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Can You Get Fired for Going to Rehab?

Written by Tulip Hill Recovery Tulip Hill Recovery on March 17, 2023. Posted in Alcohol Addiction, Drug Addiction, Stories, Substance Addiction, Support.

Deciding to go to rehab for your substance use disorder is an essential first step. However, some people are concerned about whether they will have a job after completing rehab and often ask, “Can you get fired for going to rehab?”

A young woman concerned about issues like "Can you get fired for going to rehab?", while receiving support from friends to begin treatment.

Do I Have to Tell My Employer I am Going to Rehab?

Can I get fired for going to rehab? That’s a legit question. However, if you’re wondering how to go to rehab without losing your job, you can breathe easy. Generally, you do not even have to tell your employer you are going to rehab. It is none of their business as to the reason why you requested time off, whether you are using personal time, vacation time, sick time, or decide to take a leave of absence due to medical reasons.

In addition, your employer cannot force you to tell them why you need the time off. However, suppose your employer requires a medical note. In that case, you can have your doctor or the treatment center where you will receive treatment provide a generic note stating you need the time off due to a personal medical reason.

However, suppose your job requires you to work with or around drugs and alcohol. In that case, you may want to inform your employer after you return from rehab so they can accommodate any special needs or restrictions related to your recovery. If this is the case, you may choose to go ahead and tell your employer you’re going to rehab.

How to Tell Your Employer You Are Going to Rehab

While telling your employer you’re going to rehab is not required, in some situations it’s for the best. When wondering how to tell your employer you are going to rehab, know that you should approach the conversation with honesty and professionalism.

Schedule a private meeting with your employer or human resources representative to discuss the matter confidentially. Begin by expressing your appreciation for the opportunity to work with the company and your commitment to your role.

Then, calmly explain that you’re facing personal challenges that require immediate attention, specifically mentioning your decision to seek rehabilitation to address these issues.

If you’re not sure how to go to rehab without losing your job, assure them of your dedication to your job and willingness to work with them to ensure a smooth transition during your absence. Emphasize your desire to return to work after completing rehabilitation, and inquire about any procedures or documentation required for taking medical leave.

Overall, maintaining open communication and a positive attitude can help foster understanding and support from your employer during this challenging time.

Can You Get Fired for Going to Rehab?

It’s totally natural to ask, “Can my job fire me for going to rehab? You’ll be relieved to know that employers cannot fire you for going to rehab. Treating addiction is considered a chronic medical condition. As such, your employer cannot end your employment by seeking medical care for your medical condition.

However, employers may fire employees when there is a legitimate reason, such as constantly showing up late, missing too much work, or not performing one’s job duties. So, if your substance use affects your work performance, your employer could theoretically terminate you. Yet, they cannot directly fire you for wanting to go to rehab.

Additionally, some jobs may require random alcohol and drug testing or mandatory testing when there is an accident. So, if you violate a company policy or fail alcohol and drug testing, your employer could choose to terminate you.

How to Keep a Professional Reputation While in Rehab

Maintaining a professional reputation with an employer through rehab requires a delicate balance of transparency, communication, and commitment to recovery. Firstly, it’s crucial to communicate openly and honestly with your employer about your need for rehab. While this conversation may feel daunting, providing your employer with honest information about your situation can help dispel misunderstandings.

During your time in rehab, stay connected with your employer and colleagues, to the extent possible. This will help maintain a sense of continuity and professionalism. Keeping lines of communication open through updates reassures your employer of your dedication to your job despite your temporary absence.

Sticking to your treatment program and demonstrating progress in your recovery journey further bolsters your credibility. You’re showing your employer that you’re actively working towards improvement.

Upon returning to work, approach the transition with professionalism and humility. Acknowledge any challenges you may have faced during your absence. Express gratitude for your support, and reassure your employer of your commitment to your job.

What Laws Protect My Job When I Go to Rehab?

So, can you get fired for going to rehab? Several laws protect your job when you go to rehab, including:

The Family and Medical Leave Act (FMLA): This law protects your job when you take time off to go to rehab by providing up to 12 weeks of unpaid, job-protected leave in a 12-month period for specific family and medical reasons, including going to rehab. You may be eligible if you have worked at least 1,250 hours for an employer with at least 50 employees during the past year.
The Americans with Disabilities Act (ADA): This law prohibits discrimination against individuals with disabilities in the workplace. Suppose you are going to rehab due to an addiction considered a disability under the ADA. In that case, your employer must make reasonable accommodations for your treatment and recovery unless doing so would cause an undue hardship on the employer’s operations.
State Laws: Many states have laws that protect employees from discrimination based on their use of alcohol or drugs as part of a medical treatment program such as drug rehabilitation. These state laws typically provide additional protection beyond federal laws such as FMLA or ADA, so checking your state laws before entering rehab is essential.

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Returning to Work After Rehab

Going back to work after completing a rehabilitation program requires careful planning and consideration to ensure a successful transition. Firstly, it’s essential to communicate openly and honestly with your employer about your rehabilitation journey and your intentions to return to work.

Discuss any necessary accommodations or adjustments needed to support your reintegration process, such as flexible work hours or reduced workload initially. Prioritize self-care by maintaining a healthy routine, including regular exercise, adequate sleep, and mindfulness practices to manage stress.

Set realistic goals and expectations for yourself, gradually increasing your workload as you regain confidence and strength. Utilize support systems such as colleagues, friends, or support groups to navigate challenges and stay motivated.

Recovery is a continuous journey. Seeking ongoing professional help or counseling can be instrumental in maintaining your well-being as you reintegrate back into the workforce.

Woman greeting her boss and asking questions like "Can you get fired for going to rehab?".

Can My Employer Find Out I Am In Rehab?

Unless you tell your employer or a co-worker that overly gossips, your employer cannot easily find out you are in rehab. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects your personal health information from being shared without your consent.

If you’re concerned and wondering “What if my employer finds out?” or “Can I get fired for going to rehab?”, know that any information about attending rehab, such as records of check-ins or treatments, must remain confidential unless you authorize its release. Your employer cannot access this information without your permission. This is the case even if they pay for the treatment through a company-sponsored health insurance plan.

Additionally, HIPAA requires healthcare providers to use secure methods to store and transmit all protected health information, so it is not possible for employers to obtain the data through other means.

