Tag Archives: ACA

What kinds of doctors treat Mental Illness and Substance Abuse?

The ACA includes substance use disorders and mental illness as one of the ten elements of essential health benefits. This is great, but the first part is admitting you need help. Seeking recovery for mental, emotional, spiritual, or relationship issues can be particularly challenging. You must also factor in your healthcare options. What services does your healthcare provider cover? Once you find out what is covered — where do you go from there? Here are some options …. there are quite a few.

Psychologist

When many people think of a psychologist, the first image that comes to their mind is of a patient lying on a leather couch and telling the good doctor their feelings. While that does sometimes happen, psychologists do more than ask someone how they feel. Psychologists specialize in the science of behaviors, emotions, and thoughts. Working in private offices, hospitals, schools, or other areas, psychologists treat a range of issues from relationship issues to mental illness through counseling.

Psychiatrist

Psychiatrists and psychologists often practice in the same area, but psychiatrists mainly diagnose, treat, and help prevent mental, emotional, and behavioral disorders through the use of psychiatric medicine, physical exams, and by interpreting laboratory tests.

Find Mental Health Professional
Resources For Locating A Mental Health Professional

While general practice doctors can prescribe medications to help with mental and emotional problems, psychiatrists are often preferred for complicated disorders. Some psychiatrists’ specialties include addiction, forensic psychiatry, and behavioral disabilities.

Psychoanalyst

A psychoanalyst follows the theories and practice of Sigmund Freud by helping a patient explore his or her repressed or unconscious impulses, anxieties, and internal conflicts. This is done through free association, dream interpretation, and the analysis of resistance and transference. While the practice has its critics, many find that it successfully explores deep psychological and emotional disturbances that could unknowingly create patterns of bad behavior.

Psychiatric Nurse

Rarely is a psychiatric nurse like Nurse Ratched in One Flew Over the Cuckoo’s Nest. In real life, these registered nurses who specialize in mental health are known for their positive therapeutic relationship with patients. Under the supervision of a medical doctor, psychiatric nurses perform psychological therapies, administer psychiatric medication, and often deal with challenging patient behavior (as they most often practice in mental health facilities).

Psychotherapist

A psychotherapist is a general term for a number of different mental health professionals (psychologists, therapists, etc.) that provide psychotherapy—a type of talking therapy designed to improve a patient’s mental health and well-being. There are many different schools of psychotherapy that can involve therapeutic conversations, group therapy, expressive therapy, and more. The most popular type is cognitive behavior therapy (CBT), where a person learns to change bad behaviors or emotions.

Mental Health Counselor

Mental health counselor is yet another broad term used to describe someone who provides counseling. Their titles may also include the terms “licensed” or “professional.” Since the term is vague, it’s important to inquire about a counselor’s education, experience, and types of services involved.

Some counselors specialize in job stress, addiction, marriages, families, general stress, and so on.

Family & Marriage Counselor

A family and marriage counselor specializes in common problems that occur within families and married couples: differences, arguments, and so on. The length of the therapy is normally brief, as the sessions are typically focused on specific dilemmas and reaching quick resolutions.

This type of therapy is also used on a one-on-one basis. Sometimes, if one person’s problem—eating disorders, addiction, etc.—affects people close to him or her, group sessions may be used.

Addiction Counselor

Addiction counselors treat people with addictions. While this usually involves substance abuse alcoholism or gambling problems. It can also include less common addictions, including sexual addictions, hoarding, and others.

Addiction counseling is often done in a group setting, similar to the methods used by Alcoholics Anonymous, but can also be private or with loved ones affected by the addiction.

Art Therapist

Art therapists deal in a very specific type of therapy. This method involves using creative media such as painting, sculpture, writing, or other creative outlets to help explore and alleviate problems with depression, medical illnesses, past traumatic events, and addiction.

Proponents of this type of therapy believe it can help a patient express underlying thoughts and feelings that traditional talking therapy may not fetter out.

Religious Counselor

Religious counselors, also known as pastoral counselors, are trained to help people with a variety of problems. Their primary focus is on crises of faith, marriage and family counseling, and emotional and mental problems, all within a spiritual context.

These counselors are often leaders in area churches, or have extensive religious and mental health training. They often conduct sessions in a one-on-one basis, in groups, or in couples or family settings.

Training

A mental health professional’s training depends on their specific field and the state they practice. Psychologists often require a PhD, while psychiatrists require medical degrees. Nearly every state requires that any type of counselor have a college degree with extra specialized training.

