Dual Diagnosis Therapy

Dual Diagnosis Treatment

APEX Rehab

Dually diagnosed clients are those that are living with a co-occurring addiction and mental health disorder. More often than not, people struggling with an addiction have some type of co-occurring mental health diagnosis. Not only does APEX Rehab’s addiction treatment team specialize in all aspects of drug and alcohol dependency, we also treat co-occurring disorders.

Dual Diagnosis Treatment Program

APEX Rehab feels that thorough assessment and treatment of co-occurring disorders is a critical piece in maximizing the chance of successful in treatment. Dual diagnosis is a relatively new approach that developed in the 21st century. Before this landmark, dually diagnosed patients were treated separately for their addiction and mental health problems, which means they practically never got what they truly needed. Fortunately, dual diagnosis therapy now brings these patients best of both worlds – treatment for their mental disorders and substance abuse. Both of these are seen as part of a continuum, rather than as two strictly different problems.

While individual and group psychotherapy are beneficial in helping treat co-occurring disorders, often a combination of psychotherapy and pharmaco therapy are necessary for the best possible outcome. APEX Rehab’s consulting psychiatrist, Dr. Thomas DeBlois, completes psychiatric evaluations on those clients that display signs of a co-occurring diagnosis. When necessary, Dr. DeBlois provides clients with medication treatment options that are often very helpful in the recovery process.

There are so many types of mental health disorders and the relationship between the addiction and the disorder is a multifaceted and a complex one. What further complicates the matters is that individuals with a dual diagnosis are known to be in denial, because their mental condition is under the impact of a distorted perception. The symptoms of their disorder may be so uncomfortable and overwhelming that alcohol and substances may seem like the only way to manage.

There is no single formula in treating dual diagnosis. The broad range of therapies available at APEX Rehab and the diversity of highly-qualified professionals make us able to provide highly flexible and personalized treatments to our dually diagnosed patients.

Reclaiming your life is premised on getting professional help that will build your trust and hope in recovery. This is especially important if you have experienced unsuccessful rehabilitation in the past. Relying on those qualified to help you will make the whole recovery process more systematic and likely to succeed.

Dual Diagnosis Treatment

Chemical Dependency

Chemical Dependency Treatment San Diego

APEX Rehab

Once the process of detox has been completed, the focus shifts towards maintaining sobriety. APEX Rehab provides intensive behavioral therapy during the care process to examine the origin of causes for patients’ addictions and help them learn to resist temptation and prevent relapse.

 Chemical Dependency Treatment

APEX Rehab utilizes a number of theoretical models when treating its clients, including Motivational Interviewing and Cognitive Behavioral Therapy.

Motivational interviewing is non-judgmental, non-confrontational and non-adversarial. The approach attempts to increase the client’s awareness of the potential problems caused, experience consequences and face risks as a result of the behavior in question. Alternately, our therapists help clients envision a better future and become increasingly motivated to achieve it. Either way, the strategy seeks to help clients think differently about their behavior and ultimately to consider what might be gained through change.

Cognitive Behavioral Therapy, or CBT, is a fundamental and core component of APEX Rehab treatment program. CBT is based on the theory that in the development of maladaptive behavioral patterns like substance abuse, learning processes play a critical role. Through CBT, APEX clients learn to identify and correct problematic behaviors by applying a range of different skills that can be used to stop drug abuse and to address a range of other problems that often co-occur with it, namely anxiety and depression. A central element of CBT is anticipating likely problems and enhancing a person’s self-control by helping them develop effective coping strategies. Specific techniques include exploring the positive and negative consequences of continued drug use, self-monitoring to recognize cravings early and identify situations that might put one at risk for use, and developing strategies for coping with cravings and avoiding those high-risk situations. CBT also utilizes recording of specific thoughts and outlining how to change them to properly effect and affect mood.

