{"id":20132,"date":"2023-01-17T11:44:56","date_gmt":"2023-01-17T16:44:56","guid":{"rendered":"https:\/\/www.zocdoc.com\/blog\/?p=20132"},"modified":"2023-03-22T14:52:07","modified_gmt":"2023-03-22T19:52:07","slug":"a-guide-for-veterans-overcoming-substance-use-disorder","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/advice\/a-guide-for-veterans-overcoming-substance-use-disorder\/","title":{"rendered":"A Guide for Veterans Overcoming Substance Use Disorder"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Veterans are particularly at risk of developing substance use disorders. According to the American Psychological Association (APA), about <\/span><a href=\"https:\/\/psycnet.apa.org\/record\/2022-82064-001\"><span style=\"font-weight: 400;\">1.1 million veterans have some sort of substance use disorder<\/span><\/a><span style=\"font-weight: 400;\">. Of those, around 25% use illicit drugs, 80% use alcohol, and nearly 8% use both drugs and alcohol \u2014 all to the extent that they have a disorder.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Substance use disorders (SUDs) are characterized by a dependency on the substance and individuals with SUDs often have trouble with their physical and mental health, as well as their ability to function adaptively in society.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although their alcohol use declined from 2018 to 2019, the prevalence of <\/span><a href=\"https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt31103\/2019NSDUH-Veteran\/Veterans%202019%20NSDUH.pdf\"><span style=\"font-weight: 400;\">alcohol use disorder among veterans increased<\/span><\/a><span style=\"font-weight: 400;\"> during that time. This mirrors a 6.5% increase in mental illness and\/or substance use disorders, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). Moreover, the APA found that veterans with substance use disorders are less likely to find employment through the Veterans Affairs (VA) vocational rehabilitation program.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This guide provides information to help veterans who are overcoming substance use disorders and seeking to lead healthy, fulfilling lives as civilians.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<hr class=\"squiggle\" \/>\n<h2>Why are veterans at a high risk of substance abuse?<\/h2>\n<p><span style=\"font-weight: 400;\">After they spend years serving in the military, veterans are faced with the reality of returning to civilian life. They may have sustained injuries during their time in service or they may have difficulty adjusting to the civilian world. Their time in service may have contributed to the development of a mental illness such as <\/span><a href=\"https:\/\/www.ptsd.va.gov\/understand\/common\/common_veterans.asp\"><span style=\"font-weight: 400;\">post-traumatic stress disorder (PTSD), which affects up to 30% of veterans<\/span><\/a><span style=\"font-weight: 400;\">. For all these reasons and more, substance use disorders are common among veterans.<\/span><\/p>\n<h2>PTSD and substance abuse<\/h2>\n<p><span style=\"font-weight: 400;\">PTSD is the repeated and often severe occurrence of anxiety in people who have experienced traumatic events. People with PTSD often experience flashbacks and panic attacks. For veterans, violent episodes and the inherent danger of wartime operations may lead to PTSD \u2014 but explosions and combat are not the only causes. According to the VA, sexual trauma also causes PTSD in veterans and about 23% of women report having been sexually assaulted when they were in the military.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Over 20% of <\/span><a href=\"https:\/\/www.ptsd.va.gov\/understand\/related\/substance_abuse_vet.asp\"><span style=\"font-weight: 400;\">veterans with PTSD have a co-occurring substance use disorder<\/span><\/a><span style=\"font-weight: 400;\">; nicotine use and binge drinking are especially prevalent for them. Among those who seek treatment for SUDs, about one-third are diagnosed with PTSD. Veterans with PTSD may turn to substances such as alcohol and nicotine to help them cope with anxiety and stress.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When substance use becomes a habit, it can lead to dependence and addiction. If you\u2019re a veteran experiencing repeated anxiety, stress, and panic attacks due to PTSD, it seems only logical to return to a coping mechanism such as substance use. You may even abuse substances to preempt PTSD symptoms. Therefore, veterans with SUDs and PTSD typically need treatment for both issues.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>What substances do veterans commonly abuse?<\/h2>\n<p><span style=\"font-weight: 400;\">According to SAMHSA, veterans most often use alcohol, marijuana and psychotherapeutic drugs. Here are some statistics from SAMHSA\u2019s National Survey on Drug Use and Health:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Alcohol<\/b><span style=\"font-weight: 400;\">: 57%, or 11.5 million veterans, use alcohol; of those, 5% have alcohol use disorder.