Some things to look for in a mental health professional’s background include:

  • State licensing
  • Postgraduate degrees: masters or doctorate
  • Clinical experience
  • Published articles
Who to Choose?
Mental Health Quiz
A brief test that will help you determine whether you might benefit from therapy

If you think it’s time to see a psychologist or therapist, you have an important choice in front of you. Picking the right person to help you overcome any emotional or mental troubles is important. When choosing someone, factor in his or her specialty, training, methods, schedule, availability, convenience, and any other factors you consider important. Most importantly, search out someone you trust.

Social Worker

Social workers are a group of public employees dedicated to helping people cope with and solve issues in their lives. These can include personal problems, disabilities, and social problems like substance abuse, housing, and unemployment. Social workers are often involved in family disputes that involve domestic violence or child abuse. There are many subtypes of social work, including:

  • Child, Family & School
  • Medical & Public Health
  • Mental Health & Substance Abuse
Sponsor, Peer or Mentor

This is a person who volunteers to help you because they have had a similar experience. Often they want to help you because it is part of their own recovery.  This is not a medical position. It is just one person helping another ….. for fun and for free.

Mental Health Treatment
No Cost Rehab can check your insurance to see if you can go to a rehab for treatment of clinical disorders

Alcohol and Drug Withdrawal – Is it dangerous? Is it covered by insurance?

Recently, there was a court ruling that upheld the subsidies under ObamaCare that are provided by the government to offset the cost of buying insurance. Health Insurance policies under the Affordable Care Act will continue. That means that millions of people with drug and alcohol abuse problems are still eligible for treatment. I get the impression that people don’t know about this.

Detox From Drugs
I did an article on drug and alcohol detox.

I want to shout it from a building. All health insurance plans (under the Affordable Care Act) are required to cover substance abuse treatment as one of 10 “essential health benefits” specified in the law.

There are lots of ways to get help for drug and alcohol problems. But, if you are sick and have the mandated insurance, a treatment program could cost you zero! But, how do you know if you need a formal hospital type environment? The short answer – you need a hospital if you are going to experience withdrawals.

What is Withdrawal?

Withdrawal occurs because your brain works like a spring when it comes to addiction. Drugs and alcohol are brain depressants that push down the spring. They suppress your brain’s production of neurotransmitters like noradrenaline. When you stop using drugs or alcohol it’s like taking the weight off the spring, and your brain rebounds by producing a surge of adrenaline that causes withdrawal symptoms.

Every drug is different. Some drugs produce significant physical withdrawal (alcohol, opiates, and tranquilizers). Some drugs produce little physical withdrawal, but more emotional withdrawal (cocaine, marijuana, and ecstasy). Every person’s physical withdrawal pattern is also different. You may experience little physical withdrawal. But that doesn’t mean that you’re not addicted, instead you may experience more emotional withdrawal.

Below are two lists of withdrawal symptoms. The first list is the emotional withdrawal symptoms produced by all drugs. You can experience them whether you have physical withdrawal symptoms or not. The second list is the physical withdrawal symptoms that usually occur with alcohol, opiates, and tranquilizers.

Dr. Steven M Melemis
Thank you Dr. Steven M. Melemis for providing the medical information for this article.

Emotional Withdrawal Symptoms

Anxiety
Restlessness
Irritability
Insomnia
Headaches
Poor concentration
Depression
Social isolation
Physical Withdrawal Symptoms

Sweating
Racing heart
Palpitations
Muscle tension
Tightness in the chest
Difficulty breathing
Tremor
Nausea, vomiting, or diarrhea
Dangerous Withdrawal Symptoms

Alcohol and tranquilizers produce the most dangerous physical withdrawal. Suddenly stopping alcohol or tranquilizers can lead to seizures, strokes, or heart attacks in high risk patients. A medically supervised detox can minimize your withdrawal symptoms and reduce the risk of dangerous complications. Some of the dangerous symptoms of alcohol and tranquillizer withdrawal are:

  • Grand mal seizures
  • Heart attacks
  • Strokes
  • Hallucinations
  • Delirium tremens (DTs)

Withdrawal from opiates like heroin and oxycontin is extremely uncomfortable, but not dangerous unless they are mixed with other drugs. Heroin withdrawal on its own does not produce seizures, heart attacks, strokes, or delirium tremens. (Reference: http://www.AddictionsAndRecovery.org)

Post-Acute Withdrawal

The first stage of withdrawal is the acute stage, which usually lasts for a few weeks. The second stage of withdrawal is the post-acute stage.