Motivational interviewing and cognitive behavioral therapy are just two approaches that the professionals at APEX Rehab use. In addition, we use a range of available techniques and models that can address the specific patient case in question. Addiction is almost never an isolated problem in any way. It is usually accompanied by emotional and mental issues, but it is also almost never a problem limited to the patient’s life only. The family and other close people are also affected by the patient’s addiction and rehabilitation.

APEX Rehab strives to provide a safe environment that promotes patients’ facing with their root problems of dependency and helps them address these problems constructively, so that they stay firm in their decision to lead a sober life.

Chemical Dependency Treatment

Medical Detox

Medical Detox Center

Medically assisted detox is a critical and oftentimes frightening part of the alcohol and drug addiction recovery process. Before starting our core clinical programs, it is imperative that all of the toxins are cleansed from one’s body and that a level of health, safety and comfort have occurred. This is not a step in the process in which patients or their loved ones can afford to cut corners, because the patients’ experience of this stage can and usually will affect the success of the overall outcome.

There are many possibilities for detox care during rehabilitation in San Diego. It often happens that patients try to go through detox on their own or only with the support of a loved one. However, an inadequate or poorly managed detox program can cause patients unnecessary physical damage. Unfortunately, when an individual in need of an addiction treatment experiences the ordeal of withdrawal without the firm and compassionate support of a physician, they are often discouraged from pursuing rehabilitation further or they fail to stay sober for good.

That’s why our detox program is essentially different. It is guided and controlled by our highly skilled and experienced addiction physician consultant.

Medical Detox Treatment Includes:

APEX Rehab’s treatment facility offers onsite, medically supervised detox. Our addiction physician consultant is an expert at detoxing the human body. He is gentle, compassionate, and extremely safe when working with the clientele that come to our facility with detox needs from alcohol, benzodiazepines, heroin, or other opiate drug use. Our detox staff are trained to help assist in the process and make it as comfortable for the patient as possible.

We provide around-the-clock supervision, vital checks, and provide exertional and safe care while individuals detox with us. Such controlled conditions make for the best results. To support the process, we also have diets that are tailored to the body’s rapidly changing needs when undergoing this treatment. Our detox room is private and graciously accommodated to provide each individual the serene environment they require to detox fully.

We are aware that detoxing from drugs, opiates and alcohol is a difficult hurdle to clear in the process of recovery. Our medically assisted detox treatment helps people do this comfortably and safely. Our approach also encourages them to continue with their rehabilitation. The goal at APEX is to remove obstacles that stand in the way of full recovery. By providing the body an opportunity to escape the clutches of drug and alcohol abuse we ensure our participants enter a new beginning, safe from the fear the cycle of withdrawal can bring. While this process is short lived, it is crucial, and one that APEX Rehab is proud to provide.


Medical Detox Program

Cognitive Behavior Therapy

Cognitive Behavior Therapy San Diego

APEX Rehab


APEX utilizes Cognitive Behavioral Therapy (CBT) as part of our integrative treatment approach. We use CBT to help patients change their thinking patterns and behaviors as a means to treat both addiction and mental illness. It’s a very hands-on approach that allows our therapists to work closely with each patient to improve his or her behavior and general outlook. We’ve found CBT to be successful in combating a number of mental illnesses, including anxiety and depression, as well as substance abuse problems.

The way we perceive the world around us is our reality. We behave in line with our thoughts and that’s how our thoughts shape our life. For example, we may never learn how to swim if we are afraid that an animal or a shark would attack us at some point or if we believe we would drown. We think water is dangerous and we decide not to learn how to swim. Sometimes, it can be more serious than that. If we feel and think that we are worthless, we may decide to alleviate the pain and discomfort through alcohol or drugs, like depressed individuals do. For the depressed, their reality is that they are worthless, regardless of how many times others tell them differently.

If we agree that our behavior is based on our thoughts then there is good news – by changing the thoughts, we can change the behavior. This is what Cognitive Behavior Therapy posits.     

Cognition is how we think. It includes perceptions, concentration, memory and language understanding – all the processes and activities that give us choices on how we will behave.

