Rehabilitation Centres – what to expect.

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Rehabilitation Centres – what to expect.

01 October, 2021Articles, News

Addiction is a complex phenomenon characterized by a loss of control and compulsive, habitual behaviour. Since there is no single, specific cause for addiction, there is no single, standard treatment at rehabilitation centres for it. A variety of approaches are used, including counseling, psychotherapy, medications, and mutual help groups. The best known and most widely available approach to addiction is the 12-step programmes of recovery which is what we use at Crossroads Recovery Centre.

People with severe substance use disorders require long-term care at rehabilitation centres, even after the initial treatment. There is, however, a deficit in the availability of such care. This may be due both to inadequate medical coverage and insufficient use of community-based twelve-step programmes in rehabilitation centres.

Although there are many rehabilitation centres in Gauteng that use different modalities of treatment. One of the most successful forms of treatment for addiction disorders are twelve-step orientated ones such as that found at Crossroads Recovery Centre.

Twelve-step programmes are mutual aid organizations for the purpose of recovery from substance addictions, behavioral addictions and compulsions. Dozens of other organizations have been derived
from AA’s approach to address problems as varied as drug addiction, compulsive gambling and overeating.

The 12-step recovery programme is a cornerstone in the treatment of drug and alcohol addiction. Started in the 1930s, it was the first popularized treatment methodology to acknowledge addiction as something other than a choice.

A 12-step programme like AA or NA provides a framework of steps in acknowledging the addiction, accepting the consequences of the addiction, ways to mend at least some of the damage done while using, and encourages the building of a network of support through a service-oriented 12th step. 12-step programmes can offer a life-line of much-needed support.

Evidence supports the effectiveness of AA and NA. One study, sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), examined the effectiveness of three different treatment types in reducing overall drinking, including the 12-step, cognitive behavioral therapy (CBT), and motivational therapy. While all three treatment types showed promise, the 12-step programme resulted in the most significant long-term impact.

12 Step recovery is unique in that it gives people the opportunity to find a long-term solution to their problem, not just for the duration of their professional treatment. At Crossroads Recovery Centre we make the 12 steps a cornerstone of the professional work done so that when our clients leave treatment they know where they can find help. This approach equips each person with the needed skills and resources to address their problem in a meaningful way without the need for lifelong therapy and professional intervention.

The 12 steps of Alcoholics Anonymous and Narcotics Anonymous is used as the ground work for treatment at Crossroads Recovery Centre. These are used in conjunction with group and individual therapy, as well as fellowship meetings, to educate and guide a person into their new life in sobriety and recovery.

Other group work includes : process groups, exposure groups (to counter denial as a defence), gender groups, spiritual groups amongst many others along with individual, one-on-one therapy.

Process group
Process group is the most common type of therapeutic group given at Crossroads Recovery Centres. An addictions counsellor is present and facilitates the running of the group while each client is asked to participate. Group therapy is an intensive process, clients are asked to be vulnerable and give feedback to one another. This process is incredibly beneficial as it is the best way for clients to bring the issues they may have to light and start to deal with them in a supporting environment.

Gender group
In gender groups men and women are separated. This gives each client space to address any gender-specific problems they may have. A counsellor facilitates the group and prepares topics for discussion and reflection. We find that separating the genders gives our clients an opportunity to talk about issues and concerns that they may feel uncomfortable addressing in front of members of the opposite sex. It is a format which encourages a deeper discussion about issues that may be gender-specific and gender-sensitive, for example; sexual abuse, love and sex addiction, marriage problems, sexual dysfunction and expectations set by gender roles.

Spiritual group
Spirituality is a cornerstone of 12 step recovery programmes. In these groups counsellors address a number of issues related to spirituality. These include topics such as meditation, practicing spiritual principles and finding new ways to connect with a higher power of your own understanding. Though topics and thoughts from certain religions may be brought up, at Crossroads Recovery Centre we pride ourselves on being inclusive of all religions and faiths, or lack thereof. These topics encourage discussion and exploration of new ideas related to each individuals spiritual practice so that they may gain a better understating of the 12 steps as a whole.

Planning and objectives
Many people come into recovery lacking direction and discipline. Weekly planning and objective groups are structured in a way that encourages our clients to set meaningful and attainable, short-term goals in order to work up to achieving long-term objectives. Each week the clients give a report on whether they achieved their goals or not. They are then held accountable by their peers. This continuous process of goal setting and reporting back, helps our clients learn how to go forward with planning and structure once they leave our facility.

