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How Does Online Aftercare Work?

Rehab is just one step on the road to long-term recovery. It’s also important to make plans for aftercare, so you’ll continue getting the support you need after inpatient treatment. For many clients, online aftercare is the most accessible option. You may even be able to participate in virtual therapy through your residential rehab program.

Since the events of 2020, it’s become the standard for most healthcare visits to occur online. This may include anything from mental health services, like talk therapy, to regular appointments with a general practitioner. Certain visits require in-person interactions, but these have become limited, and in some cases, even discouraged.

While this began as a way to protect clients and providers from contagion, it’s rapidly becoming the standard. We may see this practice continue for years to come. And it has many benefits, even for those at a low risk of contracting disease. Telehealth provides an unprecedented level of accessibility for clients who can’t easily see providers in person. This may include people with mobility concerns, clients in areas with severe weather, or those who want to stay in touch with practitioners who are far away.

The popularity of telehealth has grown extremely quickly, and technological tools are continuing to develop. Some clients—and providers—may still be learning exactly how this type of healthcare works. And we can expect the specifics to change over time.

What Is Teletherapy?

Teletherapy is a type of telehealth, and refers specifically to mental health services that take place online. Most commonly, clients will connect with providers through HIPAA-compliant video chat platforms. There are a growing number of online tools that meet the legal requirements for privacy, such as Doxy and Zoom for Healthcare.

Many clients use these tools to meet with providers as they normally would in person. For example, you might schedule weekly appointments with a talk therapist, meeting via video chat instead of in person.

Although teletherapy was popularized in 2020,1 it’s been around for a long time. “In 1959, the Nebraska Psychiatric Institute was using early videoconferencing to provide group therapy, long-term therapy, consultation-liaison psychiatry, and medical student training.” It grew much more popular as the general population started using the internet. Researchers began comparing it to other types of medicine in the 2000s, and found that it was “as effective, but slightly different, than in-person care.”

Despite its long history, more information is still needed to determine whether it’s effective for everyone. As more people turn to telehealth, there is hope that researchers will be able to collect enough data to answer this question.

all points north online aftercare
The team at All Points North Lodge in Colorado understand that relapse is a concern for those recovering from addiction. They invest in virtual therapy so that “when you leave, you stay connected.”

Is Online Therapy Effective?

Although there is more research to be done, online therapy has been proven to be extremely helpful for certain clients. This is primarily due to its accessibility. In some cases, experts recommend a mix of online and in-person services.

According to one study, “Telehealth may help engage patients in addiction treatment2 by improving access and convenience.” Additional research is needed to confirm that benefit and to determine how best to tailor telehealth to each patient’s circumstances and with what mix of in-person and telehealth services.

Others believe that telemedicine should be the standard way of providing addiction treatment services,3 like Robert Caudill, M.D., a member of the American Psychiatric Association’s Committee on Telepsychiatry:

“’We should be doing it immediately; the more, the better,’ said Robert Caudill, M.D., a member of the American Psychiatric Association’s Committee on Telepsychiatry. ‘It’s exploded in the past week, obviously,’ he told ADAW in a Zoom interview on March 23. But he thinks it should be the norm.”

However, online therapy has some noteworthy limitations. Some of these concerns are especially relevant to people healing from substance use disorders. For example, people in recovery from opioid addiction may be prescribed methadone. It’s important for this treatment to include office visits, to monitor the client’s physical and mental health. Even in these cases, some may benefit from supplementing in-person treatment with virtual services. And fortunately, many types of mental health services are available online.

Online Talk Therapy

Just a few years ago, online counseling was rare, and often dismissed. Lori Gottlieb, psychotherapist and bestselling author, wrote,

“If you had asked me what I thought of online therapy sessions4 before the coronavirus pandemic, I would have said, trying my best not to sound dismissive, ‘Well, I’m sure they can be helpful in certain ways — but I wouldn’t call them therapy.’”

