Posts tagged: alcohol treatment

With the Help of an Alcohol Treatment Center Life Can Change

Alcoholism is common, serious and requires professional treatment to be beaten. Physicians see many people with alcohol-related health conditions such as cirrhosis, cardiomyopathy, gastrointestinal bleeding, and inflammation of the pancreas and alcohol addiction. In addition, alcohol abuse is also responsible for certain types of cancer. Other consequences of alcoholism are accidents, dementia, suicide, depression and homicide.

Alcoholism affects every single organ in the human body and when high doses are consumed, it can result in coma and death. The problems are serious and grave, severe alcohol addiction requires serious treatment and the sooner the better. An alcohol treatment center is the only place a person can get the help they so desperately need.

Alcohol also affects several neurotransmitters in the brain, including opiates, serotonin and dopamine. An increase in the opiate levels of the brain explains the reasons why an alcoholic experiences euphoria while drinking. Alcohol also inhibits a person’s ability to think and reason, with the lowering of inhibitions, a person is unable to make healthy, sound decisions. All of these things directly affect a person’s health and quality of life, making it difficult to function at a healthy level. When alcoholism is this severe, a person needs to get help for the addiction at an .

Alcoholism is the third leading cause of preventable death in the United States, after smoking and obesity. There are approximately 80,000 people killed each year as a result of alcohol addiction, almost half of the deaths are attributed to alcohol-related injuries. With the staggering and frightening statistics associated with alcoholism, more and more people are realizing how serious drinking truly is.

Moderate alcohol consumption can also lead to other health conditions such as cardiovascular disease in both men and women by around 30%. A person’s drinking patterns have a direct impact on the severity of the cardiovascular disease. Binge drinking increases a person’s risk of experiencing a worse degree and is something that also requires treatment at an .

Alcoholism is a severe condition and is something a person cannot stop alone. Allowed to continue alcoholism destroys lives and can result in death. When a person decides to seek , it is a decision based on much thought and inner-reflection. With a sincere desire to heal and become healthy again, many people with alcoholism have found the help the truly need.

Hazardous drinking causes many problems and wrecks everything in its path. What may have began as a harmless social habit can rapidly develop into something more deadly and serious. Alcoholism is entirely treatable and can be handled best by the caring, skilled staff of an accredited treatment facility. When enrolled in a person is given the opportunity to attend 12-step meetings, undergo counseling and receive much needed therapy. Working together, an alcoholic is shown how to change bad behavior and lead a sober and clean lifestyle free from the clutches of alcoholism.

If you or someone you love is facing alcoholism, you do not have to face the battle alone. For help, please contact Transformations Treatment Center today for further assistance.

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categories Christian Drug Treatment | | datetime July 31, 2009 6:16 pm | comments Comments (0)

An Alcohol Treatment Center Gives a Person Back Their Future

Nobody dreams of growing up to become an alcoholic, there are many different reasons why people abuse alcohol. Somehow, life goes off course and to better cope, a person will sometimes turn to substance abuse because of self-hatred or because of seeking to numb the mind against the pain. Maybe a person thought of valid reasons or could justify the alcohol abuse, but once addicted the reasons do not matter.

An important part of dealing with the problem of is to be willing to admit to the problem and seek help. What is also important is to realize that all of the harmful mistakes, actions and words are in the past and a person needs to forgive themselves for mistakes and bad choices. The past is over and gone, there is nothing to do but move forward and become a healthier person. This can be done with the help of an .

A person can beat and not let it destroy them. Giving up alcohol has its advantages and can be felt in every area of life such as physically, financially, mentally, emotionally and spiritually. From the very second a person makes a conscious decision to get help for , they regain control over life again. With the help of an a person’s life will begin anew and blossom.

If a person tries to give up drinking on their own, it can be a recipe for disaster. When is at its worst, it can cause severe withdrawal symptoms that can be dangerous if not monitored by team of medical professionals and caring rehab staff. An alcoholic is not powerless and nobody should never feel beyond help or without hope, when treatment is sought a person can regain control and live a healthy and meaningful life again.

When in therapy and counseling, a recovering alcoholic meets with others in the same situation and through sharing life stories, each can support one another on the journey to . Having the resources of a strong support network and caring people helps give a recovering alcoholic more reasons to hope.

