A Guide to Opioid RehabTreatment & Recovery Options in Thailand
Opioid addiction and common prescription opioids
- What opioid rehab involves
- When to seek professional help
- Inpatient vs outpatient rehab programmes
- Opioid detoxification
- Opioid withdrawal and medications
- Opioid addiction treatment
- What happens after opioid rehab
- What to look for in an opioid rehab centre
- The length of inpatient opioid rehab
- The cost of opioid rehab programmes
- Affordable opioid rehab options
What is opioid rehab?
If you are receiving inpatient care, your day will begin with a nutritious breakfast, followed by morning activities to ensure the mind is fully relaxed before entering your therapy sessions. Most rehab centres in Thailand will also offer extracurricular activities such as sightseeing, sports, art, and cultural activities.
While no two rehab centres are exactly the same, they do tend to incorporate similar structures. Treatment typically includes a mixture of one-on-one behavioural therapy, along with group therapy and intervention sessions such as 12-Step facilitation therapy or family counselling. Some treatment centres focus more heavily on one or another of these methods, while others apply a more integrated mix.
The detoxification process is a method of cleansing the body of the opioid drugs by implementing specific medical and psychological strategies to ensure that you go through the withdrawal process in a safe and comfortable manner. To ensure the whole recovery process is a success, detoxification should be followed up with intensive therapy and comprehensive relapse prevention education.
Once the detoxification process is complete, you will embark on a period of therapy with addiction counsellors. Therapy is designed to help you examine your beliefs, self-conception, and patterns of negative behaviour, as part of a strategy to help you adopt new and more positive ways to go through life.
The aim of the relapse prevention stage is to ensure that you apply the necessary tools and skills to avoid any destructive behaviours that may lead back to substance abuse. The road to recovery from opioid addiction is a process of individual growth based on achieving developmental goals. At any stage of recovery, there is a potential risk of relapsing, which makes relapse prevention skills highly important to the recovery process.
When is opioid rehab needed?
- Increased frequency or quantity of opioid use over the amount intended
- Impaired control over use, or unsuccessful efforts to cut back
- Devoting a lot of time to using and recovering from the effects of opioids
- Persistent desire for opioid drugs, and needing to use to get through the day
- Failing to meet work, school, family, or social responsibilities
- Continued opioid use despite negative impacts on relationships with loved ones
- Losing interest in other hobbies and activities that were important to you
- Engaging in risky or dangerous behaviours; e.g. driving under the influence
- Continued opioid use despite negative effects on physical and emotional health
- Increased tolerance for opioids
- Experiencing withdrawal symptoms after suddenly stopping opioid use
Opioid rehab programmes
Inpatient opioid rehab
Outpatient opioid rehab
Who should receive residential treatment?
- People who need medical support and close monitoring due to co-occurring mental health conditions
- People who require complex polydrug detoxification such as those with concurrent dependence on alcohol or benzodiazepines
- People who would benefit significantly from a residential programme during and after detoxification, such as those with unstable home environment or toxic relationships
- Residential treatment may also be recommendable for people who have a mild and moderate form of opioid addiction, such as those in their early stages of drug use
Complex polydrug detoxification
- If you are dependent on alcohol or are at high risk of becoming dependent, alcohol detoxification should be considered as a course of treatment. To ensure the best chance of success, alcohol detox ought to be carried out before you commence a similar process for your opioid addiction. It is possible for alcohol and opioid detoxification to be performed concurrently at an inpatient rehab centre.
- If you are dependent on benzodiazepines, a detox process is also required. The decision to carry out dual treatment for benzodiazepine and opioid addiction will depend on your preference, as well as your level of dependency on both substances; however, the final say will rest with your medical team.
How long is opioid detox?
How long does opioid withdrawal last?
Opioid withdrawal medications
Once the detoxification process is complete, these medications all exhibit a similar rate of effectiveness.
The type of medication used during the detoxification process, and the length of the treatment, depend on numerous factors, such as:
- The severity of the opioid addiction
- Any additional mental health disorders
- The type of detox medication
- And the environment in which detoxification is conducted
These factors can all have an impact on the length and success of the treatment. Therefore, it is vital that full medical disclosure is carried out before the detoxification process commences.
Opioid addiction treatment
The UK and USA addiction specialists suggest that attempts to treat opioid dependence using only pharmacological detoxification have been fraught with failure and associated with high rates of relapse to dependent use.
