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What Is Motivational Enhancement Therapy?
Change takes effort and work. It doesn’t happen overnight and it’s not necessarily linear with plenty of ups and downs along the way.
Because of this and other factors, it can be difficult for people to stay motivated and to see the treatment through.
While the goal of any therapeutic effort is to produce a change in a person, if a person isn’t motivated it can become a profoundly difficult and sometimes even fruitless endeavor.
That’s where something like motivational enhancement therapy (MET) can be a gamechanger.
But what is motivational enhancement therapy?
What Is Motivational Enhancement Therapy?
Motivation is a common problem for a lot of things in life. Getting going and being invested in something, even if it’s a clear net positive, takes dedication. Quite frankly, sometimes it’s just tough for people to get there.
Addiction specialists and treatment centers have come to understand this and now actively work to build that motivation with MET.
As the National Institute on Drug Abuse (NIDA) puts it like this:
Motivational Enhancement Therapy (MET) is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use. This approach aims to evoke rapid and internally motivated change, rather than guide the patient stepwise through the recovery process. This therapy consists of an initial assessment battery session, followed by two to four individual treatment sessions with a therapist. In the first treatment session, the therapist provides feedback to the initial assessment, stimulating discussion about personal substance use and eliciting self-motivational statements. Motivational interviewing principles are used to strengthen motivation and build a plan for change. Coping strategies for high-risk situations are suggested and discussed with the patient. In subsequent sessions, the therapist monitors change, reviews cessation strategies being used, and continues to encourage commitment to change or sustained abstinence.
In a very specific study used to find out the helpfulness of motivational enhancement therapy on those with an alcohol use disorder and hepatitis-C, it was found that MET appeared “to increase the percentage of days abstinent in patients with chronic hepatitis C, alcohol use disorders and ongoing alcohol use”.
Why Is Motivational Enhancement Therapy Used in Addiction Treatment?
MET is used because on a basic level it takes motivation to get motivated and then to use that motivation to truly commit to a full-scale change in your life.
Motivational enhancement therapy isn’t itself a treatment for addiction but rather a complementary tool that aids in the effectiveness of a rehab program.
A manual published by the National Institute on Alcohol Abuse and Alcoholism lays out basic principles of the MET approach, which serve to explain why it’s used:
Express Empathy
Motivational enhancement therapy is about understanding and “listening rather than telling”. It’s not pushing anyone towards anything.
Develop Discrepancy
As the manual puts it, “motivation for change occurs when people perceive a discrepancy between where they are and where they want to be”. It’s only when you see this divergence that you can make a change.
Avoid Argumentation
Arguing can lead directly to defensiveness and ultimately resistance to change and “when MET is conducted properly, the client and not the therapist voices the arguments for change”.
Roll With Resistance
Resistance in many ways is part of the process of rehab and changing one’s habits. The idea with MET is for the counselor or therapist to not meet resistance in a combative way but rather to take it in stride with the intention of shifting the patient’s perspective and perception.
Support Self-Efficacy
On a basic level, this is about encouraging someone with a substance use disorder to believe in themselves and their internal power to change.
These principles are the building blocks of motivational enhancement therapy and why it’s used as a powerful tool in treating addiction.
It’s certainly something we employ at Valley Recovery Center at Agua Dulce, to learn more about this type of motivation and why it’s so helpful, give us a shout.
Why You Should Consider Alcohol Detox Centers in California
Alcohol is among the most widely accepted addictions you can find in the United States, it’s just utterly normalized.
For some, it remains an occasional, but controllable, habit. One that they can quit or cut back on without much effort or stress.
We can call those the fortunate ones.
For others, like with drug addiction, there’s a line that gets crossed where alcohol takes control and dictates what happens each day. It’s known as an alcohol use disorder (AUD) and it affected 14.1 million adults over the age of 18 in 2019 according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA).
AUD exists on something of a spectrum or continuum from mild to moderate to severe and the more severe the case of alcoholism the more dangerous it becomes, particularly in relation to detoxing.
What Are Alcohol Detox Centers in California?
Alcohol detox centers in California are exactly what they sound like; specialized facilities where you can detox from alcohol under the counseling and supervision of trained medical professionals.
Detox is truly the very first step on the road to recovery. Addiction to anything, be it alcohol or drugs, is both physical and mental but to be able to work on the mental side you first need to break the physical addiction.
That’s what detox is all about.
At an alcohol detox facility you’ll be guided safely through the process of ridding your body of toxins. In some cases, for more severe addictions, it’s possible to take medication to assist with the detox process. Utilizing medications can lessen the cravings and help to alleviate, mitigate and take the edge of the harsher withdrawal symptoms.
Medications like naltrexone, an FDA-approved option that can be incorporated into the treatment itself after detox, reduce cravings and help with maintaining sobriety.
Why You Shouldn’t Detox from Alcohol Alone
If your addiction is on the serious side and your body is essentially fully dependent on alcohol to function, detoxing on your own can be particularly dangerous. That danger is compounded dramatically if you attempt to quit cold turkey and basically yank the rug from under your body.
