Living with addictions
SAMHSA’s National Helpline | SAMHSA
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SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
Also visit the online treatment locator.
SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.
Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.
The service is open 24/7, 365 days a year.
English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.
In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.
The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.
The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.
No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.
What Is Substance Abuse Treatment? A Booklet for Families
Created for family members of people with alcohol abuse or drug abuse problems. Answers questions about substance abuse, its symptoms, different types of treatment, and recovery. Addresses concerns of children of parents with substance use/abuse problems.
It's Not Your Fault (NACoA) (PDF | 12 KB)
Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.
After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
Aids family members in coping with the aftermath of a relative's suicide attempt. Describes the emergency department treatment process, lists questions to ask about follow-up treatment, and describes how to reduce risk and ensure safety at home.
Family Therapy Can Help: For People in Recovery From Mental Illness or Addiction
Explores the role of family therapy in recovery from mental illness or substance abuse. Explains how family therapy sessions are run and who conducts them, describes a typical session, and provides information on its effectiveness in recovery.
For additional resources, please visit the SAMHSA Store.
Last Updated: 08/30/2022
SAMHSA Behavioral Health Treatment Services LocatorHome
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Millions of Americans have a substance use disorder. Find a treatment facility near you.
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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).
Life without addictions: how to get rid of emptiness in the soul
February 6, 2020 1:00
and the Far East
Gambling addiction can be curedPhoto: Victor GUSEINOV
Decades of material prosperity that followed the Soviet Spartan times and the first years of wild capitalism 90's, oddly enough, did not make our citizens happier. Experts who struggle with various forms of harmful addictions in people testify that gamers, gadget-dependent people, clients with various types of eating disorders, bulimia and anorexia are increasingly replacing ordinary drug addicts or alcoholics. The presence of such problems is usually detected when they are already running, and it is impossible to cure them without professional help. Nevertheless, in Tomsk there is a place where people come for recovery from all over the country - from Moscow and St. Petersburg, Chechnya and Vladivostok. nine0004
Maya Kalabina, head and clinical psychologist of the rehabilitation drug treatment clinic NV-Center Maya KalabinaPhoto: from the personal archive . - Addiction settles where there is a certain vacuum, unsatisfied spiritual needs. A modern person feels lost among rapidly changing circumstances and stereotypes imposed by advertising and society. Many of our patients lack proper self-esteem and good guidelines, hence their attempts to escape into a different reality, the desire to compensate for the huge vacuum in the soul. If before people were helped by faith, religion, then, under the USSR, by the party, now there is nothing of this, the picture of the world is blurred, many do not know why they live and how. It is symptomatic that among those who seek help, there are even priests or their children. This speaks of a lack of genuine faith and the absence of an inner core in people. nine0004
Classes at the NV Center Photo: from personal archive
Technological progress, which, as it seemed before, should only bring benefits, helpfully throws up more and more options for people with an immature psyche to escape reality. The Internet provides an opportunity to lose not only money, but also apartments, cars, cottages and houses. In Tomsk, there are advanced pensioners who manage to lower all their pensions online. At the same time, their granddaughters, chasing fashionable diets and a glossy image of beauty, become victims of bulimia and anorexia. And young men sit around for days on end, playing "tanchiki" or making bets in virtual casinos. nine0004
Clients of the clinic remember her with warmth Photo: from the personal archive
- Despite the fact that modern youth is well armed with gadgets and knows a lot of theoretical information, from the point of view of the psyche, emotional maturity, they are infantile compared to the generation that grew up in the 90s - says Maya Kalabina. “Therefore, in order to cure them of harmful addictions, we first let them increase the level of their knowledge, make them more mature, teach them a critical attitude to reality and a correct assessment of themselves by other people. nine0004
Clients from Novosibirsk, Kemerovo, Altai Territory, Vladivostok, Moscow, Tobolsk, Chechnya apply for help to the NV-Center clinic. In many ways, this is due to the fact that there are almost no clinics that treat eating disorders in the country, except for Moscow and St. Petersburg. But in the metropolitan institutions they are struggling with these diseases, relying more on dietetics and medications than working with the psyche of clients. Therefore, the results of such a process are usually modest. In the Tomsk clinic, treatment is successful because it is focused on psychotherapy, intellectual development and health-improving physical programs. nine0004
- Much also depends on how involved the patient's relatives are in the process of recovery: if they understand that they also need to change their behavior patterns, that any addiction is a family disease, so something needs to be corrected in the home microclimate, then the result of treatment is effective, says Maya Kalabina. - If parents and relatives say: “Take a person and remake him, but we won’t change anything at home”, then the results of such a “reset” are negative, soon he will again move down to the old rails. nine0004
Wushu classes are held in the center. Photo: from the personal archive
The age of people who apply for getting rid of harmful addictions today is completely different - from infantile teenagers to pensioners. It is curious that, judging by the reviews of the clients of the NV-Center, almost all of them remember the time spent in this clinic with great nostalgia and warmth. The reason, apparently, is that here they got what they initially lacked in society: unconditional, complete, acceptance from other people, including the clinic staff, increased self-esteem. Here people learn to overcome themselves, defects of their character, receive practical skills of behavior in an environment of ordinary people. As a result, they are grateful to the place where they were formed as individuals. nine0004