Can a Small Business Get Me Fired for Going to Rehab?

Can you get fired for going to rehab if you work for a small business? While the FMLA will not apply to businesses with fewer than 50 employees, the ADA can still protect your job. Suppose you have an addiction that is a disability under the ADA. In that case, your employer must make reasonable accommodations for your treatment and addiction recovery unless doing so would cause an undue hardship on the employer’s operations.

There may also be state laws that protect your job when you go to rehab. You can learn more by doing some research or talking to the intake specialist at the rehab center.

What If My Employer Fired Me for Going to Rehab?

If your employer does fire you for going to rehab, they may be in violation of the FMLA, ADA, or state laws. It is best to consult an attorney specializing in employment law to determine if you have grounds for a lawsuit. Most attorneys offer a free consultation, so it costs nothing to get legal advice.

You Shouldn’t Worry About Going to Rehab and Getting Fired

It is important not to let the fear of losing your job prevent you from seeking help for an addiction. It’s common to be uncertain and ask yourself questions like “Can my job fire me for going to rehab?”. However, addiction is a life-threatening condition requiring professional treatment and specialized therapies to achieve long-term recovery.

There are laws in place that protect your job while you are receiving treatment. It is crucial to understand what protections are available before entering rehab. Remember, getting help for an addiction ultimately leads to improved work performance and greater career success in the long run.

A man talking to an expert about employee rights and clarifying his doubts, such as "Can you get fired for going to rehab?".

Substance Use Disorder Treatment and Recovery in Murfreesboro, TN

At Tulip Hill, we offer comprehensive substance use disorder treatment and recovery services in Murfreesboro, TN. Our experienced team provides personalized treatment plans and care to meet the needs of each individual. We’re also here to answer any questions you may have, such as “Can you get fired for going to rehab?” and others. We understand that addiction can be a difficult journey. However, with the right support system in place, it is possible to make lasting changes. Contact us today to start your treatment and learn more about our programs.

person struggling with symptoms of CPTSD

What’s the Difference Between CPTSD and PTSD?

Written by Tulip Hill Recovery Tulip Hill Recovery on March 10, 2023. Posted in Mental Health, PTSD, Stories, Veterans.

When someone experiences a traumatic experience or repeated exposure to traumatic events, they can develop PTSD or CPTSD. It is essential to learn the difference between PTSD and CPTSD to understand these mental health disorders better. Furthermore, both of these conditions could lead to addiction when a person attempts to manage their condition on their own.

What Is PTSD?

PTSD (post-traumatic stress disorder) is a mental health disorder that occurs by experiencing or witnessing a terrifying event. Symptoms may include flashbacks, nightmares, severe anxiety, and uncontrollable thoughts about the event. People who have PTSD may also experience feelings of guilt, depression, and isolation.

What Is CPTSD?

CPTSD (complex post-traumatic stress disorder) is a trauma-related mental health condition that can develop in response to prolonged exposure to, or repeated experiences of, emotional and physical abuse. Symptoms can include intense feelings of shame and guilt, difficulty forming relationships with others, and an inability to trust.

What’s the Difference Between PTSD and CPTSD?

The main difference between PTSD and CPTSD is the duration of time and type of trauma experienced. PTSD typically results from a single traumatic event, while CPTSD occurs in response to prolonged and repeated exposure to abuse or trauma. Other differences include the intensity and complexity of the symptoms.

What Type of Trauma Is Associated with PTSD?

The type of trauma associated with PTSD can range from experiencing or witnessing a natural disaster, accidents, physical and sexual assault, war-related combat stress, and death.

What Type of Trauma Is Associated with CPTSD?

The trauma associated with CPTSD is typically prolonged or repeated exposure to emotional and physical abuse, such as childhood neglect, domestic violence, sexual abuse, or verbal abuse.

Signs and Symptoms of PTSD

The signs and symptoms of PTSD may include flashbacks, nightmares, intrusive thoughts about the traumatic event, emotional numbness, irritability, and difficulty sleeping. In addition, the avoidance of people or places associated with the trauma, hypervigilance (being constantly on guard), feeling detached from others, difficulty concentrating, and memory problems may also be present.

Signs and Symptoms of CPTSD

The signs and symptoms of CPTSD may include intense feelings of guilt, shame, or worthlessness. People also have difficulty forming trusting relationships with others and can experience a distorted sense of blame or self-hatred.

In addition, some people have an inability to regulate emotions, resulting in frequent mood swings or panic attacks, dissociation (feeling disconnected from one’s body or environment), and suicidal thoughts or behaviors.

Are There Similarities Between PTSD and CPTSD?

The primary similarity between PTSD and CPTSD is both conditions involve intense emotional distress related to a traumatic experience.

Is There a Link Between PTSD and CPTSD and Addiction?

Yes, there is a link between PTSD and CPTSD and addiction. People with PTSD or CPTSD may turn to drugs, alcohol, or other addictive behaviors in an attempt to cope with their traumatic experiences and the associated symptoms.

Why Do People Use Alcohol or Drugs to Treat PTSD and CPTSD?

There can be various reasons why someone will use alcohol or drugs to attempt to treat their PTSD or CPTDS, including the following:

To cope with intense emotions and distress associated with the traumatic experience.
To alleviate symptoms such as insomnia, nightmares, and flashbacks.
To reduce feelings of guilt, shame, or worthlessness.
To escape intrusive thoughts about the trauma and feel numb to emotional pain.
To self-medicate to manage symptoms without professional help or support from family/friends.

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Can Addiction Put You At Risk of PTSD or CPTSD?

Yes, addiction can put you at risk of developing PTSD or CPTSD. People with substance use disorders may be more likely to experience traumatic events such as physical or sexual assault, accidents, and other forms of violence due to their impaired judgment and ability to make safe choices. Additionally, prolonged exposure to stress associated with addiction can weaken the body’s capacity to cope with trauma.

How Are PTSD and CPTSD Treated?

PTSD and CPTSD are typically treated with a combination of psychotherapy, medication, lifestyle changes, and support from family and friends. Psychotherapies such as cognitive-behavioral therapy (CBT) and exposure therapy can help to reduce symptoms by addressing the underlying trauma.

Medications such as antidepressants or anti-anxiety medications may also be prescribed to manage symptoms. Additionally, lifestyle changes such as regular exercise, engaging in relaxing activities, reducing stress levels, and avoiding triggers can help improve overall mental health.

