Aug 18

This is my third blog post on the subject of alcohol/drug rehabs.  I pointed out in the first that with few exceptions insurance no longer covers rehab (meaning the month-long version that most people think of), though they may cover detox (a few days) followed by a day program (sometimes with optional self-pay lodging).  Rehabs (like some of the best known and most reliable ones, such as Hazelden and Caron) cost well over $30,000 or $40,000.  I have also cautioned about sorting out fact from hype when reading impressive claims about success rates when you attempt to choose among the many, many rehabs with glossy brochures and web sites (most of them outside Massachusetts).  Continue reading »

Jul 24

If you or your family member is a candidate for alcohol/drug rehab of the month-long (or longer) inpatient variety, we have noted in a previous blog post that your health insurance plan will probably not help you with the cost.  So you are in the position of trying to make a choice as an “educated consumer.”  This is not easy, even for us at LCL, since we make very few such referrals in this era when access to that level of care is beyond the means of most of our clients.   Continue reading »

Apr 01

It can be difficult to keep track of all the various forms of psychological help that are out there.  Each year seems to bring a new wrinkle, and reliable scientific validation is often hard to come by (and approaches backed by tightly designed studies often seem less amazing in real-life practice).  One approach that is pretty well accepted among mental health professionals and that also gets good reviews from patients/clients is Dialectical Behavior Therapy (DBT).  At this point, it’s been around for over 30 years and is certainly no longer a fad – but it’s harder work (for both therapist and patient) than many therapies and not so widely available.  Drawing upon elements of behavioral treatment as well as Buddhist-tinged concepts such as “radical acceptance,”  DBT can be conceptualized as a collection of learnable coping skills that are particularly useful for individuals who have a tumultuous emotional life.  People whose lives seem to be full of such “drama” are typically not choosing to make life difficult; their outer expression reflects their inner reality.  DBT accepts that and sets about building compensatory skills.  For an example of a case that might be applicable, see our column on page 3  of the March issue of MBA Lawyers Journal.

Jeff Fortgang, PhD

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