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Treating Substance Use Disorder (SUDs)

Hormonal Intervention and restoration Evidence-based Endocrine restoration is a part of addiction treatment interventions and should be initiated for all patients referred to specialty care treatment of SUDs. 

Treating SUDsAddictions need to be tackled appropriately or the chances of recovery of the affected individual may be further thinned. There have been many researches into the best treatments for people who are suffering from Substance Use Disorders (SUDs). Many of these treatments are still in the testing and evaluation stages while some are considered okay. Since there is no one-size-fits all treatment, it is appropriate to understand the needs and peculiarities of each patient before administering any kind of SUDs treatment.

The Hormonal Intervention and Restoration Technique is one of the Evidence Based Treatments which involves endocrine restoration for the affected individual. It is believed that the hormones have a lot to do with addiction. It was discovered that individuals suffering from SUDs usually have a significant amount of Vitamin and mineral deficiencies. This has caused professionals to research deeply into this area, looking for alterations in neuro-circuitry and nutrition-based hormones such as leptin, insulin and ghrelin, in people dealing with SUDs to see if there are alterations in eating behavior while using drugs, when they are recovering and when they are trying out long-term abstinence.

Virmani et al iterated that drug abuse appears to be a major factor causing risk to the metabolic syndrome which may also cause cardiovascular diseases. Considering that gain in weight as SUD individuals begin abstinence from drugs is one major source of personal suffering, it is therefore important to get a more detailed understanding of how drug addiction affects dietary intake.


This is one of the nutrition based hormones secreted in the body by the adipose tissue. Its major role is to increase those rates of metabolism. In humans, plasma leptin has been positively associated with fat. It is anorexigenic because it is responsible for initiating response to starvation. De Arujo et al showed that a hungry individual with moderate leptin levels will attribute a higher reward value to intake of food as against someone who is satisfied (as seen in people when high dopamine release occurs). This may explain why people who are addicted hardly feel hungry after they must been exposed to the substance they are addicted to. There is high dopamine release and there is a feeling of satisfaction which makes them feel full rather than hungry even when they have not eaten. High levels of leptin has however been found to have no significant effect on metabolism and feeding in an individual. In alcoholics, increased leptin concentrations have been found to decrease the urge for alcohol and cause withdrawal in females.


Ghrelin and leptin play vital roles in neuroendocrine regulation of energy homeostasis as well as food intake. Ghrelin works differently from leptin. Its job is to stimulate appetite in people by activating orexigenic neurons within the hypothalamus. Its receptors have been majorly identified in VTA, amygdala and hippocampus. Since Ghrelin is stomach-derived, its levels usually decrease after eating, thereby creating a satisfaction feeling. The sight of food has been found to elevate ghrelin levels in the body of humans that are non-obese. In obese volunteers, at the sight of food, ghrelin levels are lowered. Alcohol dependent patients have been found with increased ghrelin levels whenever they are intoxicated and in early stages of abstinence. The levels increase during the first week of withdrawal from alcohol.


Although insulin is much more widely studied than ghrelin and leptin, its Central Nervous System effects cannot be understood fully. It is known to have a lot to do with regulating blood glucose and just like leptin; it has an adiposity signal and is known to attenuate food reward. Insulin secretions are repressed by the leptin gene therapy. This method can be used to deal with diabetes. In subjects where leptin and insulin levels are low, craving for food intake is increased. Insulin and dopamine work hand in hand to make sure both the urge to be involved in consumptive behavior and the calibration of the appropriate reward is in place. Alcoholics that are practicing abstinence have been found to exhibit blunted responses in their blood glucose when they were exposed to 2-deoxy-D-glucose by intravenous means. The blunted responses were exhibited to both glucagon and insulin. The link between alcohol misuse and sugar misuse and the blunted responses show that there is negative impact of substance use on the endocrine system.  This underscores the need for intervention in the diet of SUDs and helping them to abstain till they recover.