How Are Addiction and PTSD or CPTSD Treated?

Addiction and PTSD or CPTSD are typically treated with a combination of psychotherapy, medication, lifestyle changes, addiction treatment, and support from family and friends. Both conditions must be treated simultaneously as a co-occurring or dual-diagnosis disorder. Addiction treatment can include using similar treatments for PTSD or CPTSD, along with 12-step programs, holistic programs, peer support, and group counseling.

Can PTSD and CPTSD be Cured?

No, PTSD and CPTSD cannot be cured, but effective treatment can manage the conditions. For some people, PTSD or CPTSD can require them to continuously overcome difficulties for much of their life, just like people with addictions. However, one can live a productive and healthy life by taking things one day at a time and following an ongoing care program.

Dual Diagnosis Treatment and Recovery in Murfreesboro, TN

At Tulip Hill in Murfreesboro, TN, when you have PTSD or CPTSD and are also struggling with addiction, we provide a supportive, safe, and caring environment to begin treatment and recovery. We offer personalized treatment plans customized based on your unique needs. For further information or to start your treatment, contact us today.

man struggling with the symptoms of an opioid addiction

Warning Signs Of Opioid Addiction

Written by Tulip Hill Recovery Tulip Hill Recovery on March 3, 2023. Posted in Drug Addiction, Opioids, Stories, Substance Addiction.

Knowing the warning signs of opioid addiction is important because it can help individuals identify if they or someone they know is developing an addiction. In addition, early recognition of addiction can help someone get the help they need to prevent more serious consequences, such as accidental overdose and death.

What Are Opioids?

Opioids are a class of drugs used to reduce pain and can be either prescription or illicit drugs. Common prescription opioids include oxycodone, hydrocodone, codeine, morphine, and fentanyl. Common illegal opioids include heroin and illicit fentanyl.

Opioid Addiction Risk Factors

Opioid use disorder risks are related to a variety of factors, such as behavioral genetic, and environmental, such as:

Family History of Addiction
History of Mental Health Issues
Previous History of Substance Use
Being Exposed to Opioids at a Young Age
Easy Access to Opioids
Social Environment that Promotes or Normalizes Opioid Misuse
Peer Pressure
Chronic Pain Conditions

Common Symptoms and Signs of Opioid Addiction

Some of the common symptoms and signs of opioid addiction you need to be aware of include the following:

Taking opioids for a longer period or in higher doses than prescribed.
Doctor shopping to get additional prescriptions.
Taking opioids recreationally or using them in combination with other substances.
Snorting or injecting opioids.
Experiencing withdrawal symptoms when not using opioids.
Experiencing cravings for opioids.
Engaging in risky behavior while under the influence of opioids.
Neglecting responsibilities at home, work, or school due to opioid use.
Having financial or legal troubles related to opioid use.
Keeping a “secret stash” of opioids.
Hiding one’s opioid use from family and friends.
Becoming irritable, angry, or aggressive when questioned about one’s opioid use.
Inability to stop using opioids, even when one wants to stop.

Long-Term Health Effects of Opioid Use Disorder

Prolonged use of opioids can have long-term health effects as tolerance to the drug increases. As the body builds tolerance, a person must use a higher dosage of opioids to achieve the desired effects. Therefore, the risk of accidental overdose is increased.

Other long-term health effects can include increased risk of infections, anxiety, depression, sexual dysfunction, cognitive impairments, and damage to the lunger, heart, and liver.

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How Many People Die from Opioid Overdoses?

Opioid overdoses have become increasingly common in the United States, with an average of 44 people dying daily from prescription opioid-related overdoses, according to the CDC. In addition, more than 106,000 people died from illicit and prescription opioids in 2021, as reported by NIDA.

What are the Signs of Opioid Overdose?

Loss of Consciousness
Slow, Shallow, or No Breathing
Bluish Color to the Skin, Lips, and Fingernails
Cold and Clammy Skin
Vomiting
Unresponsive to Verbal or Physical Stimulation
Disorientation
Unusual Snoring or Gurgling Sounds

If you suspect someone has overdosed on opioids, it is imperative to call 911 immediately. However, it may still be possible to save the person using naloxone to counteract the overdose.

Opioid Detox Withdrawal Symptoms

When the effects of opioids wear off, a person goes into opioid detox. Some of the more common withdrawal symptoms one can experience include the following:

Anxiety
Insomnia
Nausea
Vomiting
Diarrhea
Muscle Aches and Pains
Abdominal Cramps
Sweating
Irritability
Intense Cravings for Opioids
Depression
Elevated Heart Rate
Uncontrolled Yawning
Runny Nose
Watery Eyes
Blurred Vision
Chills

Opioid Detox Timeline

The timeline for opioid detox can vary depending on the individual and the type and amount of opioids used. Generally, the withdrawal process can last anywhere from a few days to two weeks. During this time, seeking medical detox at a medical detox center is essential, as withdrawal symptoms can be severe and even life-threatening.

Withdrawal symptoms can appear within 6 to 12 hours after the last dose. During the first 24 hours to 3 days, one can experience anxiety, muscle aches, sweating, runny nose, watery eyes, and uncontrolled yawning.

The existing symptoms will continue to intensify, and new signs will appear until they peak, sometimes during days 4 to 7. These new symptoms include abdominal cramping, nausea, vomiting, diarrhea, chills, and insomnia.

After about a week in detox, a person may start feeling restless, depressed, anxious, or irritable. In addition, their cravings for opioids can still be intense. They may also notice they have problems concentrating, focusing, and sleeping.

Furthermore, people that used opioids longer-term or in high doses could experience hallucinations, delusions, and paranoia. All of the physical withdrawal symptoms should subside within two to three weeks after stopping opioid use.

However, some people can continue to experience the psychological effects of withdrawal called PAWS (post-acute withdrawal syndrome). PAWS can last for several weeks, months, or even longer. Therefore, it is crucial to continue treatment until these symptoms subside.

