Another factor to consider in choosing between inpatient and outpatient rehab options is whether you have a healthy and supportive home environment where your recovery will be a priority. If you do, outpatient treatment could be a good fit. Otherwise, a residential treatment program where you will have a built-in system of support will probably be the most effective option.
In the case of expectant mothers who drink, future healthcare costs double, now including both the mother and child. For example, a child born with fetal alcohol syndrome could require special schooling. Not only is this a personal and unnecessary family tragedy but also it stands to impact the social system financially in the form of healthcare and education for years.
SMART Recovery was founded by Joe Gerstein in 1994 by basing REBT as a foundation. It gives importance to the human agency in overcoming addiction and focuses on self-empowerment and self-reliance.[32] It does not subscribe to disease theory and powerlessness.[33] The group meetings involve open discussions, questioning decisions and forming corrective measures through assertive exercises. It does not involve a lifetime membership concept, but people can opt to attend meetings, and choose not to after gaining recovery. Objectives of the SMART Recovery programs are:[34]
More than 7 percent of all American adults have an alcohol use disorder. These adults drink too much, too often, and in ways that harm their health, their happiness, and their relationships. An intervention, in which the family outlines alcohol’s consequences, can push these people to enter treatment programs. Once there, counseling sessions, relapse prevention coaching, and support group work can help to support recovery. Relapse rates for alcohol fall within the 40-60 percent range, so people often need to stick with aftercare for the rest of life.

Alcohol is often mixed with other illegal drugs, which can have serious implications for your health. In extreme cases, mixing two chemical substances can have fatal consequences. For example, when combining alcohol with a stimulant drug such as cocaine or amphetamine, the two substances will fight against each other as one has a sedative effect while the other is a stimulant. The result is a huge amount of pressure on the brain and central nervous system.
Having 24-hour supervision, intensive care, and access to treatment are some of the major benefits of inpatient rehab, as they increase the chance of recovery. Another benefit of inpatient rehab is the change in scenery. Individuals battling drugs or alcohol, or with a co-occurring disorder, often associate a particular place or even person with the struggle. For some people, it might be their basement or the local bar. For others, it might be their “drinking buddies.” And for others, just being home alone might be enough to trigger substance use or symptoms of a particular mental health disorder.
Founded in 1971, we are dedicated to helping guests and their families achieve and maintain recovery. We are a 99-bed, private, nonprofit substance use disroder treatment center nestled on 120 tranquil acres in Greensboro, NC. We provide treatment and evidence-based programs based on abstinence and the 12-step model of recovery. We have been accredited by the joint commission since 1974 as a specialty hospital. We are committed to providing exceptional, compassionate care to every individual we serve. Alcohol Rehabilitation and medical Facilities

Treatments and attitudes toward addiction vary widely among different countries. In the US and developing countries, the goal of commissioners of treatment for drug dependence is generally total abstinence from all drugs. Other countries, particularly in Europe, argue the aims of treatment for drug dependence are more complex, with treatment aims including reduction in use to the point that drug use no longer interferes with normal activities such as work and family commitments; shifting the addict away from more dangerous routes of drug administration such as injecting to safer routes such as oral administration; reduction in crime committed by drug addicts; and treatment of other comorbid conditions such as AIDS, hepatitis and mental health disorders. These kinds of outcomes can be achieved without eliminating drug use completely. Drug treatment programs in Europe often report more favorable outcomes than those in the US because the criteria for measuring success are functional rather than abstinence-based.[24][25][26] The supporters of programs with total abstinence from drugs as a goal believe that enabling further drug use means prolonged drug use and risks an increase in addiction and complications from addiction.[27]

Since 1962, IVRS has grown into a continuum of care network offering an array of substance abuse services including detoxification, residential and outpatient treatment, aftercare, education, individual and group counseling, along with primary & secondary prevention services. Also we operate licensed, court-approved domestic violence batterer’s treatment alternatives. IVRS is headquartered in the City of Upland, and has facilities in the County San Bernardino (Southern California). Each year, IVRS serves approximately 5,000 individuals through a variety of substance abuse recovery, treatment, and prevention services. IVRS is run by qualified, caring multi-disciplinary team of administrators, counselors, therapists and support staff, including bilingual English/Spanish, who meet the California Department of Health Care Services licensing & certification requirements.


