When I was in the ER because of a ptsd episode or whatever they wanted a sample for a pregnancy test and I was like no I am not pregnant, literally no chance, please don’t waste time running the rest just get me out of here and the doctor was mad at me she straight up snapped that they have to because if they gave me medicine it could hurt the baby if I was pregnant and it didn’t matter what I said because I couldn’t actually be sure, when I said I was gay and never had straight sex she was like well then just do it anyway. Turns out, when I got my discharge papers, they tested me for drugs and not pregnancy as far as I could tell. Thanks guys, least helpful hospital visit of my entire life

Everything Was White: Part 5

Part: [1] [2] [3] [4] 

read on [ffnet] / [ao3]

---

Danny looked up to see all eyes on him. Oh, right. He was in family therapy. Or, kind of family therapy. Jazz wasn’t here. Apparently Danny would be too overwhelmed if there were more than two of his family members in the same room with him in the hospital, so Jazz was left to fend for herself in the wilderness that was Casper High. Danny didn’t really care either way. After all, Jazz would just cry and try to pick apart his feelings in front of his parents, which was something he wanted to avoid, thank you very much. It was bad enough she had to do it at all. Danny wasn’t opposed to saving himself from that potential disaster.

“What?” Danny said.

“How are you feeling about being transferred to outpatient next week, Danny?” his therapist asked, tapping her slender fingers against the sleeves of her emerald shirt.

“Fine.”

She nodded as though he just poured his heart out to the audience. “Thank you. And you, Jack? How do you feel about Danny coming home next week?”

Jack looked down at his lap. When he spoke, his tone was soft. “I’m happy that he’s finally going to be coming home. But…”

“But?” the therapist prompted.

“But I’m worried. Obviously.”

“Why are you worried?”

A wry smile appeared on his lips. “I just love my family too much. When they’re hurting, I worry for them. It’s my natural response as a parent.”

“What about for Danny specifically? What about him moving home worries you?”

Jack’s smile fell, and he was silent for a moment, his gaze never leaving the blue carpet below him. “I’m worried because...I don’t want to do anything that will cause Danno to panic. I don’t want to hurt him. And I feel...I know I’m not the most observant guy around, but this is a whole new territory. And I’m not just talking about the...I mean, it’s just everything . There’s so much I don’t know. I want to know, and I understand why I don’t, but I love you too much, kiddo. I don’t want to hurt you. You mean the world to me.”

Beside him, Maddie started sniffling. Jack wrapped an arm around her, rubbing her shoulder like he did every family therapy session. He grabbed a tissue box and handed it to her.

“And Danny? Would you like to say anything as a response?” the therapist asked.

No. What he wanted to do was go take a nap.

“Uh…” Danny licked his lips. Keep it short. Practice it in your head before you say it. You can do it, just say the sentence. “I...I’m sorry if you—uh, you feel um...I’m okay. I’m fine. I—I’ll be okay.”

Goddamnit. Shit. Shit. He couldn’t even get through the sentence. He refused to make eye contact with his family, not wanting to see the anxiety-ridden expressions of his parents because he was supposed to be getting better in inpatient but he still couldn’t get through a simple “I’m fine” without stumbling around like a drunken barhopper.

“Danno, you don’t have to be strong for us. We’re your parents.”

“I’m fine, though.”

The therapist lowered her clipboard. “It’s okay, Danny. This is a safe area.”

This was so dumb. Why was he here again? He could be asleep. “Okay?”

“You seem unsure. Why is that?”

“No, no!” Danny held up his hands. His plan to fly under the radar was imploding by the second. “I—uh, I know. It’s just...It’s just I’m fine. You know? It’s—okay, uh, yeah…”

“Okay, Danny.” The therapist shifted her gaze. “Maddie? Would you like to communicate with us how you feel about Danny coming home next week?”

“Um.” Maddie sniffed, dotting her red-rimmed eyes with a tissue. “I’m very relieved. It’s been so long since Danny’s been home. So, so long. I just...I feel like my life’s been put on hold and I’m so relieved that he’s finally coming home. I’ve missed him so much.”

Danny squirmed in his seat, diverting his eyes away from his mom.

“But I’m also so worried. He’s only been here a few weeks and—oh, Danny, I’m so sorry—but I’m concerned he’s not ready to come home. He...you…”

“What’s that?” the therapist prompted.

Maddie crumpled the tissue in her fingers. “It’s about Danny’s incident yesterday. The one in class? It just makes me so worried about him going back to Casper High because...well…”

Nope. No. He was not getting into this right now.

Trying to keep the irritation out of his voice, Danny grounded out, “I know.”

The therapist quirked her brow at Danny. “Yeah? What’s going on, Danny?”

“Nothing.” Danny tightened his fists. “It was nothing.”

“It wasn’t nothing, sweetie. You got very ill during class yesterday, which was very similar to when you got ill at Casper high. And honestly, it makes me very nervous about you coming home so soon,” Maddie said.

Danny felt his cheeks heat up. He crossed his arms and slumped down in his chair, looking anywhere but at the people in the room. He almost wanted to open his mouth and tell everyone off for forcing him to be here because he really didn’t want to deal with this right now and please for just one day couldn’t he not deal with his emotions? Just keep them trapped behind a locked door and incinerate the key?

Maddie seemed to take his silence as permission to continue. “It was my fault. I pushed him to go back to school too soon. I didn’t want to admit that...that anything like this happened to him. I just wanted things to go back to the way they were. I...I didn’t even stop to think about if Danny was going to be able t-to handle it all. It was—I was so selfish. I’m sorry.”

Maddie’s voice broke. She blew her nose, the sound echoing around the otherwise silent room.

“It wasn’t your fault, Mads. We all met with Lancer and the principal. We all agreed to have him attend school again when he came home from the hospital,” Jack said, rubbing Maddie’s shoulder.

The therapist pursed her lips. “Sometimes our brains refuse to fully accept certain situations because that makes them real to us. It doesn’t make you selfish or mean you’re a bad parent. It’s just our brain’s way of coping with a bad situation.”

“My brain’s coping caused Danny to get hurt,” Maddie said.

“Hmm, but it also led to him getting the help he needed, didn’t it? The anxiety attack yesterday in school wasn’t great, but compared to a few weeks ago, Danny was able to bounce back from it very quickly. He was a bit fatigued directly after, but by the afternoon, he was participating in group therapy sessions with the other teens like normal,” the therapist explained, gazing at Maddie with warm eyes.

“Still…” Maddie’s voice trailed off, the unspoken it’s my fault resonating around the room.

The therapist offered a smile. “Sometimes our decisions may have poor outcomes in the moment but in the long run may lead to the most success. And yes, the past few weeks have been extremely hard for the both of you as parents. No one wants to see their kid hurting. But Danny’s here , with a team of people who are here to support him and both of you. He’s safe and supported, and so now it’s time for you to allow yourself to accept what happened without beating yourself up over it. What happened at school was not your fault, Maddie. It was simply the result of a bad situation.”

Of course it wasn’t her fault. Danny knew this. Why couldn’t his mom?

If Danny hadn’t been so weak, he wouldn’t have had issues in school.

He wouldn’t have had to come here.

He could be home. In bed. Asleep. Not talking to anyone. With the lights out and curtains drawn.

But right now, that sounded too good to be true. And Danny knew deep down that those nice moments in life were not for him. He wasn’t allowed peace in his life. And he would never be allowed another peaceful moment ever again. The Guys in White ensured this by gifting him with a lifetime of medical issues and painkiller prescriptions.

Danny shifted, his chest twinging unhappily. A second clonazepam sounded like a dream right now…

Wait, what?

Focus, Danny.

Danny cued himself back in to the conversation. “...but you’re sending Danny back to school after the PHP program, aren’t you?”

Maddie shifted. “Yes, he’ll be going back to school. But not right away. We’ll give him some time to adjust, and when we do send him to school, it’ll be different this time. We know where we went wrong.”

“Can I ask what you’re planning for him?”

There was a slight pause before Maddie responded. “Well, we adjusted Danny’s IEP so he’ll be going to school for only half of the day to start, and he’ll only be studying the core school subjects. The learning specialists in the school’s learning center will be working directly with him, so his class size will be reduced to about five students and two teachers. All of Danny’s teachers are making modified lesson plans to send down to the learning center for him to complete, and they’ve all said they’re willing to come down during a free period and help him if he needs the extra help.”

The therapist nodded. “That sounds good. I think he’ll really benefit from the smaller class sizes. He seems to do well here in smaller group situations, wouldn’t you say, Danny?”

Danny shrugged, keeping his head down. This wasn’t the first time nor would it be the last time that adults talked about Danny right in front of him, like he was inept. And in some ways, he was inept. At least, that’s what he told himself.

Before the Guys in White, if his parents were making him uncomfortable he could jump straight into the conversation and snap at them. He could say something teenagery like, “Stop embarrassing me!” or “Can you lay off me for a second?”

Everything was different now. His brain didn’t react correctly anymore. Thinking took effort, talking took effort, listening took effort. Everything was exhausting. And a lot of the time, he simply didn’t have the energy to engage.

He was too fragile to go to regular school. He was officially a special-ed kid. Which, if he was being truthful, he was surprised he hadn’t been referred to the learning center long ago, when Phantom first started turning school into an anxiety-filled mess. He guessed he always had decent grades before then—courtesy of being the child of two cutting-edge scientist parents with four degrees and a PhD between them—but even then, a part of him was still bitter no one had done anything. Not a single one of his teachers requested he get sent down for testing or asked he receive additional help. The administration slapped the “lazy” label on him and handed out detention after detention, as if that would to teach him not to fail out of school.

Well, a nervous breakdown in the gym locker room and a diagnosis of mild brain damage certainly did the trick.

“There’s some other things too,” Maddie continued. Danny heard another tissue being ripped from the box. “He’ll get time-and-a-half to complete his tests, and he’ll do his test one-on-one with a teacher aide. And when he finally does start reintegrating into the classroom, he’ll be seated in the front of every class.”

“How long do you plan on keeping this education plan active for?” the therapist asked.

Jack spoke up. “At least until winter break. We’re going to reconvene at the end of the fall term and see where Danny’s at. If we think he’s ready to start going to some more classes, then we’ll start that process. And if not, then we’ll keep the half-day schedule only. No rush, right Danno?”

Danny shrugged again.

“This seems like a thorough plan. It’s very good that you two were able to reflect about the deficiencies with the first plan and adjust accordingly. I know this time has been tough, but please don’t forget to celebrate the small victories that have happened, like gathering this IEP in such a short amount of time.” The therapist turned to Danny. “What do you think about all this, Danny? This is your education, and it’s important that you have a say in what you want your high school experience to be.”

