Individual Treatment Planning

Individual Treatment Planning

APEX Rehab


APEX follows best practices in developing individual treatment plans for all of our patients. Treatment plans are as unique as the individuals themselves, and our therapists have decades of experience in designing programs that cater to each patient’s specific needs. Our individual treatment plans are used for initial and end-of-treatment assessments and clearly outline the goals, anticipated timeframe and risks to effective treatment and recovery.


For recovering addicts, reclaiming their life and embracing sobriety as a way of life cannot be accomplished quickly or easily. It takes strong commitment for a long time to come, if not their whole life. To help them on their way to reaching health and balance, only personalized treatment plans can help.


Millions of individuals across the nation enter rehabilitation every year. Even though all addictions have a lack of control in common, there are differences in how they affect the user. Those who abuse alcohol have different health issues from those who abuse cocaine or meth, for example.


No two users are the same. Even though they can have some similar reasons or factors that brought them to addiction, the combination of those reasons, factors and their life conditions is unique. Some people suffer from comorbid mental illnesses, some have a family history of addiction, while others slowly slipped into addiction after a prolonged use of alcohol or a drug. There are many more emotional, mental and social factors at play, but there’s generally a mix of mutually interactive factors involved.


In any case, acknowledging that every patient is specific is a precondition for maximizing the success of the rehabilitation process. APEX Rehab assigns every patient a treatment coordinator and the individual treatment plans are designed through collaboration of staff professionals. The plans are intended to systematize the process, direct it and bring into clear focus what is important.


Our treatments make use of supervised medication therapy, counseling, psychotherapy, nutrition programs, recreation plans and outings, holistic healing, alternative treatments such as acupressure and alternative therapies like art and music. Each of these approaches brings its own benefits to the recovery process and the positive effects of one approach improve the results of others.


There are some principles on which we base our treatment plans. These principles have been widely accepted as a norm for contemporary addiction treatment centers in San Diego:


·        Addiction is a complex condition that has a profound impact on our brains and perceptions.


·        Recovery should make use of multiple complementary approaches to ensure the best results.


·        The treatment must address all aspects of the individual – the mind, the body and spirit. In other words, it must cater to the patient’s mental, emotional and physical needs.


·        Treatment plans must be monitored and modified so that they take into account the changing needs of the patient.


·        Medication is used if and when necessary.


·        Dually diagnosed patients must be treated simultaneously for their mental health disorders and their addiction issues.


·        Random drug testing fosters trust and encourages abstinence.


·        Detoxification must be carried out under the constant supervision of a physician. And it is only the beginning of a successful recovery process.


·        Patients who enter the program because they are forced to are accepted, because they can also have a successful recovery.




Individual Treatment Planning

Family & Couples Counseling Services

Family & Couples Counseling Services San Diego

APEX Rehab

Our clinicians specialize not just in individual therapies for addiction, but couples and family counseling as well. When it comes to substance abuse and addictions, these illnesses and behaviors take a toll on patients’ families, spouses and domestic partners. Our goal in family and couples counseling is to help both the patient and his or her loved ones talk through their problems, identify negative patterns that have prevented strong communication and help them define strategies to move forward, both during and after treatment.

Alcohol and substance abuse inevitably leave an impact on the user’s closest surroundings – partner or spouse, children and relatives. It’s something like a ripple effect. Addiction is never a problem limited to the individual – family issues must come before it or after it, and sometimes both.

However, even though the whole family can suffer the consequences of abuse, many agree that, in the case of adult users, the relationship with the partner takes the hardest blow. Couples torn by addiction typically report frequent fights and appear to have more problems than other couples who seek marital counseling but don’t have addiction issues.

These couples tend to get entrapped in a vicious circle – the partner’s use of alcohol or substances becomes one of the main reasons for the fight, then the partner turns to alcohol or drugs to relieve the tension and the conflict just spirals out of control.

Getting the user into treatment is the first and crucial step toward their recovery and the recovery of the family/ relationship. It often happens that the user is unwilling to enter treatment. The other partner can, in that case, seek professional help to get support. APEX Rehab can work with partners to give them information and ideas how they can motivate the partner to start alcohol or drug rehab in San Diego.

