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Modality:

Family Counseling:

Family Counseling can be for both the addict and his/her family, or may be solely for family members (without the addict present). Many support groups for family members of addicts see addiction as a family illness, not just the problem of one member of the family (the addict). Numerous research studies also demonstrate that recovery is far more successful and sustainable when loved ones -- especially family members -- participate in rehab and/or substance abuse treatment. Family support groups are also helpful since family members relating with an addict often need support themselves; it's a very stressful thing to deal with. Family support groups allow all members of the family to receive the benefits of treatment, and can include training on how to communicate effectively, establish healthy boundaries, and get support around the stress and trauma of addiction.

Individual Counseling:

In individual Counseling, a client meets one-on-one with a trained therapist or counselor. This kind of psychotherapy and focused attention is a crucial part of treating substance abuse and helping individuals overcome alcohol and drug addiction. Therapy can be instrumental in uncovering the root causes of addiction, such as challenges and struggles a patient has faced in their family, social, and work/school lives. Once these root causes (which often involve past trauma) are identified and worked through, substance abuse is much easier to overcome and sobriety to be reached. Different therapists use different therapeutic modalities, such as Cognitive Behavioral Therapy, which has been shown to be effective in stopping addiction while also providing tools for maintaining sobriety.

Group Counseling:

Group Counseling is therapy that includes two or more people and is led by a mental health professional (usually a therapist or a counselor). Group therapy can help participants improve their social skills, talk about their problems with others, and work on their mental health issues. In group therapy, members can provide support for one another in the group. They can also offer advice on how a person in the group can cope with or deal with their problems. Some group therapy sessions focus on helping people suffering from alcoholism or drug addiction. Through group therapy, participants often feel less alone because they know that others struggle with the same issues.

Additional Services:

Medically Assisted Detox:

Drug and alcohol addiction often takes a heavy toll on one’s body. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Medical detox is done by licensed medical professionals who monitor vital signs and keep you safe, healthy, and as comfortable as possible as you go through detox and withdrawal. Detox at La Paloma takes place in a comfortable, residential setting. Clients who participate in detox are usually able to participate in counseling and enjoy the company of other residents.

Buprenorphine Detox:

Buprenorphine (brand name Subutex, among others) is an opioid medication used to treat opioid addiction. Buprenorphine can prevent or significantly reduce withdrawal symptoms, making it easier to get and stay off opioids. Sometimes used alongside naloxone, dosage depends on the severity of each case. Many people stay on buprenorphine long-term, although some gradually reduce the dosage to come off it.

Vivitrol:

Vivitrol is an injectable prescription medicine used to treat alcohol and opioid dependence. Administered only with medical approval, VIVITROL blocks opioid receptors in the brain, which helps reduce cravings and prevent relapse. VIVITROL is non-addictive and extended-release, so it only needs to be taken once a month. Before starting VIVITROL, you must be opioid-free for at least 7-10 days in order to avoid sudden opioid withdrawal symptoms.

Naltrexone:

Naltrexone is an FDA-approved medication used to treat opioid and alcohol addiction. Naltrexone helps reduce cravings and prevent relapse, making recovery easier. It comes either in pill form (ReVia, Depade), taken once a day; or in an injectable form (Vivitrol), administered monthly. Patients must not have any illegal opioids or opioid medication in their system for at least 7-10 days before starting naltrexone (this includes methadone, so if you’re switching from methadone to naltrexone, you must wait until your system is clear).

Psychotropic Medication:

Psychotropic medications (aka psychodynamic medication) are any medicines used specifically to affect and/or alter a patient's mind, emotions, and behaviors. Such psychiatric medicines are often used to change chemical levels in the brain that impact a person's mood and behavior. These medications include mood stabilizers, antidepressants, anti-ADHD drugs, and anti-anxiety medications.