A proper study of these hormones can be harnessed in treating patients with substance use disorders. At every given point during exposure to the addictive substance and while the individuals are trying to abstain, there are spikes in levels of ghrelin, insulin and leptin. These can be tweaked and used effectively in treating patients.


Hospital Outpatient Entrance Sign

Learn how to Establish a Profitable Addiction Clinic

Create Your Own Profitable Addiction Clinic

 A successful integrative addiction business requires a number of continuously working components in order to maintain optimal function. The forefront of concern is always that of the patient and their health. A successful integrative addiction business then is one that looks into all aspects of the patient’s given health and evaluates realistic long term goals. However, if an integrative addiction business is not operating under a successfully planned financial business model, it may not be able to maintain its long-term goals. Thus, a successful financial plan is necessary for establishing a profitable addiction clinic. A profitable addiction clinic is one that can produce the profits necessary to maintain its long-term goals. This is regarding a business model and function, as well as the care given to patients. The Integrative Addiction Conference focusses on exactly how to achieve this, as this topic is but one of many addressed at the upcoming August Austin, Texas event.

Addiction ClinicA profitable addiction clinic is a succeeding one. Here is an outline of some basic fundamental strategies for maintaining a profitable addiction clinic. For many addiction clinics, it is hard to attain the funds necessary to successfully operate from day to day.

A successful operation requires strong leaders, flexibility, and problem solving ability. The financial sphere of operation, then, is no exception. The following are general financial principles, which, like many of the businesses themselves, are able to be changed or adapted according to circumstance or environment. There are five general principles which will be addressed.

The first is that of cooperative purchasing. Studies have shown that in many of the successfully ran addiction clinics are planned in coordination with mental health agencies. Such has been the case on state levels.

The next principle is to make sure and have an adequate understanding of the population. One of these concerns is the usual severity of the given addictive disorder and the underlying circumstances surrounding it. Various factors are considered here for patients with co-occurring disorders.

The next obvious principle is to attain your finances. There are a number of ways to do this, but this can be a difficult process. The first possibility is federal funding. These come via a number of sources, but there are two big ones. The first is the Substance Abuse and Mental Health Services Administration, or SAMHSA. Another big one is the National Institutes of Health, or NIH. There are other potential federal sources out there as well. The next possible source is via state funding. Here it is important to educate your business with the various state sources available. Here a helpful source is the National Association of State Alcohol/Drug Abuse Directors. There are also possible private funding sources for your business. These can be a helpful addition to already preexisting and thriving conditions. The options here are vast, but the basic format is that a private foundation improves the function of a given business by offering additional service of sorts.

Check out the Integrative Addiction Conference Being Held In Austin, Texas

With the financial component planned, the next thing to make sure is that you make wise decisions with those finances. Put simply, you need to make sure that you buy the best services. It is important to maintain the optimal services for the patients and keep them functioning at fully capacity. This is hard to do with addiction clinics, because there is far more research out there corresponding to successful treatments for general mental disorders than there is for those with substance abuse issues. Be this as it may, topics like these will be adequately addressed at the Integrative Addiction Conference. They are experts of their field will speak in depth on these matters.

Addiction ClinicFinally, the last principle is to design your business model around optimal performance of the employees. A smart approach is to design contracts which make sure the structural integrity of the program remains strong. You can achieve this by making your contracts performance-based. As a long term result, the forefront of concern, being the patient’s health, remains the number one incentive. The strategic planning of purchasing performance based services sets the foundation in place to be able to achieve this.

In summation, there are some important components that keep a successful integrative addiction business running properly. One of the most important factors to consider is the financial component. The number one concern of any successful integrative addiction business is that of the well-being of the patient. However, successful financial backing is the only way to achieve this goal, and keep it going, long term. Therefore five financial guiding principles of cooperative purchasing, understanding the population, attaining your finances, buying the best services and keeping them the best, and designing a performance-driven business model for your employees. All of these components make the necessary conditions for a flourishing and profitable addiction clinic.