When enrolled in an alcohol treatment center, a person receives an individualized treatment plan, one-on-one counseling, group and family therapy. The premise of family therapy is to help alcoholics and their families repair bonds that were broken and heal the rift caused by . By healing families and helping the alcoholic atone for the pain caused by , people are able to move on to a better and brighter future.

from chronic is entirely possible, but requires the expertise of a professional treatment center. By providing an alcoholic with structure and guidance, bad behavior patterns can be broken and a new and healthier way of living can be learned. Giving up alcohol is never an easy prospect, but with a heartfelt and sincere desire, the battle can be won.

If you or someone you love is seeking alcohol treatment information, there is help available. Please contact Transformations Treatment Center today for further assistance.

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categories Drug Treatment Programs | | datetime 6:08 pm | comments Comments (0)

Finding the Motivation to Stop Drinking with an Alcohol Treatment Center

There are many obvious reasons why a person should stop drinking, but the truth is, it is easier to say than do. From health and finances, to families and jobs, everything is affected by alcoholism; nothing is sacred and nothing immune from the destruction it causes. Alcohol addiction affects a person mentally, physically, emotionally and spiritually and destroys everything a person holds most dear in the world.

If you or someone you love has an addiction to alcohol, there have probably been many times you have thought about giving up drinking. No matter how many reasons you might have to justify alcohol use, the truth of the situation is that a person who suffers from alcoholism needs to quit drinking or they could wind up dead. When trying to give up alcohol, a person is many times unable to do it alone, but should seek the help of an center.

Knowledge is power and the more a person knows about alcoholism, the more likely they are to stop drinking. However, it is not as simple as saying you will stop or perhaps cutting back on how much you drink, healing and recovering from alcoholism requires motivation and dedication. Having the help of an center is how many have found the help they so desperately need when fighting against the demons of alcoholism.

A person must have the help of a professional alcohol treatment center to successfully give up drinking and find long-term sobriety. By providing with education and information about the ravages of alcoholism, many treatment centers are able to break down the walls of addiction and help a person experience all the benefits that come from observing a sober lifestyle.

Finding the motivation to stop drinking could come from reasons that the average person would not understand. However, it does not matter what the reasons are, the most important thing is the alcoholic admits the problem and seeks out the help of a skilled center.

Once an alcoholic seeks treatment, true healing and recovery are possible. When in treatment the alcoholic is provided with one-on-one counseling, therapy, structure and guidance from a staff of caring rehab professionals. Just because a person is suffering from alcoholism does not mean they cannot recover and find true meaning and purpose in life. When someone truly wants to get better and heal from alcoholism, it can and does happen.

When you truly find life is out of control from drinking and you are unable to control the negative consequences alcoholism has had, it is high time to seek a skilled, professional alcohol rehab facility. It is not necessary to wait for the worst to happen before seeking treatment; the sooner the problem is admitted and dealt with, the sooner a person can recover and go on to live a healthy life again.

If you or someone you love is suffering from alcoholism and drowning in the clutches of an out of control drinking problem, there is no need to feel despondent. We are here and we can help, please contact Transformations Treatment Center today for more information.

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categories Specific Drugs and Treatment | | datetime 6:04 pm | comments Comments (1)

Alcohol Treatment Center

When seeking help for , there are sure to be many questions and concerns that should be addressed. There are some that are better than others and in this article we will examine the principles that make for an ideal . Once you have reviewed this information and consulted with a medical professional, you should be able to make an informed and well-thought decision as to which program will work best for you or your loved one.

The earlier an alcoholic seeks treatment for a drinking problem, the better than chances are for with no long-term health damage. With early detection, screening and intervention many people who would have continued alcohol abuse to the point of health problems or death, have been saved years of suffering and been able to combat an addiction to alcohol.

With a comprehensive physical assessment and an individualized treatment plan, a qualified is better able to help an alcoholic. The treatment modalities used for treating an alcoholic addiction are not always going to work for each person, not all patients require a drastic approach. Treatment should be unique and based upon the needs of the patient, changing whenever necessary as the condition or situation changes.

A skilled and qualified will also have a carefully thought out care management plan. Each and every step in the process is crucial and should involve the friends and loved ones of the alcoholic. From the initial evaluation period until treatment has been successfully completed, a recovering alcoholic needs to have the tools and support to remain clean and sober.

