Tag Archives: Substance dependence


Nutritional Intervention For Substance Use Disorder (SUDs)

Evidence-based nutritional treatment interventions should be initiated for all patients referred to specialty care treatment of SUDs

SUDsSubstance Use Disorders (SUDs) alternatively called drug addiction has long kept the focus of scientists and other medical practitioners. Once a person has been become an addict, quitting addiction become s are really difficult decision to make. Surprisingly many of the drug addicts for once in their life time do gather the courage and will power to quit substance abuse. Once a decision is undertaken, choosing the right addiction option is really important. These individuals have mostly got only one shot at recovery because there is no guarantee that they will be able to have such high motivation to quit again ever in their life. Unfortunately it has been seen that people have tried quitting but they ended up with a treatment option that wasn’t suitable for their needs. That’s where Evidence based treatments come into play.

The foremost requirement for people in order to make the best choice for addiction treatment is their access to reliable information. Specifically they should be provided with some evidence that how a treatment performs, and how it had helped people having similar symptoms and severity of addiction. They also need to know if the treatment had worked for people who were addicted to one type of substance or multiple drugs. This is exactly what evidence based substance abuse treatment refers to. Every addict is different so are their treatment requirements, in evidence based treatment an addiction specialist tailors a treatment option to make sure that his client gets the best available resources present at their disposal. Despite noteworthy advancement in improving the evidence base for SUDs treatments, only a portion of the spectrum of care for SUDs is validated by the most thorough evidence in the current scientific literature.

Evidence for substance use treatment (SUD) can be divided into different levels which include:

  • Level 1: The evidence that is gained through true experimental design such as clinical trials that includes some randomization.
  • Level 2: This evidence comes from a quasi experimental design that does not include randomization.
  • Level 3: This level indicates those treatments that have been decided on the basis of consensus between most of the professional community.
  • Level 4: Evidence gained through literature reviews and publications.
  • Level 5: The last level of evidence based treatment includes personal experiences by other addicts related to a certain treatment option.

Evidence based treatment is an integrative approach; it does not only rely on medication or only behavioral counseling. This integrates multiple aspects of medication, psychotherapy and even nutrition. It is a great misconception that medication and psychotherapy is enough of a treatment combination for substance use disorders neglecting the fact that how important a role nutrition plays in over all wellbeing of an individual. It is now stressed upon at most forums that evidence-based nutritional treatment interventions should be initiated for all patients referred to specialty care treatment of SUDs. It is important to get a nutritionist on the panel while treating SUDs and the role played by dietician in treating substance abuse is very important but often had been eliminated from the patient’s long term recovery process. Nutrition therapy is a complex procedure as the risks vary considering the substance of choice and some negative overall conditions such as poor support from the family, other co occurring mental disorders and sometimes financial instability.

Proper balanced diet and hydration are tantamount to the substance abuse healing process because they help in restoring physical and mental health and improve the chance of recovery. While a person is suffering from SUDs, their eating habits are usually disturbed, they often eat a lot or too less and even if they eat well enough, their diet lack certain nutrients that are required for proper functionality of human body. Another explanation for lack of these nutrients is that they are depleted from the body due to drug abuse. These macro- and micronutrient deficiencies can directly lead to symptoms of depression, anxiety, and low energy, all of which can force someone who already has a tendency for addiction to start using drugs or alcohol or trigger a relapse.

There are multiple programs and courses that aim at substance abuse prevention and concentrate on nutrition as well because a healthful lifestyle can promote mental health and that too for people who have been involved in substance abuse over a number of years prior to treatment. For those who are fighting substance abuse, diet tends to play the same important role in sustaining recovery while also improving the resulting health conditions and deficiencies.

Nutrition can help an addict in many ways. Substance abuse leads to vitamin and other essential mineral deficiencies that damage physical and mental health, vital organs, nervous system, and also been known to decrease immunity. Drugs and other psychoactive substances have been found to have detrimental and toxic effects on brain’s chemistry; this toxicity could lead to psychiatric problems. Balanced diet having enough carbohydrates can greatly remediate the damage that has been done to the reward and survival pathway of the patient. A stable blood sugar can also help avoid craving and irritability.