It isn’t easy to change environmental factors such as socioeconomic status, but there are ways to mitigate against unfavorable environmental factors and work to fight drug addiction or prevent it from happening in the first place. One tactic is to delay onset of drug use entirely. Another is to nurture environmental motivators for positive behavior, such as educational attainment and job training. Vigilant friends and family can also model positive behaviors and engage with at-risk users in sober activities.
Maintaining a small centre permits our clinical and support staff get to know each and every resident. This allows us to create highly individualised treatment plans for our residents. Our group therapy sessions are small and all-inclusive, which we strongly believe is much more effective and less overwhelming than larger institutional sessions involving a speaker and an audience.
It’s vital to bear in mind that the process of recovery is not complete the moment you leave rehab – in fact, it is often best to work on the basis that recovery is never complete, and that it is a lifelong process at which you need to work continually in order truly to protect yourself from temptation and the chance of returning to the terrible condition of addiction.
Like cocaine, crystal meth acts on the dopamine level in the brain but provides an additional touch of mimicking norepinephrine. The result? Neurons release more of both, while training your brain to need more in order to survive. The hangover and withdrawals last days and can break down a person mentally and physically. Addicts suffer psychosis, hallucinations, memory loss, severe depression and sometimes suicide.12 Addiction and Recovery: A How to Guide | Shawn Kingsbury | TEDxUIdaho
^ Jump up to: a b "Substance use disorder". Pubmed Health. National Institutes of Health. Archived from the original on 31 March 2014. Retrieved 12 September 2014. Drug dependence means that a person needs a drug to function normally. Abruptly stopping the drug leads to withdrawal symptoms. Drug addiction is the compulsive use of a substance, despite its negative or dangerous effects

Acamprosate, disulfiram and topiramate (a novel anticonvulsant sulphonated sugar) are also used to treat alcohol addiction. Acamprosate has shown effectiveness for patients with severe dependence, helping them to maintain abstinence for several weeks, even months.[13] Disulfiram (also called Antabuse) produces a very unpleasant reaction when drinking alcohol that includes flushing, nausea and palpitations. It is more effective for patients with high motivation and some addicts use it only for high-risk situations.[14] Patients who wish to continue drinking or may be likely to relapse, should not take disulfiram as it can result in the disulfiram-alcohol reaction mentioned previously, which is very serious and can even be fatal[13]
Quality of life improvement. Drug rehab is about helping the patient learn how to avoid relapse on an ongoing basis, but it should also be about helping patients to improve their daily experience. This happens when they are given the assistance they need to handle the other issues in their life that may be diminishing their ability to remain clean and sober. Health problems, legal issues, family problems – all these and more should be addressed on an as-needed basis at an effective addiction treatment program. Best Drug Rehab Music Room
An alcohol rehab treatment center is a place for healing, learning a healthy lifestyle and receiving support. Today’s proven, evidence-based approach to treating co-occurring disorders is to integrate the services of addiction counselors and medical professionals. Through unified goals and coordinated efforts,the whole person is treated. Tools for maintaining abstinence and physical and mental stability are provided.7Michael’s House is a residential alcohol rehab facility in Palm Springs, California, that does just that. Our caring professionals seek to uncover the root causes of patients’ addictions and mental distress. We help them establish a healthier and more fulfilling lifestyle.
Inpatient residential rehab involves an extended time period for treatment, regardless of the substance. Programs typically last 30–45 days, or longer, depending on each client’s needs. Clients are required to stay at the facility for the entirety of the program, including overnight. Although there is no single treatment that’s right for everyone, inpatient rehab is one of the most effective forms of care for drug and alcohol addiction.
But perhaps the biggest indicators of an alcohol problem are the withdrawal symptoms if a problem drinker goes without alcohol. A casual or moderate drinker can cut off their intake of alcohol with no adverse effects. If a problem drinker tries to do the same, they may feel some effects of withdrawal within eight hours of their last drink, such as the following: Residential Inpatient Alcohol and Drug Addiction Treatment Process
A program with principles that contradict the patient’s religious beliefs or personal values is unlikely to be effective. For instance, a patient who objects to spiritually-based recovery probably won’t be comfortable at a facility that places a strong emphasis on 12-step programming. When choosing a treatment facility, look for a program that meshes with the individual’s spiritual nature and cultural heritage.

