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Published: October 6, 2024
Reviewed by Matthew N. Parker, MD
Drug and alcohol addiction among healthcare professionals has proven to be just as common as in the general population. However, due to the unique pressures and challenges faced by these individuals, specialized drug rehab for doctors is critical for a successful outcome.
Drug and alcohol rehab for physicians can provide an environment that is confidential and serene, offering a special level of privacy for individuals who may be used to sending others to treatment, but more hesitant to seek it for themselves.
Read on to learn more about factors that contribute to substance use disorders in medical professionals and more about how these factors can be addressed through specialized addiction recovery treatment.
It is estimated that between 10% and 15% of American doctors will develop a substance use disorder at some point in their career, with up to 20% of nurses developing an SUD as well.
Furthermore, a 2009 Mayo Clinic study found that alcohol use disorders were the most common type of substance abuse among doctors, with opioid use disorders being the second most common.
Just like people from the general population, doctors often turn to alcohol or drug use as a means of coping with stress and other life challenges. However, physician stress and addiction can often be more extreme.
Challenges unique to people in the medical profession include working long hours, dealing with high levels of pressure to perform, and the emotional strains associated with managing life-and-death situations on a daily basis.
Doctors are often likely to misuse and abuse prescription drugs, such as opioids or benzodiazepines, in part because these drugs are easy to access for them. This can also negatively affect their ability to stop using drugs, as they are consistently around them and prescribing them to others frequently.
Doctors may be less likely to seek out addiction treatment out of feeling shame or fear that it may cause them to lose their jobs or that they will be judged harshly by others.
This hesitation and an overall addiction stigma in healthcare may even result in them not seeking treatment until it is too late and their addiction has caused serious problems for them both professionally and legally.
It is very important that doctors, nurses, pharmacists, and other healthcare professionals have access to specialized addiction treatment programs that cater to their specific needs and offer tailored treatment for physicians.
Depending on the specific role of a healthcare provider who is seeking treatment, there may be concerns about how addiction treatment will affect their professional reputation or career.
Specialized rehab for doctors will understand these concerns and know that offering confidentiality in rehab and privacy is of the utmost importance to their clients.
Treatment plans during rehab treatment are always important and should be customized for medical professionals to fit their specific needs and challenges.
This typically means addressing the specific stresses and challenges that affect healthcare professionals, such as burnout and the high pressure and long hours their jobs often call for.
Group therapy can be a great tool for healthcare professionals while in treatment, to help remind them that they are not alone and to allow them to share their individual stories and experiences.
Peer support in rehab can also help in building a sense of community while in addiction treatment, where participants can rely on each other for support throughout the process.
Doctors can usually expect similar treatment services and options when entering rehab as the general population, with a few additional services for monitoring and reintegration.
Medical detox is often recommended as a means of getting through uncomfortable withdrawal periods comfortably and safely and under the supervision of medical professionals.
While different types of detox are effective for doctors, medical detox uses medications to help people through this process, by managing their symptoms and allowing them to wean off drugs or alcohol at a controlled pace as recommended by a physician.
Several different styles of therapy work well for treating people with addiction, as well as different formats like individual therapy, group therapy, and couples therapy.
Two of the most common types of therapy used with addiction treatment are cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) which focus on skills like mindfulness and emotion regulation.
There is also dual diagnosis treatment, which serves to address both a person’s addiction as well as any co-occurring types of mental illness or mental health conditions that they have at the same time.
Aftercare is also an essential component of rehab, as it is important to note that recovery is often a lifelong process and does not end simply because a rehab program has been completed.
Doctors may also be required to participate in monitoring programs, which can include random drug testing, required regular attendance at support meetings, and colleagues or supervisors who are tasked with monitoring the physician and assessing them after they return to work.
One of the biggest and most important considerations that healthcare professionals usually have when entering substance abuse treatment is that of legal and professional concerns, including medical board reporting and licensing issues for doctors.
It is a common fear and misconception that a doctor will lose their license when entering treatment, however, if they enter an approved facility proactively then they do not need to report to the state medical board in most instances.
They may, however, face penalties if they do not uphold the terms of their treatment or if they fail to complete their program successfully before attempting to return to work.
It can be dangerous for doctors who are overcoming addiction to simply return to their careers with no precautions in place, as they are likely to face many of the same difficulties.
For this reason, return-to-work programs exist to help doctors reintegrate into their practice with a structured plan and at a pace that is safe and comfortable for them.
Doctors have several options when it comes to protecting their rights, including State Physician Health Programs, which are specifically designed to help doctors through recovery without fear of losing their medical licenses.
In terms of advocacy, doctors can ask for support through the National Association of Addiction Treatment Providers (NAATP) and the American Society of Addiction Medicine (ASAM), among others.
Because healthcare professionals have specialized needs and requirements, choosing a rehab center specifically for doctors is often the best choice, among other considerations.
One of the most important qualities to look for in a rehab center is that it is an accredited rehab for doctors by national organizations such as the Joint Commission or the Commission on Accreditation of Rehabilitation Facilities (CARF).
