By Carolyn Susman

Special to the Daily News

Posted: 2:41 p.m. Monday, Jan. 23, 2012

The post-holiday period, right after many of us have drunk ourselves nearly into oblivion, provides a good wakeup time for those who may have a problem with drinking or drugs.

This is not a problem you put on your new Year’s resolution list; it’s far more serious than that.

While there are many fine facilities that help addicts get straight — and they’re rarely cheap, of course — one service is starting up in our area whose staff thinks it offers great appeal to high-profile residents in Palm Beach and elsewhere who may not want to take time off for recovery.

Sue Merklin calls it “concierge” home addiction recovery. (See the Web site, addictionreach.com) While it may be hard to believe that a person who is deep into alcohol or drugs can be helped while remaining at home, Merklin says this is not only possible, but often preferable when an addict can’t or won’t devote a few months to rehab outside the home, or fears a “disappearing” act will raise questions among acquaintances.

“the people we’re attracting won’t go to rehab; they’re high profile and they can’t leave their jobs,” Merklin says. “We’ll work along with their schedules. If they’re not good and can’t be committed, we refer them out to other services.”

This new business is in the process of making connections in the area, which they began at a recent conference at the Breakers. Merklin said they have doctors signed up to provide in-home services who have been practicing for 25 years or more and are listed on the Addiction Reach Web page.

At-home services listed on the site include everything from medical detoxification to mental health counseling to massage therapy, hypnosis, acupuncture and nutrition guidance. Clients, she says, pick the services they want. I’m assuming they have to get detox services and maybe mental health counseling if they haven’t had it elsewhere. otherwise, what would stop me from ordering up a nice massage and nothing more?

The Web site seems to verify this. it says, “both conventional and in-home treatment includes a medical and mental health component and experienced, well-educated clinicians.”

Merklin said Addiction Reach Home has all the necessary licensing that is required and can provide services from Palm Beach, to Wellington, to Boca, and to Jupiter.

Since it’s been launched only a couple months ago, Merklin doesn’t have statistics about how successful the program is in preventing recurrences. But national stats are plentiful on recidivism and the many types of addictive behaviors among different age groups and ethnicities.

The National Institute on Drug Abuse, a division of the National Institutes of Health, posts on its Web site — drugabuse.gov — that addiction can be successfully treated and even cured. “Addiction need not be a life sentence,” the page says. “Like other chronic diseases, addiction can be managed successfully … People can regain control of their lives.”

And relapse doesn’t mean treatment failure, the page says. it just means that treatment needs to be adjusted, reinstated, or that alternate treatment is needed. aside from saying that effective addiction treatment should combine medications with behavioral therapy, NIDA concludes simply that treatment has to be tailored to each patient.

Addiction Reach Home preaches treatment that isn’t a “punishment or a series of limitations. … instead, it should be a positive experience.” That sounds very new Age and clashes sharply with perceptions of people going cold turkey or attempting other forms of recovery that may not work.

But Merklin says they can give prospective patients an in-home visit to help them make a decision. Personally, I think anything that an addict will agree to and can pay for is a good path to take. But, keeping someone in the environment that may have led to addiction in the first place, sounds risky.

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The ideal place for you to do your detox and addiction recovery is in a comprehensive, residential program. however for some people who want to end their drug abuse and begin detoxification, there are reasons why they are unable to complete a residential treatment program.

The Narconon Detox program: see article

You will need to have a very clear idea about what drug detoxification is, and how you intend to go about it if you are going to complete a drug detox at home.

The main reason why drug programs prefer you in residence is that although the body is fully able to detox from drugs itself, the experience can be very painful, traumatic, and for various reasons the eventual detox can be incomplete.

Doing detox at home, you can find yourself distracted, not attending to the detail of your chosen detox plan, and leave yourself open, despite a lot of hard work, to the disappointment and frustration of relapse.

Also the elimination of drugs from the body after continual, perhaps heavy use will disturb the chemical balances that the drug affected body has become used to and now considers to be “normal”.

In some cases an abrupt weaning from drugs can cause serious disruption to the body, cause damage to vital organs and even result in death. Much will depend on the health of the addict, the type of drug used and how detoxification is managed.

When a person makes the choice to go it alone and detox at home, Narconon has a drug free, non-medical natural detox program to be used as a model for detox – a model for success.

To begin detox at home you will ideally need a buddy – someone who is available to help you to make a new start. If a buddy cannot be found (and every effort should be made), you can call Narconon 24/7 to get you past any speedbumps that you might encounter along the way. however, arranging for someone to help you with the detox is also, in a holistic sense, part of the treatment. Drug use can set you apart from other people, trust and confidence in other people can be low. therefore opening up and trusting another caring person can be a huge step to take in drug addiction recovery. If your determination is to go it alone that is fine but do consider the benefits of getting some help from a buddy.

You will also a need a doctor, sympathetic to drug free addiction recovery so that you can get urgent help if your home detox doesn’t go as planned. Doctors are not needed in routine drug free detox, but will give you a medical examination to make sure that there are no major health problems that could be intensified by detox.

Take time out from you usual chores. doing effective drug detox requires that you give it, for most of every day, top priority over other needs and demands on your time. Set the date, get your house in order, and begin to complete the detox program.

 Drug detox is a complex issue, that experts can simplify, and set down for you as a booklet, the things that you must do. All the things might seem overwhelming, too hard to do in the right order, too hard to do at the time. You might not feel like doing the things you have to do if in extreme pain (that’s the best reason to have a buddy – to help you out if the going gets rough).

 Rules that you follow, things you must do are all according to “Principles” – it is easier to follow rules if you first understand basic principles that apply to drug detoxification.

Firstly, drug free detox is not a complex medical procedure. All you are doing, at any time, is enhancing the natural functions and processes of your body. If you follow and assist what you body is trying to do , you will not go far wrong.

The first thing is that you are trying to remove a toxin from the body, and that the route you are choosing is mainly through the skin, by the excretion of water. anything that you do to open the pores, encourage the flow of perspiration is going to help the detox.

 Next is that you are helping the body to regain balance – if you are excreting a large amount of water, you need to keep hydrated, and not exercise so hard that you get exhausted and over heated.

Detox is helped by good food  because it helps to metabolize fats where drug residues might be stored – you will need lots of energy for drug free detox – it is an active process.

There is the issue of sleep – and if you can’t sleep when you want to – all that means is that the body and mind are not at that time ready – perhaps take a snack, some exercise if that is what your body seems to be needing at the time.

When we use drugs we really treat our body as if it was some kind of alien object – if we could listen to our body speaking when we inflict it with drugs – we would not like what we should hear. Drug free detox is a good time to reconnect with our body, and to get in touch with feelings. most of the pain of detox is just the body springing back to normal after the “pressure” imposed by drug use.

Drug detox is not all that you need for complete addiction recovery but if you have done a drug detox, whether at home or with a program, that has been thorough and complete – you are very likely already more than half way towards complete addiction recovery.

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