When people are suffering from mental illnesses, addictions or comorbid disorders, their cognition is skewed. It could be the root of their disorder, or its consequence. For example, alcohol and drug abuse can alter our brain chemistry and change the way we perceive the world around us. Alcohol and drugs can also impact the way we feel good and compel us to seek more of them – that way, our cognition gets perpetually sucked into a vicious circle.

There are numerous benefits to Cognitive Behavior Therapy, which make it an excellent approach to treating a variety of addictions and mental health disorders:

·        It is not a never-ending process. Some other forms of therapy last long and need a lot of time for improvement to show, which is not the case with CBT.

·        It can be done in individual and group therapy.

·        It is focused on attainable goals and results.

·        Therapists and patients work together to develop plans to reach the goals and change problematic thought patterns.

·        It is highly practical and aims to equip the patient with the skills and tools they need to reach the state they want to reach and to decide how to get there.

·        It provides the patient with coping strategies for stressors and against potential relapse scenarios. 

·        It is immersive and ideal for residential rehabilitation. The results reached through sessions are reinforced with homework and constant attention to the process of learning new patterns and unlearning the dysfunctional ones.

·        It is focused on logic and reality, not our perception of reality. Learning to make rational decisions informed by reality is the key that keeps the patients from relapsing into old patterns.

 


Cognitive Behavior Therapy

LGBT Therapy

LGBT Therapy San Diego

APEX Rehab


Those who identify themselves as lesbian, gay, bisexual or transgender as well as those who hide their sexual orientation from family and friends may find that dealing with family pressures and societal stigmas create stress, anxiety and depression. For many individuals, this can also lead to substance abuse and other addictive behaviors. The team at APEX understands the unique challenges of the LGBT community. We help our patients come to a place of acceptance about who they are so they can end the cycle of addiction.

There hasn’t been substantial research that could say how frequent alcoholism and drug abuse is among the LGBT community. However, some preliminary research and professional experience suggest that alcohol use disorder (AUD) is rampant among the LGBT members, and around 40% have been found to drink excessive amounts of alcohol on a weekly basis. Furthermore, recreational drug use appears to be very common and the substances are marijuana, ecstasy, crystal meth, speed and amyl nitrate or poppers.

What is even more alarming is that teenagers and young adults who have identified themselves as LGBT or who are insecure about their sexual identity are much more at risk from developing addictive patterns. Unfortunately, it has also been discovered that once they do fall prey to addiction, they are less likely to seek professional help to rehabilitate.

The connection between an LGBT identity and alcohol or drug abuse lies on several levels. First off, depression in this community is a widespread problem and the link between depression and addiction has been well explored. Alcohol and substances serve these individuals as paths to avoid the family and social stigma, relieve shame and guilt and compensate for the lack of self-acceptance. At the same time, alcohol and drugs are used to enhance sexual experiences. Peer pressure in the community also seems to be high. 

The fact that an addict is a member of the LGBT community significantly compounds the problem, because of the associated stigma and accumulated shame and guilt. This is especially true for LGBT individuals who are also dually diagnosed with a mental health disorder.

LGBT individuals, young and adults, tend to avoid reaching out for professional help because they are afraid of being rejected. However, APEX Rehab is a reputed San Diego drug rehab center with a staff that is accepting, compassionate and trained to help LGBT community members.

APEX Rehab applies tailored treatment plans. Therefore, we are able to design a comprehensive recovery plan for an LGBT patient which will be geared toward their specific problems and the connection between their sexual identity and the root of their addiction.

 


LGBT Therapy

Family Therapy Program

Family Therapy San Diego

APEX Rehab


 

When it comes to addiction, the individual seeking treatment typically is not the only person affected by his or her drug or alcohol use or other addictive behaviors. There’s often a spouse, parents, siblings and/or children involved who feel the pain of the addiction just as much as the patient. We understand addiction from both sides of the coin, having helped hundreds of patients and their families recover from the destruction of addiction. We utilize a patient-centered approach that includes counseling with family members, both during and post-treatment, to ensure a safe, supportive environment throughout the recovery process.

