Best De-addiction Rehabilitation Centre in Delhi
हमारा आवासीय उपचार कार्यक्रम
Treatment for mental health issues and de-addiction can broadly be divided into OPD based, that is, outpatient based, or IPD based, that is inpatient based. Your psychiatrist will advise you what is best for you, but as a general rule, remember that IPD based treatment is far superior to OPD based treatment.
That’s because of the following advantages:
1. The patient is under constant medical supervision, and withdrawal symptoms can be better monitored and managed.
2. The patient experiences a change of environment, and so the cues that cause craving leading to relapse, are not present. This allows the patient to get desensitised to those cues.
3. Regular, intensive psychotherapy, particularly, motivation enhancement therapy and cognitive behaviour therapy, can be easily administered 2-3 times / week, since the patient does not have to travel distances to reach the therapist.
4. Certain neuro-modulation procedures for craving management that need to be administered daily, such as tDCS, CES etc., can be administered easily, again because there is no distance barrier between the patient and the de-addiction facility.
5. A therapeutic environment in the IPD setting ensures that the patient interacts with others going through the same struggle, thereby drawing motivation to change from one another. Patients are able to form meaningful and healthy friendships with other residents who share similar goals
6. An IPD setup ensures a regular, balanced activity schedule and meal plan, which is essential to bring the patient back into the routine of daily life. Good nutrition is the foundation for good health, mental health being no exception. A balanced diet is instrumental in restoring physical energy and mental clarity.
7. De-addiction can be emotionally taxing, and sometimes it is best to take some time off from loved ones. An IPD de-addiction facility offers just that. Family members are usually not allowed to visit the patient, and this gives the patient time for self reflection and self discovery.
Now that you are ready to get admitted to a de-addiction facility, you need to know what kind of de-addiction facility suits you best. There are essentially 2 types of facilities:
1. Psychiatric Hospital: which offers physician assisted withdrawal management or detoxification, and psychotherapy and neuro-modulation procedures such as tDCS, CES etc. A psychiatric hospital is the ideal setting to start the de-addiction process. A psychiatric hospital will have you admitted from anywhere between 10-90 days, depending on the substance you are addicted to, and the extent of your dependence. As a general rule, always go for a comprehensive de-addiction program that includes hospital stay with medications, psychotherapy and neuro-modulation, since a combination of these will almost always give you better results.
2. Rehabilitation Centre: here the patient usually stays for 3-6 months after the initial detoxification and de-addiction is complete. Bear in mind that not all addicts need to be admitted to a rehab centre. In a lot of cases, home based relapse prevention after a 30-90 day program in a psychiatric hospital is enough. In a rehab centre, the focus is more on finding purpose, and learning to deal with life sober.
Let’s focus on the gold standard for detoxification and de-addiction, that is, a psychiatric hospital based comprehensive program. I’m going to now take yo step by step into what you should expect once you have decided to enrol yourself.
The Happy Tree Method encompasses the following steps:
Step 1: OPD consult with your psychiatrist. In this visit, your psychiatrist will take your detailed history, and depending on your case severity, advise you inpatient treatment.
Step 2: Before you get admitted, a toxicology report is advisable for all patients. In addition, a full panel of investigations may be advised by your psychiatrist including an ECG. These investigations are sometimes necessary while starting any medicines for patient safety.
Step 3: Once admitted, the detoxification and de-addiction process starts. The first step is to get comfortable with your new home for the next month. Make sure to keep your valuables to a minimum, since no rehabilitation centre will take responsibility for any thefts.
Step 4: Your psychiatrist will likely have already started you on medications, and you are probably already feeling better by now. Expect some initial side effects with the medicines, but if they are intolerable, get in touch with your psychiatrist or nurse immediately.
Step 5: Your investigation reports will usually be available by the day after admission, and assessed by a general physician, who you will also consult, to make sure everything is okay physically. If you have a pre-existing medical condition like diabetes, heart disease or hypertension, this is the time to tell the general physician everything, and the physician will medicate you for that accordingly.
Step 6: You will now meet your counsellor, who will in the first session, take your detailed history, to formulate a case report. This first contact with the counsellor is the most important, since this forms the basis of your entire treatment course, so make sure you are open and honest while telling your life story.
Step 7: Based on all the information by you to us, our team will then formulate a plan of management that includes medicines and supplements, psychotherapy, group and/or family therapy, and dietary recommendations (100% vegetarian) that suit you best. With an inclusive plan, you can expect an amplified response to your existing treatment. You will also be invited to participate in weekly 12 Step meetings during your stay with us.
Step 8: Activity scheduling, or a schedule of activities that will help you on your road to recovery, should be a joint effort between you and your counsellor, doctor, attending nurse and other allied staff at the facility. Try to make friends with other patients during your time, and strengthen your resolve to change. Most activities are group activities, so knowing you are partnering with people you are comfortable around should be communicated to the staff.
Step 9: For de-addiction patients, once the detoxification is complete, you will then be initiated on anti- craving medicines. Anti-craving tablets once started, are continued for 6-12 months.
Step 10: You now have 2 options; either continue home based relapse prevention with regular OPD follow ups and psychotherapy, or stay admitted at our rehab facility for a minimum of 3-6 months. Clinical studies have universally found that relapse rates are lower in those who stay in a rehab for the allotted time. If you choose to continue home based relapse prevention, you will have to consult your psychiatrist and counsellor regularly to keep your substance use at bay.
Step 11: Once your stay with us is complete, you are encouraged to become a part of our alumni group. Our Facebook group focuses on addiction recovery and relapse. You are also encouraged to visit our facility regularly as an esteemed alumnus and motivate others. Depending on location, we have tie ups with organisations like Alcoholics Anonymous and Narcotics Anonymous to hold weekly meetings. You are advised to continue on your journey to recovery by attending these meetings. In addition, you can join our website forum and not only get information about tackling your issues, but also help others in need by sharing your experiences.