There are innumerous other benefits an evidence based nutritional intervention can offer to a substance abuser. It is safe to say that excluding nutrition therapy from treatment options can greatly reduce the treatment efficiency. There are multiple other aspects of this integrative approach that require further discussion. We are proud to announce that we have tried to bring health professionals, psychologists, and other stake holder in this area over one platform through our “Integrative Addiction Conference”. If you are somehow affected by any of the consequences of the above mentioned addictions or you are an expert on evidence based treatments of addiction, we warmly invite you to register with us on the link below and share your valuable views with us thus helping us build an integrative approach towards addiction treatments. The link is as follows: http://integrativeaddictionconference.com/


Dealing with the minds perception about cocaine addiction

Dealing with the minds perception about cocaine addiction: Coping with craving of cocaine (part two)

Dealing with the minds perception about cocaine addiction

In our part one of this series of articles about the cognitive behavioral approach of treating addiction, we had highlighted some of the areas to focus on as listed below and we were able to explore on the first one i.e. understanding craving. You can actually make reference on that as we progress but for the purpose of this article we want to continue from where we left and see how best we can describe craving which is one of the biggest elements when it comes to solving the problem of addiction. Our team of experts from the home of addiction solutions (AWAREmed Health and Wellness Resource Center) under the able leadership of doctor Dalal Akoury who is also the founder of the facility, we want to explore on the possibilities of dealing with the minds perception about cocaine addiction with a view of finding lasting solutions to the scourge of addiction.

Dealing with the minds perception about cocaine addiction: Describing craving

Having understood what cravings is our next point would be to get the essential sense of the patients’ experience of craving. This can be very broad and may include having the knowledge about the following information.

What is craving like for you? – Doctor Akoury says that cravings or urges as it is commonly known is experienced in many different of ways by different patients. Like for instance an individual could say, the experience is primarily somatic that is to say, a patient would just get a feeling in the stomach or the heart races or just start smelling the element being craved for. For others, craving is experienced more cognitively; like for example one would say that “I need it now” or “I can’t get it out of my head” or “It calls on me.” Or it may be experienced effectively; for example, “I get nervous” or “I’m bored.” Depending on your individual experience, it is important that when seeking for help, you let your therapist know your experience with craving, this way they will be able to get to the roots of the problem and offer solutions effectively.

Are you bothered by craving? – There is tremendous variability in the level and intensity of craving reported by patients. For some, achieving and maintaining control over craving will be a principal treatment goal and take several weeks to achieve. Other patients deny they experience any craving. Gentle exploration with patients who deny any craving especially those who continue to use cocaine often reveals that they misinterpret a variety of experiences or simply ignore craving when it occurs until they suddenly find themselves using. Other, abstinent patients, who deny they experience any craving often, when asked, admit to intense fears about relapsing.

How long does craving last for you? – In this journey doctor Akoury says that to make the point about the duration and nature of craving, it is often very important for professionals to point out to their patients that they have rarely let themselves experience an episode of craving without giving in to it.

How do you try to cope with it? – Getting a sense of the coping strategies used by patients will help the therapist identify their characteristic coping styles and select appropriate coping strategies.

Dealing with the minds perception about cocaine addiction: Identifying triggers

The next point to focus on would be the identification of the triggers to the substance of abuse. It is important that therapists should work very closely with their patients to develop a comprehensive list of their own triggers. Some patients become overwhelmed when asked to identify cues. From experience doctor Akoury says that when handling addicts, you will notice that someone may even associate breathing with cocaine use. Again, it may be most helpful therefore to concentrate on identifying the craving and cues that have been most problematic to the patient in recent weeks. This should commence immediately during the therapy session and this should include self-monitoring of craving so that patients can begin to identify new and more subtle cues as they arise.