 

Family therapy combines a number of therapeutic approaches and has two main goals. The first is to use the family’s strengths to support the individual’s life in abstinence. The second is to relieve the impact the individual’s addictive behavior has had on the family.  

 

Family therapy treats the family as a unit and the individual as a component of that system. The sessions can be done with the whole family present or subsets of it, or they can be done with separate individuals. The point of interest of family therapy in the alcohol and drug rehabilitation process is the complex relationships between the members.

 

There are various models of family that inform the approaches applied in therapy. The cognitive-behavioral approach looks at how the family interactions and relationships contribute to the patient’s maladaptive behaviors. By targeting those interactions that trigger the abuse and changing them, the therapy should improve the communication patterns and problem-solving skills in the family. This would in turn strengthen the outcomes of the patient’s individual counseling and the general rehabilitation process.

 

Family therapy assists the family in making changes within the relationships, the members and the overall environment to aid the process of their coping with the substance abuse. It also guides the other members in defining their own goals, because “better functioning” is not a clear enough goal. With family therapy during the rehabilitation and aftercare, members are better able to understand the changes. And, finally, because everything is “out in the open” the user doesn’t feel the rest of the family are ganging up on them.

 

This form of therapy can also address other goals which are dependent on who is using alcohol or drugs – a child or an adult. In any case, the fact remains that the whole family needs to change not just the patient.

 

However, the crowning goal of family therapy is prevention of relapse and prevention in general – preventing the alcohol or substance abuse problem from affecting the next generation. Science has proved that a parent who is a user is a major risk factor for children to develop the same patterns either in early youth or in adulthood. If a child is the patient, family therapy will work on preventing the siblings from following in their footsteps. In the case of children patients, family therapy has also proven effective in forestalling future problems related to substance abuse – inability to hold a job, developing other forms of dependency, continuing the same substance abuse or committing crime.

 

APEX Rehab is one of the few alcohol and drug rehab centers in San Diego that incorporates family therapy in individual treatment. This is in line with our view that addiction is a complex problem and needs to be approached from multiple angles, so that all contributing factors can be addressed. We are firm believers in holistic treatment; that’s why we consider that healing the individual must include the whole of which that individual is a part of – their family.

 

 


Family Therapy Program

Relapse Prevention Therapy

Relapse Prevention Therapy San Diego

APEX Rehab


APEX Rehab’s mission is to not only help patients recover their body, mind and spirit through addiction treatment, but to ensure a happy, peaceful life in the weeks, months and years following. To that end, we provide the best relapse prevention therapies available, ensuring a successful transition from residential and outpatient programs to maintenance after recovery. We have a highly successful track record of treating individuals and preventing them from slipping back into addictive patterns.

Relapse Prevention Therapy (RPT) is based on the principles of cognitive behavioral therapy and aims to help the patient develop self-control skills that would make abstinence easier and prevent relapse. It was originally developed to address alcohol use disorder (AUD) and then cocaine abuse. Of course, it is effective with other forms of dependency as well as with dual diagnosis.

RPT is composed of several interdependent techniques which target to improve the patient’s self-control. In order to achieve this, several aspects have to be dealt with:

·        nurturing the decision to stay sober by recognizing and acknowledging the positive and negative sides of continued use

·        recognizing high-risk situations through self-monitoring

·        developing strategies for coping with cravings and avoiding high-risk situations

RPT is useful not only in extended care, but in the very beginning of the rehabilitation process as well. 

Scientific studies have shown that RPT contributes a lot to the success of the treatment. When a group of scientists followed patients who had undergone cocaine rehabilitation, the group that received RPT was able to maintain the results of the therapy after a 6- and 12-month period, unlike the group that received only clinical treatment.

RPT can be administered both in individual counseling and group sessions. Even though the primary goal of this therapy is maintaining abstinence, it also includes strategies for dealing with relapse. Relapse is seen as an opportunity to learn from mistakes, to develop better self-monitoring skills, to identify triggers and to improve coping strategies or learn new ones.