Along with this, the facility should also possess a high track record of success, with a strong completion rate and a high percentage of patients who are able to stay sober in the long term.
When choosing a program, it is important that evidence-based treatments are offered and that staff members are properly trained and licensed. People may also want to check for additional amenities like private rooms or an onsite pool and fitness center.
Services and treatment options to look for include:
Doctors are also likely to choose facilities that are located in areas that are private and secluded and where they know their privacy will be respected.
In addition, locations that offer serene and relaxing environments are also ideal, such as a location in the mountains, on a lake or beach, or in a private forest or wilderness area.
Healthcare professionals are bound to face challenges in rehab and when undertaking addiction treatment. However, a quality rehab program will be able to address these challenges to increase the probability of success.
Recovery can look different for everyone and there is typically not a concrete point in time where a person can consider themselves officially recovered, as for many it is a lifelong process.
With this in mind, the national average success rate for rehab programs in the United States is around 30%, and people often try multiple programs before they are able to achieve full sobriety in the long term.
Doctors may have challenges during rehab, especially after completing a program and returning to work, where they will continue to face the same challenges that they faced before rehab. By managing these challenges during rehab through various types of counseling and therapy, doctors can be better prepared for these challenges after rehab is over.
They may also want to continue with therapy in an outpatient manner after completing treatment and should have a strong relapse plan in place and a supportive environment they can return to.
Any healthcare professional who has successfully completed treatment should have plans in place for maintaining their sobriety and managing stress, especially if they plan to return to work in the healthcare industry.
This can mean different things for different people, but should include some form of aftercare or follow-up care, as well as a concrete relapse prevention plan, to ensure that triggers and challenges are addressed before they result in relapse.
Doctors need to have support when entering addiction treatment, which can come from their family, colleagues, and peers.
There can be significant benefits for healthcare professionals in recovery when their family members join them for treatment and participate in family therapy.
Not only can family support in rehab help relieve any family tensions that are occurring at home, but it can also ensure that the home life that a doctor is returning to is one that is understanding and supportive of what their loved one is going through.
It is also important for doctors and nurses in addiction treatment to have the support of their colleagues, though they may feel comfortable only telling a select few about their recovery plans.
This is especially true if they plan to return to the same workplace after completing their treatment, as they should be able to do this without fear of judgment, criticism, or being treated differently.
Peer support groups can be a great tool while in a recovery program and after the program is complete as a form of aftercare.
Often, these support groups are anonymous, so doctors can choose to share as much or as little about themselves as they are comfortable with.
It is always a good idea to be aware of rehab costs and insurance considerations before entering rehab so that no surprises come up along the way.
The potential costs of a treatment center for doctors can vary depending on various factors, such as whether the facility is for outpatient treatment or inpatient treatment.
Doctors seeking rehab centers that offer luxury amenities or additional seclusion and privacy may also end up paying significantly more for these services.
Rehab for alcohol and drug abuse is often covered by insurance, though some plans may only cover these services partially.
In addition, some facilities may only accept private insurance policies while others may also be open to state-funded insurance coverage for rehab through Medicaid, Medicare, or TRICARE.
For those who may have trouble paying for addiction treatment, especially if their insurance does not cover it, they have options at rehab centers that offer financial assistance.
Types of financial assistance that are often available are payment plans, flexible payment structures, and sliding fee scales that are based on a person’s income level.
Here are questions that are commonly asked by medical professionals who are considering a recovery program for themselves.
Doctors may be accustomed to looking for signs of drug abuse in others, but it can be harder to recognize those same symptoms within yourself.
Signs that you may benefit from a treatment program include:
It is possible for a healthcare professional to lose their medical license over addiction, however, this is more likely to happen to those who do not seek treatment.
It will also depend on the individual circumstances – a medical professional who does not seek treatment and is caught stealing prescription drugs or ends up hurting a patient while under the influence is far more likely to lose their license than one who seeks professional help.
Entering a rehab program can be an intimidating experience for anyone, but being as prepared as possible can help make it a smooth transition.
Tips for preparing for rehab include:
If you are a doctor or have a loved one who is and who is also living with alcohol or drug addiction, remember that you are not alone and there is help available.
And, when you are ready to seek professional help, RehabNet.com can help you locate a treatment facility in your area that offers confidential and courteous service for healthcare professionals.
To learn more about how we can help you improve your overall wellness and well-being, contact us today on our helpline or fill out our contact form at any time.
AMA Journal of Ethics. “Identifying an Impaired Physician.”
Michigan Medicine. “Signs and Symptoms of Addiction in Medical Professionals.”
National Library of Medicine. “Chemical Dependency and the Physician.”
Popular Science. “Why Do Doctors Abuse Drugs?”
Psychiatric Times. “Understanding and Addressing Physician Substance Use and Misuse.”
Springer Link. “Addictions in Physicians: An Overview.”
Medically reviewed by
Matthew N. Parker, MD Medical Advisor
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