Selecting the right drug rehabilitation center is undoubtedly one of the most difficult and challenging decisions a person has to make in his lifetime. The rehabilitation center plays an important role in the future health and well being of the patients. But different rehab centers have different drug rehabilitation services, facilities, costs and credentials. Many of us have no idea as what are the things that we are suppose to look for in a rehab center.

Lakeview Health Systems was created to provide a healing touch to people suffering form addiction, alcoholism and drug abuse. The guiding philosophy of drug rehabilitation services of Lakeview is to provide its patients with a quality environment that mimics the beauty of everyday life minus its cares and worries. The idyllic atmosphere of Lakeview has a wonderful effect on the patients and helps in quickening the pace of recovery. Treatment procedures at Lakeview are unique because of many important reasons; we encourage the buddy system and most of the staff working in Lakeview are themselves in various stages of recovery. Working closely with other critical patients induces in them a sense of responsibility and helps them empathize with their condition. The newer patients gain tremendously from the brotherly environment in Lakeview and rapid progress is noticed in their overall health condition.

The drug rehabilitation services at Lakeview are different and more holistic than any other rehab centers. Our clinical programs differ in intensity and duration; with each stage addressing the core needs of the patient and helping them to manage their emotional behavior. The drug addiction treatment at Lakeview can be summarized in three important stages of dual diagnosis treatment. The first step is the detox. During detox the doctors and support staff help the patient handle the severe pressures of withdrawal. After detox the patient is exposed to a number of clinical services in which he participates with other patients. At this stage psychiatric treatments are administered to the patient to help him to overcome from psychological disorders.

As we mentioned earlier our addiction treatment campus impersonates the real life setting. Patients reside in newly decorated, fully furnished apartments that have all the amenities found in a regular house. Staff is on call 24 hours a day and they are ever prepared to deal with all possible emergencies. So for additional information on our rehabilitation programs visit us at www.lakeviewhealth.com

Paul Giller is very well known author, who writes on Drug Addiction treatment, detox services,drug rehab service, dual dignosis services etc. for more details visit http://www.lakeviewhealth.com

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Are you a smoker that may need to brush up on your etiquette when around non-smokers? As a non-smoker these are things I find especially troubling when with friends and family that smoke. Here are some simple tips to improve your smoker/non-smoker relationships.

NEVER:

1. Smoke in anyones car. Your smoke acts as a catalyst to depreciate the value of the vehicle and although it may just be an addiction your habit can be construed as a sign of disrespect.

2. Smoke inside a non-smokers home.
Even if they do not protest, its common sense. They chose not to smoke for a reason.

3. Yes, never smoking inside also includes smoking in their bathroom or in any other room with the door closed. Contrary to what you believe, even with the window open, smoke permeates; and a non-smokers nose is especially sensitive to the smell. They also wont appreciate having their belongings saturated with cigarette smoke.

4. Smoke in a home of a non-smoker with children, especially babies. You put the children at risk and may risk having your host really upset with you.

5. Now that we have never smoking inside down, never drop your butts on anyones property. It is quite gross. Not only that but its like putting your garbage on someones lawn. Instead find a smokers post, bring your own ashtray, or put the butt in a container afterward.

6. Finally, if youve been told that your friend or family member is a non-smoker who does not appreciate smoking, please try to control yourself when visiting, or excuse yourself if you need to smoke, outside.

Tamara Johnson-Miles is a Real Estate Agent based in Richmond Virginia who believes in educating and motivating everyone including her clients to acheive their goals. For more information contact realtormiles@hotmail.com or 804-731-0835

By Tamara Johnson-Miles
2007

This article is free for reprint and distribution as long as the original authorship and content are unchanged.

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Florida is a beautiful state with lots of sandy beaches and beautiful warm weather. No wonder its the number one choice for people who are considering where to go to drug rehab , addiction treatment or alcohol rehab. Although drug rehab is a lot of work and you are not there to hang out at the beach, you do get the opportunity to enjoy all that going to drug rehab in Florida has to offer.