Benefits of Opioid Detox at a Rehab Center

Medical Support: Detoxing from opioids can be a dangerous process, and having the support of medical professionals to monitor the process can make it safer.
Medication-Assisted Treatment: Medication-assisted treatment (MAT) can help reduce cravings and withdrawal symptoms during detox.
Mental Health Support: Detoxing from opioids can be a difficult and emotional process, and having access to mental health professionals can make it easier.
Structure and Support: Rehab centers provide structure and support that make it easier to focus on recovery.
Access to Other Treatment Options: Rehab centers can provide access to other treatment options, such as cognitive behavioral therapy and 12-step programs, which can help with long-term recovery.

Opioid Addiction Detox and Recovery in Murfreesboro, TN

When you want help to stop using opioids, help is available at Tulip Hill in Murfreesboro, TN. We provide a safe, caring, and supportive environment to start your detox and rehab treatment tailored to your specific needs. To learn more about our opioid treatment programs or to start yours, contact us today.

How Long Does Alcohol Poisoning Last?

Written by Tulip Hill Recovery Tulip Hill Recovery on February 10, 2023. Posted in Alcohol Addiction, Dangers of Substance Abuse, Stories.

People that binge drink frequently or drink heavily are at risk of alcohol poisoning. While these drinking habits could indicate alcohol use disorder (AUD), not everyone with a drinking problem has AUD. However, continuing to binge drink or drink heavily can be risky and life-threatening. As such, it is worthwhile to learn more about alcohol poisoning and how long alcohol poisoning lasts.

What is BAC?

To better understand what alcohol poisoning is, you need to know what blood alcohol level or BAC (blood alcohol concentration) is and how it affects the amount of alcohol in one’s body. BAC is the percentage of alcohol currently circulating in the bloodstream after consuming a set number of drinks.

For example, a BAC of 0.08 percent means that there are 0.08 grams of alcohol in 100 milliliters of blood. This is also the legal limit in most states, meaning if you are stopped with a BAC of 0.08 percent, you are considered impaired and should not be driving.

Generally, a person’s BAC increases by 0.02 percent for every drink when drinking a standard drink. However, the person’s weight, the volume of the drink, and other factors will determine how fast BAC increases. In addition, it takes about an hour for one drink for the body to metabolize it and for BAC levels to decrease.

What is Alcohol Poisoning?

Alcohol poisoning is when a person consumes an excessive amount of alcohol in a relatively short period. As a result, the BAC increases much faster than the body can metabolize the alcohol and remove it from the body.

For instance, if a man who weighs 200 pounds binge drinks 15 drinks in two to three hours, their BAC would be around 0.30 percent. At this level, they have alcohol poisoning. Once they reach this level, if they are still conscious, they most likely will experience a blackout.

Furthermore, a BAC of 0.30 percent is extremely dangerous. People that have reached this level are at risk of dying due to the effects of alcohol. Therefore, they need immediate medical care.

Anything higher than a BAC of 0.35 percent can result in coma and death. Once a person reaches this level, their body functions slow down due to the sedative effects of alcohol. They can lose consciousness, their heart can stop, or they can stop breathing. They could also experience seizures due to insufficient oxygen reaching the brain.

How Long Does Alcohol Poisoning Last?

It takes the body about an hour to metabolize 0.02 percent BAC. So, if a person has a BAC of 0.30 percent, it would take approximately 15 hours before all the alcohol was out of their system. However, it could take even longer depending on their hydration level, what food they have eaten, their weight, what they were drinking, and whether they used any drugs.

Alcohol Poisoning Signs and Symptoms

It is important to know the signs and symptoms of alcohol poisoning and what to do when you suspect someone you care about has drunk excessively. The typical signs and symptoms to look for include the following:

Vomiting
Cold, clammy skin
Chills
Confusion
Problems remaining conscious
Slowed or difficult breathing
Blue-tinged lips, fingers, or skin
Seizures
Loss of consciousness
Problems speaking, standing, walking
Lowered inhibitions
Increased risk-taking
Impaired judgment and reasoning

However, some people will remain conscious and experience a blackout. During this time, they can exhibit the signs and symptoms of alcohol poisoning but not be aware of them. In addition, the person may insist on wanting to continue to drink.

If you notice a friend or family member appears to have alcohol poisoning, you should call 911 and request immediate medical assistance. While you wait for the ambulance to arrive, there are several things you can do to help, such as:

If they are awake, try to keep them awake in a sitting position and have them sip on water.
If they are unconscious, ensure they are lying on their side with their face forward in case they start vomiting so they do not choke.
Do not leave them alone or unsupervised until the paramedics arrive.
When the paramedics arrive, let them know what alcohol they consumed and if they used any drugs.

The Dangers of Alcohol Poisoning and Sobering Myths

There are many myths about how someone can sober up. However, many of these can actually cause more harm when a person has alcohol poisoning. For example, drinking coffee will cause further dehydration due to caffeine and could cause them to have a seizure. Likewise, a cold shower does not work because it further lowers the person’s body temperature and could cause hypothermia.

How to Address Alcohol Poisoning

After someone has had alcohol poisoning, it should be a wake-up call to examine one’s drinking habits seriously. In some cases, this could be the event that causes them to seek addiction treatment. Even in cases where someone does not have AUD, they should still seek help for their excessive drinking problem.

Binge and Excessive Drinking Treatment in Murfreesboro, TN

At Tulip Hill in Murfreesboro, Tennessee, we understand it can be hard to admit you have a binge drinking or excessive drinking problem. By taking that first step, you have already overcome a major obstacle and are on your way to getting the help you need. To learn more about our treatment problems or to begin treatment, contact us today.

A man getting treatment for his PTSD and addiction

The Link Between Complex PTSD and Addiction

Written by Tulip Hill Recovery Tulip Hill Recovery on February 3, 2023. Posted in Alcohol Addiction, PTSD, Stories, Substance Addiction.

When someone suffers from complex PTSD, they may turn to alcohol or drugs as a coping mechanism. Sadly, using drugs or alcohol in this manner can lead to dependence and eventual addiction. Understanding how complex PTSD and addiction are related is essential when someone needs help.

What Is PTSD?

Post-traumatic stress disorder (PTSD) was identified as an anxiety disorder that affects people exposed to a traumatic event. For example, seeing a loved one die in a car accident could trigger PTSD. PTSD is also associated with military service personnel and veterans exposed to war, death, and other traumatic events.

Someone with PTSD relives the trauma and events when they are triggered by a sight, sound, smell, or witnessing a similar traumatic event.

What Is Complex PTSD?

