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Detox treatment can be very difficult without skilled medical intervention. Fortunately, there are lots of specialized options available for opiate detox; such as the use of Buprenorphine (Subutex/ Suboxone) and Naltrexone (ReVia, Vivitrol). The use of such medications eases the discomfort of opiate withdrawal symptoms. Indeed, most people can work fulltime while undergoing this detox treatment. And outpatient opiate detox costs significantly less than what an inpatient detox costs.

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The course of recovery, even for those utilizing the medications, centers on talk and fewer on pills because while drugs like acamprosate and naltrexone help change brain chemistry, they do not change minds. Once you're taking away the alcohol, sometimes while using successful use of prescribed medicine, the minds still need work. Alcoholics who slip in recovery and non-alcoholics drink for essentially the same reason: It relieves social/physical/emotional tension. With alcoholics however, their own health are programmed differently genetically and react to drinking with more drinking. So counseling or even a 12-step meeting helps those abstinent keep from using the first drink. Recovery has very little to do with stopping the drinking and people successful in recovery admit they're success is based on learning or relearning how to manage life's tensions.

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New UCLA study on smokers with mental, drug, and alcohol problems

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