Family and couple counseling is imperative in the recovery process. It’s rather disappointing to discover that even after the partner has stopped using, the same problems or fights await the family. Conflicts are a major relapse trigger for recovering addicts, so working on the problems with a counselor during treatment generally improves the outlook for success.

The family and couples counselor at APEX Rehab will work with the patient and their loved ones to:

·       rebuild trust

·       improve communication

·       heal the wounds

·       enhance understanding for the other side and compassion

Professional experience suggests that families need professionals at their side to work through the built-up issues. APEX staffs counselors and therapists with extensive experience in assisting families heal and achieve renewed unity. 

Family & Couples Counseling Services

Treatment Coordination

Outpatient Treatment Coordination

APEX Rehab


Fighting addiction is a tough proposition and we completely understand the challenge. We want to support our patients to the fullest by making the process manageable and structured. Recovery can be made simpler and that’s why APEX Rehab provides a treatment coordinator to every patient. The job of the treatment coordinator is to handle the patient’s treatment programs from the detox to extended care – they take care of administration, deal with insurance provides and generally work to ensure every patient experiences the full benefits of our programs. 


Both in our residential and outpatient alcohol and drug rehab in San Diego, patients have an experienced and caring professional to guide them. Their coordinator builds a relationship of trust with them and supports them on the operative level of the treatment.


Our experience has shown that having a treatment coordinator in outpatient rehab in San Diego brings various advantages to our patients. Firstly, they can depend on them to take care of the paperwork and medical coverage. This can be quite a burden off the patient’s shoulders, because they can feel intimidated by responsibility.


These professionals make sure the patient makes full use of the services and programs available at APEX Rehab. Due to their experience and a relationship with the patient, they can direct the individual through programs, coordinate therapists working together on the case and overall, provide a feeling of continuity.


The patient’s family also benefits in this situation. As partial outsiders, they need a single point of contact that can supply them with valuable insights into the outpatient rehabilitation program and the type of services provided. Treatment coordinators, or case managers as they can also be called, can serve as a liaison between the family and the therapists involved in the patient’s case. That way, their engagement is deepened and they also gain the support they need.


Treatment coordinators follow patients outside therapies and other programs and can provide helpful insights into the patient’s behavior and needs. They can collaborate with the rest of the staff to make the patient more engaged in the treatment.


On the other hand, case managers are role models for the patient, in a way. From their coordinators, patients can learn the pragmatic skills of dealing with the everyday life challenges.  


Lastly, case managers can anticipate services that will be useful next and help with the services the patients need outside APEX Rehab.


The goal of APEX Rehab is to provide an unmatched treatment quality among all the addiction treatment centers in San Diego. We are utterly dedicated to offering an all-inclusive well-rounded care that addresses the patient’s entire existence – their body, mind and spirit. To add the final touch to our treatment offer, we provide a coordinator who ensures the patient has effortless access to the programs and benefits.   


Treatment Coordination

Drug Counseling

Outpatient Drug Counseling San Diego

APEX Rehab

While drug detoxification works on the physical addiction, we find that drug counseling is where we make most of our breakthroughs with patients. Counseling helps patients understand the underlying reasons or causes of their drug dependence, as well as the thoughts and behaviors that led to their addiction. With one-on-one drug counseling, APEX’s licensed, skilled therapists help patients see the light at the end of the tunnel. Through counseling, patients are able to increase motivation to get well, change negative and self-defeating behaviors, create stronger relationships at home and at work and reduce the potential for relapse.

For individuals fighting addictions, detox is only the first step of the way. Staying away from alcohol and substances is a long process and drug counseling provides excellent support throughout. It is essential to understand addiction as a very complex problem, which cannot be solved only on the physical level.

Addiction is strongest on the mental and emotional levels. For the most part, the dysfunctionalities on the cognitive and socio-emotional levels drive people into addictions. The individual’s perception of their own life affects the decisions that individual makes – that is the breaking point for an addiction. The problem is that once a person slips into addiction, their brains get restructured under the influence of alcohol or drugs, which further pushes them into the hold of their addictive mindset. After detoxification, the recovering individual must confront the psychological issues that are at the base and that’s the real work.   

