Drug use and addiction is a problem of public health with serious consequences for development and security. Any addiction, be it drugs, alcohol, or medications, has a disruptive effect on a person. It’s almost impossible to get rid of alone – dependent people need support and help. This is exactly why rehabilitation centers are created. Providing housing, detox services, and psychological treatment, rehabilitation centers allow patients to undergo the entire treatment path and find their way to sober living.
Top 40 Drug Rehabs in Maryland
Let’s observe the line-up of the best rehabilitation centers in Maryland and pay the utmost attention to their services and ratings.
1. Tranquility Woods
If you are in search of well-kept, comfortable facilities with the whole range of recovery services provided, consider Tranquility Woods. They deliver customized treatment programs based on the client’s substance abuse experience, co-occurring diseases, and personal needs. The center partners with the best therapists and offer luxury facilities. The tranquil environment and community support make this place perfect for long-term rehabilitation.
Address: 171A Ryan Rd, Pasadena, MD 21122
There is a huge array of treatment methods provided:
- Chronic pain program;
- Cognitive-behavioral therapy;
- Dialectical behavior therapy;
- Dual diagnosis treatment;
- Equine therapy;
- Exercise therapy & gym;
- Experiential therapy;
- Family counseling;
- Nutritional education;
- Massage, yoga, meditation;
- Psychological counseling and relapse prevention planning.
There is a 3D tour available on the official website: it provides full insight into the facilities and conveniences provided. This is a worthy solution for those who are ready to pay for quality services. The average stay is 30-90 days, during this time, patients not only visit group and individual sessions but acquire coping skills to face challenges in the future sober life.
Judging by numerous customer reviews, this center lives up to their expectations and delivers useful services. Tranquility Woods is CARF-accredited. It accepts most commercial insurance plans but does not accept Medicare or Medicaid.
Avenues recovery center is located at Prince Frederick and provides a wide range of services from the team of truly devoted and qualified specialists. The program consists of evidence-based practices and is customized according to patients’ needs and the experience of substance use. The treatment takes place in remodeled contemporary facilities and usually lasts 60 days. During this time, patients visit individual and group meetings and acquire necessary coping skills and tools.
Address: 125 Fairground Rd, Prince Frederick, MD 20678
The patient-centered treatment starts with the detox program during which patients can be administered Vivitrol, Subutex, and other modern medications. The staff also addresses family and legal issues, helps patients get back on track by finding a job and restoring healthy relationships. The 48-bed facility provides all essential amenities and conveniences, including a lounge zone, gym, and recreational options.
The main benefits of Avenue center are:
- Customized treatment plans;
- A large array of recreational activities and options for physical exercises;
- Dual diagnosis and treatment of co-occurring diseases allows reaching the best results and ensure long-term sobriety;
- Behavioral therapies are provided.
Avenues Center accepts some public and private insurance plans, but you should check the information beforehand. There are many positive reviews in Google – customers are mostly content with the quality of services provided.
This rehab offers everything for rehabilitation starting with detox service and ending by aftercare programs. The comprehensive treatment plan is based on peer support and a tranquil environment. The staff does its best to provide a fully customized, lasting treatment plan that’s aimed at getting rid of cravings once and for good. Customers work with qualified psychologists and addiction specialists while staying in the supporting, family-like atmosphere.
Address: 800 Tydings Ln, Havre De Grace, MD 21078
For each patient, the treatment plan includes:
- Pain recovery program;
- Mindfulness and meditation training;
- Acupuncture and massage;
- Cognitive-behavioral therapy;
- Yoga and reflexology;
- Art and music therapy;
- Trauma and grief therapy;
- Group therapy program.
The center staff pays a lot of attention to co-occurring disorders and strives to help patients overcome inner conflicts. Patients learn to reap the joys of their improved sober life. To maximize the efficiency of treatment, they undergo physical and hydrotherapy 3-4 times a week.
Ashley center is accredited by CARF and the Joint Commission. They accept private payments and some insurance plans. There is a large number of 5-star Google reviews that prove this place is great for long-term treatment, and facilities are worthy. Besides, the location of the center is pretty convenient.
4. Maryland House Detox
Residential house treatment in Maryland House Detox provides programs of different duration (from 30 to 90 days depending on the severity of symptoms and dependence). The staff takes care not only of addiction itself but also the psychological problems and traumatic experiences. The holistic approach allows for achieving the best treatment results and long-term sobriety.