Another component of an alcohol treatment program should also include cognitive-behavior therapy so that can learn to recognize the stresses and triggers that make them prone to drink. Once they have learned these skills they can begin to cope better, become stronger and resist the lure and pull that alcohol has over their life. With the help of an , these are just some of the important services that need to be offered to patients.

Some alcohol treatment programs offered are specialized services including; medical, psychiatric, family or social help. The treatment needs to be targeted to the suit the needs of each and every patient and combined with therapy and counseling, the services are designed to help an alcoholic relearn acceptable behaviors and make better lifestyle choices.

The components of an ideal should include 12-step meetings, counseling, alcohol education and other services. For those who seek out treatment, the choice while never easy is often the best thing a person can do to save their own life. is a treatable disease that does not have to ruin your life, with the help of staff and fellow recovering alcoholics, many patients have been inspired to embrace an alcohol-free lifestyle. Making a commitment to staying clean and sober is one of the best gifts a recovering alcoholic can give to themselves and the ones they love.

If you or someone you love is facing , please contact us today for help and more information about the treatment options available. Transformations Drug and Alcohol Treatment Center is here to help you overcome and experience true freedom from the disease.

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categories Specific Drugs and Treatment | | datetime July 3, 2009 8:35 pm | comments Comments (0)

Drug Addiction

is progressive. Most of us would like to think that the road from “sure I’ll try it” to “I need to keep doing it” is long and winding. Unfortunately, not all drug addictions develop slowly. Physically speaking, the nature of is fairly straightforward. Emotionally, however, drug addition is the murkiest of waters. What causes ? How does work? More importantly, is there a center that can help a person overcome the disease of addiction?

There are good drug and centers located in , . Drug and centers have a long history of treating and and their staff really understands that each client’s rehabilitation needs are unique. The experts emphasize that in order for a person to successfully overcome their they need to understand how it works-how the body and the emotions surrounding a person’s function. Understanding these things will help each person develop a treatment for or that works.

Let’s talk about the physiology of . Remember that physically, each drug does different things. A person will have a different physical reaction to a meth addiction than he or she will have with a or alcohol addiction. Two basic types of drugs are the drugs that help calm you down and the drugs that help give you energy. When you take these drugs, the chemicals contained within the drugs replace the substances that your brain would produce naturally when it felt that those substances were needed. Over time, as drug take more and more of their drugs of choice, the brain stops producing those substances naturally and the body becomes dependent up on the drug for the substance’s creation.
The reason alcohol and is such an emotional issue is that the chemicals drugs replace are responsible for the balancing of a person’s moods. A person’s moods can become unbalanced for any number of reasons. Perhaps a person had problems growing up that led to the development of severe anger or depression issues. Maybe another person does not function well under stress but, for whatever reason, has been forced to live in stressful conditions. Often, arises as a coping mechanism-a way of dealing with the every day things that others don’t seem to have a problem dealing with. It is common for a to arise from an “I just need a little [insert emotion] and I’ll be okay” and the only way the drug is able to create that emotion is through the consumption of a drug. The number of drug addictions that began as a one time “quick fix” is staggering.

Drug and alcohol centers understand that sometimes an addiction can happen by accident and that the only way to overcome an alcohol addiction or is to figure out why someone first began consuming his or her drug of choice. Once a person is able to get to the root of the emotional side of his or her , he or she can take great strides to ensure that their drug and is a success. The drug and alcohol rehabilitation programs focus on the process of overcoming addiction and work to give their clients the tools to stay sober, once their drug addiction and alcohol rehabilitation is complete.

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categories Drug Treatment Programs | | datetime May 29, 2009 9:46 am | comments Comments (49)

Process Addiction is a Growing Problem

Process Addiction is a Growing Problem

When you think of addiction, you probably think of drugs and alcohol. If so, you are like most Americans who associate the term addiction with substance abuse. But a growing number of people have found themselves dealing with a new kind of addiction, and it actually affects millions of people. “Process addiction” refers to a compulsion to take part in certain activities, such as computer gaming and the internet, eating, sex, gambling, shopping, and even dependent relationships. We as humans can become addicted to just about anything, and we are seeing more and more new addictions in our country in recent years.