Each one of our drug and alcohol treatment centers offers a number of therapies and programs, including Partial Hospitalization Programs, Intensive Outpatient Programs, and Residential Treatment. Which program a patient chooses largely depends on their needs in rehab. Some thrive in an Outpatient setting, while others do best with the around-the-clock model that Residential Treatment provides. Effective treatment close to home gives people the flexibility they need to engage in a program that will meet their needs.


Before entering a rehab facility, patients may have to undergo detox treatment. Detox is the process in which a patient rids his or her body of the addictive substance. From start to finish, this process varies in length, but often takes about a week. As part of a medical detox program, recovering patients will be monitored by doctors and nurses and given medications to manage withdrawal, when appropriate. Once a patient completes detox, he or she is ready for rehab. Rehab Inc - Four corners

3. The meat of the program (psychotherapy and behavioral treatments) – This is one of the most important phases of rehabilitation, as it begins to give you a base for future sobriety. During this phase, you work with an alcohol counselor to address your current mental and emotional condition and understand where it’s coming from.  Then, you can start to make behavioral and attitudinal changes to remain sober, prevent relapse, and start living a happy life. If you are dedicated – the chances for your alcohol rehab program to work are increases and you have made significant steps towards becoming sober long-term.
We understand that alcoholism is a destructive illness. We know full well that the cycle of alcohol addiction can be hard to break. So we offer a range of effective treatments and programmes created for each individual and designed to treat the mind, body, and spirit as a whole. This person-centred approach helps patients get to the root of their addictive behaviours and eventually overcome their illness.

The way it works is when people normally drink alcohol, endorphins are released into the brain, and this reinforces the behavior of drinking alcohol. Revia and Vivitrol block the feel-good endorphins. Much like when Pavlov's dogs were presented with food when a bell was rung, these dogs became conditioned to salivate at the sound of the bell alone. However, when these dogs continued to be presented with the ringing bell and no food, the salivating stopped.
For others, dependency comes after a prolonged period of difficulty in their life. Drinking might appear to be a good method of coping in these situations, and sufferers will often start as a ‘stop-gap’, just to tide them over until conditions improve. Nevertheless, as drinking begins to impact relationships and responsibilities, and hangovers exacerbate the very stress the drinking sought to avoid, the difficulties can increase, encouraging yet more drinking and leading to a vicious cycle.
In-House Treatment Centers provide drug and alcohol rehab for individuals and their families that are suffering from moderate to severe addiction to alcohol, substance abuse, and co-occurring disorders.  As differentiated from Hospital Drug and Alcohol Rehab Programs, In-House Treatment Centers are often located in resort-style, private facilities designed to treat the whole person with a more personalized and compassionate approach to recovery. Psychology of Drug Addiction & Substance Abuse Disorder, Causes & Solutions

Completing a residential drug rehab program can be rewarding and healing, but without effective aftercare in place returning home presents the risk of falling into old habits. Aftercare provides the security and support needed to renew and reinforce the tools and techniques implemented at Searidge Drug Rehab. While the journey into the real world can be overwhelming; addiction recovery is a lifestyle change and commitment that simply does not end a month’s time or so away at a residential drug rehab.
Co-occurring conditions require specialised treatments that can safely address both aspects of a dual diagnosis. Doctors and therapists work to create effective but flexible treatment plans that account for both conditions without treating one at the expense of the other. The delicate balance necessary to achieve a positive outcome suggests that residential treatment is the better option for dealing with dual diagnosis scenarios.

