributed to the participants’ mental state, and self-rated performance scores were directly related to testosterone levels. Exercise, in fact, is also a positive influence on testosterone levels in both men and women. This effect is particularly notable when the subjects are athletes and perform sports.

Dangers of Drunk Sex

What are the consequences of drunk sex? You might think that if you get too drunk, you’ll be incapable of having sex. But it’s more dangerous than you think! Indulgent sex can lead to unclean sex toys and recorded sexual romps. Having drunk sex can even result in sexual acts that don’t require condoms! So, how can you avoid such scenarios? If you and your partner are struggling from alcohol abuse please contact our helpline now.

Benefits of Residential Substance Abuse Treatment

Substance Abuse Treatment Benefits

If you are looking for information about the benefits of residential substance abuse treatment, you should understand your treatment options. While outpatient care may be more cost-effective & part of a person’s short-term plan for dealing with their addiction symptoms, inpatient residential treatment can offer long-term benefits that outweigh the cost savings. Residential treatment is generally more effective than outpatient care and uses the most common form of therapy – talk therapy. Here are some of the benefits of residential treatment for addiction. Listed below are some of the options and things to consider in your treatment plan, as well as some estimated costs you may incur with individual or couples addiction treatment. We review here, residential substance abuse treatment and why it may be more effective than outpatient care, and why it costs more, but could be worth it. Read on to learn more.

Long-Term Residential Substance Abuse Treatment

While short-term, or outpatient, residential care may be ideal for some individuals who have a history of addiction and that course suits them well; but it has been determined by many professionals in the treatment space that long-term residential substance abuse treatment, is advantageous and aids in a more successful outcome in most cases. This type of treatment supports an individual’s efforts to learn how to stay sober by empowering him or her with the tools needed to maintain sobriety, in a settled environment. Long-term residential substance abuse treatment benefits also include the ability to build a strong support system that helps those struggling with addiction to stay clean and sober long-term.

Treatment usually lasts 90 days or more, although many facilities offer extended care to meet the needs of their clients. Moreover, long-term residential drug treatment programs usually include aftercare support, such as connections to sober living homes, community support groups, and formal addiction treatment. Short-term residential treatment programs are generally less intensive and can be of great help, but long-term residential addiction treatment offers the best results for those who are dealing with chronic addiction.

A long-term residential treatment program is also important when other forms of treatment are not working. Long-term residential programs provide a highly structured environment in which a patient can focus on their personal and physical recovery. Moreover, the individual will have a better chance of sustaining a healthy and productive lifestyle after completing a treatment program. These benefits of residential substance abuse treatment should not be overlooked. Professionals agree, if you want to fight addiction for good, residential treatment is the way to go.

Costs of Residential Substance Abuse Treatment
Costs of Residential Substance Abuse Treatment

Costs of Residential Substance Abuse Treatment

The cost of residential substance abuse treatment can vary significantly depending on the type of treatment you choose. Some programs are actually free, although not common, while others require you to pay a simple monthly fee. Outpatient programs do offer the same programs, therapy and support as inpatient programs, but they don’t provide the critical component of round-the-clock care. These inpatient programs can cost anywhere from $2,000 to $10,000 per day, and the length of the program offered may range from a few weeks to a several months.

Out-of-pocket expenses do vary widely, and this variation is clearly a reflection of the level of care and amenities. Basic rehab facilities may cost as little as $5,000 to $25,000 a month, while luxury rehab facilities may cost upwards of $100,000 a month. There is a geographical aspect, as costs will also vary by city, as large metropolitan areas tend to have higher costs than smaller ones. You have to keep in mind the total costs & remember, traveling to a more affordable rehab facility in another city will add up. Therefore, it’s important to weigh the cost of residential treatment location, costs of travel to a cheaper facility may add up. Do the math, before you make your selection.

Regardless of your situation, residential rehab will be more expensive and is more regimented than outpatient rehab. An intensive outpatient program allows patients to continue their daily routines, while a partial hospitalization program requires a three-day or five-day stay at the rehab center. Both programs include therapy, learning how to cope with addiction, and a detoxification program. In-patient rehabs can cost between $5,000 to 80,000 per day, although programs are free or heavily subsidized.

Talk Therapy Is The Most Common Therapy

One of the main objectives of substance abuse treatment is to change the patient’s lifestyle. This often involves modifying the way the patient thinks and acts, and it helps them develop better problem-solving and emotion-regulation skills. Patients are encouraged to learn new activities to combat negative affect and find social support. This type of therapy may also include exercises, volunteer work, and other activities that provide enjoyment and distraction. Couples therapy is very important to be implemented with couples who are recovering together.

Other forms of therapy include multidimensional family therapy, which focuses on the family’s relationship with the substance-abusing individual. During this therapy, the entire family meets with the therapist to explore the influences of the addict’s environment, and to improve their functioning. Motivational enhancement therapy, also known as motivational interviewing, is another form of short-term treatment. It is effective in addressing substance-abuse problems and has a variety of positive effects on clients.

Talk therapy, also called psychotherapy, helps a patient identify issues that are causing emotional distress. Complex issues may result in the diagnosis of depression or anxiety. By discussing feelings in a safe environment, the therapist is able to identify the causes of stress and develop solutions to help the individual. This process may be used in combination with cognitive-behavioral therapy and behavioral guidance, and some facilities offer teletherapy for people who are not able to come to the facility.

It Is More Effective Than Outpatient Treatment

While inpatient and outpatient couples rehab programs differ widely in their approach, structure, and recovery philosophy, inpatient treatment is often more effective than outpatient programs for people suffering from addiction and co-occurring mental illnesses. Inpatient care offers patients twenty-four-hour professional supervision and ongoing support in a structured environment. Outpatient programs are more convenient for people who work or have other responsibilities, while inpatient care provides a more structured environment.

Residential substance abuse treatment is typically a longer-term program than outpatient treatment. Inpatient care is more intensive and focused and is more expensive. Outpatient care has a limited duration compared to residential care. But inpatient treatment is more likely to result in lasting sobriety and ongoing recovery. Addiction specialists overwhelmingly agree that a full course of inpatient treatment is the best bet for long-term sobriety.

Besides being more effective than outpatient treatment, residential treatment offers more benefits than outpatient care. While inpatient treatment requires the patient to be away from home, outpatient care allows patients to continue their work and daily lives. The residential setting helps clients develop healthy habits and learn new ways to cope with the stresses of everyday life. Also, inpatient care offers a supportive environment to practice new coping mechanisms with addiction. Ending an addictive life, and beginning a new path in a new environment, has proven to be a key component in achieving sobriety.

A recent review of studies has highlighted the importance of residential treatment for people with Substance Use Disorder. Although the evidence is not yet definitive, many clinicians feel residential treatment is an essential first step in recovery. It minimizes the chances of relapse by limiting the opportunity for substance use. The researchers who conducted this review suggest that residential treatment is more effective for individuals who use certain substances. A further study is needed to assess the effectiveness of residential treatment.

It Gives Addicts Structure

Residential substance abuse treatment programs give addicts structure and accountability. There are strict rules and responsibilities to follow, and there is little free time. In residential programs, the addict must attend group therapy and participate in team outings or sports leagues. Residents also participate in volunteer work and attend 12-step meetings. They eventually may live on their own for a time, but still receive support from peers. Some programs also offer individual and group therapy.

Most addiction recovery programs are residential and last from a few days at a local hospital or 30 days at a private substance abuse treatment center. Some residential programs are longer, with periods of up to six months. These programs are designed to provide structure and guidance to the client and make it easier for him or her to move on with their lives. They may also participate in group therapy, classes, and other activities. Residential substance abuse treatment helps the addicts develop their self-esteem and become more responsible.

It Prevents Relapse

Relapse is a feared outcome for those in recovery, and it can cause a range of complex feelings. Some feel tempted to use again, while others may feel deep shame and consider relapse a life-threatening situation. Fortunately, relapse can be avoided. By knowing what to look for, recovering addicts can safeguard their recovery and avoid relapse. In addition, if they are able to maintain a strong support system, they can improve their chances of long-term recovery.

Relapse prevention involves learning to recognize triggers and developing substitute responses to cravings. In addition, it helps patients accept that lapses are a natural part of recovery and interrupt them before they cause harm to themselves or others. Many studies have demonstrated that relapse prevention is just as effective as other psychosocial interventions. Some of the relapse prevention techniques used include cognitive-behavioral therapy, acupuncture, self-efficacy training, and cue exposure and extinction.

Relapse prevention techniques can help the person transition back into their everyday lives after rehab. These techniques involve addressing traumatic triggers, coping skills, and cognitive behaviors that lead to relapse. By practicing these daily relapse prevention techniques, recovering addicts build their skill level and resolve. These strategies are also useful for those who have co-occurring mental illnesses. They help reduce the chances of overdoses and other consequences. To find out more about benefits of residential substance abuse treatment contact the helpline and speak with a recovery specialist now.

Cigna drug rehab for couples

Cigna Drug Rehab That Accepts Couples

Are you looking for a couples rehab that accepts Cigna insurance? Before seeking help for an addiction, it’s important to understand the terms used by Cigna in their drug rehab coverage policy. You can find out what is covered by your plan by contacting your Cigna representative or looking online. In this article, we’ll go over In-network versus Out-of-network coverage, the difference between Medical detox and drug rehab, and the costs of each. We’ll also discuss the importance of choosing the right treatment option for you. To learn more about Cigna drug rehab centers for couples, contact the recovery helpline and speak with a representative.

