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UnitedHealthcare Drug Rehab for Couples

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

FAQ’s United Healthcare Couples Rehab

What is United Healthcare’s coverage for couples rehab services?

United Healthcare offers coverage for couples drug rehab services as part of their behavioral health benefits. The extent of coverage may vary depending on the specific plan and policy.

What types of couples rehab programs does United Healthcare cover?

United Healthcare covers a range of couples drug & alcohol rehab programs, including inpatient rehab, outpatient rehab, detoxification services, and medication-assisted treatment (MAT).

How do I know if a specific couples drug rehab facility is covered by United Healthcare?

To determine if a particular drug rehab facility is covered by United Healthcare, you can contact their customer service or review the provider directory available on their website.

Are prescription medications for substance abuse covered by United Healthcare?

Yes, United Healthcare provides coverage for prescription medications used in the treatment of substance abuse, including medications for detoxification and medication-assisted treatment.

What steps do I need to take to get coverage for couples rehab through United Healthcare?

To access coverage for addiction treatment services, you should reach out to United Healthcare’s behavioral health department or their designated network of providers. They will guide you through the process and provide necessary information.

Does United Healthcare require pre-authorization for couples drug rehab services?

Pre-authorization may be required for certain drug rehab services, depending on the specific plan and the treatment being sought. It is advisable to check with United Healthcare or review the policy documents to understand the requirements.

Can I choose any drug rehab facility or do I have to use an in-network provider?

United Healthcare generally has a network of preferred providers, and utilizing in-network facilities may result in higher coverage. However, coverage for out-of-network providers may also be available, albeit at a different rate.

How long will United Healthcare cover a couples addiction treatment program?

The duration of coverage for drug rehab treatment can vary based on individual circumstances and the specific plan. Some plans may have limits on the number of days or sessions covered, while others may offer more extensive coverage.

Does United Healthcare cover aftercare and ongoing support following drug rehab?

United Healthcare recognizes the importance of aftercare and ongoing support in the recovery process. They may provide coverage for services such as outpatient counseling, support groups, and other post-rehabilitation resources.

How can I find out more information about United Healthcare’s coverage for a couples drug rehab?

To obtain more information about United Healthcare’s coverage for drug rehab, you can visit their official website, contact their customer service, or review the specific policy documents provided by your employer or insurance broker.

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Aetna Drug Rehab Coverage for Couples

Aetna Drug Rehab Coverage for Couples

Aetna Drug Rehab That Accepts 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

Aetna Plan Options for Couples Rehab

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.

Aetna Couples Drug Rehab 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 for couples 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.

Aetna Outpatient Rehab For Couples

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 for couples 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.

How Aetna Can Help


Aetna members like so many others have been struggling from the mental health issues that have advanced because ofCOVID-19. Many individuals  clinical depression have become worse, as well as he substance abuse problems. The good news is, Aetna healthcare has the assistance they need to recover.

Aetna 360 Behavioral Wellness, an in-network Aetna program dealing with psychological wellness as well as compound use problems. This program checks out the big picture, considering physical and also mental health and wellness, real estate and monetary issues, family members and also relationship characteristics as well as drug and alcohol abuse problem, to see to it participants have their needs fulfilled.

Whatever your troubles might be, Aetna will attach you to relied on, cost-effective inpatient and outpatient services, located in state or out of state. And when you have Aetna insurance for drug rehabilitation, you can be certain to receive quality care referrals while making the most of your benefits.

Aetna is There For You
Though many people might not believe to call their insurance provider with these issues, Aetna prepares as well as waiting to help. Aetna’s team of qualified medical personnel is dedicated to offering participants the very best possible care advice.

Aetna deals with health care companies to ensure participants obtain the care they need. While some members might take advantage of the assistance of a program like Aetna 360 Behavioral Health, for others the first step could be weekly counseling with a private therapist, whether by video clip or face to face, in addition to peer assistance options. Whatever the member’s choice might be, an Aetna Treatment Advocate or treatment supervisor will certainly support them and follow their progress in addition to their healthcare service provider.

Services Tailored For You
For some, starting therapy indicated a range of assistance services. Because housing, physical health, nourishment and also finances are also fundamental parts of healing, Aetna Treatment Supporter will take a look at these. They will connect the individual to in-network sober living options, health care suppliers focusing on material usage problem, monetary help as well as grocery store delivery solutions.