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Marijuana<\/b><span style=\"font-weight: 400;\">: 12.8%, or 2.6 million veterans, use cannabis; of those, 0.5% have marijuana use disorder.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Opioids<\/b><span style=\"font-weight: 400;\">: 2.9%, or 595,000 veterans, misuse opioids such as hydrocodone, oxycodone, and fentanyl; 0.7% have an opioid use disorder. Furthermore, the <\/span><a href=\"https:\/\/nida.nih.gov\/publications\/drugfacts\/substance-use-military-life\"><span style=\"font-weight: 400;\">number of veterans who overdosed on opioids<\/span><\/a><span style=\"font-weight: 400;\"> increased to 21% in 2016 from 14% in 2010.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prescription painkillers<\/b><span style=\"font-weight: 400;\">: 2.6%, or 531,000 veterans, misuse pain relievers.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Fewer veterans use heroin (0.3%), cocaine (1.1%), methamphetamine (0.5%), as well as LSD and other hallucinogens (1%). Additionally, <\/span><a href=\"https:\/\/www.cdc.gov\/tobacco\/campaign\/tips\/groups\/military.html\"><span style=\"font-weight: 400;\">over 21% of veterans have reported using nicotine<\/span><\/a><span style=\"font-weight: 400;\">, which comes with significant costs \u2014 in 2010, for example, the VA spent $2.7 billion on healthcare to lessen the negative impact of veterans\u2019 cigarette use.<\/span><\/p>\n<h2>Signs and symptoms of substance use disorder<\/h2>\n<p><span style=\"font-weight: 400;\">Substance use disorder can sneak up on you. It can be hard to know <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/when-to-get-help-for-a-drinking-problem\/\"><span style=\"font-weight: 400;\">when to get help for something as common as alcohol use<\/span><\/a><span style=\"font-weight: 400;\">, for example, when having a drink now and then is simply part of your normal routine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you do use substances, it\u2019s essential to know the signs of a disorder before you find yourself spiraling out of control. The physical, mental and behavioral signs of substance use disorder can differ depending on which substance you\u2019re using, but some <\/span><a href=\"https:\/\/www.ihs.gov\/asap\/familyfriends\/warningsignsdrug\/\"><span style=\"font-weight: 400;\">common symptoms of SUD<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased urge to drink or use drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Inability to stop drinking or using drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drinking or using drugs in hazardous situations (for example, drinking and driving).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Change in relationships due to drinking or drug use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling depressed or anxious about your substance use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling sick and experiencing <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/what-happens-when-you-quit-drinking-alcohol\/\"><span style=\"font-weight: 400;\">withdrawal symptoms<\/span><\/a><span style=\"font-weight: 400;\"> when drinking or drug use stops.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased tolerance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experiencing sudden weight loss or gain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experiencing issues with sleep or appetite.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Going through mood swings and manic periods.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling you need to keep your substance use a secret.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling a lack of motivation to do much besides drink or use drugs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Going through legal or financial problems caused by drug or alcohol use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neglecting your responsibilities at home or work due to substance use.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continuing substance use despite harmful consequences such as blacking out or feeling depressed and paranoid.\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you\u2019re a veteran who\u2019s experiencing any of the above warning signs and symptoms, an <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/can-addiction-screening-save-lives\/\"><span style=\"font-weight: 400;\">addiction screening could potentially save your life<\/span><\/a><span style=\"font-weight: 400;\">. The screening will help you create a plan for change. What\u2019s more, as the statistics we\u2019ve mentioned show, you\u2019re not alone, and there are professionals as well as rehabilitation resources to help you fully recover.