Why a Florida Drug Rehab or Alcohol Rehab

Florida has quite a few licensed drug rehab facilities in the state, and many use Floridas beautiful landscape to assist patients in their recovery from drug addiction and alcoholism. Most of the Florida drug rehab and alcohol rehab programs offer the same addiction treatment programs as drug rehab and alcohol rehabs in other parts of the country, however Florida has become a popular choice for those seeking a new environment and a new start. There are some perks for people who want to attend a drug rehab or alcohol rehab in Florida as well. You will find many of the addiction treatment services offered there are held outside. This provides the patient with an entirely different addiction treatment experience than just sitting in a closed room.

How to Choose a Florida Drug Rehab or Florida Alcohol Rehab

Since there are hundreds of different drug rehab programs and addiction treatment facilities in the state of Florida, if you are planning on attending or sending someone else there, take a close look at the drug rehab programs. Ask questions

Does the drug rehab program have their own medical detox program?

Does the drug rehab program have a comprehensive family recovery component?

Does the drug rehab have the ability to treat dual diagnosis and relapse prevention?

If you are looking for a Florida drug rehab or Florida alcohol rehab go to www.recoveryconnection.org or call the national addiction treatment services helpline at 1-800-511-9225.

Jonathan Huttner is a partner in Lakeview Health Systems which specializes in the treatment of drug addiction, alcoholism and dual diagnosis. Lakeview also operates a GLBT addiction treatment component called Freedom Rings.

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Alcohol Abuse and Alcoholism in Maryland

Alcohol abuse and drug addiction is a problem for millions of Americans. Whether it is inherited or society related, drug addiction and alcohol addiction cause tremendous damage to those people that come in contact with the drug addict or alcoholic. Fortunately, there are alcohol rehab programs and drug rehab centers across the country that assists addicts, alcoholics and their families with the process of alcoholism treatment and drug addiction treatment.

Different Alcohol Rehab Approaches in Maryland

Different alcohol rehabs and drug rehab programs take different approaches, but the philosophy is usually the same if you are suffering from alcohol abuse and can not manage to control your drinking, you are probably alcoholic. Most quality alcohol rehab programs in Maryland use medications to help the alcoholic and addict manage their alcohol withdrawal or drug withdrawal. Alcohol detox generally takes between five and seven days, depending on how much alcohol you were drinking, how frequent and a variety of other factors. Alcohol detox should take place in a medically monitored alcohol detox unit, within the alcohol rehab program.

Alcohol Rehab and the Family

It goes without saying that the family of an alcoholic in Maryland suffers right along with the alcoholic. As such, the alcohol rehab program you choose, should have a comprehensive family recovery program. This does not mean that a family member speaks with a alcohol rehab therapist once a week and meets with the alcohol rehab counselor upon discharge from the alcohol rehab. A family program should be at least a four day treatment experience at the alcohol rehab program for the family and alcoholic.

If you are looking for a quality alcohol rehab program, you can call the national alcohol rehab helpline at 1-800-511-9225 or go to their website at www.recoveryconnection.org.

Jonathan Huttner is a partner with Lakeview Health Systems and addiction treatment program which specializes in the treatment of dual diagnosis, alcoholism and drug addiction. Lakeview also operates a GLBT treatment component called Freedom Rings.

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Pathological Gambling Pathological gambling (PG) represents the end spectrum of gambling behaviors. It is characterized by constantly recurring gambling behaviour which is maladaptive. Preliminary neuro-biological studies implicate serotonergic dysfunction in pathological gamblers.

Other neurotransmitter systems implicated include the Dopaminergic and the Nor-adrenergic systems. While the former may mediate positive and negative rewards, and is important for aberrant substance seeking or impulsive addictive-compulsive behavior, the latter possibly mediate selective attention.

The accessibility and availability of gambling outlets is an important factor in the number of people being adversely impacted by gambling. Early exposure to an environment of heavy gambling appears important too as excessive participation in gambling frequently results from social pressures. Gambling is often used by certain individuals to cope with crisis and major stresses as the building up and release of tension associated with risk taking can be thrilling, cathartic and pleasurable. Mere occasional gambling can therefore become pathological.

Development of gambling addiction proceeds in stages as illustrated by this case. She appeared predisposed in terms of the familial history, her lack of social support and her boredom. Her initial stagewas characterized by a series of initial gains and encouragement from peers of a similar gambling background. As she entered the developing stage, her self-esteem soared as she saw herself as a smart and lucky gambler, and thereby increasing her bets and frequency of gambling.