During the recovery process, it’s not unusual to experience bumps in the road similar to this, whether they are physical, psychological or social. Aetna is there to sustain members in recovery, as well as their families, with these issues.

Aetna supplies ongoing assistance to preserve positive momentum. Members can also connect to Aetna to find peer support solutions. Aetna partners with MAP Health and wellness Management, a national recovery program that offers assistance from others with a background important use problem. This program helps members resolve their material usage problems in the long-term and also stay clear of feasible regressions. This can be crucial, since people who have themselves fought with compound use are frequently best able to assist others on their recuperation journeys.

Aetna’s myStrength program is another terrific recuperation tool. This on the internet solution can help in reducing stress and anxiety, stress and anxiety and also clinical depression with workouts created by experts.

Helping at-risk substance as well as alcohol users

Why are alcohol and material make use of testing and also intervention so essential? Substance abuse and misuse frequently lead to poor wellness results and considerable expenses. It can bring about boosted health problem, hospitalizations, motor vehicle injuries and also premature deaths. One study approximates substance usage expense society $193 billion in 2011.1 Over 21 million Americans have a substance usage condition. However only 1 in 10 obtains the treatment they need.

Screening, Short Treatment, and also Reference to Therapy (SBIRT) is an evidenced-based practice. It assists determine, lower and also prevent bothersome use, misuse as well as dependency on alcohol and medicines.

SBIRT is perfect for health care settings. It enables health care staff to screen and help people that may not be looking for assistance, but whose drinking or drug use might complicate their wellness, work or household. SBIRT aims to stop the harmful effects of alcohol and substance abuse.

May not have reached the analysis degree of a material usage problem, or. Have the condition of addiction to get in as well as remain with treatment.


The technique assists to decrease:.

Health care costs
Extent of drug and alcohol usage.
Risk of trauma (upsetting events that might have durable, dangerous effect on an individual’s physical and emotional health and wellness as well as well-being).
The percent of at-risk patients that go without specialized compound use treatment
SBIRT intends to aid health care medical professionals, health care and also mental wellness experts.

It provides a procedure on just how to screen for at-risk compound usage as well as alcohol use amongst patients.


Compensation for screening and also quick intervention.

Large Healthcare Carriers That Cover Couples Drug Rehabilitation

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

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Shameless Sex Sober

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/

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Hannah’s Arrival, The Alcoholic’s Grace: A Theoretical Review of Arrival as It Pertains to Alcoholics Anonymou

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.

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Not into the 12 steps but looking to stay sober? Here’s what to try next

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

 

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Narcan’s Role in Opioid Epidemic

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

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How to Deal with Enabling and Co-Dependent Behavior

Couples Rehab Articles - Dealing with Enabling and Co-dependent Behavior - Photo 01

How to Identify and Correct Enabling and Co-Dependent Behavior

Do you have a friend or family member who is addicted to drugs and/or alcohol? Are there times that you feel worried about and in despair over that person? Do you also want to help your loved one cope with his or her addictive behavior? If yes, you must know how to really deal with the issues at hand and avoid enabling and/or becoming co-dependent.

What is Enabling and/or Co-Dependent Behavior?

Co-dependency usually occurs when an individual, usually a family member or spouse of the addict, is controlled by the addictive behavior. Co-dependents exist because they believe that providing acceptance, love, approval, security, as well as taking care of the addict, is a way to protect their loved one. When this happens, the addict is in charge of dictating what and how they need things. Unfortunately, this behavior nurtures the dependency of the addict, and their addiction.

Enabling behaviors occur when an individual or a codependent helps an addict to continue his or her use of drugs, indirectly or directly. Examples of people involved in enabling behaviors are spouses or friends who often hide their addictive partner’s actions from neighbors or family members. They also tend to financially support their addicted loved ones, which enables them to buy drugs and keep their addiction alive.

couples drug rehab



The Role that Enabling and Co-dependency Take in Addiction

Enabling and codependent behavior are closely related. When used in a positive and healthy way, enabling manifests empowerment. It can be an act of helping or encouraging someone to better themselves. This works only when the individual is healthy and in a positive state. This can bring about positive effects in an effective and positive manner. When it comes to addiction, enabling and co-dependency carry many negative effects.