Danny unraveled his arms, dropping them to his sides. He pressed a finger into his thigh, as if he hadn’t just checked three hours ago whether or not his paraplegia had miraculously been cured, but he felt nothing.

“Danny?” the therapist prompted, her voice a bit softer.

“Um...it’s fine.”

“Did you have any questions or concerns about your IEP? Anything you wanted to ask?”

“Uh…” Danny played with the hem of his hoodie. It was clear that the therapist wasn’t going to let him off easily. A few weeks ago, they might have let him sit there silently during family therapy hour, but now Danny was stable. He had to participate.

He breathed out and tried again. “Will I be going to homeroom? With Sam and Tucker?”

“Yes,” Maddie answered. “Lancer actually suggested we leave that as is.”

Alarm bells were going off in Danny’s head. “Really? I bet...I bet he just wanted to keep a—an eye on me. In homeroom. Make sure I even...I actually showed up to school.”

“Now don’t say that,” Jack said. His voice was uncharacteristically thoughtful. “I think part of it’s that he wanted to make sure you’re doing okay, but another huge piece that he brought up is he wanted to give you time to see Sam and Tucker since they won’t be in learning center with you. Between school, PT, and outpatient, you’re going to be pretty busy. I think he just wanted to make sure you get a chance to see your friends too. Danno, I know you and Mr. Lancer haven’t always understood each other, but believe me when I say that he’s really rooting for you. He’s been a huge help through all this.”

Danny rolled his eyes and crossed his arms again, not caring about whatever attitude he was showing.

“He’s your teacher advocate for your IEP plan, you know,” Maddie added in.

“I know, Mom.”

The therapist gave no reaction to Danny’s moody display. Danny wondered if, deep down, everyone in the room was almost glad to see this bit of adolescent defiance leaking out of Danny. It had been too long since he was able to show attitude without fear of being hurt. Not that he behaved like the government wanted him to while he was locked up—God no, his defiance there led him to a wheelchair.

But this...this was normal. Well, it was as close to normal as he could get at the moment.

“There’s also the manner of planning out his outpatient schedule. Danny will be attending the a PHP program, correct?” the therapist asked.

Maddie nodded. “Yes, that is correct.”

“Good. I’ll still be seeing him for his individual sessions three times a week starting next week. And he’ll be in the PHP program for about six hours per day, five days per week. Based on our sessions, the PHP program sessions, and how his time at home goes, that number will slowly go down as time goes on.”

“How long will he be going to the PHP program before we can start adjusting the schedule down, would you say?” Maddie asked.

The therapist pressed her thin lips together and shrugged. “It really differs person to person. Everyone’s different, and everyone responds differently to the group therapies in outpatient.”

Danny’s eyes flickered over to Maddie, searching for her reaction. Did she think he wasn’t capable? That he was doomed to never graduate from outpatient? But her face betrayed nothing. She was blank, controlled.

“Is there anything we can do? As parents? I want this transition to be as smooth as possible,” Maddie said.

“The family unit is the most critical part of this process,” the therapist said. She paused, the corners of her lips turning upward. “Maddie, Jack, you both are very capable and empathetic people. As his therapist, I have nothing but good faith in the both of you that Danny will be supported when he returns home on Monday.”

Danny glanced over to his wheelchair next to the door. The object of his failure was suddenly melodic in its call to him to sit down and escape whatever the hell this was. Family therapy was always his least favorite time of the week. And the torture of opening up to his family seemed to get worse each session as his therapist prodded new memories and emotions Danny would rather keep shut.

“But is there anything specifically I can do? Please, I just want to help my son.”

“Just being there for him, as you have been since he started this program, is all we need in order to continue the healing process.”

“Mads,” Jack said, rubbing Maddie’s shoulder. “We got this. We all do. Right, Danny?”

Danny grunted, his eyes fixed on his lap once again. This was awful. This was so awful.

He wouldn’t be in this position if he hadn’t gotten himself revealed on television.

Which wouldn’t have happened if he had just dodged that fucking attack.

Seriously, how hard was it to dodge an ecto-weapon? The noise they made as they let out a blast was enough of a warning that it was time to move.

This was his fault. This was all his fault.

Now his parents had to be in family therapy with him. And they thought this was their fault. When really, no, it was Danny’s fault. But they couldn’t see that, could they? They thought it was their fault. They were blaming themselves and beating themselves up. But it wasn’t their fault. It was his.

Because he didn’t dodge Skulker’s attack—

It was all his fault.

—even though he could hear it coming—

He was lucky the government didn’t kill him.

—why didn’t he just dodge—

It was his fault.

— he let himself be hit—

His fault.

—even if it was a new weapon, he should have seen it coming—

Fuck.

---

“So, you’re leaving then.” A quiet voice cut into Danny’s thoughts. Danny swiveled his head around to see the Hispanic boy, who stood over his chair with slouched shoulders and an unreadable expression.

“Yeah,” Danny said.

“When do your parents get here?”

“Any minute,” Danny answered quietly, glancing at the overhead clock. It was technically three minutes past when they said they’d be arriving, but his parents were known for being either extremely early or extremely late to any function whatsoever. There was no in-between with them.

“They seem nice.” At Danny’s odd look, the boy added, “You know, from what I’ve seen on TV.”

“Oh,” Danny said. He still forgot his family was famous now. Danny hadn’t seen any of their TV appearances yet, but apparently they’d already retracted many of their theories, slamming the world with hard evidence along the way. All to get Danny home.

All for him.

“They’re great,” Danny mused. “Weird, but great.”

“Yeah…”

Danny’s eyes flickered back over to to the boy. His arms were pressed into his stomach, one hand nervously scratching the other. Danny squinted up at the boy his brain slowly figuring out how he should respond. Finally, he blurted out, “What?”

“Huh?”

“You look like...I dunno.” Danny waved a hand at him. “Something’s up.”

“Oh, I just…” The brunette pulled out a chair and sat down next to Danny. He took a deep breath and tried again. “Do you think we’ll be friends after you leave? I mean, you’re leaving now, and I’m leaving next week. Do you think we’ll still talk after I get out?”

Danny averted his gaze. “Sure.”

“Okay. That’s good. I just—I mean, I know you don’t think of yourself like this. But you’re like a celebrity and all. And I’m just some loser from—”

“You’re not a loser.” Danny glared at the table.

“Yeah but I’m not, you know...”

Danny’s glare snapped up at the boy. “You’re not what? A half-ghost?”

“No! I wasn’t going to say that!”

“A science experiment?”

“No, not even!” The teen ran his fingers through his hair, frustration clearly painted on his round face.

“Then what? ”

“You’re just…” The teen shifted, bringing elbows off the table and onto his lap. “You know. You’re so cool. You’ve saved so many people and helped so many people out. You’re like the real life version of DnD, you know? And I get that you’re here and I’m not saying that being you has been easy. Because...it hasn’t. Obviously. But you have the whole world that cares about you. So many people fought for you, and you have so many people back home waiting for you. Your friends and family. All your classmates. And I just...I have no one.”

“Oh,” Danny said, staring up at the boy who refused to look back at him. “What do you mean, no one?”

“You know...I don’t have friends. At my high school. I’m not like you. I’m not part of the cool group or anything. Kids don’t talk to me, and when they do, it’s…” his voice trailed off as his eyes shifted up to the ceiling.

‘Cool .’

Huh.

Danny Fenton had been called a lot of things—loser, freak, nerd—but cool? That was one word he’d never been called before. And Danny Phantom hadn’t heard it in a while either. In fact, Danny couldn’t remember the last time anyone had called him, Fenton or Phantom, cool. At least, he hadn’t heard it since last spring. When Dash and Paulina ruled the halls, talking about how cool Phantom was, blissfully unaware that he was the same loser they just elbowed into a locker. And Danny…

Danny went about his day as usual. Ignorant as to what was to come.

“I’m not cool,” Danny found himself saying. “Before everything came out, I wasn’t...people didn’t like me very much. The other kids at school.”

The teen shook his head. “That’s not what I’m saying. You don’t get it because you have friends. Not being the most popular in your class isn’t the same as—”

Before Danny could stop himself, all his dirty secrets were spilling from his mouth like a waterfall. “Dash—the quarterback—he locked me...locked me in those tall thin lockers. And he and his friends would lean against the door so I-I couldn’t get out. They’d laugh. And then they’d...they’d let me out. Which was almost worse. Because...because it was me versus...all of them.”

“Oh,” the teen said, his eyes as wide as saucers. And for a moment, Danny almost felt embarrassed that after the teen had come to him with his own insecurities about school, Danny had responded selfishly.

But he didn’t feel embarrassed. He didn’t feel bad about stealing the spotlight once again for his own problems, because goddamnit this was one of the only boys who gave Danny any semblance of friendship at inpatient, and Danny didn’t want to keep up the “perfect ghost hero” façade with him any longer. If the public wanted to think his human form was an innocent angel? Fine. So be it. But this teen? Who pushed his wheelchair down the hallway when Danny’s chest had a fit? Who sat with Danny during mealtimes and didn’t say a word at the various heavy drugs he was given each morning and evening? Who colored with Danny and kept the conversation alive despite his stuttering mess?

No, this boy deserved better. He deserved the truth.

Danny exhaled. “Yeah. But they didn’t...something changed. When I went to school now. They didn’t...they didn’t...I guess it was the wheelchair…”

“Maybe they felt guilty.”

“Maybe…”

“Mine won’t be so nice when I get back to school.” The teen twisted the sleeves of his hoodie. “Oh god, and if they ever found out where I’ve been...that would be the end of me.”

“Tonsil surgery, remember?”

The boy gave a weak smile. “Yeah. Just don’t rat on me when we get out, okay?”

“Sure.”

It’s not like he could rat the boy out even if he wanted to. Danny had no idea what his name was, and at this point, it would be too embarrassing to ask.

As if he could read Danny’s mind, the teen reached over the table and grabbed a loose piece of paper and a marker from the art bucket. He scribbled something down on the paper and all but shoved it onto Danny’s lap. ‘Miguel Cantos 817-431-XXXX’

Danny must have looked lost because the boy’s expression immediately turned sheepish as he ducked his head down and muttered, “My cell. In case you wanna stay in touch after we get out.”

Miguel Cantos. Danny repeated the name in his head. His eyes flickered back up to the small boy sitting in front of him, who was currently curling in on himself. The teen—Miguel—ran a hand through his short hair, his round cheeks turning red at Danny’s continuous staring.

“Thanks,” Danny said, glancing back down at the paper. Miguel Cantos. He couldn’t forget that name.

“Can I ask you something?” the—Miguel said.

“Sure.”