Invisible addiction
The problem with these kinds of addictions is that many people don’t yet recognize these things as harmful. In the case of computer addiction, the family members see their loved one just as much as they otherwise would, and they know they are home safe and not out doing drugs or drinking, but the problem is that the person can’t pull themselves away to interact with their family. Another problem with these things is that they gradually become addicting. A person can go and gamble for a while and be fine, or play a computer game occasionally. Then, for a reason unclear to scientists, the person becomes addicted and what was once a fun past time becomes a trap that holds them. These addictions are dubbed invisible addictions because it isn’t apparent from looking at a person that they are sick.

It may be that these thrive on the highs and lows they experience while doing these activities. Gambling, for example, gives people a series of lows when loosing, and these actually make the winning times into a better “high”. It may also be that the brain releases its own chemicals that give the person a high when doing things such as shopping or gaming. Just like the cocaine , these people live for their “high” and not much else matters to them.

Signs and Treatment
There are warning signs that someone you love is becoming addicted and it is important to watch for them: spending less time with family and friends, falling grades or job performance, depression, loneliness, and lack of ambition to participate in things other than the addiction.

Just like substance addiction, process addictions can be treated, but catching the addiction early offers the best chance at success. The stronger the compulsion and the more a person’s lifestyle has been affected by the addiction, the harder it will be to get that life back.
Process addictions have been on the rise in recent years and there are now that specialize in this type of mental illness. It is important to first of all admit that there is a problem beyond the ’s control, and then seek professional help.

Sources

Vedder, Tracy Computer addiction a growing problem Apr 1, 2009
http://www.komonews.com/news/local/42296677.html

Clark, Bobbie Gaming’s lure addictive to some April 11, 2009 http://www.shreveporttimes.com/article/20090411/NEWS01/904110341

10 Tips for Breaking an Internet Shopping Addiction March 25, 2009 http://www.promotionalcodes.org.uk/3235/10-tips-for-breaking-an-internet-
shopping-addiction/
Derworiz, Colette Gambling’s toll on social costs grow as economy softens March 23, 2009http://www.calgaryherald.com/business/fp/Gambling+toll+social+
costs+grow+economy+softens/1417947/story.html

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categories Drug Treatment Programs | | datetime April 30, 2009 4:29 pm | comments Comments (24)

Outpatient Drug Treatment

Outpatient Treatment in , Florida

People who live in , Florida have a lot of options when it comes time to choose a addiction recovery . This can often be confusing because what works well for your friend might not work as well for you. The truth is that choosing the right kind of addiction treatment in depends just as much on who you are as on what kind of you can afford or the type of that works well with your schedule. Outpatient treatment is quite different than other types of treatment that local addicts can choose from.

An out patient treatment works best for people who, for whatever reason, do not (or cannot) choose an inpatient treatment . The basics of each are the same: the recovering addict will attend group and individual therapy sessions as well as skills building workshops and educational classes. If you already have a strong social support system in place, the outpatient treatment , especially the treatment offered by Transformations Treatment Center is your best option.

Transformations Treatment Center offers patients three phases of addiction recovery. During the first phase the patient (also called “client”) will work to overcome his physical addiction to drugs on site. The client will have been seen and cleared by a medical professional and will overcome his physical cravings in the luxury accommodations provided by Transformations Treatment Center. The second two phases of can be done either on site or off site. Some people choose the inpatient option because staying on site with occasional trips into works better for them. Others choose to live at home while still keeping up with the schedule set in place by the Transformations Treatment Center staff.

While some drugs can be stopped all at once, there are others that need to be stopped gradually. This is best done with the help of a medical professional who can prescribe you lesser amounts of the over time. Other types of addictions are best treated with medication—methadone clinics offer methamphetamine addicts medication that helps curb the physical cravings for meth as well as medication that will help lessen the withdrawal symptoms that come along when a person stops using his or her of choice.

After the patient has conquered his physical withdrawal symptoms and cravings, the outpatient treatment programs in can help the patient work through his psychological cravings to the . Transformations Treatment Center helps patients identify the triggers that cause their seeking behaviors. At Transformations Treatment Center not only will an addict learn what causes him to seek drugs, he will learn other, sober, ways to satisfy his cravings. Transformations Treatment Center provides clients with a regular schedule to follow and a supportive community of people who are also working through addictions for support.