In this modern age where drug addiction is rampant, enabling behaviors have taken a negative meaning of doing things for others that could otherwise have been done for themselves. This is especially true when it comes to covering up their wrong doings and allowing them to continue their bad and unhealthy behaviors. Negative enabling behavior can actually hurt both people involved. This also prevents the onset and development of an individual as it builds resentment to an enabler. It also prolongs the recovery process and in some instances can also contribute to the death of an addict.

Co-dependence is where an individual makes their life about taking care of someone else who cannot help themselves, i.e. an addicted person. This person always creates excuses for the addicted individual and literally and figuratively cleans up their mistakes and messes for them. Distinguishing the difference between codependency and enabling behavior is best described in an old, yet well-known saying, “it is always better to teach a person to fish than to just give him a fish”.

When you are practicing co-dependent behaviors, you allow the addict to live with their habits without showing disagreement in what they do. This is the reason why they continue to have an unhealthy lifestyle because they know they have someone who will take care of them. No matter how serious their drug addiction is, they are guaranteed to have someone who will continue to support them through their addiction.

With the negative effects that both enabling and co-dependency offer, as far as drug addiction is concerned, it is best to address these issues early on. There is a need to think of an effective way on how to best deal with the situation in order to save your loved one from dying of addiction complications.

Enabling and Co-Dependent Behavior

There is a need to recognize the difference between codependency and enabling behavior. Co-dependency is actually a whole spectrum of behavior. These are usually from a person who has experienced growing up with a family of addicts. Here are some of the major dysfunctional areas of people with co-dependent behaviors:

  • Denial
  • Low self-esteem
  • Compliance behavior
  • Control behavior
  • Avoidance behavior

As you observe this type of behavior, it is essential to ask for help from Broadway Treatment Center. They can offer you help to overcome these behaviors, and to support your addicted loved one in a healthy and positive way.
Apart from the co-dependent behavior that you might experience, there are also some enabling behaviors that you may encounter:

  • Bailing them out again and again.
  • Giving them chances.
  • Ignoring their problems especially when they are very defensive.
  • Joining them in the negative behavior they have, especially when they are dealing with some of their problems.
  • Joining them every time they blame other individuals for their misfortunes, feelings and even problems in life.
  • Accepting some of their rationalizations, excuses and, even justifications.
  • Avoiding their problems.
  • Helping them fix their problems.
  • Repeatedly rescuing them.
  • Removing or softening some natural consequences of their behavior.

As far as enabling behaviors are concerned, taking immediate action to avoid such behavior from continuously affecting, not only your life, but the life of the addict is a must.

You can now differentiate co-dependence from enabling behaviors as far as drug addiction is concerned. If you or a loved one is struggling, it’s best to seek immediate help from Broadway Treatment Center who will support both of you all the way through the recovery process. These behaviors will be addressed and you will learn new ways to interact with your newly sober loved one.

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How to Break Enabling and Co-Dependent Behavior Surrounding Drug Addiction

Do you want to break the cycle of enabling and co-dependent behavior? There are many different methods on how to break unhealthy behavior and to completely detach yourself from it.

Attend ‘Anonymous’ Meetings

If you have a friend or a loved one who continues to abuse drugs or alcohol, one of the things you can do for them is to find your local AA or NA meetings. You, as a loved one, can also attend these meetings, where they can address unhealthy behaviors that surround an addict. There are also groups such as Al-anon and Nar-anon that are designed specifically for the families of addicts. You could surround yourself with people who also experience the same problems. The main purpose of the meetings is to learn from one another and to stop being codependent and enabling an individual suffering from addiction.

Prevent Yourself from Giving What They’ve Asked for

Stop offering a long-term place to stay, or money, to people who are struggling with addiction. Instead, try to insist that they must undergo treatment for their addiction. Some people also undergo Detox before they turn to another long-term treatment solution. Detox is usually included in a drug rehabilitation program. This detoxification process depends on the type of drug or alcohol you have been abusing and the quantities. After the detoxification process is complete, the addict will now be sent to either Residential, Outpatient, or Intensive Outpatient Treatment.

Giving Them some Tough Love

Tough love refers to the family of an addict and their refusal to give them what they want until they have fully recovered. When the codependent and enabling behaviors are put to a stop, the addict will feel the full effect of their addiction. They will then be given a choice on whether they want to recover from their addiction or they would want to continue the same unhealthy lifestyle.

