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Drug rehab centers: Addiction and the Helping Professions

The helping professions are those who are involved in treating trauma and dealing with disaster. Doctors, nurses, firefighters, psychologists, policemen, and paramedics are all examples of helping professions. People in these professions are exposed to trauma and illness on a daily basis. Clearly this requires a certain personal hardiness to deal with but eventually even the most hardened professional will experience burnout and be affected by what they see and hear at work. Quite a large number of these professionals turn to substance abuse as a means to cope. This is not only harmful to the people they hope to serve but can lead to destruction for the professional. Swift intervention and admission to a drug rehab center in South Africa can help the professional get back on track.

Trauma and substance abuse The Vietnam war that America waged in the asian jungles resulted in a great many soldiers returning home having experienced extreme trauma. This led to a new illness being recognized in American psychiatry: “post-Vietnam Syndrome”. This was later refined to the diagnosis of post-traumatic stress disorder (PTSD). People who were exposed to extreme trauma had persisting symptoms for years after the war. Many were found to be abusing substances in an attempt to self-medicate their symptoms which included nightmares and anxiety. In South Africa members of the special reconnaisance unit who fought in the covert war against Mozambique are known to suffer from similar symptoms. Admission to a drug rehab center in South Africa will help sufferers address the underlying psychological issues that drive their PTSD. This will free them from the self-destructive cycle and enable recovery from addiction to occur.

More recently links between the trauma that members of the helping professionals are exposed to and substance abuse have been probed. There is no uniform way that people respond to trauma and so predicting a reaction is not always possible. There are four different categories that symptoms fall into:

* Cognitive: sufferers will have memories of the incident that intrude on their normal train of thought. They may experience bouts of confusion and have difficulty concentrating.

* Behavioural: Sufferers will often withdraw from others. They are at an increased risk of developing a substance abuse disorder.

* Physical: Insomnia, loss of appetite, headaches, and fatigue

* Emotional: Anxiety and depression, inexplicable anger

Most individuals will show some symptoms from these different categories and won’t have all of them. A comprehensive treatment program in a good drug rehab center in South Africa will address these symptoms as well as the deeper issues that drive the process of PTSD.

How prevalent is substance abuse in the helping professions? Doctors: About 10% of doctors are estimated to have developed a problem with substance use. Doctors are most likely to turn to prescription medication like opiates and benzodiazepines. They will also abuse emergency medication and anesthetics.

Nurses: In a 1998 study Trinkoff and Storr found that 32% of 4,438 nurses reported some form of substance abuse. Emergency room nurses, who are exposed to trauma on a regular basis, were much more likely to report substance abuse than general nursing staff.

Firefighters: Firefighters are exposed to extremely dangerous situations. Boxer and Wild (1993) conducted a study that concluded that about 40% of firefighters were suffering from some form of psychological distress related to their work. Approximately 30% of them reported problem drinking.

Police Officers: The incidence of alcohol abuse in the police force is estimated to be about 25%.

Treatment options Addiction is a progressive illness that gets worse over time if left untreated. PTSD and stress responses will continue unabated unless they are treated. People with these disorders should seek treatment as a matter of urgency. Early intervention will prevent the symptoms from worsening to the point where the sufferer is overwhelmed. Somebody who is using substances to run away from trauma are usually unable to take care of themselves. Admission to a drug rehab center in South Africa will help the sufferer break the worsening cycle of destruction.

A comprehensive treatment program should address the trauma and substance abuse disorder in a holistic and integrative manner. A highly individualized treatment plan should be drawn up to deal with the traumatic events. If these issues are at the root of the addiction then easing the pressure they create will help to remove some of the triggers that lead to substance abuse. The patient will still be exposed to the general substance abuse treatment program. By treating the many dimensions and facets of the individual a more favourable treatment outcome is likely. Members of the helping professions are just as vulnerable to substance abuse as other people. Their exposure to highly stressful situations on a daily basis can result in substance abuse as a way to cope. They can be successfully treated in drug rehab centers in South Africa where they will be treated using an individualized blend of treatments.

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Recovery from addiction meets global pandemic: Ten ways to stay safe, sane and sober.

The word on everybody’s lips is Covid-19, and with this comes the “new normal” – not just a changed way of life but the anxiety and uncertainty that seem part and parcel of this this altered reality.

It may be worthwhile taking a leaf out of the old book. Which book? Well, the big book actually, that genius collection of words written by Bill W, the one that has helped so many people move from the chaos of active addiction into serenity. Who better to look to for guidance now than those who have experience in making it through tough times.

1. First things first

Acceptance is the key. It is never easy accepting things that feel uncomfortable or that deviate from our view of normal. Surrender is often seen as weakness or failure when in fact it is the complete opposite. People in recovery from addiction have accepted that they cannot control the use of a substance and this acceptance allows them to move forward and onto better and healthier lives.

