How to Get Clean and Sober

Drug or alcohol addiction, or even addiction to both drugs and alcohol, can be treated. Medical and psychological research has determined new ways to help addicts who have the will to recover, get clean and sober, and stay that way.

Getting addiction help usually begins when an addict faces up to his or her addiction problem and realizes that assistance is necessary to fight it. However, even addicts who are forced into getting sober, such as teenagers compelled to enter rehabilitation by their parents or educators, or drug abusers with sentences for drug-related crimes that include addiction treatment, find that they are able to get clean and sober.

Rehabilitation treatment, which can include medical support for overcoming physical addiction and other physical effects of drug and alcohol abuse, as well as counseling to overcome the root cause of an addiction disorder, is the key to getting sober and rebuilding a healthy, drug-free life. Realizing that you or someone you care about needs addiction help is not a sign of weakness. It is a sign of strength, and we are here to help you find the help you need to get clean and sober.

Why Is Addiction Help Necessary?

projectknow-shutter229879537-holding-patients-handSubstance addiction is a recognized brain disorder that responds quite well to treatment. It is no more a reason for shame or embarrassment than diseases such as diabetes or heart disease, which are both organic and possibly linked to lifestyle factors. A recreational user of drugs or alcohol may be able to get clean and sober without any help once he or she realizes that using mind-altering substances for recreation is more harmful than it is enjoyable. However, a patient who suffers from an addiction disorder needs treatment to overcome both the causes and effects of substance addiction.


Addiction should be treated as quickly as possible. An addict does not have to experience any disastrous personal, social, financial, or health-related shocks from his or her addiction in order for treatment to succeed. In fact, treatment is often more successful when it is started at earlier stages of addiction.

An addict’s loved ones should recognize addiction as the medical problem that it indeed is and treat the addict as they would treat someone they care about who suffers from any other physical disease. On the other hand, they should realize that part of the process of addiction is denial, in which an addict does not even think about getting sober because he or she does not realize the nature of substance addiction. Therefore, to convince an addict that it is time to seek addiction help, family, friends, colleagues, clergy, and other close contacts of a person suffering from substance abuse should gently point out any ill effects that substance abuse is causing the patient.

When Is It Needed?

Some of the signs that recreational substance use or abuse has developed into addiction are as follows:

  1. Real or imagined inability to cope with daily life without use of an addictive substance
  2. Using mind-altering substances in dangerous situations, such as before driving a car or operating potentially dangerous work or home equipment
  3. Inability to achieve the same mind-altering effects without increasing the intake of an addictive substance
  4. Claiming the ability to get clean and sober when in reality an addiction disorder is becoming more severe
  5. Lying or committing crimes, including stealing, fraud, and attempting to obtain unlawful prescriptions, in order to get hold of an addictive and mind-altering drug
  6. Developing acute or chronic health problems, such as liver damage from excessive alcohol use
  7. Altering the form or chemistry of addictive substances to obtain a faster or longer-lasting effect (for example, crushing pills into powder for snorting or injection)
  8. Using substances in risky ways, such as using drugs or alcohol that may be contaminated or injecting drugs with unsterilized needles


People who suffer from addiction disorders often have a family history of addiction. This factor points to a possible genetic cause for at least some cases of substance addiction.

The Medical and Psychological Nature of Substance Addiction

Dependence and Tolerance

Drug and alcohol dependence are related to drug and alcohol tolerance, but there are a few differences between the two. When someone is diagnosed with drug or alcohol dependence or addiction, he or she is also likely to have tolerance to the substance in question. However, someone who develops tolerance is not necessarily dependent on the substance. Tolerance is merely one possible symptom of addiction. Read More

Substance addiction is a disorder caused by changes in the brain. When a recreational drug user ingests or otherwise administers mind-altering substances, he or she may or may not develop an addiction. This is true even if the recreational drug user is abusing drugs by using them more frequently or in higher doses than may be physically safe or by using drugs that are not legal for medical use because they are too addictive or too dangerous. In fact, addiction does not necessarily develop when a substance produces physical dependence that may require medical treatment. A patient with a pain condition who develops tolerance and physical dependence to legitimately prescribed opioid narcotic painkillers, but does not constantly crave higher and more frequent doses of medication only to obtain a pleasant effect, is not an addict.

Addiction is defined as a psychological and/or physical need to use substances in order to experience a particular effect, combined with the inability to function properly without use of that substance or at least experiencing a similar effect. An addict needs to get clean and sober by changing patterns in his or her brain that require the constant presence of one or more addictive and mind-altering substances. Getting sober is possible with addiction help that reprograms the inner mind and even the physical brain to cope without mind-altering substances and their addictive effects.

Psychological addiction results when an addict feels he or she cannot function without an addictive substance. A patient who is psychologically addicted to the effects of a drug feels that he or she needs those effects, such as the calming effect of alcohol or barbiturates or the stimulant effect of cocaine, to be able to deal with real, expected, or imagined pressures.