Accessibility to alcohol a hindrance to recovery

Accessibility to alcohol a hindrance to recovery: Why shouldn’t i drink?

accessibility to alcohol

Accessibility to alcohol is one of the most significant motivation to being addicted to alcohol

The prevalence of alcohol addiction has been necessitated by easy accessibility to alcohol which is posing a serious threat to treatment and recovery process. You will not be surprised to note that certain streets in a given capital city of a state are literally littered with alcohol joints e.g. pubs and entertainment spots. Our authorities have continually license more business directly engaging in the sales and production of alcohol in order to increase revenues for development. They do so because they have noted that the addictiveness of this product and so even if taxes were to be increased as a means of putting in some control, people will still buy to quench their thirst. It is because of this background that we at the home of addiction experts (AWAREmed Health and Wellness Resource Center) under the able leadership of doctor Dalal Akoury have resolved to make a difference by posting very informative articles on this link to the public’s consumption so that this problem can be brought to manageable levels. Therefore we want to scrutinize how accessibility to alcohol a hindrance to recovery in this article. We therefore want to request you to stay with us on the link and together let us educate one another on the best possible ways of eradicating this scourge from our societies.

According to the experts from AWAREmed Health and Wellness Resource Center, it is worrying that even though it’s illegal to buy alcohol in most states globally including in the United States until the age of 21, most teens and young children can still get access to this product (alcohol). We must therefore be very careful about the decisions we make concerning our usage (drinking) of alcohol. What we do affects our children greatly in the future like for instance if you stock alcohol in your refrigerator, the message you are passing to the teens is that this is a good substance and can be consumed at will after all food and drinks for family use or consumption are always kept in our refrigerators. When your children become the messengers each time you want supply of your substance whether it is alcohol, cigarette or any other substance, the children are registering real tangible points about the use and abuse of these stuff. Dear friend this is very dangerous not just for your family but to the whole society and beyond. Have you ever hard the phrase “charity begins at home?” when good things begins from home the society benefits in the same way when bad things bins from our homes the society suffers. This we can stop, prevent and avoid by choosing to do the right things with our children. Now back to our point of discussion having listen to the over view it is important to appreciate that besides the mentioned, there are several other consequences for drinking some may include:

Accessibility to alcohol a hindrance to recovery: Heavy penalty and severe punishment

The authorities in every institutions and states are putting stringent measures to curb this unbecoming habit in our young generation and therefore teens that drink will always rub shoulders with the law enforcer agencies and be arrested. Besides that they (teens) are likely to involve themselves into some unwanted behaviors and conducts like fighting, committing various kinds of crime, and even end up into suicide. There are very prevalent occurrences in teens that drink when compared to those who do not drink or do drugs. Alongside all these individuals who drink will in many cases also have problems in their social and academic lives, and remember that drinking can once ability to concentrate in his or her studies and the consequences of this is dismal performance in their grades, career, sports or any other activity they participate in. this nor normally happens because of poor coordination by the brain when it is under the influence of alcohol and substances.

Accessibility to alcohol a hindrance to recovery: Displaying actions of stupidity

The good impression according to the users of alcohol is that drinking is cool and life’s fulfilling, this is a serious misinformation because the moment the alcohol takes effect on the nervous system, the whole situation changes and what was perceived to be cool and fulfilling (drinking alcohol) all over sudden create shame and embarrassment. I strongly believe that you have meet people decently dressed on their way to drinking joints and a few hours later you meet them in very disturbing and pathetic situations. That is why we say that drinking can make people do very stupid or embarrassing things including throwing up or peeing on themselves in total disregard of their surroundings. Besides the stupid actions, drinking also gives people bad breath, and no one enjoys a hangover even to those who feel that they can’t do without the touch of the bottle. Displaying actions of stupidity can be avoided if only we can chose to seek for help in good time. Before things get out of hand to the point of regrets, you can schedule for an appointment with doctor Dalal Akoury today and together with her team of experts all your concerns about alcohol addiction and the general aspect of substance abuse will be addressed professionally.