This supportive community is often what helps bridge the gap between living on site and off site that other outpatient treatment programs do not offer. For clients who have enrolled in the treatment offered at Transformations Treatment Center they will attend regular church services and pastoral counseling in addition to their regularly scheduled therapies and classes.

According to a recent piece done by CNN.com, outpatient treatment is far more popular than inpatient treatments. Outpatient treatment programs see three times the amount of patients that inpatient treatment programs see. This can be the result of a number of situations: funding, scheduling, social support, the intensity of the addiction and the addict’s need for personal freedom. Keep in mind that while there are some outpatient treatment programs that offer patients a great deal of personal freedom, others require their strict schedules to be followed exactly or the addict can risk expulsion from the . Make sure you understand what your chosen expects of you before you get started!

Personal freedom is often what will make or break an addict’s recovery. Out patient programs are offered for a wide variety of fees—some are even free—but it is not the cost that determines a person’s success in . Some people are better able to succeed in outpatient treatment because they can live in their own homes and surround themselves with the people and things that offer them the most comfort. This comfort can spell the difference between success and freedom.

Remember that outpatient treatment might not be right for everyone. While there are programs, like the treatment offered at Transformations Treatment Center in , Florida that offer both inpatient and outpatient programs, there are more that will make a patient choose which course of addiction recovery treatment is best for him. The key is your social support system. If you do not have a strong support system, you will probably have more success in an in patient treatment .

The important thing is to choose a that is right for who you are. Be honest with yourself. Do you need to stay on site? Do you need the constant supervision offered by an inpatient facility? If so, you need to choose an inpatient facility. If you cannot take the time away from your home or family and you need the comfort provided by your friends and family you will be better served by an outpatient treatment .

If you need help deciding which type of treatment is best for you, contact the professionals at Transformations Treatment Center in , Florida. Together you and a Transformations Treatment Center counselor will determine which option is best for you and get you started on the road to sobriety.

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categories Drug Treatment Programs | | datetime April 28, 2009 7:17 pm | comments Comments (31)

90 Day Drug and Alcohol Treatment Program for an Affordable 30 Day Rate

Transformations offers 90 days of substance abuse treatment with a Guaranteed Success for what others charge for 30 days of substance abuse treatment. How does Transformations accomplish this goal each month and remain so successful? The company has joined with Integrity Way Transitional Housing to provide exceptional service and luxury housing. Integrity Way Transitional Housing provides luxury housing, behavioral health technicians, transportation, and resident monitoring. Before contracting with Transformations’ , Integrity Way Transitional Housing was a very successful 70 bed facility helping and alcoholics upon leaving an inpatient and or alcohol rehab center. By joining together, the two organizations have been able to eliminate unnecessary costs. TTC and IW have are able to offer 90 days of and or alcohol treatment for what other and alcohol rehabs charge for 30 days. This is proving to be extremely helpful to clients and the client’s families who are investing in their son or daughters and alcohol treatment needs.

Transformations is also offering a Guaranteed Success along with 90 days of substance abuse treatment. Transformations 90 day Guaranteed Success has been attracting and alcoholics looking to break the vicious cycle of and alcohol relapse. The 90 day Guaranteed Success has been implemented because the 30 day model may work for some but for others it just is not enough to help them stay clean and sober. Any client that participates in Transformations three phase step down and follows the aftercare treatment plan may come back to treatment for an additional 28 days of and alcohol treatment should they relapse within the first year of sobriety upon leaving treatment. “Transformations is putting their money where their mouth is so to speak,” says former client William Horton. “I am a graduate of TTC’s 90 day and I am now in a great halfway house here in and I am working and doing great.”

