My name is Gautam and I am a doctor by profession, I am also a recovering addict. My introduction to the world of addiction/alcoholism came at a very early age as I belonged to a forces background and alcohol was not looked down upon. I must have been 11 years old when I started drinking at home.

My addiction increased when I went to Pune for doing my MBBS and I was introduced to charas, and grass. Slowly Mandarax and later Brown Sugar also came into my life. It is a progressive disease you know. And DISEASE it surely is. As a doctor it was very difficult for me to accept that I had a DISEAS till my family was forced to get me admitted in a rehabilitation centre where I finally accepted.

Though I cannot complain about the treatment facility I was admitted to (as I am clean and sober today) I did feel that there were a lot of things which could be improved upon. So after getting discharged I finished my MBBS training, I hadn’t done my internship training due to addiction, even though I just had to go and show my face for a period of one year – I could not manage that. And after finishing my internship training and getting my license to practice I opened my own treatment facility which I have been running for more than a year. It is a 24/7 job because I have inpatients and I am responsible for them in every respect. Just the other day one patient had hematemesis (vomited blood), he had to be taken to a hospital immediately and luckily he is alive and back with me.

Though it may seem to be a very noble cause but there are selfish motives also behind running the centre, it gives me help in my own recovery and I have been able to turn my liability namely addiction into an asset.

Dr. Gautam Bhatia




Treatment Modality Matrix

Behavioral Pattern

Intervention

Goals

Low self-esteem, anxiety, verbal hostility

Relationship therapy, client centered approach

Increase self esteem, reduce hostility and anxiety

Defective personal constructs, ignorance of interpersonal means

Cognitive restructuring including directive and group therapies

Insight

Focal anxiety such as fear of crowds

Desensitization

Change response to same cue

Undesirable behaviors, lacking appropriate behaviors

Aversive conditioning, operant conditioning, counter conditioning

Eliminate or replace behavior

Lack of information

Provide information

Have client act on information

Difficult social circumstances

Organizational intervention, environmental manipulation, family counseling

Remove cause of social difficulty

Poor social performance, rigid interpersonal behavior

Sensitivity training, communication training, group therapy

Increase interpersonal repertoire, desensitization to group functioning

Grossly bizarre behavior

Medical referral

Protect from society, prepare for further treatment

Adapted from: Essentials of Clinical Dependency Counseling, Aspen Publishers

 

 

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