However, recent events have made individual teletherapy a necessity. A huge number of therapists moved their practices online5 with very little notice. And despite their previous opinions, many have grown to appreciate these online sessions. After reflecting on her experiences throughout 2020, Gottlieb concludes that this modality illuminated certain details of her clients’ lives, “breaking down the facades we all construct and highlighting our shared humanity.”

And whether or not these therapists plan to return to seeing clients in person, the fact remains: now, we know it can be done. This has important implications for the alumni of residential rehab programs. Specifically, it may mean that you can maintain certain therapeutic relationships after you complete inpatient treatment.

At All Points North Lodge, for example, some clients continue to receive services after they leave rehab. Jerry Vaccaro, President of this facility, explains:

“For substance use disorders, the recidivism or relapse rates are huge. Rather than facilitate this revolving door that patients often experience, we’ve invested in virtual therapy so that when you leave, you stay connected.”

oceanica online aftercare
Oceanica Treatment Center in Mazatlan invites patients to attend weekly virtual sessions for 6 months after treatment.

Staying with the same therapist may help ease your transition out of residential treatment. You won’t need to spend time researching providers, or sharing your personal history with someone new. Instead, you’ll simply continue the conversation, updating your provider on your progress in a different environment.

However, this service isn’t always available. First, some rehabs may require their providers to focus only on inpatient services. And regardless of your program’s policies, “all psychologists and other professional health providers must be licensed by the state in which they practice.”6 If you travel out of state or out of the country for treatment, you may or may not be able to see the same provider after you return home. Despite these limitations, you may still be able to access other virtual mental health services, provided by more local groups.

Web-Based Support Groups

While strict regulations govern online talk therapy, fewer rules apply to support groups. Organizations like A.A. and N.A., for example, are simply groups of people coming together to talk about their experiences. Because they are usually facilitated by members, and not by licensed professionals, they have fewer issues with liability.

If you have a reliable internet connection, you can easily attend an online 12-Step group meeting. Several non-12-Step groups, like SMART Recovery, also host virtual sessions. These meetings are available worldwide, to anyone who can access the site.

Because online support groups may be hosted from any location, they cross countries, cultures, and time zones. This provides an unprecedented level of accessibility. While it may be difficult to find an in-person meeting at 4 am on a Saturday, you may be able to attend one that’s hosted in a distant location, simply because of the time difference. But make sure to check that the meeting you choose takes place in a language you understand!

Your rehab program may also offer online support groups. At Oceanica Treatment Center, for instance, has a very active alumni program, in which you will be invited to attend weekly virtual sessions for 6 months after treatment. The team at this facility is committed to staying in touch with clients long after this six-month period, supporting them in their continued recovery journeys.

Apps Support Continued Sobriety

Mobile apps are increasingly popular with people of all demographics, including rehab alumni. These platforms are extremely accessible; unlike talk therapy or support groups, you can use them casually and repeatedly throughout the day. It may not be appropriate to speak at A.A. meeting while you’re waiting in line at a coffee shop; however, it’s perfectly acceptable to look at your phone.

There are a variety of sobriety tools available for smartphone users, many of which are free to use. Some of these apps focus on alcohol use,7 while others let you customize your settings. For example, if you stop using illicit substances as soon as you enter rehab, and then quit smoking several months later, you may be able to track your progress in both these efforts using one app.

Every app is different, but most of them share some common features. You might read daily inspiration quotes, celebrate milestones, or even connect with a sober support network. This is also a powerful way to share your progress with friends and loved ones, either through a share function or simply by taking a screenshot of the app itself.

And if a sobriety tracker isn’t right for you, there are many other health and wellness apps that may support your recovery. For example, many clients find that they benefit from mindfulness and meditation exercises. Others may want to focus on nutrition, in which case a calorie tracker may be helpful.

Much more research is needed regarding the efficacy of these apps for mental health. When used with intention, they may be very beneficial. However, self-directed processes are no substitute for talk therapy. It’s very important to use these tools to supplement—and not to replace—professional care.

Online Therapy Makes Aftercare Accessible

Following rehab, it’s vitally important to engage in aftercare. This stage of recovery looks different for every client. And as you plan for the next stage of your life, it’s extremely important to get advice from your team of providers. As experts, they’ll be able to guide you toward resources that support your specific goals.