It’s vital to bear in mind that the process of recovery is not complete the moment you leave rehab – in fact, it is often best to work on the basis that recovery is never complete, and that it is a lifelong process at which you need to work continually in order truly to protect yourself from temptation and the chance of returning to the terrible condition of addiction.
Friends and family: The loved ones of those who are addicted to drugs or alcohol often want to help but aren’t always sure how to bring it up. It’s worth it to ask loved ones if they are willing to assist with the cost of treatment, even if one is embarrassed to do so. Perhaps it could be discussed as a loan that the individual can work to pay back over time. This may be a last resort for some, and even for those who ask, the answer may be no, but it’s a chance for loved ones to be involved and invested in recovery.
There is a strong correlation between alcohol abuse and violent crimes like assault, armed robbery, rape, and homicide. The U.S. Department of Justice reports that in up to half of all murders, the perpetrator consumed alcohol before committing the crime. Approximately 33 percent of sexual assault victims state that their assailant was under the influence of alcohol. In violent crimes where alcohol is involved, up to 60 percent of victims are injured or killed.
While detox is often looked upon as one of the most difficult aspects of the recovery process, addicts aren’t in the clear once they make it through withdrawal.5The real work of recovery takes place post-detox in the therapeutic portion of treatment. In therapy, both individual and group, recovering addicts uncover the root causes behind their substance abuse, helping them to address these issues so they don’t cause them to return to substance abuse at a later date.3
Medical detox in an addiction treatment center takes place in a fully-staffed medical facility where patients are monitored around the clock, and treatment for the side effects of withdrawal is provided as needed. Medications to reduce the intensity of withdrawal symptoms may be administered, and patients will not be released from detox until they are symptom-free and physically and mentally well enough to handle the daily routine of an addiction treatment regimen. Best Detox Program
Under the Affordable Care Act and the Mental Health Parity Act, rehabilitation centers are able to bill insurance companies for substance abuse treatment.[51] With long wait lists in limited state-funded rehabilitation centers, controversial private centers rapidly emerged.[51] One popular model, known as the Florida Model for rehabilitation centers, is often criticized for fraudulent billing to insurance companies.[51] Under the guise of helping patients with opioid addiction, these centers would offer addicts free rent or up to $500 per month to stay in their "sober homes", then charge insurance companies as high as $5,000 to $10,000 per test for simple urine tests.[51] Little attention is paid to patients in terms of addiction intervention as these patients have often been known to continue drug use during their stay in these centers.[51] Since 2015, these centers have been under federal and state criminal investigation.[51] As of 2017 in California, there are only 16 investigators in the CA Department of Health Care Services investigating over 2,000 licensed rehab centers.[52]
Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behavior and help them become more open to behavioral treatments. A NIDA study found that once treatment is initiated, both a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid addiction. Because full detoxification is necessary for treatment with naloxone, initiating treatment among active users was difficult, but once detoxification was complete, both medications had similar effectiveness.
Recovery rates are higher for patients who have access to aftercare support after they are discharged from treatment. Aftercare services include case management, alumni groups, community referrals, counseling services, sober housing, medication management, and more. These services provide a source of stability and support for recovering addicts during the vulnerable transitional period from drug treatment back to the community.
Club drugs are commonly used at clubs, concerts and parties. Examples include ecstasy or molly (MDMA), gamma-hydroxybutyric acid (GHB), flunitrazepam (Rohypnol ― a brand used outside the U.S. ― also called roofie) and ketamine. These drugs are not all in the same category, but they share some similar effects and dangers, including long-term harmful effects.
An additional cognitively-based model of substance abuse recovery has been offered by Aaron Beck, the father of cognitive therapy and championed in his 1993 book Cognitive Therapy of Substance Abuse.[42] This therapy rests upon the assumption addicted individuals possess core beliefs, often not accessible to immediate consciousness (unless the patient is also depressed). These core beliefs, such as "I am undesirable," activate a system of addictive beliefs that result in imagined anticipatory benefits of substance use and, consequentially, craving. Once craving has been activated, permissive beliefs ("I can handle getting high just this one more time") are facilitated. Once a permissive set of beliefs have been activated, then the individual will activate drug-seeking and drug-ingesting behaviors. The cognitive therapist's job is to uncover this underlying system of beliefs, analyze it with the patient, and thereby demonstrate its dysfunctional. As with any cognitive-behavioral therapy, homework assignments and behavioral exercises serve to solidify what is learned and discussed during treatment.[43]
Drug addiction is defined as a chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.3 It is possible to be physically dependent upon a drug without having an addiction to the substance. However, when addiction is an issue, the negative consequences experienced during drug abuse become overwhelming, which makes it impossible for the patient to function in relationships with others, at work, at school or in the community.
The concept of group therapy encompasses a number of equally important goals. For example, one of the goals is to facilitate an environment in which recovering alcoholics can learn from one another. In your case, you have thoughts and experiences that could help someone else in the group. Likewise, what other people have to share could prove beneficial in your recovery.
Since those with moderate to severe alcohol addiction can benefit from medication that must be prescribed by a medical professional, start with your primary care physician. He or she can start the assessment process, work with an addiction counselor to provide the right prescriptions, and monitor your overall health during the recovery process. Alternatively, you can contact a counselor or rehab facility directly to schedule an assessment and begin the rehabilitation process.