Complex PTSD is a sub-category of PTSD that healthcare professionals have started using in recent years. It is also an anxiety disorder where a person has been exposed to trauma. However, the traumatic event occurs numerous times and is often long-lasting for several months, years, or longer.

Complex PTSD is often associated with childhood trauma when a child has been neglected, abused, or mistreated in some manner. Whatever the event, the child continues to be exposed to it repeatedly, such as being sexually assaulted multiple times by the same person.
While healthcare professionals are starting to distinguish between PTSD and complex PTSD, the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) does not list complex PTSD as its own mental health condition.

What Are Common Symptoms of Complex PTSD?

Re-experiencing the traumatic events through flashbacks.
Ongoing upsetting memories of the events.
Avoiding people, places, or other triggers that remind oneself of the events.
Having nightmares about the events.
Being overly guarded and afraid.
Engaging in self-destructive behaviors.
Having thoughts of self-harm.
Experiencing panic attacks and anxiety.
Viewing things in a negative manner.
Difficulties sleeping.
Loss of appetite.
Unexplained mood swings, anger, aggression, and irritability.
An overwhelming sense of shame and guilt.
Difficulties maintaining relationships with others.
Detachment from one’s reality.

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What Is The Link Between Complex PTSD and Addiction?

People who experience PTSD and complex PTSD have a strong desire to feel normal like they were before experiencing trauma. They also want their symptoms to go away so they can have moments of peace.

In addition, many people with complex PTSD experienced trauma when they were younger. According to the 12 nofollow noopener noreferrer3>SAMHSA, one in four children, tweens, and teenagers experiences traumatic events before age 16.

Therefore, it is not uncommon for someone to have a strong sense of shame and guilt associated with their traumatic experiences. As a result, most children, tweens, and teens can be too afraid to ask for help.

Instead, they can find it easier to turn to alcohol or drugs to help them cope. The effects experienced while drinking or using drugs can provide a brief moment of respite and make them feel normal.

However, the effects are usually short-lived, and their symptoms return. Sadly, they will start drinking more or using drugs more frequently to avoid facing their traumatic experiences. Unfortunately, as the body develops a tolerance to alcohol or drugs, they are no longer as effective.

As such, they have to drink more or take larger dosages of drugs to achieve the desired effects. Eventually, this puts them on a path to addiction. Furthermore, as addiction takes hold, their PTSD or complex PTSD symptoms become more pronounced whenever they stop drinking or using drugs.

When children, tweens, and teens are drinking or using drugs to cope with their complex PTSD, their substance use often carries over into adulthood, should they survive and not commit suicide.

How Are Complex PTSD and Addiction Treated?

An integrated treatment approach is necessary so that a person’s complex PTSD and addiction are treated simultaneously as a co-occurring disorder. Therefore, in order for the person to overcome their addiction, they must also address their traumatic event and work through it using various forms of therapy, such as:

CBT (Cognitive Behavioral Therapy) – This therapy helps people learn how to recognize negative emotions, thoughts, and behaviors and teaches them how to apply positive emotions instead.
EMDR (Eye Movement Desensitization and Reprocessing) – EMDR is a multi-staged approach to therapy where the person will focus on one part of their traumatic event and associated negative feelings or emotions. Next, they learn how to replace that specific part of their trauma with something positive.
DBT (Dialectical Behavior Therapy) – DBT is a type of talk therapy where the person shares their feelings during individual sessions. The therapist teaches the person how to develop healthy and positive coping skills and mindfulness.

Other therapies are also incorporated into the person’s personalized treatment program focusing on their addiction.

Complex PTSD and Addiction Treatment in Murfreesboro, TN

When you struggle with complex PTSD and addiction, Tulip Hill in Murfreesboro, TN, is here to help. We offer customized dual-diagnosis treatment plans for co-occurring disorders in a caring, safe, and supportive environment. Contact us today to take the first steps to regain control over your life.

veteran in therapy during alcohol treatment

What Is Alcohol Treatment for Veterans?

Written by Tulip Hill Recovery Tulip Hill Recovery on January 20, 2023. Posted in Alcohol Addiction, Recovery, Stories, Veterans.

While on active duty, many veterans face intense stressors quite often. They can experience traumatic events, have difficulties adjusting to military life, or have other issues they are unsure how to handle. Sadly, this can result in them turning to alcohol as a coping mechanism. Unfortunately, relying on alcohol as a stress reliever can lead to addiction and eventual alcohol treatment for veterans.

Why Do Veterans Develop Alcohol Use Disorder?

Alcohol is the only legal substance that the U.S. Armed Forces allows. The use of illegal drugs is highly prohibited and results in a dishonorable discharge. Most active duty personnel do not want to be dishonorably discharged as it means they will not be able to receive any veterans benefits. Since alcohol is allowed, it is a common practice to drink after a stressful day. Binge drinking can also be an issue in the military with younger military personnel who may not get to drink as often.

The continued use of alcohol results in the body developing a tolerance to it. Over time, larger amounts must be consumed to experience the stress-relieving effects. Eventually, this can lead to addiction. Furthermore, once someone leaves the military, their drinking habits follow them. As they return to civilian life, they can experience other stressors, such as financial problems, relationship issues, finding a job, and so on. As a result, they continue drinking to try to alleviate the new stressors.

In addition, when someone has PTSD, depression, anxiety, or another mental health disorder, that condition can worsen from continued drinking. As addiction takes hold and mental health problems continue to deteriorate, it can lead to thoughts of self-harm and suicide.

Alcohol Treatment for Veterans Issues

While alcohol use disorder in veterans is a treatable condition, not all veterans will seek treatment for various reasons, such as:

They may think they have their drinking under control.
They do not view drinking to alleviate stress as an addiction.
They may not be ready to admit they have a problem.
They may not want to admit they need help as it can make them look weak.
They could be homeless and not have any family support.

Signs of Alcohol Use Disorder in Veterans

The signs of alcohol use disorder (AUD) in veterans include the following:

Binge-drinking large amounts of alcohol whenever possible.
The inability to stop drinking once they start.
Attempting to hide drinking from family and friends.
Keeping a secret stash of alcohol.
Becoming aggressive, violent, or angry when drinking.
Engaging in risk-taking behaviors.
Losing all interest in activities, hobbies, and things they used to enjoy.
Drinking as an excuse to deal with difficulties transitioning to civilian life.
Developing relationship, financial, and legal problems.