\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Where to find treatment for substance use disorder<\/h2>\n<p><span style=\"font-weight: 400;\">When it comes to SUD recovery, <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/how-to-find-the-right-mental-health-professional-for-you\/\"><span style=\"font-weight: 400;\">your treatment options<\/span><\/a><span style=\"font-weight: 400;\"> are as extensive or minimal as you want them to be. You\u2019re in control and this is a mission you can accomplish with all the resources at your disposal. The fact that you\u2019re reading this signals awareness, which is the first, and perhaps the most important, step to recovery. Here\u2019s where you can go to get started:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/findtreatment.gov\/\"><b>Rehabilitation facilities<\/b><\/a><span style=\"font-weight: 400;\">: At a substance abuse treatment center, you can access outpatient or residential care from a licensed team of practitioners. You\u2019ll attend group and one-on-one therapy in a structured environment, where you\u2019ll get to know others who are going through the same things you are. These facilities emphasize structure, which is ideal for veterans.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.benefits.gov\/benefit\/307\"><b>Veterans Alcohol and Drug Dependence Rehabilitation Program<\/b><\/a><span style=\"font-weight: 400;\">: This program from the VA offers a variety of treatment options to eligible veterans, including detoxification, rehabilitation and psychiatric care. You\u2019ll find this program at your state&#8217;s VA medical centers and clinics. Eligibility is based on whether you are enrolled in the VA healthcare system.<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.zocdoc.com\/primary-care-doctors\"><b>Primary care physician<\/b><\/a><span style=\"font-weight: 400;\">: A primary care provider (PCP) can provide various treatment services, such as diagnosis, prescriptions, referrals to therapists and substance abuse rehab facilities in your area, as well as recommendations for your course of treatment. A primary care physician is often the first and last source of care for those recovering from substance abuse. Quality PCPs pride themselves in doing everything in their power to help their patients.\u00a0\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.zocdoc.com\/psychologists\"><b>Psychologist<\/b><\/a><span style=\"font-weight: 400;\">: A licensed psychologist is an essential part of your recovery. Once you decide to seek treatment, a psychologist will give you an assessment and treatment plan with concrete steps and goals to empower your success.\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.zocdoc.com\/psychiatrists\"><b>Psychiatrist<\/b><\/a><span style=\"font-weight: 400;\">: As part of your treatment team, a psychiatrist can provide a substance use disorder diagnosis and a co-occurring disorder diagnosis, provide therapy, prescribe medications as needed, and partner with a therapist who provides more frequent counseling.\u00a0\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.zocdoc.com\/therapist-counselors\"><b>Therapist<\/b><\/a><span style=\"font-weight: 400;\">: A therapist provides counseling as well as various kinds of therapies and treatments based on your needs.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Once you begin treatment, you\u2019ll have a team of professionals working in your corner, which may also include a vocational rehabilitation specialist, a peer support specialist, a community-based rehabilitation specialist, and a social worker.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Rehabilitation options for substance abuse<\/h2>\n<p><span style=\"font-weight: 400;\">As we indicated earlier, there are multiple rehab options for veterans overcoming substance abuse.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Detoxification programs<\/b><span style=\"font-weight: 400;\">: A detox center helps veterans recovering from substance abuse transition into a rehabilitative program. Since sudden, <\/span><a href=\"https:\/\/www.healthline.com\/health\/opioid-withdrawal\/quitting-cold-turkey#safety\"><span style=\"font-weight: 400;\">\u201ccold turkey\u201d detoxification from some substances such as alcohol or opioids can be dangerous<\/span><\/a><span style=\"font-weight: 400;\">, detox centers help mitigate the effects of detox through managed withdrawal. This includes medications, medical interventions and therapies. By the time you\u2019re done with detox, the substance should no longer be in your system.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Inpatient or residential rehabilitation<\/b><span style=\"font-weight: 400;\">: Depending on the severity of the addiction, a patient may need to transition to an inpatient rehab center after detox. There, you enter a structured setting where you learn to replace your dependence on a substance with psychological resiliency and new habits for a better life.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Intensive outpatient programs<\/b><span style=\"font-weight: 400;\">: Unlike an inpatient program, outpatient rehab allows you to live at home while you take part in therapy and activities at the rehab center. Patients who do residential rehab often transition to an intensive outpatient program. Or, you may go straight to an outpatient program if a psychiatrist deems your addiction to be less severe and your social supports are strong enough.