This is an ongoing debate in the medical community, but it is generally agreed that there is no one cause for the development of addiction. According to the National Institute on Drug Abuse, contributing factors may include a genetic predisposition to develop addictive tendencies, an environment that is permissive of drug abuse, access to illicit substances, and certain developmental issues. The existence of a Dual Diagnosis is one of the biggest risk factors for the development of addiction.
For most people, it takes one drink to produce an Antabuse reaction, therefore it's hard to get by mistake. You can have foods that have been cooked in wine, as long as they've been cooked the alcohol evaporates quickly. You have to be careful of some deserts that have a lot of uncooked alcohol in them. You also have to be careful of some cough syrups and cold preparations that can contain as much as 40% alcohol. Everything you think you know about addiction is wrong | Johann Hari
You have a lot of choices in rehab clinics. The biggest benefit of residential treatment at a UKAT facility is one of not having to worry about outside distractions or temptations. Our residential programmes are designed to help you concentrate wholly on your recovery and nothing else. This will give you the best chances of achieving sobriety and long-term success. Alcohol Withdrawal Symptoms: How To Treat Naturally
A large body of scientific evidence has been gathered in recent years to show that addiction can run in families. In fact, children of alcohol-addicted parents are four times more likely to develop alcohol addiction in later life than those born to parents without alcohol addictions. How this works is complex, and there is no one ‘alcohol gene’ to blame for this; instead a number of genetic variations, which mean some individuals are more pre-disposed to alcoholism than others. Addiction Recovery - Alcohol Drugs Rehab - Detoxing Frequency - Monaural Beats

^ "Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition)2014 102 Diagnostic and Statistical Manual of Mental Disorders: DSM-5 (5th edition) Washington, DC American Psychiatric Association 2013 xliv+947 pp. 9780890425541(hbck);9780890425558(pbck) £175 $199 (hbck); £45 $69 (pbck)". Reference Reviews. 28 (3): 36–37. 2014-03-11. doi:10.1108/rr-10-2013-0256. ISSN 0950-4125.
Many chronic conditions such as arthritis or diabetes carry a risk of recurrence, even after years of successful medical management. In a similar way, there will always be a possibility of relapse for those in recovery.1 However, finding a reputable treatment program that utilizes evidence-based treatment (and staying in treatment long enough—NIDA recommends at least 3 months) gives people a head start on sobriety and gives them the tools they'll need to prevent relapse.2 Drug Rehab Near Me

Drug abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug abuse in the first place.
"The most robust finding in the study is that those receiving any medication did much better than those who received no pills at all," says Professor Barbara Mason, Scripps Research Institute, and an author of the study. "This should be a wake-up call. With less than one percent of those seeking help for alcohol dependence receiving a prescription, medication is underutilized. Medication for alcoholism can offer patients an advantage for their recovery, especially in a real-world setting."