Our San Diego alcohol and drug rehab programs apply Relapse Prevention Therapy as part of our center’s integrative approach. It is a completely patient-centered technique that is accepting of the patient and their current position in life and treatment. The principle is to work with the recovering addict so that they can define their own goals and support them in achieving those goals by teaching them how to be mindful, how to use new problem-solving skills and how to accept their own responsibility and choices.

 


Relapse Prevention Therapy

Dialectical Behavior Therapy

Dialectical Behavior Therapy San Diego

APEX Rehab


Our therapists incorporate Dialectical Behavior Therapy, or DBT, to promote abstinence from drug and alcohol use and to reduce the possibility and severity of relapses. Similar to CBT, DBT helps patients develop and pursue goals that are independent of substance abuse and other out-of-control behaviors, with an ultimate goal of helping patients better deal with the everyday problems of life.

DBT is a modality of cognitive behavioral treatment, originally developed to treat individuals with borderline personality disorder who were suicidal. Since then it has been recognized as highly successful in helping individuals with alcohol and substance addiction and those with mental health issues, like depression and post-traumatic stress disorders (PTSD).

DBT works with individuals in various settings. Firstly, it teaches constructive behavioral skills in a group context. Every session is accompanied with homework that should prompt the patient to process the skills taught. DBT also includes individual counseling and it focuses on the patient’s unique life challenges. Finally, there is phone coaching that ensures the patient can get support and guidance from the therapist at the moments they need them most. All of these aspects of therapy can and, usually do, run simultaneously.

There are multiple behavior patterns that DBT aims to change. Firstly, the therapy focuses on behaviors that threaten the individual’s life, such as suicidal thoughts. Next, there are therapy-interfering behaviors such as coming late to sessions and skipping meetings. Thirdly, the therapy focuses on behaviors that lower the individual’s quality of life, because they interfere with their socio-emotional relationships, professional development, economic stability, etc. Finally, DBT aims to teach the patient skills that will allow them to deal with life challenges more constructively and effectively – skills they should use instead of their dysfunctional patterns.

The skills taught through DBT encompass: mindfulness and aware presence in the moment; pain tolerance and acceptance without attempting to change the pain; interpersonal skills like assertiveness and the ability to say no in order to build self-respect and better relationships; emotional regulation and changing undesirable emotions. 

The reason why this therapy is called “dialectical” is because it integrates opposites of change and acceptance. For example, the four skills which are at the foundation of DBT are acceptance-oriented (accepting the present moment and pain when it emerges) and change-oriented (changing interpersonal and emotional patterns).

Through the four stages of DBT treatment, the patients progress from the “living hell” of their life plagued with mental disorders and/ or substance abuse, through acceptance of pain to full emotional experiencing and a full spiritual existence.

DBT has demonstrated tremendous success in the reduction of suicides, instances of treatment dropout and alcohol and substance abuse. It also helps deal with depression, accumulated anger and pain and improves the overall and social functioning of individuals who receive this treatment.

APEX Rehab is a San Diego alcohol and drug rehab center which has a team of highly qualified professionals who are able to deliver the best possible Dialectical Behavior Therapy available.

 


Dialectical Behavior Therapy

Holistic Healing Therapy

Holistic Healing Therapy San Diego

APEX Rehab


We believe the mind, body and spirit are interconnected. Without balance in all three areas, patients will not experience a full recovery. At APEX, we take an integrative approach to treatment; our holistic practices focus on healing the mind through behavioral therapies, treating the body through safe, supervised detoxification and essential nutrition, and recovering the spirit that lives within each and every patient. Where possible, we employ natural therapies and organic ingredients to help aid in the recovery process.

The fact is that there are many reasons why individuals turn to alcohol and drugs. These substances are forms of escape, but unfortunately, the abusers don’t typically know what exactly it is they are trying to escape, or heal. Because holistic healing programs bear in mind the whole picture, they are most likely to be effective for alcohol and drug rehab.