Due to the very nature of drug and alcohol addiction, some addicts decide to continue their addictive behaviors no matter what. In this regard, their families must be tough. This is also true when their loved ones who are addicted ask something of them. They may be homeless and hopeless while they hit rock bottom. It is best to refuse saving or rescuing loved ones from this place. Often times it is needed for them to realize they need help.

Learn How to Say No

It is important that you learn how to say no to a loved one who is suffering from addiction. It may be one of the hardest things you have ever done, but their recovery and health depends on it. Nevertheless, you have the ability to make the right decision related to their path and purpose in life. In addition to that, you must learn how to say no every time they ask you to do something for them that could hide or excuse their unhealthy habits. Doing so is essential, especially to those who hate to see their loved ones suffering. Do not be a crutch for someone who is struggling with drug or alcohol addiction. Let them feel your absence, especially when they are in need.

These are some of the simple, yet the most effective things to do to be able to break the enabling and co-dependent cycle. When you implement the strategies listed above, you not only help your addicted family member, friend, or loved one, but you also help yourself from not being a contributing factor to their addiction. There are going to be times when your help is needed, and it will be hard to say no. Let them feel the consequences from their drug or alcohol addiction. There are times that refusal of help could and will benefit them a lot. Ask for help from Broadway Treatment Center who offers the best addiction treatment services in Orange County. They are professionally trained to help addicts recover from their drug and alcohol addiction problems.

How Drug and Alcohol Rehabilitation can help

As far as alcohol and drug addiction are concerned, drug and alcohol rehabilitation centers are trusted in offering you the best type of help. Broadway Treatment Center can offer the most effective addiction recovery treatments and programs that promise safe and thorough addiction recovery among addicts. They also offer comfortable, inviting, and family style facilities that appeal to their clients. Despite the fact that addiction recovery treatment initially takes a couple of months, you can rest assured that their addiction problems will be given the necessary care and attention in a comfortable environment.

Broadway Treatment Center has a professional team that is skilled in providing the best recovery programs, services, and treatments. Drug and Alcohol Addiction Treatment Centers are essential to help addicted loved ones recover. These treatment centers can also address any codependent or enabling behaviors that they see, and give options on how to correct them. There are counseling programs that can teach them to listen, communicate, and be more assertive. These types of programs help the enabler become more knowledgeable and aware of non-helpful behaviors and actions. These must be corrected to stop the enabling and co-dependent behavior.

These programs are conducted by professional and knowledgeable teams who are trained to identify and help people correct these behaviors. Once these enabling behaviors are corrected it will lead to faster recovery for their addicted loved ones. Broadway Treatment Center can help address all these issues, as well help your loved one on the road to recovery. We are equipped with a compassionate and highly trained staff. Their first priority is making sure our clients are comfortable and on the right path to recovery. We have many different program tracks, amenities, and approaches to addiction recovery. This allows us to treat a wide range of patients, we truly have something for everyone. Please give us a call today at 714-443-8218 to speak with one of our addiction counselors, or visit our website at www.broadwaytreatmentcenter.com.

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LSD Rehab Centers

LSD Rehab Centers

LSD Addiction Couples Rehab

LSD stands for Lysergic Acid Diethylamide, which is a hallucinogenic drug made from the lysergic acid. LSD can dissolve in water and is tasteless, odorless, and colorless. It is available as a liquid, in capsules, and tablets. Up until now, this drug has no legitimate use medically. Thus, all use of the drug is considered as illicit.

The physical addiction to the drug is very rare.  This is why the drug is not included on the list of highly addictive drugs. LSD does not produce the cravings that we associate with the physical addiction. Unlike addictive drugs, this will not cause withdrawal symptoms in users.  This is why many people are able to stop using it without any help from the experts.

The drug moves in our brain the same way serotonin does and it can influence our mood. In works on the cerebral cortex, that involves our perception, mood, and thought. It also affects the brain’s locus coeruleus, which is the one responsible for coordinating our sensory perceptions. Drug or alcohol addiction can cause serious harm to the user and cause issues among friends and family members. If you are looking for a treatment center for drugs or you are looking for a rehab that accepts couples please contact the number provided and speak with an addiction specialist.

couples drug rehab

 

LSD experience is referred to as the trip. If the experience is a sickening or frightening one, it is considered a bad trip. The usual duration of these trips are around 6 to 12 hours.

