- Do I Need Xanax Rehab? Is There Xanax Treatment?
- What To Expect from Xanax Rehab
- How Long Does Rehab Take?
- Types of Rehab
- Paying for Rehab
- What Happens After Rehab?
- How to Pick a Top Xanax Addiction Rehab
What Is Xanax? Is Xanax Addictive?Xanax (alprazolam) is a sedative-hypnotic benzodiazepine (BZD).
It is indicated for the short-term treatment of panic and anxiety, insomnia, and seizures. Short term benzodiazepine therapy typically lasts fewer than 4 months. One of the reasons that benzodiazepine therapy should be limited is because of the high potential for abuse, leading to addiction - Xanax is no exception.
Do I Need Xanax Rehab? Is There Xanax Treatment?
An addiction to Xanax may indicate that you need rehab. Addiction is characterized by:
- Withdrawal, which can encompass a rebound intensification of the condition one was prescribed Xanax for to begin with. Furthermore, there are a number of characteristic and unpleasant physical and psychological symptoms that can accompany the cessation of chronic Xanax use.
- Tolerance, which is the need for increased dosing of Xanax in order to achieve the desired effect.
- Particular abuse patterns, like poly-drug use.
- Poor motivation is usually an indicator that rehab may be a good option. A lack of motivation may be the result of depression and anxiety, or the fear of withdrawal sickness upon quitting.
Addiction to Xanax may have a hereditary component. If your parents or siblings show a pattern of abuse/addiction to Xanax and/or alcohol and other drugs, you may have a genetic predisposition for this addictive illness.
Elderly persons are particularly susceptible to over-sedation with Xanax and side effects of other medications for conditions such as depression. Benzodiazepines are frequently prescribed for the elderly, and an increasing risk of injuries from falls in dependent users remains a major safety issue.
What To Expect from Xanax Rehab
In the absence of a rehab center in your community, a person wanting to recover from Xanax addiction can go to the ER. Staff/case management will take care of referral to the nearest inpatient/ outpatient rehab center.
The screening interview is non-judgmental and meant to assist with the most effective treatment by understanding your physical and psychological history.
If Xanax overdose is suspected, emergency treatment consists of administering flumazenil particularly if Xanax has been used alone or with alcohol. If Xanax has been used with heroin or other opiates/opioids, ER staff will administer the opiate antagonist naloxone (Narcan).
A person may be switched to a long-acting benzodiazepine such as diazepam or chlordiazepoxide (Valium or Librium) that is gradually tapered.
- Treatment for Xanax addiction can consist of clonidine for hypertension and cravings, or carbamazepine (Tegretol) for seizures.
- Buspirone (BuSpar) is an option for treating anxiety and is non-addictive.
- Baclofen, marketed as an anti-spasmodic and muscle relaxant, has been shown in recent studies to be effective with cravings in Xanax addiction.
Cognitive Behavioral Therapy (CBT) and Motivational Enhancement Therapy (MET) have been shown to be very effective (Pettinati and Rabinowitz, 2006). They help change a person's compulsive thinking and behavior, and help motivate them towards recovery and engage the anxiety/panic, which may have resulted in addiction to Xanax.
Around 15-44% of Xanax users will develop withdrawal symptoms, even if they have been taking it in therapeutic doses for a short period. Xanax withdrawal can cause anxiety, panic attacks and seizures in severe cases.
How Long Does Rehab Take?
The length of a rehab program depends on the unique dependence profile of the individual.
- For example, co-occurring mental illness and simultaneous use of other drugs of abuse will require additional treatment attention, counseling and/or medication.
- Elderly patients, who have had prior physical injury due to Xanax dependence, will need to have their treatment re-evaluated.
- Further, studies examining patients with personality disorders show that benzodiazepine dependence can increase suicidal ideation, especially when combined with alcohol.
Because of the heterogeneity of the individuals requiring treatment, there is no clear recommendation on the length of rehabilitation from benzodiazepines. Generally, longer rehab programs have more successful outcomes, especially for polydrug abuse or comorbid psychiatric issues. Rehab programs can go from 30, 60 or 90-days.
Rehab programs generally consist of 30, 60, or 90 days.
Types of Rehab
Paying for Rehab
Many rehab centers understand that recovering addicts frequently face tremendous financial hardship. Payment plans may be an option.
- If addiction to Xanax or other drugs has resulted in divorce and subsequent bankruptcy, many financial institutions will take this into account and provide a low-interest loan.
- It is possible to borrow from retirement plans for reasons of hardship.
- It may help to make a list of all available assets, including insurance policies that may have reached maturity date.
Does Insurance Cover Xanax Addiction Rehab?
The Affordable Care Act of 2010 and its extension of the 2008 Mental Health Parity and Addiction Equity Act recognize substance use disorder and its treatment as an essential element of health service provision.
- Given the addictive risk associated with heavy use of Xanax, dependence on this chemical is covered. Medicare (for those over 65) and Medicaid (for persons with low income) are part of the delivery system for this coverage.
Before choosing a specific rehab center, please find out:
- Details on what is covered /not covered by insurance.
- How many days are covered by insurance.
- Whether there is a co-pay plan.
- If there out-of-pocket expenses to pay.
- Whether there are any prerequisites that need to be met.
- For example, some insurance providers only cover inpatient rehab if outpatient treatment was unsuccessfully attempted.
What Happens After Rehab?
Aftercare is critical especially for the first year of recovery. It can consist of weekly check-ins with the rehab facility simply to keep in touch, monitor progress, and may include ongoing group sessions around relapse prevention.
For elderly patients recovering from Xanax addiction, aftercare provides the opportunity to follow up on issues of nutrition and social support for those who live alone, as well as compliance with treatment protocols.
How to Pick a Top Xanax Addiction Rehab
NAADAC recommends reading the rehab's mission statement. This will include how the rehab defines itself, and its goals for your addiction treatment (NAADAC, 2010).
You should also consider the following:
- Dual-diagnosis expertise: Some rehabs do not treat co-occurring mental illnesses, especially anxiety and panic disorders, which are common in Xanax-addicted individuals.
- Consultation and integration with outside professionals, e.g. VA services for veterans, spiritual-religious support systems for elderly.
- Transportation to outpatient services, especially for elderly patients.
- Community involvement: A good rehab is one in which clinicians will introduce clients with co-occurring disorders to peer recovery models who can be a "bridge" to community peer groups.
- Physical rehabilitation options for the elderly.
- Insurance coverage, co-pay and cost.
- The use of evidence-based treatments for Xanax addiction as a medical illness.