Such results can lead opioid users to believe that their condition is incurable – a belief which in turn can lead to further harmful behaviour. Detoxification should only be encouraged as the first short-term goal within a far longer treatment process. It must therefore be implemented as a precursor to relapse prevention education, along with the therapies which will then form the main pillar of rehabilitation.
Psychosocial interventions are an essential element within any comprehensive opioid addiction treatment programme. In addition to helping you prevent relapse, these techniques allow you to address the numerous psychological, social and relationship issues that may have led you to abuse opioids in the first place.
One of the key ways that opioid users learn to kick their habit is by channeling their negative physical and mental acts towards more positive ends. This outcome can be achieved through the following types of therapy and counselling.
What happens after opioid rehab
Self-help groups: These are a great way to share stories, tips and advice on how to deal with the problems of everyday life. Here, you will have the opportunity to share your story with other like-minded people, and receive their words of advice and encouragement.
Outpatient counselling: A qualified, professional counsellor will ensure that you have an experienced guide to help you on your road to recovery. Outpatient counsellors can deliver a variety of therapies to keep you on the path to sobriety.
Sober house programmes: Sober living facilities are semi-controlled and monitored living spaces, where recovering addicts can take steps toward re-integrating with society. They can be used as a transitional stage before returning to a fully independent lifestyle.
What to look for in an effective opioid rehab
This preliminary step will take place before the detoxification procedure can commence, and will bring to light the severity of your drug abuse as well as your physical and mental health condition.
This will take place inside the rehab centre and may take 3-7 days, under close 24-hour medical supervision. This arrangement is due to the complicated nature of the detoxification process, along with the impact this can have on a patient’s physical or mental well-being. Every opioid addiction programme should consist of an integrated and patient-centred approach to ensure that you are getting the help you need.
Depending on the severity of your withdrawal symptoms or your level of opioid addiction, health care professionals can prescribe and administer various medications throughout the detoxification process. Pharmacological should be made available to support treatment for drug misuse and other associated physical and mental health problems.
To ensure continuing support and progress, meetings with the medical team should be routinely held to review progress and challenges. To further encourage recovery and to take a holistic approach to your needs, medical professionals should be active in their suggestions and flexible in their approach to the treatment process.
The provision of integrated, accessible services by addiction specialists during treatment programmes should effectively address your comprehensive care needs through frequent communication and collaboration.
During the course of opioid addiction treatment, the programme should offer a range of therapies to ensure that you can reintegrate into society in a productive way following treatment. Psychosocial interventions can take the form of interpersonal or informational activities, techniques or strategies that target biological, behavioural, cognitive, emotional, interpersonal, social or environmental factors with the aim of improving general health functions and well-being.
How long is inpatient opioid rehab?
Most inpatient opioid rehab programmes last for 30 days, but you may need a longer programme of up to 90 days if you have a more complex case that includes substance abuse and mental illnesses or multiple addictions. Research shows that long-term rehab programmes (usually 90 days or longer) are more successful at helping people stay sober in the long run.
The length of treatment can depend on a multitude of factors including, but not limited to, the level of the opioid addiction, the length of detox period, pre-existing mental health conditions, and whether you have attended any form of therapy or rehabilitation for opioid addiction in the past. Long-term rehab treatment is associated with the highest rate of success.
How much does opioid rehab cost?
Depending on the length of treatment, the type of programme, the services and amenities offered, as well as the location, opioid rehab centres in the US, UK or Australia can cost between $10,000 and $100,000 for a 30-day programme. The general price tag for treatment is:
$3,000 – $5,000 per week for intensive outpatient programmes (IOPs)
$10,000 – $30,000 for standard inpatient rehab (30 days)
$40,000 – $100,000 for luxury inpatient rehab (30 days)
$8,000 – $16,000 for inpatient rehab in Thailand (30 days)
Affordable opioid rehab in Thailand
Thailand is home to many excellent opioid rehab facilities that provide comprehensive drug addiction programmes. Many of Thailand’s addiction experts and qualified counsellors actually come from overseas, where they also received their education and professional training. The level of treatment in Thailand is therefore comparable to that of the US, UK, or Australia.
Thailand has a huge variety of rehab options for every budget – while its relatively low cost of living and high standard of medical facilities mean that the country’s addiction treatment programmes can provide better value than most rehab centres elsewhere.
Choosing a rehab programme in Thailand will allow you to seek sanctuary in this beautiful country, while taking some time away from your usual environment and the sometimes-negative influences that may stem from it.
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