Cigna Drug Rehab for Couples: (888) 500-2110

Cigna Out-of-Network Treatment Options

While your Cigna drug rehab coverage may not cover out-of-network treatment options, you can still get help for substance abuse. There are several ways to get treatment out of network, including in-network programs, but some plans only cover certain services. If you want to get help from a treatment center that is not in the Cigna network, you will need to get a pre-certification from your insurance provider.

In-network providers are those who have contracted with Cigna and provide couples rehab services for a set price. Out-of-network couples rehab centers may charge you full price for your treatment. It’s best to try to get treatment from an in-network facility if you want to save money, but if you can’t find a facility that accepts Cigna, you can negotiate a payment plan with the rehab center.

In-network and out-of-network Cigna coverage often covers partial hospitalization (PHPs). PHPs require a patient to attend daily for four to six hours. These programs are often covered by your Cigna plan, but it depends on your medical condition and plan. Part-hospitalization programs combine FDA-approved medications with behavior therapy to treat opioid use disorders.

For couples without health insurance, a medically-assisted detox provides a safe entry point for treatment. A professional staff at a licensed clinic will provide comfort and reassurance, and onsite psychiatric treatment is available for patients with heavy problems. Residential treatment is proven to be effective in maintaining sobriety, and may be covered by Cigna. In-network care is typically cheaper, but some out-of-network programs may charge a higher co-insurance percentage.

Cigna In-Network Treatment Options for Couples
Cigna In-Network Treatment Options for Couples

Cigna In-Network Treatment Options for Couples

You may have heard that Cigna drug rehab coverage for couples offers in network treatment options. That’s right; if you have the right insurance plan, you can get the treatment you need. You should always choose an in-network rehab center if you have the right health insurance coverage. That way, you won’t have to worry about out-of-pocket expenses. In addition, you’ll get better reimbursement rates, with only a small co-pay.

Cigna is an excellent company that caters to people of all ages and income levels. Its mobile app makes it easy to find in-network treatment options. Customer service is available around the clock. Substance abuse treatment and mental health treatments are covered under Cigna. Couples Rehab can help you find an in-network treatment center for couples that accepts Cigna insurance. The Cigna customer service department is available 24/7 to answer your questions about your insurance benefits.

Residential treatment options include standard outpatient programs. These programs are typically the least intensive form of treatment. Clients attend treatment sessions a few times a week. The programs are designed to work around their schedules. Outpatient Cigna drug rehab coverage offers in-network addiction treatment options, depending on the type of plan and the type of treatment. Some plans require a copay for each session. Others require a coinsurance for the entire program.

Addiction recovery may be complicated, but Cigna drug rehab coverage for couples provides in-network treatment options for both inpatient and outpatient programs. You may need to fill out a contact form to make sure your coverage is in-network. The center can help you meet the requirements and get approved. They will guide you through the process. This will ensure that you get the treatment you need.

Costs Of Out-of-Network Treatment Options for Couples

The Affordable Care Act marketplace is a different world than an employer plan. Unlike an employer-sponsored plan, which limits you to a small number of healthcare providers, you may be able to select an Exclusive Provider Organization (EPO) and pay a higher out-of-pocket cost for care. Depending on your plan, Cigna may cover the cost of an out-of-network drug rehab.

If you’re unsure whether your insurance will cover an out-of-network facility, check with your insurance provider. If they accept Cigna insurance, they’ll be able to verify the coverage of thousands of Cigna health plans. Additionally, they’ll help you choose a treatment center that’s in-network and accepts your insurance.

Depending on your Cigna drug rehab coverage, an out-of-network facility may cost more than an in-network facility. For this reason, it’s important to compare costs before choosing an out-of-network drug rehab center. Out-of-network facilities often offer better reimbursement rates and may only charge a small co-pay, but they’re still much more expensive.

When choosing an out-of-network treatment facility, it’s important to understand the costs of both in-network and out-of-network centers. Cigna is a good insurance company for many reasons, including their helpfulness and customer service. If you’re unsure about whether a treatment center is in-network, contact a representative from Cigna and ask about coverage. Then, they’ll make a recommendation for you.

For individuals with substance abuse problems, Cigna plans may cover inpatient and outpatient treatments. If the treatment you’re seeking is not approved by your insurer, you’ll need to pay for it out-of-pocket, and may be required to pay a deductible. If you have a mental health condition in addition to addiction, Cigna may cover treatment that helps you address both issues.

Couples Medical Detox
Couples Medical Detox

Couples Medical Detox

Depending on your health insurance plan, Cigna drug rehab coverage may include medical detox. This is a potentially risky procedure that helps your body rid itself of dangerous drugs while providing support to the person going through the withdrawal symptoms. It may be covered as part of your out-of-pocket maximum or deductible. If you’re unsure whether your plan covers detox, it’s best to contact your insurer directly.

To receive this type of treatment, you’ll need to fill out paperwork to submit to your Cigna insurance plan. You’ll have to provide information about your addiction history, including drug and alcohol use. Cigna will cover the costs of treatment if the doctor determines it is medically necessary. The length of the rehab stay depends on your medical condition and your primary care physician’s recommendations. Your Cigna health plan may also require prior approval.

Your Cigna drug rehab coverage will usually cover all or a portion of the costs of detox and treatment. The amount of the co-payment will depend on your specific plan, but in most cases, Cigna will cover the cost of the first day of treatment. If you’re worried about your out-of-network coverage, speak with an admissions specialist for details. They can help you determine if Cigna drug rehab coverage will cover your treatment.

Cigna insurance is available through employer-sponsored plans, government-sponsored plans, and on the Healthcare Marketplace under the Affordable Care Act. You can also purchase individual or family counseling sessions and aftercare services through your Cigna insurance plan. Most Cigna health insurance policies cover a variety of out-of-network programs. In addition to in-network treatment, Cigna may cover a range of out-of-network drug rehab services, such as medical detox. You can also check with your insurer to determine your coverage level and out-of-pocket costs.

Medication-Assisted Treatment for Couples

Some drug rehabs may be in-network providers for Cigna, while others are not. Before enrolling in treatment, you should check to make sure the facility is in-network. You can either call the treatment center directly or look it up in Cigna’s provider directory. If you don’t find it there, you can also call the number on the back of your insurance card.

Cigna drug rehab coverage medication-advanced treatment may be covered by your plan. The amount of coverage for this type of treatment is dependent on your tier level and plan policy. For instance, if you are an employer with a group health plan, you may be eligible for coverage for partial hospitalization (PHP) treatment. In addition to the partial hospitalization program, Cigna insurance may cover other mental and behavioral health services.

Many Cigna drug rehab facilities provide medical detoxification as part of their care. Though it is risky, medical detoxification is necessary for ridding the body of dangerous drugs, and it may reduce withdrawal symptoms. Medical detoxification programs may also be covered by your Cigna drug rehab coverage, but this depends on your plan and whether the facility is in-network with your provider. Your plan may cover the entire cost of a medical detoxification program.

Aftercare or relapse prevention programs are typically covered by Cigna, and may include 12-step programs or counseling with an couples addiction therapist. You will also receive counseling and guidance in goal setting, mending relationships, and dealing with stress and triggers. In addition to these services, Cigna also covers the cost of medication-assisted treatment, including methadone and naloxone. If you and your partner are looking for more information about a couples rehab that accepts Cigna insurance contact our helpline now.

Large Healthcare Carriers That Cover Couples Drug Rehabilitation

Aetna drug rehab coverage
Anthem drug rehab coverage
Cigna drug rehab coverage
UnitedHealthcare drug rehab coverage

UnitedHealthcare Drug Rehab for Couples

Does United Healthcare Cover Couples Drug Rehab

You may be wondering what types of treatment are covered under your UnitedHealthcare plan. First, you should know that treatment is not always covered, unless you live in an out-of-network provider. You also need to know about your deductible and co-insurance costs. Your UnitedHealthcare plan may not cover more intensive treatment. However, you may find that your insurance will cover more intensive rehab. If so, read on to learn more about your options. To find out “does united healthcare cover substance abuse treatment” contact our helpline and we can determine what type of coverage you have.

UnitedHealthcare Couples Drug Rehab (888) 500-2110

UnitedHealthcare In-Network Couples Addiction Treatment

You may be confused by your insurance plan’s limitations and options for drug rehab treatment, but there’s good news: UnitedHealthcare covers some aspects of addiction treatment, including in-network treatment. Depending on the plan and location, your insurance company may provide coverage for addiction treatment. To learn more about your coverage, read on to learn about the types of treatment you can expect. If you don’t have any coverage, you can look for a local facility that accepts your insurance.

If you are under the age of 26 and don’t have a medical plan, you can often stay on your parents’ health insurance plan until you’re 26. If you’re married or not in school, you can stay on your parents’ plan until you reach your limit. If you’re under 26 and want to continue your coverage, you can choose from various in-network treatment options, including outpatient rehabs.

