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View Diary: Good news: ACA covers addiction treatment - Bad news: addiction treatment may not work (149 comments)

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  •  However, there are folks for whom it works. (3+ / 0-)
    Recommended by:
    wasatch, jan4insight, OIL GUY

    And every day, week, month, year that someone doesn't drink is a day they don't drink.

    If you think you're too small to be effective, you've never been in the dark with a mosquito.

    by marykk on Wed Mar 26, 2014 at 05:07:27 PM PDT

    [ Parent ]

    •  what I heard years ago (5+ / 0-)

      was that maybe 1 in10 stay sober, but that 10% is still more successful than anything else that's been tried. I have no citations to back that up. Since AA/NA/etc. are anonymous programs that don't keep records, the best one can do is speculate. Have seen a lot of turnover, have attended a lot of funerals.

      That's the thing. This is a very difficult disease to treat, relapse is high, and most people won't get better. There isn't some better idea out there  being ignored that will have a significantly higher success rate. Most addicts stay addicted, no matter what they try.

      It's worked for me for about 23 years. I didn't see how it could, but I was desperate, so I had to make it work. (and I'm still agnostic, simply didn't allow that to be a barrier, and it wasn't).

      Anecdotally, it seems like there are quite a few dual diagnosis people who need additional help from professionals. I needed a LOT of help. AA, counseling, medication, I needed it all.

      People in recovery are not doctors, and some are ignorant about categories of drugs (I knew one idiot who talked a guy into stopping his lithium, what a disaster that was). But many are in the same boat I am, and others are supportive of our getting the help we need.

       I just didn't let the people who didn't know what they were talking about stop me from doing what I needed to do for myself, and I don't feel a need to tell everyone in the room about it.

      Also, not everyone in AA is trustworthy. People walk in pretty sick, after all, and like everywhere else in the world, there's a mix of people, some helpful and wonderful, and some... kinda toxic.

      A couple of my long-time friends from recovery, even thought they are slightly phobic about any kind of pill or at least skeptical, can tell when I go off meds, they can see the difference, and they tell me to get back on. Those are people I can trust, but not everyone is, again, as is the case in any group of people.

      I landed in treatment first, and it was 12-step based, but they also got me to set up counseling with a professional and appointments with a psychiatrist. So perhaps the problem is lack of an industry standard for treatment centers making sure that this happens for those who need it?

      •  Keep in mind (2+ / 0-)
        Recommended by:
        ladybug53, marykk

        that there are people who go to AA without going to a treatment center (thus not a question of insurance at all), and some of them stay sober. It's not clear to me that they have more or less success than those who enter AA via an inpatient program, no idea. Again, success rate for the whole group of people trying to get clean is low, but success rate for an addict getting clean is low not going to AA is well. That's the sad fact. Research continues.....

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