Dealing with the minds perception about cocaine addiction: Avoiding cues

When considering the avoidance of cues it is always advisable that you keep in mind the general strategy of “recognize, avoid, and cope.” These strategies are particularly applicable to craving for all substances and not necessarily cocaine. Doctor Akoury says that real experts would first identify the patients’ most problematic cues then make an exploration of the degree to which some of those could be avoided. This will come with certain sacrifices including breaking ties or reducing contact with individuals who use or supply you with cocaine, getting rid of paraphernalia, staying out of bars or other places where cocaine is used, or no longer carrying money, as in the following example:

Finally in dealing with the minds perception about cocaine addiction one needs not to let any stone unturned. I am saying this because we are all aware that cocaine is an illegal substance but other substances like alcohol which are legal can form a perfect avenue for the consumption of cocaine without being noticed. Besides that the ability to pay for the substance is another point of consideration. When the financial strength allows users to access cocaine could easily form a solution in an alcoholic drink. Therefore experts from AWAREmed Health and Wellness Resource Center recommends that for any meaningful treatment to be realized, therapists and other professionals in the line of substance abuse must spend considerable time exploring the relationship between alcohol and cocaine with patients who use them together to such an extent that alcohol becomes a powerful cocaine cue. Specific strategies to reduce, or preferably, stop alcohol use should be explored. We appreciate that doing this may not be easy for many people and that is why doctor Akoury will be readily available on call for you to schedule for an appointment so that any pending or unclear issues relating to addiction can be attended to professionally.

Dealing with the minds perception about cocaine addiction: Coping with craving of cocaine (part two)



Inpatient medical detox facility appropriate for healing addiction

Inpatient medical detox facility appropriate for healing addiction: Choosing the best

Inpatient medical detox

AWAREmed Health and Wellness Resource Center is an Inpatient medical detox facility appropriate for healing all your addiction related complications.

The frustrations that are associated with alcohol and drug addiction can make one to jump into conclusion without really getting the facts correctly. It is true that when one is struggling with any kind of addiction, treatment is very necessary and detoxification is very instrumental in laying the foundation for proper treatment. The challenge that many people often have includes that of identification of the right experts for the job. It is important to note that when the right choice is not made from the beginning, then the whole process is likely to be even more frustrating, demoralizing because the desired objectives may not be realized. In our previous article we did mentioned that detox is very important for individuals suffering from alcohol and drug abuse. We also noted that for this to be done effectively, certain protocols must be observed. In view of this and so that we avoid making costly mistakes, we want to focus the discussion of this article on identifying the right inpatient medical detox facility because it is emerging that not all that glitters is not gold. Many inpatient facilities are business oriented and are focusing more on the financial returns than the key objective of transforming lives. To that effect, doctor Dalal Akoury who is an addiction expert of several decades and also the founder of AWAREmed Health and Wellness Resource Center is going to help us in unlocking the facts about what we must look for, and questions we must ask to get value for our money and eventually free ourselves and loved ones from the scourge of addiction.

To start us off, doctor Akoury is highlighting certain things to ask for before going to an inpatient medical detox facility. She says that it is very important that anyone seeking medical detox at an inpatient facility should ask the following questions and must ensure satisfactory responses from the people concerned:

  • What is the medical protocol for the substance from which the person will be detoxing?
  • Enquire of to know about changes if any that will be made to the medical protocol if the patient reacts differently to the withdrawal than earlier expected?
  • What is the length of time like for instance does the facility offer 24-hour medical supervision?
  • Trace the statistics of the facility and find out what percentage of people who start a medical detox that actually completes it?
  • What is the estimated time required for the detox requested?
  • Will the person leave the medical detox facility on new drugs?
  • Can the person walk outside and what is the surrounding environment like security wise in terms of availability of potential triggers?
  • Enquire if the facility has some prohibitions like are there any restrictions on smoking, watching television, making telephone calls, eating meals and internet access?
  • Assess the level of privacy within the facility. That is to say does the person have a private room?
  • Read wide and find out for yourself about the experiences your predecessors have. Find out what are the comments of former patients about their experience at the facility?

There are a lot one will need to find out and this is just a pointer to the approach one should always take in identifying the right inpatient medical detox facility. Depending on the way you the above is responded to, you can carry out a self-evaluation on the suitability of the facility.