“You don’t have to answer this if you don’t want to. But I was just curious.”

“Go ahead.”

“Okay.” Miguel nodded, hesitating. His fingers fidgeted until they landed on the hem of his long-sleeved shirt. Tan fingers pulled and stretched the material, twisting it till the cloth hid his thumb from view. “Are you the only one? Or are there more people like you?”

“Oh, uh…” Danny leaned back in his chair.

Shit.

Well, there went any semblance of not lying to this kid.

Technically, minus Vlad, he was the only person like this. And even then, Vlad was ever so slightly different from Danny. Not to mention he was a total creep who had completely given in to his sick obsession with Maddie and seemed to think that killing Jack and kidnapping Danny on multiple occasions was the only way to win both Maddie and Danny’s affections as his pseudo son or whatever twisted thoughts that plagued his head.

But even then, even after everything Vlad had done, he still couldn’t rat him out as being a halfa. Maybe it was his obsession talking, maybe it was the constant need to have this one-up on Vlad, but at the end of it all, being a halfa was something too personal, too private. Vlad and Danny alike had taken their secret and guarded it within an inch of their lives again and again. Danny was the one unlucky enough to have been outed on national television, not Vlad. He fucked up, and he suffered the consequences tenfold.

Danny wouldn’t wish what happened to him on anyone, not even Vlad.

“Yeah, I’m the only halfa.”

“Oh, wow. Do you and your family know why?”

“They have their theories,” Danny said, choosing his words carefully. Most of his parents research was confidential, and he and his parents hadn’t really been able to sit down and talk about all the ghost-stuff yet.

There was also the matter of Danny not exactly being too keen on having his physiology on display to the public like he was a rare zoo animal. Nope, no thank you.

“They don’t know for certain...why I survived the accident…it—it’s speculation.”

“Oh. That’s cool then,” Miguel said.

“Danny,” a gentle voice came from behind him.

Danny swiveled around to see one of the nursing assistants approaching the pair, a warm smile on her face. “Your parents are here.”

“Thanks,” Danny said. He turned back to Miguel. “Well…”

Miguel offered him a grin.

It looked forced.

“This is it. You’re off,” he said.

“Yeah.” Danny exhaled, trying to dissipate the knots of anxiety that decided to spring into existence. “Yeah. This is it.”

“I’ll come with you to get your bag,” the nursing assistant said. She stepped to the side, raising her arm in the universal “after you” motion.

“Okay.” Danny’s voice sounded distant to his own ears.

“Hey.” Miguel slowly lifted his hand, curling it into a loose fist. His face relaxed, and a real grin replaced the fake one from before. “It’s been good getting to know you, Danny. I never expected to meet you, and I never thought you would ever give me the time of day if we did happen to cross paths. You’re awesome, dude. Keep in touch.”

Danny raised his own fist in kind, lightly tapping the tan skin with his pale knuckles. He felt the corners of his lips twitch up involuntarily. This time, the assurance along with a “you too” didn’t seem so forced either.

He dropped his arms to his side, undid the breaks on his wheelchair, and pivoted away from Miguel. A final goodbye brushed against Danny’s eardrums, but he didn’t offer one in response. The uncertainty of whether he would ever talk to Miguel again had begun collecting in the corner of his mind. It wasn’t that he didn’t want to speak to the brunette again, it was just…

What if them staying in contact compromised Miguel’s anonymity as a suicide patient? What if the other kids in his school found out? Everyone must have known where Danny ended up. This hospital was the only one around that offered an adolescent program. It wouldn’t be too hard to connect the dots between Danny’s public meltdown and subsequent hospitalization and Miguel’s “tonsil surgery” absence.

It was just too risky. He couldn’t risk outing Miguel like that. Not after how nice the boy had been to him since he arrived.

That was it, right? That’s why he felt so conflicted about this?

“Alright, let’s do this,” the nursing assistant said, dragging Danny from his anxiety-filled brain.

He paused, tilting his head up to be met with the plain door to his dorm room. The nursing assistant gently pushed the door back to reveal a spotless white and blue accented bedroom. His bed was made, sheets pulled up under the pillows like his mother had taught him all those years ago. Decorating his bed was his duffle bag, which was packed and zipped up.

He put his hands on the metal rims of his wheels and readied himself to push forward toward the duffle bag. But, before he could move, the nursing assistant had already made her way across the room.

“Don’t worry, Danny. I got it,” she said, grabbing the duffle and slinging a black strap across her shoulder. She reached down for the walker. “You just follow me out, okay?”

He relaxed, allowing his eyes to wander around the room one last time. The white walls and ceiling didn’t bother him anymore, not like they did when he first arrived to inpatient. Sure, the dorm room was mostly white, but it seemed much brighter than the white in the government compound. The government’s walls were dim and maddening. Their white pressed down on Danny’s lungs, leering at him with hysteria.

You’ll never escape, the whiteness seemed to say. This is your life now. You deserve it, freak.

The white in the hospital was like gleaming pages on a fresh sheet of computer paper. It was blank, yet eager to be filled with new sketches and splashes of color. The room alluded a hopeful sense of safety that Danny desperately craved.

“Well, you ready?” the nursing assistant asked.

“Yeah,” Danny said. He was ready. Maybe he wasn’t completely fixed yet—and if he was honest, he wasn’t sure he’d ever be—but he was ready to be out of here. He hadn’t seen Sam and Tucker in weeks, and they hadn’t truly hung out since before he was revealed. Sure, they visited him when he was in the main hospital and when he came home for that short stint before being checked into inpatient, but he wasn’t exactly present for those encounters.

He made a mental note to treat Sam and Tucker to the Nasty Burger when he got back. For everything he put them through. Whenever his bank account would allow for it, at least.

Oh yeah, he was definitely ready to be out of here.

He turned to the nursing assistant and offered her a lopsided grin, ““Yeah. No offense, but these—but these beds suck.”

The nursing assistant snorted. “They don’t look too comfortable. I’m just glad I never had to sleep in them.”

“Do yourself a—a favor and...don’t get checked in then. You won’t have to.”

“I’ll try my best.” She undid the clasps on the walker and folded it flat. “Besides, I think I’m a little too old to hang with you kids.”

“Aw, come on. You’re what, twenty?”

She rolled her eyes. “A little older than that. Nice try though. Come on, let’s not keep your parents waiting. We still have to sign you out and everything.”

They exited the boys’ psychiatric unit, the double doors hissing closed for the last time. She led him down an unfamiliar path to the lobby of the building, one Danny couldn’t remember going on when he was admitted the month before. Thinking back, Danny didn’t remember much from the first day he was admitted.

He must have been really out of it.

Seeing his parents for the first time outside of the double doors was awkward, neither party knowing exactly what to say to each other. Maddie kept turning from the front desk to give him small, watery smiles that left him entirely unsure how to reciprocate. After the fifth watery glance in his direction, he made it a point to stare down at the floor, the ceiling, the seams of his hoodie, anywhere but the direction of his parents.

Jack was a different story. He was quiet, focused on getting all the paperwork filled out accurately. This attention to detail was somewhat unnerving for Danny, who was used to him being the distracted parent. But, thinking back over the past few weeks, Jack’s change had been the most apparent out of his parents and sister. The goofy, immature man was much more stoic than before. It was as if Jack had left town and his lawyer twin brother replaced him.

Danny waited silently off to the side until the final papers were signed, signaling the beginning of his freedom. Well, partial freedom. He would be back here tomorrow for outpatient. But from this day forward he could sleep in his own bed, eat his mother’s baked goods, and sit on the roof and look at the constellations with Jazz whenever he wanted.

He was finally free.

The sunlight hitting his face almost didn’t seem real. It wasn’t like the sticky heat he was met with when he was dumped like a UPS package on the Fenton Works doorstep by the Guys in White after his...residency with the government. Which was a suppressed memory that could stay suppressed, Fenturd.

He pressed a hand to his forehead. He hadn’t thought about that memory yet, that moment when the blinding sunlight and summer heat met his body for the first time since he had been taken away.

All he remembered from that day was the sound of the door opening and his eyes immediately snapping shut at the bright light that met his dilated pupils. A rough hand grabbed his arm—the broken one that couldn’t heal thanks to the ecto-suppressants—and yanked him out of the car. His torso hit the sidewalk and he screamed as the fresh wounds on his chest burned in pain. He writhed, desperate to get off his stomach, only for his back to cry out in misery.

And then he woke up in the hospital. Surrounded by fresh linens and medical professionals working to heal him.

The concerned tone of Jack cut into Danny’s thoughts. “Danno? You okay?”

Danny’s eyes snapped back into focus. Shit, he was falling behind his parents. “Yeah, sorry.”

“You need help?” his mother asked.

“No, I’m good. Promise.” Danny gave his mother what he hoped was a reassuring smile. It wasn’t, if his mother’s persistent worried look was anything to go by. He rolled his eyes and put more force than necessary into the next push on his wheelchair, speeding past his parents.

Danny reached the start of the parking lot and glanced around, searching for the Fenton Assault Vehicle. It was never hard to spot, with it standing several feet higher than a normal car and plastered with the neon green Fenton Works logo. But much to Danny’s surprise, he couldn’t spot it anywhere.

“Where’d you park?”

“Right up front,” Maddie said.

“Huh? Oh…” Danny’s eyes latched onto Jazz’s small red car parked in the first handicapped parking spot. He swallowed thickly, his stomach twisting painfully. “Oh.”

“No ghost assault vehicle today,” Jack said from behind Danny. He felt a heavy hand hit his shoulder. “Your mother didn’t think the hospital would like it too much if we showed up with a van full of weapons. So we borrowed Jazz’s car for the day.”

“Oh. When did you…?” Danny nodded towards the handicapped sign in front of the spot.

“Um, a few weeks ago,” Maddie said, her voice tight.

“We know it’s not ideal, but it’s practical. And hey, someday you might not need it if you work hard enough in PT, right?” Jack asked.

“Right.”

“Then for now, this is just the way it is, son.” Jack’s hand squeezed Danny’s shoulder before letting go. “Now, enough chit-chat. Let’s go home.”

“Yeah...home.”

---

HUGE shoutout to imekitty for not only beta-ing this chapter (which was a mess that required multiple days of her working her editing magic) but also for just helping me along the way with this chapter and giving me lots of encouragement and motivation. She's a gem and an amazing writer so if you want some great angsty fics I highly suggest you go read her stuff.

Also big ups to tumblr user dannyphandump for giving one last read through on this chapter and helping with the last-minute detail edits/things to think about for future chapters. They were super helpful!

Thanks for reading, and for everyone who reviewed the last chapter! I can't wait to hear your thoughts and predictions about the next chapter now that he's home!