Moreover, with intense and prolonged alcoholism you also run the risk of encountering a severe form of withdrawal known as delirium tremens or DTs. DTs are marked by “profound confusion, autonomic hyperactivity and cardiovascular collapse” which can ultimately be fatal.
While only 3% to 5% of those with severe alcohol go through this, the mortality rate is over 35%.
Even if your alcohol use disorder is milder though, going it alone represents an uphill battle.
Withdrawal is never easy or pleasant, no matter the level or degree of your alcohol use disorder. If you’re alone, that discomfort can grow unbearable to where it can feel like the only solution is just downing some drinks to quiet the storm brewing inside.
Critically, being by yourself through this process means you also lack a proper support system or network of people to lean on. Something that goes a long way when working through withdrawal symptoms.
And, of course, detox isn’t treatment and it isn’t recovery. You can be fooled into thinking that getting the alcohol out of your system means you’re good to go but the underlying causes of your alcoholism remain untouched which means a quick relapse is more than likely.
What to Do After You Go to an Alcohol Detox Center
After detoxing in a dedicated facility staffed with medical professionals, it’s time to take the next big step on the road to sustained sobriety: rehab.
Fortunately, treatment for alcoholism is something we focus on at Valley Recovery Center at Agua Dulce and it’s something you can transition to straight from our detox program. Reach out to us today to learn more about our detox program and how we can help you achieve lifelong sobriety.
Is Quitting Xanax Cold Turkey Dangerous?
Quitting any drug cold turkey comes with some degree of discomfort but with Xanax that discomfort can turn into a very serious medical issue.
Stopping in an instant and doing it without proper supervision or guidance carries the risk of seizures, psychosis and more.
So, is quitting Xanax cold turkey dangerous?
Yes, it is.
Nonetheless, it is doable but the risk and agony are hardly worth it when detox and withdrawal under the supervision of medical professionals can mitigate all the dangers to such a great extent.
The recommended course of action for freeing yourself from the clutches of Xanax – and the entire benzodiazepine family of drugs – is to taper off the dosage slowly with the support and planning of addiction experts.
What Is Xanax?
Xanax, the brand name for alprazolam, is a benzodiazepine “used to treat anxiety disorders and panic disorder…It works by decreasing abnormal excitement in the brain” according to the National Institutes of Health (NIH).
In other words, it’s a sedative.
Incidentally, if you click the link above, you’ll notice an extensive and lengthy warning about Alprazolam before you see any information about the drug itself.
The most important section for our purposes is this:
“Do not stop taking this medication or take fewer doses without talking to your doctor. Stopping alprazolam suddenly can worsen your condition and cause withdrawal symptoms that may last for several weeks to more than 12 months. Your doctor probably will decrease your alprazolam dose gradually”
Despite the dangers, the abundance of those suffering from anxiety and panic disorders in America has made Xanax “the most commonly prescribed psychotropic medication in the United States” as per the NIH.
The National Institute on Drug Abuse (NIDA) found that from 1996 to 2013, “the number of adults who filled a benzodiazepine prescription increased by 67%”. In 2013 alone, 48 million prescriptions were dispensed.
Why Is Xanax Addictive?
In scientific terms, “benzodiazepines [Xanax] bind to the GABA-A receptor… The major inhibitory neurotransmitter GABA, when bound to the GABA-A receptor, mediates the calming or inhibitory effects of alprazolam on the human nervous system”.
In layman’s terms, Xanax slows down brain activity and helps calm you, which is why it’s known as a central nervous system depressant as well as a sedative.
Worth noting that this is also why mixing benzos like Xanax with alcohol can be catastrophic, the two depressants intensifying the effects of each other dramatically – potentially even leading to death.
Aside from the ability to live free from anxiety and panic, the addictive nature of Xanax is owed largely to the release of dopamine in the brain. You get addicted to the rush of “feel-good” chemicals – the reward – and once you build a tolerance, you naturally begin to crave more and begin taking higher doses.
Is Quitting Xanax Cold Turkey Dangerous?
This of course brings us back to the main question, is it dangerous to stop taking benzos, Xanax specifically, abruptly.
It very much is.
Withdrawal symptoms from Xanax span quite a range and can be extremely intense for some.
- Panic and anxiety
- Shaking
- Sweating
- Seizures
- Grand mal seizures (aka tonic-clonic seizures which are characterized by intense muscle spasms and loss of consciousness)
- Delirium
- Hallucinations
- Psychosis
- Muscle aches
- Hyperventilation
- Insomnia
- Depression
To say withdrawal can get uncomfortable is an understatement.
Therefore, the first step and safest step towards quitting Xanax is to do it under the care and supervision of experts who not only will develop a systematic and individualized plan for tapering your dosage (if that’s what’s best for you) but will also walk you through it and be there with you every step of the way.
Learn more about overcoming a Xanax addiction by reaching out to us at Valley Recovery Center at Agua Dulce.