Accessibility to alcohol a hindrance to recovery: The health risks of Alcohol consumption

When we talk about the health risk involving misuse of alcohol, you can be rest assured that it is not going to the first time you are hearing this. The consequences of misuse of alcohol have been preached since time immemorial yet our young people are still into this harmful habit. There is no doubt that individuals who drink alcohol age, gender and race not withstanding are more likely to be sexually active and eventually engages into having unsafe or unprotected sex. We are all privy to the consequences of such action which may include but not limited to unwanted pregnancies and sexually transmitted diseases which can be very fatal to the point of death. Besides that doctor Akoury is registering that the risk of injuring one’s yourself, maybe even fatally, is higher especially when you’re under the influence of alcohol. Shocking as it may sound, it has been established that about one half of all drowning death cases among people are actually related to alcohol use. There is therefore no doubt that the use of alcohol is in itself going to greatly increase the chance of people or users of alcohol to be involved in a car crash, homicide, or suicide. All this fatalities can be brought to manageable levels by taking immediate actions of getting help from the right professionals like doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center.

Finally as we bring this discussion to an end, there are also nutritional effects that come with alcohol consumptions. Like for instance, our young people are most likely to get fat or have health problems if they are consistently abusing alcohol. According to one of the studies conducted by the University of Washington it was established that people who regularly had five or more drinks in a row starting at age 13 were much more likely to be overweight or have high blood pressure by age 24 than their non-drinking peers. People who continue drinking heavily well into adulthood risk damaging their organs, such as the liver, heart, and brain. These findings can be very scary but you can chose to correct that by scheduling for an appointment with doctor Dalal Akoury a veteran addiction expert of several decades today so that all your concerns can be addressed professionally and adequately.

Accessibility to alcohol a hindrance to recovery: Why shouldn’t i drink?



Post acute withdrawal complicates recovery process

Post acute withdrawal complicates recovery process: The variances with individuals

post acute withdrawal

The knowledge and patterns of post acute withdrawal will go a long way in solving the problem and fear of enrolling for addiction treatment to avoid instances of intoxication.

Over the past few days we have been focusing on the significance of Post acute withdrawal symptoms (PAWS) in the life of many addicts which are not really the same in everyone. We can confidently say that the variation is very evident and that is why we want to focus our discussion on this article about understanding how post acute withdrawal complicates recovery and how best it can be managed. To do this effectively, we are going to relay on the experts experience of experts from AWAREmed Health and Wellness Resource Center. This is a health facility that was established by doctor Dalal Akoury who is a medical and also a veteran addiction expert for several decades now. Her passionate decision to formulate this facility was motivated by the desire of making a difference in people’s lives especially those who are struggling with any kind of addiction whether directly or indirectly. With her input we are going to have the clear understanding of the patterns of post acute withdrawal. This is therefore very important and I want to request you to stay with us on the link and together get the vital information we all need to be on the safer side of any complications that are associated with drug addiction. Now back to the understanding the patterns of post-acute withdrawal, the variation can be categorized in various ways including how severe they are, how often they occur and how long they last. In the same breath some people will often experience certain symptoms while some will also have other symptoms and yet again some people will have none at all says doctor Akoury.

From the expert’s point of view, it is important to note that over a period of time PAWS may get better, it may get worse it may stay the same, or it may come and go. Now take note of this:

  • That every time it gets better we call it regenerative
  • If it gets worse it is known as degenerative
  • If it stays the same we call it stable and
  • If it comes and goes we call it intermittent.

We all need to be informed of the functionalities of each of these stages. Information is power and the more you know about post-acute withdrawal symptoms the better since you will not make certain mistakes that are predominantly being made by many uninformed people across the globe. Now take a moment and listen to the following facts as we progress into the discussion.

Post acute withdrawal complicates recovery process: Regenerative

Addiction is not a respecter of anybody and we must do all it takes to bring it to manageable levels. Doctor Dalal Akoury says that at this stage the good news about it is that the regenerative PAWS gradually improves over time. She adds that the reason why sobriety is very important is because the longer period of time a person stays sober the less severe the symptoms become. It therefore means that it become much easier for people with regenerative PAWS to recover because the brain rapidly returns to normal and that explains why we must all take the front lane in eliminating misuse of alcohol and all other substances of abuse says doctor Dalal Akoury.

