COUPLES REHAB TREATMENT ELEMENTS
Couples may opt for either an outpatient program or a residential program. The residential program offers a higher level of care and intensity and may allow the couple to remain in housing together, although each rehab program has their own policies regarding the housing. Outpatient rehab is suited for individuals who have an emerging or mild substance use problem but offers various levels of intensity based on the severity of the substance use disorder. Outpatient rehabs include intensive outpatient programs (IOP) and partial hospitalization programs (PHP), with the PHP being the highest level of outpatient care.
Treatment elements include the following:
Detox and withdrawal
Detox is the process during which the body is eliminating the residual substances, which is accompanied by withdrawal symptoms as the body attempts to stabilize in the absence of the substance. The symptoms are caused by the brain responding to the absence of the substance of abuse. Symptoms may emerge as early as 6 hours after the last drink or dose, but usually begin after 12 hours of abstinence. Detox is monitored by qualified professionals who will provide various interventions as the withdrawal symptoms intensity. On average detox and withdrawal takes 7-10 days.
Psychotherapy is provided in both individual therapy sessions and in group therapy sessions. Both of these formats help the partners learn individually or together as a couple the areas of dysfunction that have allowed addictive behaviors to become established. Any underlying emotional problems, such as a past trauma or loss of a loved one, will also be examined in therapy. If either partner has a co-existing mental health issue, such as depression, bipolar disorder, or anxiety, it will be treated simultaneously. Group support sessions allow other couples to share about their own challenges and can help group participants become supportive of each other during the rehab process.
Some individuals may be prescribed a medication that assists in maintaining sobriety. These drugs, such as naltrexone, buprenorphine, or methadone, bind to the opioid receptors in the brain and dramatically reduce the effect of the substance which leads to lower levels of drug craving. This leads to a reduced interest in engaging in substance abuse, which can help to prevent a relapse. MAT can dramatically improve stability in the first year of recovery.
One of the many benefits of a luxury couples rehab program is the range of spa-like amenities available. Assorted experiential activities can enhance the overall treatment experience, as well as improve mood and reduce stress levels. All of this “complements” the traditional psychotherapy and group therapy sessions. These activities include acupuncture, exercise and nutritious meals, learning mindfulness techniques, yoga classes, art therapy, therapeutic massage, recreational therapy.
Twelve-step recovery programming, or similar
Couples rehab offers the option of a traditional 12-step group or a non 12-step program such as SMART Recovery or LifeRing. Local chapters allow couples in recovery to attend the meetings as a part of the rehab programming.
Relapse prevention planning
Prior to completing the couple’s rehab program the partners will develop their own individual relapse prevention strategies that are based on their personal triggers. The more detailed these plans are the more useful this exercise is in recovery. Couples are encouraged to be completely honest when considering the situations that might trigger a relapse. While in rehab many of these issues can be dealt with in a productive manner, hopefully giving each partner helpful coping tools to use in recovery.