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Partial hospitalization programs<\/b><span style=\"font-weight: 400;\">: A partial hospitalization program allows veterans to maintain their home life even as they benefit from the rigor and treatment modalities of inpatient rehab. Compared with an intensive outpatient program, patients spend more time in partial hospitalization, where they can receive medical and psychiatric care, which is not normally included in an outpatient program.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The treatment modalities rehab programs use are based on evidence that <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3678283\/\"><span style=\"font-weight: 400;\">therapeutic treatment is beneficial in reducing substance use<\/span><\/a><span style=\"font-weight: 400;\">. Find out more about the therapy types for veterans with substance use disorder below.\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Therapy programs for substance abuse<\/h2>\n<p><span style=\"font-weight: 400;\">There are many <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/7-common-types-of-therapy-explained\/\"><span style=\"font-weight: 400;\">types of therapy<\/span><\/a><span style=\"font-weight: 400;\"> that can show positive results for veterans who are conquering substance abuse. The therapy you\u2019ll receive will vary based on your needs. Here are some of the common types:\u00a0<\/span><\/p>\n<h2>Group therapy<\/h2>\n<p><span style=\"font-weight: 400;\">According to SAMHSA, <\/span><a href=\"https:\/\/store.samhsa.gov\/sites\/default\/files\/SAMHSA_Digital_Download\/pep20-02-01-020.pdf\"><span style=\"font-weight: 400;\">93% of substance use disorder treatment facilities provide group counseling<\/span><\/a><span style=\"font-weight: 400;\">, and 22% of groups are for veterans. You\u2019ll meet with one or two therapists and up to 12 other patients. The counselor(s) guide the group in various therapeutic approaches; SAMHSA notes that these include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Motivational interviewing;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stages-of-change interventions;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Psychoeducation;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supportive approaches;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skill development.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In group therapy, you\u2019ll find community, a sense of belonging, and a forum of mutual support. Through the sharing of experiences and education on positive coping skills, group therapy empowers you to move ahead without depending on substances to do so.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Motivational interviewing (MI)<\/h2>\n<p><span style=\"font-weight: 400;\">According to SAMHSA, <\/span><a href=\"https:\/\/store.samhsa.gov\/sites\/default\/files\/SAMHSA_Digital_Download\/PEP20-02-02-014.pdf\"><span style=\"font-weight: 400;\">research shows motivational interviewing is effective<\/span><\/a><span style=\"font-weight: 400;\"> for the treatment of substance use disorder. In an individual or group setting, a therapist finds out what drives you and where you want to go. Empathizing with your past experiences and what put you in your current position, the therapist helps you see your strengths. You get a clear-eyed view of the discrepancy between substance dependency and your goals. Through MI, you come to your own understanding of how you can use your strengths to live a life free of substance abuse.\u00a0<\/span><\/p>\n<h2>Eye movement desensitization and reprocessing (EMDR)<\/h2>\n<p><span style=\"font-weight: 400;\">As a kind of somatic therapy, <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/the-therapy-that-helped-me-conquer-traumatic-memories\/\"><span style=\"font-weight: 400;\">EMDR can be an effective treatment for PTSD<\/span><\/a><span style=\"font-weight: 400;\">. In one study, 90% of participants whose trauma was due to a single event experienced a total cessation of PTSD symptoms after three EMDR sessions. Similarly, EMDR is showing positive results for the treatment of substance use disorder. For veterans whose substance use is co-occurring with PTSD, EMDR may be a highly effective therapy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During EMDR, a therapist uses bilateral stimulation \u2014 they give you a sensory stimulus such as a buzzer that alternates side to side. Simultaneously, they ask you questions so you can recall your trauma or any early memories of substance abuse. With subsequent sessions, you dive deeper into memories and thoughts that drive you towards using substances. The safe setting and the counselor help you reprogram your brain so that certain feelings and thoughts no longer trigger you to use substances.