<previous chapter / next chapter>

Lynn 105

got there a minute before Lynn and use the bathroom and when I came out I sat down and she open the door and said I could come on in. I sat down and she asked how I was doing and I said good and asked how she was and she said she was also good and then she said so how was your week I said it was OK how was yours and she said it was good so far and she said she couldn’t member if she had told me about her friend having a baby and how she would be helping take care of her so she might be taking off work depending on if things change. I said she had told me and that was fine we can play it by ear. She asked how my week had been and if I had seen the dietitian and I said yeah I saw her right Before coming here. She asked me how it went and I told her about what she said and Lynn was like what are you eating better this week and I was like I mean yes and no and she just sort of waited with her pen in hand and I was like I mean I dropped more weight if that’s what you’re asking and she wrote something down and I was like what the heck but OK. She asked about EMD are and where I was stuck and she looked back through all of her notes and pointing out that we’ve gotten stuck in a line when I look back at everything where do I actually feel stuck and how does that play with eating disorders side of things because she was like you know we’ve said this from day one that you don’t have to be sick to come here in fact the goal is that you get better and better and better and then you don’t even want to be here unless if something random happens that bothers you and you need to work through it but if you wanted to you could literally come in anytime you want to just to work on self improvement goals so that’s not a good excuse and I laughed and I was like OK but it honestly I know you are rationally saying all that there still that part of me that feels the need to be sick and she was like I’m not gonna let you win on this one I’ve already said you can see me for as long as you want him and I was like OK fair but she was like as we talked about in the beginning if the eating disorder becomes too much of an issue I’m going to have to refer you out and I said that I understood and She straight up was like at what point do we refer you to treatment how much weight you have to lose and I was like wait what and she was like I’m not an expert but what did the dietitian say about it or do you know and I was like I mean I’ve only seen her three times now but out of point if there are medical issues going on or there is continued failure to make progress at the outpatient level at a point you refer to IOP and then depending on how severe use day they bump you up to inpatient or PHP but I was like that’s not gonna happen and she was like OK well you need to eat prove me wrong and I was like I’m working on it. She asked again about where I felt stuck and whether or not the issue was eating this order or this other stuff and I said I think the eating disorder is essentially just a way of coping with the other stuff so it’s kind a like a secondary thing and she brought up secondary gains and I was like no I don’t think it’s what you’re describing but I think there is a secondary gain in the fact of if you are getting sicker it does validate that you’re sick and if I’m always afraid that there’s not actually something fixable that’s wrong with me I needing shorter is fixable. I tried explaining what I have thought through which was just that I think when I looked back at my trajectory of weight loss over the past two years I think initially this trend of weight loss started innocently where I started taking insurance and got busy and did actually start missing breakfasts and lunches but then in December Lynn started talking about not being sure if MDR was a good fit for me and getting stuck and I think there is that sense of there’s something inherently wrong with me that can’t be fixed and maybe there’s nothing wrong I’m just building up in my head and if I have an eating disorder, which of course this is all on conscience but if I have an eating this order then it validates the fact that they must actually be something wrong. I don’t really know if any of that made sense but when I explained it as the sword of my other issues as the primary in the eating stuff as a secondary she was like OK then eat. Eat so we can work on the other stuff I’m really get to what’s wrong and fix it. I said OK and I’m trying. She asked me about EMD are and where I was at and with all of that and I was basically like I think when I think about my whole life regarding this type of issue I feel like there’s this little kid part of me that never grew out of age 6 with feeling Completely desperate and helpless and I’ve always been trying to prove that there is actually something wrong with me or that I’m actually sick and deserve help because on the one hand if you don’t really have a problem and you don’t really even deserve to get help and so I just when I think of being that six-year-old kid at the doctors trying to tell them about the stomachaches and being completely minimized I just have this really desperate and helpless feeling. She said we could go with that and so she took out the light bar. I noticed that I wasn’t really feeling anxious but that I was just feeling really sad for that little kid because it is such a desperate and helpless feeling. At one point I said that I wished I could go back and talk to that kid and she was like what would you want to say to her and I was like well really I guess I would want to go back and talk to the doctor and es I noticed that I wasn’t really feeling anxious but that I was just feeling really sad for that little kid because it is such a desperate and helpless feeling. At one point I said that I wished I could go back and talk to that kid and she was like what would you want to say to her and I was like well really I guess I would want to go back and talk to the doctor and tell her that I had anxiety and that was the stomachaches and Lynne was like OK I didn’t say to go back and establish a treatment plan LOL she was like what would you want to say to yourself imagine that little girl is right here sitting in the chair OK maybe she’s playing on the floor and I was like I mean I would I think education is really important I think I would explain that worry is normal and that it’s OK to be scared and I would explain that sometimes our brain gets sick and perceives things as extra scary and I would explain what a phobia is using the fire alarm analogy because every kid understands the fire alarm analogy where the fire alarm goes off at school and there’s not really a fire but everyone has to exit the building and then the fire department comes and shuts it off, but when you have anxiety or a phobia it’s like the fire alarms are going off for no reason but there’s no fire department coming in and shutting it off and we need to teach you how to turn the fire alarm off yourself. I said that I would tell her it’s OK to reach out for help and talk about her feelings and I explained how I think I’m growing up when I think about the few times that I did try to talk about my feelings or asked for help with anything mental health related they always minimized it or I got rejected for having it and so I learned to use my body to communicate my emotions and that wasn’t healthy and that’s landed me where I am today. I noticed that I think there was a part of me that always knew there was something wrong with me and just didn’t know what it was and honestly maybe that was why I envision that little imaginary world in my head which went on for way too long but I pretended that the person I was in that imaginary world had this made up illness and maybe that was my way of trying to cope with the fact that I knew something was wrong but I didn’t know a word for it and everybody was basically acting like I was crazy for it. I told her about the guy at the county clerks office yesterday and just help in processing it made me think about how I can’t help but wonder if somebody had stepped in like that dad to try to protect me from all of those little comments that always build up how different would my life be. I noticed that it’s all in the past and I’m frustrated that I’m even still obsessing over all of it because I can’t change any of it now. I explained how I had looked back at My old pictures on Facebook to find things to be grateful for and honestly and looking back at it it was like I had so many good things to look back on and truly I’m so grateful for my best friend Michelle in childhood because I think she was a huge buffer for me but I think for as much is like there were really good things about my childhood but there are also some really bad things to you and if I objectively look at it I know that there was bad things about it and when I looked back those pictures it was like in every single picture despite all the good things going on like having fun in college and being in a sorority and experiencing you’re up like if I had gone back in time and talk to that person my old pictures on Facebook to find things to be grateful for and honestly and looking back at it it was like I had so many good things to look back on and truly I’m so grateful for my best friend Michelle in childhood because I think she was a huge buffer for me but I think for as much is like there were really good things about my childhood but there are also some really bad things to you and if I objectively look at it I know that there was bad things about it and when I looked back those pictures it was like in every single picture despite all the good things going on like having fun in college and being in a sorority and experiencing Europe like if I had gone back in time and talked to that person that person would’ve told me how much they hate themselves and I’ve never been able to truly enjoy the present because I’m always wrapped up in being angry at myself and hating myself and it’s like even when I think back to freshman year when I was literally having the time of my life eating whatever the fuck I wanted and building friendships and having fun with easy classes, I’m still somewhat haunted by those memories of me crying in the bathroom and taking a razor and slicing the word fat across my stomach. And I explained how there was a picture of my mom and I and how I have been the one to initiate the picture and I think back then like if we accessed my freshman year and even later notes from therapy there would be absolutely nothing about my mom in there because back then I didn’t think that I had a problem with my mom because I thought there was something wrong with me and I was the problem and therefore there wasn’t an issue with us there was just an issue with me and so I think I really should’ve been was a lot better and now the more and more that I’ve come to grips with the fact that it wasn’t my fault that I wasn’t taking care of it makes me angry and I don’t know maybe when was like what would it take to let go of the past and I was like I don’t know maybe letting myself feel that anger towards everyone else instead of taking it out on myself and I was like I don’t know does it work that way and she was like just go with it and I was like I don’t know maybe there’s a period of time ride you need to let myself just feel that anger at everyone else for not getting me the help that I needed because the signs were all there but that’s really hard because if I’m letting myself feel anger towards my parents then it makes me want to disconnect from them and I don’t want anything to do with them because I’m angry with them and then I also just end up also feeling guilty and sorry for them because it’s like I know she didn’t know how to be a mom and maybe I’m making excuses but when I think about it now I’m just like I can’t imagine being a grown adult and knowing that neither one of my kids has a relationship with me and really cares to call and so I don’t know how to find that balance of letting myself feel angry but not completely cutting them off and Lynn smiled and was like so you mean boundaries? And I was like yeah I mean I guess that’s the word I’m going for. She was like I think were in a good transition place but good work. I said OK Thanks and we scheduled for the two weeks out and then she brought up with her friend having the baby they scheduled the C-section so she was thinking of changing that third week so we went ahead and scheduled anyway and normally she asked me to be one of those people who skips a week but she didn’t this time so I’m wondering if she’s just more concerned with me right now but I almost had to skip it because she didn’t have a good availability were I was like what the heck like she had already given away the morning and late afternoon appointments around like the middle of the day is just really fucking mean yet but I was able to work it out to do the Monday morning and I will just have to switch a few of those recurring client times. She told me to eat and to take care of myself and she said safe travels and I said thanks and she said it’s not supposed to rain until tonight I don’t think I said maybe it’ll snow and she said ew hopefully not and I said I hope you’re wrong but we’ll see and then we said bye and I headed out.

I'm baaaaaack

I spent the last 5 days in a psych ward in the hospital. I'm home now (obviously, or I'd have nothing to type this on.) And I'm torn on the whole stay.

I wish I'd waited to go in until Monday because B was off all week to take care of me, and two of those days I missed. And I'm not sure if I was totally ready to come home.

At the same time, I needed to get my classes started and everyone I'd made friends with inpatient was being discharged yesterday or today. And yes, you do make friends in the psych ward. And they're cool, interesting people. You get close abnormally fast because you're together 24/7 and talking about a lot of serious stuff. Like one of the girls, the one I was closest to, asked me to help her plan her wedding. (And might be giving B a job, though I'm not counting on that unless I see actual progress there.)

I did get my meds changed, though, which was my main reason that I went in. They added three more and changed the klonopin to a prn. So now I'm on:

Morning:

Lamictal, effexor, vistirl

Lunch:

Vistirl

Dinner:

Vistiril

Bed:

Lamictal

Geodon

Vistiril

Ambien

And 3 klonopin a day as needed.