The thrill associated with winning propelled her into the losing phase when she began to lose money and suffer a blow to her self esteem, which led to chasing and acceleration of the losses. When she presented during the desperation phase, social and psychiatric complications with more bail-outs and impairment in her control were apparent.

Being a complex bio-psycho-social phenomenon, PG is associated with high rates of other clinical and co-morbid conditions such as affective disorders, anxiety disorders and phobia, substance abuse and suicidality. There are also higher rates of other impulse control disorders such as compulsive buying, compulsive sexual behavior, kleptomania and attention deficit disorder. However these were absent in this patient. On the other hand, she did exhibit alexithymia, which is found to be increased in PG and may be a risk factor for PG in some population.

The fact that PG is multi-factorial in etiology means that its treatment has implications far wider than just the activity of gambling. It also involves that persons entire lifestyle and the impact of social factors, particularly public policy on gambling. In a clinical setting, treatment has to be carried out in stages and often face limitations. Assessment should be detailed and the need for honesty set right from the start as the patient tended to develop a pattern of dealing with problems by untruthfulness.

Cognitive behavior therapy has been found to be effective in reducing the frequency of gambling behavior in clients as well as maintaining the therapeutic gain. On the other hand, aversive therapy and covert / imaginal-desensitization have not been found useful. Involvement of family is essential.

Social assistance such as dealing with marital problems, leisure activities and legal assistance may also be indicated. A warm, empathic, non-judgemental and enthusiastic therapist with a strong sense of treatment boundary plays a pivotal role in moving the patient through the steps of change. With better therapeutic alliance, other relevant aspects of management such as dealing with low self esteem, ambivalence and fluctuating motivation to stop gambling; and applying the appropriate intervention based on the stage of gambling habit become easier.

Treatment of pathological gambling is very much in its infancy stage locally. Self-help groups may need to be developed with increased awareness and service demand. This case illustrates that though treatment can be long and frustrating, success is possible with appropriate approach in treatment and support.

Pathological gamblers exhibit complex impairments in decision-making and executive function processes associated with the prefrontal cortex of the brain, according to research that was presented at the American Academy of Neurology 57th Annual Meeting in Miami Beach, Fla., April 9 -16, 2005.
Researchers learned that decision-making functions and inhibitory control in chronic pathological gamblers appear to be altered and may influence the trade-off between short-term reward and the long-term negative consequences of gambling on employment, social relationships, and family life. Better understanding of these processes could lead to the development of more effective strategies for treating pathological gamblers.

The study, led by Dr. Maria Roca, investigated the decision-making processes and executive functions in pathological gamblers. Executive functions encompass a variety of processes and are defined as the ability to abstract, plan, organize, shift set, and adapt current and past knowledge to future behavior, said co-author Facundo Manes, MD, of the Raul Carrea Institute for Neurological Research (FLENI) in Buenos Aires, Argentina. Decision-making involves assessment of possible reward and punishment outcomes from the various response options, and the selection of the option that one thinks will be best.

Dr. Rocas study examined 11 pathological gamblers and 10 control subjects, using decision-making tasks, inhibitory control and attention tasks, and other measures. In the decision-making tasks, the gamblers made more disadvantageous choices. In the inhibitory control and attention tasks, the gamblers made more errors.

We think that the results of our study are important for two reasons, said Manes. First, our findings add more evidence to the possible role of the prefrontal cortex in the pathophysiology of this neuropsychiatric disorder. Second, the characterization of executive deficits involved in chronic pathological gambling has clear implications for rational pharmacological and rehabilitative treatment strategies. The study was supported by the Raul Carrea Institute for Neurological Research in Buenos Aires, Argentina.

Robert Mittiga (Addiction Specialist)
GATS Counselling & Treatment Services (GATS)
The GATS Program
P.O. Box 6411 Halifax Street, Adelaide SA 5000

Ph 08 8223 4555 or Mobile 0400 801 557
Web www.gatscounselling.com

Robert Mittiga is an Addiction / Codependency Specialist and The Program Director of GATS Counselling & Treatment Services in Australia. A cutting edge holistic addiction treatment program/rehab.

Primary care at GATS.
Is personalized to treat each individual using programs that integrate MIND, BODY and SOUL. GATS programs are enhanced by highly effective group therapy processes as well as individual therapy and extensive aftercare assistance.