Inpatient medical detox facility appropriate for healing addiction: The AWAREmed Health and Wellness Resource Center experience

If these questions were to be directed to us at AWAREmed Health and Wellness Resource Center, we would answer these questions in the following way to help you stick with professionalism and assurance of delivery of results that are not only timely but are also going to last for a life time:

  • The AWAREmed Health and Wellness Resource Center protocol includes not only the standard medical handlings but also hydration, vitamins, minerals and good food. This gives us the zeal to deliver on our objectives effectively.
  • AWAREmed Health and Wellness Resource Center offers 24-hour medical supervision is continually monitoring the patient’s progress and frequently will adjust the rate of the patient’s taper in accordance with the comfort and safety of the patient.
  • AWAREmed Health and Wellness Resource Center has a more than 90% completion rate of people who start their medical detox at our facility.
  • Generally, people can complete their detox in from six to eight days and even very high doses of opioids can be detoxed in less than fourteen days.
  • The person will not leave on additional drugs.
  • AWAREmed Health and Wellness Resource Center is on 3.25 treed acres and our patients regularly take walks or sit outside.
  • AWAREmed Health and Wellness Resource Center has designated smoking areas but our patients are free to smoke at any time. They have a television in their room. They have a phone in their room and there are no restrictions on cellphone usage. They have internet access and the food is rated as excellent by patients.
  • Each AWAREmed Health and Wellness Resource Center patient has his/her own private room.
  • There are patient comment forms available for review.

Do we know that if you come to AWAREmed Health and Wellness Resource Center you will not revert to using the substance from which you detoxed? Absolutely No, however what we can associate ourselves with is that almost all of our patients complete their medical detox and that their testimonies keeps us to be among the leading addiction solution providers in the global market. We are actually not a shame to note our team of experts have impacted positively to all our clients both at the present and in the past thereby making all patients who have passed through AWAREmed Health and Wellness Resource Center feeling better than they have in years before. This is what we take pride in and we would wish to request you not to stay with your problem in silence, remember that a problem share is half way solved. Therefore if you or anyone you know is struggling with any kind of addiction, then you have an opportunity of regaining your life back by scheduling for an appointment with doctor Dalal Akoury today.

Inpatient medical detox facility appropriate for healing addiction: Choosing the best




The pain of addiction

Keeping hopes alive during rehabilitation

Keeping hopes alive during rehabilitation: Do not give up help is on the way

Keeping hopes alive during rehabilitation

Addiction to drugs is not the end of life keeping hopes alive during rehabilitation will help you regain your life back.

The encouragement I want to pass to all people who may be going through hardship due to alcohol or drug addiction, whether directly or indirectly is that there is hope for everyone and there is help with the right experts like professionals from AWAREmed Health and Wellness Resource Center and finally there is healing for those who seek for help by calling doctor Dalal Akoury MD. Doctor Akoury is a veteran addiction expert and has been of great help to very many people across the globe for well over two decades now. She founded this health facility (AWAREmed Health and Wellness Resource Center) with a sole aim of making a positive impact on the lives of people who are losing hope of ever recovering from their addiction to various substances. Keeping hopes alive during rehabilitation and even before you are enrolled into a rehabilitation program is very helpful as it gives you the will to push on no matter the ups and downs along the way. Therefore as we progress into this discussion, if you are struggling with any kind of addiction in your life, or if you know of a friend, relative, colleague whether at workplace, in schools, collages of higher learning or in your place of worship, you can be the bridge through which they will get their addiction solutions by calling doctor Dalal Akoury on telephone number 843 213 1480 to schedule for an appointment either for yourself or on behalf of your friend. Up on doing that doctor Akoury will gladly attend to you professionally and evaluate your individual conditions before putting you on the right recovery program and by the end of it you will have your life back and enjoy it to the fullest.

The consequences of using alcohol or other illicit drugs by a friend or family member and other people who are close to us can actually leave us with many unanswered questions. Because of these pending concerns like for instance being unable to understand what is happening and developing the feeling like you are being pushed beyond the limit and that you are living on an emotional rollercoaster can actually give you the incentive of losing hope and even giving up the fight all together. In fact as this habit continues from one lever to another, you are likely to find yourself struggling with a number of painful and conflicting emotions, including guilt, shame, fear and self-blame. Looking at a loved one get lost into drugs can be very painful, take for instance this victim was the bread winner with several dependents her or she was taking care of, if he or she is sinking in the pit of addiction his dependents and people around him or her can and will definitely become frightened, frustrated, scared and angry. While I am agreeing with you that the frustration can be overwhelming at times, keeping hopes alive during rehabilitation is very healthy as this will give both the victim and the caregiver the will power to keep moving even when the victim relapses several times along the way.