Oh and I'm starting PHP on Friday, and getting an individual therapist from their recommendation probably next week.

So yeah... it's a lot. I have to buy a new med bag because with three new meds, I can't fit them all. And I always keep my meds together in a bag so I can grab the bag anytime I leave the house and know I have everything I might need, even if plans change.

I'm afraid I'm going to have the same problem in PHP that I had inpatient -- there's so many things that I can't say about my relationships for fear of being judged when I'm vulnerable. Like I only told one person I was poly while I was there and didn't talk about M or N or any of the things on my mind about them at all.

I mean, I got judged just before I left becuase of my facial piercings -- I have a nose ring and an eyebrow bar. (I have three per ear too, but I wasn't wearing earrings at all while I was there.) Told that facial piercings take away what's special about someone.

And if my facial piercings were enough to be judged for, my romantic and sexual life certainly would be. Plus there's so much complicated history there, and anyone halfway rational who heard anything about my relationship with M would tell me it was a horrible idea.

Because it is a bad idea. Probably among my worst. Especially after today's conversation (I'll save that for a second post.)

But I already know that. I know all the reasons why I should run the other way instead of changing my text app because he was blocked on my old one and not on messenger just so I have an excuse for talking to him. If nothing else, that should be enough of a reason -- if you have to make justifications even to yourself about even talking to someone, you should stay far, far away from them. I know that. I know all the reasons it is a terrible idea just like I knew all the reasons why I should have left him when we were together. I don't need to hear it from anyone, because no matter how many people tell me or how often, it doesn't give me anything I didn't already know.

And I don't even know what I'd say about N except to say that right now I get anxious every time I think of him. Which likely means I should cut him off, but I almost certainly won't. He'll be just like that scab you can't stop picking -- you know you should stop and leave it alone and it's not good for you, but you just can't seem to leave it alone.

But I digress... I didn't get much out of the stay but new meds, which was what I mostly went for. But in my old psych ward they had a very structured, well led program. This was very vague, like we talked about coping skills, but not the facilitator giving us info on new coping skills to use -- my old one had endless suggestions for anxiety especially, but also for just general management. This wasn't terribly organized like that. It was more of getting advice from each other than being taught -- which bothered me because taking advice from people whose skills failed enoughto land them in a psych ward seems like poor judgment to me.

I did play mom to one girl, who I got very close to -- the one I mentioned being poly to. Because I can never stop mothering other patients, they always seem to need it so badly and I always feel like they need my attention more than my own treatment does.

Which works great the first couple days when all I want to do is stay in bed. Because I force myself up and into group so I can help them by giving feedback where I can. But after I get past the staying in bed phase, I often fall into the trap of focusing on giving them support and feedback than on my own treatment and needs. And it gives me a great excuse to not be vulnerable and share my issues.

All in all, it was a decidely meh stay. I didn't feel I got much out of it other than a couple possible new friends.

How Do I Find the Best Rehab Near Me?

Perhaps the only thing harder than admitting you need help with addiction or substance abuse, is finding the drug and alcohol rehab center that’s right for you. While your initial inclination might be to simply search the Internet for “rehabs near me,” finding the right facility is often substantially more complicated than that. Much like each person’s personal struggle with addiction or mental health, not all drug and alcohol treatment centers are the same.Things to consider when searching for rehabs near you:Do you need a drug or alcohol detox?Do you want outpatient rehab or inpatient rehab?Do you think there is an underlying mental health issue you are self-medicating with drugs and alcohol?Are you open to 12-step rehabs, or strictly looking for non-12-step rehabs?Is it important for you to find a gender-specific program so you are only in treatment with other males or other females?Would you prefer a program that’s geared toward the LGBTQ+ community?Do you have health insurance?If you have to stay close to home, do the rehabs near you have sufficient aftercare plans available?Drug DetoxFinding a rehab near you that offers drug detox may be the necessary first step before seeking any type of formalized therapeutic treatment. Sometimes residential rehabs have a detox program on site; other times you have to go through detox at a separate location from where you have treatment. Depending on the type of drug in one’s system, detox can last anywhere from three days to a few weeks.Opioid DetoxOpioids are perhaps one of the most common drugs of late requiring detox. Often referred to as narcotics, some commonly misused opioid drugs include prescription painkillers such as oxycodone and morphine, and the street drug heroin. Sometimes people start using heroin when they can no longer afford or obtain prescription medication.Sometimes Medication-Assisted Treatment (MAT) is used to relieve the symptoms of opioid withdrawal and comfortably taper someone who was dependent on opioids such as heroin or prescription painkillers. According to SAMHSA, “The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug.” While the initial detox can safely get the person off the drug, treatment with drugs such as buprenorphine and naloxone (Suboxone) may be required long term for maintenance.There are other instances where a person may have developed a dependence on a prescription painkiller, for example, but are able to safely remove it from their system in supervised detox without the need for any type of medication-assisted treatment using drugs like methadone or Suboxone. So while the detox process might be necessary for initially quitting the drug, the person may be able to remain abstinent without continued physical withdrawal symptoms.Benzo DetoxSometimes a person entering drug and alcohol rehab may require a detox from benzodiazepines. “Benzos” are a category of drugs usually recommended for conditions such as anxiety, panic disorders and seizures. These types of drugs (such as Ativan, Klonopin, Xanax, Valium, and others) have an impact on the neurotransmitters in the brain. In fact, a medically supervised alcohol detox (or opiate detox) sometimes incorporates the temporary use of benzos.So if someone needs a supervised detox of benzodiazepines, they are often given anti-seizure or anti-convulsive medication. A benzo detox regimen might also include drugs that help with sleeping such as Trazodone.Alcohol DetoxNot everyone who seeks treatment for alcohol issues needs a medically-supervised detox. It’s possible the person has not yet developed a physical dependence on it. If someone is struggling with binge drinking or just identifies an alcohol problem in their life, that doesn’t mean they necessarily have reached the stage of dependence where they wake up in withdrawal and need to take a drink to relieve symptoms. In other words, a physical addiction to alcohol is not a requirement in order to seek help. Many alcohol rehabs are willing to treat anyone who has a desire to quit drinking, even if they haven’t hit “rock bottom” in the conventional sense.However, for someone who has developed a physical dependence, the symptoms of withdrawal can be very uncomfortable and even dangerous.The Mayo Clinic confirms that “sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures” are all possible side effects when someone with Alcohol Use Disorder (AUD) suddenly stops their consumption.So as you can see, it’s important for anyone at risk of withdrawal symptoms to undergo detox in a safe, supervised setting with medical professionals.The risk of seizures is of paramount concern for physicians overseeing an alcohol detox regimen. As a result, they commonly administer anti-seizure medication during the detox process. Also, as previously mentioned, they also regularly use benzodiazepines, such as Klonopin (clonazepam), Librium (Chlordiazepoxide) or Ativan (lorazepam). These medications help alleviate anxiety or panic. Doctors initially administer benzodiazepines but reduce the intake as the person gets stable.Why are benzodiazepines so effective in treating someone experiencing Alcohol Withdrawal Syndrome (AWS)? The Journal of Clinical and Diagnostic Research published via the National Center for Biotechnology Information (NCBI) reports that “Data on comparisons between benzodiazepines and other drugs, including α-blockers, carbamazepine and clonidine could not be pooled, but none of them was found to be superior to benzodiazepines. Another meta-analysis concluded that BZD reduce withdrawal severity, reduce incidence of delirium and seizures.”Detox protocol for alcohol also sometimes includes Gabapentin, an anticonvulsant, anti-epileptic drug. Someone undergoing alcohol detox might also need medication that helps with sleep and nausea.Inpatient Rehab and Residential TreatmentWhen discussing drug and alcohol rehab centers, the words “inpatient” and “residential” are often used interchangeably. While both entail sleeping somewhere besides your own home, inpatient rehab facilities usually refer to a hospital setting while residential usually refers to home-like accommodations.Inpatient care is usually referring to need for constant medical supervision but can be used also as a general term for a rehab where you stay overnight, even if it’s not a clinical setting.Residential treatment often takes place in a