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What Are The First Steps When Looking For Addiction Treatment

When it is time to start searching for an addiction treatment center, you may have many questions. In fact, the whole process may seem overwhelming to you right now. Whether the treatment center is for you or a loved one, when you don’t know very much about the treatment process or even finding a good treatment center, it can feel daunting.       Rest assured that though it may require some time and effort, finding a suitable treatment center for you or your loved one is certainly possible. It’s alright not to fully understand the process right now. Continue …

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60 MORE Substance Abuse Group Therapy Activities

We previously posted a list of 60 substance abuse group therapy activities to give readers an idea of what kinds of topics they might encounter during a theme/support group. We received positive feedback on the list, so we found 60 more to keep you inspired! Please note that Two Dreams utilizes process groups as opposed to theme/support groups. Process groups are focused on self-exploration and giving/receiving feedback. They provide a safe environment in which members can practice newfound interpersonal skills and behaviors. Process groups are mostly unstructured with no singular topic of discussion. Theme groups are focused on support and …

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Hope – February 2016

Dream Journal Volume XXXVI / February 2016 Note From Dr B. Hope is the driving force behind recovery. You can see it in the glowing smile of the elderly man who finally made it through a full year without a drink. You can feel it in the bouncing step of the middle-aged woman whose regular physical therapy sessions have caused her pain levels to decrease. You can hear it in the proud applause of parents watching their now drug-free son walk across the stage to receive his college diploma. You can taste it in the glass of water that the teenage …

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Outpatient Suboxone Treatment vs. Methadone Treatment

Addictive drugs directly activate the brain’s reward pathway, a system involved in behavior reinforcement and memory production. Activation of the reward system can be so intense that normal activities, like eating and sleeping, may be forgotten and/or neglected. Drugs of abuse characteristically enhance dopamine signaling in an area of the reward pathway called the nucleus accumbens (NA.) The NA is sometimes called the “pleasure center” of the brain. It releases dopamine when the brain senses a rewarding stimulus, such as a narcotic, and this rush of chemicals reinforces the behavior that caused the sensation, for example ingesting a pill. Thus, …

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How Do I Know If I Need Drug Addiction Treatment?

Addiction is a difficult disease to define. When does therapeutic drug use cross over into abuse? What is the difference between frequent social drinking and alcohol use disorder? Should comfort-seeking drug use (such as mild-sedative ingestion before bed every night) be considered a disorder? The Diagnostic and Statistical Manual of Mental Disorders (DSM) has acknowledged the difficulty at hand, and set forth guidelines to help users know when to seek help, and to help physicians make accurate diagnoses. Prior to the publication of the current DSM-5, the manual distinguished between abuse and dependence in terms of severity, with “abuse” being …

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Honesty – January 2016

Dream Journal Volume XXXVI / January 2016 Note From Dr B. The idea of making a “New Year’s Resolution” is appealing to individuals across the globe, but it also adds a great deal of pressure to the actions of the upcoming year. People oftentimes make unrealistic promises (ex. I will exercise every single day from now on) and end up disappointed when they are unable to live up to the standard of perfection they set for themselves. So, as a means of relieving ourselves of this unnecessary stress, I propose that we all strive for progress in this upcoming year instead …

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December 2015’s Dream Journal

Dream Journal Volume XXXV / December 2015 Note from Dr. B. The holidays can be a difficult time for individuals in recovery: frustrating family members, crazy Christmas parties, stressful shopping trips, etc. You don’t have to let the season get you down though! There are plenty of ways to stay centered and sober during the winter season. Make sure to listen to your body and avoid letting yourself get hungry. Maintain a regular meal plan full of nutritious fruits and vegetables. Eating a plateful of cookies may seem like a good idea when you’re at an event, but the inevitable …

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November 2015’s Dream Journal

Dream Journal Volume XXXIV / NOV 2015 Note from Dr. B. The ongoing opioid overdose crisis has prompted the CDC to take action in the form of developing new guidelines for qualified prescribers. First and foremost, the CDC stresses that opioid therapy should be utilized only if all other treatment options have been exhausted. Opioids can vastly improve functionality and quality of life, but the benefits must be weighed against the risks of tolerance, addiction, overdose, etc. If opioids are absolutely necessary, the prescribing physician and patient should work together to formulate a safe plan of approach and establish realistic treatment …

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Reverence and Respect – October 2015

The Dream Journal Volume XXXIII / October 2015 Note from Dr. B. The Walk on Washington was a great success! The Two Dreams staff gathered in Washington DC on October 4th in a collective effort to support policies that will improve addiction recovery and end the stigma against those with the disease. Major media networks covered the event, so our voices were heard all across the nation. Fall is a time of transformation, and we look forward to affecting more change as we move towards the end of the year. Monthly Tradition “Tradition Ten – Alcoholics Anonymous has no opinion on …

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Keeping it Simple with Service – September 2015

Dream Journal Volume XXXII / September 2015 Note from Dr. B. September is National Recovery Month, a time to celebrate healing and to speak out against the stigma surrounding addiction. The Two Dreams staff members stayed busy this month, especially on the 26th. Clients and staff alike attended the 6th Annual Walk Against Addiction in North Carolina, which was designed to raise awareness of the epidemic that addiction is becoming in America. Our Clinical Director for Two Dreams Outer Banks, Brett Dunning, was a featured speaker at the event. He spoke out against the stigma that patients experience, and emphasized that …

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