ALL clients are thoroughly assessed by a highly trained and experienced GATS therapist as well as the GATS medical officer. Clients may also be referred to psychiatric assessment if needed.

GATS programs combine several effective therapeutic approaches including psychodynamic, experiential, grief & loss, trauma, family of origin and shame reduction work. GATS programs also include spiritual components in the overall treatment process.

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An inherent limitation of the medical model is ignoring the fact that pathological dependence implies that a relationship, one that is emotional and psychological in nature, has formed with the substance or activity (i.e. gambling, porn, etc.) The pathological dependency is a pathological relationship, one in which there is continuous and increasing emotional involvement.

The application of the disease concept to alcoholism, chemical dependency and addiction by the American Medical Association in 1956 marked a turning point in how addicts are viewed by treatment practitioners, significant others, the addicts themselves, as well the population at large. This turning point served to lessen the impact of stigma. There is less shame and secrecy associated now with being an addict, clearing the way towards seeking professional help. The shift in perception allowed for a more objective understanding of the disease and had a humanizing effect. The disease concept streamlined the process of assessment, diagnosis and treatment.

However, despite its reliance on objective, measurable data and tried and proven research, and beyond meeting the necessary criteria to be labeled a disease, we actually know little else about the emotional and psychological aspects of addiction.

The Pathological Dependence is a Pathological Relationship

An inherent limitation of the medical model is ignoring the fact that pathological dependence implies that a relationship, one that is emotional and psychological in nature, has formed with the substance or activity (i.e. gambling, porn, etc.) The pathological dependency is a pathological relationship, one in which there is continuous and increasing emotional involvement. The relationship with a source of relief that serves primarily to provide relief from emotional pain or frustration by bringing on a rush or high, pleasure, excitement or as an escape.

Its possible that the medical establishment never focused on or embraced the relationship aspect of addiction because the concept of relationship is subjective, immeasurable and not provable scientifically, and therefore ignored it. Yet its clear to all of us that a relationship does exist; one that can be likened to a secret love affair.

Certainly the term pathological to describe this relationship is apt in a number of ways, beginning with the underlying obsession and desperation that drives the relationship, as the addict is out of control, unable to stop thinking about or pursuing it. The relationship is carried on behind a cloak of denial and deception, separate from the rest of the addicts life. This relationship immediately becomes the primary relationship, more powerful than any other. While the substance or activity provides much needed relief, it feeds the addiction by further starving the addict emotionally. As time goes by, the addict is becoming increasingly cut off from the rest of the world, from other people and relationships and is actually worse off than before s/he got involved in this relationship as the level of (pre-existing) pain increases over time. Its a relationship that offers no real emotional nourishment — nothing healthy — only an artificially induced high and temporary relief along with a number of harmful effects.

Etiology & Pre-disposing Conditions

Addiction is the result of non-emotionally nourishing relationships. The Relationship Model of Addiction is based on the premise that a relationship with a source of relief is driven by the need for relief from unmet emotional needs. The need to relieve pain is considered to be a basic human need, whether physical or emotional, and often becomes overpowering depending on the extent of pain. Human beings tend to avoid pain at all costs. Behaviorists have established the need to avoid pain as well as the need to relieve pain as primary motivational forces, i.e. negative and positive reinforcement. Emotionally based pain comes from unmet emotional needs, and leaves one in a dysphoric state thirsting for euphoria, or the most easily accessible, effective means of relief possible.

What happens when were deprived of emotional nourishment? When we are unloved, dont receive the affection, attention, acknowledgement and appreciation we require? When we dont feel heard and understood? When we dont feel like we belong, or are special in any way? When we dont feel connected to someone? There is a build-up of hunger, shame and emptiness and the need to relieve this pain takes over. At some point, desperation sets in. One way or another, well find relief. Well either find external sources of relief in the form of substances, activities or other relationships, or rely on tried and proven defense mechanisms at our disposal in the form of denial, delusion and deception.

Defending against pain involves and results in losing touch with our feelings. When losing touch with our feelings, we become more isolated and deprived, which leads to increasing pain, and the subsequent increasing need for relief becomes part of an endless vicious cycle, one in which self-growth and intimacy are impossible. Depending on the amount of pent-up pain, defending or coping can become overwhelmingly difficult, which is why there are so many people who commit suicide, suffer with depression, go crazy, become dependent on mind/mood-altering substances, or find other means of relief.