space that could also serve as a family home, frequently in a residential neighborhood. In most cases, residential treatment means that everything takes place on-site, including therapy, meetings and meals.With some rehabilitation centers, the clients live in a residence but attend treatment at a different location. Technically, living in one place and receiving treatment in another means it’s no longer considered “residential treatment” but that doesn’t mean certain rehab facilities won’t still advertise as residential.A lot of the drug and alcohol treatment centers in southern Florida have outpatient programs affiliated with sober living homes the clients reside in the entire time they’re in treatment. This approach to alcohol rehab became so common in the area, it’s often referred to as “The Florida Model.”Outpatient RehabOutpatient care can be a step-down from residential treatment or a great option for someone who might not be able to take time away from personal or professional obligations for inpatient rehab. Outpatient rehab is often less costly too.There can be many forms of outpatient rehab, all at various levels of intensity:Partial Hospitalization Program (PHP)Perhaps the most intensive type of outpatient rehab, PHPs usually involve all day treatment, five to seven days a week. Participants pretty much do everything but sleep at the facility.Intensive Outpatient Program (IOP)The second tier down from PHP, IOPs are usually three to five days a week, sometimes full days and sometimes half days of therapy.Outpatient Program (OP)Standard outpatient can mean anywhere from therapy once a week to checking in with groups as needed. ‘Outpatient’ is often a generalized term to mean any type of medical care, mental health or otherwise, that doesn’t require an overnight stay.Dual Diagnosis SupportIt’s extremely common for individuals to be dealing with both addiction or substance use disorder alongside a mental illness such as depression, anxiety, or bipolar disorder. In fact, there are many cases in which the person might have developed the substance use disorder because he or she was self-medicating an undiagnosed or not properly treated mental health issue. In these instances, sometimes removing the substance is the first step.If you or your loved one has a dual diagnosis, you might need a rehab that has a strong psychiatric component.According to a 2014 National Survey on Drug Use and Health by SAMHSA, in the U.S. there are 7.9 million individuals who have a mental health disorder and a substance use disorder concurrently. These findings are a clear indicator of why so many rehabs are now taking steps to ensure they have a staff equipped to diagnose and treat mental illness.If the treatment facility has a psychiatrist on staff, he or she can provide medication management. For individuals with co-occurring disorders, figuring out what medication works best in conjunction with no longer misusing drugs or alcohol is crucial for full recovery. 12-Step RehabThere was a time when Alcoholics Anonymous (AA) was the only game in town when it came to treating addiction. Rooted in Christian principles, AA (which uses the terms “alcoholism” and “addiction” instead of substance use disorder) maintains that the only requirement for membership is a desire to stop drinking.Treating substance abuse from a physical, mental, and spiritual standpoint, the program of AA consists of working the 12 steps, attending meetings, and maintaining complete abstinence from any mind altering substance.Other 12-step fellowships such as Narcotics Anonymous (NA), Cocaine Anonymous (CA), and Crystal Meth Anonymous (CMA) all trace their programming back to the original guidelines created by the founders of AA, Bill Wilson and Bob Smith.The core of many 12-step meetings is a decision to turn one’s life over to the care of God or a Higher Power. While many rehabs, especially ones that have been around since the early days of formalized addiction treatment like Hazelden Betty Ford, use the 12-step program as a foundation for much of their curriculum, there are plenty of other drug and alcohol treatment centers that do not use 12-step methods as the main point of focus.Non-12-Step RehabAs the treatment industry has evolved and opioid addiction has become so prevalent, the need for alternatives to 12-step have become very apparent. As previously mentioned, complete abstinence as defined by 12-step programs is not always possible for people with opioid use disorder. In addition, there are many people who wish for a more secular approach to recovery and find little appeal in AA’s religious undertones. As a result, other peer support meetings have cropped up, including SMART Recovery and LifeRing Secular Recovery.Another reason more alcohol rehab centers are lessening the emphasis on 12-step?If someone is looking for information about inpatient alcohol rehab, chances are they want or need a more comprehensive treatment approach than simply attending 12-step meetings, which they can do in their community for free.Many drug and alcohol rehab centers incorporate evidence-based practices like Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) in both group and individual therapy settings. Clinicians also utilize Eye Movement Desensitization and Reprocessing (EMDR) and other forms of trauma-informed care.The demand for non-12-step options has resulted in an array of different types of drug and alcohol treatment centers around the world.For those who can afford the cost, luxury rehabs focus on providing a spa-like experience that you would normally associate with a resort or a boutique hotel. These upscale rehabs usually have endless amenities ranging from private bedrooms with flat screen TVs and ocean views to perks like massages, acupuncture, personal training, yoga and meals prepared by 5-star chefs.On the other end of the spectrum, there are inpatient rehabs that focus on adventure therapy and healing through nature, whether it’s trekking through mountains or learning how to surf. Some inpatient rehabs emphasize physical fitness and finding new ways to have fun without the use of substances.There are plenty of options if you do not want to go to AA or NA and all of the rehabs near you are 12-step based.Gender-Specific RehabOften men and women come into drug and alcohol treatment centers with drastically different needs. While the support of peers can be very helpful, there are circumstances in which men identify more with other men and women identify more with other women.Also, many times men and women feel much more comfortable sharing in a group setting if it’s all men or all women. For example, a woman might not want to discuss the pain she still experiences as a result of the emotional and physical abuse from a man. And a man might not be able to let his guard down and be vulnerable in the presence of women.According to a report published by the National Institute on Alcohol Abuse and Alcoholism, “Today many (although not all) treatment programs offer gender-specific or gender-sensitive services, such as gender-matching with counselors, mixed-gender treatment groups led by male and female co-leaders, gender-specific treatment groups, and gender-specific treatment content. Many programs also provide ancillary or wraparound services, such as child care and parenting groups, which facilitate women’s treatment entry and continuation. In addition, significant numbers of treatment programs serve women only, target pregnant women or adolescent girls, or offer specialized parenting services for women and their children.”LGBTQ RehabDrug and alcohol rehab centers can have entire programs based on the unique needs of the LGBTQ population as it relates to substance use disorder. Many times these individuals have relied on substances to deal with misplaced shame, rejection from their family or community, or an overall feeling of lack of acceptance by society. Thankfully, as culture evolves to be more open and tolerant of different sexual orientation, gender identity, and gender expression, members of this community can exist more peacefully and find help targeted for their unique needs. LGBTQ specific programming can be a huge asset to gay, lesbian, or transgender individuals who might be struggling with addiction.How Much Does Rehab Cost?Looking for free rehab near you? There are options, both for people with health insurance and without it.Because of the Affordable Care Act, as of 2014 most insurance policies, individual or group, are required to provide some sort of coverage for the treatment of mental health issues or substance use disorders. The limitations and rules for how long they will cover the cost and what facilities are considered eligible varies depending on the insurance plan. Also, not all alcohol and drug treatment centers accept insurance. Some accept insurance but not Medicaid or Medicare. Others prefer for people to pay with insurance rather than out of pocket payment, and vice versa.It really depends on the individual rehab and what their rules are.There are also free rehabs available. These are facilities that operate solely through government funding and monetary contributions from the community.AftercareIt’s one thing to stay clean and sober within the confines of a drug and alcohol treatment facility free of triggers. The true challenge is when someone has to re-acclimate to the “real world,” or at least go back to the environment they associate with active addiction.It’s important for drug and alcohol treatment centers to establish a solid aftercare plan with their clientele. Whether it’s continued therapy on an outpatient basis, Skype sessions with a therapist, or being kept accountable to a certain number of AA / NA, SMART Recovery, or other meetings — people need a support system in place after treatment. Ask the inpatient rehabs near you about their aftercare.Sometimes aftercare can be a sober living facility affiliated with the inpatient rehab. This is a great option for those who want to live in a safe space with like-minded individuals, all working toward the same goal of maintaining what they learned in residential treatment and sustaining a healthy life in recovery.