Our San Diego-based rehabilitation center uses holistic healing to complement traditional pharmacotherapy and psychotherapy in detoxification, rehabilitation and extended care. Holistic healing offers diverse therapeutic options that boost the results of traditional intervention. APEX Rehab puts a lot of effort into creating personalized recovery plans that include both traditional and holistic treatment, so that every patient experiences comprehensive rehabilitation.

The way holistic healing interacts with traditional methods of treatment, such as psychotherapy and medications, is that it often “opens up” the patient and makes them more receptive to counseling, introspection, insights and medication.

There is scientific evidence that holistic healing increases the likelihood of rehabilitation success, because it focuses on improving mental and physical well-being and restoring balance. What addicts try to do through their alcohol and drug abuse is precisely that – they basically want to feel good, but the path they choose is wrong and ineffective.

These are the elements of our holistic healing in our alcohol and drug rehab in San Diego:

·       fresh, organic meals that nourish the body as well as the mind

·       meditation sessions

·       massage and acupressure

·       music and art therapy, rock songwriting

·       recreation options such as cardiovascular exercise, weight training, yoga, hiking

·       outings to the beach and the nature

APEX Rehab is situated in the scenic surroundings of Mt. Helix. The fresh air and lush greenery of our gardens and courtyards promote rest, relaxation and a focus on the positive. Our patients can also enjoy a swim in the pool, gym membership and spa. Our esthetician is here for them to provide treatments that will make them feel younger and healthier.    


Holistic Healing Therapy

Cognitive Behavior Therapy

Cognitive Behavior Therapy San Diego

APEX Rehab


APEX utilizes Cognitive Behavioral Therapy (CBT) as part of our integrative treatment approach. We use CBT to help patients change their thinking patterns and behaviors as a means to treat both addiction and mental illness. It’s a very hands-on approach that allows our therapists to work closely with each patient to improve his or her behavior and general outlook. We’ve found CBT to be successful in combating a number of mental illnesses, including anxiety and depression, as well as substance abuse problems.

The way we perceive the world around us is our reality. We behave in line with our thoughts and that’s how our thoughts shape our life. For example, we may never learn how to swim if we are afraid that an animal or a shark would attack us at some point or if we believe we would drown. We think water is dangerous and we decide not to learn how to swim. Sometimes, it can be more serious than that. If we feel and think that we are worthless, we may decide to alleviate the pain and discomfort through alcohol or drugs, like depressed individuals do. For the depressed, their reality is that they are worthless, regardless of how many times others tell them differently.

If we agree that our behavior is based on our thoughts then there is good news – by changing the thoughts, we can change the behavior. This is what Cognitive Behavior Therapy posits.     

Cognition is how we think. It includes perceptions, concentration, memory and language understanding – all the processes and activities that give us choices on how we will behave.

When people are suffering from mental illnesses, addictions or comorbid disorders, their cognition is skewed. It could be the root of their disorder, or its consequence. For example, alcohol and drug abuse can alter our brain chemistry and change the way we perceive the world around us. Alcohol and drugs can also impact the way we feel good and compel us to seek more of them – that way, our cognition gets perpetually sucked into a vicious circle.

There are numerous benefits to Cognitive Behavior Therapy, which make it an excellent approach to treating a variety of addictions and mental health disorders:

·        It is not a never-ending process. Some other forms of therapy last long and need a lot of time for improvement to show, which is not the case with CBT.

·        It can be done in individual and group therapy.

·        It is focused on attainable goals and results.

·        Therapists and patients work together to develop plans to reach the goals and change problematic thought patterns.

·        It is highly practical and aims to equip the patient with the skills and tools they need to reach the state they want to reach and to decide how to get there.

·        It provides the patient with coping strategies for stressors and against potential relapse scenarios. 

·        It is immersive and ideal for residential rehabilitation. The results reached through sessions are reinforced with homework and constant attention to the process of learning new patterns and unlearning the dysfunctional ones.

·        It is focused on logic and reality, not our perception of reality. Learning to make rational decisions informed by reality is the key that keeps the patients from relapsing into old patterns.

 


Cognitive Behavior Therapy