The most common post-acute withdrawal symptoms are:

  • Mood swings
  • Anxiety
  • Irritability
  • Tiredness
  • Variable energy
  • Low enthusiasm
  • Variable concentration
  • Disturbed sleep

Post-acute withdrawal can be a trigger for relapse. You’ll go for weeks without any withdrawal symptoms, and then one day you’ll wake up and your withdrawal will hit you like a ton of bricks. You’ll have slept badly. You’ll be in a bad mood. Your energy will be low. And if you’re not prepared for it, if you think that post-acute withdrawal only lasts for a few months, or if you think that you’ll be different and it won’t be as bad for you, then you’ll get caught off guard. But if you know what to expect you can do this.

Being able to relax will help you through post-acute withdrawal. When you’re tense you tend to dwell on your symptoms and make them worse. When you’re relaxed it’s easier to not get caught up in them. You aren’t as triggered by your symptoms which means you’re less likely to relapse.

Many recovery programs are not medically based. However, it’s always smart to tell your doctor what is going on with your drug and alcohol use.

Drug Treatment Check Insurance
No Cost Rehab can check your insurance to see if you can go to a drug addiction or alcoholism treatment program ….. for no cost

Payment Options For Addiction Treatment Services

You have a drug, alcohol or an addiction problem. You want to get help. You don’t think you can pay for it.  What are your options?

The most obvious option is going through your private insurance. If you have health insurance, most likely there are coverage options in your policy. Some insurance policies cover all of your treatment costs. Others will cover partial payments. Each insurance company and policy is different. If you want to check, simply call your insurance company. The 800 number is usually on the back of your card.

If you are willing to do whatever it takes .....
Desperation Empowers Us To Take Action

If you have coverage under ACA (also called Obama Care) there is some good news. The Affordable Care Act of 2014 includes “substance use disorders” as one of the ten elements of what is called “essential health benefits”. This means that all health insurance sold on the Health Insurance Exchange or provided by Medicaid must include a service for substance abuse disorders. If you are unsure if this applies to you, simply contact me or go the dot gov website.

If you don’t have insurance, you don’t want your insurance company to be notified about your treatment, or If your insurance does not cover treatment, do not be discouraged. There are options. Many treatment centers offer scholarships or affordable payment plans. There are lot’s of creative ways to get help. There are dozens of free groups to join. Please see my resource list for more information. I have a large list of phone numbers and websites that offer help, at no charge.

800RecoveryHub.com
Our 800RecoveryHub site offers free and confidential help

The more important factor to getting help, is having the desperation to make a change. Can you answer this question … “Am I willing to do whatever it takes to change my life?”  If the answer is “yes” Congratulations! You are already on the road of recovery.

Let me explain HIPPA in a short and simple way …..

HIPPA Overview

The Health Insurance Portability and Accountability Act is a law that was created in 1996. It was established by Congress to put privacy rules in place to protect patients. The law is hundreds of pages long. However, the main goal is to make sure that a patient’s information is not being used for something other than its original purpose. Historically, the healthcare industry has always keep patients information safe. However, The HIPAA rules were made to create extra safeguards. HIPPA defines the way “health records” are kept. HIPPA also give patients the right to know how their information is being used.

There are lots of security guidelines that must be followed. Many of the HIPPA Security regulations discuss the special risks that electronic processing (computers) can create. This means that companies must follow strict policies to handle the way their patients records are kept (and sent) on computers and company networks.

HIPPA Fines Can Be Expensive
HIPPA Fines Can Be Expensive

PHI is Protected Health Information. PHI is anything about a patient’s health or payment. This includes basic things like name, address, date of birth and insurance information. Here are a few examples:

• A ‘sticky’ note with a patient’s name and the words ‘claim for March 23 denied’
• A recorded phone message giving the person’s name and the reason they want an appointment
• A referral request
• A computer screen showing a patient’s name and text or graphic representation concerning their health
• A discussion about a recent procedure performed where the patient’s last name was mentioned

There are some simple ways to protect privacy:

If you take notes about a patient, do not leave them at your desk.
At the end of the day shred documents that have private information.
Don’t leave information up on your computer screen, if you walk away from your desk.
Keep voice mail messages protected by using a secure password.
Do NOT share information about celebrities or well-known individuals with ANYONE!. It can be very tempting to gossip about clients who are famous. These individuals need extra steps taken to protect them.
Keep your voice down when discussing patient finances, both in person and over the phone.
Do not use a smart phone (with camera) in the office. Makes call in a break room, or outside the building.

800RecoveryHub.com
Our 800RecoveryHub site offers free and confidential help