||First, we must candidly state there is
no single treatment approach that is effective for all persons with substance problems. We
believe that the cause(s) of addiction are not yet certainly known. We use a cognitive
behavioral approach to treating individuals with opiate addictions. This approach has been
proven effective as a treatment tool with adjunctive medication.
Most individuals view themselves as having a sense of perceived self-control. When confronted with high-risk situations, this sense is threaten. High risk situations for the opiate-using individual might include negative or positive emotional or physical states, interpersonal conflicts, social pressure. or exposure to drug cues.
Thus, persons faced with these high-risk situations develop effective coping responses and learn to believe that they can manage their lives effectively without the temptations to use drugs. The use of the medication, methadone as an adjunct to the behavioral management tools will yield effective results.
We believe in the concept of a blocking dose. This means an administration of a medication dose that will totally eliminate not only the feelings of withdrawal, but the sense of craving. It is the craving that causes the individual to engage in self-destructive behavior. Our physicians will assist you in achieving the blocking dose.
PDS offers four phases of treatment:
Phase One: Intensive Stabilization
During this phase, the patient is stabilized on an optimum dosage of methadone. Acute medical problems are addressed and use of alcohol and other drugs is minimized. A therapeutic relationship is developed.
Phase Two: Rehabilitation
The primary goal is to achieve balance and stability in the primary areas of adult functioning. The patient is on a comfortable methadone dosage and begins forming a new identity based on a healthy, drug-free lifestyle. This stage includes demonstrating a commitment to mature participation in family and community life, as well as meaningful involvement in career or work-related activities.
Phase Three: Tapering
The purpose of this phase is to taper off methadone without relapsing to drug use or other self-destructive behavior. Activities during this phase include maintaining abstinence from all drugs, relapse prevention techniques and developing a support system that will assist in the next phase.
Phase Four: Transitional
The patient is reaching zero dose of methadone and begins to
participate in aftercare. The primary goal is to reinforce relapse prevention and
coping skills to maintain a balanced and stable lifestyle.