Individual Therapy – Apex Recovery offers individual therapy sessions at all levels of care with trained masters level clinicians. Psychotherapy is used as an adjunct therapy to treat all forms of mental illness, to change negative thought patterns and to help clients set and reach goals related to their treatment and recovery. We find that one-on-one counseling between APEX therapists and our clients provides a very necessary resource and solid relationship to help clients see beyond their illness and forge a smoother path to recovery than they would without psychotherapy. Your individual therapist will work directly with you to assess emotional regulations, identify underlying causes for addiction and to develop a relapse prevention plan that is unique to your needs
Group Therapy – Group therapy is a proven technique for helping individuals struggling with addiction. While addressing personal and painful experiences in a group setting may feel scary or provoke anxiety, it is a helpful aspect of recovery. Group therapy provides an opportunity to share openly and connect with others with similar struggles, helping participants feel connected and develop close and meaningful relationships. The group context assists clients in developing communication skills, setting boundaries and improving social skills through the support of our therapists. With the guidance and directive of APEX Recovery’s clinically trained staff, participants are encouraged to provide feedback to one another, which is a critical step in building insight and motivation.
Art Therapy – Art therapy involves the creation of art in order to increase awareness of self and others. This, in turn, may promote personal development, increase coping skills, and enhance cognitive function. Opportunities to explore the creative process of making art to improve physical, mental and emotional well-being are provided.
Rock to Recovery – Music is a powerful tool, proven to help soothe the soul. For someone in recovery, learning to have clean and sober fun, feeling a part of, connecting to a group, and quieting the mind are keys to a successful new life. Participants create a “band” through writing and recording songs together with Rock to Recovery’s staff of professional musicians, who are also in recovery. Opportunities to vent emotions by writing lyrics and singing together for release, in real-time while tying in a positive theme of hope in recovery throughout the entire process are provided.
Radical Alive – Clients are provided a safe place to express intense emotions while learning to face feelings they used drugs and alcohol to escape in the past. Clients engage in movement and energization exercises that were specifically developed to unlock feelings of anger, sadness, fear and joy. Clients learn to support and challenge each other to create a new sense of hope for a clean and sober life.
Massage – For the average adult, there are numerous benefits of massage therapy. For the patient recovering from addiction, these benefits are multiplied. Offering more than just relaxation, massage therapy can go a long way in helping a patient heal from their addictions. Our certified massage therapist brings years of experience in alternative treatment methods to our patients. Massage has been proven to aid the body in detoxification and help to alleviate anxiety and depression. These therapies also reduce stress, which is a key component to a successful recovery. Patients who do not address stress as part of their treatment are more likely to abuse again, in the hopes of easing those thoughts and feelings.
Massage therapy will be used strategically by our massage specialists to improve the blood flow, boost the immune system, exfoliate the skin and aid the body in getting rid of toxins.
Massage therapy doesn’t only alleviate physical pain – it can also relieve emotional pain. Emotional pain is stored in the body. Stresses and traumatic experiences almost invariably cause muscles to contract and harden, turning the body into an armor that protects the fragile and vulnerable inner self. When that happens, energy cannot flow freely and if that perpetuates, health issues arise. With these alternative practices, the individual can get in touch with the wounded parts of themselves and work through the pain to heal. That also makes the individual more aware and engaged in counseling and psychotherapy.
Gym – At Apex, we believe physical well-being goes hand in hand with mental well-being to achieve successful sobriety. With that in mind, we provide each client a gym membership during their stay in our residential treatment facility.
Physician – Apex offers weekly visits with an ASAM certified Addiction physician, physician assistant, and psychiatrists. Addictions of all kinds leave a mark, temporary or permanent, on the body. The chemicals abused rewire the brain’s mechanisms for producing the feelings of calm, pleasure and joy, but they also impair physical health. Alcohol and substances increase blood pressure and pulse rate and they can also damage internal organs. Indirectly, the abuse has a detrimental effect on body metabolism, because a typical addict will lead a life that revolves around obtaining the substance and completely disregard proper nutrition, sleep, and exercise. Recognizing the relationship between physical health and emotional well-being and sobriety maintenance, APEX Recovery supports you in rebuilding your physical well-being.
Trauma Release Exercises (TRE) – Clients participate in a group exercise specifically designed to elicit the natural healing processes that are genetically encoded in the human body.
