Do I Need Rehab?
Klonopin (clonazepam) is a benzodiazepine medication used to control seizures and anxiety. People may abuse it for its ability to produce a calm, relaxed state and may eventually become addicted to it.
Knowing whether you need treatment for Klonopin addiction isn’t always straightforward. It can also be difficult to accept that you may need treatment.
The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) outlines several criteria clinicians use to assess the presence and severity of addiction:1
- Do you take Klonopin in larger quantities than intended?
- Do you spend a large amount of time trying to obtain Klonopin, use it, and recover from its effects?
- Do you have cravings to use Klonopin?
- Do you use Klonopin in risky situations, such as when you drive?
- Have you unsuccessfully tried to quit or cut down your drug use before?
- Do you neglect other responsibilities (school, work, family) or activities you used to enjoy to find or use drugs?
- Do you use Klonopin in spite of medical consequences, illnesses, or social or interpersonal problems?
- Have you noticed a tolerance (needing more of the drug to achieve the desired effects)?
- Do you experience withdrawal symptoms when you stop taking the drug?
If you or a loved one can answer “yes” to at least 2 of these questions based on your behavior over the past year, it may mean you have an addiction, or in diagnostic terms, what’s known as a sedative, hypnotic, or anxiolytic use disorder. If so, it’s in your best interest to reach out for professional help. Treatment can help you restore your physical and mental health and move you toward recovery and healing.
Types of Rehabs
If you’ve decided that it’s time to get help, congratulate yourself. Recognizing that you have a problem is an essential part of the recovery process.
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As you begin your search for different rehabs, you may notice that there are many options. The next sections outline the similarities and differences between these options, which will help you make an informed decision.
Residential or Inpatient
This category includes programs where you live at the center while you receive treatment. These rehabs include 24-hour supervision, medical care, medication management, and possibly detox. Participants have highly structured days that involve group and individual therapy, and often 12-step meetings.
Inpatient programs run anywhere from 30 to 90 days or more. They offer an environment free of distractions and temptations to use. But they tend to cost more than outpatient programs. People who have more serious addictions and little to no social support may benefit from these programs.
Outpatient
Outpatient programs consist mostly of group therapy, though individual sessions can be a component of treatment. Participants attend treatment for a specific amount of time and return home afterward. Due to the lack of room and board costs, most outpatient programs are less expensive than inpatient.
Outpatient programs are available in a range of intensity levels. Some programs meet 5 days a week for several hours (partial hospitalization programs), some meet a few days a week for a couple of hours (intensive outpatient programs), and others may only meet once a week.
These programs tend to be a better fit for people who are not abusing other drugs, have good support at home, and have not relapsed before.
Private or Luxury
Private or luxury rehabs can offer a full continuum of services, including detoxification, residential, and intensive outpatient levels of care.
Clients in these facilities may have access to a variety of high-end amenities, including:
- Equine therapy.
- Acupuncture.
- Massage therapy.
- Excursions and day trips.
- A private chef.
Often, these amenities are not available or are available on a limited basis at standard drug rehabs. Further, private or luxury rehabs may have higher staff-to-client ratios, meaning clients can receive specialized and individualized care.
Because of the amenities, these programs tend to be more expensive than other programs.
Executive
Addiction doesn’t discriminate. High-powered CEOs struggle with substance abuse, too.
Sometimes, it is simply not possible to take an extended leave of absence from work. In executive rehab facilities, clients can manage their work responsibilities while they recover from an addiction. These clients can receive detox, residential/inpatient, and outpatient services depending on their addiction severity. However, they are still able to balance their work and personal life confidentially and discreetly.
In addition to the luxury amenities listed above, these programs may offer conference rooms and workspaces with Internet access. Like luxury programs, they also tend to come with a higher price tag.
Other Specialized Rehab Programs
Rehab centers are increasingly becoming aware that each client comes into treatment with a unique personality and set of needs. As a result, many facilities have developed specialized tracks or programs designed to support these clients.
Such specialized programs include:
- Adolescents and teenagers.
- LGBTQ population.
- Military personnel and families.
- Dual-diagnosis treatment.
- Gender specific.
Feeling safe and comfortable in a rehab center is important for achieving personal growth and taking the necessary steps to get sober.
