Alcohol addiction can happen to anybody and there is no specific sex, occupation, educational background, family background, social status that has exception. Alcohol addiction along with damaging the physical health has its adverse effects on marital life, personal life, and occupational life leading to divorce, unemployment and even stigmatization.
NIRMAN centre for Alcohol & Drug De-Addiction and rehabilitation has recovery oriented interventions apart from group interventions, one to one sessions by the trained de addiction psychologists supported by clinical psychologists who are overseen by de addiction specialists under the guidance of psychiatrists.
- Group discussions
- Bio-psycho-social lectures about the alcohol and related problems
- AA meetings
DRINK REFUSAL SKILLS
Drink refusal skills are imparted to persons willing to abstain from alcohol as to how confidently but assertively refuse to budge from the social pressure to drink alcohol and not feel guilty about the refusal. The residents at NIRMAN will have opportunity to deliberate and discuss about this skill in group settings along with other residents under the supervision of counsellor.
PROBLEM SOLVING SKILLS TRAINING
This skill helps the person to not just objectively view the problem but also wean off the dependency of the alcohol when ever encountered with problem. NIRMAN Centre for Alcohol and Drug De-addiction and rehabilitation helps the person recognise the problem, generate possible solutions, select most appropriate options, plan action and evaluate objectively the selected approach. This skill helps the person not just objectively view the problem but also wean off the dependency of the alcohol when ever encountered with problem. But this skill is refined and reinforced mostly during relapse prevention and post discharge period.
ASSERTIVENESS SKILL TRAINING
Expressing one’s feelings regarding both pleasure and displeasure is a skill very important for a harmonious social living. For some, assertively expressing their displeasure and discomfort itself can create anxiety, frustration and anger. If they are not able to manage this side effect of lack of assertive skills, it can lead to harmful drinking behaviour. At NIRMAN centre for Alcohol and Drug De-addiction and rehabilitation, assertiveness training happens so as to help them manage interpersonal situations that have potential to produce negative mood states and thereby predispose the person to drinking.
RELAXATIONS AND STRESS MANAGEMENT SKILLS TRAINING
Tension can be physical, mental or psychosocial. Tension can be a predisposing factor in some for drinking alcohol. Hence, if the issues leading to tension, and skills to manage tension if not addressed, can be a factor for relapse. At NIRMAN for Alcohol and Drug De-addition and rehabilitation all residents under the program are taught relaxation techniques both conventional like deep muscle relaxation, relaxation imagery and those derived from Yoga to manage stress appropriately.
BEHAVIOURAL SELF MANAGEMENT
The professionals at NIRMAN for Alcohol and Drug De-addition and rehabilitation engage residents for behavioural self management for those who wish to cut down the amount of alcohol rather than stopping. Behavioural self management includes:
- Self Monitoring
- Setting drinking limits
- Controlling rates of drinking
- Identifying problem drinking situations
- Self reward for limited drinking
Many people with harmful drinking and even dependence will have peculiar beliefs about the reason and cause for them to drink and continuing to drink despite the awareness about the harmful effects of the alcohol. Here the irrational, counterproductive beliefs and attitudes contribute to continued drinking. At NIRMAN for Alcohol and Drug De-Addiction and rehabilitation with cognitive restructuring in both individual and group level the person is made to understand their faulty understanding harming them.
CUE EXPOSURE AND MANAGEMENT
Cue exposure and management is one of the important interventions at NIRMAN for Alcohol and Drug De-addiction and Rehabilitation. Cue exposure is the pleasant effects of alcohol consumption that the person gets due to people, places and events that regularly precede drinking and cues exposure becomes a conditional response to that. Some of the common cues include sight and smell of an alcoholic drink, mood states or situations in which drinking has previously occurred, and people , places and times that have previously been associated with the pleasant effects of alcohol.
COUPLE THERAPY AND FAMILY THERAPY
Couple therapy and family therapy is one of the main stay of approach at NIRMAN for Alcohol and Drug De-addiction and rehabilitation. In most of the cases, strained relationship or lack of good family atmosphere, though does not predispose a person to drink alcohol but has been a strong reason for relapse. Hence NIRMAN has felt the importance of an educated and a skilled family which in itself becomes an extension of therapeutic environment after rehabilitation for person with alcohol dependence/abuse or harmful use.
We organize Deaddiction Awareness programs on occasion of year end in coordination with Pune Police.