Your plan may cover in-network treatment, or it may require you to pay a co-payment. Your co-insurance will be a predetermined percentage of the total cost. Most plans have a co-insurance of around 20% of the cost of treatment. After your deductible is met, you’ll pay a smaller percentage, and United Health will pick up the rest. There may also be an out-of-pocket maximum, which is the total amount you have to pay each year to get treatment.

UnitedHealthcare Couples Drug Rehab (888) 500-2110

If you want to be sure that you’ll receive the treatment you need, you’ll have to ask your UnitedHealthcare insurance company if in-network treatment is covered. While your insurance company will give you a list of their preferred providers, you need to check with them to confirm. There are some programs that are covered out-of-network, and they will charge you more. However, these options may be more affordable than out-of-network programs.

Depending on your specific plan, UnitedHealthcare may cover several types of addiction treatment, including medical and outpatient detox. Medical detox will help you safely withdraw from drugs or alcohol. Partial hospitalization is a less intensive option that offers clinical treatment and a stable environment. Many programs will also offer dual diagnosis, which specializes in treating disorders that may be associated with addiction. If your plan covers in-network treatment, you may want to seek out a treatment program that offers dual diagnosis.

Out-of-network treatment can cost you a lot of money. Even if your insurer covers 50 percent of in-network treatment, it can still end up being very costly. UnitedHealthcare PPO policies may require an out-of-network facility to receive benefits, which means you will have to pay out-of-pocket fees or coinsurance. Furthermore, out-of-network facilities may not have the same benefits as in-network rehabs.

UnitedHealthcare Co-insurance Costs for Drug Rehab
UnitedHealthcare Co-insurance Costs for Drug Rehab

UnitedHealthcare Co-insurance Costs for Drug Rehab

If you have a UnitedHealthcare PPO plan, you will pay between ten and forty-five percent of the cost of an outpatient treatment session. Other UnitedHealthcare plans pay up to fifty percent of the cost of outpatient rehab services. Most plans require pre-authorization, but you may still have to pay a co-insurance. Your co-insurance cost will depend on your plan and the facility you choose.

When it comes to out-of-pocket costs, it is important to understand that not all UnitedHealthcare plans include MNRP coverage. If yours does, you may be able to get better coverage for your rehab services. However, not everyone understands their health insurance coverage fully. Some may not realize that substance abuse benefits are distinct from general health benefits, and this can make the difference between receiving treatment and paying a co-insurance bill.

In addition to paying your monthly insurance premium, you may also be required to pay additional out-of-pocket expenses for some services. Before you sign up for a UnitedHealthcare plan, make sure to understand your out-of-pocket expenses, which will likely range anywhere from $1,000 to ten thousand dollars. These costs vary by state, country, and individual. For inpatient care, the out-of-pocket maximum can be as much as six thousand dollars.

UnitedHealthcare Couples Drug Rehab (888) 500-2110

You should also make sure your UnitedHealthcare plan covers addiction treatment. Addiction treatment services offer access to hundreds of treatment centers that accept UnitedHealthcare insurance. Our directory matches people with treatment providers that accept UnitedHealthcare insurance. Addiction Treatment Services offers 24/7 insurance assistance so you can be confident that your treatment will be covered. With the support of our insurance specialists, you can focus on getting back on your feet.

For those who do not want to pay the full cost of an out-of-pocket treatment, UnitedHealthcare also offers a variety of plans. UnitedHealthcare covers some form of in-patient rehab, including a medically-supervised detox program. However, coverage varies by location and provider, so make sure you speak with a representative from the company to find out what your specific plan covers.

UnitedHealthcare Deductibles

If you’re considering a couples drug rehab program through United Healthcare, you may be wondering how much your health insurance will cover. While some policies pay the full cost of a rehab program, others may require a deductible. Check your policy carefully before entering treatment to ensure you’ll be covered completely. If your coverage is weak, this may mean you have to pay more than you need to. Listed below are some of the different types of coverage and deductibles you can expect.

UnitedHealthcare has three types of plans, a bronze plan and a platinum plan. The bronze plan has the lowest monthly premiums, but also the highest deductibles and co-pays. Bronze plans also have stricter rules about who can see you and which doctors and treatment centers are covered by the plan. Platinum plans offer more flexibility, but require you to pay out-of-pocket for most services.

For many plans, the deductible is $1,000 or more. For other plans, a deductible can range from ten to twenty percent of the total cost of treatment. Depending on your plan, you may be required to pay as much as 20 percent of the total cost of treatment before your insurance kicks in. Depending on your plan and your state, the deductible amount may be different. You may even have to pay more than you’d think to pay for inpatient treatment.

UnitedHealthcare Couples Drug Rehab (888) 500-2110

Fortunately, UnitedHealthcare insurance covers a range of different services for individuals and couples suffering from addiction. You can use your policy to find a couples drug rehab center near you. The benefits of a UnitedHealthcare plan are extensive, and the treatment options are often excellent. Whether you’re seeking a private treatment center or an inpatient treatment program, UnitedHealthcare is likely to cover some or all of the costs of drug rehab. The deductibles for a UnitedHealthcare plan may depend on the specific policy, so make sure to understand what you’re paying before enrolling.

The cost of outpatient treatment will vary based on the UnitedHealthcare plan you have. If the treatment center is out of your network, you’ll have to pay a higher coinsurance percentage, or you may not have any coverage at all. If you’re looking for outpatient rehab, you can look up whether your plan covers the cost of treatment. A UnitedHealthcare plan that covers outpatient care is more likely to meet your needs than an outpatient one.

Inpatient couples addiction treatment can be a great option for individuals with severe addiction issues. Withdrawal symptoms can be severe and difficult to deal with. It’s best to seek help as soon as possible, especially if your addiction has become a life-threatening condition. Deductibles for UnitedHealthcare drug rehab coverage vary, but it’s worth exploring if your plan does. If it does, be prepared to pay a high out-of-pocket cost. If you are looking for a couples rehab or want to know “does united healthcare cover couples drug rehab” contact our addiction helpline and speak with a recovery specialist.

Large Healthcare Carriers That Cover Couples Drug Rehabilitation

Aetna drug rehab coverage
Anthem drug rehab coverage
Cigna drug rehab coverage
UnitedHealthcare drug rehab coverage

Anthem blue cross blue shield couples rehab

Couples Drug Rehabs That Take Blue Cross Blue Shield

When searching for anthem blue cross drug rehab for couples coverage, you should make sure you know all the details about Anthem for Rehab. It will cover the following things: Medical necessity, Cost, and In-Network coverage. Read on to find out how Anthem for Rehab works for you. You may even be surprised by the level of coverage you can get! Listed below are some of the most important details you should know about Anthem for Rehab.

Find Blue Cross drug rehab that accepts couples: (888) 500-2110

Inpatient Couples Drug Rehab That Takes Blue Cross Blue Shield

When considering an Anthem Blue Cross couples inpatient drug rehabilitation center, it is important to ask yourself some questions. What is the purpose of the treatment? How long will it last? Do I have to pay for it? Will my insurance cover all of it? All these questions are important in determining if inpatient treatment is the best option for you. After all, you are trying to get sober, not waste your money on a treatment center you may never go to.

Behavioral Couples Therapy is one of the most important aspects of inpatient couples addiction treatment. The center will focus on the thoughts and behaviors that contribute to drug abuse, as well as treat co-occurring mental disorders that can lead to addiction. This therapy is usually performed in a combination of individual and group sessions. This way, the patient can apply what they have learned while at the center. It is important to remember that an inpatient drug rehab is not a cure for addiction. It is only a first step to recovery.

Blue Cross inpatient drug rehabilitation centers for couples offer around-the-clock medical and therapeutic care. Individuals in these programs receive highly personalized care, live at the facility, and engage in treatment-related activities. Some centers even offer medication to their clients as part of the treatment process, which can be extremely helpful for people with co-occurring disorders or a history of substance abuse. And while inpatient treatment can be helpful in any case, not all of these centers are right for every addict.

In-Network Blue Cross Couples Rehab

Drug rehabilitation is not covered by every insurance policy, but Anthem Blue Cross offers treatment for addiction through their Blue Cross and Shield subsidiaries. Whether or not your treatment will be covered depends on your plan and location. For example, if you live in California, your Anthem drug rehab coverage will depend on the recovery center. However, if you live in Texas, your coverage may not be as extensive as that of a California rehab center.

Anthem Blue Cross provides comprehensive mental health coverage. You can access the right health care professional to help you recover. Many people who suffer from addiction are also struggling with an underlying mental illness. Some of these disorders include anxiety, depression, bipolar disorder, and PTSD. By utilizing the resources of a health insurance plan, you can take advantage of a comprehensive treatment for your addiction and get back on your feet.

Choosing the right treatment center is vital for those suffering from addiction. If you are concerned that your insurance plan will cover the cost of treatment, you should choose a program that accepts Anthem insurance. Many people are hesitant to seek treatment because they are concerned about cost. However, Anthem insurance can help you find a high-quality treatment center. With the assistance of a healthcare insurance plan, you’ll be able to get the treatment you need and deserve.