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How Do I Find the Best Rehab Near Me?

Perhaps the only thing harder than admitting you need help with addiction or substance abuse, is finding the drug and alcohol rehab center that’s right for you. While your initial inclination might be to simply search the Internet for “rehabs near me,” finding the right facility is often substantially more complicated than that. Much like each person’s personal struggle with addiction or mental health, not all drug and alcohol treatment centers are the same.Things to consider when searching for rehabs near you:Do you need a drug or alcohol detox?Do you want outpatient rehab or inpatient rehab?Do you think there is an underlying mental health issue you are self-medicating with drugs and alcohol?Are you open to 12-step rehabs, or strictly looking for non-12-step rehabs?Is it important for you to find a gender-specific program so you are only in treatment with other males or other females?Would you prefer a program that’s geared toward the LGBTQ+ community?Do you have health insurance?If you have to stay close to home, do the rehabs near you have sufficient aftercare plans available?Drug DetoxFinding a rehab near you that offers drug detox may be the necessary first step before seeking any type of formalized therapeutic treatment. Sometimes residential rehabs have a detox program on site; other times you have to go through detox at a separate location from where you have treatment. Depending on the type of drug in one’s system, detox can last anywhere from three days to a few weeks.Opioid DetoxOpioids are perhaps one of the most common drugs of late requiring detox. Often referred to as narcotics, some commonly misused opioid drugs include prescription painkillers such as oxycodone and morphine, and the street drug heroin. Sometimes people start using heroin when they can no longer afford or obtain prescription medication.Sometimes Medication-Assisted Treatment (MAT) is used to relieve the symptoms of opioid withdrawal and comfortably taper someone who was dependent on opioids such as heroin or prescription painkillers. According to SAMHSA, “The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug.” While the initial detox can safely get the person off the drug, treatment with drugs such as buprenorphine and naloxone (Suboxone) may be required long term for maintenance.There are other instances where a person may have developed a dependence on a prescription painkiller, for example, but are able to safely remove it from their system in supervised detox without the need for any type of medication-assisted treatment using drugs like methadone or Suboxone. So while the detox process might be necessary for initially quitting the drug, the person may be able to remain abstinent without continued physical withdrawal symptoms.Benzo DetoxSometimes a person entering drug and alcohol rehab may require a detox from benzodiazepines. “Benzos” are a category of drugs usually recommended for conditions such as anxiety, panic disorders and seizures. These types of drugs (such as Ativan, Klonopin, Xanax, Valium, and others) have an impact on the neurotransmitters in the brain. In fact, a medically supervised alcohol detox (or opiate detox) sometimes incorporates the temporary use of benzos.So if someone needs a supervised detox of benzodiazepines, they are often given anti-seizure or anti-convulsive medication. A benzo detox regimen might also include drugs that help with sleeping such as Trazodone.Alcohol DetoxNot everyone who seeks treatment for alcohol issues needs a medically-supervised detox. It’s possible the person has not yet developed a physical dependence on it. If someone is struggling with binge drinking or just identifies an alcohol problem in their life, that doesn’t mean they necessarily have reached the stage of dependence where they wake up in withdrawal and need to take a drink to relieve symptoms. In other words, a physical addiction to alcohol is not a requirement in order to seek help. Many alcohol rehabs are willing to treat anyone who has a desire to quit drinking, even if they haven’t hit “rock bottom” in the conventional sense.However, for someone who has developed a physical dependence, the symptoms of withdrawal can be very uncomfortable and even dangerous.The Mayo Clinic confirms that “sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures” are all possible side effects when someone with Alcohol Use Disorder (AUD) suddenly stops their consumption.So as you can see, it’s important for anyone at risk of withdrawal symptoms to undergo detox in a safe, supervised setting with medical professionals.The risk of seizures is of paramount concern for physicians overseeing an alcohol detox regimen. As a result, they commonly administer anti-seizure medication during the detox process. Also, as previously mentioned, they also regularly use benzodiazepines, such as Klonopin (clonazepam), Librium (Chlordiazepoxide) or Ativan (lorazepam). These medications help alleviate anxiety or panic. Doctors initially administer benzodiazepines but reduce the intake as the person gets stable.Why are benzodiazepines so effective in treating someone experiencing Alcohol Withdrawal Syndrome (AWS)? The Journal of Clinical and Diagnostic Research published via the National Center for Biotechnology Information (NCBI) reports that “Data on comparisons between benzodiazepines and other drugs, including α-blockers, carbamazepine and clonidine could not be pooled, but none of them was found to be superior to benzodiazepines. Another meta-analysis concluded that BZD reduce withdrawal severity, reduce incidence of delirium and seizures.”Detox protocol for alcohol also sometimes includes Gabapentin, an anticonvulsant, anti-epileptic drug. Someone undergoing alcohol detox might also need medication that helps with sleep and nausea.Inpatient Rehab and Residential TreatmentWhen discussing drug and alcohol rehab centers, the words “inpatient” and “residential” are often used interchangeably. While both entail sleeping somewhere besides your own home, inpatient rehab facilities usually refer to a hospital setting while residential usually refers to home-like accommodations.Inpatient care is usually referring to need for constant medical supervision but can be used also as a general term for a rehab where you stay overnight, even if it’s not a clinical setting.Residential treatment often takes place in a space that could also serve as a family home, frequently in a residential neighborhood. In most cases, residential treatment means that everything takes place on-site, including therapy, meetings and meals.With some rehabilitation centers, the clients live in a residence but attend treatment at a different location. Technically, living in one place and receiving treatment in another means it’s no longer considered “residential treatment” but that doesn’t mean certain rehab facilities won’t still advertise as residential.A lot of the drug and alcohol treatment centers in southern Florida have outpatient programs affiliated with sober living homes the clients reside in the entire time they’re in treatment. This approach to alcohol rehab became so common in the area, it’s often referred to as “The Florida Model.”Outpatient RehabOutpatient care can be a step-down from residential treatment or a great option for someone who might not be able to take time away from personal or professional obligations for inpatient rehab. Outpatient rehab is often less costly too.There can be many forms of outpatient rehab, all at various levels of intensity:Partial Hospitalization Program (PHP)Perhaps the most intensive type of outpatient rehab, PHPs usually involve all day treatment, five to seven days a week. Participants pretty much do everything but sleep at the facility.Intensive Outpatient Program (IOP)The second tier down from PHP, IOPs are usually three to five days a week, sometimes full days and sometimes half days of therapy.Outpatient Program (OP)Standard outpatient can mean anywhere from therapy once a week to checking in with groups as needed. ‘Outpatient’ is often a generalized term to mean any type of medical care, mental health or otherwise, that doesn’t require an overnight stay.Dual Diagnosis SupportIt’s extremely common for individuals to be dealing with both addiction or substance use disorder alongside a mental illness such as depression, anxiety, or bipolar disorder. In fact, there are many cases in which the person might have developed the substance use disorder because he or she was self-medicating an undiagnosed or not properly treated mental health issue. In these instances, sometimes removing the substance is the first step.If you or your loved one has a dual diagnosis, you might need a rehab that has a strong psychiatric component.According to a 2014 National Survey on Drug Use and Health by SAMHSA, in the U.S. there are 7.9 million individuals who have a mental health disorder and a substance use disorder concurrently. These findings are a clear indicator of why so many rehabs are now taking steps to ensure they have a staff equipped to diagnose and treat mental illness.If the treatment facility has a psychiatrist on staff, he or she can provide medication management. For individuals with co-occurring disorders, figuring out what medication works best in conjunction with no longer misusing drugs or alcohol is crucial for full recovery. 12-Step RehabThere was a time when Alcoholics Anonymous (AA) was the only game in town when it came to treating addiction. Rooted in Christian principles, AA (which uses the terms “alcoholism” and “addiction” instead of substance use disorder) maintains that the only requirement for membership is a desire to stop drinking.Treating substance abuse from a physical, mental, and spiritual standpoint, the program of AA consists of working the 12 steps, attending meetings, and maintaining complete abstinence from any mind altering substance.Other 12-step fellowships such as Narcotics Anonymous (NA), Cocaine Anonymous (CA), and Crystal Meth Anonymous (CMA) all trace their programming back to the original guidelines created by the founders of AA, Bill Wilson and Bob Smith.The core of many 12-step meetings is a decision to turn one’s life over to the care of God or a Higher Power. While many rehabs, especially ones that have been around since the early days of formalized addiction treatment like Hazelden Betty Ford, use the 12-step program as a foundation for much of their curriculum, there are plenty of other drug and alcohol treatment centers that do not use 12-step methods as the main point of focus.Non-12-Step RehabAs the treatment industry has evolved and opioid addiction has become so prevalent, the need for alternatives to 12-step have become very apparent. As previously mentioned, complete abstinence as defined by 12-step programs is not always possible for people with opioid use disorder. In addition, there are many people who wish for a more secular approach to recovery and find little appeal in AA’s religious undertones. As a result, other peer support meetings have cropped up, including SMART Recovery and LifeRing Secular Recovery.Another reason more alcohol rehab centers are lessening the emphasis on 12-step?If someone is looking for information about inpatient alcohol rehab, chances are they want or need a more comprehensive treatment approach than simply attending 12-step meetings, which they can do in their community for free.Many drug and alcohol rehab centers incorporate evidence-based practices like Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) in both group and individual therapy settings. Clinicians also utilize Eye Movement Desensitization and Reprocessing (EMDR) and other forms of trauma-informed care.The demand for non-12-step options has resulted in an array of different types of drug and alcohol treatment centers around the world.For those who can afford the cost, luxury rehabs focus on providing a spa-like experience that you would normally associate with a resort or a boutique hotel. These upscale rehabs usually have endless amenities ranging from private bedrooms with flat screen TVs and ocean views to perks like massages, acupuncture, personal training, yoga and meals prepared by 5-star chefs.On the other end of the spectrum, there are inpatient rehabs that focus on adventure therapy and healing through nature, whether it’s trekking through mountains or learning how to surf. Some inpatient rehabs emphasize physical fitness and finding new ways to have fun without the use of substances.There are plenty of options if you do not want to go to AA or NA and all of the rehabs near you are 12-step based.Gender-Specific RehabOften men and women come into drug and alcohol treatment centers with drastically different needs. While the support of peers can be very helpful, there are circumstances in which men identify more with other men and women identify more with other women.Also, many times men and women feel much more comfortable sharing in a group setting if it’s all men or all women. For example, a woman might not want to discuss the pain she still experiences as a result of the emotional and physical abuse from a man. And a man might not be able to let his guard down and be vulnerable in the presence of women.According to a report published by the National Institute on Alcohol Abuse and Alcoholism, “Today many (although not all) treatment programs offer gender-specific or gender-sensitive services, such as gender-matching with counselors, mixed-gender treatment groups led by male and female co-leaders, gender-specific treatment groups, and gender-specific treatment content. Many programs also provide ancillary or wraparound services, such as child care and parenting groups, which facilitate women’s treatment entry and continuation. In addition, significant numbers of treatment programs serve women only, target pregnant women or adolescent girls, or offer specialized parenting services for women and their children.”LGBTQ RehabDrug and alcohol rehab centers can have entire programs based on the unique needs of the LGBTQ population as it relates to substance use disorder. Many times these individuals have relied on substances to deal with misplaced shame, rejection from their family or community, or an overall feeling of lack of acceptance by society. Thankfully, as culture evolves to be more open and tolerant of different sexual orientation, gender identity, and gender expression, members of this community can exist more peacefully and find help targeted for their unique needs. LGBTQ specific programming can be a huge asset to gay, lesbian, or transgender individuals who might be struggling with addiction.How Much Does Rehab Cost?Looking for free rehab near you? There are options, both for people with health insurance and without it.Because of the Affordable Care Act, as of 2014 most insurance policies, individual or group, are required to provide some sort of coverage for the treatment of mental health issues or substance use disorders. The limitations and rules for how long they will cover the cost and what facilities are considered eligible varies depending on the insurance plan. Also, not all alcohol and drug treatment centers accept insurance. Some accept insurance but not Medicaid or Medicare. Others prefer for people to pay with insurance rather than out of pocket payment, and vice versa.It really depends on the individual rehab and what their rules are.There are also free rehabs available. These are facilities that operate solely through government funding and monetary contributions from the community.AftercareIt’s one thing to stay clean and sober within the confines of a drug and alcohol treatment facility free of triggers. The true challenge is when someone has to re-acclimate to the “real world,” or at least go back to the environment they associate with active addiction.It’s important for drug and alcohol treatment centers to establish a solid aftercare plan with their clientele. Whether it’s continued therapy on an outpatient basis, Skype sessions with a therapist, or being kept accountable to a certain number of AA / NA, SMART Recovery, or other meetings — people need a support system in place after treatment. Ask the inpatient rehabs near you about their aftercare.Sometimes aftercare can be a sober living facility affiliated with the inpatient rehab. This is a great option for those who want to live in a safe space with like-minded individuals, all working toward the same goal of maintaining what they learned in residential treatment and sustaining a healthy life in recovery.

How Do I Find the Best Rehab Near Me?

