Does tapering substance use work?
Many people who may be skeptical of substance dependence treatments tend to believe that simply tapering substance use is enough to achieve a sober life. However, they often overlook the challenges involved in becoming substance-free, such as cravings, withdrawal symptoms, the need for professional support, relapse, and mood swings, among other issues. While there is no one-size-fits-all approach, some people may experience benefits from tapering substance use. In contrast, others may find it more beneficial to participate in conventional detox programs.
So, if you’re wondering: Does tapering substance use work? In this GateHouse Treatment blog, we’ll explore the challenges and withdrawal symptoms associated with this method and the various treatments available for recovery.
What is Tapering Substance Use?
The gradual reduction in the consumption of a substance, whether alcohol, opioids, cocaine, or others, is known as “substance tapering” and is carried out over a defined time. The purpose of this process is to achieve total abstinence from the substance, with the possibility of minimizing withdrawal symptoms. Although this approach can be practical, it is imperative to consider the patient’s clinical history and the severity of their dependence, as substance tapering is sometimes unsafe and can result in dangerous symptoms. Therefore, it is essential to have the guidance and support of a medical professional during this process.
The Challenges of Tapering Substance Use Without Medical Support
- Lack of Guidance: One of the fundamental difficulties experienced by those tapering substance use is the absence of a personalized plan, which can increase the risk of relapse. In a dependence treatment alternative, a health professional conducts a pre-assessment to determine the most appropriate tapering schedule for each individual’s specific needs, continuously monitoring the process to ensure gradual and safe tapering.
- Withdrawal Symptoms: Physical discomfort is often one of the most significant challenges for people who want to achieve sobriety, as these physical symptoms can become severe and, in some cases, life-threatening. When individuals are tapering substance use without medical supervision, they can’t access medications that can alleviate withdrawal symptoms, which can make the process more bearable and prevent relapse.
Some of the withdrawal symptoms from tapering alcohol, according to the Alcohol Health and Research World, include, but are not limited to:
- Mild to moderate tremors
- Irritability
- Anxiety
- Agitation
- Delirium tremens (the DTs)
- Hallucinations
- Seizures
These mild and severe manifestations are the result of alcohol-induced imbalances in brain chemistry that result in excessive neuronal activity. The management of withdrawal requires a thorough assessment of the patient and any conditions that may complicate detoxification, considering the option of including other pharmacological and non-pharmacological approaches in the treatment plan.
On the other hand, the FDAÂ issued a statement detailing the repercussions associated with abrupt discontinuation or rapid dose reduction of opioids, highlighting severe withdrawal symptoms, uncontrolled pain, psychological distress, and risk of death. The statement underscores the importance of seeking the advice of healthcare professionals when safely reducing dosage in patients who are physically dependent on these substances.
- Lack of Consideration of Mental Health Problems: The gradual reduction of substances can often exacerbate mental health problems. During the withdrawal period, many people may develop or intensify anxiety, depression, and bipolar disorders, among others. Those who choose to reduce substance use to overcome their dependence without the assistance of professionals may lack the tools necessary to cope with the challenges associated with mental disorders, increasing the risk of relapse or negatively impacting their mental health.
- Risk of Overdose: Tapering substance use, especially in the case of opioids, leads to a marked decrease in the body’s tolerance to the substance, increasing the risk to individuals during the tapering process. If a person returns to the dose they used to take, they could experience an overdose, severely affecting physical health. Health professionals can offer harm reduction strategies and interventions to minimize this risk. A study by JAMA Network Open revealed that gradual opioid tapering is associated with higher rates of overdose, withdrawal, and mental health crises, with these risks persisting even two years after starting the tapering process.
- Loneliness: Successfully overcoming substance dependence is a long journey, and it’s critical to have a support network for success. It is common for people to feel discouraged and encounter difficulties along the way. Therapists, medical professionals, and support groups can promote accountability and provide encouragement, structure, and reinforcement to help people stay on track.
- Health Problems: Another difficulty faced by those seeking to reduce substance use is the presence of underlying health problems. Failure to consider health conditions when attempting to reduce substance use autonomously can lead to complications. When a person reduces use under the supervision of a medical professional, they conduct a thorough assessment to address any health issues and adjust the reduction process accordingly.
What is the Best Treatment for Overcoming Substance Dependence?
The decision to stop using substances is a personal one, and so is the choice of treatment. Fortunately, there are some dependence treatment options to choose from according to the individual’s needs and preferences. However, at GateHouse Treatment, we always recommend that those beginning their journey to sobriety seek the guidance of professionals to ensure that their physical and mental health conditions are always a priority when selecting an approach.
Some of the treatment options for dependency include the following:
- Partial Hospitalization Program (PHP):
PHP is a program designed for people with substance abuse problems who also need mental health care. It can replace the traditional residential treatment model, and experts recommend it for those who have completed medical detox and have some stability. At GateHouse Treatment, patients begin with group and individual counseling sessions for six hours a day, six times a week, before moving to supervised residential facilities.
- Intensive Outpatient Program (IOP):
IOP is a program designed for people with substance dependence and mental health problems. This program assists with community integration by offering counseling once a week. At GateHouse Treatment, patients in IOP attend intensive group and individual therapy, case management assessments, and family therapy sessions.
- Outpatient Program (OP):
OP is a program for those who have gone through previous levels of care and have stable employment. Participants attend meetings in a 12-step program with a sponsor, in addition to participating in weekly therapeutic sessions and groups.
- Medication Assisted Treatment (MAT):
MAT is an alternative to conventional treatments for substance dependence disorder. It uses FDA-approved medications to treat opioid and alcohol dependence, encouraging long-term sobriety and supplementing it with therapeutic support. The medicines at MAT help alleviate withdrawal symptoms, reduce cravings dramatically, and address physical symptoms that can hinder sobriety. At GateHouse Treatment, we recommend maximizing the effectiveness of MAT by combining it with other treatments, such as 12-step groups, counseling, and psychotherapy.
GateHouse Treatment: Find Support to Achieve Sobriety
Whether you decide to opt for gradual substance use reduction, conventional treatment such as partial hospitalization, an outpatient program, or an alternative such as MAT, at GateHouse Treatment, we are here to help those who want to safely recover their lives from substance dependence in the New England area.
Contact our clinic in Nashua, NH, by calling (855) 448-3588 or by completing the online form. We guarantee complete confidentiality of your information and will advise you in choosing the treatment that best suits your preferences and needs. Your new life begins at GateHouse Treatment.
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