Understanding Your Options for Substance Use Disorder Treatment

A Comprehensive Guide to Recovery Pathways

Psychiatry

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Last updated: Mar 24, 2025

Introduction

Substance use disorder treatment encompasses various evidence-based approaches tailored to individual needs. This guide outlines the major treatment options available.

Treatment Pathways

1. Medical Detoxification

  • Supervised withdrawal under medical care
  • Management of physical symptoms
  • Typically 3-7 days duration
  • Essential first step for many substances

2. Inpatient Rehabilitation

  • 24/7 structured care
  • Intensive therapy programs
  • Medical supervision
  • Duration: 28-90 days

3. Outpatient Programs

  • Intensive Outpatient (IOP)
    • 9-20 hours weekly
    • Group and individual therapy
  • Partial Hospitalization (PHP)
    • Daily treatment (5-7 days/week)
    • Return home evenings

4. Medication-Assisted Treatment (MAT)

  • FDA-approved medications
  • Combined with counseling
  • Options include:
    • Methadone
    • Buprenorphine
    • Naltrexone

5. Behavioral Therapies

  • Cognitive Behavioral Therapy (CBT)
  • Motivational Enhancement Therapy
  • Contingency Management
  • Family Therapy

Support Systems

  • 12-step programs
  • SMART Recovery
  • Peer support groups
  • Family support programs

Aftercare Planning

  • Relapse prevention strategies
  • Ongoing support mechanisms
  • Regular check-ins
  • Life skills development

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