In the wake of the pandemic we are all suddenly faced with a new reality that now includes extended periods of isolation, job losses and high levels of anxiety amongst other scenarios. If we look at things as they are, warts and all, we empower ourselves to move forward. It may be daunting at the onset but removing our rose tinted glasses and clearly seeing the obstacles ahead allows us the opportunity to map a new course and navigate the terrain successfully.

2. Check yourself before you wreck yourself

Ever hear the saying that prevention is better than cure? True story and in order to prevent heading down a slippery slope we can take care of four states of being and in doing so prevent a long walk off a short pier. H.A.L.T. - Hungry, angry, lonely and tired. If you can master balancing these four states then you will function from a better space and allow yourself to make better choices.

Balance helps to prevent relapse in recovery and it can help to keep a level head in these ever changing times.

Remember that self-care is not selfish and that your cup should run over. What is in the cup is for you and keeps you functioning at an optimal level, what runs over is for the people you love.

3. I think I can, I think I can… I know I can

Thomas the steam train repeats this little mantra as he chugs up the hill with his less than powerful engine. And every now and again he stops and wonders if he will ever make it up.

We stumble, we lose power and we sometimes want to give up. In recovery this applies to one and all. There are days and then there are days but the secret lies in remembering that progress and not perfection is the objective. One shaky footstep in front of the other is what is required. Falling is mandatory but so is getting up.

As the littlest steam engine teaches young children that life is a forward motion and that you can do anything you set your mind to, it also serves as a valuable lesson to all of us that we are not perfect and that we can make it up that hill even if we have to gain some bumps and bruises along the way.

4. Life on life’s terms

There is no way around it, over it or under it, the only way is through. We cannot control what life throws at us but we can choose how we face the challenge.

In recovery, people must learn to cope with the sometimes devastating blows that life delivers without the use of substances to numb them and so too in this pandemic we need to learn to walk along side difficult situations instead of running from them.

Kahlil Gibran, the author of the prophet says “there can be no joy without sorrow” and if we think on this we may realize that we most enjoy the sunshine after a few days of heavy rain.

Resilience in the face of current adversity will serve us all well now and in the future beyond this pandemic.

5. Your power lies in right now.

In early recovery people wonder if they will succeed, the magnitude of long-term sobriety seems monumental and it may be overwhelming. They are motivated to adopt the view of “one day at a time” because this keeps them in the present and really helps when it comes to dealing with life’s issues as and when they occur instead of trying to predict what might happen.

We cannot possibly know the duration or the exact impact of the pandemic on our lives in the future but what we can do is to stay focused and continue to do the next right thing for ourselves and those around us.

You may also want to consider the question; how do you eat an elephant? One bite at a time.

6. You can only keep what you have by giving it away.

It goes without saying that those on the road to recovery from addiction probably found the path with directions from someone else. Service to others is a key principal in recovery and can help during this pandemic too.

Sharing the pain and experiences of our pasts or even current circumstance may serve as a survival guide for someone else in the future. Many people are struggling with anxiety or loneliness and a host of different feelings and a very simple way to be of service is to ask someone how they are doing. Lend an ear. Nobody has all the answers but what we do have is the capacity to be present and to help another human being feel heard.

When we take the time to share and hold space for another we not only help them but keep sight of our own goals at the same time.

7. Gratitude turns what we have into enough – anonymous

It is very easy to get lost in an “oh poor me” state of mind. Because yes, sometimes life is tough and hands us lemons when what we really want is lemonade. And a lot of the time it’s just easier to complain about all that’s wrong with the world instead of seeing what’s right.

Easier does not always equal better. When you start to really dig deep and take stock of all the things you have to be grateful for you will begin to see that it is a powerful catalyst for happiness.

Cultivate an attitude of gratitude and make a list of all the things you have to be grateful for and review that list daily, you will be surprised at how many more things you’ll find to add when you do this. Pay it forward, tell someone else what you appreciate about them and why you are grateful for them.

8. To truly live is an awfully big adventure

A house without a solid foundation is bound to blow away with the slightest of storms. Those in recovery from addiction understand that taking care of the small things now helps to take care of the big things in the long run. Laying a solid foundation strengthens resolve and resilience.

We would do well, in the grips of this Covid catastrophe to turn inward and find all of the bits and pieces that we feel are lacking or that hold us back and to use this time to work on them. That may mean working on a relationship, making more time for your creative side or learning new forms of meditation.

9. Better together

Addiction and pandemics share a common thread of disconnection and isolation, neither of which serve any human being well on an emotional level. We all need community and a feeling of togetherness. Innovative technology has made it possible for us all to remain connected in some way during this time – whether it’s as simple as a phone call or text message or a video chat. Keep connected to your support base or your tribe. We are stronger together.

10 Normal who?

Normal is in the eye of the beholder. It is as close to a crime as one can find, this obsession with normal. The pursuit of normalcy has put out the fire and dampened the scene on so many lives. The old saying goes “why strive to fit in when you were born to stand out”. When we allow ourselves to embrace the pieces that we are ashamed of we open ourselves up to growth.

Normal is as normal does and as long as you are taking care of yourself, striving towards a healthier existence and remain mindful then you are doing just fine.
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