At Burning Tree, we know that finding the right treatment center plays a critical role in stopping the cycle of addiction.  Our long-term approach to treatment makes relapse prevention a signature trademark of everything we do.  After carefully assessing and evaluating all prospective clients, we approach professional treatment on a case by case basis to ensure the highest quality care possible.  Our onsite staff of addiction specialists and therapists provides round the clock supervision and care in the treatment of alcohol/drug dependent behavior and mental disorders. 
Because an alcohol use disorder can be a chronic relapsing disease, persistence is key. It is rare that someone would go to treatment once and then never drink again. More often, people must repeatedly try to quit or cut back, experience recurrences, learn from them, and then keep trying. For many, continued followup with a treatment provider is critical to overcoming problem drinking.
One study tracked the weekly drug use among individuals who attended residential treatment centers. After one year post discharge they discovered that there is a correlation between retention rates and the length of stay at a facility. Individuals coming form programs of 90 days or more showed a lower relapse rate than those coming from programs of less than 90 days. Drug Addiction : How to Help Someone with a Meth Addiction
Research has identified differences in how the reward center of the brain responds to alcohol in heavy and light drinkers. In either group, alcohol caused the release of naturally occurring feel-good endorphins in the two brain regions linked to reward processing. Once addicted, alcohol withdrawal presents dangerous physical and psychological issues.9
In the precontemplation phase, the individual does not express any interest in the need for change. Many individuals with substance use problems are firmly entrenched in this stage. The options in dealing with patients in this stage are limited and include pointing out the discrepancy between patient action and patient goals, suggesting that the patient bring a family member to the next appointment, and suggesting a 2-week abstinence trial.
^ Blum K, Werner T, Carnes S, Carnes P, Bowirrat A, Giordano J, Oscar-Berman M, Gold M (2012). "Sex, drugs, and rock 'n' roll: hypothesizing common mesolimbic activation as a function of reward gene polymorphisms". Journal of Psychoactive Drugs. 44 (1): 38–55. doi:10.1080/02791072.2012.662112. PMC 4040958. PMID 22641964. It has been found that deltaFosB gene in the NAc is critical for reinforcing effects of sexual reward. Pitchers and colleagues (2010) reported that sexual experience was shown to cause DeltaFosB accumulation in several limbic brain regions including the NAc, medial pre-frontal cortex, VTA, caudate, and putamen, but not the medial preoptic nucleus. Next, the induction of c-Fos, a downstream (repressed) target of DeltaFosB, was measured in sexually experienced and naive animals. The number of mating-induced c-Fos-IR cells was significantly decreased in sexually experienced animals compared to sexually naive controls. Finally, DeltaFosB levels and its activity in the NAc were manipulated using viral-mediated gene transfer to study its potential role in mediating sexual experience and experience-induced facilitation of sexual performance. Animals with DeltaFosB overexpression displayed enhanced facilitation of sexual performance with sexual experience relative to controls. In contrast, the expression of DeltaJunD, a dominant-negative binding partner of DeltaFosB, attenuated sexual experience-induced facilitation of sexual performance, and stunted long-term maintenance of facilitation compared to DeltaFosB overexpressing group. Together, these findings support a critical role for DeltaFosB expression in the NAc in the reinforcing effects of sexual behavior and sexual experience-induced facilitation of sexual performance. ... both drug addiction and sexual addiction represent pathological forms of neuroplasticity along with the emergence of aberrant behaviors involving a cascade of neurochemical changes mainly in the brain's rewarding circuitry. How to stop drinking alcohol - how to help an alcoholic
Assessment and evaluation– Treatment typically begins with a complete physical and psychological assessment to establish which method of rehabilitation should be used. This is completed by both physicians and treatment counselors. Medical and mental health records are read. Family and alcohol-use histories are also reviewed. This process helps to chart the best course of action. Oftentimes, follow-up reviews are necessary to update or adjust treatment measures. Every aspect of care is based on a personalized treatment plan.

Gateway Rehab has been providing proven and personalized services in and around the Pittsburgh area, to individuals struggling with addictive diseases for many decades. As the region’s premiere non-profit addiction recovery center, Gateway Rehab continues to pioneer progressive and comprehensive treatment models, helping to free countless people from the anguish of substance use disorders. Through respect for the individual, a reverence for life and unwavering belief in the promise of every human being, Gateway Rehab offers a life-changing opportunity of recovery to anyone who walks through our doors.
Support groups are most useful as a long-term drug rehab program in that they can help hold former addicts accountable years after their treatment is complete. Patients find themselves surrounded by like-minded individuals who are in similar situations like the ones with which the patient is struggling. Many find it easier to discuss issues like temptation and family problems with others who understand.
Acamprosate, disulfiram and topiramate (a novel anticonvulsant sulphonated sugar) are also used to treat alcohol addiction. Acamprosate has shown effectiveness for patients with severe dependence, helping them to maintain abstinence for several weeks, even months.[13] Disulfiram (also called Antabuse) produces a very unpleasant reaction when drinking alcohol that includes flushing, nausea and palpitations. It is more effective for patients with high motivation and some addicts use it only for high-risk situations.[14] Patients who wish to continue drinking or may be likely to relapse, should not take disulfiram as it can result in the disulfiram-alcohol reaction mentioned previously, which is very serious and can even be fatal[13] Guilt, Shame, Depression And The Cycle Of Addiction, Recovery And Relapse - John Flaherty
Alcohol issues are not limited to a certain demographic or race of people. The 2012 National Survey on Drug Use and Health reported that in the category of heavy drinking, men outdrank women by 10.9 percent to 3.6 percent. Racial demographics of respondents in the same category were led by Native Americans at 9.3 percent, followed by Caucasians at 8.1 percent, and African-Americans coming in third at 5.1 percent.
Addiction is an all-consuming disease, using much of an individual’s time, energy and resources. There are many physical, mental and emotional signs of addiction. If you or a loved one are experiencing a combination of these signs, treatment may be a stepping stone for long-term recovery. Looking for signs and symptoms of drug abuse can be the first step toward identifying an addiction: Inside NHS detox centre - Victoria Derbyshire
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