For many clients, aftercare is made possible by these virtual options. And even if you don’t face specific barriers to receiving in-person treatment, online care can simplify the logistics of recovery. As a result, it can help make your healing process more sustainable.

Search luxury rehabs to learn more about treatment and aftercare and reach out to centers directly.

Frequently Asked Questions About Virtual Aftercare

How can I continue my recovery after leaving rehab?

After completing a rehab program, you can continue your recovery journey with virtual support through teletherapy or virtual support groups. These alternatives to in-person aftercare provide a convenient option for maintaining sobriety.

What are the benefits of using virtual aftercare services?

Virtual aftercare services, like online therapy and support groups, are a convenient way to access additional support in early recovery. These services can also provide flexibility for those with busy schedules.

How effective is online aftercare for addiction treatment?

Studies show that online aftercare for addiction treatment can be just as effective as in-person aftercare. Virtual services like teletherapy and online support groups are proven to improve treatment outcomes and reduce the risk of relapse.

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Ibogaine Treatment for Substance Use Disorders

gabon scenery

When you first enter recovery, it can be daunting to consider the road ahead. Especially after addiction, which sometimes offers instant gratification, you may be concerned about the slow rhythm of sustainable change. Some clients find it helpful to kickstart this process using ibogaine-assisted therapy.

Ibogaine is an alternative medicine, often administered in a short-term retreat setting. While it’s not readily available in the U.S., clients can travel to treatment centers around the world to seek it out. If ibogaine is right for you, it could certainly worth the trip. This experience is extremely different from most other forms of treatment.

What Is Ibogaine?

Ibogaine is a naturally occurring psychoactive alkaloid, found in the West African iboga shrub. In small doses, it’s a mild stimulant. In large doses, it can produce a dreamlike psychoactive state. This medicine has a long history, and has historically been used in healing and initiation ceremonies by members of the Bwiti religion.

The Multidisciplinary Association for Psychedelic Studies (MAPS) is exploring ibogaine as a potential treatment for substance use disorders, especially opiate addiction. According to their experts, “People with problematic substance use have found that larger doses of ibogaine can significantly reduce withdrawal from opiates1 and temporarily eliminate substance-related cravings.”

Experts found that ibogaine can have both psychological and physiological benefits. It’s sometimes administered at the beginning of a client’s detox process, because it “diminishes opioid withdrawal symptoms and reduces drug cravings.”2 Research suggests that ibogaine and its analogs “potently promote neuronal growth,” and produce “antidepressant-like behavioural responses.” Because of this, its effects may be beneficial for clients with a variety of mental health diagnoses.

The Uses of Ibogaine

This versatile treatment is especially useful for clients at the beginning of their recovery process. According to Álvaro de Ferranti, Founder of Tabula Rasa Retreat,

“It is not necessary to detox off drugs before an ibogaine treatment, particularly heroin…Ibogaine does take away heroin withdrawals instantly.”

It’s important to note, however, that clients detoxing from alcohol or benzodiazepines should taper off before beginning this treatment. Make sure to talk to your team of providers about your medical history, in order to avoid any serious side effects.

In addition to opiates, ibogaine is “also known to arrest cravings and addictions to stimulants such as crack cocaine and meth,” Ferranti continues. “It can also help people with dual disorders, mental disorders, and people who simply want to enhance their life spiritually and find answers and come back to self-love.” In particular, research supports the use of ibogaine for certain mental health concerns.

Opioid Addiction

In the Western world, this treatment is best known for its effect on recovery from opiate addiction. It alleviates most withdrawal symptoms, making detox faster and less uncomfortable. Clients also experience long-term benefits.

In one study, conducted by MAPS, “Results showed the most improvement in drug use at one month with 50% of participants reporting no opioid use during the previous 30 days. Ibogaine was associated with substantial reductions in opioid withdrawal symptoms3 and drug use in participants and may provide a useful prototype for development of innovative pharmacotherapy of addiction.”

