Where Addiction Meets Your Brain

The Neurobiology of Addiction

Acute Care for Addiction

The difficulties encountered by both the patient and practitioners related to early recovery and detoxification needs. Read More

No protocols

This is a thought provoking post. I have rarely (possibly never) considered the withdrawal process from the side of the care giver.

Towards the end of my drinking I had really extreme anxiety. Think panic attack and then turn it down two notches. For me this went on for about 24 hours. I detoxed at my cousins house. I knew I would be safe from all the irrational fears there. If I had not had someone who I knew was on my side I might not have gotten through the withdrawal. I would of needed to drink to stop the anxiety. That is the primary reason I called her, so she could fight my anxiety.

I cannot imagine what it must be like for the addicted person to go through withdrawal when they are in the company of disinterested and possibly hostile people. I think that a bad experience with the people who detox you could effect your recovery for some time. I imagine it would hold you back from opening up to the group. Your experiences would tell you not to trust.

I can also see how people who detox folks everyday could get a little worn out. It has to be grueling. They would have an endless line of drunks all pleading and promising, etc. They might be disillusioned. (I say that even though I hate people who are too bright and cheery.

Why do we not have protocols for detoxing in clinical settings. I don't mean one clinics policy, but a protocol for all clinics to follow. Would the APA have the authority to set a standard practice.

Reply to comment | Psychology Today

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Protocols for caregiver behavior

Although one would expect that there would be standards of care for what traditionally is called "bedside manner,' there is, in fact, not too much emphasis on this because of the power differential between caregivers and patients. I believe this topic should be explored a bit more. I know that we do not always optimize the setting in which patients/clients are seen in acute settings. ERs tend to be chaotic. Primary office settings tend to be rushed. Quiet and space are at a premium, yet these are factors that are important in the proper care of people with all sorts of problems.

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Joseph Troncale, M.D. FASAM, has been working in addiction medicine for 20 years. He is the Medical Director of the Retreat.
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