Cost Of Couples Rehab
Cost Of Couples Rehab

Cost Of Couples Rehab

While there are a number of things that can affect the cost of Anthem Blue Cross drug rehab coverage for couples, one of the main factors that determines the coverage you’ll receive is whether or not your plan covers treatment. Many plans do not cover substance abuse treatment, but there are some that do. This article will discuss the differences in coverage, and how your Anthem plan can benefit you. Does blue cross cover drug rehab, read on to find out more.

Preauthorization is a requirement for many types of treatment. Anthem requires preauthorization for inpatient treatment, but it’s a good idea to check ahead of time to see if your plan covers it. Some plans may require preauthorization for inpatient admission, but most of them require it for residential treatment, partial hospitalization, and intensive outpatient care. Anthem’s Behavioral Health Care Managers will work with policyholders and treatment providers to determine whether a particular treatment option is covered.

If you’re worried about paying the full price for drug rehab, you can take some steps to lower the cost of treatment. Most Anthem Blue Cross plans cover the cost of treatment for substance use disorders and other mental health conditions. Many plans cover drug detox and addiction center services, but they only cover these services if they’re medically necessary. Your insurance provider may require verification before enrolling you and your partner in a couples addiction treatment program.

If you do not have insurance through Blue Cross, or maybe your partner has a different insurance like Cigna or Aetna, their coverage may be better or worse depending on the policy. For more information about Aetna drug rehab for couples coverage information view our post about Aetna

Medical Necessity

If you’re looking for couples drug rehab coverage through Anthem Blue Cross, you’ll want to make sure your plan offers substance abuse treatment. The Affordable Care Act requires insurance companies to cover essential mental health and behavioral healthcare services. The quality of Anthem drug rehab coverage varies, depending on the provider, policy, and deductible. The best coverage will cost the most per month, but you’ll likely pay the least amount out of pocket.

When applying for coverage, keep in mind that many policies have strict medical necessity requirements. If you have a mental health problem, for example, your doctor will likely need to provide a medical diagnosis that confirms your addiction. You may also have to submit an addiction diagnosis from a therapist. However, just proving that you’ve suffered from withdrawal symptoms will likely not be enough to get approval for inpatient care. Also, some policies require patients to first use outpatient care before receiving inpatient treatment.

The cost of Anthem Blue Cross drug rehab coverage varies. It varies by policy, but it generally covers a substantial percentage of the cost. The insured person may be responsible for some out-of-pocket expenses, which can be high. This is because Anthem sets deductibles for certain types of treatment and may limit the types of treatment. If you choose an out-of-network provider, expect to pay higher costs and a longer stay in rehab. For more information about a couples drug rehab covered by blue cross blue shield contact our helpline now.

Large Healthcare Carriers That Cover Couples Drug Rehabilitation

Aetna drug rehab coverage
Anthem drug rehab coverage
Cigna drug rehab coverage
UnitedHealthcare drug rehab coverage

Aetna Drug Rehab Coverage for Couples

Aetna drug rehab coverage may be available through a Health Maintenance Organization (HMO) plan, a Preferred Provider Organization (PPO), or a Medicare plan. If you are a low-income person, Medicaid or Medicare plans may also provide some coverage for drug rehab. Depending on the type of plan you have, your coverage will likely vary, as will the costs and services you need during your stay. Depending on the type of plan you have, the length of treatment, and the type of program, you may be able to qualify for coverage.

Aetna Drug Rehab For Couples (888) 500-2110

Plan options for Couples

Aetna drug rehab coverage plan types vary widely, but most policies cover inpatient treatment for substance abuse. The amount of coverage depends on the plan type and the state in which you live. For example, the Bronze plan may cover just half the cost of inpatient rehab, while a platinum plan offers coverage for as many as 100 percent of the cost. Aetna also offers a level system for its plans. Bronze plans have the lowest monthly premiums and higher deductibles. Platinum plans have higher monthly premiums but lower deductibles.

Outpatient treatment is another option for Aetna drug rehab coverage plans. While it may not cover the entire cost of inpatient treatment, outpatient care is usually enough for mild to moderate addictions. Outpatient rehab is typically offered during the day, so patients can return to their normal routines every day. In addition, many plans offer a fixed copay per visit. The cost of inpatient treatment will depend on the location of the treatment center and the plan that you choose.

Depending on your specific situation, you may find that Aetna’s drug rehab coverage plan options are limited. But if you are looking for a high-quality plan that covers inpatient and outpatient addiction treatment, there are several options that fit your needs. Aetna also offers an employee assistance program, which allows you to keep your job while you undergo treatment. Additionally, the Aetna app for Android and iPhone can be a great way to stay on top of your health and receive assistance from medical professionals. Aetna’s website and mobile app let you pay your bills and view coverage details. Couples Rehab works with multiple addiction treatment centers that accept Aetna for couples therapy.

Aetna’s policy number can help you find out if your plan covers drug rehab. The subscriber ID number is on the back of your insurance card. Logging into your Aetna member account can help you determine what coverage options you have. You can also use a drug rehab cost estimator to find out what you’ll need to pay. And once you’ve decided on an Aetna plan, you’ll be on your way to getting the care that you need.

Costs

How much does Aetna drug rehab coverage for couples cost? The answer depends on a variety of factors. Outpatient versus inpatient care is one factor, as is the length of treatment. The amount of coinsurance required for out-of-network rehab facilities is higher. However, if you have a PPO plan, the costs are lower. The maximum out-of-pocket expense will likely be $6,000 for an in-network treatment.

There are two main ways to determine if Aetna drug rehab coverage costs will work for you. First, you should contact the rehab center directly to determine whether your coverage will cover your care. This will have two major benefits. The first is faster. Rehab centers can tell you whether your coverage will cover your treatment within minutes. This allows you to focus on healing instead of trying to figure out which facility is less expensive.

Next, determine the type of coverage that your Aetna plan provides. Depending on your plan, Aetna drug rehab coverage can cover the full cost of rehabilitation. For example, if you have a PPO plan, Aetna will cover the costs of rehabilitation services. But if you don’t have one, Aetna will cover the cost of psychiatric medication, counseling, and behavioral health services. You can also use your insurance to get access to in-network treatment providers.

Inpatient rehab is typically more intensive. During this program, patients live in a drug rehab center for a period of time. They are monitored by staff around the clock, and work on an individual or group recovery plan. Aetna does not cover all programs, and some inpatient programs do not accept Aetna insurance. For the most part, Aetna drug rehab coverage costs will depend on the type of treatment and the location.

The best way to understand Aetna drug rehab coverage costs is to check the benefits. Find out what your insurance covers online, and then call your insurance provider to find out if your plan does. You can also visit a treatment provider for free. If you don’t have Aetna coverage, it is still best to check whether you have coverage for a drug rehab before you leave your home.

SBIRT screening

SBIRT screening is a service that can detect early drug abuse and addiction. It is often incorporated into routine medical care and is reimbursed by health insurance companies. Medicaid and CHIP programs to help pay for the services, which are particularly important for young people of color. However, some people question whether Aetna drug rehab coverage includes SBIRT screening. Here are a few ways to get involved.

SBIRT stands for Screening, Brief Intervention, and Referral to Treatment. It is a scientifically proven method to screen patients for substance abuse and to determine the appropriate treatment level. It targets risky behaviors and helps those at risk to enter treatment and remain in it. According to Aetna, SBIRT treatment can reduce health care costs by preventing illness, hospitalizations, motor vehicle accidents, and premature death.

Aetna also covers counseling sessions. These sessions can be one-on-one, group, or family-based. Certified peer support specialists are also available for counseling. To learn if your plan covers SBIRT screening, contact your insurance provider. You can also check your coverage online. The representatives will help you make a choice. And, if you are unsure of your benefits, don’t hesitate to call Aetna.

Aetna drug rehab coverage may also cover the treatment costs of a loved one, such as a spouse or child. Calling Aetna and asking for an SBIRT screening can help you determine whether Aetna will cover SBIRT screening and treatment. Aetna health insurance plans have three levels. The first level, known as Open-Access, requires no referral to see a doctor. It may also require the use of a primary care physician.

Outpatient coverage

If you have Aetna drug rehab outpatient treatment coverage, you can take advantage of treatment at a rehab center of your choice. Outpatient services are typically enough for people with mild to moderate addiction. They are offered during the day, which allows them to return home each day. However, outpatient rehab does not offer as extensive a variety of treatments as inpatient rehab. For this reason, it is recommended to check with your insurance provider before committing to an outpatient treatment center.

The cost of outpatient treatment will vary depending on the type of treatment you need. Typically, Aetna’s Basic HMO Co-Pay Plan 1 is designed for smaller businesses. The out-of-pocket maximum is $5,000 for singles and $10,000 for families. Substance abuse treatment costs are covered up to a lifetime limit of $2,000 and are subject to a 750 co-pay per day for inpatient care. Depending on the type of treatment, some insurance plans require co-pays and deductibles.

Aetna drug rehab outpatient benefits can be confusing. A quick search of the web will provide a clearer picture of the cost of treatment. Aetna also allows patients to check with their insurance provider for verification of coverage and benefits. As a result, individuals can find the best care for their addiction and recovery. Aetna drug rehab outpatient coverage can help them find a rehab that meets their needs.