Why are so many people in so much pain?

Addiction doesnt occur in a vacuum. When we put the quality of relationships or the inability to communicate intimately under the microscope, a bleak image emerges. There are a lot of people fending for themselves in emotionally barren terrain. The overwhelming majority of families and relationships, including family of origin as well as current ones, are dysfunctional, non-intimate, non-emotionally nourishing.

Expanding the focus beyond family and current relationships to the rest of the world leaves an even bleaker image. Television and newspaper headlines inundate us daily with lurid descriptions of atrocities committed by human beings upon one another. We are bombarded by excess in the economic realm by greed and corruption as well as in the political realm by rampant abuses of power, terrorism, war, gangs, hatred, and seemingly endless cases of abuse, rape, kidnap and murder. And this is only the tip of the iceberg. We all know stories that never make the news the secret horrors of violence, abuse and insanity in so many homes; homes that are the breeding grounds for what we see reported in newspapers and on television. All of this drains our vitality and reinforces the need to further insulate ourselves. After a while, apathy, alienation and emotional numbness become a state of existence.

Why do some people get addicted and not others?

The medical model approach to these questions is that alcoholism and chemical dependency are largely the result of genetic and biochemical factors. Evidence suggests that a history of addiction in ones family of origin or prior generations predisposes one to becoming addicted. Evidence also suggests biochemistry — the unique combination of chemicals in the brain with mind/mood-altering substances brings about some kind of extraordinarily pleasurable experience and irresistible craving.

However, there are those who have addiction running rampant in their families or who have a biochemical predisposition for becoming an addict who do not become dependent. The same goes for a chemical imbalance. We may surmise, therefore, that becoming addicted involves more than just genetics or biology. By the same token, we know that the incidence of abuse in ones family of origin also correlates, but we dont know exactly why or how significant a role it has. Some people with a history of family of origin abuse may experiment with various mind/mood substances or activities, but dont become addicted. We might, therefore, strongly consider the level of pre-existing (emotional and physical) pain at the time of discovery another way to explain why some people and not others become addicted.

Perhaps the simplest explanation for the phenomenon of addiction is that it is a matter of the right chemistry. It is when the right person discovers the affect that a need for more develops. The right person could be anyone whose level of pre-existing emotional pain causes an extraordinarily pleasurable or pain-relieving gratifying experience.

The Relationship Model of Addiction establishes a new standard for understanding and treating addiction. It expands the disease concept by re-defining addiction as a relationship. The model accounts for the cause of addiction as related to the preponderance of non-emotionally nourishing relationships, unmet emotional needs, the resultant pain and need to relieve that pain. It identifies pre-disposing conditions as a backlog of pain, general state of dysphoria that goes beyond past and current relationships and includes the much larger social context. We know that despite the fact that this pain is subjective in nature, it is no less real or consequential than physical pain. Therefore we may assume that the greater the emotional deprivation, the greater the pain, the greater the need to relieve that pain and the more susceptible one is to becoming addicted.

The Relationship Model brings forth phenomenological or experiential, humanistic and existential perspectives; sheds light on the psychological dynamics of addiction; and holds profound treatment implications. We know that recovering addicts must eventually make the transition from pathologically dependent relationships based on the need for relief to sober healthy, intimate, emotionally nourishing relationships. Regardless of ones experience in past and current relationships, learning some basic principles, pitfalls, challenges and skills, can be an empowering turning point and unleash ones creative potential.

Author Bio:

Daniel Linder MFT is a licensed psychotherapist in the San Francisco Bay Area, Relationship Trainer, Addiction Specialist; Author: Demystifying Addiction, Relationship Recovery and numerous related articles; and to be released May, 2007: Intimacy, The Essence of True Love. Addiction CEUs: Relational Recovery Training (8 CEUs), The Relational Model of Addiction (6 CEUs), Stigma, The Game of Appearances (3 CEUs), Diagnosing Addiction and Mastering Intervention (2 CEUs each) Advanced Clincial Training (2 CEUs.)