Address: 817 S Camp Meade Rd, Linthicum Heights, MD 21090
During their treatment program, patients get group and individual counseling, try cognitive-behavioral and dialectical behavioral therapy, motivational interviewing, and other experimental therapies. The treatment is based on the 12-step program and also includes addiction education workshops, relapse prevention training, and various physical exercises (gym, yoga, meditation).
Aside from residential treatment, there are partial hospitalization and outpatient programs available. Also, during medical detox, customers can have advanced medications administered to them. It goes without mentioning a bulk of educational articles and materials present on the MHD website. All in all, the center can be recommended to those who seek a full-fledged approach, not just a temporary solution.
The facilities provided include semi-private bedrooms, a lounge zone, a conference hall, and a comfy kitchen. The majority of customer reviews in Google prove that this place is a worthy solution for a long-term stay.
5. Powell Recovery Center
The center’s range of services is quite extensive and includes a residential Foundations program that includes all essentials:
- 3 meals a day;
- Supervised housing with private and semi-private rooms;
- Weekly individual and daily group sessions;
- Suboxone treatment during detox;
- Focus on self-development and raising of customers’ awareness of drug/alcohol addiction issues;
- Mental health group sessions;
- Assessment and engagement with psychiatric services (if required).
Address: 14 S Broadway, Baltimore, MD 21231
While the Foundation’s program lasts 30-60 days, the Supportive Housing program takes about 3-5 months to be completed – it’s recommended to patients with severe addiction. In comparison with the first program, it also includes scheduled daily activities, access to food and kitchen, and regular therapeutic meetings.
Aside from it, there is a comprehensive treatment of dual diagnosis. Patients can attend groups of anger management, grief, and loss/trauma groups. Whatever their case is, there is always an option for treatment, be that individual counseling or peer groups and activities.
Powell Recovery Center accepts insurance plans and direct payments. Customer reviews in Google are mixed with some patients complaining about issues with accommodation and food.
6. Tuerk House
The center provides residential treatment in Baltimore (Nillson House for women) and Ellicott City (sober Howard house for men). The structured program includes the whole range of treatment modalities and goes with 24/7 clinical support. Customers visit individual and group sessions, work with case managers, and receive specialized services to reach the best results. There are two options for residents: low-intensity and medium-intensity programs. The first one also includes scheduled activities.
Address: 730 Ashburton St, Baltimore, MD 21216
The center strives to supply patients with community support. Many meetings are organized in-house and help residents re-think their life and re-establish their moral values and life goals. During their stay, customers abide by schedule and visit all planned group and individual meetings, hence, the program is jam-packed with useful activities.
Upon completion of the program, customers can get aftercare support and participate in peer-group meetings. The staff also helps with developing an aftercare treatment plan. The community shares its resources and knowledge to help each other maintain long-term sobriety.
7. Harbor of Grace
This residential treatment program is based on a holistic approach which aims to treat patients’ mind, body, and soul. It is available after an intensive detox program, that’s also provided by the venter. Rehabilitation modalities are picked according to the patient’s individual needs and the experience of substance abuse. Also, the center claims to be practicing a biopsychosocial-spiritual approach, which means staff bases therapies on patient’s preferences and inclinations.
Address: 437 Girard St, Havre De Grace, MD 21078
The residential treatment plan includes:
- Group and individual therapy;
- Family counseling;
- Therapeutic recreational activities (walks, equine therapy, kayaking, weight training);
- Acupuncture and mindfulness meditation.
Also, the plan includes 12-step meetings and some individualized sessions. All that contributes to the best positive sobriety outcomes. The center facilities provide all essentials: private and semi-private bedrooms, TV set, Internet, lounge zones, and conference halls.
Harbor of Care accepts several public insurance plans and direct payments; more information is available on the website. There are a few customer reviews on Google – most of them are positive. Former patients are content with the facilities and staff, though some admit the programs should be developed further.
8. Kent County Health Department
The center provides inpatient and outpatient services, as well as a short-term detox program. It ensures 24/7 residential treatment to adults aged 18 and older and works with all kinds of addictions: drugs, alcohol, and prescription medications. The program length can be customized according to the patient’s needs. It’s mostly based on a 12-step treatment plan, but can be altered to meet clients’ preferences and requirements.