Aftercare Support:

Completing a drug or alcohol rehab program shouldn’t spell the end of substance abuse treatment. Aftercare involves making a sustainable plan for recovery, including ongoing support. This can include sober living arrangements like halfway houses, career counseling, and setting a patient up with community programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA). The Oaks at La Paloma’s Aftercare group, meets weekly and is free to all alumni. The continuing support of this peer-led group provides a safe place to discuss the ongoing issues that arise during long-term recovery.

Treatment Approach:

Holistic Approach:

A holistic approach to treatment involves helping someone improve their physical, mental and emotional health. Holistic therapy focuses on the body, mind and soul to achieve optimal health and wellness. In treating addiction and substance abuse, holistic therapy practices are often used alongside more traditional treatment methods, such as psychotherapy, counseling or medication. Many drug and alcohol rehab centers offer some form of holistic therapy, such as yoga, nutrition therapy, meditation, acupuncture, massage, fitness classes, and art therapy. A counselor or a therapist might also recommend holistic therapy for patients struggling with drug and alcohol addiction. Additionally, a counselor might use a holistic approach when treating a patient. A holistic approach could also be beneficial in treating other mental health issues, like depression, anxiety, ADHD, bipolar disorder, etc. Holistic therapy is about more than overcoming addiction and maintaining sobriety: it's about treating the person as a whole — mind, body and spirit.

SMART Recovery:

SMART (Self-Management & Recovery Training) is a method addiction recovery, often seen as an “alternative” to 12-step programs. It emphasizes 4 core areas: Building Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance. The SMART approach views substance use as a dysfunctional habit (not a disease), emphasizes the latest scientific research on addiction, and believes each individual finds his/her own path to recovery. Notably, relapses are seen as a normal part of the change cycle and good learning experiences if handled properly. SMART can be put to use anywhere (any rehab facility or group).

Individualized Approach:

When it comes to overcoming alcohol or drug addiction, there is no one-size-fits-all treatment that works for everyone. Instead of following a standard treatment plan, many mental health professionals offer an individual, personalized approach to treating substance abuse. Individualized treatment takes into account a person's unique physical, mental and emotional health and the specific ways addiction affects their life. An individualized treatment program also acknowledges that each patient has different needs. Therapists and counselors who offer individualized treatment seek to treat all aspects of a person's addiction, including helping them improve their physical, emotional and spiritual wellbeing.

12-Step Approach:

A 12-step program is a treatment approach originally based on Alcoholics Anonymous (AA). The 12-step model is used in many drug and alcohol addiction recovery programs. Licensed therapists and counselors also employ 12-step methods when treating individuals who are struggling with substance abuse. The first stage of a 12-step program involves admitting that you are powerless over your addiction and believing in a higher power that can help you. Other steps involve making amends to those you have hurt in the past, connecting with a higher power through prayer and meditation, and helping others in their recovery from addiction. The 12-step model is used for Narcotics Anonymous (NA), Gamblers Anonymous (GA), and Sex and Love Addicts Anonymous (SLAA), among others. The 12-step model can be an effective way to help someone dealing with addiction, which is why it is used in a large number of treatment centers, as well as by therapists, counselors and mental health professionals.

Level of Care:

Partial Hospitalization Program:

A partial hospitalization program (PHP) is a treatment program for patients who do not need 24-hour care. These programs usually help individuals with mental illnesses, but they can also help those struggling with substance abuse issues. In a PHP program, patients typically have structured treatment programs, like group or individual therapy, and meet 3-5 days a week for 6 hours or less. In some PHP programs, patients sleep on site. PHP programs can last up to 6 months and some offer transportation and meals. A PHP program can be a bridge between inpatient and outpatient treatment. A counselor working with patients in a PHP program can help them return to normal life, while still providing support during this transition.

Inpatient:

A residential treatment program offers housing and meals along with substance abuse treatment. These treatment centers allow patients to focus solely on recovery away from the stress and demands of daily life. There are short-term residential treatment programs (which last a few days or a couple of weeks) and long-term programs (which last several weeks or months). A residential treatment program can help someone get the support and therapy they need to overcome alcoholism and drug addiction. Many of these programs offer personalized treatment options, in which mental health professionals work one-on-one with patients during each stage of their recovery.