American Society of Addiction Medicine identified the ASAM criteria to define outcome-based care in the treatment of addiction. Apex Recovery has adopted these guidelines to create comprehensive and individualized treatment plans. The assessment criteria address the unique needs of each individual while incorporating their strengths, abilities, resources and support structure. Using the ASAM criteria and assessment guidelines allows Apex to work directly with insurance companies to determine the most appropriate level of care for individuals in treatment.
At Apex Recovery, you can expect your clinical team to incorporate the ASAM criteria in developing your holistic services and treatment planning. We will explore your past and current experience of substance use and withdrawal potential to help maintain overall comfort. Your health history and physical conditions will be assessed and treated by our medical team to maintain your physical health. Our therapeutic staff will explore each individual’s relationship with mental health issues while addressing emotional health through a cognitive-behavioral approach. Each individual’s readiness and motivation to change will be assessed and reviewed while exploring your relationship with relapse or potential for continued use. Lastly, we recognize that discharge planning begins with admission, and will explore your living situation and the surrounding people, places, and things. This multi-dimensional assessment will occur at each level of care offered at Apex Recovery and on an ongoing basis to ensure that your needs are met at all times.
Recognizing that some of the biggest threats to sobriety and long-term success occur within the first year following treatment, our team provides continued support to all clients and their families for a one-year period. Following discharge from Apex Recovery, clients are contacted at 30-days, 90-days, 180-days, and 360-days post-treatment. Apex clients regularly report ongoing success and personal progress towards their goals. This includes obtaining new employment, returning to employment, connecting with community resources and re-establishing personal relationships.
Our feedback-informed approach works to create a spirit of collaboration so that we can continue to develop and grow as an effective program, as we help our clients to grow in their personal development and have ongoing positive results.
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Apex follows best practices in developing individual treatment plans for all of our patients. Treatment plans are as unique as the individuals themselves, and our therapists have decades of experience in designing programs that cater to each patient’s specific needs. Our individual treatment plans are used for initial and end-of-treatment assessments and clearly outline the goals, anticipated timeframe, and risks to effective treatment and recovery.
Millions of individuals across the nation enter rehabilitation every year. Even though all addictions have similar characteristics and behaviors, there are differences in how they affect the user. Those who abuse alcohol have different health issues from those who abuse cocaine or meth, for example. No two users are the same. Even though they can have some similar reasons or factors that brought them to addiction, the combination of those reasons, factors and their living conditions is unique. Some people suffer from comorbid mental illnesses, some have a family history of addiction, while others slowly slipped into addiction after prolonged use of alcohol or a drug. There are many more emotional, mental and social factors at play, but there’s generally a mix of mutually interactive factors involved.
In any case, acknowledging that every client is specific is a precondition for maximizing the success of the rehabilitation process. APEX Rehab assigns every client a treatment coordinator and the individual treatment plans are designed through the collaboration of our clinical interdisciplinary team. The plans are intended to systematize the process, direct it and bring into clear focus what is important.
Our treatments make use of supervised medication therapy, counseling, psychotherapy, nutrition programs, recreation plans and outings, holistic healing, alternative treatments such as acupressure and alternative therapies like art and music. Each of these approaches brings its own benefits to the recovery process and the positive effects of one approach to improve the results of others.
We are aware that every individual who is deciding to come into treatment has a set of unique needs that might need to be addressed when coming into treatment. This can include; doctor’s appointment, legal matters, and getting connected with resources in their community. Each of our clients at Apex Recovery will be assigned a case manager to assist with situations like these. At Apex Recovery, we want your daily focus to be on your recovery, so your case manager will assist in coordinating and arranging any obligations you might have so that your focus can remain 100% on your recovery. Unlike most treatment centers these case management services extend a year past your discharge date so that we can continue to support you in any way necessary to maintain your new healthy life free of drugs and alcohol.
Levels of Care:
Detoxification – Medically assisted detox is a critical and oftentimes frightening part of the alcohol and drug addiction recovery process. Before starting our core clinical programs, it is imperative that all of the toxins are cleansed from one’s body and that a level of health, safety and comfort have occurred. This is not a step in the process in which patients or their loved ones can afford to cut corners, because the patients’ experience of this stage can and usually will affect the success of the overall outcome.
There are many possibilities for detox care during rehabilitation at Apex. It often happens that patients try to go through detox on their own or only with the support of a loved one. However, an inadequate or poorly managed detox program can cause patients unnecessary physical damage. Unfortunately, when an individual in need of an addiction treatment experiences the ordeal of withdrawal without the firm and compassionate support of a physician, they are often discouraged from pursuing rehabilitation further or they fail to stay sober for good.