Outpatient coverage is often sufficient for some individuals, but if the addiction is severe or you have co-occurring disorders, an inpatient treatment may be the best option. Inpatient drug rehab can also help you establish a new routine while working toward a full recovery. Your insurance company will determine if you have coverage for inpatient or outpatient drug rehab. And as long as you’re happy with the services you choose, your health insurer will help pay the costs.

While not all Aetna drug rehab plans cover medical detox, most of them do cover it. Medical detox is a crucial part of the recovery process, and it is essential to achieving a full recovery. During detox, a patient will experience painful withdrawal symptoms like cold sweats, exhaustion, muscle tension, heart palpitations, and irregular heartbeat. To fully recover from addiction, the person must undergo this procedure. If you would like to know more about an Aetna drug rehab that accepts couples, contact our helpline now.

Large Healthcare Carriers That Cover Couples Drug Rehabilitation

Aetna drug rehab coverage
Anthem drug rehab coverage
Cigna drug rehab coverage
UnitedHealthcare drug rehab coverage

The Discussion of Celibacy in Early Recovery as Portrayed on Primetime Television

by Eric Robert H.

Seven seasons of egregious acts, lack of concern for others and doing whatever it takes to survive the cold streets of Chicago has immortalized the Showtime series Shameless. The raunchy bluntness of the characters enthralled me while in college and every season finale left me thirsty for more of the Gallaghers. In recent seasons we’ve seen the eldest son of the Gallagher clan, Lip played by Jeremy Allen White rise to the rafters of academia but endure an insufferable demise alcohol abuse. Alcoholics Anonymous maintains an appeal to “attraction rather than promotion” so it’s quite a guilty pleasure to see it depicted in primetime media. As a fan and avid viewer of the show, I identify with Lip extensively – the struggle to balance book smarts with street knowledge; the appeal to better yourself through education despite leaving your family; and the baffling insurgence of alcoholism at all the wrong times.

A standing ovation is due as Season 8 of Shameless has found its stride and brings the viewers into the rooms of AA through the eyes of Lip. The character is an archetype newcomer and chronic relapser. This season we find him clinging to the guidance and mentorship of his sponsor and reaffirming his patriarchal seat at the Gallagher breakfast table. In a September 12 interview with TV Guide White discussed Lip’s character arch this season explaining, “He’s trying to understand himself. He becomes almost childlike in his sobriety. He’s really going to his sponsor and his family members and asking questions, not thinking that he knows it all. It’s nice to see Lip curious, I guess…I’m not gonna say that Lip’s perfect this season because he’s not by any means, but I think you’ll see Lip thinking about his actions a bit more. Lip is obviously incredibly intelligent, but I think emotional intelligence is a completely different thing, and he often struggles with making the right choices.”

(https://www.thefix.com/shameless-star-jeremy-allen-white-talks-characters-newfound-sobriety)

 

“But how many men and women speak love with their lips, and believe what they say, so that they can hide lust in the dark corner of their minds? And even while staying within conventional bounds, many people have to admit that their imaginary sex excursions are apt to be all dressed up as dreams of romance.”

(The Twelve Steps and Twelve Traditions, p. 67)

 

The rise of Lip’s sobriety has brought the icon’s sex life to a dramatic pause, something newcomers can certainly identify with. The suggestion to abstain from sex relations during one’s first year of sobriety is not a popular topic among us recovering. Members of AA share different, individual belief systems about sex relations in early sobriety. Celibacy may not have been practiced by some of the stakeholder oldtimers in your homegroup. The Big Book of Alcoholics Anonymous is infamous for its description and approach to sex on page, but of course, sixty-nine (69). The great text contends that “God alone can judge our sex situation. Counsel with persons is often desirable, be we let God be the final judge. We realize that some people are as fanatical about sex as others are loose. We avoid hysterical thinking or advice.” The reconstruction of one’s sex situation is deeply personal and vital to the success or failure of their recovery.

Here Season 8 is near mid-season and Lip is struggling with celibacy. As a newcomer, I can identify with the temptation to reignite the relationship of an old flame and the sobering moment one experiences upon awakening from a fantastical wet dream. It’s a total mind f*ck. What the hell does me having sex have to do with me not drinking? I lightly identify as a sex addict. The disease of sex addiction is so pertinent, so relative to substance abuse and addiction treatment a Sexual Recovery Institute was founded in Los Angeles in 1995 by Rob Weiss, LCSW, author of Sex Addiction 101: A Basic Guide to Healing from Sex, Porn and Love Addiction (https://www.addiction.com/expert-blogs/understanding-defining-sexual-sobriety/). The institute is now hedged under Relativity at Elements Behavioral Health as its website Sexualrecovery.com offers information pertaining to sex addiction and the treatment thereof. Now, just because someone identifies as an alcoholic or drug addict does not mean they automatically identify as a sex addict, but you tell a person like me to not even consider having sex for a year and yeah, you are going to see some signs of addiction start to surface.

The Sexual Recovery Institute maintains that “Human beings are naturally geared to make sex an important consideration in their everyday lives, and sex is one of the world’s most common pleasurable activities. These facts reflect the core importance of sexual reproduction to human survival. Unfortunately, some people develop a dysfunctional relationship to sex and start to repeatedly use sexual activity, sex-related thinking or sexual fantasy in damaging or inappropriate ways.” From a dysfunctional relationship with alcohol, which was involved in most if not all of my sexual encounters, it is no wonder why my sex drive went into overdrive upon entering sobriety. The pleasure receptors in my brain are accustomed to be appeased, if not by alcohol or marijuana then by what? Sex. Porn. Masturbation. Instant gratification. This is a serious issue. It’s a classic example of an alcoholic replacing one addiction with another: “As with other forms of non-substance-based behavioral addiction, repeated and excessive involvement in sex can trigger long-term functional changes in a part of the brain called the pleasure center, and can thereby lead to the onset of addiction-related symptoms that mimic or mirror the symptoms found in people who have physical addictions to drugs or alcohol.” (https://www.sexualrecovery.com/articles/general-interest/sexual-fantasies-run-gamut-in-both-genders/)

 

“When satisfaction of our instincts for sex, security, and society becomes the sole object of our lives, then pride steps in to justify our excesses… Unreasonable fear that our instincts will not be satisfied drives us to covet the possessions of others, to lust for sex and power, to become angry when our instinctive demands are threatened, to be envious when the ambitions of others seem to be realized while ours are not.”

(The Twelve Steps and Twelve Traditions, p. 49)

 

We are witnessing Lip face a behavioral addiction head-on. Jeremy Allen White told Vulture his character “grew up drinking and is so sewn into the culture that he doesn’t know anything else…The idea of him getting help or not drinking is such a foreign concept.” (http://www.vulture.com/2016/04/shameless-jeremy-white-on-lips-breakdown.html) I’ve concluded that Lip grew up having sex as well. Fans of Shameless have watched Carl Gallagher played by Ethan Cutkosky enter puberty under the advice and in the shadow of his older brothers, Lip the eldest. Thus, it’s safe to conclude that sex is “sewn into” his culture. The thing is, Lip like us newcomers is changing the culture of his life. For some of us it’s an economic bottom, where financial crisis rendered us homeless and without reserve. For others it’s a mental collapse that may have landed us in jail or a padded room on lockdown for 72 hours. Whatever your bottom, it was a direct result of the manner in which we were living. Lip landed in jail as a result of his consumption. He was also admitted to the hospital to be treated for alcohol poisoning. When is enough enough? It’s no wonder why I, like him, am willing to go to celibate extremes in an effort to stay sober.

 

“…our sex powers were God-given and therefore good, neither to be used lightly or selfishly nor to be despised and loathed… In other words, we treat sex as we would any other problem.”

(Alcoholics Anonymous, p. 69)

 

As we courageously “trudge the road to happy destiny” we resolve to stay sober by setting a definitive boundary to abstain from consuming alcohol. In doing so, we work a program of AA under the guidance and experience of a sponsor. When and if that sponsor suggests we treat sex as we would our problem with alcohol, it begs the question: How free do we want to be? See, I think Lip is tired of living below the poverty line. I think he knows a change in his familial environment that results in longevity and sustainability requires a change within himself. I think he’s desperate enough to shower the morning wood away and give himself the attention his sobriety requires. We are witnessing a spiritual transformation and though fictitious, we are watching a depiction of God working in a life so similar and painfully relatable to our own. In a recent article titled “Setting Our Abound-aries: Dating and Sobriety” on Thefix.com, columnist Kelly Neville wrote, “A boundary is rooted in a fixed, stable location. Those of us in recovery recognize the need to hold fast to our unwavering boundaries: not one drink, not one drug, not ever again. But boundaries get complicated when people we invite into our lives and hearts straddle our fence line.” She’s right. Boundaries do get complicated especially once they are explicit, established and present. We invite people into our lives and they invite us into theirs. We need to be prepared and anticipate the rise of mutual attraction. Sobriety is not a cloak of invisibility and nor should it be. It is an opportunity for us to get to know others on a deep, meaningful level absent from the disease of co-dependence that results from NSA or FWB sex encounters.

 

Remember that non-fiction guy who was so compelled to address sex addiction he founded an institute purposed with its treatment? Rob Weiss, LCSW, provides a sensible strategy for sexual sobriety that he dubs “Boundary Plans” or “Circle Plans”. Three boundaries encircle one another: inner, middle and outer. First, the Inner Boundary identifies and prohibits the actual actions that cause us pain. These are the “bottom-line” or “absolutely not” actions like paying someone for sex, having sex with an ex, participating in casual sex and for some of us even masturbating.

Encompassing the first boundary, second we have the Middle Boundary. Weiss describes this phase of the strategy as an honest listing of triggers – people, places, things and ideas that may lead to relapse. This boundary is unique in that is marked by inaction: skipping meetings, missing appointments for therapy and entertaining unstructured free time. Weiss reminds us, “these (triggers) vary widely depending on the sex addict’s goals and life circumstances”.

The third and largest circle providing a perimeter of protection is the Outer Boundary. This boundary lists short and long-term goals pertaining to the person’s aspirations and vision for life. Setting this perimeter of the outer boundary means setting realistic objectives to achieve success as we melt recovery together with daily life. Tangible objectives such as going to a meeting everyday, attending therapy once a week and volunteering on specific dates keep life interesting and enables us to accomplish little things with big implications.  Weiss suggests we also assert intangible objectives that may include things like getting a better understanding of career goals and envisioning where we see ourselves in ten years. (“Understanding and Defining Sexual Sobriety”, https://www.addiction.com/expert-blogs/understanding-defining-sexual-sobriety/).

Ultimately, the boundaries Weiss suggests for an addict of the sexual variety require the same thing Lip, like us, was lacking: discipline. In making a case for celibacy in sobriety, Chris Fici argues, “Discipline has fallen out of fashion in our post-post-modern world. In previous generations, it was seen as a rite of passage, or even a calling… now it is seen as a perversion of our natural desires, of our striving for freedom.” (https://www.elephantjournal.com/2012/06/a-case-for-celibacy-sobriety-sanity/) I will further Fici’s claim and argue that in striving for spiritual and emotional freedom we recovering alcoholics need to inhibit the corporal will of the body. Self-control is required. There’s an undeniable elevation of the spirit when the body is controlled, when it is metered in action and forced to succumb to the will of the heart rather than the mind. Consider a performance artist (a background dancer, pop star or Broadway lead). They were not born with the moves or choreography, but they started to practice. For the moves that were difficult they rehearsed under intense scrutiny in the mirror and under the guidance of the producer. When the show commences from the first act to the closing curtain, there’s an incredible exaltation exuding thru the pores of the performer as they take their bow. The performance of the body freed their spirit and made them an intricate piece of something bigger, higher than themselves alone. Celibacy can be considered a performance art. We the actors, life the stage, sobriety the script and God the Director.

In the Hindu text called Bhagavata Purana, verdic teacher A.C. Bhaktivedanta Swami Prabhupada wrote “By controlling the senses… one can understand the position of his self, the Supersoul, the world and their interrelation; everything is possible by controlling the senses.” The 700-verse Hindu scripture called the Gita maintains:  “But a person free from all attachment and aversion and able to control his senses through regulative principles of freedom can obtain the complete mercy of the Lord.” (Fici, 2012)

In closing, I’d encourage anyone in recovery to grab some popcorn and a soda. Sit back and if you have the means, take a look at White’s portrayal of Lip on Shameless. Maybe you’ll be encouraged like me and discover a sound sense of community that transcends from the Roku of a college dorm to the heights of Hollywood Hills. This disease does not discriminate and neither does AA. Just like the bottle, AA can go anywhere in defiance of the disease that wants to keep us shackled to isolation and social deprivation. In a recent episode, Lip brings members of AA to the door of his friend who just caught his fifth DUI. Upon praying out, let us cater not only to the recovery of our livers but to our hearts by abstaining from the vices of the mind. We turned our sex drive into a weapon. Let’s convert it back into a gift, returning it to our higher power from which we received it. This isn’t about mind f*cking ourselves, it’s about preventing harms and allowing the journey of recovery not to be tainted by other expressions of disease. In closing, there’s a fire burning in all of us – we have the ability to control it rather than let it rage out of control causing destruction rather than utility.

 

References:

“Shameless: What Does Sober Lip Look Like in Season 8?” By Megan Vick | Sep 12, 2017, http://www.tvguide.com/news/shameless-season-8-sober-lip/

“Sexual Fantasies Run Gamut in Both Genders” June 11th, 2015, The Sexual Recovery Institute, www.sexualrecovery.com

 

“Shameless’s Jeremy Allen White on Lip’s Heartbreaking Downward Spiral” By Dee Lockett April 1, 2016. http://www.vulture.com/2016/04/shameless-jeremy-white-on-lips-breakdown.html

“Setting Our Abound-aries: Dating and Sobriety” By Kerry Neville 08/21/17

“Understanding and Defining Sexual Sobriety” by Rob Weiss, LCSW on January 19, 2015 in Sex Addiction Expert Blogs

 

“A Case for Celibacy, Sobriety and Sanity.” by Chris Fici  Jun 7, 2012. https://www.elephantjournal.com/2012/06/a-case-for-celibacy-sobriety-sanity/

By Eric Robert H.

SPOILER ALERT: In an effort to draw comparable conclusions from the film’s screening this article will divulge the story as it pertains to my translation as a recovering alcoholic. This article has no intention to infringe upon any copyrights or trademarks.

 

 

The previews for the feature film Arrival were released almost a year prior to its theatrical debut and upon viewing I knew the film would draw me in with incredible rapture. The International Movie Database (IMDB) summarizes the story, “When twelve mysterious spacecrafts appear around the world, linguistics professor Louise Banks is tasked with interpreting the language of the apparent alien visitors.” (2016) Overarching themes of discovery, courage, the human spirit, reason and power lace the film with a post-modern fabric requiring a keen attention to detail. The protagonist Louise Banks (Amy Adams) guides the audience through the characterizations of her superior Colonel Weber (Forest Whitaker), her colleague and future spouse Ian Donnelly (Jeremy Renner) and most importantly the archetype of innocence, her daughter Hannah (played by various actors). As interaction among the characters is depicted, the story cuts through time and space like a wormhole. I had to watch the film multiple times with pen in hand to not only establish the audience’s perspective in time and space but also take note of the extensive use of communication studies as Louise ascends to the role of heroine.

A palindrome is “a word, verse, sentence or number that reads the same backward and forward” (https://www.merriam-webster.com/dictionary/palindrome). In the film, Louis explains to her daughter that the name Hannah is one of power because it is in fact a palindrome, representative of the heptapod (alien) language she is tasked with translating. That name, Hannah, stood out to me as a Biblical reference and upon inquiry I learned it is a Jewish name meaning grace: simple elegance or refinement of movement. Like Hannah, the acronym AA is also a palindrome. The similarity brings relevance to the nonlinear totality upon which the film plays out. It is reminiscent of a circle with points intersecting its borders. A triangle or pyramid inside of a circle or sphere, edges meeting edges. The logo of AA depicts separation within a whole connection.

A groundbreaking discovery is made when Louise provokes the heptapods to write their language. Rather than words, logograms are displayed. The use of a logogram allows a single symbol to communicate deep, complex meaning – just like the logo for AA. Logograms like words are symbols, representing shared understandings. Those of us in recovery understand one another with a single word – sobriety. A single word conveying lifetimes of meaning and thus rendering understanding which is the objective of communication. The newcomer’s pain and our stories share common pitfalls as well as a single triumph. “I don’t drink,” now a testament that I’ve been brought closer to God than ever before. It’s a statement of solidarity rather than a debilitating confession of isolation.  Just as Hannah battles “a rare disease that is unstoppable” so do members of AA.

The rising action of the film is Louise’ race against the doomsday clock to translate and bridge communications among human and extraterrestrial parties. Upon analysis she determines that the heptapod logograms are “free of time”. The alien language is represented in ‘nonlinear orthography” meaning the rules that dictate their language are holistic and transcendent rather than metered by measurements of time. Louise and Ian discuss the Sapir-Whorf Theory which is the hypothesis that language not only influences thought and perceptions, but may also be responsible for what we are capable of thinking (http://www.nytimes.com/2010/08/29/magazine/29language-t.html?_r=1&scp=1&sq=you%20are%20what%20you%20speak&st=cse, www.sheknows.com). I relate this theory to the negative, destructive self-talk produced by alcoholism. The disease of alcoholism constructs a self-loathing narrative within its host/ victim, negating natural coping skills and leaving them with an inability to stop drinking if left untreated. Fortunately, AA submerses the alcoholic into a new culture, teaching our wet minds a new language, thus changing our perception of reality. The awe-inspiring power of AA is comparable to Louise’ influence as a linguist and her ability to change the narrative of humanity’s introduction to the foreign bodies that conflict throughout the film.

The necessity to negotiate, just as the alcoholic does with himself, presents Louise with another theory known as the Prisoner’s Dilemma. This is a scenario where cooperation and trust wins as blind pursuit of self-interest loses (http://www.businessdictionary.com/definition/prisoner-s-dilemma.html). AA’s survival is dependent upon AA unity. The program requires one alcoholic to work with another – cooperation and trust win. The alcoholics self-interest, “self-will run riot” (Alcoholics Anonymous, p.62), has proven a loss spiritually, mentally and physically. The prisoner’s dilemma is not explicit in the film but director Denis Villeneuve and writer Eric Heisserer made sure to explain a zero-sum game. According to Collins Dictionary, zero-sum game is “a contest in which one person’s loss is equal to the other person’s.” (2017) Sponsorship is a zero-sum game. The sacrifice and loss of free time on the sponsor’s side is matched by the social gain and understanding given the sponsee.