Treatment:

Anxiety:

An anxiety disorder is the diagnosis for someone who experiences frequent or obsessive anxiety that doesn't go away. Signs of an anxiety disorder include excessive worrying; trouble concentrating; fear of making the wrong decision; and constantly feeling restless or inability to relax. Physical symptoms of an anxiety disorder include fatigue, poor sleep patterns, nervousness, nausea, sweating, and tense muscles. Anxiety disorders are one of the most common mental health issues that occur alongside substance abuse. Many addiction and substance abuse counselors are trained to help patients with a co-occurring anxiety disorder.

Bipolar:

Bipolar Disorder is a mental illness that generates unusual and extreme changes in a person's mood, energy levels and the ability to accomplish daily tasks and think clearly. A person with Bipolar Disorder can experience frequent highs (often referred to as mania or manic episodes) and lows (often referred to as depression or depressive episodes). Someone with Bipolar Disorder might "self-medicate" by using drugs and alcohol to deal with their mental or emotional issues. Substance abuse is more common with Bipolar Disorder than with any other mental health diagnosis. Suicide is a serious risk concern for an individual with Bipolar Disorder.

Depression:

Depression is a serious mood disorder. Signs and symptoms of depression include: fatigue, trouble sleeping, changes in appetite, lack of interest in activities a person used to enjoy, irritability, and suicidal thoughts. A depressed person might feel sad, anxious, or hopeless. Typically, symptoms must persist for at least two weeks before someone is diagnosed with clinical depression. Depression can affect people of all ages, ethnicities and socioeconomic backgrounds. An estimated 30% of people with substance abuse problems suffer from depression.

PTSD and Trauma:

Post Traumatic Stress Disorder (PTSD) is a mental health disorder that someone can develop after experiencing a traumatic incident, such as a shooting, a natural disaster, a car accident, or sexual assault (i.e. rape or child sexual abuse). Symptoms of PTSD include reliving the event in one's mind; nightmares; avoiding situations that might trigger memories of the event; negative beliefs and feelings; and feeling jittery, angry or irritable. The main types of treatment for PTSD are psychotherapy and medication. Someone suffering from PTSD may experience depression, anxiety and substance abuse problems.

Mental Health and Substance Abuse:

A combined mental health and substance abuse treatment center is designed to treat individuals with both mental health and substance abuse issues. Therapists and staff at these kinds of centers help patients who struggle with both a drug and alcohol addiction, along with a mental health problem like clinical depression, anxiety disorders, Bipolar Disorder, and more. They're trained to help patients identify the root causes of their addiction and mental health issues, and to help manage both. Many addiction counselors specialize in treating individuals with mental health problems, and are well-equipped to deliver high-quality treatment to those struggling from addiction alongside a mental health issue.

Alcohol Abuse:

There are many warning signs for alcoholism. For someone who is abusing alcohol, excessive drinking affects their work, school and home life. Other symptoms of alcohol abuse include: memory loss or blacking out, engaging in risky behavior (like driving a car), and hurting yourself or someone else while drunk. Alcohol abuse can progress to alcoholism. An alcoholic can’t control when or how much they drink. For an alcoholic, the goal of treatment is abstinence. Treatment and recovery from alcoholism usually involves therapy or counseling, as well as 12 step programs and AA meetings.

Dual Diagnosis:

Dual diagnosis refers to the diagnosis given to a person or patient who struggles with addiction and has also been diagnosed with a mental or emotional illness. To treat someone with a dual diagnosis, rehab centers and other mental health facilities aim to provide comprehensive treatment for both the substance abuse and mental illness. At these facilities, counselors and therapists work with dual-diagnosis patients to help them manage their mental health problems and overcome addiction at the same time. Common co-occurring substance abuse and mental illnesses can include drug addiction or alcoholism alongside clinical depression, anxiety disorders, schizophrenia, Bipolar Disorder, and more. In some cases, a mental health illness can lead to an addiction issue, or vice versa: an addiction issue can create a mental health issue. It's important to treat both at the same time whenever possible.