Post acute withdrawal complicates recovery process: Degenerative

Having understood how regenerative PAWS works, the degenerative PAWS is the direct opposite. In this case the symptoms get worse the longer a person is sober. This may happen even when a person is going through rehabilitation to AA/NA or even when following some type of recovery program. It is regrettable to note that in many cases the people with degenerative PAWS often become relapse prone. The most devastating part of this is that at this point sobriety becomes so painful to the victims that they feel they must take it up on themselves by self-medicating the pain with the wrong substances including alcohol or drugs. The consequences of this may include the collapse physically or emotionally, or commit suicide to end the pain.

Post acute withdrawal complicates recovery process: Stability

Doctor Dalal is registering that under normal circumstances a person with stable PAWS experiences the same level of symptoms for a long period of time into recovery. There may be days when the symptoms are a little better or a little worse, but essentially the symptoms remain unchanged. Most recovering people find this very frustrating because they believe that they should be feeling better the longer they are sober. With sufficient sober time many people learn to manage these symptoms.

Post-acute withdrawal complicates recovery process: Intermittent

Finally with intermittent PAWS the symptoms come and go. At the initial stages, people with intermittent symptoms will appear to experience a regenerative pattern. That is to say that their symptoms will get better rapidly. But then they begin to experience periodic PAWS episodes that can be quite severe. It is equally important to note that for some people the episodes get shorter, less severe, and farther apart until they stop altogether while in others they occur periodically throughout life.

According to the experts at AWAREmed Health and Wellness Resource Center these patterns actually describes people who have not had treatment for PAWS and who do not know how to manage or prevent the symptoms. It is also necessary to mentioned that the traditional treatment does not address these symptoms because until recently they were unrecognized. If you know what to do and you are willing to do it, degenerative PAWS can be changed into stable, stable into regenerative, and regenerative into intermittent PAWS.

Doctor Akoury is making emphasis that the most common pattern of PAWS is regenerative and over time it becomes intermittent. From there it gradually gets better until the symptoms disappear and then it comes and goes. It therefore means that the first step is to bring PAWS symptoms into remission. This means bringing them under control so that you are not experiencing them at the present time and the ultimate goal is:

  • To reduce how often they occur
  • How long the episode lasts and
  • How bad the symptoms are.

In all these you must always remember that even when you are not experiencing them there is always the tendency for them to recur. It is therefore necessary to build a resistance against them and you can always consult with the experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Akoury for further professional guidance.

Post acute withdrawal complicates recovery process: The variances with individuals



Rehabilitating mental health coverage under Obamacare

Rehabilitating mental health coverage: When addictive health needs to be taken seriously

Rehabilitating mental health

In the new dispensation of rehabilitating mental health coverage under Obamacare, health experts must now take the lead role in ensuring that treatment is professionally done.

For quite a long time addictive health matters have not been taken seriously especially when it comes to insurance health covers. Many insurance institutions have not seen this viable for them and where cover is applicable then the premiums are often very high to the reach of a few in the society. This has been a big impediment in finding lasting solutions to alcohol and drug addiction complications. Just recently the US government introduced the now famous Obamacare which has been received with much appreciation to many. In our continued quest of posting informative blogs that are tailored towards elimination of drug addiction, we want to focus on the rehabilitating mental health coverage under Obamacare as it is commonly known. Doctor Dalal Akoury MD and President of AWAREmed Health and Wellness Resource Center has been consistent in her several decades of delivering quality health care to drug addiction patients that a medical standard of care is a very critical factor for all services provided within any health care industry. She agrees that the Obamacare, also known as the Affordable Care Act, has brought in some relief to the health sector by extending these standards to the medical areas of drug addiction rehabilitation and mental health. This has been long overdue. Nevertheless the methods of rehabilitation delivery are very instrumental and are centered on certain health care coverage. To understand these facts well, the following points will explain precisely the modern delivery methods for mental health:

Rehabilitating mental health coverage: Rehabilitation

The modern Obamacare mental health delivery system is focused on rehabilitation services. These current rehabilitation services include addictions treatment therapies and other dual treatment services which have been lucking in the past with many policies. This now makes it possible for patients to get treatment in these areas at a minimal fee and that is a significant step towards elimination of addiction.