Keeping hopes alive during rehabilitation: Do not give up there is help

We are not going to get tired by repeating the fact of keeping hopes alive during rehabilitation because we understand the significance of doing so and not doing so. Alcohol and substance abuse is no respecter of persons. Doctor Dalal Akoury is making emphasis that just like any other chronic disease, addiction to alcohol and other substances affects people of all ages regardless of their social status in the society, the strength of their income, educational background, country of origin, ethnicity, sexuality, and or community where they live. Anyone can become addicted to alcohol and drugs and anyone can be affected by another person’s addiction especially friends and family members. As a matter of fact, experts have estimated that more than 23 million people over the age of 12 in America alone are addicted to alcohol or drugs. As a friend or family member this may sound very scary but be rest assured that we are not passing this information to scare you in anyway. Ours is to reassure you that irrespective of what is happening around you and your family, you are not alone. Doctor Dalal Akoury and her team of experts from AWAREmed Health and Wellness Resource Center will not hesitate to come to your aid if only you can schedule for an appointment with the home of addiction solutions through doctor Akoury today.

At this facility (AWAREmed Health and Wellness Resource Center) we professionally offer a range of services including helping individuals and family members to regain their potential in the society by putting them into recovery programs that are tailored for their specific needs. Therefore if you are concerned about your own alcohol or other drug use or that of someone you care about a child or other relative, a friend or co-worker, with great humility I want to beseech you to make the bold step of contacting the experts at AWAREmed Health and Wellness Resource Center. You will be able to speak to someone who will listen, assess your needs and provide you with all the relevant information about available services, costs and how to deal with another person’s alcohol and or drug use.

Keeping hopes alive during rehabilitation: The damages of alcohol and substance abuse

For family and friends you have seen and felt the negative effects and damage done by alcohol and drugs. In some ways, your awareness and understanding of the damage being done is far greater than the person who is actively drinking or using. By virtue of your relationship, you can see the changes and consequences as they are taking place physically, emotionally, socially, financially and legally. Addiction, without treatment and recovery, can and will literally tear families apart and destroy strongly bonded friendships. But, you can be part of the solution. Doctor Akoury will help you in all the way to make a difference but remember that even though you need to get the knowledge adequately about alcohol and drugs, but this knowledge may not be helpful if it is not applied appropriately, it is no wonder experts say that there is no question that gaining a greater understanding of alcohol, drugs and addiction will help you to better handle the situation. What that means is that for families and friends it is important to recognize your own feelings and reactions when dealing with a loved one who is abusing alcohol or using drugs. It actually it is useless to be in denial or minimize the problem. Face the problem head on because the fact is those who confronted their addicted family members with a view of helping them find solutions are always achieving much more success in getting them into admitting that they have a problem which needs to be fixed. This acknowledgement is a serious breakthrough because the next step would be that they will consent to enrolling in a rehabilitation program. So don’t give up in keeping hopes alive during rehabilitation process says doctor Dalal Akoury.

Keeping hopes alive during rehabilitation: Do not give up help is on the way



Workplace addiction and the impact on the economy

Workplace addiction and the impact on the economy: The focus of alcoholism

workplace addiction

Keeping in solidarity to reduce the impact of alcohol and workplace addiction

We are not living in isolation and so we are able to see what is happening around us. A lot of good things are happening and a midst those good things, bad ones also happen. It is healthy to associate with a working society and it is very much comforting and productive to belong and even take active roles in the development of your society. This is often done in very many ways including self-employment and labour employment where you offer services to an organization and you are reworded for the services rendered. All these takes place within a given work environment commonly known as the office which can either be private or public. One of the most devastating things that can happen in a work station is the involvement of employees in addictive substances which often leads to workplace addiction. This does not only impact negatively to the organization but also to the health of the individual users of those substances. The cost of this habit at workplace can be very heavy on both the organization and the individual employee and to help in reducing the cost, we want to focus this discussion on the “the impact of alcohol and drugs at workplace.” We earlier spoke to the experts at AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury MD and also the founder of the establishment. They are therefore going to help us understand some of the impact of alcohol and drugs at workplace. This is very important for both the employee and the employer and I want to request you to keep on the link even as we bring this discussion to its logical conclusion.