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Rational emotive behavior therapy (REBT)<\/h2>\n<p><span style=\"font-weight: 400;\">With REBT, a therapist helps you remember what led you to begin using substances. Next, you identify your irrational beliefs or assumptions tied to the state of affairs that caused you to start using substances. Then, you\u2019ll examine how your belief makes you feel \u2014 you\u2019ll come to understand the emotions triggered by your belief. Further therapy sessions will help you change your irrational beliefs or assumptions so that you are no longer triggered.\u00a0\u00a0<\/span><\/p>\n<h2>Cognitive behavioral therapy (CBT)<\/h2>\n<p><span style=\"font-weight: 400;\">Similarly to REBT, cognitive behavioral therapy helps you identify the thought distortions and irrational beliefs that lead you to use substances. You also come to a firm understanding of your triggers toward substance use.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Through repeated sessions, you challenge your beliefs, build new ones, and develop coping skills for times when you\u2019re triggered. The therapist will help you carry CBT into the real world, often by giving you exercises to do at home, and they may assign a peer support specialist to help you process the therapy on your own.\u00a0\u00a0<\/span><\/p>\n<h2>Dialectical behavioral therapy (DBT)<\/h2>\n<p><span style=\"font-weight: 400;\">\u201cDBT is basically CBT with mindfulness, acceptance and validation woven in,\u201d says Grace Dowd, a licensed clinical social worker and therapist. According to Addiction Science and Clinical Practice, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2797106\/\"><span style=\"font-weight: 400;\">DBT for substance use disorder<\/span><\/a><span style=\"font-weight: 400;\"> takes place via individual therapy, group skills training and telehealth. ASCP notes randomized trials have shown DBT is effective in treating substance use disorder and co-occurring disorders, such as borderline personality disorder.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Through DBT, you examine your emotions without judging them, accepting yourself and removing guilt but simultaneously committing to abstinence from substances. DBT is consistent with the Serenity Prayer, popularized by 12-step programs such as Alcoholics Anonymous: \u201cGod, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.\u201d Abstinence commitments continued to be renewed after patients reach each goal, with a focus on anticipating triggers and planning out coping methods in advance.\u00a0\u00a0\u00a0<\/span><\/p>\n<h2>Contingency management (CM)<\/h2>\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3083448\/\"><span style=\"font-weight: 400;\">Contingency management<\/span><\/a><span style=\"font-weight: 400;\"> involves rewarding patients for abstinence. According to The Psychiatrist, \u201cContingency management has a great deal of evidence supporting its efficacy.\u201d In one study, participants who received CM therapy were four times more likely to abstain from stimulants compared with those assigned to standard care. Although CM has been shown effective in reducing alcohol, opioid, marijuana, and benzodiazepine use across a wide variety of populations, it hasn\u2019t caught on as a widespread treatment.\u00a0<\/span><\/p>\n<h2>Paying for substance abuse treatment<\/h2>\n<p><span style=\"font-weight: 400;\">Since substance use disorder may lead to unemployment and substance abuse drains wallets, it can be tough to afford treatment. However, you have many options at your disposal when it comes to <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/your-guide-to-paying-for-therapy\/\"><span style=\"font-weight: 400;\">paying for therapy<\/span><\/a><span style=\"font-weight: 400;\">. Here are veterans\u2019 options when it comes to paying for treatment:<\/span><b><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><a href=\"https:\/\/www.va.gov\/health-care\/about-va-health-benefits\/cost-of-care\/\"><b>Veterans Affairs<\/b><\/a><span style=\"font-weight: 400;\">: The VA provides free readjustment counseling and related mental health services, as well as free care for any issues related to combat service. So, if you have combat-related PTSD or another mental health issue co-occurring with substance use disorder, the VA should be able to provide you with free or low-cost mental health care. You can also receive a free substance abuse assessment and referral at a Vet Center. Whether you need to pay a copay for SUD treatment depends on your disability rating, income level, military service record and your VA healthcare priority group.<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.medicareplans.com\/va-military-and-medicare-benefits-resource\/\"><b>Medicare<\/b><\/a><span style=\"font-weight: 400;\">: If you\u2019re disabled or aged 65 or older, you may be eligible for Medicare. If your SUD treatment is not covered by VA because it\u2019s deemed non-combat related, <\/span><a href=\"https:\/\/www.medicareplans.com\/va-military-and-medicare-benefits-resource\/\"><span style=\"font-weight: 400;\">Medicare may be able to cover the treatment costs<\/span><\/a><span style=\"font-weight: 400;\"> of inpatient care at a non-VA facility, or therapy costs at a private provider.