Alcohol Treatment for Veterans

The Department of Veterans Affairs and TRICARE provides coverage for alcohol treatment for veterans. TRICARE is the federal government’s health care plan for active duty military and veterans.

Veterans do not have to seek treatment at a VA facility. Instead, TRICARE allows them to seek treatment at private addiction treatment centers. TRICARE coverage covers the cost of detox, medication-assisted treatment (MAT), inpatient residential, PHP, and IOP treatment programs.

In addition, if the veteran is suicidal, their treatment is free with no out-of-pocket expenses or co-pays. This new mental health coverage just took effect on January 17, 2023, as part of the Veterans COMPACT Act of 2020. All veterans, whether or not they are TRICARE enrollees, qualify for this benefit. All they have to do is enroll in a treatment program and let the facility know they are suicidal.

Benefits of Alcohol Treatment for Veterans at a Private Facility

Most private alcohol treatment centers have personalized treatment programs for veterans. They understand the stressful situations veterans are exposed to and realize they may also be suffering from PTSD and other mental health disorders. Customized alcohol treatment for veterans includes:

Medically Supervised Detox
MAT
Individual Counseling and Therapy
Group Counseling
Support Groups with other Vets
Family Counseling

In addition, when veterans have a co-occurring disorder, personalized treatment will include treating the mental health disorder simultaneously while treating the alcohol use disorder. There are many different treatment options available for veterans based on their individual needs. Programs must be tailored accordingly. After all, each individual has their own reasons for drinking. It is essential to uncover those reasons for treatment to be truly effective.

Do Veterans with AUD Qualify for Disability Benefits?

Veterans who developed their AUD while still on active duty may qualify for disability benefits through the VA. To be eligible for these benefits, the veteran has to show that their mental health disorder is directly related to their alcohol addiction. Most private addiction treatment centers can assist veterans with applying for disability benefits when they qualify.

Veterans Alcohol Addiction Treatment in Murfreesboro, TN

At Tulip Hill in Murfreesboro, TN, we are here to help our veterans who served our country with personalized alcohol addiction treatment programs. We also offer dual diagnosis treatment for co-occurring disorders. Take the first steps to sobriety by contacting us today.

couple in therapy dealing with workplace stress

Is Workplace Stress Threatening Your Recovery?

Written by Tulip Hill Recovery Tulip Hill Recovery on January 13, 2023. Posted in Healthy Tips, Mental Health, Recovery, Stories.

After completing rehab and reintegrating into your everyday routines, you may feel workplace stress is becoming too much to manage. You learned in recovery that you should avoid triggers—places, people, things, or experiences—that could cause you to lapse or relapse. Yet, you need to work to earn a living. So, how do you know when workplace stress threatens your recovery, and what can you do about it?

Is Workplace Stress Normal?

Experiencing some degree of workplace stress is normal. However, it is no longer normal when the stress becomes excessive, and you start feeling anxious and overwhelmed. Excess stress is often a precursor for alcohol and substance use disorders.

For example, many people look forward to having a few drinks after work to let off steam and unwind after a stressful day. On the other hand, some people might use benzos or other drugs that make them feel relaxed, happy, and calm as a way of coping with stress.

Eventually, this pattern is reinforced, so one might start day drinking or using drugs while working just to get through their day. Unfortunately, at this point, the person is on the path to addiction.

What Can You Do When Workplace Stress Becomes Too Much?

The first thing you need to do is take a step back and determine what is causing the excess stress. Next, you should evaluate the following situations and behaviors to determine if any of these are the cause.

You drink or use drugs while at work. If you used drugs or drank while at work, this can create added stress when in recovery. Since you are putting yourself in a location where you used to use, it can make you start thinking about drinking or using drugs again. As such, your stress levels can go through the roof.
You drink or use drugs with coworkers. Another situation that can amp up stress levels is when you have to be around people you used to drink or use drugs with. For example, you would sneak off and snort coke with a coworker. Or maybe you used to go out for drinks after work. Your coworkers may expect you to join in after you return from rehab.
You have quotas or other goals that are difficult to reach. Excess stress can occur when you worry about reaching your quotas or goals, especially when you could lose your job when you do not meet them.
You work in a hostile work environment. When your employer, boss, or other people in the workplace act in an abusive and offensive manner, it can create a hostile work environment. Working in these conditions can take your stress levels through the roof.
You are required to work a lot of overtime. Stress levels can quickly rise when you are not getting sufficient sleep. As a result, you may find it more difficult to utilize your coping strategies and could start to consider drinking or using drugs again.

What Can You Do About Excess Workplace Stress?

You have several options you can consider when dealing with excess workplace stress. For example, when you drank or used drugs at work or with coworkers, you probably should start looking for a new job. By eliminating these triggers and starting fresh with a new job, you can bring your stress levels down to more normal levels.

The same is true when you work in a hostile work environment. Risking your sobriety is not worth any amount of money. Instead, it is healthier for you to find a job environment you can feel comfortable in and not worry about being harassed or abused.

When it comes to working overtime, while the extra money is nice, it is not worth your sobriety. Ask your employer if they can limit your overtime hours. If that doesn’t work, you could ask your doctor to write you a medical note stating due to your health, you can only work a set number of overtime hours. Your doctor does not have to share that you are in recovery. Nor can your employer ask. It is entirely up to you whether you want to share this information or not.

Other things you can do to help reduce your stress levels include the following:

Attend meetings. You can go to a meeting during your lunch or right after work. Talking about your stress can help you lower your stress levels.
Use your mindfulness skills throughout the workday. You can use deep breathing, stretching, or even short meditation sessions to help lower stress and make you feel more relaxed.
Hit the gym during your lunch hour. Getting in a quick workout can increase natural neurotransmitter levels that alleviate stress and make us calmer.
Utilize addiction treatment aftercare support and programs. Most rehab centers will have alum and aftercare support and programs you can take advantage of to continue learning strategies to lower stress and maintain sobriety.