Residential Treatment – Apex is proud of our residential programs, which are made up of our luxury, upscale residences on picturesque Mount Helix, in La Mesa, California. Our programs are integrative, holistic, and evidence-based. We offer boutique services as well as dual diagnosis residential treatment and accommodations to help comfort, heal, and restore our participant’s minds, bodies, and spirits. Our residential programs are founded on the principle that anyone who suffers from addiction can be helped. We believe that nobody is “too far gone” or difficult to help. Apex works hard to utilize our residential program to detox, help instill a foundation in early recovery and help individuals choose a path of treatment that works for the individual. Our inpatient, residential facilities provide 24-hour care, 30-day minimum stays extended stays and step-down care.
Partial Hospitalization Program – Partial hospitalization refers to a comprehensive, short-term, intensive, clinical treatment program. With regard to the level of treatment, partial hospitalization is a step below inpatient hospitalization but more concentrated than traditional outpatient care. Apex offers Partial Hospitalization to our clients as they transition out of Residential Treatment in preparation for Outpatient Treatment.
Intensive Outpatient – Our outpatient programs incorporate daily group therapy, individual psychotherapy, drug, and alcohol counseling, and psychiatry or addiction medicine services. We utilize CBT, DBT, Motivational Interviewing, Coping Skills training and a variety of other didactic and process therapies to help individuals who have already finished a formal in-patient or residential treatment program, are currently sober, and need continuation of care.
Apex Recovery hand tailors each treatment plan to the individual in our outpatient programs. Treatment coordination and assistance with skill building, referrals for educational and occupational services, and continued sober housing are a major part of our all-inclusive program. We know that someone who is in recovery needs constant support because every day is a battle, especially in the beginning. Having someone for guidance in common life problems and challenges has a huge impact on the positive outcome of the recovery process.
Each participant is provided the continued clinical care and support that is recommended for after-care. We provide core programming daily with our outpatient programs. Our addiction physician consultant oversees maintenance drugs that are sometimes prescribed for those in recovery – these meds can be a tremendous help in reducing craving, but it is vital that they are under the strict control of a medical professional. Our goal is to help individuals move through the stages of change and move from early recovery, into living a more productive life, while adhering to personal goals and needs in the recovery process.
Outpatient – Apex is proud to provide an outpatient program based on our integrative model that we offer clients who participate in our inpatient program. Apex hand tailors each treatment plan to the individual in our outpatient program. Treatment coordination and assistance with skill building, referrals for educational and occupational services, and continued sober housing are a major part of our all-inclusive program.
Each participant is provided the continued clinical care and support that is recommended for after-care. We provide core programming daily with our outpatient programs. Our addiction physician consultant oversees maintenance drugs that are sometimes prescribed for those in recovery. Our goal is to help individuals move through the stages of change and move from early recovery, into living a more productive life, while adhering to personal goals and needs in the recovery process.
Cognitive Behavioral Therapy (CBT) – APEX utilizes Cognitive Behavioral Therapy (CBT) as part of our integrative treatment approach. We use CBT to help patients change their thinking patterns and behaviors as a means to treat both addiction and mental illness. Our dual diagnosis treatment is a very hands-on approach that allows our therapists to work closely with each patient to improve his or her behavior and general outlook. We’ve found CBT to be successful in combating a number of mental illnesses, including anxiety and depression, as well as substance abuse problems.
The way we perceive the world around us is our reality. We behave in line with our thoughts and that’s how our thoughts shape our life. For example, we may never learn how to swim if we are afraid that an animal or a shark would attack us at some point or if we believe we would drown. We think water is dangerous and we decide not to learn how to swim. Sometimes, it can be more serious than that. If we feel and think that we are worthless, we may decide to alleviate the pain and discomfort through alcohol or drugs, as depressed individuals do. For the depressed, their reality is that they are worthless, regardless of how many times others tell them differently.
If we agree that our behavior is based on our thoughts then there is good news – by changing our thoughts, we can change the behavior. This is what Cognitive Behavior Therapy posits.
Cognition is how we think. It includes perceptions, concentration, memory and language understanding – all the processes and activities that give us choices on how we will behave.
