THERAPIES

HOLISTC RECOVERY AND INNAVATIVE THERAPIES:-

We emphasize the importance of understanding the whole person rather that just the disease. Wellness is a life long journey that requires personal responsibility and commitment.

Addiction is a one type of Psychiatric Illness. NirmalDeaddiction& Rehabilitation Center offers novel treatments supported by neuroscience research to improve brain health. They include: Biometric Stress Management, Hypnotherapy, Animal Assisted Therapyundergoing (AAT) and Music Therapy. These treatments are personalized, non – invasive, and target core brain functions such as Thinking, Feeling, Emotions, Sleep and self – Regulation.

1) Wellness Program:-

We encourage our clients to eat a balanced diet, exercise, get adequate rest through stress – release techniques.

2) Treatment Philosophy:-

a) Holistic Recovery:-

we engage and sustain the entire individual – including physical (biological).Emotional (psychological), Intellectual and social aspects, to recover your overall health and wellness.

b) Integrative Medicine:-

we will use integrated approaches with the common aim of restoring physical, mental, social and spiritual health.

c) Individualized and Family Centered Approach:-

our approach focuses on the unique needs of the individual and his or her family. Thus our orientation is both individualized and family centered.

d) Evidence based Treatments:-

we have a highly experienced clinical team that offers a variety of treatments that are supported with solid scientific evidences.

e) Respectful Environment:-

Recovery occurs best in an environment that is peaceful, respectful and nurturing so that the individuals can heal from their suffering and expand their spiritual connection.

f)Continuity of Care:-

we have a highly experienced clinical team that offers a variety of treatments that are supported with solid scientific evidences.

PSCHOTHERAPY:-:-

Psychosocial treatment for alcohol dependence:-

* Cognitive and behaviour therapy- Focus should be on thoughts and behaviour.

* Group Therapy- 5-6 patients. For motivation,psychoeducation and preventing relapse.

* Family therapy- Family as a unit.

* SELF Help approach ( Alcohol Anonymous)- Group ofindivisuals with similar problem. Only requirement for membership is desire to stop drinking.

It follows 12 steps . GOAL is emotional sobriety rather than mere physical sobriety

Pharmacotherapy for NICOTINE DEPENDENCE:-

* The nicotine gum : is usually used during the first few months of a quit attempt.
* Nicotine gum is available in 2 and 4 mg.
* Most patients can start reducing use of gum after 3-4 weeks.

Nonnicotine therapy:-

* Bupropion : The mechanism of action is unknown
* Action- Enhancing dopamine levels in the mesolimbic system

Other Pharmacotherapies

Includes agents that make smoking aversive (e.g. silver acetate) clonidine, blocking agents (e.g. mecamyline, naltrexone) and medications to decrease withdrawal problem or replace the positive effects of nicotine (e.g. anxiolytics, antidepressants, stimulants, anorectics)

Psychosocial Treatments for nicotine withdrawal

Behavior therapy , self help material Supportive groups, religious and spiritual influences Hypnosis

Management of Opioid Abuse and Dependence:-

* Opioid Agonist Pharmacotherapy
* Methadone : Methadone is a m opioid receptor agonist and produces the typical morphine like effects in people, including euphoria, drowsiness, analgesia, respiratory depression nausea, vomiting. constipation, itching and constriction of pupils. Methadone is 20-30 mg, with 5 to 10 mg increases every other day as tolerated. usual dose of ranges from 30-100 mg.

* Levomethadyl acetate (LAAM) - - is derivative of methadone. Its long duration of action (48-72 hrs) allows dosing at 48-72 hr interval for opioid maintenance treatment.

* Buprenophine : Buprenorphine, is a partial m opioid against and a weak k opioid antagonist . Buprenorphine formulated as a sublingual tablet is available alone or in a combination tablet containing Buprenorphine and Naloxone in a ratio of 4:1

* Opioid antagonist pharmacotherapy Naltrexone, an opioid antagonist blocks opioid receptors competitively. Single daily dose of 50 mg, doses of 100-150 mg can block opioid effects for 48-72 hrs.

* Psychotherapy- Cognitive-behavioural therapy, relapse prevention and psychotherapy (individual, family and group therapy)