Duke Psychiatry at Civitan Building

Alcoholism

The goal of treatment for alcoholism is abstinence. Those with poor social support, poor motivation, or psychiatric disorders tend to relapse within a few years of treatment. For these people, success is measured by longer periods of abstinence, reduced use of alcohol, better health, and improved social functioning. Recovery and Maintenance are usually based on 12 step programs and AA meetings.

Drug Addiction

There are many types of drug rehab in North Carolina. To receive treatment for addiction, you can choose from many inpatient and outpatient programs. Often, participants start with detox and work through a full continuum of care that continues with ongoing support for long-term recovery.

Dual Diagnosis

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

Mental Health and Substance Abuse

A combined mental health and substance abuse rehab has the staff and resources available to handle individuals with both mental health and substance abuse issues. It can be challenging to determine where a specific symptom stems from (a mental health issue or an issue related to substance abuse), so mental health and substance abuse professionals are helpful in detangling symptoms and keeping treatment on track.

Opioid Addiction

Opioid rehabs specialize in supporting those recovering from opioid addiction. They treat those suffering from addiction to illegal opioids like heroin, as well as prescription drugs like oxycodone. These centers typically combine both physical as well as mental and emotional support to help stop addiction. Physical support often includes medical detox and subsequent medical support (including medication), and mental support includes in-depth therapy to address the underlying causes of addiction.

• Private insurance
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• Financial aid
• Sliding scale payment assistance
• Medicare
• Military insurance
• Medicaid

Adolescence program

Adult program

Program for men

Program for women

Young adult program

Military program

Outpatient

Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.

Inpatient Rehab

Clients receiving treatment at an inpatient rehab facility are typically in early recovery or are at heightened risk of relapse. Clients in inpatient care remain at the facility for the duration of their program, enabling them to focus solely on their recovery. Inpatient treatment typically involves extensive psychotherapy, often including group and family counseling as well as one-on-one sessions. Recovery-focused life skills education is another common service. Many rehabs also offer evidence-based holistic therapies.

Aftercare

Rehab aftercare programs offer a complete continuum of care for clients in the maintenance phase of recovery and are predicated on the idea that addiction disease is a chronic condition prone to relapse and warranting continuing care. Clients collaborate with their care team and case manager to access the specific rehab aftercare services they need to promote their sustained sobriety. Peer coaching, relapse prevention services, career counseling, and 12 step program induction are common in these programs.

12-Step

12 step programs are based on a model of life-long recovery and are rooted in peer support and spiritual development. Regular attendance at 12 step meetings is the cornerstone of treatment, as is the selection of a peer sponsor to guide participants through the steps of recovery. These steps are based on non-denominational spiritual principles and are designed to foster self-awareness, forgiveness, acceptance, and accountability. Specialized programs are widely available, including programs for teens, seniors, and families.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy (CBT) is a therapy modality that focuses on the relationship between one's thoughts, feelings, and behaviors. It is used to establish and allow for healthy responses to thoughts and feelings (instead of unhealthy responses, like using drugs or alcohol). CBT has been proven effective for recovering addicts of all kinds, and is used to strengthen a patient's own self-awareness and ability to self-regulate. CBT allows individuals to monitor their own emotional state, become more adept at communicating with others, and manage stress without needing to engage in substance abuse. Duke University Hospital Outpatient Department personalize the treatment according to each patient needs but it usually includes weekly 45-minute therapies.

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT) is a modified form of Cognitive Behavioral Therapy (CBT), a treatment designed to help people understand and ultimately affect the relationship between their thoughts, feelings, and behaviors. DBT is often used for individuals who struggle with self-harm behaviors, such as self-mutilation (cutting) and suicidal thoughts, urges, or attempts. It has been proven clinically effective for those who struggle with out-of-control emotions and mental health illnesses like Borderline Personality Disorder.

Group Therapy

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

Individual Therapy

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

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.

Family Therapy

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Life Skills

Routine tasks are difficult for someone experiencing addiction. Daily skills deteriorate, which makes it harder to achieve recovery. That's why drug rehab programs in North Carolina reteach basic life skills. This gives you the tools you need to manage daily life without returning to substance use.

• Private transportation
• Residential setting
• Private rooms