When people are suffering from mental illnesses, addictions or comorbid disorders, their cognition is skewed. It could be the root of their disorder or its consequence. For example, alcohol and drug abuse can alter our brain chemistry and change the way we perceive the world around us. Alcohol and drugs can also impact the way we feel good and compel us to seek more of them – that way, our cognition gets perpetually sucked into a vicious circle.
There are numerous benefits to Cognitive Behavior Therapy, which make it an excellent approach to treating a variety of addictions and mental health disorders:
- It is not a never-ending process. Some other forms of therapy last long and need a lot of time for improvement to show, which is not the case with CBT.
- It can be done in individual and group therapy.
- It is focused on attainable goals and results.
- Therapists and patients work together to develop plans to reach the goals and change problematic thought patterns.
- It is highly practical and aims to equip the patient with the skills and tools they need to reach the state they want to reach and to decide how to get there.
- It provides the patient with coping strategies for stressors and against potential relapse scenarios.
- It is immersive and ideal for residential rehabilitation. The results reached through sessions are reinforced with homework and constant attention to the process of learning new patterns and unlearning the dysfunctional ones.
- It is focused on logic and reality, not our perception of reality. Learning to make rational decisions informed by reality is the key that keeps the patients from relapsing into old patterns.
Dialectical Behavioral Therapy (DBT) – Our therapists incorporate Dialectical Behavior Therapy, or DBT, to promote abstinence from drug and alcohol use and to reduce the possibility and severity of relapses. Similar to CBT, DBT helps patients develop and pursue goals that are independent of substance abuse and other out-of-control behaviors, with the ultimate goal of helping patients better deal with the everyday problems of life.
DBT is a modality of cognitive behavioral treatment, originally developed to treat individuals with borderline personality disorder who were suicidal. Since then it has been recognized as highly successful in helping individuals with alcohol and substance addiction and those with mental health issues, like depression and post-traumatic stress disorders (PTSD).
The skills taught through DBT encompass mindfulness and aware presence in the moment; pain tolerance and acceptance without attempting to change the pain; interpersonal skills like assertiveness and the ability to say no in order to build self-respect and better relationships; emotional regulation and changing undesirable emotions.
DBT has demonstrated tremendous success in the reduction of suicides, instances of treatment dropout and alcohol and substance abuse. It also helps deal with depression, accumulated anger and pain and improves the overall and social functioning of individuals who receive this treatment.
Apex Recovery is a San Diego alcohol and drug rehab center which has a team of highly qualified professionals who are able to deliver the best possible Dialectical Behavior Therapy available.
Acceptance and Commitment Therapy (ACT) – Apex therapists incorporate Acceptance and Commitment Therapy or ACT (pronounced “act”) to assist our clients in developing a new way of being with emotional and psychological pain and to decrease suffering. ACT incorporates acceptance and mindfulness strategies with commitment and behavior-change strategies to help you change your approach to your problems.
ACT is a scientifically based modality and considered a “third wave” in behavioral and cognitive therapy. It developed from research on how the human mind works, which suggested that many of the tools used to solve problems lead to increase suffering. Using ACT, our therapists assist clients in moving from suffering to full engagement with life.
Seeking Safety – Seeking Safety is an evidence-based, present-focused counseling model that directly addresses both substance use and trauma in a safe manner that does not require a recounting of disturbing memories. Seeking safety is a relevant model to a broad range of individuals, and effective in helping individual attain safety from trauma and substance abuse through teaching coping skills.
The key principles as outlined directly by Seeking Safety include:
- Safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions).
- Integrated treatment (working on both trauma and substance abuse at the same time)
- A focus on ideals to counteract the loss of ideals in both trauma and substance abuse
- Four content areas: cognitive, behavioral, interpersonal, case management
- Attention to clinician processes (clinicians’ emotional responses, self-care, etc)
Family/Couples Therapy – When it comes to addiction, the individual seeking treatment typically is not the only person affected by his or her drug or alcohol use or other addictive behaviors. There’s often a spouse, parents, siblings and/or children involved who feel the pain of the addiction just as much as the patient. We understand addiction from both sides of the coin, having helped hundreds of patients and their families recover from the destruction of addiction. We utilize a patient-centered approach that includes counseling with family members, both during and post-treatment, to ensure a safe, supportive environment throughout the recovery process.
Family therapy combines a number of therapeutic approaches and has two main goals. The first is to use the family’s strengths to support the individual’s life in abstinence. The second is to relieve the impact the individual’s addictive behavior has had on the family.