Drug counseling during the outpatient treatment can make a world of difference for someone in recovery, because the outside world is rife with temptations and triggers for cravings. Some of them are:

·        problems of the everyday life – at home, work, school, etc.

·        sudden problems that arise

·        people, places and things that remind the recovering individual of the addiction

One-on-one drug counseling can also address the added challenges presented by comorbid mental disorders like anxiety, depression, bipolar and sleep disorders. Actually, individuals who have a dual diagnosis must be treated simultaneously for both issues, otherwise the treatment is unlikely to be successful.

How long the patient will be attending drug counseling sessions hinges on many factors. Every case is unique. The treatment coordinator will collaborate with the therapists to make an individualized recovery plan which is then fine-tuned as the patient pursues it.

APEX Rehab staffs highly qualified and experienced professionals who have the expertise to assess the patients’ needs and provide them with the most tailored drug counseling approach.


Drug Counseling

Individual Psychotherapy Sessions

Individual Psychotherapy Sessions San Diego

APEX Rehab

Along with medically supervised drug and alcohol detox, we offer individual, outpatient psychotherapy sessions. Psychotherapy is used as an adjunct therapy to treat all forms of mental illness, to change negative thought patterns and to help patients set and reach goals related to their treatment and recovery. We find that one-on-one counseling between APEX therapists and our patients provides a very necessary resource and solid relationship to help patients see beyond their illness and forge a smoother path to recovery than they would without psychotherapy.

The dynamics of individual psychotherapy sessions depends on a case to case basis, but generally, once a week is the minimum. The therapy provides a private setting in which to discuss the patient’s compulsive behavior, obsessive thoughts, cravings, guilt, shame and any other negative feelings. It also provides a safe environment in which the patient can deal with any co-occurring mental disorders that have a complex interaction with the patient’s addiction.

The contemporary approach sees psychotherapy as a collaboration between the patient and the therapist. The goals they might try to achieve could be:

·        addressing present-day problems

·        exploring what led to the addiction

·        letting go of the emotional burden of the past

·        promoting self-empowerment and belonging

·        acquiring coping skills

·        providing a guide to those who might need one, or a parent-like figure

·        establishing a relationship based on trust and modeling the experience so that the individual can build such relationships in real life

Individual psychotherapy is completely structured to meet the individual’s needs. Some usual topics that come up are:

·        rehab progress

·        factors that hinder the recovery process

·        interactions and relationships with other professionals involved in the treatment as well as relationships with other individuals in treatment

·        cravings

·        experiences with the new coping skills

·        experiences with other forms of treatment

·        goals for the immediate future and long-term future

Individual therapy can take on many modalities, such as Cognitive Behavior Therapy, Dialectical Behavior Therapy, Motivational Interviewing, Relapse Prevention Therapy, among others. Depending on their stage of recovery, the individual sessions will follow the patient’s changing needs.

With these goals and modalities in mind, individual therapy can go in different directions and change directions when appropriate. Supportive psychotherapy is indicated when the patient is fragile emotionally and interpersonally and needs guidance in dealing with the present-day issues. These patients are not ready to face stress and disturbing experiences from the past.

Coping-oriented therapy is among the most effective. It may be best suited if the patient suffers from a mental disorder besides the addiction.

Exploratory therapy focuses on the link between past traumas and painful experiences and present-day behavior patterns which are negative, self-destructive or dysfunctional.


Individual Psychotherapy Sessions

Random Drug Testing

Random Drug Testing San Diego

APEX Rehab

Patients who seek treatment through outpatient services are exposed to numerous triggers in their everyday lives; without proper support, addiction relapse is possible. We strive to provide the best treatment and recovery services available, and in doing so, we make random drug testing a mandatory part of our outpatient treatment. Random drug testing not only serves to provide an atmosphere of greater trust between the clinician and patient; it helps the patient stay in control of addictive behaviors and be mindful of the consequences of their actions.