LSD Psychological Dependence

Although there is no physical dependence on the drug LSD, there is a tendency for patients to be psychologically addicted.  Users of this drug can be distracted with its dazzling high and pyrotechnic effects that can lead to addiction. For some people, this gives them an avenue to escape reality. Using the drug can turn into a habit for people whenever they are in a situation that requires them to interact socially.

The risk of physical addiction to the drug is little, as the drug is not an addictive one. This may be the reason why there is no documented evidence of patients showing signs of withdrawal symptoms.  However, many people keep on using this drug and develop an addiction to it due to it being psychologically addictive.

The Symptoms of LSD Addiction

‘Flashbacks’ are common experiences for the LSD users. This flashback refers to the short trip that user experienced long after the drug has worn off. The users can still experience flashbacks even a year after their last intake.   Many factors can trigger the flashbacks such as sleepiness and stress.

The users of the drug can also feel different emotions all at once or they can be subjected to mood swings that are dramatic. The drug can also produce visual hallucinations and delusions such as shimmering effects, and melting or bleeding walls. There are also times when the user perceives some alterations in his or her body. The drugs can produce hallucinations that can make the users panicky. This is why many of users suffer from self-injury and dangerous reactions in response to their hallucinations.

The signs and symptoms differ for LSD use and for LSD abuse, though. Some of the symptoms of LSD use include:

LSD couples Rehab

      Dry mouth or salivation

LSD symptoms Weakness

      Weakness

LSD symptoms Erratic behavior

      Erratic behavior

LSD symptoms Rapid heart rate

      Rapid heart rate, convulsions, nausea, and dizziness

LSD symptoms Blurred vision

      Blurred vision

LSD symptoms Chills or sweating

      Chills or sweating

LSD symptoms Paranoia, depression

      Paranoia, depression, anxiety or depression

LSD symptoms Mood swings

      Mood swings

LSD symptoms Tingling toes or fingers

      Tingling toes or fingers

LSD symptoms Dilated pupils

    Dilated pupils

For LSD abuse or addiction, the symptoms include:

  • Confused perception of reality
  • Rapid heart rate
  • Tremors
  • High Blood pressure
  • Permanent changes in perception
  • Hallucinations
  • Flashbacks

LSD use can bring about a lot of health risks. The following short-term physical symptoms are the other signs that can result from using the drug.

LSD health risks Numbness

      Numbness

LSD health risks Body odor

      Body odor

LSD health risks Loss of Appetite

      Loss of Appetite

LSD health risks Muscle Weakness

      Muscle Weakness

LSD health risks Goose Bumps

      Goose Bumps

LSD health risks Heavy perspiration

      Heavy perspiration

LSD health risks Palpitations

      Palpitations

LSD health risks Poor Coordination

      Poor Coordination

LSD health risks Trembling

    Sleeplessness

The Effects/Side Effects

The effects of LSD addiction can differ from one individual to another. What they will experience depends on their body chemistry and on the dose they have ingested. When taking LSD, most people experience mood changes. They can feel many things at once – there can be peacefulness, anxiety, euphoria, depression and more.  A high dose of the drug produces delusions and hallucinations. It can also change how people perceive their bodies.  Some of them even experienced the ‘cross over’ effect. It is a state where the senses are being confused. The user starts to perceived color as taste or sound. The drugs can also make the user feel panicky or terrorized.

LSD can cause long-lasting effects to its users even after they use the drug.  The flashback is one of those.  Flashbacks come without warning. There is also no way for anyone to guess or predict when it will come. This means that you can experience it even when you are at school, work or anywhere.  Moreover, flashbacks cannot be stopped. You need to wait for it to stop on its own and you have no control over it.