Opioid Addiction:

Opiate addiction treatment focuses on helping individuals who want to overcome addiction to opiate drugs. These drugs include illicit substances like heroin, as well as prescription opioids like hydrocodone and oxycodone (prescription names include Vicodin and OxyContin). This kind of treatment deals with everything from the shame of addiction to strategies for maintaining sobriety. For example, many people start taking prescription opioids for a legitimate medical reason (such as recovery from surgery), and then become addicted. Once they can't get the prescription drug anymore (i.e. the surgery is over and there's no more medical reason for continued prescriptions), these people often turn to heroin. There can be a lot of shame and self-judgment involved in the unexpected decline of one's health and life path that accompanies something like heroin addiction. In individual and group therapy, such issues are explored, with the goal of healing. Some opiate addiction programs also address co-occurring mental health issues if those are present (i.e. a person has both clinical depression and struggles with opioid substance abuse). Treatment for opioid addiction can involve seeking out individual counseling, or going to a rehab center for full-time rehabilitation.

Sex:

Sex addiction involves an obsession with sexual thoughts or fantasies. Sex addiction can also mean engaging in compulsive sexual acts or behaviors. Signs of sex addiction include: loss of control over sexual urges, having multiple affairs, and addiction to pornography. For a sex addict, sexual behavior tends to have a negative effect on their life and relationships. A person with sex addiction, love addiction, or codependency issues could also struggle with substance abuse or drug addiction. A trained counselor or therapist can help a person overcome sex addiction and improve their relationships.

Co-Dependency:

Co-Dependency refers to a relationship in which one person sacrifices their own wants and needs to "fix" or support the other partner. In a codependent relationship, love and intimacy are often experienced as one partner in distress, while the other partner "rescues" or enables them. Codependency can lead to substance abuse and addiction, and codependents may be less likely to seek help for their issues, as they tend to be the "helpers" in relationships. The term love addiction is used to describe a compulsive or constant pursuit of romantic love as a way to feel secure and worthy.

Anger:

Aggression, anger or violent behavior should not be ignored. Extreme feelings of anger can lead to distress, dysfunction and the inability to cope with one's emotions in a healthy way. A person with anger issues might have a sudden or uncontrollable outburst. Individuals with anger problems might also hold grudges, have trouble taking criticism, or feel like they have to “win” every argument. For someone struggling with addiction, anger issues could cause or worsen their substance abuse problem. Also, a person who is abusing drugs or alcohol could experience more intense feelings of anger.

Eating Disorders:

Eating disorders are often considered food addictions, in that food is used in an addictive way (similar to drug or alcohol addiction). Common types of eating disorders include anorexia, bulimia, binge eating, and dysfunctional eating patterns. Signs and symptoms can include dramatic weight loss; concern about eating in public; an intense fear of being "fat", even though underweight; having an excessive, rigid exercise regime; and rigid thinking. Multiple rehab facilities and substance abuse treatment programs offer treatment for eating disorders, and there are also individual counselors who specifically treat eating disorders (outside just rehab clinics). For some individuals, an eating disorder may occur alongside a drug or alcohol problem. In order to help someone get the care they need, it’s important to see a therapist who is trained in treating both eating disorders and addiction.

Gambling Addiction:

Gambling addiction, also known as "compulsive gambling" or "problem gambling," is when a person cannot resist the urge to gamble. It's what's known as an "impulse control disorder," meaning the addict can't stop him- or herself from gambling (it's compulsive). Compulsive gambling often has very negative consequences for both the gambling addict and their loved ones, both emotional and financial. For example, compulsive gambling addicts can get into extreme financial trouble (i.e. bankruptcy or owing people or institutions like casinos thousands or hundreds of thousands of dollars), which impacts both that individual as well as those depending on them for financial support (family). Gambling addiction is often accompanied by behavioral or mood disorders, such as anxiety disorder, depression, ADHD or Bipolar Disorder. Individuals with a gambling problem may also struggle with substance abuse, alcoholism, or drug addiction.