Exposure group
From time-to-time it becomes apparent that a person may not be doing as well as expected in treatment. This may be for several reasons. It could be holding on to old ideas, refusing to participate fully, being dishonest or breaking rules in the facility. For whatever reason, the person may be confronted in a group therapy session. In this type of group several counsellors may participate, and the clients peers are given an opportunity to address them directly. We have found that this type of confrontation can be very powerful and can be a good wake-up call for problematic behaviour. Of course, subjects of a sensitive or confidential matter are not handled in this type of confrontation.

Life story group
As part of the therapeutic process at Crossroads Recovery Centre, all clients are asked to write a life story. This is presented to the group and the counsellors. The life story combined with behaviour that has occurred in their time at Crossroads Recovery Centre is processed and feedback is given. The client has an opportunity to hear what their peers and counsellors think will help them in their recovery going forward, and what attitudes and behaviours may prove problematic in the long run. From this point our client can move forward with a better understanding of how they can better help themselves.

Crossroads rehabilitation centres offer many options for recovery, including an outpatient programme. Contact us for advice on how to best proceed with your recovery. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away.

www.crossroadsrecovery.co.za

074 89 51043 JHB

012 450 5033 PTA

Resources :

https://vertavahealth.com/blog/pros-cons-12-step-programs/

https://en.wikipedia.org/wiki/Twelve-step_program

https://journalofethics.ama-assn.org/article/addiction-12-step-programs-and-evidentiary-standards-ethically-and-clinically-sound-treatment/2016-06

https://www.tandfonline.com/doi/full/10.1080/00952990.2017.1306747

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Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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Home / Posts tagged "12 Steps" (Page 4)

Sex Addiction

29 September, 2021Articles, News

We live in a highly sexualized society; sexual content is abundant and apparent in just about every corner of our lives. Porn addiction is an easy temptation. As far as society has developed, there has been no effective way to regulate the human sex drive (Britannica, 2021). The human capacity to derive pleasure from sexual stimulus, renders most human beings helpless in the face of a world that is constantly intoxicated by it. Human beings are socialized to be in constant pursuit of a satisfaction that they will in many ways never achieve. Like all addictions, it is not simply the substance that drives the addict- it is the lifestyle as well. The pursuit of the perfect ideal of sexuality is what is often considered as the pay off, in and of itself. Nothing makes this more apparent than pornography.

Pornography represents the exaggerated, controversial, and extreme appeal of the so-called taboos that many desire but never achieve. Pornography is anything that openly promotes, sells, and advertises sexuality, it is derived from the term “porni” which was a term used to refer to both exploitation of the impoverished and the overindulgence of the wealthy in ancient Greek times (Britannica, 2020). Even in times where sexual liberalism was in abundance, this term was often used to refer to transgressions against what were considered to be the healthy expression of sexual desires. This is a possible reason for a sense of entitlement when it comes to porn addiction, many of the addicts enthralled by it, feeling justified in their indulgence on profanities of various shapes and sizes. It’s a small wonder many do not consider it as a problem, they minimize it, citing the notion that those involved in it are in the pursuit of pleasure and venturing to alleviate boredom.

Pornography as an industry often promotes rape culture in modern society, subtly conditioning the human mind to no longer consider that which is a violation of human dignity. This is often made clear in illegal sex trades, such as those found on the dark web and human trafficking markets. Those with means often use these channels to indulge themselves in fetishes of all kinds some of which reach levels of violation and degradation of human dignity that many cultures consider as evil. The above content indicates that the primary problem with pornography is that it is not considered a problem. Its abundance in society is indicative of the fact that societies around the world are being socialized to believe so. Those who suffer from sex addiction are thus rendered blind to the suffering of others and themselves.

Human culture is caught between two extremes, one being the prohibition of pornography, which when implemented in eras gone passed, has only served to exacerbate the problem. The alternative being to promote it and inspire liberalism- this approach having a similar effect. These extremes represent the crux of the problem with pornography and that is that, it represents extremism as a form of normalcy (Britannica, 2020). There are almost no instances where pornography represents sane as well as healthy sexuality, in fact it promotes the sacrifice of it for the sake of gratification (Britannica, 2020).

Due to the effect of heightened sexual stimulation on the human nervous systems pleasure centre- when an individual stops using pornography or indulging in extreme forms of sexual gratification, they go through a type of withdrawal process (Britannica, 2021). This state of
intense discomfort renders them vulnerable to relapse, as many who have progressed to a point where they experience some form of withdrawal are prone to choose pleasure over the pain of it. According to Sigmund Freud, human beings are hardwired to pursue pleasure and avoid pain. Pornography blurs the lines between these two and this is what perverts the norms of healthy sexual activities.