Cocaine and Stimulant Addiction

According to the team of providers at Iboga Quest in Mexico, “cocaine addiction appears to respond very well to ibogaine treatment4 when coupled with proper preparation and after-care.” This finding is aligned with preliminary data from formal research.

In one retrospective study, subjects who had been treated for “cocaine dependence,5 almost none of whom used opioids, reported a median relapse-free interval of 5.5 months following single doses of ibogaine.” Ibogaine’s influence on the risk of relapse may be caused by its other psychological benefits.

Another study, which specifically focused on people in recovery from cocaine addiction, found that clients “patients benefited from the treatment in all the secondary outcomes, reporting decreases in craving and improvements in personal relationships, quality of life, and self-efficacy, thus supporting existing notions that treatments combining ibogaine and psychotherapy do have a therapeutic potential in the treatment of substance use disorders.”6

PTSD

Many people in recovery present with co-occurring disorders, meaning that they have both substance use disorders and additional mental health diagnoses. In particular, it’s quite common for clients to have PTSD. This condition has a complex relationship with substances. Some clients turn to substances in order to self-medicate its symptoms, and others develop PTSD due to experiences they have while using substances.

Ibogaine is shown to have a positive impact on PTSD patients.7 One study, conducted with military veterans, found that treatment “may offer a rapid and robust, and well-tolerated, treatment option for those suffering from a variety of psychiatric and cognitive symptoms,” and specifically for symptoms related to trauma.

Depression

Promising research is currently being done into ibogaine as a treatment for depression. Scientists began by creating an analog of ibogaine,8 intended to have similar effects. This medicine, called tabernanthalog (or TBG), “appears to relieve depression and addiction symptoms without producing hallucinations or other dangerous side effects.”

Although much more research is needed into the effects of TBG, some healthcare providers already support success using ibogaine to treat depression. According to the team at Tabula Rasa Retreat, “ibogaine can lead to an increase in serotonin levels in the brain, leading to a sense of wellbeing and possibility after a difficult period.” Their program caters to people with substance use disorders, depression, PTSD, and a wide variety of other mental health concerns.

The Experience of Ibogaine

Ibogaine is available at treatment centers around the world, although not in the U.S. Just like any other type of rehab, each of these facilities has its own distinct philosophy. Choose an environment that suits your specific needs.

Whatever the atmosphere of the facility, it’s important to carefully prepare for this experience. If you’ve been using certain substances—such as alcohol—you may need to detox prior to treatment. For others, this may not be required. Make sure to talk to your medical doctor and to the staff at your treatment center about the safest way to proceed.

Ibogaine induces a psychedelic experience. During the session itself, you may find yourself in a dreamlike state for up to 72 hours. Clients often report revisiting traumatic events from the past, and gaining new insight into their least healthy behavioral patterns.

As you slowly emerge from this state, you will likely experience immediate and significant differences. Rich, a client at Iboga Quest, had previously undergone detox, and later decided to try ibogaine after a relapse. Comparing these 2 experiences, he told interviewers, “With iboga, or ibogaine, it’s like hitting the reset button…I would say I still had symptoms, but they were significantly less—maybe 20-30% of what you’d normally have.”

Ibogaine also transformed his experience of shame. Prior to treatment, he struggled to accept himself, and was haunted by past mistakes. In an ibogaine-induced dream state, he envisioned a human body with empty spaces inside it, which he’d been trying to fill by using substances. As he explored these images, he learned the value of accepting himself just as he is.

“I always thought that acceptance was almost like admitting defeat. And [ibogaine] showed me that I didn’t have to necessarily like these aspects of myself; it wasn’t asking me to do that. But I had to accept them…these are things that happened…and even if they’re aspects of myself that were true at some point, they don’t have to remain true. And accepting them doesn’t mean that they remain true forevermore. In fact, accepting them puts you in a really great position to be able to change those aspects of yourself that you don’t like. And so that was my major teaching, really.”