Techniques:

Hypnotherapy:

Hypnotherapy is also called guided hypnosis, and can be used to treat substance abuse. In hypnotherapy, a therapist helps a patient experience a trance-like state, engaging their subconscious in the healing process. Guided hypnosis could help someone quit smoking, or used to treat anxiety, phobias, and other mental health issues. A hypnotherapy session does not put a person 'to sleep' or leave them unconcious. Rather, it is a state of focused concentration that allows someone to access subconcious thoughts and emotions. While a patient is under hypnosis, a therapist can make positive or beneficial suggestions to influence their behavior. This type of therapy can help patients make deep, lasting changes and stop their addictive habits. Hypnotherapy is not meant to be a 'cure' for alcohol or drug addiction. However, it can be an effective therapy technique for some patients dealing with certain mental health issues.

Cognitive Behavioral Therapy:

Cognitive Behavioral Therapy (CBT) is a common therapy technique. This type of therapy focuses on the relationship between a person's thoughts, feelings and behaviors. For example, if you know that when you have the thought, "I'm worthless," you want to drink or do drugs, you can then make a new choice in the future when you have that thought (like calling a friend or going for a walk instead). Awareness is critical in Cognitive Behavioral Therapy, the ultimate goal of which is to help patients develop healthy responses to their thoughts and feelings. CBT has been proven very helpful for people struggling with alcohol and drug addiction, as well other mental health issues, like eating disorders. Cognitive Behavioral Therapy helps a person become more self-aware and build up their ability to cope with problems in healthier ways. Many therapists, counselors, psychologists, and social workers use Cognitive Behavioral Therapy techniques when working with their patients.

Dialectical Behavior Therapy:

Dialectical Behavior Therapy (DBT) is type of therapy that helps someone understand the relationship between their thoughts, feelings and actions. Once a person understands this relationship, they can work on changing their behaviors and dealing with their problems in healthier ways. Dialectical Behavior Therapy has been proven clinically effective for people struggling with out-of-control emotions and some mental illnesses, like Borderline Personality Disorder. This type of therapy can also be helpful for individuals dealing with self-harm, such as self-mutilation (cutting) or having suicidal thoughts or urges. Dialectical Behavior Therapy often builds on the techniques and tools a patient learned in Cognitive Behavior Therapy (CBT), one of the most common types of therapy.

Trauma Therapy:

Trauma therapy addresses traumatic incidents from a client's past that are likely affecting their present-day experience. Trauma is often one of the primary triggers and potential causes of addiction, and can stem from child sexual abuse, domestic violence, having a parent with a mental illness, losing one or both parents at a young age, teenage or adult sexual assault, or any number of other factors. The purpose of trauma therapy is to allow a patient to process trauma and move through and past it, with the help of trained and compassionate mental health professionals. Trauma can affect anyone. At The Oaks, they know the importance of resolving the effects of trauma, which often contribute to substance use and mental health issues. They utilize a number of effective modalties to help patients process pain, negative thoughts, depression and anxiety. Healing from trauma paves the path to long-lasting recovery.

Equine Therapy:

Equine therapy is a type of therapy that involves activities with horses. Equine therapy is also called equine-assisted therapy (EAT). Equine therapy does not necessarily mean riding horses, but can involve other activities such as feeding, grooming, haltering and leading horses. A mental health professional (like a therapist) is usually present during equine therapy, often along with a horse trainer. There are multiple mental health treatment facilities and rehab centers that offer equine therapy. By learning how to communicate with and lead horses, patients can learn social skills, work on trust and boundaries, and improve their confidence. Equine therapy is an experiential therapy technique, which takes a hands-on approach to helping a person deal with their thoughts, feelings and behaviors.