- In order for a person to independently find his dream, choose the right goals, we teach him to think a lot, to find definitions for many things that these people did not pay attention to before. For example, what is "love", "will", "freedom". Many used these words before, but did not think about what to understand by them, - says Maya Kalabina. - The main thing is that we help to find inner spiritual harmony, which puts people on the path of health, orients them among various everyday troubles and serves as a guideline for building a healthy family. nine0004
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Life with addiction. The course to recovery - Personal experience on vc.ru
My name is Tanya, I am 27 years old and recently I realized that I am addicted. I don't smoke, don't do drugs and hardly drink. Once it was a part of my life, but now it is long in the past. Now I am actively involved in sports, I am an excellent student at the university and I am constantly engaged in self-development and self-improvement. Here you can even ask “what is the problem? Maybe she wants to attract attention and collect compliments? nine0004
In fact, everything is simple: chemical addictions have been replaced by socially acceptable ones. The damage caused by drugs and alcohol is clear, but with other forms of addiction it is much more complicated. For example, what is wrong with active sports or self-development? Nothing if you don't have addiction problems. If there is, then you do not feel yourself, your needs and become simply obsessed with the desired, the object of activity, until you find yourself driven and devastated. Even a socially approved pastime, such as reading, can turn an addict into a recluse who avoids contact with reality. nine0004
So my “diagnosis” is emotional addiction. The real world feels like a vacuum to me. I run from this vacuum in search of new emotions (not always positive ones). These emotions should be strong, all-encompassing, such as falling in love, inspiration, excitement, anger, rage. Thanks to them, I feel alive, the world becomes colorful and interesting. But sooner or later, the euphoria ends, and I return to the state of a familiar vacuum - an immense emptiness within myself. At such moments, the thought is persistently spinning in my head: “If the world is so gray and meaningless, then I don’t want to live in it.” Further frustration, a state of apathy, a feeling of emptiness within myself, after which again the search for what will pull me out of this state. And the circle repeats over and over again. The question arises: where does it come from and how to get rid of it? nine0004
Let's take a big step back in the history of mankind and consider the social models of society. Ryan Eisler, an American anthropologist, in his work "The Cup and the Blade of Blades" makes a deep historical overview of the culture of the planet and an evolutionary look at the two main models of the form of human relations in society. She calls these models the “partnership model” and the “dominance model”. The first model of partnership is based on unity, cooperation and satisfaction of mutual needs in society. R. Eisler discovered numerous legends and archaeological data that describe an early form of civilization, where there were large spaces, the population of which maintained peace and prosperity for a long period. In this model of society, there was a cult of a woman, the Great Mother. Remains of material culture, arts and myths indicate that this ancient social culture was based on equality. Power, risk and all sorts of services to society were distributed regardless of gender. This approach, based on joint activities, helped to create a unified and harmonious relationship between people and other peoples. In the middle of the 4th millennium BC, the cult of the feminine begins to be replaced by the cult of the masculine, which leads to the polar type of civilization - the "dominant society". It is associated with masculinity, values willingness to give one's life and destructive actions such as conquest of territory and warriors. Such a social culture is built on inequality and, as a rule, puts one part of society over another. The higher group holds the power, takes the risk and receives all the rewards, distributes the rewards, leaving the lower group disempowered and often poor. People in such a society, instead of mutual cooperation, are bound by competition, use a comparative way of thinking - "you" or "I" and form a hierarchy that is supported by force or the threat of force. This creates an atmosphere of distrust and disunity. Such a model creates a co-dependent society, opposing its interdependent society to a partner model. nine0004
The roots of codependency permeate the entire structure of the dominant model of society and are present in all civil institutions, including even religious structures. In accordance with Christian dogmas, the common man will never enter heaven without priests, bishops, and other mediators of the male-dominated church hierarchy. Thus, the causes of our codependency are rooted deep into our social culture. Any culture that puts one above the other, one race or gender above the rest, creates a society that is ready to be co-dependent. An excellent example of a co-dependent society is the dominant culture of the US South during the Civil War. Wealthy farmers led an easy and luxurious life, while blacks worked to meet their economic and personal needs. Most of the wealthy were helpless and lacked basic survival skills such as cooking, gardening, and caring for animals. Black people, on the contrary, had these skills, but were often unable to plan and manage. When slavery was ended, both groups saw areas in which they were helpless and codependent. nine0004
Today, codependency is seen as an evolutionary problem closely related to the family system. Codependency arises due to the incompleteness of certain critical stages during the first 6 years of a person's life, in particular the stages of connection and separation. If something interferes with the completion of any of these stages, then a person throughout his life will repeat the processes leading to the completion of the stages of psychological development.
When people are aware that certain developmental patterns are causing them to overreact to certain people or situations, they are able to learn new, more effective responses. Also, thanks to the knowledge of the causes of their problems, a person can bring to completion the early unfinished stages of development. nine0004
The conventional medical model holds that codependency is a hereditary disease of unknown causes, or a disease associated with alcoholism, or being born into a dysfunctional family. In any case, it is considered incurable, since the codependent person acts, behaves and reacts like a sick person, his codependency progresses and the behavior of such a person becomes a self-destructive habit.
Despite this, there is still a way out. I am still at the beginning of the path of getting rid of addiction, but in working with a psychologist I managed to note the main points of navigation.