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In rehabilitation services, aftercare comes post-discharge. It’s that care that many consider follow-along, and it is far from being optional. It’s not just a good idea, and it’s not simply an extra. Aftercare is essential for staying in recovery. Aftercare can be comprised of a number of different treatment modalities, with therapy and support group meetings making up the majority. Therapy is primarily individual, with family or marriage therapy also common.

Most drug programs do not view “moderate use” of any drug of abuse acceptable. To stay clean, sober and in recovery, outpatient counseling is the gold standard of aftercare solutions. If a client is dual-diagnosis, it’s very important to make sure that the therapist is qualified to work with individuals with both addiction problems and mental illness. The interaction between substance abuse and addiction is complex; a burgeoning mental illness, or phase of a mental illness (such as a manic period in bipolar disorder) can spell real trouble. It’s important the client be able to make a phone call and get help immediately. Many counselors have hours set aside during the week for walk-in individual sessions when clients are having a particularly rough time of it. Rehab centers also maintain crisis lines where a person on the verge of relapse can call and speak to an addiction specialist.

 

Counseling helps the client examine their uses “triggers,” or “cues”. These are the reasons people turn to drugs instead of other behaviors. Many times this counseling is started in individual therapy and then continued on in group counseling. Group members share their experiences in a moderated, safe environment. Sharing information about what techniques worked and what didn’t when it comes to suppressing or short-circuiting relapse triggers is very helpful.

Aftercare consists of counseling and group meetings. Group meetings are very much like the well-known AA and NA groups; however, by no means are all aftercare groups AA or NA. Many are composed of a particular addiction specialist’s clients who gather once or twice weekly in order to process how their recovery is going. It’s important in aftercare to have not only a place to discuss the positive aspects of recovery, but also the bad things that can happen, including the disappointments. People need support in good and bad times.

A final part of aftercare is keeping all doctor’s appointments, making sure to meet all medicine management appointments. Many doctors will ask a client to keep a list of medicine side-effects or unusual events that take place after one is placed on meds. The doctor will want to see that. Keeping in touch with a doctor does mean making a note on a calendar and being responsible enough to keep that appointment, but it is crucial to do so.

Good aftercare is a joint venture between therapists, doctors, and the patients they serve.

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