Impact
(626) 798-0884
www.impacthouse.com
1680 North Fair Oaks Avenue
Pasadena CA 91103

Rehab Locator

Substance abuse treatment services
Services Provided: Substance abuse treatment, Detoxification, Halfway house, Buprenorphine Services
Type of Care: Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups: Women, Men, Criminal justice clients

Cognitive Behavioral Therapy

Doctors developed cognitive behavioral therapy as a method of preventing relapse when treating a patient with problem drinking. Later cognitive doctors adapted behavioral therapies to help individuals addicted to cocaine. Cognitive behavioral strategies stem from the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. Individuals learn to identify and correct problematic behaviors by applying a range of different skills to stop drug abuse and to address other problems that often exist with it. Therapies for treating alcohol, marijuana, cocaine, methamphetamine and nicotine exist. Cognitive behavioral therapy generally consists of a collection of strategies that aim to enhance self control. Specific techniques include: exploring the positive and negative consequences of continued use, monitoring oneself to recognize drug cravings early on and to identify risky situations for use and developing strategies for coping with and avoiding risky situations associated with the desire to use. A central element of cognitive behavioral therapy is anticipating problems and helping patients develop effective coping strategies. Research indicates that the skills individuals learn through cognitive behavioral approaches remain in use after the completion of treatment. In several studies, most people who choose a cognitive behavioral approach to recovery showed progress throughout the following year. Current research focuses on how to produce effects that are even more powerful by combining cognitive behavioral therapy with medications for drug abuse and with other types of behavioral therapies. Researchers are also evaluating how best to train treatment providers to deliver cognitive behavioral therapy.

Insurance Protocols

Insurance companies use statistics to define protocols for the average patient and the statistically most cost effective treatment. These results in rules requiring doctors to get approvals from insurance companies to do procedures or prescribe certain drugs hinder doctors' ability to provide good timely care. Insurers are in the business of making cost effective health care decisions. Insurers often require doctors to get approvals before they can authorize certain types of care in an attempt to save costs and prevent unnecessary procedures. On average, this can be cost effective for the insurance policy. However, for many, those decisions result is slower treatment, worse outcomes, and adverse side effects.

Dry Skin

Many older people suffer from dry skin, particularly on their lower legs, elbows and forearms. The skin feels rough and scaly and often causes a distressing, intense itchiness. Low humidity--caused by overheating during the winter and air conditioning during the summer--contributes to dryness and itching. The loss of sweat and oil glands with age may worsen dry skin. Anything that further dries out the skin--such as overuse of soaps, antiperspirants, perfumes or hot baths--will make the problem worse. Dehydration, sun exposure, smoking and stress also may cause dry skin. Dry skin itches because it is irritated easily. If your skin is very dry and itchy, see a doctor. Dry skin and itching can affect your sleep, cause irritability or be a symptom of a disease. For example, diabetes and kidney disease can cause itching. Some medicines make the itchiness worse. The most common treatment for dry skin is moisturizing to reduce water loss and to soothe the skin. Moisturizers come in several forms: ointments, creams and lotions. Ointments are mixtures of water in oil, usually either lanolin or petrolatum. Creams are preparations of oil in water, which is the main ingredient. Creams are more often than ointments to be as effective. Lotions contain powder crystals dissolved in water, again the main ingredient. Because of their high water content, they feel cool on the skin and do not leave the skin feeling greasy. Although they are easy to apply and may be more pleasing than ointments and creams, lotions lack the same protective qualities. Lotions should applied more frequently to relieve the signs and symptoms of dryness. People should always use moisturizers to prevent recurrence of dry skin.