Eye Movement Desensitization and Reprocessing:

EMDR is a therapeutic modality originally developed to help process trauma. In an EMDR session, a patient is prompted to undergo eye movements that mimic those of REM sleep. This is accomplished by watching a therapist’s finger move back and forth across, or following a bar of light. The goal is repetitive sets of eye movements that help the brain reprocess memory, which can significantly reduce the intensity of remembered traumatic incidents. Associated memories can heal simultaneously, leaving patients significantly calmer, more stable, and more emotionally relaxed. As a Dual Diagnosis facility, The Oaks at La Paloma specializes in assisting people who have both addictions and mental illnesses. EMDR is a big part of the work provided in their trauma resolution program, but they also offer wraparound talk therapy and support group work, so people can really process the pain and move forward into a healthier, happier life.

Experiential Therapy:

Experiential therapy is different from traditional 'talk' therapy. In experiential therapy, a person works through issues by participating in real-life, hands-on experiences. For example, someone struggling with alcoholism or drug addiction might participate in outdoor activities, which is sometimes called wilderness therapy. Experiential therapy can also include creative activities (like music or making art), or having patients role-play a situation or problem by "acting it out" and using props. Many rehab facilities and mental health treatment centers offer some type of experiential therapy, such as: wilderness therapy, equine therapy (working with horses), creative arts therapy, and adventure therapy. Experiential therapy can help someone process trauma, heal from painful memories and experiences, and build new coping and social skills. This type of therapy can also boost a person's self-esteem and prepare them for success in their home life, relationships, social life and careers following treatment.

Motivational Interviewing:

Motivational interviewing is a technique that can help someone struggling with substance abuse. The goal of this method is to motivate people to change their behaviors. A motivational interviewer talks with a patient about why they want to change and encourages them to make a commitment to do so. Motivational interviewing is typically used as a short-term therapy method, where an interviewer will meet with a patient for one or two sessions. A licensed mental health professional can act as a motivational interviewer. During an intervention, an interviewer can help motivate someone to seek treatment for their addiction and make a solid commitment to change. A motivational interviewer aims to avoid arguing and direct confrontation. Instead, an interviewer serves as an empathetic, supportive listener and motivator who helps an addict overcome their ambivalence about seeking treatment.

Nutrition Therapy:

In treating addiction and other mental health issues, many benefit from a holistic approach, which can include nutritional therapy. Also known as medical nutritional therapy (MNT), nutritional therapy refers to changing one's diet to treat physical or emotional health issues. Nutritional therapy seeks to treat the body as a whole and promote physical, emotional and mental wellbeing. A nutritional therapist — which could refer to a professsional nutritionist or a registered dietitian — helps a person alleviate their health concerns through maintaining a healthy, balanced diet. A nutritional therapist makes diet and lifestyle recommendations, but they do not diagnose medical conditions or treat mental health issues directly. Many rehab facilities and addiction recovery centers offer some form of nutritional therapy.

Creative Arts Therapy:

Creativity is inherently healing, and can help those in recovery express thoughts or feelings they might not otherwise be able to. Creative arts therapy can include music, poetry/writing, painting, sculpting, dance, theater, sandplay, and more. Unlike traditional art, the final product matters far less than the experience of creation and expression itself. At The Oaks, methods may include collage, painting, drawing and other forms of art, each of which can help teach different lessons and enhance different areas of creativity.

Nicotine Replacement Therapy:

Nicotine Replacement Therapy (NRT) is a way of getting nicotine into the bloodstream without smoking. It uses products that supply low doses of nicotine to help people stop smoking. The goal of therapy is to cut down on cravings for nicotine and ease the symptoms of nicotine withdrawal.

Amenities:

Luxury Setting
Private Setting
Residential Setting
Acupuncture
Gym
Massage
Meditation
Music Therapy
Recreation Room
Athletic Equipment

Accreditations:

JCAHO: 547456
NAATP
SAMHSA
Last Updated: 05/31/2018