The need to drink caffeine-containing tea or coffee in the morning may represent a relatively harmless case of psychological addiction.

Physical addiction results when even an addict who has a psychological desire to get clean and sober cannot do so because he or she has developed a physical need for the effects that an addictive substance produces on the brain. This effect is usually connected with the release of dopamine and endorphins, which produce the high for which users turn to mind-altering substances in the first place. Dopamine and endorphins are brain chemicals released in large amounts when opiates, such as heroin and opioids including oxycodone, among other substances, enter the bloodstream. Other drugs, such as barbiturates, release chemicals such as GABA that produce a calming, but no less pleasant, effect.


Chocolate and exercise also release additional dopamine and endorphins. This explains the stimulant effect of chocolate as well as the famous “runner’s high.”

“The problem of physical addiction arises when the brain becomes so accustomed to the presence of high levels of dopamine, endorphins, GABA, or similar substances…”The problem of physical addiction arises when the brain becomes so accustomed to the presence of high levels of dopamine, endorphins, GABA, or similar substances that it cannot send proper signals to the body without the presence of something that triggers release of higher and higher amounts of these natural chemicals. When the trigger, which is the substance that is being abused, is not present, the brain sends tangled messages to the various organs and glands throughout the body. These confused messages cause the organs and glands to malfunction, and this leads to withdrawal symptoms. Even an addict who is psychologically ready to get clean and sober can rarely overcome withdrawal symptoms without addiction help. This is why the first phase of most addiction treatment programs includes medically supervised withdrawal treatment.

Available Treatment Program Options

The basic premises of addiction treatment programs are the same, regardless of the specific substance addiction that needs to be treated or whether the treatment is conducted on an inpatient or outpatient basis.

Inpatient recovery treatment, which takes place in the pleasant atmosphere of a treatment center that is often reminiscent of a luxury resort, is usually the preferred method of treatment for serious cases of addiction. These recovery centers offer the services of trained and experienced medical personnel who specialize in the treatment of physical addiction. Their services, which are known as detoxification, or detox, are often the first step of the residential rehabilitation process. Detoxification is actually a misnomer, as medical treatment for physical addiction does not rid the body of toxins. Instead, it aims to lessen the impact of withdrawal symptoms. It helps the patient to get clean and sober by tackling the physical effects of substance addiction.

Medical detoxification therefore consists of administering safer and less addictive medications that mimic the effects of highly addictive substances on the balance of brain chemicals. These substances, which can include certain sedatives and even a medication usually used for treating high blood pressure, treat the need that the body has developed for high levels of mood-altering natural brain chemicals. Once this need has been mitigated as much as possible, the focus of residential treatment turns to behavior modification therapy and counseling.


Detox has come to mean medical treatment of physical withdrawal symptoms, but some residential and outpatient treatment programs use the term to include treatment with vitamins and herbal preparations that may help to undo or lessen damage that long-term drug abuse can cause to the health of a recovering addict.

The behavioral and psychological phase of rehabilitation treatment begins with an assessment, in which professional therapists at the rehabilitation center discuss with the patient the personal, social, and psychological factors behind his or her addiction disorder. Once the addiction counselors understand what led the patient to develop an addiction disorder, they work with the patient to develop healthy coping strategies to deal with these personal and environmental triggers. This is often done using Cognitive Behavioral Therapy (or CBT), an effective technique that allows patients to observe and understand their thoughts and feelings and how they impact their behavior.

Residential treatment programs also include sports, art, music, meditation and other self-realization techniques that help patients get clean and sober. While research shows that a 90-day stay is ideal for a residential rehabilitation program, patients who cannot participate in full-time treatment for this recommended length of time can benefit from outpatient addiction help. Outpatient treatment can be useful either as a follow-up to a stay of any length in a residential treatment center, or as an alternative to inpatient treatment for milder cases of addiction.

When outpatient therapy is given instead of residential rehabilitation, it usually starts with medical treatment for physical addiction that is administered in an office or clinic. Physicians who operate such practices must obtain special licenses so that they can administer medications such as buprenorphine, which lessen the impact of withdrawal symptoms, in their offices or clinics. Outpatient counseling is usually started as soon as possible, even if medical treatment must continue along with counseling in order to make sure that the patient is indeed able to get clean and sober without being tempted to return to drug use.

Participation in self-help peer groups, such as those modeled on the renowned 12-step approach, is also recommended, both as part of outpatient treatment and to patients who are continuing with supportive addiction help after completing a residential recovery program.


Sober Living

You have admitted to yourself and to others that you have developed an addiction to alcohol or drugs and have recently completed a drug or alcohol addiction treatment program. The journey to a drug- and alcohol-free life does not end here. Read More

Our recovery support advisors are available by phone, 24 hours a day, seven days a week, at 1-888-287-0471 Who Answers? . We have the information and resources you need to find the right program to help you or your loved one get clean and sober.

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