Rehabilitating mental health coverage: Mental health

With the introduction of Obamacare, patients can now access health services provided by several institutions since the current mental health delivery services include dual diagnostic treatment plans. The mental health services may also involve in house treatment for certain addictive behaviors and various chemical addictions. Remember that in house treatment can always be delivered in a hospital setting or a structured rehabilitation center for addictions. Therefore if you have or you know of anyone who is struggling with any kind of addiction, you can be the ambassador of hope to them by scheduling for an appointment with the experts at AWAREmed Health and Wellness Resource Center so that prompt treatment action can be taken professionally.

Rehabilitating mental health coverage under Obamacare: Addictions

Drug addiction is a common and one of the most disturbing phenomenon in nearly all nations across the globe. Like for instance the U.S. population today has significant addictions treatment needs across the states and this Obamacare couldn’t have come at the right time. It is however important to note that the context of addictions include those for alcohol misuse, prescription medication addictions, and street drug addictions. Many of the in house patient disorders today include an additional diagnosis of addictive disorder. These chemical addictions affect young people today and are affecting older adults as well.

Rehabilitating mental health coverage: Therapy and treatment options

When it comes to treatment options for addictive disorders careful consideration must be taken depending on the individual special needs. The available treatment options may include in house rehabilitation providing medical care during an addiction withdrawal and besides that medical care can be necessary for an addictive personality in order for the patient to learn new coping methods. During the rehabilitation process there will be both in house individual and group therapies. Alcohol and drug support groups are also available within these treatment programs. And remember that there are usually certain treatment steps that are followed within these rehabilitation centers. The modern mental health delivery system provides more of a direct care and focused therapy for the prevalent addictions within the U.S. social network.

As we come to the conclusion of this discussion, we must also appreciate the fact that over the years there has been some medical error hitting at the forefront of several prominent health care issues. The fact is that there is a growing concern about the use of certain medications to treat incoming patients. It must be strongly noted that any errors in diagnosis can lead to the wrong treatment being delivered. Statistics also revealed that delayed care or a lab test wrongly diagnosing a patient illness have been blamed for certain subsequent medical problems in the past. It is because of such errors that have made the problem of addictions to have risen to prominence following certain results of delayed care or no care for patient disorders. The other drawback has been that of self-medication which has actually caused problem for some current medical patients who cannot receive proper care. However the modern medical delivery system has addressed some of these current problems effectively and therefore any previous illnesses are no longer an excuse for insurance companies to drop coverage for a patient says doctor Dalal Akoury.

Finally Obamacare is now directing the current medical issues relating to mental health and addictive disorders. Under this program rehabilitation and mental health have begun to unify into a dual diagnostic delivery system. Therapy and treatment options today are now considered as a dual diagnostic health care portal which involves in house treatment and therapies for addictions. Mental health is concentrating round corrective services as well. These corrections services are sending many enslaved individuals to rehabilitation services and outpatient treatment facilities. Preventive care and positive responses are both a part of Obamacare rehabilitation. Obamacare is now one of the modern avenues for rehabilitation and addictions. Under this the preventive and proactive services include individual and in house services that address the underlying issues. Lifestyle changes are stimulated and proper diagnosing and treatment of a modern addictive disorder can help to promote effective recovery. This has been quite a relief for many and therefore we must all join in to bring this scourge to its knees by scheduling for an appointment with the experts from AWAREmed Health and Wellness Resource Center for further professional advice.

Rehabilitating mental health coverage: When addictive health needs to be taken seriously