<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.medicaid.gov\/\"><b>Medicaid<\/b><\/a><span style=\"font-weight: 400;\">: If your income needs qualify you for Medicaid, this state-administered insurance program may pay for SUD treatment. Contact your VA social worker or state Medicaid office to see if you qualify, or visit the Medicaid website.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.tricare.mil\/CoveredServices\/Mental\/Treatments\"><b>TRICARE<\/b><\/a><span style=\"font-weight: 400;\">: If you\u2019re a retired service member, you\u2019re eligible for TRICARE, which provides coverage for medically and psychologically necessary mental health and substance use disorder care.\u00a0<\/span><\/li>\n<li aria-level=\"1\"><a href=\"https:\/\/www.healthcare.gov\/quick-guide\/\"><b>Private insurance<\/b><\/a><span style=\"font-weight: 400;\">: If you\u2019re not eligible for any of the above healthcare options, you can get private insurance to cover SUD treatment through the Health Insurance Marketplace. Depending on your income and household size, you may be eligible for low-cost premiums or low out-of-pocket costs.<\/span><\/li>\n<\/ul>\n<h2>Veterans advocacy groups<\/h2>\n<p><span style=\"font-weight: 400;\">The following advocacy groups can help you receive care for substance use:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/giveanhour.org\/military\/\"><b>Give an Hour<\/b><\/a><span style=\"font-weight: 400;\">: A nonprofit that links veterans with free mental health care from a network of volunteer mental health professionals.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.homecoming4veterans.org\/\"><b>Homecoming for Veterans<\/b><\/a><span style=\"font-weight: 400;\">: Offers veterans free neurofeedback treatment for PTSD and substance abuse.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/vetsrecover.org\/about\/\"><b>Veterans Recovery Resources<\/b><\/a><span style=\"font-weight: 400;\">: Offers substance abuse and mental wellness services to all veterans, even those who only served for a day. Offers <\/span><a href=\"https:\/\/vetsrecover.org\/wp-content\/uploads\/2018\/12\/VRR-Charitable-Care-Application-2018.pdf\"><span style=\"font-weight: 400;\">charity care and financial assistance<\/span><\/a><span style=\"font-weight: 400;\"> to those who are underinsured, uninsured, or ineligible for VA healthcare.\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<h2>Additional substance abuse resources<\/h2>\n<p><span style=\"font-weight: 400;\">There are even more resources that can help veterans overcome substance use:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nami.org\/findsupport\"><b>NAMI<\/b><\/a><span style=\"font-weight: 400;\">: With over 600 state organizations and affiliates, the National Alliance on Mental Illness can connect veterans to substance use disorder therapy. Additionally, <\/span><a href=\"https:\/\/homefrontresources.nami.org\/\"><span style=\"font-weight: 400;\">NAMI Homefront<\/span><\/a><span style=\"font-weight: 400;\"> is an educational program and resource hub that you, as well as families of veterans, can use to address substance abuse head-on.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.samhsa.gov\/find-help\/national-helpline\"><b>SAMHSA National Helpline<\/b><\/a><span style=\"font-weight: 400;\">: This free, confidential service can connect you to information and referrals 24\/7, 365 days a year.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.aa.org\/\"><b>Alcoholics Anonymous<\/b><\/a><span style=\"font-weight: 400;\">: The original 12-step program for those with alcohol use disorder, AA helps to guide you through recovery through a community of people going through the same things you are.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.na.org\/\"><b>Narcotics Anonymous<\/b><\/a><span style=\"font-weight: 400;\">: NA takes the 12-step model and applies it to drug use recovery.\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">As a veteran, you\u2019re well equipped to overcome substance abuse with help from these resources and the information at hand.<\/span><\/p>\n<hr \/>\n<h1 style=\"text-align: center;\">Need a doctor\u2019s appointment? Find one on\u00a0<a href=\"https:\/\/www.zocdoc.com\/\">Zocdoc<\/a>.<\/h1>\n","protected":false},"excerpt":{"rendered":"<p>There&#8217;s help out there. <\/p>\n","protected":false},"author":82,"featured_media":20133,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[228],"tags":[12,19,41,69,71,104,106],"class_list":["post-20132","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice","tag-anxiety","tag-depression","tag-mental-health","tag-the-psychology-of-being-a-patient","tag-therapy","tag-trauma","tag-treatment","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A Guide for Veterans Overcoming Substance Use Disorder - Advice<\/title>\n<meta name=\"description\" content=\"There&#039;s help out there.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/advice\/a-guide-for-veterans-overcoming-substance-use-disorder\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Guide for Veterans Overcoming Substance Use Disorder - 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