Addiction Treatment Aftercare in Murfreesboro, TN

At Tulip Hill in Murfreesboro, TN, we are here to help you when you are experiencing excessive stress and are afraid of relapsing. We offer personalized aftercare programs to help you maintain your sobriety. Contact us today for more information.

veterans explore the common causes of addiction in group therapy

Common Causes of Addiction Among Veterans

Written by Tulip Hill Recovery Tulip Hill Recovery on December 16, 2022. Posted in Alcohol Addiction, Drug Addiction, Mental Health, PTSD, Stories.

Alcohol use disorders (AUDs) and substance use disorders (SUDs) are common among veterans. While the military has a strict policy on illicit drug use, it does provide access to prescription medications, such as oxycodone, to treat pain. In addition, being part of a military family often includes celebrating successes and drinking. Read on learn some of the more common causes of addiction in veterans.

What Is Addiction?

Addiction is a chronic disease and medical condition often accompanied by the compulsion to seek alcohol or drugs and continue to drink or use drugs regardless of its negative impacts on one’s health and relationships. According to the National Institute on Drug Abuse (NIDA), addiction is a brain disorder since it causes changes in how the brain functions.

Why Is Addiction Considered a Disease?

Addiction is a disease because it affects the health and well-being of the individual. Like other diseases, such as heart disease, the condition worsens without treatment. In addition, as addiction worsens, it can cause co-occurring mental health disorders, such as depression.

What Causes Addiction in Veterans?

There is not a single cause for addiction in veterans or anyone else, for that matter. Anyone can develop an addiction from continued use of alcohol and drugs. One underlying contributing factor is how one feels when under the influence of alcohol or drugs.

For example, alcohol and many illicit and prescription drugs force an increase in various neurotransmitters, such as dopamine and serotonin. Both dopamine and serotonin lead to feeling good, pleasure, calmness, and happiness.

Furthermore, alcohol and other substances also alter GABA and slow the transmission of signals between the brain and other parts of the body. As a result, drinking or using drugs becomes a desired behavior. Unfortunately, this leads to the brain craving alcohol or drugs so the person can experience the pleasurable responses again.

Other factors can also increase the risk of veterans developing an addiction, including the following:

Exposure to Traumatic Events and Experiences

Some veterans experience traumatic events and experiences that they cannot process and deal with their emotions fully. Some of the more common types of trauma veterans can include terrorism, death, sexual abuse, and physical abuse.

Drinking and using drugs are common coping methods because they can make the person feel more “normal” when they cannot deal with the trauma. Unfortunately, as a result, they can develop PTSD (post-traumatic stress disorder).

There Is a Family History of AUD or SUD

Another contributing factor that can cause addiction in veterans and other individuals is when there is a family history of AUD or SUD. For example, when someone’s parents drink or use drugs, that constant exposure leads to a higher risk of developing AUD or SUD themselves.

In addition, certain genetic traits get passed down, increasing the risks of AUD and SUD. For instance, when someone’s parent has AUD and passes down genetic traits to their children, their children can have a higher tolerance to alcohol.

As such, they have to drink much more to experience the effects of alcohol. Unfortunately, this can eventually lead to alcohol dependence and addiction.

The Military Environment

The military environment one experiences can influence and contribute towards AUD and SUD. For example, if most of the people in one’s platoon or company drink regularly to alleviate stress and “let off steam,” one could be encouraged to engage in this practice and eventually view it as a normal practice.

Furthermore, binge drinking can be a problem in the military as personnel do not always have free time to drink and socialize daily. So, when they do, they drink as much as possible, as fast as they can. Continued binge drinking can increase the risk of developing AUD.

Undiagnosed Mental Health Disorder

Veteran alcohol use can relate to having an undiagnosed mental health disorder. In the military, people learn to not show signs of weakness or vulnerability. This can be further reinforced, especially in young men raised with the same ideals.

When someone has ADHD, depression, anxiety, bipolar disorder, or a personality disorder, sharing feelings may feel weak. So, instead of seeking help and getting a diagnosis for their condition, they turn to alcohol. Once they leave the service, they could also turn to drugs when alcohol is no longer effective.

Inability to Cope with Civilian Life

Some veterans have a difficult time returning to civilian life. They are used to sticking to a routine where they get up, fulfill their assigned tasks, and so on. However, after they return home, they will have lots of free time to figure out what to do next.

In addition, it is not uncommon for veterans to have relationship issues because they do not know how to relate to friends and family members. They are more used to the camaraderie they experienced in their platoon and company. Additionally, they did not have to share their feelings, so opening up can be very challenging. Sadly, if they have a drinking problem, it can lead to growing more reliant on alcohol to cope.

Addiction Treatment for Veterans in Murfreesboro, TN

If you are having difficulties after returning home from the military, you are not alone. At Tulip Hill in Murfreesboro, TN, we are here to help with our addiction and co-occurring disorder treatment programs. Contact us today.

people tell their story of recovery in a support group

How to Tell People You’re in Recovery

Written by Tulip Hill Recovery Tulip Hill Recovery on December 9, 2022. Posted in Healthy Tips, Mental Health, Recovery, Stories.

Completing detox and rehab for substance use disorders is the first part of the recovery process. As you adjust to your new sober lifestyle, you will have to decide when and how to tell people you’re in recovery.

Why Is It Hard to Tell Someone You’re in Recovery?

Some people find it hard to tell others they are in recovery. They may feel embarrassed, guilty, shameful, or worried about how others will react once they find out. The person in recovery can also feel overly anxious and stressed because they are unsure of what to do.

When to Tell Someone You’re in Recovery

There may never be that perfect moment to tell someone you’re in recovery. However, that does not mean you should avoid telling others if you want to tell them. It is entirely up to you to decide how you want to tell others and what you want to say to them.

In addition, sharing that you are in recovery can make you feel better. You can feel a big weight lifting and feel more at ease and comfortable around the person you told. Yet, it is understandable that you may be hesitant to say anything if you worry they may be judgmental.

How to Tell People You’re in Recovery

Learning how to tell people you’re in recovery is an essential skill you need to develop as part of the recovery process. Initially, you may not be too comfortable sharing this information with others. However, the more you talk about your recovery and sobriety, the more comfortable you can become, so you are no longer afraid or worried about what others think.

To help you become more comfortable telling others, we recommend reviewing the following tips.

Do not feel like you have to overshare details about your addiction and recovery.

You can keep things short and to the point without going into any details. For example, if someone asks if you want a drink, you can simply say, “I’m in recovery, no thank you.” and leave it at that.