I was compelled to root for Louise as she transforms into a communication heroine by what Bishop T.D. Jakes might describe as the act of rising up and coming out (“Worship Connects Us”, 11/26/2017). Louise’ decision to “rise up and come out” is exemplified upon her entering a single pod extended from the alien’s ship and joining them aboard. Louise had to make herself vulnerable, take a risk and do what no one else would in order to gain the understanding and acquire a solution. Her being aboard the ship, beyond the barrier that initially separated the two species, brought her to a state of weightlessness. She was set on an equal plane with no gravitational advantage or disadvantage. The protagonist was suspended in refuge. This is equivalent to alcoholics entering the rooms of AA and participating in a meeting. Upon returning to the terrestrial plane, Louis carries the message, “Use weapon”. Obviously at face value this message is threatening, but further investigation reveals that the symbol for weapon in the heptapod language is identical to ‘gift’ – “Use gift”. Alcohol threatened our lives: a weapon of mass destruction. AA changes that weapon into a gift that unifies us. Funny how the symbol takes on a new meaning, a new cause and a new effect.

Louise’s acquisition of fluency in the heptapod language grants her the ability to see the future (Sapir-Whorf Theory). SPOILER ALERT: All this time, the audience thought we were flashing back in review of Hannah’s childhood when in actuality the film flashes us forward revealing what is to come of her short yet evasive and meaningful life. Some of us have been advised to “play the tape” when tempted to drink and we conclude that the result of such drink would be nil. We play the tape of sobriety and though the journey of life now extends much longer, narrower and still grieved with pain, we are willing to endure because it is a good fight of faith worth fighting. Now purposed to resolve the rising conflict, Louise states, “Despite knowing the journey and where it leads; I embrace it and welcome every moment.”  

As a member of AA, I could not agree more. See, the weapon of language given to Louise opens time. It unlocks the closed circuit. Alcoholism, a cyclical cycle that has no cure, that is unstoppable, can in fact be arrested. The promises of AA allow the newcomer to perceive time the same way as the old-timer otherwise known as a survivor. Therein we have a reason for unification, a reason to work a program together.

Upon further analysis of character names I found the palindromic theme reinforced as the conception of Hannah is revealed. Her origin like ours required a ‘mom’ and dad’. Both of these words, these symbols of maternity and paternity are examples of palindromes. I probably got way too into this film’s dissection but as a Bachelor of Arts in Communications I discovered that Louise spelled backward is Esioul audibly similar to ‘soul’. Hannah’s father is introduced and characterized as a scientist named Ian- a symbol very similar to ‘I am’. Exodus 3:14 reads “And God said unto Moses, I Am That I Am: and he said, Thus shalt thou say unto the children of Israel, I Am hath sent me unto you.” So for the sake of my argument, let’s refer to our protagonist as ‘Soul’ and her significant other as ‘I am’. In the concluding scenes of the film, Soul embraces I am saying, “I forgot how good it felt to be held by you.” She had never been held by him before, however now that she knew her future she was penitent to have ever gone without him.

Alcoholics Anonymous requires a single penance of temperance. In that inaction, a covenant, a bond, an embrace is formed between us and a Higher Power of our own understanding. Prior to getting sober, “I forgot how good it felt to be held by” God. He’s given me a gift, a new language. That language is spoken and symbolized by abstinence from alcohol. This immersion into a new language changes how I see life. Just as the Sapir-Whorf Theory hypothesizes, my thoughts and perceptions are influenced by my language. The symbol I did not know, the sobriety I did not practice, left me unable to understand a future without alcohol. There was no future in my eyes because I thought I could not bear to live in the present; all I knew was my past and my perception was defined by it. Nowadays I’m having whole conversations in a single word, sober. I thought the film was about the arrival of the aliens but now I know it’s about the arrival of hannah: the arrival of grace.

Grace /ɡrās/

the free and unmerited favor of God, as manifested in the salvation of sinners and the bestowal of blessings.

By David Heitz

Once taboo, an increasingly heard chorus of addicts and alcoholics in recovery are bemoaning the 12 steps. They say they are ancient, ineffective, and not based on science. In particular, 12-step programs have proven ineffective for many opioid addicts who have a difficult time accepting personal responsibility for their addiction. Many of them were prescribed medication by a doctor, after all, and took it as directed. If the new face of addiction is demanding alternatives to 12-step programs, we must provide it. Everyone deserves to live a happy, sober life. They say that while it is true “the program” has helped tens of millions of people, it’s also true that the program works well for the people it works for. We don’t have statistics on the number of AA “dropouts” who ended up staying sober on their own. Perhaps they took the familiar from AA and discarded the rest. Here are some other groups offering recovery support:

 

SMART Recovery (www.SMARTRecovery.org)

 

Next to AA, this is the next most common choice of recovery groups in the U.S. SMART Recovery bases its methods on self-reliance and evolving science. One of the biggest problems people addicted to opioids face with 12-step programs is resistance to the medication-assisted therapy that many need to maintain sobriety. Elizabeth Brico explains it all too well in an informative piece for Stat.

 

“Sadly, there’s a lot of misinformation out there about medication-assisted therapy for drug addiction. Take, for example, a comment made about medication assisted treatment by Tom Price, who recently resigned as secretary of Health and Human Services. “If we’re just substituting one drug with another,” he infamously said, “we’re not moving the dial much,” indicating his clear preference for faith-based and non-psychoactive interventions. The most recognized providers of those kinds of interventions are the 12-step fellowships, which include Alcoholics Anonymous and Narcotics Anonymous. If that’s what the secretary of health said works best, we should count ourselves lucky that thousands of free 12-step meetings occur every day across the country. Right? Wrong. These programs are making the opioid crisis worse by making recovery from opioid addiction harder than it already is. By turning their backs on people like me on medication-assisted therapy to kick opioid addictions, these programs are prolonging addiction and contributing to overdose deaths.” (1)

 

Harsh words, indeed, but true ones. A “substance use disorder” for DSM-5, the so-called bible of mental health diagnoses, refers to when a substance is interfering with a person’s daily life. When a person on medication-assisted therapy is working, in recovery, and rebuilding their life and their relationships, they are not considered to be an active “addict” in the medical sense.

It’s important to note that some NA chapters are more progressive than others about medication-assisted therapy. It is a non-issue in many of them, but you always will encounter “old school” members and the accompanying rhetoric.

 

 

Women for Sobriety

AA is run by unscreened volunteers and is not supported with tending law enforcement or the medical establishment at its meetings. Unfortunately, it can be a playground for predators or just plain mean people. In a 2015 piece on the issue in The Guardian, one woman described her experience. “What I did not expect was to be fresh meat when I walked into AA meetings….Men wanted my number and wanted to date me. I was newly sober, clueless and craving love….“It never caused a relapse, but it did make me question the joy of sober life, and also consider suicide….The world seems like a really mean place when you are surrounded by unhealthy people.” (2)

SOS (SOSSobriety.org)

Secular Organizations for Sobriety (also known as Save Our Selves) is a non-profit group not affiliated with any religious or secular organization, as its website points out. The no-nonsense principles of SOS make it clear sobriety means abstinence from all drugs inside these rooms. The principles also state very plainly the group has no interest in controversy, only in helpings its members maintain clarity and strength in sobriety. From its website:  SOS is a nonprofit network of autonomous, non-professional local groups, dedicated solely to helping individuals achieve and maintain sobriety/abstinence from alcohol and drug addiction, food addiction and more. S.O.S. headquarters began in Jim Christopher’s apartment, as did his early meetings, but later the organization found a home at The Center for Inquiry West (CFI-West) in Hollywood, California.  Today, S.O.S. meetings span the globe, and it’s headquarters can still be found at CFI West.

 

Celebrate Recovery (celebraterecovery.com)

 

Some who enjoy Celebrate Recovery meetings say that unlike what you find in “the rooms” of the 12 steps, members seem more like those “nice Christians” you remember from church, for lack of a better word. Less judgment. More love. Increasingly, research shows the tough love approach to addiction simply does not work. But understand, Celebrate Recovery is based on those same 12 steps but with Jesus Christ font and center.  From its website, explaining in no uncertain terms: The DNA of Celebrate Recovery is non-negotiable because of two pertinent facts: 1. The DNA revolves around the Gospel of Jesus Christ and 2. The Bible and God’s Word are at the very core of everything we do in Celebrate Recovery. The DNA of Celebrate Recovery is all about pointing us back to the Beatitudes; Jesus’ instructions on how to live a good, productive life. By following the DNA, groups will start safe and remain safe.