If you or a loved one are battling a sex addiction and need assistance – know that help is readily available. The road to recovery is not always an easy one, but getting yourself or your loved one the best care from the team at Crossroads Recovery Centre, Johannesburg, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s just a phone call away. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment.

www.crossroadsrecovery.co.za

074 89 51043 JHB

012 450 5033 PTA

References:
Britannica, T. Editors of Encyclopaedia (2020). Catharine A. MacKinnon. Encyclopedia Britannica. https://www.britannica.com/biography/Catharine-A-MacKinnon.

Britannica, T. Editors of Encyclopaedia (2021, May 27). Kamala Das. Encyclopedia Britannica. https://www.britannica.com/biography/Kamala-Das.

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Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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What Does A Recovery Programme Entail?

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Home / Posts tagged "12 Steps" (Page 4)

What Does A Recovery Programme Entail?

10 September, 2021Articles, News

When an individual is looking for help with their addiction, they usually seek out a recovery centre that offers a recovery programme suited to an individuals needs. A recovery programme usually starts off with a screening process followed by an assessment. Screening is the process by which the counsellor, the client review the current situation, symptoms, and other available information to determine the most appropriate course of action, given the client’s needs and characteristics and available resources within the community. Treatment centres may make use of the Jellinek Curve as an assessment tool to help members of the community understand addiction when they come for an assessment for themselves or their loved ones. The Jelinek Curve is a chart that describes the typical phases of alcoholism and recovery. Immediately, upon admission, where necessary, clients enter into a detox programme. Clients are given a medical detox programme under the supervision of the consulting physician. This can be anything from 3 to 7 days depending on the history of the patient. They are then declared medically fit to enter the programme once the physical side effects have subsided, they begin a process of understanding the mental side of what has led to their addiction in the first place.

Crossroads Recovery Centre is a 12-step treatment facility that believes in a complete individual treatment programme for each client. Clients are guided through their programmes by an addiction counsellor. Treatment planning should be part of a client’s recovery programme as a collaborative process in which professionals and the client develop a written document that identifies important treatment goals and describes measurable, time-sensitive steps towards achieving those goals.

At a minimum an individualized treatment plan addresses the identified substance use disorder(s), as well as issues related to treatment progress- including relationships with family and significant others, potential psychiatric conditions, employment, education, spirituality, health concerns, as well as social and legal needs.

Upon exit, clients are assisted with the reintegration into society which is sometimes done with the assistance of secondary care. Whilst in care, clients are introduced to the Narcotics and Alcoholics Anonymous fellowships. Crossroads offers a 28-day treatment programme or an 84-day programme. Our programme is based on the Minnesota Model of addictions treatment. This approach is typically characterized by a thorough and ongoing assessment of all aspects of a client as well as multi-modal therapeutic approaches, including group and individual therapy, family education and support and other methods. A multidisciplinary team of professionals’ plan and assist in the treatment process for each client, tailoring it to their needs.

Specific treatment programmes include welcome groups, didactic groups, recovery coaching, occupational therapy, AA meetings, NA meetings, topic groups, spirituality, resident house meetings and goal-setting. Individual counselling is part of the process. This includes one-on-one therapy, addiction counselling, spiritual counselling, step-work counselling, trauma therapy, family counselling and co-dependence counselling.

Most treatment programmes make use of Cognitive Behavioural Therapy. This is very relevant for addiction treatment because it is behaviourally based, and most addicts need a practical approach to dealing with their use. The core element of any personal behaviour change is based on the relationship between the client and either the personal counsellor or the approach of the treatment centre.

Treatment facilities focus on both long-term and short-term clients. Usually, clients will come through the centre with short-term stays in mind, due to finances. Long-term treatment is usually suggested as this will give clients the best possible chance of recovering from their addiction going forward.

If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away.

www.crossroadsrecovery.co.za

074 89 51043 JHB

012 450 5033 PTA

No Obligation Addiction Assessment

Book a No Obligation Confidential Assessment at your nearest Treatment Centre Today.

Johannesburg Admissions: +27 74 895 1043
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Close

Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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Why is Anger an Obstacle in Recovery ?

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Home / Posts tagged "12 Steps" (Page 4)

Why is Anger an Obstacle in Recovery ?