Even though this is a common problem across the globe, we are going to take the USA as our point of reference throughout the discussion. Doctor Akoury is registering that from the various studies conducted by experts in the recent past, it was estimated that out of millions who hold full time employment in the United States, a staggering population of about fifteen million are heavy drinkers of alcohol thereby exacting a high cost on work organizations primarily because employees who drink a lot are often absent themselves from work, they also suffer from persistent health complications, and are at a greater risk of harming themselves and their colleagues as well.

Workplace addiction and the impact on the economy: Direct and indirect problems of alcohol and drugs

According to the experts at AWAREmed Health and Wellness Resource Center the significance of alcoholism and drugs in work environment are many and can be classified in four major areas of greater concerns as follows:

  • Premature death as a result of fatal accidents
  • Increased injuries and accident rates
  • Absenteeism or absconding work occasioned by extra sick leave
  • Loss of production as a result of a weak work force.

The four mentioned above are the major issues that come with the problem of alcoholism and substance abuse in our work stations; however that is not the end of the complications. The other additional problem areas that are associated with alcoholism and drug addiction at workplace may include:

  • Tardiness and consistency in sleeping on the job
  • Theft
  • The cost of poor decision making
  • Loss of efficiency
  • Lower morale of co-workers particularly those who are not drinking because they will have to work extra to cover for their weak colleagues
  • Increased likelihood of having trouble with co-workers, supervisors or tasks
  • Higher turnover
  • Training of new employees
  • Disciplinary procedures

Workplace addiction and the impact on the economy: Where it hurts the most

Doctor Akoury is registering that even though the effects of alcoholism and drug addiction can affect and be felt in any industry and any organization irrespective of the size whether big or small; workplace alcoholism is especially prevalent in certain establishments and these particular industries may include the following:

  • Food service
  • Construction
  • Mining and Drilling
  • Excavation
  • Installation, maintenance and repair

This article is only meant to give guidance and therefore by mentioning some key industries it does not necessarily mean that is actually what happens. Various organizations including the sectors mentioned herein have put in measures that curbs down on the effects of alcoholism and drug addiction at workplaces says doctor Dalal Akoury. As we continue into the discussion, it is very important that before we bring this section to its conclusion, we need to appreciate that this habit hurts the most in two specific ways. The two specific kinds of drinking behavior that significantly contribute to the level of work-performance problems include:

  • Drinking right before commencement of working hours or during working hours and that includes drinking during break times like at lunch and at company functions.
  • The second way is drinking heavily the night before resumption of work the following day. This is commonly characterized with hangovers and even feelings of dizziness during working hours the next day.

Finally in this article we have mentioned alcohol quit repeatedly and that doesn’t necessarily mean that it is only the alcoholics who can generate problems in the workplaces. That is a myth which must be ignored because from the research findings it has been demonstrated that the majority of alcohol-related work-performance problems are associated with nondependent drinkers who may occasionally drink too much not exclusively by alcohol-dependent employees.  And besides, family members living with someone’s alcoholism also suffer significant job performance related problems- including poor job performance, lack of focus, absenteeism, increased health-related problems and use of health insurance

And now in conclusion the problem of alcohol and drug abuse is genuinely unproductive in our workplaces. This must not be allowed to continue and therefore we want to offer you as employers and employees across the globe, that you can regain your high level of productivity by seeking for professional help from the home of addiction solutions. I am talking about you scheduling for an appointment with doctor Dalal Akoury today for your organization or just as an individual. When you make that bold step, doctor Akoury will come in and take you back to your much desired level of productivity by offering the best and timely treatment for your employees while exercising high standards of professionalism. So don’t hesitate to call us today.

Workplace addiction and the impact on the economy: The focus of alcoholism