Address: 300 Scheeler Rd, Chestertown, MD 21620
The residential treatment services are available in the full range:
- Medical Assessment;
- Priority Admission for Expectant Mothers;
- Nursing and Physician Services;
- Individual Counseling;
- Group Counseling;
- Relapse Prevention Groups;
- Self Help Involvement;
- Education Presentations.
Aside from that, patients deal with dual diagnosis: there are trauma and grief groups, as well as gender-specific groups. The main mission of Kent County is to help patients restore health life with sober joys. During the rehabilitation course, the staff develops an aftercare treatment plan for each client, and they can also access a wide range of additional services provided by the health department.
Kent County accepts different types of insurance and direct payments. Unfortunately, there are not enough customer reviews to make conclusions about their impressions and the center’s pros and cons.
9. Hope House Treatment Center
Hope House center provides a comprehensive range of medical services, including various treatment modalities for addicts: detoxification, inpatient and outpatient programs, co-occurring treatment, IOP, education classes, relapse prevention, individual and group counseling, and so much more. They deal with dependence on drugs, alcohol, prescription medications, and gambling (the latter is their specialization).
Address: 26 Marbury Dr, Crownsville, MD 21032
Treatment plans are based on SMART Recovery and 12-step programs – tried and tested methods that allow achieving the best results. The residential program is short-term: it takes 30 days and includes:
- Individual and group counseling;
- 12-step self-help groups;
- Relapse prevention counseling;
- Education on addiction;
- Cognitive/dialectical behavioral counseling;
- Medical stabilization;
- Psychiatric assessment.
During their stay, patients can count on peer support and the help of case managers. The staff is trained to address the complex needs of every individual. Also, there are many options for the treatment of co-occurring diseases.
Customer reviews on third-party websites are mixed. Some former patients are content with the quality of services and meals, while others claim that the staff lacks professionalism, and programs should be improved.
10. Wells House
Wells House provides residential treatment programs in Hagerstown and Frederick. It deals with substance abuse and various kinds of addictions. Individually-customized programs are aimed at the specific needs of each patient (food, clothing, housing, transportation, mental and medical care, employment, and education). Wells House provides a safe and tranquil environment as well as serious community support.
Address: 124 E Baltimore St, Hagerstown, MD 21740
During the residential treatment, patients visit individual and group counseling, attend 12-step meetings, learn relapse prevention and emotional coping skills. The staff helps them find purpose in life and boost self-esteem. Sober house residents abide by a schedule but have a chance to leave it for a while if that doesn’t interfere with scheduled groups.
This option can be recommended for patients who need short-term housing and regular groups organized 2-4 times a week. The program’s intensity is medium, so there is enough time left for personal life and work.
Customer reviews in Google are scarce but mostly positive, treatment plans are quite efficient. The center accepts different insurance plans and direct payment, but precise finance information should be obtained beforehand.
11. Fresh Start
Fresh Start rehabilitation center provides a safe and comfortable facility with highly experienced staff. The sober house is located in Gaithersburg and provides all essentials: semi-private and private bedrooms, quad for relaxing outdoors, freshly-remodeled spacious halls and bathrooms. TV and internet are also available. Family-like atmosphere and cozy living contribute to better recovery. The center provides separate male and female facilities.
Address: 15886 Gaither Dr suite b, Gaithersburg, MD 20877
During their stay, customers not only visit individual and group counseling sessions but also find opportunities for recreational activities and physical exercising. They can work out in a gym, do yoga and meditation. Also, there is a nutrition specialist available on staff. Other therapies available include reiki therapy, personal training, and outings.
Aside from traditional inpatient treatment, there’s also community housing offered. It not only provides the support of peers, but also teaches patients establish new, healthy routines and pastimes. They get educated on nutrition, cooking, and other life skills.
Fresh Start offers flexible payment plans for each patient and accepts both insurance plans and self-payments. There are many customer reviews found online, the majority of them are 5-star. Patients admit the programs are very useful and efficient.
12. IAFF Center of Excellence
The IAFF Center of Excellence offers all types of addiction treatment, including detox, partial hospitalization, intensive outpatient treatment, teletherapy, and aftercare planning. It provides 24/7 clinical and medical support during the initial stages of recovery and great community support. The treatment modalities are based on 12-step program, AA and NA meetings, and SMART recovery support group meetings.