Transformations Drug and Alcohol Treatment Center utilizes a three phase step down which helps and alcoholics slowly transition from active and alcoholism to productive members of society. The First Phase of our rehab is meant for people who are still working to overcome their addictions. Usually people who enroll in the first phase of our have been discharged from a detoxification unit somewhere and are looking for a place to recover from their detoxification and achieve sobriety. During this phase of , the patient will receive:
• Two Individual and Alcohol Counseling Sessions Per Day
• Two Hours of Group and Alcohol Counseling Sessions Per Day
• Two Hours of Sessions Per Day
• Three Hours of Personal Training Sessions Per Week
• Community Event Allowance That Can Be Used Towards Movies, Trips to the Amusement Park, Going Bowling, etc
• Weekly Food Allowance Which Teaches Clients How to Budget and Shop Correctly
The Second Phase of our rehab is designed for graduates of the first phase of offered by Transformations Treatment Center or who have been discharged from another inpatient treatment . The clients who enroll in this phase of our rehabilitation usually are more in need of than they are of detoxing and overcoming a physical addiction. When you enroll in the second phase of our rehab , you will receive the following:
• One Individual and Alcohol Counseling Sessions Per Day
• One Individual Session Per Week
• Two Hours of Group and Alcohol Counseling Sessions Per Day
• Two Hours of Sessions Per Day
• Three Hours of Personal Training Sessions Per Week
• Community Event Allowance That Can Be Used Towards Movies, Trips to the Amusement Park, Going Bowling, etc
• Weekly Food Allowance Which Teaches Clients How to Budget and Shop Correctly
The Third Phase of our rehab is designed for people who are looking for or have found at least part time employment or is enrolling in school somewhere. Usually these are clients who have graduated from the first two phases of treatment here at Transformations Treatment Center. When applying for this phase of our rehab , one of our qualified staff members will meet with you to help you find a job or a school that will work best for you. You must have been clean and sober for at least sixty days to be accepted into this (which is why it is a natural transition for graduates of the first two phases of our treatment ).
Here is what you can expect when you are accepted into the third phase of our :
• Three group and alcohol counseling sessions each week
• Two sessions of health and fitness personal training
• One individual and alcohol counseling session each week
• A weekly food allowance
The third phase of our Florida drug rehab program is designed to work around the work and school schedules of those enrolled in the . This is why the is a lot less strict than the other phases of our treatment .

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categories Transformations Drug and Alcohol Treatment Center | | datetime April 25, 2009 6:36 pm | comments Comments (25)

Florida Christian Drug Rehab Program Available

has many specialty groups that are offered for and alcoholics looking to rebuild a relationship with a loving God while in . Some of the groups that may take place are 12 step Christ-centered meetings where the meeting is centers around the traditional 12 step program found in . In these meetings, and alcoholics speak freely about who their higher power is and what they want from a relationship with him while working the 12 step process.

Prayer and Daily Meditation
Typically, and alcoholics tend to be self-centered and selfish so it is important to spend time reading a spiritual daily meditation or a few chapters from the bible. Prayer is key in building a long lasting relationship with God and clients are inspired to spend 15-30 mins per day in prayer and meditation.

Individual and Group counseling is extremely valuable to clients while in Christian drug rehab. Many hours of fellowship are spent digging through the wreckage of the past and finding healing through Jesus Christ and other group members.

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categories Christian Drug Rehab, Florida Christian Drug Rehab Program | | datetime April 24, 2009 6:56 pm | comments Comments (48)

Florida Drug Rehab Offers Guaranteed Success Program

Transformations Treatment Center is helping to stop the viscious cycle of and alcoholics bouncing from one center to another year after year. Transformations Treatment Center is offering a 90 day Guaranteed Success in hopes of helping and alcoholics acheive long term sobriety or clean time.
Here at Transformations Treatment Center we are proud of our 100% Guaranteed Success and we hope other will follow our lead.

Here is what makes us different:

In addition to helping you work through your drug addiction and alcohol withdrawals, Transformations Treatment Center also has well developed discharge, after care and programs for each of its clients. The substance abuse counselors at Transformations Treatment Center stay in touch with graduates to help them stay sober after they leave treatment.

We are so focused on helping a recovering drug /alcoholic stay sober that we offer any client who has graduated from our ninety day an additional twenty eight days of should they relapse within the first year. There is no cost to the client should they come back for except for detoxification and transportation if they need it.

Another part of our 100% Guaranteed Success is the offered to all Transformations Treatment Center graduates. The consists of regular group therapy sessions offered at zero cost to the client. Any graduate of the Transformations Treatment Center is welcome to attend as many as three group sessions a week for free during his or her first year of sobriety.(Client must follow treatment center aftercare treatment plan to be eligible for )

Unlike other drug that will detox you and turn you loose, the team at Transformations Treatment Center is committed to your continued sobriety. In addition to our 30, 60 and 90 day programs, our Guaranteed Success program will provide you with the help you need to get back on your feet and live a sober life!

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categories Florida Drug Rehab | | datetime April 20, 2009 4:06 pm | comments Comments (40)