Family therapy treats the family as a unit and the individual as a component of that system. The sessions can be done with the whole family present or subsets of it, or they can be done with separate individuals. The point of interest of family therapy in the alcohol and drug rehabilitation process is the complex relationships between the members. Family therapy assists the family in making changes within the relationships, the members and the overall environment to aid the process of their coping with the substance abuse. It also guides the other members in defining their own goals, because “better functioning” is not a clear enough goal. With family therapy during the rehabilitation and aftercare, members are better able to understand the changes. And, finally, because everything is “out in the open” the user doesn’t feel the rest of the family are ganging up on them.
Apex Recovery is one of the few alcohol and drug rehab centers in San Diego that incorporates family therapy in individual treatment. This is in line with our view that addiction is a complex problem and needs to be approached from multiple angles so that all contributing factors can be addressed. Using a systemic approach, the fact remains that the whole family needs to change to help support recovery. We are firm believers in holistic treatment; that’s why we consider that healing the individual must include the whole of which that individual is a part of – their family.
Holistic Healing – The fact is that there are many reasons why individuals turn to alcohol and drugs. These substances are forms of escape, but unfortunately, the abusers don’t typically know what exactly it is they are trying to escape, or heal. Because holistic healing programs bear in mind the whole picture, they are most likely to be effective for alcohol and drug rehab.
Our San Diego-based rehabilitation center uses holistic healing to complement traditional pharmacotherapy and psychotherapy in detoxification, rehabilitation, and extended care. Holistic healing offers diverse therapeutic options that boost the results of the traditional intervention. Apex Recovery puts a lot of effort into creating personalized recovery plans that include both traditional and holistic treatment so that every patient experiences comprehensive rehabilitation.
The way holistic healing interacts with traditional methods of treatment, such as psychotherapy and medications, is that it often “opens up” the patient and makes them more receptive to counseling, introspection, insights, and medication.
There is scientific evidence that holistic healing increases the likelihood of rehabilitation success because it focuses on improving mental and physical well-being and restoring balance. What addicts try to do through their alcohol and drug abuse is precisely that – they basically want to feel good, but the path they choose is wrong and ineffective. Holistic recovery can be just what they need.
These are the elements of our holistic healing at Apex Recovery:
- Fresh, organic meals that nourish the body as well as the mind
- Meditation sessions
- Massage and acupressure
- Music and art therapy, rock songwriting
- Recreation options such as cardio exercise, weight training, yoga, hiking
- Outings to the beach and nature
Motivational Interviewing – At Apex, we believe change is the basis of all recovery. That’s why we create an environment that’s conducive to change, starting with the way in which we work with each patient. We employ motivational interviewing as one step in the change process. This therapeutic approach is designed to explore the patient’s current behavior, help them articulate and understand the reasons they want to make a change, and help them throughout their journey in realizing they have the power to change.
A considerable body of scientific evidence supports the view that motivational interviewing (MI) improves the chances for a successful outcome of the recovery process, even when the patients enter rehab involuntarily. MI is about empathy and synchronizing the session with the client, without imposing anything – it is often said that MI is about meeting the patient where the patient is. Even when patients have low readiness for change, this approach can be the crucial introduction for later therapy.
MI is based on the patient’s strengths and their capacity to change harmful behavioral patterns. It focuses on ambivalence and fear of change as the two main barriers for a full recovery. Ambivalence is the patient’s internal struggle with respect to what they really want – their addiction could have brought them some benefits at some points in life, but at other points they felt that it was a harmful pattern. Ambivalence is at the base of every addiction and it’s not a denial or resistance.
These are the key principles of motivational interviewing in counseling:
- Ambivalence is a natural component of addictions.
- The patient and the counselor have to work together and both parties contribute.
- Sessions characterized by empathy, support, and direction provide the best conditions for change.
Motivational Interviewing has demonstrated the following benefits for rehabilitation therapy:
- More patients choose to follow through the treatment program.
- More patients participate actively in the treatment.
- More treatments have successful outcomes.
- More patients manage to avoid relapse for longer periods after the rehabilitation.
The main goal of motivational interviewing is for the patient to realize the discrepancy between their current situation, their past behavior and their hopes for the future. The counselor guides and supports the patient on the road to realizing how their behavior is different from how they would like to behave. This is done by raising the awareness of the consequences of their past actions and decisions. The therapist supports the patient to realize that the costs of their behavior outweigh any perceived benefits of the addiction.