Website: http://www.RelationshipVision.com

E-mail: Daniel@RelationshipVision.com
Addictions Recovery and Relationships blog: http://www.sober.com/blogs/relationship_recovery/

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I woke up in a dark, gloomy, dungeon like hotel room in northern Florida trying to figure out how my life had gotten so out of control. I hadnt changed or showered in a few days and I felt like all my humanity had been suddenly sucked out of me. I abruptly realized what had happened as I rolled over and had no idea who was lying next to me. Once again I relapsed and spent close to two thousand dollars on cocaine, for what reason Im not sure. In the past 13 rehabs they told me I had a disease but my mind didnt want to believe this. I could control this malady they called addiction, I could save myself, I believed I was all powerful and all knowing. I was an omnipotent being that didnt need the help of anyone.

Well on this day, something was different. I was beat up, jobless, penniless, and I had just called my mother for help and she said she wanted nothing to do with me. This was her way of helping me to realize I needed help desperately. My heart sunk and I contemplated suicide once again. At this point I had two options available to me. Surrender to this disease like I was being suggested by the treatment professionals and begin recovery or end my life. Fortunately I chose recovery and began my path toward growth and a quality of life that I could never imagine.

Early recovery was difficult, however I was determined to stay sober a day at a time and make something of my life. With the help of addiction professionals who were genuine, caring, empathetic, and real I was able to make progress on a daily basis. I trusted them and this is what made recovery possible. I didnt know what I wanted to do but I did know that I wanted to stay sober and those around me helped in every possible way they could.

Throughout the growth process of recovery I decided and was urged by my higher power to enter the field of addictions and to guide others to the life that I was given through the miraculous process of recovery. I ended up going back to school and accomplishing great feats that I could never imagine. I graduated with my undergraduate degree and pursued my masters degree in clinical psychology. During these years I continued to work in the field of addictions and was mentored by incredible individuals in this field. I was taught to work with passion and care and to advocate for clients no matter what.

I have grown since the day I stepped in recovery. I have been blessed with a gift to be a therapist that cares about one and only one thing, helping clients improve their lives a day at a time. This thing many of us call work is my life. Therapy and helping others enjoy a better quality of living is my life and I continue to be blessed on a daily basis with clients who want the help to get better. Little do they know, that they help me more than I could ever help them. They give me strength to keep going on a daily basis and they share with me there personal lives and world. That is truly a gift.

Ive come from the depths of insanity , sleeping on the street to working with individuals much like myself who want to live a better life. The best part of it is my new position that I recently accepted is in the Cayman Islands. Who would have thought, an alcoholic and an addict with an advanced degree in psychology helping other human beings better their lives in a tropical paradise. Its not something I would have ever imagined 6 years ago when I entered recovery. As a therapist I urge other therapists in this field to continue to have hope for your clients, because my therapists had hope for me and now Im able to impact countless lives across the globe. Life for me is all about helping other human beings, which is the one pertinent key for the evolution of humanity and the universe we live in. Never, Never, Never, Never give up on a human being. It took me many tries , but eventually I succeeded.

About the Author
Richard A. Singer Jr. is a practicing psychotherapist living in the
Cayman Islands. He is formerly of Pennsylvania and has a Masters
Degree in Clinical Psychology and is currently working on his Doctorate Degree in Psychology at Saybrook Graduate School and Research Center. His daily inspirations have been included as part of Chicken Soup for the Recovering Soul, from the best selling Chicken Soup series. His own recovery from addiction and depression impassioned him to help others find courage, determination and peace, and has made what some would call work the love and purpose of his life. To learn more about Mr. Singer and explore updated information, visit his Web site http://www.yourdailywalk.org or E-Mail him at RAS9999@aol.com. In addition, please join the him for down-to-earth interactive discussions about the suggested monthly readings, daily quotes, meditations affirmations, and journaling sections of the book on his Amazon.com Blog.

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How do you know when you are care taking someone or just giving care? This is the most asked question in the family dynamics of a family dealing with an addicted member. I am going to address this topic from the perspective of a parent with a child who has an addiction.

Learning how to say no or not care too much that one looses their own identity is a difficult task for parents dealing with a child who is manipulating them into setting up situations where they can use again.

A place for a parent to look at the answer for this is within them. They have to check their own motives. Easier said than done but definitely a necessary step to stop doing what you have always done and got the same results. It is said that doing the before mentioned action is that definition for INSANITY.

