How do I choose: Individual or group sessions for addiction treatment?  A. Tom Horvath, Ph.D., ABPP Are you searching for the “right” treatment center for you or a loved one?  This article is written to suggest that pre-established “programs” (individual or group sessions for addiction treatment) of treatment are not the best approach.  Rather, there are as many roads to recovery as there are individuals.  Treatment centers need to support you on your own path to recovery, not push you into a generalized recovery path that may be slightly helpful to many people, but not exactly helpful to anyone. Things to Consider When Considering Individual or Group Sessions If you were looking for the “right” center, there are many factors you would need to consider.  Are all of the substan...

What are the advantages of group sessions for addiction recovery?  A. Tom Horvath, Ph.D. There is no single correct or best way to recover from addiction.  No element of the recovery process must be completed by all individuals.  Although group sessions are often described as essential to recovery, they are not.  In fact, most people who recover do not attend groups of any kind!  However, these non-group-attending individuals are often ignored by treatment professionals, who are sometimes so focused on how they approach recovery that they fail to recognize other approaches. Nevertheless, group sessions can be valuable.  This article will describe some of the advantages of attending groups.  By groups we are referring to a) free, mutual-aid, self-help or support meetings (let’s ...

Habitual drug users may find it beneficial to seek addiction treatment sooner rather than later because the long term effects of drugs can lead to long-term depression (LTD). LTD affects memory formation and learning and continued drug use over time will lead to a loss of control where drug users lose many defenses against drug-seeking behavior.   Understanding Synaptic Plasticity Why is it that some regular users of drugs or alcohol develop addictions while others don't? The beginning of addiction appears to be related to a loss of synaptic plasticity in the brain, according to research carried out by a team of researchers at the University of Bordeaux in France (Kasanetz et. al., 2010). Understanding synaptic plasticity may be the key to developing more effective methods of ...

Antismoking campaigns and prevention programs in middle schools may be beneficial in teaching adolescents about the harms of smoking and drinking. Students who have been smoking and drinking in middle school may continue to smoke and drink throughout high school and even be at a higher risk for alcohol abuse in their lifetime. Thus, using evidence-based approaches to inform adolescents about addiction treatment and prevention in middle school may help reduce the number of students who try drinking and smoking. Parenting style is another key indicator of drinking and smoking by adolescents where subprime parenting may lead to an increased risk of tobacco use by middle school students. Individualized drug and alcohol treatment programs can help to reduce the risk of substance abuse in ...

According to previous research, MDMA (3,4-Methylenedioxymethamphetamine), popularly known as Ecstasy, may negatively affect cognition among heavy users. Golding et. al. set out to investigate whether light users and ex-users of MDMA in drug recovery also exhibit deficits in cognitive performance (2007).   The History of MDMA MDMA has an interesting history. It was first synthesized by a Merck chemist in 1912 and largely forgotten for the next 60 years. MDMA appeared as a street drug in the 1970s after its analogue MDA (3,4-Methylenedioxyamphetamine), known as “the love drug” or “the hug drug” in the 1960s, was criminalized. Andrew Shulgin, a researcher at the University of California, become interested in MDMA after hearing about its unusual effects on students. Shulgin develo...

What are the effects of cannabis on alcohol recovery? Many alcohol dependent individuals relapse after a period of abstinence in alcohol recovery. Researchers have used the reinstatement paradigm as an animal model of relapse. Animals are exposed to certain stimuli to test whether they reinstate previously extinguished responses, such as alcohol-seeking behavior. Lab rats, for example, will drink beer to the point of having withdrawal symptoms upon termination. Recent studies have found that synthetic cannabinoids (but not delta-9-THC, the main psychoactive constituent in marijuana) can reinstate previously extinguished drug-seeking behavior in lab rats (for cocaine, heroin, and methamphetamine). Since cannabis is often used with alcohol in social settings, a team of researchers in Aust...

The use of Naltrexone and/or acamprosate can be helpful during alcohol treatment, however, to achieve the greatest success, individuals would benefit from incorporating psychological intervention. Evidence-based addiction treatment incorporates cognitive behavior therapy (CBT) which enables individuals to learn ways to cope with cravings and eventually have greater success for alcohol recovery. You might also be interested in: Medication Assisted Treatment Naltrexone is an opioid antagonist that blocks the reward effects of alcohol consumption. The mechanism of acamprosate is less well-defined, but it may reduce unpleasant feelings (such as anxiety and tension) during withdrawal by blocking NMDA receptors. Previous research shows that acamprosate increases the number of individuals wh...

Through the use of evidence-based addiction treatment, predictors of drug addiction treatment can be identified. Previous research shows that alcohol-dependent individuals have an increased risk of developing dependence on illicit drugs and prescription drugs. For instance, the National Longitudinal Alcohol Epidemiologic Survey of 42,862 households in the United States found that individuals with lifetime alcohol use disorders were 9 to 17 times more likely to meet the criteria for a lifetime substance abuse disorder. Studies suggest that approximately half of alcohol-dependent individuals also have substance use disorders. This tends to complicate alcohol rehab and recovery. Thus, it is important to identify predictors of drug addiction among individuals in alcohol rehab so that com...

A non 12 step approach to recovery promotes individuals to continue on to a sober living home after completing inpatient drug or alcohol rehab. While living in sober living homes, individuals can participate in outpatient services where there are opportunities for individuals to receive evidence-based addiction treatment. But do sober living houses help, and just how effective are they? One group of researchers put together a study to answer this question. You might also be interested in: What Will Drug Rehab be Like in 100 Years? Do Sober Living Houses Help? One Study Says Yes. The VH1 television show “Sober House” with Dr. Drew has popularized the concept of sober living houses. However, sober living houses are not just reality TV constructs. California in particular offers a wid...

The relationship between negative affect and addiction is an important consideration when developing a customized treatment plan. Learn more about this relationship as we explore the study below. Previous research shows that children who have a parent with a substance abuse disorder have an elevated risk of developing alcohol and drug addiction problems. Children of alcoholics, for instance, are more likely to experiment with alcohol and drugs at a younger age, compared to children of non-alcoholics. Research shows that negative affect also plays a role in the development of drug and alcohol addiction and should be examined in addiction treatment. The negative affect regulation model posits that individuals use alcohol and drugs to cope with negative affect. The four fundamental comp...