25 August, 2021Articles, News

A person in recovery may face any number of challenges to their recovery process. Some of these challenges are external, we have problems with our family, friends and in our careers. Our financial situation may change, or our health may fail us. Other problems are a bit harder to pin down. We may struggle with flawed thinking, our attitudes and behavioural patterns may hold us back, and our emotions may control us despite our best efforts. A dragon many addicts and alcoholics must face in recovery is their own anger.

What is anger?
Anger is an emotional state brought on when a person feels offended or threatened. The same way humans express anger and rage at perceived danger, is present in many animals, this suggests that anger is part of a survival mechanic, rather than just a state of being. It is part of the “fight or flight” response. The body and brain are flooded with adrenaline, epinephrine and norepinephrine. This increases blood flow to the muscles and allows you to react faster and fight harder. This type of response is crucial when living in a situation where you must outrun predators and fight for your life, but you’re not running from a grizzly bear, you are not fighting off hungry scavengers, a taxi just cut you off on the way to work. Despite the reality of the situation, the brain and body still react as if your life is on the line.

Anger and the recovery process
Anger is very often an emotion used to cover up other emotions. This is the main reason why -in the recovery process, anger is particularly damaging. It is a superb defence mechanism. When a person is sad, or fearful or feels ashamed, it is so easy to just cover all those unpleasant feelings in a layer of anger. It is a way of protecting the ideas we had about ourselves and the things we went through. It helps us shift blame and fuels denial about the part we play in the situations we find ourselves in. Simply put, when angry it is near impossible to be vulnerable. Anger tells us that we are always right. That we don’t need to change and that these people (counsellors, sponsors, friends and family) who are telling us that we need to change are wrong. Recovery demands vulnerability. To fully solve our problems, we need to confront them head on. Being able to accept criticism, have our illusions about ourselves and the world around us shattered takes a great amount of courage.

What do we do about our anger
The initial feeling of anger is not actually the problem we have to solve. We often cannot control how our brains and bodies decide to react in the moment. There are however areas where we do have control. How am I going to react to this situation or person which is making me angry? And, how long am I going to be angry about this situation or at this person? The first often comes with time, practice and self-examination. It is almost as if you are trying to get in front of your thoughts before they run away with you. Studies have shown that meditation techniques are quiet effective in facilitating this type of adjustment in thinking patterns. In extreme cases anger management therapy and support groups may be necessary. When we are talking about the second choice we have, how long am I going to be angry, this often takes the form of a conscious decision to work through our feelings. When we hold on to resentment it is not an active process we are participating in. It is an underlying and unconscious pain, and whether we are aware of this pain or not, it could affect our judgments and our interactions with other people. In the 12 steps, we are asked to do a searching and fearless moral inventory, this is often where we are made aware of our resentments and just how deeply they have affected us. We are then asked to share this. It is in the sharing of our pain and anger that we can finally start to forgive, accept and let it go.

If you or a loved one needs assistance with an addiction – know that help is readily available. The road to recovery is not always an easy one but getting yourself or your loved one the best possible care from the team at Crossroads Recovery Centre, provides you with a map to sober, healthy living. No matter how bad things seem, there is hope and it’s only a phone call away. If you or anyone close to you needs help with an addiction to sex, gambling, substances, alcohol or food, please contact us for a free assessment.

www.crossroadsrecovery.co.za

074 89 51043 JHB

012 450 5033 PTA

No Obligation Addiction Assessment

Book a No Obligation Confidential Assessment at your nearest Treatment Centre Today.

Johannesburg Admissions: +27 74 895 1043
Pretoria Admissions: +27 82 653 3311
Close

Stories of Recovery

  • The encouragement, love and support from the team at Crossroads allowed me to eventually see that I was worth something - that my life could be turned around and that I could accomplish the things that had long been a forgotten dream.
    Oliver VG
    Read more
  • On the last day of my stint at Crossroads I could only express gratitude towards all who works there. A wise councillor once commented on my question when one is ready for rehab by explaining that when one is ready for rehab, rehab is ready for you.
    Johan B
    Read more
  • I was lost and my soul was broken until I ended up at Crossroads and was introduced to the Twelve Steps. With the help of their excellent staff and amazing support I have recently been clean for 18 months, I could not have done it without them!
    Carla S
    Read more
  • "Just for today I am more than three years in recovery. I have Cross Roads to thank for this wonderful gift. Cross Roads helped me to set a firm foundation in my recovery on which I can continue to build."
    Angelique J
    Read more
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