The Long-Term Effects of Ibogaine

Unlike some other psychedelic medicines, ibogaine can have a lasting effect on mental health.9 In fact, researchers believe that it can “modify addiction-related neural circuitry through the activation of neurotrophic factor signalling.” This has important implications for its use in the long-term recovery process.

Despite its rapidly apparent benefits, however, ibogaine is not a miracle cure for substance use disorders. Experts at Tabula Rasa Retreat have defined 4 distinct phases of ibogaine treatment:10

  • In Phase 1, patients ingest ibogaine and experience a dreamlike state. You’ll likely spend this portion of treatment in bed, and under medical supervision.
  • During Phase 2, you’ll be fully conscious and aware, but may be hypersensitive and overwhelmed by recent epiphanies.
  • Phase 3 “begins abruptly and lasts for around 3 months. This phase is known as Temporary Freedom.” During this time, clients report decreased cravings and a lower sensitivity to triggers. It’s extremely important to remember that this, too, is just one phase of treatment. Clients should have a clear plan for aftercare in order to take advantage of this time.
  • Phase 4 is also known as the “Return to Earth.” At this point, clients often see an increase in their emotional sensitivity, and may be susceptible to relapse.

Researchers have determined that ibogaine “is not a cure for addiction.11 Instead, it merely interrupts addiction.” There is a great vulnerability associated with Phase 4 of treatment. No matter how relieved you may feel in Phase 3, it’s extremely important to prepare for your long-term recovery. If at all possible, it’s best to make plans for aftercare before you begin treatment. This may guard against the impulse to return to your old life too quickly.

Some clients begin recovery with ibogaine, and then go on to attend a more traditional rehab program. You might also consider joining an intensive outpatient program (or IOP), meeting with a support group, or simply seeing a talk therapist who specializes in substance use disorders. However you choose to proceed, make sure you’re prepared for the next phase of the healing process.

Beginning Recovery With Ibogaine

Although more research is needed, ibogaine is a very promising treatment. Whether you’re healing from substance addiction, trauma, or another mental health diagnosis, it may be a good place to start moving forward. However, like any other medication, this medicine is not appropriate for all clients. It has some notable health risks,12 and may cause unwanted physical side effects. Make sure you consult with a medical professional in advance, to ensure it’s a safe method for you.

Remember that while recovery can start with ibogaine, it’s just the first step in a lifelong process. It’s best to combine this medicine with other, evidence-based therapies, which may include rehab, medical care, talk therapy, or other options. Ibogaine can be a powerful element of your healing process, and may make it easier for you to move toward a healthier lifestyle. But this experience is no replacement for the slow, careful cultivation of sustainable behaviors.

If you’d like to learn more about this therapy, see luxury rehabs offering ibogaine-assisted treatment.

Frequently Asked Questions About Ibogaine Therapy

What is ibogaine treatment for substance use disorders?

Ibogaine treatment is a unique approach to treating substance use disorders that involves the use of the iboga plant. It’s believed that ibogaine can help people heal from addiction by providing a deep psychological and spiritual experience that helps them confront its root causes.

Is ibogaine treatment safe?

While ibogaine treatment shows promise in treating addiction, it’s not without risks. It’s important to seek treatment at a licensed and reputable facility with trained medical staff who monitor patients and provide appropriate care.

What types of addiction can be treated with ibogaine?

Ibogaine treatment is used to treat a range of conditions, including addiction to opioids, alcohol, cocaine, and meth. However, it may not be suitable for everyone and should only be used under the guidance of trained medical professionals in a controlled and supervised setting.

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Treating Depression With Ketamine and Psychedelics

spiral staircase marble steps brass banister photo cred: ludde lorentz

Both ketamine and psychedelics have emerged as popular therapeutic methods in recent years for those who have been resistant to other forms of depression treatment. While many medical professionals and people who have undergone these treatments attest to their benefits, there are still legitimate concerns being expressed about the potential risks associated with their use.

]We take a look at some factors to consider, and the science behind this approach.