 

Some may find it odd that a person would turn away from a 12-step program such as NA or AA, yet embrace that same program when narrowed even further to focus only on Jesus Christ as their higher power. However, if someone grew up in a Christian church, the 12-steps practiced inside a Christian church led by clergy can prove enormously useful. The vibe is much different than in a non-denominational, non-religious 12-step group. Real stigma about addiction coming from ‘the rooms’ In a recent VICE piece, famed addiction journalist, author and recovering addict Maia Szalavitz talked about where the stigma surrounding addiction comes from. Writes Szalavitz in a disturbing commentary stemming from allegations of sexual abuse against actor Kevin Spacey:

 

“In fact, much of the stigma associated with the addiction model comes from the way the concept is so often used as an excuse for all types of bad behavior—and the way rehab is viewed as a site to begin restitution and penitence. This is not helped by the fact that the majority of American rehabs are based on the 12 step model, in which participants are encouraged to surrender to a “higher power,” take “moral inventory,” ask God to remove their “defects of character” and make amends to those they have harmed. The fact that so many rehabs have historically used degrading and punitive tactics that assume participants are self-centered manipulative liars also plays into the idea that addiction is really sin.” (3)

 

LifeRing (LifeRing.org)      

 

LifeRing Is another non-secular recovery support alternative. LifeRing focuses on empowerment instead of dwelling on being powerless. From its website: “Our approach is based on developing, refining, and sharing our own personal strategies for continued abstinence and crafting a rewarding life in recovery. In short, we are sober, secular, and self-directed.”

 

Relentless judgment, lack of options leaves bitter 12-step taste

 

In an interview last year with Rehab International, Szalavitz said, “It’s clear (the 12-Step program) does not work on opioid addiction,” Szalavitz said. “If you believe that your method is the best method, you should not have to be forcing people into it.” (4) The model also encourages everyone to keep their “disease,” of course, “anonymous.” How much more stigmatizing can you get, say their critics. Is now really the time to be ‘anonymous’ about addiction? Many people with extraordinarily firm faiths in God or another higher power also have condemned AA. Their reasons often have to do with the “anonymity’ part. While mothers of the dead are calling for openness about drug and alcohol addiction, those afflicted with it are encouraged to stay quiet outside their 12-step recovery rooms. It’s a conflict that makes no sense in the minds of many, particularly during a public health emergency.

 

In a recent New York Times Sunday Review Laura Hilgers writes:

 

“In fact, many recovering addicts are not in a traditional program. Some manage recovery independently. Others join Refuge Recovery, a program based on Buddhist principles, or Smart Recovery, which encourages reliance on self rather than a “higher power.”

No matter the path, why should they remain silent? “It’s like being a vegan but only being able to talk about it in a kitchen or a hospital,” said Fay Zenoff, executive director for the Center for Open Recovery, “or with another vegan.” (5)

Bibliography

 

  1. Brico, E. (2017, Oct. 4) By shunning medication-assisted therapy, 12-step meetings are making the opioid crisis worse.  Stat. Retrieved Nov. 8, 2017, from https://www.statnews.com/2017/10/04/medication-assisted-therapy-12-step/

 

  1. Cunha, D. The Guardian. Retrieved Nov. 8, 2017, from

https://www.theguardian.com/society/2015/sep/22/alcoholics-anonymous-aa-women-dating-addition-rehab

 

  1. Szalavitz, M.  (2017, Oct. 7). Addiction is not an excuse for sexual assault. VICE. Retrieved Nov. 8, 2017, from https://www.vice.com/en_us/article/zmzq48/addiction-is-not-an-excuse-for-sexual-assault

 

  1. Heitz, D. (2016). Author argues shaming addicts is harmful, says most treatments are archaic and all wrong. Rehab International. Retrieved Nov. 8, 2017, from https://rehab-international.org/blog/author-argues-shaming-addicts-harmful-says-treatments-archaic-wrong

 

  1. Hilgers, L. (2017, Nov. 4). Let’s Open Up About Addiction and Recovery. The New York Times Sunday Review. Retrieved Nov. 8, 2017, from https://www.nytimes.com/2017/11/04/opinion/sunday/drug-addiction-recovery-alcoholism.html

 

by Lindsay Carnick

 

Americans are increasingly dying from opioid-related overdose deaths. According to the Centers for Disease Control and Prevention (CDC), overdose deaths involving prescription opioids have quadrupled since 1999. Heroin-related overdose deaths alone have quadrupled since 2010, and three to four heroin users report having abused prescription opioids before they started using heroin.[1] Opioid overdoses cause life-threatening levels of respiratory depression as well as other severe medical complications. The dangers of accidental death due to opioid overdose are increased when these substances are mixed with other medications, particularly short-acting anxiety medications; alcohol or other drug use; or the presence of other pre-existing medical conditions such as COPD, sleep apnea, compromised kidney or liver function, or a substance use disorder.

Society’s ability to mediate the opioid overdose mortality crisis has been significantly bolstered by the development of Narcan, which is a short-acting, brand name formulation of the opioid antagonist medication Naloxone HCL. Antagonists are medications that bind to the same receptors sites in the body as a given class of substances, effectively blocking the molecules of the substance from binding to the receptor sites. Unlike the actual drug, antagonists do not cause the release of endorphins and pleasurable neurotransmitters that are the driving force of drug use. Opioid antagonist medications inhibit opioid substances from eliciting the classically addictive experiences of opioid drugs from the body, making opioid use unrewarding.

Naracan is an emergency, short-acting opioid antagonist that binds to opiate receptor sites in the body with a higher affinity than actual opiates. By displacing the opiate molecules with imitation molecules that do not have the respiratory depressant effects of opioid drugs, Narcan temporarily reverses the effects of opioid overdoses when given immediately. It is available in intravenous injectable, auto-injectable, and nasal spray forms. It can be given multiple times to an overdosing individual by laypersons until emergency medical assistance is available to the overdosed individual, and can be administered again if a person shows signs of relapsing into an overdosed state of unconsciousness or respiratory depression. Narcan is considered safe for children who are suspected of having overdosed on opioids. It has no effect on individuals who have not taken opioids. Individuals who have opioid dependence issues may experience withdrawal symptoms after Narcan intervention.

 

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The injectable form of Narcan has been used by emergency medical professionals for many years since its inception in the 1960s, but the 2015 FDA approval of the nasal spray formulation, which is easily used by laypersons and available in many states without a prescription, has significantly impacted community efforts to combat the opioid epidemic. Data from the CDC suggests that providing a significant number of opioid overdose deaths—over 26,000 between 1996 and 2014—have been averted by providing laypersons with access to Naloxone in the injectable form (prior to the Narcan nasal spray development and it’s wide availability without prescription. Additionally, like the auto-injectable, the nasal spray formulation is available without the training requirement of the injectable).[2]  It is virtually impossible to tell how many lives are actually being saved by Naloxone in either formulation, as many individuals who receive it from a friend or family member may never seek additional medical care once they are no longer in an acute overdose. Whether administered by emergency medical services or laypersons, naloxone is intended to be used as a rapid intervention until more comprehensive treatment can be accessed in an emergency department. However, due to the cost, legal issues, stigma, and other variables often associated with accessing professional, emergency medical care for a drug overdose (accidental or intentional), it is probable that a significant number of individuals who have overdosed and then been stabilized through the use of Naloxone have not been identified. Furthermore, anecdotal data suggests that due to the extreme challenges of recovering from opioid addiction, many individuals who have been rescued from overdose death with naloxone have had repeated naloxone rescues. If these individuals do not present for the recommended follow up care after overdose or do self-report their number of overdose rescues by laypersons, there is no telling how not just how many individuals have been saved by Naloxone, but how many times they have been saved.

It is readily apparent that the wide and relatively easy availability of naloxone to the public without prescription and at relatively affordable costs has been a significant development in saving lives that might otherwise have been lost in opioid overdoses. However, there is also a general consensus that while saving an addicted individual’s life from accidental overdose is a critical step in recovery, emergency naloxone does not address the larger issue of opioid addiction. Once an individual has been rescued from overdose with naloxone, they still will have the same physical and psychological cravings for opioids as they did prior to overdosing. If relationship, financial, chronic pain, mental health, or legal problems contributed to their opioid abuse challenges, those challenges will still be waiting for them. Naloxone is a life-saving medication and can be an important safety measure as part of treatment plan, but it is not a stand-alone answer for treating opioid dependence or abuse.

The availability and accessibility to the public of Narcan in formulations that require neither prescriptions nor professional medical intervention has made a tremendous impact on the lives of many persons struggling with opioid dependence, and their families. The CDC estimates that the vast majority of opioid-related overdoses are accidental, and Narcan is saving the lives of persons who otherwise might not survive, regardless of if they had been appropriately using their prescribed medications or abusing an illegal substance. Additionally, as prescription opioid medications have flooded the American medical landscape, these medicines are increasingly proliferating into unintended hands such as children, adolescents, and individuals suffering from other kinds of opiate addiction such as heroin and seeking a less expensive, legal alternative. There are a wide range of circumstances under which any of these individuals might accidentally overdose on opioid medications, and as persons regularly prescribed opioids are increasingly encouraged to also store an emergency Narcan kit, the possibility of providing life-saving interventions to those who might inadvertently ingest these medications is greatly increased.

Opioids—even when legally dispensed– can be deadly a under a number of circumstances. Narcan is providing a remarkable and lifesaving opportunity for individuals, regardless of how they opioid use has entered their lives. Narcan is a remarkable development for those working towards recovery, as well as those who rely on opioid medications as a matter of medical treatment for a higher quality of life.

 

 

[1] https://www.cdc.gov/vitalsigns/heroin/index.html

[2] https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6423a2.htm