• The person may initially be placed in an inpatient treatment program or similar program that can isolate them from potential bad influences and help them focus on the early stages of their recovery. This can also be quite useful to help the person overcome the early “crash” that often occurs in individuals who have chronically abused Molly. Individuals in an inpatient treatment program should have access to a physician-assisted withdrawal management program that is monitored by an addiction medicine physician or addiction psychiatrist in addition to therapists and caseworkers. In some cases, an intensive outpatient treatment program can be used in place of an initial residential program.

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• The main component of any recovery program is substance use disorder therapy. This can be delivered in a number of ways as long as the approach adheres to empirically validated principles of substance use disorder treatment and is also tailored to meet the specific needs of the person in recovery. Therapy should begin right when the individual enters recovery and continue after any withdrawal management treatment. Options include:

Therapy

Individual Therapy, Group therapy (The group should consist of other members with substance use disorders who are relatively close in age with the client.)Family therapy (This is specialized group therapy where family members participate.)Support group participation, such as participation in 12-Step groups or other social support groups, can be extremely beneficial.

Support groups are not formal therapy even though individuals may believe that their participation in these groups is “therapeutic.”  Social support group participation is compatible with all forms of substance use disorder therapy and enhances the effects of therapy.

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Many individuals with substance use disorders also have other co-occurring mental health disorders that can include issues with other forms of substance abuse, clinical depression, conduct disorders, personality disorders, anxiety disorders, etc.

In the initial stages of treatment, it is assumed that the client should undergo a thorough assessment to identify any co-occurring psychological issues or physical conditions. These co-occurring conditions should also be treated along with the individual’s substance use disorder.

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Individuals all have special needs. Other interventions suitable for the particular case should be instituted whenever possible. These can include tutoring for school; vocational training; finding the individual suitable living quarters; formal therapy, such as speech therapy, occupational therapy, vocational rehab; etc.

Participation in therapy should continue long enough for the individual to achieve the full benefits of treatment. Participation in support groups should continue indefinitely. One of the strongest indicators for positive treatment outcomes for substance use disorder treatment is the length of time one remains in treatment. Individuals remaining in treatment for longer periods of time tend to have better outcomes and fewer relapses.