So what would be a motive? It could be that a parent wants to be liked or wants to feel good about them. Keep in mind that the recovery process is a family affair and the designated patient or the alcoholic/addict is only one part to the puzzle. Yes, an awareness of parents motives becomes crucial in the dynamics of change for the entire family.

I can recall a father of a family I worked with said the reason he could not say no to his child was because he felt guilty for all the time that was lost due to his own drug behaviors and this was a way for him to feel good.

I always tell a family like this that the first step in the change process is to acknowledge this misplaced motive and then change can happen. It is said that you cannot get out of a hole if you dont know you have fallen into one. That stops the blame and shame on the parent. Recovery is not continuing blaming but being in the solution and care giving involves being conscious and making decisions that support whats best for all involved.

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Can a sober alcoholic in recovery who has no history of abuse of marijuana, use marijuana
without risk of relapse into alcohol use or of developing other problems. Can a heroin addict in
recovery (abstinent from heroin use) who has no history of problems with use of alcohol, use
alcohol without risk of relapse into heroin use or of developing other problems? The general
rule in abstinence based treatment models in the U.S., usually Twelve Step based programs, is
that once an individual has developed an addiction to one class of substances, assuming the
individuals goal is abstinence from use of that class of substance, that individual can no
longer safely use any other drug (including alcohol), regardless of history of use of the other
drug.

Here are some of the reasons for the position that complete abstinence from all psychoactive substances is necessary for recovery from addiction:

1. Use of any drug will result in impaired judgment (may lead back to drug of choice (DOC)).

2. Substitutionthe person may develop a new addiction.

3. Use of any drug will have an adverse effect on already damaged neurotransmitter systems

in the reward pathway of the brain.

4. The resulting high from the new substance will not be the effect of the persons DOC (not

the high desired)

5. Recovery is an all or nothing proposition; either youre sober or clean or youre not.

6. Use of the substance will undoubtedly occur in the company of slippery people and in

slippery places, causing cravings and possible relapse (slippery meaning dangerous to

abstinence or recovery).

7. Use will result in loss of 12 Step or other abstinence supports because the person will have

to lie, keep secret the drug use from 12 Step members. This is also dangerous because it

involves a return to old behaviors of dishonesty, etc.

8. Use will have an adverse effect on spirituality (addicts and alcoholics have made their

substances a Higher Power).

In addition to his law degree, Jan Edward Williams has a Master of Science degree in pastoral counseling, and is a licensed clinical alcohol and drug counselor. He has personal and professional experience to aid him in helping persons with alcohol and other drug problems. He is in recovery himself, with over 29 years of continuous sobriety, and has been working in the drug and alcohol field for 27 years. Recently Jan has developed an online drug and alcohol abuse counseling service, called AlcoholDrugSOS Services. This service is aimed at helping persons with drug abuse or addiction problems or alcohol abuse or addiction (alcoholism) problems. His web site is http://www.alcoholdrugsos.com, and his e-mail is jwilliams@alcoholdrugsos.com.

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Maryland Drug Rehabs and Addiction Treatment Helplines

With the emergence of drug and alcohol problems in the United States, addiction helplines began to emerge. Many of the addiction treatment helplines are toll free 800 numbers that can be called day or night to help you locate a Maryland drug rehab. When you call these drug helplines make sure they have the ability to refer all over the nation. That they have a national data base of drug treatment programs everywhere. The next question is where to find these addiction treatment helplines.

Maryland Drug Rehab Program and the Yellowpages

If a person looking for a Maryland drug rehab program, living in Maryland, looked in the Yellowpages under drug or alcohol you will find listings of Maryland drug rehabs, as well as, drug rehab helplines. You can also go to the internet and type in Maryland addiction treatment program and listings will appear. These listings will provide you with all types of addiction treatment so take your time and match your drug rehab needs with a drug rehab that can treat them.

A nationally recognized Maryland drug rehab helpline is 1-800-99-DETOX. This helpline can find you a drug rehab program in Maryland, Washington, New York or anywhere in the United States. A website you can try is http://www.recoveryconnection.org, which is dedicated to locating drug rehabs, alcohol rehabs and dual diagnosis treatment programs in states throughout the country.

Jonathan Huttner is one of the founders of a national addiction treatment helpline 1-800-511-9225, which can help you locate effective treatment anywhere in the United States.

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