Quite often, patients and their relatives are asked about what forms of treatment are most effective? There are many options:

· Medical model of treatment.

· Rehabilitation by groups of self-and mutual aid.

· Treatment by a psychologist or therapist.

· Treatment through the development of spiritual teachings.

How do they differ? How to choose one of them?

Try to analyze the advantages and disadvantages of various methods of treatment.

Let's start with the traditional medical model of our country.

Medical model

Treatment of chronic diseases in this form is the application of drugs (for the chemically dependent addicts and alcoholics to them are the same and different variants of chemical defenses). In such a model can achieve a stable remission for some time, but it is extremely difficult to adjust the administration of drugs, depending on the patient's lifestyle. In addition, this method makes any chronically ill in the chemically dependent. As for the chemically dependent, for them, in this case, very little is changing: the patient remains in the "chemical" thinking. He continues to believe that psychological problems can be solved only with the use of chemicals.

Rehabilitation therapy

Another model of treatment of chronic diseases is a model of rehabilitation offices. Among them are the two groups. The first group includes those offices where the emphasis is on restoration of physical health. By the main methods of rehabilitation are different variants of bracing drug and non-drug therapy in the form of physical therapy, acupuncture, tailored diets. Psychotherapy in such offices either has a very small place, or non-existent. In this version rehabilitation after discharge, the patient, getting back into the old environment, back to the old way of life. It can save acquired health only if the people around him seriously reconsider their relationship with him, or he will show the wonders of personal and spiritual growth.

Sometimes it happens. If you believe the media reports, some of the Kuban Cossack villages, in some settlements in Siberia, the population is united, and simply drove traffickers from their territory. Why do I attribute such actions to the elements of spiritual growth? From my point of view, when people begin to consider prevention of drug abuse a private matter, society is becoming more spiritual, because it lives on the principle of "alien grief does not happen." And here's another example of spiritual enlightenment of a kind.

One woman's husband was drinking heavily. She tried a lot of ways to combat this scourge (taking away wages, coding, constant scandals and moralizing, the appeal to the district, and other equally popular methods) - all in vain. Once the unfortunate wife went to a lecture by religiously oriented psychologist. It seems that this was the last hope because of everything he heard at a lecture in her memory heaves a single phrase. "My wife - a husband and a slave must humbly accept all (!), what he is doing "- so said the lecturer. When the woman came home, she met her husband, fell at his feet, shouting: "Sorry, boss, blame before you! Do what you want - I sterplyu.

Hearing that his wife, the man sobered up immediately. In subsequent days, a sober, he became a watch with interest what the outcome is "madness". But it is clear in this case, shock therapy brought great results. The woman continued to behave as if it were the seventh wife of the Turkish pasha. Husband, nothing else to do but to be sober, because to maintain their self-esteem he no longer needed a vodka. Such a "miracle" as a change of setting can positively affect the treatment of any addiction. Of course, rely on similar miracles - is the height of frivolity.

The second group of rehabilitation offices - offices psychological rehabilitation to ensure sustainable good health after treatment. The main link in the psychotherapeutic rehabilitation program is to develop a new stereotype of behavior. What does this mean? This involves actively working to develop a new system of values, namely, honesty, openness, tolerance to self and others, and we've talked a lot about this in previous chapters. Should form a new world-view system, which has at its core a spiritual or personal development.

Monasteries

Now let's see what goes rehabilitation patients in rehabilitation centers in the monasteries. The basis of the therapeutic process in such centers are prayer and work. On the psychotherapeutic sense of prayer and physical work, we already know. But now I want to point out the limitation of efficiency in the case of using them as separate events. Physical work, which involved patients in the monasteries, and helps them to fill your day and realize the importance of labor to produce wealth. But such work is not helping the patient to further integrate into society. Thus, patients who feel well in the monastery, after being discharged often return to the old behavior, which led to their illness, or come back to the monastery to live there next. But if you stay at the monastery reabilitant deeply and sincerely accept the spiritual values of religion and finds humility in life's turmoil, the faith that in hard times God will always help, understanding of the basic precepts of Christ from the Sermon on the Mount, "then went out into a new life, he will be able to preserve their sobriety indefinitely.

Group

Rehabilitation in a group self-help and mutual aid at first sight different from the above methods of greater freedom of the patient. However, in this case he is obliged to comply with a number of regulations adopted in a particular group. Among them are the rules common to all psychotherapeutic groups:

· Anonymity experiences of participants: no time and with whom you can not talk heard on the group.

· Ban on dealings between members of the group: a violation of this rule may result in loss of mutual trust necessary for effective work.

· In addition, these groups are working on the program of personal or spiritual growth.

As a result, if a person just wants to improve their well-being and is not engaged in the spiritual development of the community adopted the program, it either becomes dependent on the group or returns to the disease as a way of life. As you see, in groups of psychological self-help and mutual aid believe that recovery (for the final rejection of the drug, sustained weight loss, normal blood pressure is stable, long-term remission of bronchial asthma, etc.) is possible only in personal (spiritual) growth .

So, to sum up.

• How would any chronic disease , a prerequisite to get rid of addiction is spiritual growth.

· Moral development of patient understanding of their mission, their goals in life - this is the road to the shrine called Healthy Free harmonious personality, living in harmony with oneself and the world. And no matter which of the beliefs or some of the psychological concepts would lead to this temple.

· Most effective multimodality therapy incorporating elements of progressive methods of treatment. Such an approach is the basis of all the most efficiently operating rehabilitation programs in the West. Unfortunately, in Russia, such centers only began to be created.