Perhaps the only thing harder than admitting you need help with addiction or substance abuse, is finding the drug and alcohol rehab center that’s right for you. While your initial inclination might be to simply search the Internet for “rehabs near me,” finding the right facility is often substantially more complicated than that. Much like each person’s personal struggle with addiction or mental health, not all drug and alcohol treatment centers are the same.Things to consider when searching for rehabs near you:Do you need a drug or alcohol detox?Do you want outpatient rehab or inpatient rehab?Do you think there is an underlying mental health issue you are self-medicating with drugs and alcohol?Are you open to 12-step rehabs, or strictly looking for non-12-step rehabs?Is it important for you to find a gender-specific program so you are only in treatment with other males or other females?Would you prefer a program that’s geared toward the LGBTQ+ community?Do you have health insurance?If you have to stay close to home, do the rehabs near you have sufficient aftercare plans available?Drug DetoxFinding a rehab near you that offers drug detox may be the necessary first step before seeking any type of formalized therapeutic treatment. Sometimes residential rehabs have a detox program on site; other times you have to go through detox at a separate location from where you have treatment. Depending on the type of drug in one’s system, detox can last anywhere from three days to a few weeks.Opioid DetoxOpioids are perhaps one of the most common drugs of late requiring detox. Often referred to as narcotics, some commonly misused opioid drugs include prescription painkillers such as oxycodone and morphine, and the street drug heroin. Sometimes people start using heroin when they can no longer afford or obtain prescription medication.Sometimes Medication-Assisted Treatment (MAT) is used to relieve the symptoms of opioid withdrawal and comfortably taper someone who was dependent on opioids such as heroin or prescription painkillers. According to SAMHSA, “The prescribed medication operates to normalize brain chemistry, block the euphoric effects of alcohol and opioids, relieve physiological cravings, and normalize body functions without the negative effects of the abused drug.” While the initial detox can safely get the person off the drug, treatment with drugs such as buprenorphine and naloxone (Suboxone) may be required long term for maintenance.There are other instances where a person may have developed a dependence on a prescription painkiller, for example, but are able to safely remove it from their system in supervised detox without the need for any type of medication-assisted treatment using drugs like methadone or Suboxone. So while the detox process might be necessary for initially quitting the drug, the person may be able to remain abstinent without continued physical withdrawal symptoms.Benzo DetoxSometimes a person entering drug and alcohol rehab may require a detox from benzodiazepines. “Benzos” are a category of drugs usually recommended for conditions such as anxiety, panic disorders and seizures. These types of drugs (such as Ativan, Klonopin, Xanax, Valium, and others) have an impact on the neurotransmitters in the brain. In fact, a medically supervised alcohol detox (or opiate detox) sometimes incorporates the temporary use of benzos.So if someone needs a supervised detox of benzodiazepines, they are often given anti-seizure or anti-convulsive medication. A benzo detox regimen might also include drugs that help with sleeping such as Trazodone.Alcohol DetoxNot everyone who seeks treatment for alcohol issues needs a medically-supervised detox. It’s possible the person has not yet developed a physical dependence on it. If someone is struggling with binge drinking or just identifies an alcohol problem in their life, that doesn’t mean they necessarily have reached the stage of dependence where they wake up in withdrawal and need to take a drink to relieve symptoms. In other words, a physical addiction to alcohol is not a requirement in order to seek help. Many alcohol rehabs are willing to treat anyone who has a desire to quit drinking, even if they haven’t hit “rock bottom” in the conventional sense.However, for someone who has developed a physical dependence, the symptoms of withdrawal can be very uncomfortable and even dangerous.The Mayo Clinic confirms that “sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures” are all possible side effects when someone with Alcohol Use Disorder (AUD) suddenly stops their consumption.So as you can see, it’s important for anyone at risk of withdrawal symptoms to undergo detox in a safe, supervised setting with medical professionals.The risk of seizures is of paramount concern for physicians overseeing an alcohol detox regimen. As a result, they commonly administer anti-seizure medication during the detox process. Also, as previously mentioned, they also regularly use benzodiazepines, such as Klonopin (clonazepam), Librium (Chlordiazepoxide) or Ativan (lorazepam). These medications help alleviate anxiety or panic. Doctors initially administer benzodiazepines but reduce the intake as the person gets stable.Why are benzodiazepines so effective in treating someone experiencing Alcohol Withdrawal Syndrome (AWS)? The Journal of Clinical and Diagnostic Research published via the National Center for Biotechnology Information (NCBI) reports that “Data on comparisons between benzodiazepines and other drugs, including α-blockers, carbamazepine and clonidine could not be pooled, but none of them was found to be superior to benzodiazepines. Another meta-analysis concluded that BZD reduce withdrawal severity, reduce incidence of delirium and seizures.”Detox protocol for alcohol also sometimes includes Gabapentin, an anticonvulsant, anti-epileptic drug. Someone undergoing alcohol detox might also need medication that helps with sleep and nausea.Inpatient Rehab and Residential TreatmentWhen discussing drug and alcohol rehab centers, the words “inpatient” and “residential” are often used interchangeably. While both entail sleeping somewhere besides your own home, inpatient rehab facilities usually refer to a hospital setting while residential usually refers to home-like accommodations.Inpatient care is usually referring to need for constant medical supervision but can be used also as a general term for a rehab where you stay overnight, even if it’s not a clinical setting.Residential treatment often takes place in a space that could also serve as a family home, frequently in a residential neighborhood. In most cases, residential treatment means that everything takes place on-site, including therapy, meetings and meals.With some rehabilitation centers, the clients live in a residence but attend treatment at a different location. Technically, living in one place and receiving treatment in another means it’s no longer considered “residential treatment” but that doesn’t mean certain rehab facilities won’t still advertise as residential.A lot of the drug and alcohol treatment centers in southern Florida have outpatient programs affiliated with sober living homes the clients reside in the entire time they’re in treatment. This approach to alcohol rehab became so common in the area, it’s often referred to as “The Florida Model.”Outpatient RehabOutpatient care can be a step-down from residential treatment or a great option for someone who might not be able to take time away from personal or professional obligations for inpatient rehab. Outpatient rehab is often less costly too.There can be many forms of outpatient rehab, all at various levels of intensity:Partial Hospitalization Program (PHP)Perhaps the most intensive type of outpatient rehab, PHPs usually involve all day treatment, five to seven days a week. Participants pretty much do everything but sleep at the facility.Intensive Outpatient Program (IOP)The second tier down from PHP, IOPs are usually three to five days a week, sometimes full days and sometimes half days of therapy.Outpatient Program (OP)Standard outpatient can mean anywhere from therapy once a week to checking in with groups as needed. ‘Outpatient’ is often a generalized term to mean any type of medical care, mental health or otherwise, that doesn’t require an overnight stay.Dual Diagnosis SupportIt’s extremely common for individuals to be dealing with both addiction or substance use disorder alongside a mental illness such as depression, anxiety, or bipolar disorder. In fact, there are many cases in which the person might have developed the substance use disorder because he or she was self-medicating an undiagnosed or not properly treated mental health issue. In these instances, sometimes removing the substance is the first step.If you or your loved one has a dual diagnosis, you might need a rehab that has a strong psychiatric component.According to a 2014 National Survey on Drug Use and Health by SAMHSA, in the U.S. there are 7.9 million individuals who have a mental health disorder and a substance use disorder concurrently. These findings are a clear indicator of why so many rehabs are now taking steps to ensure they have a staff equipped to diagnose and treat mental illness.If the treatment facility has a psychiatrist on staff, he or she can provide medication management. For individuals with co-occurring disorders, figuring out what medication works best in conjunction with no longer misusing drugs or alcohol is crucial for full recovery. 12-Step RehabThere was a time when Alcoholics Anonymous (AA) was the only game in town when it came to treating addiction. Rooted in Christian principles, AA (which uses the terms “alcoholism” and “addiction” instead of substance use disorder) maintains that the only requirement for membership is a desire to stop drinking.Treating substance abuse from a physical, mental, and spiritual standpoint, the program of AA consists of working the 12 steps, attending meetings, and maintaining complete abstinence from any mind altering substance.Other 12-step fellowships such as Narcotics Anonymous (NA), Cocaine Anonymous (CA), and Crystal Meth Anonymous (CMA) all trace their programming back to the original guidelines created by the founders of AA, Bill Wilson and Bob Smith.The core of many 12-step meetings is a decision to turn one’s life over to the care of God or a Higher Power. While many rehabs, especially ones that have been around since the early days of formalized addiction treatment like Hazelden Betty Ford, use the 12-step program as a foundation for much of their curriculum, there are plenty of other drug and alcohol treatment centers that do not use 12-step methods as the main point of focus.Non-12-Step RehabAs the treatment industry has evolved and opioid addiction has become so prevalent, the need for alternatives to 12-step have become very apparent. As previously mentioned, complete abstinence as defined by 12-step programs is not always possible for people with opioid use disorder. In addition, there are many people who wish for a more secular approach to recovery and find little appeal in AA’s religious undertones. As a result, other peer support meetings have cropped up, including SMART Recovery and LifeRing Secular Recovery.Another reason more alcohol rehab centers are lessening the emphasis on 12-step?If someone is looking for information about inpatient alcohol rehab, chances are they want or need a more comprehensive treatment approach than simply attending 12-step meetings, which they can do in their community for free.Many drug and alcohol rehab centers incorporate evidence-based practices like Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) in both group and individual therapy settings. Clinicians also utilize Eye Movement Desensitization and Reprocessing (EMDR) and other forms of trauma-informed care.The demand for non-12-step options has resulted in an array of different types of drug and alcohol treatment centers around the world.For those who can afford the cost, luxury rehabs focus on providing a spa-like experience that you would normally associate with a resort or a boutique hotel. These upscale rehabs usually have endless amenities ranging from private bedrooms with flat screen TVs and ocean views to perks like massages, acupuncture, personal training, yoga and meals prepared by 5-star chefs.On the other end of the spectrum, there are inpatient rehabs that focus on adventure therapy and healing through nature, whether it’s trekking through mountains or learning how to surf. Some inpatient rehabs emphasize physical fitness and finding new ways to have fun without the use of substances.There are plenty of options if you do not want to go to AA or NA and all of the rehabs near you are 12-step based.Gender-Specific RehabOften men and women come into drug and alcohol treatment centers with drastically different needs. While the support of peers can be very helpful, there are circumstances in which men identify more with other men and women identify more with other women.Also, many times men and women feel much more comfortable sharing in a group setting if it’s all men or all women. For example, a woman might not want to discuss the pain she still experiences as a result of the emotional and physical abuse from a man. And a man might not be able to let his guard down and be vulnerable in the presence of women.According to a report published by the National Institute on Alcohol Abuse and Alcoholism, “Today many (although not all) treatment programs offer gender-specific or gender-sensitive services, such as gender-matching with counselors, mixed-gender treatment groups led by male and female co-leaders, gender-specific treatment groups, and gender-specific treatment content. Many programs also provide ancillary or wraparound services, such as child care and parenting groups, which facilitate women’s treatment entry and continuation. In addition, significant numbers of treatment programs serve women only, target pregnant women or adolescent girls, or offer specialized parenting services for women and their children.”LGBTQ RehabDrug and alcohol rehab centers can have entire programs based on the unique needs of the LGBTQ population as it relates to substance use disorder. Many times these individuals have relied on substances to deal with misplaced shame, rejection from their family or community, or an overall feeling of lack of acceptance by society. Thankfully, as culture evolves to be more open and tolerant of different sexual orientation, gender identity, and gender expression, members of this community can exist more peacefully and find help targeted for their unique needs. LGBTQ specific programming can be a huge asset to gay, lesbian, or transgender individuals who might be struggling with addiction.How Much Does Rehab Cost?Looking for free rehab near you? There are options, both for people with health insurance and without it.Because of the Affordable Care Act, as of 2014 most insurance policies, individual or group, are required to provide some sort of coverage for the treatment of mental health issues or substance use disorders. The limitations and rules for how long they will cover the cost and what facilities are considered eligible varies depending on the insurance plan. Also, not all alcohol and drug treatment centers accept insurance. Some accept insurance but not Medicaid or Medicare. Others prefer for people to pay with insurance rather than out of pocket payment, and vice versa.It really depends on the individual rehab and what their rules are.There are also free rehabs available. These are facilities that operate solely through government funding and monetary contributions from the community.AftercareIt’s one thing to stay clean and sober within the confines of a drug and alcohol treatment facility free of triggers. The true challenge is when someone has to re-acclimate to the “real world,” or at least go back to the environment they associate with active addiction.It’s important for drug and alcohol treatment centers to establish a solid aftercare plan with their clientele. Whether it’s continued therapy on an outpatient basis, Skype sessions with a therapist, or being kept accountable to a certain number of AA / NA, SMART Recovery, or other meetings — people need a support system in place after treatment. Ask the inpatient rehabs near you about their aftercare.Sometimes aftercare can be a sober living facility affiliated with the inpatient rehab. This is a great option for those who want to live in a safe space with like-minded individuals, all working toward the same goal of maintaining what they learned in residential treatment and sustaining a healthy life in recovery.

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Addiction Treatment Center Las Vegas

Contents

Las vegas. the

Treatment get your life

Las … drug and alcohol rehabilitation

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TAMPA — A brain-damaged ex-Marine who last May was sent to … Defense attorney John Fitzgibbons said Sciple has been accepted by a combat rehabilitation center in Galveston, Texas, under the sponsorship of a nonprofit group called …

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