If you have any of these symptoms, your drinking may already be a cause for concern. The more symptoms you have, the more urgent the need for change. A health professional can conduct a formal assessment of your symptoms to see if an alcohol use disorder is present. For an online assessment of your drinking pattern, go to RethinkingDrinking.niaaa.nih.gov. Best Drug Rehab Florida - Addiction Treatment Center
That’s why we are here for you. Getting treatment for your alcohol addiction is the first step on your journey to health and recovery, but it’s a big step and not an easy one to make. We understand that. Whatever your questions and concerns are, there is a solution and an answer. Call us for information on alcohol treatment. We can also answer your questions about Dual Diagnosis treatment for those who are suffering from a mental health issue in conjunction with substance abuse.
Drug addiction and drug abuse are often used as interchangeable terms, but the fact is that they are two very different things. Drug abuse occurs when a person abuses illegal substances or prescription drugs; the person may enjoy the effect provided by the use of the substance and use it regularly, but unless the drug abuse is accompanied by certain symptoms or issues and a physical dependence on the drug, it is not drug addiction.

Holistic recovery programs focus not just on treating alcoholism as a physical or psychological disease, but on healing the body, mind and spirit. In addition to the core components of alcohol rehab — individual and group therapy, family counseling, 12-step meetings and behavioral modification — treatment addresses the patient’s spiritual and emotional needs through activities like art therapy, recreational therapy, guided meditation, yoga, acupuncture and massage. The goal of holistic therapy is to promote healing on all levels so the patient can build a meaningful, rewarding life. Drug Rehab Ward AR - Before And After | Drug Rehabilitation Centers Near Me


For all the popularity of alcohol, everyone knows at least one person who has struggled with alcoholism. And there have been hundreds of cases of celebrities, politicians, and other public figures getting treatment for an alcohol habit that got out of hand. We hear a lot about words like “rehab,” “detox,” and “therapy” when it comes to alcohol treatment, but what does all of that entail? How does it help someone get clean and stay clean? And what does this mean for you, or someone you know, who is fighting a battle against the temptation to keep drinking?
People who misuse alcohol are often addicted to the act of drinking, as much as the alcohol itself. For that reason, you may need to learn skills and coping mechanisms to help you avoid alcohol once you leave a treatment center or return to familiar environments where the urge to drink may be stronger. Your doctor may refer you to a counselor or other treatment program to help you learn those skills and coping strategies. Recovery Group Therapy for Drug & Alcohol counseling in South Orange County, CA
Determine the patient's readiness for change. Motivating a reluctant patient is one of the great challenges in treatment. To enhance the prospects of successful treatment, the clinician needs to have a basic concept of the stages of change. The 5 stages of change (Prochaska,) provide fundamental guidance for enhancing motivation. The Substance Abuse and Mental Health Services Administration, the Center for Substance Abuse Treatment presents this concept in detail through a Treatment Improvement Protocol titled "Enhancing Motivation for Change in Substance Abuse Treatment." The 5 stages of change are precontemplation, contemplation, preparation, action, and maintenance. Specific strategies aligned with each of the 5 stages help a clinician motivate and prepare the patient for change. The 5 stages of change represent a cycle, permitting and explaining behavior that moves in both progressive and regressive directions.
The first step in addiction recovery is detox. The physical symptoms and withdrawal period varies depending on the drug abused, the length and the severity of drug addiction. Detoxing is not only about ridding the body of these “toxins” but also re-setting the neuro-chemistry of the brain that has been altered due to drug abuse. At Searidge Drug Rehab and Detox Centre, we work closely with our team of addiction treatment professionals to provide you with compassionate care by customising a detox program that works best for you.
Although Ecstasy declined in popularity after its introduction to the underground club scene in the 1980s and 1990s, a new generation of young users has discovered the drug. Many teens and young adults perceive Ecstasy as a non-addictive, relatively harmless psychedelic drug. However, Ecstasy can cause dangerous side effects, including nausea, vomiting, high blood pressure, dehydration, liver and kidney damage, an irregular heartbeat, and aggressive impulses.
Even if you are aware of the harm that prolonged heavy drinking causes to the body, you will tend to believe that you would never let it get to that stage because you would be sure to stop long before then. But the truth is that drinking causes great harm to the body long before you can see the effects, and the most serious consequences might not be that far off. An idea of the extent of the negative health impacts of drinking can be seen in the NHS finances, which show that alcohol consumption is responsible for over 10% of the cost of healthcare in Britain. Beatings and addiction: Pakistan drug 'clinic' tortures patients
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