Individual and group therapy sessions that patients will attend while at Praxis will provide the methods, tools, and information to help build long-term sobriety. Patients will learn from licensed therapists in a variety of formats, including cognitive-behavioral therapy, dialectical-behavioral therapy, SMART Recovery, family therapy and more.
Group therapy, group education, and support meetings are important for helping those in recovery to share and empathize with peers. Individual therapy is also integral as it allows patients to delve deeper into their own personal addiction and address the underlying psychological mechanisms that play a role.
Due to doctor-patient confidentiality laws and the Health Insurance Portability and Accountability Act, the only time that a therapist may share information is if they have reason to believe a patient may cause harm to themselves or others., are privy to the disclosure of child abuse, or if a predetermined court program was used such as Casey’s law. Information can only be disclosed otherwise if the patient requests and signs specific ROI’s.
The Health Insurance Portability and Accountability Act is designed to provide various protections for health care consumers, including the guarantee of certain rights and the safeguarding of personal information. HIPAA is divided into two main segments:
Title I provides protections for workers who lose their jobs or change jobs while covered by a group plan. Instead of losing their coverage, insurance is extended until the plan at the subsequent job takes effect. This can be important for people who lose or give up their jobs when they attend drug treatment, because it helps them stay insured while receiving treatment.
This title also reduces the amount of restrictions that insurance companies can place on pre-existing conditions. For individuals struggling with substance abuse that have relapsed numerous times, this means that they can still get coverage for addiction even if they’ve been an active user or received treatment in the past.
Title II governs the administrative and privacy protection aspects of HIPAA. All healthcare workers at Praxis have been trained in the handling of patient data according to HIPAA regulations, ensuring that sensitive personal and medical information remains private. HIPAA hands out fines of up to $1,500,000 for privacy violations and for criminal breaches as much as ten years in prison.
These different approaches are chosen based on the individual patient’s needs. Several models that our staff may employ include Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), Interpersonal, Emotionally-Focused, Motivational Interviewing, REBT, Solution Focused Therapy, Trauma Informed Care and more.
In group therapy, patients gather in a group setting and work with either one or more counselors on activities that invite group members to share with one another and participate in communal challenges. Patients will learn fundamental, practical skills through education and hands on activities.
As with individual therapy, group therapy is safe, judgment-free, and confidential. While some of your views might be challenged or questioned in group therapy, it is a place where no harassment, bullying, or manipulation occurs. Group therapy offers considerably more flexibility in terms of discussion, activities, and direction of the therapy. The experienced and professional staff at Praxis will successfully steer group therapy sessions in the right direction and keep the group focused and invested in the discussion.
Family Education is a unique program component that Praxis offers for relatives, spouses, friends and cohabitants of patients. Many patients in rehab transition back into a home environment, such as adult children returning to a parent’s household, or an individual entering sober living, without their families knowing how the disease of addiction works.
Patients struggling with addiction and mental health concerns need support to heal, as well as a system that provides empathy and warmth. Family education at Praxis invites family members and cohabitants of patients to participate in a 4-part educational series about the disease of addiction, covering topics ranging from the physiological science of addiction, comorbidity, trauma, codependency, establishing boundaries, and real life examples from alumni speakers.
Addiction is often called a “family disease” because of the way it can impact families and spousal relationships in a multitude of ways. Thus, educating family members is useful as its own form of therapy because it can address and help to resolve the numerous issues that are present within a household that may be contributing to an addiction. Family therapy sessions are also offered to patients when staff feels they are appropriate.
Motivational interviewing is a counseling method that helps people resolve feelings and insecurities in order to find the internal motivation they need to change their behavior. It is a practical, empathetic, and short-term process that takes into consideration how difficult it is to make life changes. Motivational interviewing is often useful for addressing addiction as well as for eating disorders and managing physical health conditions such as diabetes and high blood pressure.
BRIEF SOLUTION FOCUSED THERAPY
Solution-Focused Brief Therapy (SFBT) is a therapeutic model focused on finding solutions in the present time and exploring one’s hope for the future to find quicker resolution of one’s problems. This method takes the approach that you know what you need to do to improve your own life and, with the appropriate coaching and questioning, are capable of finding the best solutions.
Seeking Safety is an evidence based, present focused counseling model to help people attain safety from trauma and/or substance abuse. It is a multipronged approach that directly addresses both trauma and addiction, but without requiring clients to delve into the trauma narrative (the detailed account of disturbing trauma memories), thus making it relevant to a very broad range of clients and easy to implement. Seeking Safety offers 25 topics that are scheduled specifically to coincide with life skills and are conducted as few or many as time allows, including: