What drugs require detox?
There are 4 categories of abusable substances that require detoxification:
benzodiazepines (i.e.Valium, Xanax)
Narcotics (opioids, prescription pain medicines)
Is there any danger if I go "cold turkey"?
Possibly. Alcohol and sedative withdrawal, when done "cold turkey" can lead to seizures, "DTs" (delirium tremens), significant medical complications that may become life threatening.
Opioid withdrawal may be very uncomfortable and often painful but fatal complications are very rare.
How long does it take to withdraw from drugs?
Withdrawal symptoms will be under control in a matter of hours and the detox process will be complete within about 7 days.
How long should I take Suboxone?
That depends on your individual needs and goals. Some people desire a rapid detox, using a tapering dose of Suboxone for 7 - 14 days. Others want to be on Suboxone long enough to establish a solid recovery program. Some people remain on Suboxone for years.
We are not a long term Suboxone maintenance program. Our goal is to taper our patients off Suboxone within 6 months or refer those who wish to continue Suboxone to other resources for long term Suboxone maintenance.
What about support from others? Is it important?
Dr Gagliardi believes that a major component to establishing a strong recovery is developing a Sober Support System. Patients are encouraged to have loved ones (significant others, parents, spouses, siblings) come to an appointment. Dr. Gagliardi will discuss how to support the patient during detoxification, and provide a reading list that demonstartes how to recognize enabling and co-dependency and the importance of support from family and friends.
What happens after detox?
Your road to recovery begins with safe detox. The next step is to develop a recovery program. Detox alone and abstinence from alcohol / drugs is not recovery. Dr. Gagliardi will refer you to an appropriate recovery program.
Treatment options include:
-Self help groups:
Alcoholics Anonymous (AA)
Narcotics Anonymous (NA)
Chemical Dependency Anonymous (CDA)
- Out-Patient Treatment programs
- Intensive Out-Patient Treatment programs
- In-Patient Treatment programs
What should I achieve in a recovery program?
Your goals for recovery should include:
Accepting and becoming comfortable with abstinence from drugs and alcohol.
Developing skills to improve your relationships.
Learning to identify the feelings & issues that trigger cravings for substances of abuse.
Finding resolution for those triggers.
Developing new ways to cope with stress and anxiety.
Managing anger, grief, depression, and other emotional pressures.
Changing old behavior patterns and developing new ones.
Discovering new ways to solve problems in your family or marriage.
Improving your self-esteem and boosting self-confidence.
What is treatment like?
Every treatment program and group is unique. Dr. Gagliardi recommends that you try a wide range of self help groups until you find 2 or 3 that fit your needs. "90 in 90" meaning 90 meetings in 90 days is a strong means to developing a solid self-help approach to recovery.
As for professional treatment programs, each has its own protocols for assisting you to develop your recovery program. However, if you attended a professional treatment program, this is what you should expect:
It is standard for counselors to discuss the primary issues and concerns in your life during treatment sessions. There may be times when you are asked to take certain actions outside of the treatment sessions, such as reading a relevant book or keeping records, "journaling", to track certain behaviors. It is important to process what has been discussed in the group sessions and integrate it into your life between sessions.
For treatment to be most effective you must be an active participant, both during and between the sessions. Here are some things you can expect while in treatment:
- Compassion, respect and understanding from the staff and fellow participants
- Perspectives to illuminate persistent patterns and negative feelings
- Real strategies for enacting positive change
Effective and proven techniques along with practical guidance
Absolutely not. See the discussion above.
Do you accept insurance? How does insurance work?
Dr. Gagliardi does not accept insurance. However, you will receive an invoice you can submit to your insurance company for reimbursement.
It is to your advantage to know your insurance coverage beforehand. Here are some suggestions:
Determine if you have mental health coverage.
What are my mental health benefits/ substance abuse benefits?
Do I need a referral or prior approval from my primary care provider to be reimbursed?
Is my visit confidential?
In general, the law protects the confidentiality of all communications between a patient and physician. No information is disclosed without prior written permission from you.
However, there are some exceptions required by law to this rule. Exceptions include:If a client is threatening serious bodily harm to another person. The physician is required to notify the police.
If a client intends to harm himself or herself. The physician will make every effort to work with the individual to ensure their safety. However, if an individual does not cooperate, additional measures may need to be taken.
I heard that Congress has rationed medical care for opiate addicts. Is this true?
Yes, it is true. Congress passed legislation that restricts every physician prescribing Suboxone to a maximum of 100 prescriptions a month. Therefore, Dr. Gagliardi can only see 100 patients monthly for opiate treatment utilizing Suboxone. The reason for this rationing? No idea.