Detoxification and Dependence on addictions to substances and behaviors

Types of treatment programs

Research studies on the treatment of addictions usually have classified the programs in various general types or ways (Internal or external residence, Community or medical-pharmaceutical-psychotherapeutic type and others). Addressing approaches and individual programs continue to evolve and differentiate. However, most approaches start with detoxification and medically managed withdrawal and are considered as the first stage of treatment.

Detoxification 

Detoxification is the process by which the body is gradually or abruptly released from the addictive substance and is designed to manage the acute and potentially dangerous physiological effects of discontinuing the use of addictive substances.

Detoxification, with the exact meaning of the word, is needed in the case of biological dependence on alcohol, opiates (codeines, morphine, and heroin) or benzodiazepines-tranquilizers (diazepam, lorazepam, alprazolam, nitrazepam, clonazepam, flunitrazepam, their combination etc.

There are cases of long-term abuse and in very high doses of cannabis, cocaine or methamphetamine, or their combination with alcohol or drugs (psychotropic drugs) where the individual may experience physical deprivation syndrome.

In such cases, the various psychic symptoms that come out on the surface must be timely and effective addressed, because there are no longer any addictive substances that in one way or another have met the basic needs of dealing with anxiety, depression, insomnia and other symptoms.

There are also situations of coexistence, where mental illness coexists with substance abuse, either because it was preexisting or because it was caused by abuse.

Detoxification, because it is often accompanied by unpleasant and potentially lethal side effects from withdrawal, is often treated with medications administered by a physician in an inpatient or outpatient setting. Therefore, this operation is referred to as a "medically managed withdrawal".

The so-called "dry programs" applied in therapeutic communities gradually reduce substances and treat deprivation with psychological support.

Rehab Programs

Detoxification alone does not address the psychological, social, and behavioral problems associated with addiction; therefore it does not typically produce lasting behavioral changes necessary for rehabilitation. Detoxification is followed by a formal assessment and referral to a Dependency Program.

These programs may be of inpatient or outpatient.

All Programs offered by “Veresies” Clinic are approved and supervised by the Cyprus National Addictions Authority (CNAA).

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