If they ask you questions you are uncomfortable answering, then politely tell them you are not yet comfortable talking about it. If they press you for details, you can respond by saying it is in the past.

As you become more comfortable with your recovery and sobriety, then you can share further details about your recovery and addiction.

Do not worry if others judge you after you tell them.

As you tell people you are in recovery, they may not always respond positively. For example, some friends and family members may have their doubts because they have been around you through your addiction. In this case, it is best to prove them wrong through your actions.

On the other hand, some people will be judgmental and not understand why you are in recovery and why you cannot drink or use drugs occasionally. When you come across someone like this, you need to question whether maintaining a relationship with them is really best for your sobriety and recovery.

Chances are, you will not want someone who is judgmental of your recovery in your life. Having people like this in your life could actually be counterproductive to your recovery and sobriety.

You do not have to tell everyone, just those who matter most to you.

Not everyone needs to know your personal business or that you are in recovery. The only people you should focus on are the ones that matter the most to you.

For example, if you are in a restaurant and the server asks if you want a drink, you can simply say no thank you. You do not need to tell them you are in recovery.

On the other hand, if you meet a close friend you haven’t seen since you have been out of rehab, and they ask if you want a drink, telling them you are in recovery or are now sober would be acceptable.

Again, it is entirely up to you who you tell, when to tell them, and how much you tell them.

Do not feel obligated to tell others.

You should never feel obligated to tell others you’re in recovery. Essentially, it really is none of their business. When deciding to tell people, it should be because you want to tell them, not out of obligation.

Write a letter to help you prepare to tell others.

12 nofollow noopener noreferrer3>Opening up and sharing with those you want to tell can be difficult. A great tool is to write down what you want to say in a letter. Writing a letter ahead of time can help you gather your thoughts and share exactly what you want to share.

After writing your letter, you can either use it when you talk to the person or simply hand them the letter and let them read it.

Addiction Treatment Aftercare in Murfreesboro, TN

If you are having difficulties telling others you are in recovery or having issues with rebuilding relationships with those you have told, Tulip Hill in Murfreesboro, TN, is here to help with our addiction treatment aftercare programs. For further information, contact us today.

man struggling with grief turns to alcohol abuse

The Link Between Grief and Alcohol Abuse

Written by Tulip Hill Recovery Tulip Hill Recovery on December 2, 2022. Posted in Alcohol Addiction, Healthy Tips, Mental Health, Stories.

Experiencing a traumatic event or losing a loved one can cause a person to experience grief. However, when grief becomes too powerful of an emotion to handle, it can cause an individual to seek relief through alcohol. Unfortunately, this can create a link between grief and alcohol abuse.

What Is Grief?

The Mayo Clinic defines grief as “a strong, sometimes overwhelming emotion for people, regardless of whether their sadness stems from the loss of a loved one or from a terminal diagnosis they, or someone they love, receive.”

In addition, grief can include experiencing a traumatic event or loss that occurs suddenly without any time to prepare. For example, you could witness a violent act where numerous people die. Or you could be in a car accident and see a loved one die right in front of you. This type of grief is called traumatic grief.

What Is the Link Between Grief and Alcohol Abuse?

Research from the Journal of Substance Abuse Treatment has established the link between grief and alcohol abuse. In addition, studies have shown that mental health issues can arise in certain individuals attempting to cope with the grief that can lead to alcohol use. Unfortunately, as they continue to grieve and use alcohol to manage, it can eventually lead to alcohol use disorder (AUD).

How Can Grief Lead to Alcohol Abuse?

There are several different ways that grief can lead to alcohol abuse and eventual AUD. It is essential to remember each person’s grief will vary in duration. Some people can grieve for several months, while others can go through periods of grief over the course of several years.

As most people move through the stages of grief – denial, anger, bargaining, depression, and acceptance. In other words, they slowly come to terms with their loss or traumatic experience. However, other people have a hard time moving through these stages, so they turn to alcohol for one reason or another.

Inability to cope without alcohol

Some people find they do not know how to process their grief, and the only way they can cope and appear to function is by drinking. Unfortunately, the more they drink, the more the body builds a tolerance to alcohol. As this cycle continues, their alcohol dependence grows.

Unable to face one’s grief

While acceptance is the last stage of grief, some people have difficulty admitting their loss. They are stuck in the denial stage and rely on alcohol as an excuse not to process their grief.

Wanting to alleviate pain and suffering

Regardless of the grieving stage, the pain and suffering experienced can be so powerful of emotion that it makes it difficult to even get out of bed, let alone do anything. Turning to alcohol causes the release of neurotransmitters in the brain associated with pleasure, relaxation, and calmness. As a result, drinking can numb pain and suffering, so a person can appear to be functioning more normally.

Filling the void with alcohol

People who experience grief often report having a void left when they lose a loved one that causes them to feel a sense of emptiness. However, as they progress through the stages of grieving, the sense of emptiness never goes entirely away but lessens. Sadly, some people turn to alcohol to deal with the sense of emptiness because they simply do not know how to overcome this feeling.

Unable to share one’s feelings

Many men have a hard time expressing their feelings, including grief. They may have been raised to believe that men should not show negative emotions, like sorrow and sadness, as it makes them look weak. Social views of men also tend to reflect these same beliefs. Unfortunately, this can lead to drinking to deal with grief.

How Alcohol Can Make Grieving Worse

Having an occasional drink while grieving is understandable. However, when someone relies on alcohol frequently to cope with their grief, they are making things worse.

For starters, alcohol is a depressant, which, when someone is already sad, can cause them to become depressed. The more they become depressed, the more they can start to experience thoughts of self-harm and suicide.

Next, continued alcohol use makes it almost impossible to progress through the stages of grief. A person is not able to process their emotions and emotional responses, so they can start to move forward through the grieving process. Instead, they end up stuck with unresolved grief that continues to fuel their alcohol use disorder.

Unfortunately, using alcohol to cope with grief is only a short-term solution. In the long term, it causes addiction and deeper mental health problems.

Grief and AUD Detox and Addiction Treatment in Murfreesboro, TN

If you are having problems processing your grief and have turned to alcohol, Tulip Hill in Murfreesboro, TN, is here to help. We offer personalized grief and AUD detox and addiction treatment programs to help you process without alcohol. Contact us to get the help and support you need today.