If you’re interested in one of these programs, browse the Substance Abuse and Mental Health Services Administration’s Behavioral Health Treatment Services Locator. It lets you search for low-cost programs in your area and lists information on special programs or groups the center treats.2
How Long Does Rehab Take?
There’s no single answer for the “right” length of treatment. Each rehab will recommend a certain amount of time based on the person’s situation. This duration can depend on a variety of factors, including:
- Severity of addiction.
- Mental health issues.
- Insurance coverage.
- Prior relapse history.
- Legal issues.
As mentioned above, inpatient programs can last anywhere from 30 to 90 days or more. Outpatient programs lasts from about 2 months to a year.6 Generally, research shows that treatment that lasts longer than 90 days is more likely to be effective.3
Paying for Rehab
People who plan to enter rehab have different payment options and financial plans available. While some public facilities offer free or low-cost treatment, many clients use financial support to fund their care. Different options include:
- Using public or private insurance.
- Borrowing money from loved ones.
- Taking out loans.
- Setting up a payment plan at the rehab center or using a sliding scale based on what you can afford to pay.
- Earning rehab scholarships.
- Starting a crowdfunding campaign.
Each rehab center can provide you with information on how they take payment and what options they have for funding. You can also combine different funding sources to cover the cost.
Does Insurance Cover Rehab?
Many times, private insurance will cover some or all of rehab. However, this depends on the policy, benefits, and deductibles of the plan. Some rehabs will only accept certain insurance carriers.
The Affordable Care Act now requires most insurers that sell policies on its state insurance marketplaces to cover addiction treatment benefits. Enrollment in the marketplaces is only available during certain times of the year. But you may be able to sign up at other times if you are going through certain life changes. Additionally, the Mental Health Parity and Addiction Equity Act requires health insurers and group plans to maintain the same level of benefits for addiction treatment services that they do for primary medical care.
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Medicare can cover addiction treatment if it is deemed medically necessary and provided in a Medicare-certified inpatient or outpatient treatment center. Medicaid coverage, on the other hand, varies from state to state. It depends on whether the Medicaid plan is offered under HMO standards, managed care, and prior authorizations.4
How to Pick a Top Rehab
No single treatment approach will fit everyone. Treatment will vary based on a variety of factors, and its effectiveness will vary from person to person.
Still, it’s important to know what to keep in mind when searching for the best rehab center for your care. Some factors include:
- Detox: Klonopin withdrawal can be dangerous and even life-threatening. Make sure you choose a facility that can manage benzodiazepine detox.
- Multifaceted treatment: Effective addiction treatment does not just focus on drug abuse. It addresses psychological, social, legal, medical, and vocational problems surrounding the person’s addiction. Effective treatment is also culturally sensitive and age appropriate.5
- Affordability: Clients and families need to be able to pay for treatment. Look for rehabs that offer payment plans for different financial situations.
- Location: It is not uncommon to attend treatment out-of-state, as a change of scenery can be beneficial for many clients. The location should be safe, and the physical environment of the treatment center should be clean, professional, and inviting.
- Behavioral therapies: Look for a program that offers evidence-based therapies such as cognitive behavioral therapy. These therapies can also increase self-awareness, self-esteem, and enhance motivation for recovery.5
- Medication: In combination with behavioral therapies, medication can be an effective component of comprehensive care. Clients should have access to psychiatrists and medical doctors to review their medication options.5
- Treatment philosophy: Whether the program follows an abstinence-only model, 12-step model, or harm-reduction practice, each rehab should outline its expectations and requirements for its clients. The program’s philosophy should also align with your values.
- Credibility: Research the staff and make sure they are trained and have experience in addiction treatment. Read online reviews of the facility and find out if it is accredited and licensed. Such programs are expected to adhere to higher standards of care.
Sources
1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.). Arlington, VA: American Psychiatric Publishing.
2. Substance Abuse and Mental Health Services Administration. (N.D.). Behavioral Health Treatment Services Locator.
3. National Institute on Drug Abuse. (2016). Drug Abuse and Addiction: What Science Says.
4. Substance Abuse and Mental Health Services Administration. (2015). Insurance and Payments.
5. National Institute on Drug Abuse. (2012). Principles of Effective Treatment.
6. Substance Abuse and Mental Health Services Administration. (2014). What Is Substance Abuse Treatment? A Booklet for Families.