Addiction is a complex issue and it’s widely accepted that it’s a chronic disease. Not only does it alter behavior patterns, but it also has a profoundly negative effect on the body and the brain structure. Even after individuals stop using, it takes time for the brain to rebound and that’s one of the reasons why it’s very common for addicts to go through several rehabs or to experience a relapse after rehab. In 2001, a scientific journal published images showing the recovery of the brain’s chemistry. These images compare the transporters of dopamine (neurotransmitter connected to the feeling of pleasure) in a non-user, a recovering meth addict after one month of rehab and an individual after 14 months of sobriety from meth. Only after more than a year in this case did the dopamine transporters start to resemble those in a non-user’s brain.

Random drug testing during our alcohol and drug rehab in San Diego is enough for some individuals to stick to their recovery goals. It can be a powerful incentive, but that doesn’t go for all.

Both the early rehab and aftercare focus heavily on preventing relapse. The whole therapy is based on exploring the roots of the addiction, replacing negative thoughts and behavior patterns and working on preventing relapse and dealing with triggers. If and when a recovering addict relapses after all this therapeutic work, they often feel they are too weak to resist their urges. On top of that, they might feel guilty and ashamed to seek help. Relapse can feel like a betrayal and they could either choose to keep silent or drop out. Having the patients in outpatient rehab tested regularly for drugs allows early detection of renewed substance abuse, should it happen.

The point of discovering relapse early on isn’t to punish the individual. Rather, it allows for reexamining the recovery plan and adjusting it to suit the individual better. Relapse is also understood as a learning opportunity – when it’s used to the maximum, it decreases the chances of another relapse.

Some patients are very comfortable with random drug tests because they see it as a safety net. Knowing they will “get caught” if they start using again reassures them that they will have to discuss it with their physician and therapists no matter how embarrassing or anxiety-provoking they find it.

Random drug testing is nothing more than a support for the recovery treatment and its’ sole purpose is to make sure the individual is on the right road to recovery.


Random Drug Testing

Group Psychotherapy

Group Psychotherapy San Diego

APEX Rehab


For both our residential and outpatient programs, APEX offers group psychotherapy to treat addictions and the various mental health issues that come along with them. Our group therapy sessions are small enough so that all members get to know each other. Our therapists are trained in the use of group psychotherapy to treat addictions, and we use this approach for several reasons:


  • We find that sharing stories within a group setting helps patients connect with others – so patients know they’re not alone in their struggles.
  • The group acts as a support system and sounding board; we are open and honest with each other, but nothing leaves the group. Confidentiality is the most important aspect of group therapy.
  • We share in each other’s successes. Group members want to see each other heal and break free from addiction; we support and applaud each other at every milestone on the path to recovery.







DBT Group Therapy


APEX group therapy clinicians utilize Dialectical Behavior Therapy, or DBT, as one of several treatment approaches to drug and alcohol addiction and emotional illnesses. In this group setting, patients learn how to deal with the everyday problems of life. Joining others who are going through similar struggles with addiction and mental health issues promotes a positive, healing environment. DBT therapy focuses on helping patients to develop both short- and long-term goals not necessarily related to their addictions, so they can lead productive lives following recovery.



 CBT Group Therapy


In addition to our individual Cognitive Behavioral Therapy (CBT), APEX’s licensed and certified practitioners utilize CBT group therapy to encourage behavior modification and to help patients change negative thinking patterns. We find that a group setting helps to reinforce positive behaviors by allowing patients to share their stories and provide feedback to one another. Our team has a proven track record of successfully treating both addictions and mental illness through group CBT therapy, when used as part of an integrative treatment plan.



 Coping Skills Group Therapy


Patients who suffer from addiction are often overburdened and stressed beyond their limits from the normal problems of life. While we all face some degree of adversity, certain individuals have a harder time coping than others.


Taking this into account, our group therapy involves modifying behavioral patterns and integrating different therapies to aid our patients in learning how to cope with the challenges and problems on the level of every day. With constructive and more efficient coping mechanisms our patients stand better chances at escaping the grip of addiction for the long run.



 Alumni Support Group Therapy

For patients who have already gone through one of our residential or outpatient treatment programs, we provide ongoing therapy through an alumni support group. With this group therapy approach, we bring together those who have recovered from substance abuse and other addictions to help them maintain their sober lifestyles. As with other group therapies, patients are able to share their successes and struggles with their peers, who understand and can relate. Alumni support therapy keeps many patients from relapsing after recovery.


Group Psychotherapy