Using LSD and abusing it can lead to consequences. The consequences can be either short-termed or long-termed. Physical effects from the addiction of the drug may be minimal but they can be dangerous too. On the other hand, the psychological effects are extremely dangerous and intense.  The physical side effects of LSD include:

  • Hyperthermia
  • Impaired motor skills
  • Increased appetite
  • Rapid breathing
  • Hypothermia
  • Dilated Pupils

There are also numerous side effects psychologically. Prolonged use of the drug can lead to:

  • Pleasant emotions
  • Major depression
  • Unpleasant emotions
  • Panic attacks
  • Irritability
  • Psychosis
  • Mood swings
  • Anxiety

Most of these side effects subside after the drug has worn off. However, some of them can continue even after the patient stops using it. We should also consider the accidents and dangerous things that the users can do while under the effect of LSD. Addiction to LSD can also lead to the ruin of relationships of the users between their family and friends.   Dependence to the drug can also cost you your financial resources and the job you love. There are even those who end up in prison because of their addiction.

 

LSD Rehabs

addiction treatment for LSD

 

What are the Treatments for LSD Addiction?

Addiction to LSD could take a quick turn from bad to worse so it would be best if you know the right treatments for the addicted person. The most popular being residential rehab or outpatient rehab. In curing LSD addiction, it is not enough that you just know what LSD is, you should have the correct insights into what is the best course of treatment for addiction to the drug. In knowing the right information, you have the edge to helping the patient recover. The information and treatment will provide the assurance that the patient will no longer use the Drug.

The following are the effective treatments in curing LSD Addiction:

Monitoring of Physical and Psychological Well-Being of the Patient

As one of the preventive measures, one can be assured that the patient’s addiction will lessen. In some cases, the right monitoring of the addict’s condition will provide a thorough examination of his or her behavior and the best treatments for their specific situation. With effective monitoring, the doctor could diagnose the right treatments. In terms of the physical testing, there will be series tests that could be done to the patient. The tests will determine the other possible complications the patient may be experiencing.

In terms of the psychological tests, the patient will undergo tests that make him or her no longer feel the effects of the drug, with the given counseling, the patient could take medication that will relieve his or her mind of the harmful results of drug use. The doctor will further run tests on the patient in order to make sure that his or her behavior is clearly monitored. If this happens, you can be assured that the patient will gain his or her sense of focus again.

The Group and Individual Therapy

Therapy is one of the best treatments for LSD addiction. This will give the patient a sense of worth and a direction of change. LSD addiction cannot be cured overnight. It needs time and patience to make it happen. In the therapy session, the patient is given the right treatment using group or individual sessions. These sessions will determine the condition of the patient. The right advice that will be done in the session will prevent the patient of returning to LSD use.

Taking the Proper Medication

It is never too late to take the right and effective medication for any side effects a patient is experiencing from their LSD use. Most doctors would recommend the drugs that would lessen the depressing result produced by the drug. This will relieve the tension and will provide the patient the assurance of a healthy recovery. Most of the medications that are prescribed curb the patients cravings for the drug. However, this cannot be done by medicine alone. It takes the willingness and the dedication of the patient to recover. Broadway Treatment Center also provides holistic measures as an alternative to medicinal help.

Seeking Out the Best Therapist

In most cases of LSD and addiction, seeking out the best therapist is one of the best treatments in curing addiction. The best therapist will provide you with the right and effective guidance on the things to do during these cases. There is a need for a therapist in order to make sure that the patient will have the medication that is best suited to him or her. The therapist can give recommendations on the right programs that could be used as a form of a therapy session.

drug rehab for couples

Entering a Rehabilitation Program

Yes, in most cases of an individual suffering from LSD addiction, taking the patient to the nearest rehab center is one of the best solutions to the problem. A rehab center has the effective facilities that would provide you and the patient excellent service. If you are determined in curing the patient, it would be the best option. However, choosing the right facility will ensure that the effects of LSD will gradually lessen on the part of the patient.

Engage in Support Organizations and Rehab

The treatment of LSD does not end in taking the patient to a rehab center or giving him or her the right medications. This must go on if you will engage in other support organizations or rehab centers. This could be the start of a campaign against LSD addiction. You will not only help one patient but will able to assist others as well. You can create the awareness on what is LSD and make sure that many programs will assist other LSD addicted patients. In this way, you have the assurance that the fight for LSD will never stop.

What treatments for LSD addiction? The above-mentioned treatments are to be effective. This will give you the assurance that when it comes to LSD, one deserves the right and effective treatments. It would add to your assurance that the addiction over the drug can be cured. Please Call Broadway Treatment Center today at 714-443-8218 today to speak with one of our counselors. We are available 24 hours a day, 7 days a week.

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