How Ketamine Is Used to Treat Depression

Ketamine’s most common medical use is as an anesthetic and a sedative. But it can also be used as a fast-acting antidepressant, usually in the form of a nasal mist or IV infusion performed under medical supervision. Studies have shown that, starting within 4 hours of receiving a dose, ketamine relieved the symptoms of depression for approximately one week at a time.1 Research further suggests that ketamine causes new connections to form in brain. Its fast-acting effectiveness and impacts on neuroplasticity have led clinicians like Gerard Sanacora, Psychiatry Specialist at Yale Medicine, to speculate on its increased use in medical research.

“It’s quite possible that we will see more medical institutions offering ketamine as a treatment,”2 says Sanacora. “And the FDA recently approved the use of esketamine, which is derived from ketamine. These are all very exciting prospects.”

Is Ketamine Safe?

Currently, ketamine is only approved by the FDA as an anesthetic and pain reliever,3 not as a depression treatment. This is largely due to the fact the long-term impacts of ketamine are mostly unknown. Since it’s also used recreationally for its narcotic properties, addiction risk is a major concern. Too much ketamine can have adverse effects like dissociation, hallucinations and paranoia (known as a “K-hole”).4 While ketamine administered in the proper doses under professional supervision is considered safe, these concerns prevent it from becoming more mainstream.

How Psychedelics Are Used to Treat Depression

Psychedelics have a different way of treating depression. Research shows that hallucinogens like psilocybin (found in psychedelic mushrooms), LSD and ayahuasca can potentially relieve the depression symptoms after just a single dose. Successful psychedelic treatments can help people gain clarity about problems they’re experiencing, giving them the opportunity to access their subconscious and process past traumas they had previously suppressed. According to recent studies, psychedelics enhance people’s feelings of connectedness with others,5 their spirituality and their sense of meaning. Some studies suggest that these substances open pathways in the brain—hence the notion that psychedelics expand your mind. While this sounds promising, the science on how these drugs work to treat depression is still being studied.

Watch this TED Talk by Mark Haden, Adjunct Professor at the University of British Columbia School of Population and Public Health, to learn more about psychedelics:

Are Psychedelics Safe?

Psychedelics also pose their own set of risks. Although they’re not generally considered to carry high addiction risk, there can be unpredictable short-term effects of psychedelics.6 Not least of these is a “bad trip,” which can include symptoms like extreme paranoia, anxiety, and loss of psychological control. While these symptoms usually subside within a relatively short period of time, they can lead users to place themselves in dangerous situations. Generally speaking, however, when intentionally therapeutic doses of ketamine or psychedelics are administered by professionals in safe environments, the risks to your safety are quite low.

Finding the Right Rehab for Depression

If you’ve tried different treatment methods for depression and find yourself still struggling with this debilitating disorder, know that there is an abundance of treatment options out there, and some may work better for you than others. While ketamine or psychedelics may not be for you, a variety of other program offerings might be.

Visit our collection of luxury rehabs specializing in depression treatment to explore some of the world’s best centers today.

Frequently Asked Questions

How can ketamine and psychedelics be used to treat depression?

Ketamine and psychedelics treat depression by influencing the brain’s chemical pathways, promoting new thought patterns and behavior. They can provide rapid relief for symptoms of depression, and may be particularly useful for people who haven’t found success with other treatments.

What is the difference between ketamine and traditional antidepressants?

Unlike traditional antidepressants which can take several weeks to start working, ketamine can provide relief from depression symptoms within hours. Ketamine targets different neurotransmitter systems in the brain compared to other antidepressants, making it a valuable treatment option for people who haven’t responded to other medications. Additionally, helps repair damaged neural pathways, leading to longer-lasting effects.

What’s the process for ketamine or psychedelic therapy for depression at a residential rehab center?

In residential rehab, you’ll undergo ketamine or psychedelic therapy under the guidance of qualified professionals. Patients are carefully screened to ensure that they’re appropriate candidates for these treatments. After an initial consultation, your care team will develop a personalized treatment plan, and you’ll receive the medication in a comfortable, private setting. The treatment is closely monitored to ensure safety and efficacy, and you may receive ongoing therapy and support to promote long-term recovery.