The treatment program for addiction varies according to the type of addiction and the general condition of the patient, but an individualized treatment plan is applied. Addiction treatment program is a brain disease that must be planned individually and at this point, a multidisciplinary approach is very important.
Evidence-Based Addiction Treatment Program
Different treatment methods have been used in the medical world for centuries. Since ancient times, many methods and medicines have been found and put into the service of humanity in the struggle to cure diseases.
In the last stage of modern medicine, "Evidence-Based Medicine" practices are now at the forefront.
What is meant by the term "Evidence-Based" is that the treatment methods emerging in many different centers around the world are based on patient groups.is the demonstration of therapeutic effects in contrast to ineffective substances called "placebos" after long-term studies and follow-ups, with the contribution of statistical science. This evidence-based medicine, which rejects treatments that are random or based on hearsay or personal experience, plays an important role in the standardization of disease treatments.
The evidence that emerges as a result of scientific methods is shared with the whole scientific world, and then the treatment method or the drug found is offered to the service of humanity.
Psychometric Evaluation
Our NPAMATEM Treatment team uses structured individual interviews and various psychological tests to make an accurate diagnosis and create an effective treatment plan. Psychometric tests are scientifically based measurement and evaluation tools. No test provides information on its own. Psychometric tests alone do not make a diagnosis, so it is important that the person administering and reporting the test has expertise in this field, test training and clinical observation.
Psychometric tests applied in our hospital;
Computerized tests: COG, SPM, DAUF, NVLT, TOVA, MOXO
Projective tests: Rorschach, Tat-Cat
Intelligence tests Wisc-r, Wais, Cas
Other tests MMPI, TCI, SCID 2, NPT, ASI
Service Program
Our services to make the treatment of our patients more effective in the addiction clinic:
Good Morning Meetings
The aim of the good morning meetings is to enable people to share how their previous day went, important events and problems experienced in the ward, their plans for today and how they feel today.
In order to better understand our patients and to move forward together, a good morning meeting is held with the participation of our doctors, psychologists and nurses together with the entire treatment team.
Visit
It is conducted with the participation of our patient's individual doctor, psychologist and nurse.
Council Visit
Council rounds are held once a week with the participation of the entire treatment team in our clinic. During these rounds, our patients are discussed in detail and further treatment options are discussed.
Interaction Groups
The interaction group sessions held three days a week cover different topics.
The session titles are as follows:
- Communication skills
- Recognizing anger and ways to cope
- Defining stress and ways of coping
- "I Know" quiz competition
- Cycle of change
- Mindful breathing session - thought navigation
- Improving impulse control and emotional skills
- Triangulation point
- Addiction Group Therapy
SAMBA program is implemented by expert psychologists every day of the week.
(Ögel K., Koç C., Aksoy A., Basabak., A, Evren C. Smoking, Alcohol and Substance Addiction Treatment Program (SAMBA). Yeniden Publications, Istanbul, 2012)
Picture Therapy
It is applied on certain days and hours of the week in the company of expert psychologists and occupational therapists. Individual studies of our patients are evaluated by our therapists.
Sports Therapy
It is practiced on certain days and times of the week with a sports instructor.
Marbling Practice
It is applied on certain days and hours of the week in the company of an expert psychologist and occupational therapist. Individual studies of our patients are evaluated by our therapists.
Music Therapy
It is practiced on certain days and times of the week with an expert psychologist and musicians working in the field. The session ends with mindful breathing practice.
Handicraft Studies
It is applied on certain days and hours of the week in the company of an expert psychologist and occupational therapist. Our therapists evaluate the individual work of our patients.
Wood Painting Studies
It is applied on certain days and hours of the week in the company of an expert psychologist and occupational therapist. Individual studies of our patients are evaluated by our therapists.
Individual Therapy
Individual therapies are very important in addiction treatment.
The goals of addiction therapy are
To help the person gain insight into addiction and develop a sense of loss
- To identify the factors that push the person to substance use
- Showing the patient how to avoid the identified person, situation, place or triggers
- To enable the person to recognize and realize his/her desire and to learn and develop ways of coping with it
- Helping the person to restructure their life.
In the treatment of addiction, individual psychotherapies are very necessary and effective in order for the patient to gain insight into the psychological factors that cause relapses and to cope with possible risky situations. In order to prevent the intense emotional states that drive the person to substance use, the problematic thought structure and behavior patterns should be identified and evaluated, and more functional responses that can be used instead of these should be determined together with the patient. The focus should be on improving the person's coping skills with stress and developing problem solving skills. Recognizing and coping with emotions is also important to prevent shifts. Therefore, emotion management should also be worked on in the interviews.
In addiction treatment, it is essential to make motivation effective for the continuity of recovery. For this reason, individual therapies aim to enable the patient to enjoy life without resorting to alcohol and drugs by activating the patient's resources in cooperation with the therapist and the patient. The patient is encouraged to build a new life outside of the alcohol-substance axis, to take up new pursuits and to live a more planned and programmed life. Change in addiction follows certain steps.
If the person is not aware of his/her alcohol-substance use problem, if he/she does not think that his/her use is harmful for him/herself, he/she should first work on this issue. It is aimed to develop "awareness" by trying to develop the perception of harm in the person.
If the person is aware of his/her problem, the next step is for the person to decide to stop using. In the therapies, it is worked on for the person to move from the awareness phase to the decision phase, that is, to make the decision to apply his/her awareness to his/her life.
If the person makes the decision to quit the substance at this stage, the next stage is the "action" stage. At this stage, the steps to be taken in order for the person to take the decision to quit the substance into his/her life are worked on and it is aimed for the person to take this step and start to stay away from the substance. The answers to questions such as when, how, what measures to take, what to pay attention to, how to recognize and deal with cravings, etc. are considered and plans are made.
The next stage is the "maintenance" stage. The person has now given up the substance. He/she is at the stage of building a substance-free life. At this stage, one should be alert about possible risks and alarms while maintaining a clean life. In order to prevent the person from becoming self-confident and entering risky environments or situations over time, the person is guided and supported in this process. From time to time, the person's motivation to remain abstinent may decrease; at this stage, the therapist's task is to analyze this situation and intervene appropriately. In the maintenance phase, the person is followed up for an average of 1-2 years. They are supported to stay in the treatment program.
Group Therapy
Group therapies increase the effectiveness of addiction treatment. In these therapies, people can see others who have similar problems to their own problems and realize the necessary conditions for treatment through mutual interaction and sharing. Our patients who continue their inpatient treatment at NPAMATEM Addiction Center participate in different group therapies. Psychoeducation and addiction groups are organized every day of the week for inpatients. In the groups, the effects of alcohol-substances, what addiction disease is, what are the possible factors that may trigger alcohol-substance use and how to cope with these situations, what are the methods of recognizing, recognizing and coping with cravings, how to restructure their lives, what can be done to prevent slipping.
In the groups, the information support provided by people with similar problems is seen as helpful by the individuals. Information and emotional support are shared in groups. In groups, common experience and understanding can be shared. On the one hand, individuals get rid of social and emotional isolation and feel a sense of belonging to a group.