Address: 13400 Edgemeade Rd, Upper Marlboro, MD 20772
The residential 64-bed facility is located in Upper Marlboro, and the duration of treatment there is 30-90 days depending on the customers’ personal needs and experience of substance abuse. They also help with dual diagnosis, eating disorders, and various co-occurring conditions (anxiety, fears, stress, depression and so on). Patients can try various experimental therapies (EMDR, CBT, DBT), motivational interviewing, recreational activities, trauma therapy, etc.
There is a wide range of positive customer reviews in Google: people admit that the staff is very helpful and understanding. It provides all essential tools and coping skills.
13. Foundations Recovery Center
This is a newly-founded recovery center that was established in 2018. It provides patients with ideal environment for drug and alcohol addiction treatment and offers more than a traditional therapeutic approach. They help people establish a sturdy foundation for lasting changes and lifetime sobriety. Basically, there are three main programs: partial hospitalization, intensive outpatient and traditional outpatient treatment.
Address: 1825 Woodlawn Dr, Woodlawn, MD 21207
The range of available therapies includes:
- dual diagnosis,
- family counseling,
- group and family meetings,
- cognitive behavioral therapy,
- activity therapy.
The holistic approach includes all aspects of treatment: physical, mental, and spiritual. The center has person-first philosophy, which means that programs are customized to meet patients’ requirements and make conditions as comfortable as possible.
Although the center is new, it managed to gather a huge amount of positive customer reviews and is rated high. It can be recommended as a great option for outpatient treatment for those who
14. Maryland Addiction Recovery Center
The center provides an extended community living program that provides a long-term community-reintegration approach and treats both addictions and co-occurring disorders. It includes a 28-day inpatient rehab, detox services, and stabilization services. Duration of stay depends on the patient’s requirements and is defined after a detailed assessment of his/her mental and physical health and co-occurring disorders.
Address: 8600 Lasalle Rd #212, Towson, MD 21286
The rehabilitation at Maryland Addiction Recovery Center comprises holistic services:
- 12-step meetings (AA and NA);
- Individual and group counseling;
- Recreational activities (ROPES course, rock climbing, walks);
- Sober entertainments (cookouts, music festivals, races, etc);
- Community events (sports games).
Maryland Addiction Recovery Center accepts different insurance plans (AETNA, Humana, Cigna, BlueCross, and others). There are several positive customer reviews in Google, the former patients claim that the staff truly cares and provides exceptional services.
15. Phoenix Recovery Center
Phoenix Recovery center was established in 2005 and offers the whole gamut of amenities and services for rehabilitation, including a safe place, bedding, nutritious meals, and laundry. It has managed to help over 4,000 people find their path to recovery. In this center, the staff respect customers’ anonymity and establishes non-judgmental atmosphere. After the detox period, patients can stay for 28 or more days depending on the program. Continuing Care Plan is assigned personally after the assessment of the client’s health and experience of drug use.
Address: 107 Edgewood Road, State Hwy 755, Edgewood, MD 21040
The residential treatment center is located in Edgewood. Mostly it specializes on the following modalities:
- Dual diagnosis. Psychiatrists deal with various co-occurring disease and help patients restore their mental health.
- Outpatient treatment. Clients can visit individual and group sessions and continue working and learning.
- Detox program with advanced medications administered. The staff deals with alcohol, drug, and opioid addictions.
- Inpatient treatment and sober living house with 26-bed capacity.
- Aftercare support for alumni. They can visit group sessions and access the community resources. Individual aftercare plan is developed individually.
- Trauma therapy. It helps people who became the victims of sexual assault, domestic violence, mental illness, loss of partner/family member, and so on.
Aside from that, there are meditation and music rooms, recreational zone, acupuncture room, and other entertainments available (hiking, animal therapy, art, etc).
There are several 5-star reviews in Google – the majority of customers are absolutely content with the quality of services and the staff’s support.
16. Hope’s Horizon
Hope’s Horizon provides the full range of services, including traditional and intensive outpatient treatment, partial hospitalization options, and living in a sober house. The recovery starts with clinical assessment – it allows developing the individual treatment program that meets customer’s needs, both physical and psychological. The central office is located in Nottingham while hospital and sober house is in Baltimore.
Address: 4111 E Joppa Rd Suite 101, Baltimore, MD 21236
- 6-week DUI/DWI education classes;
- 6-month program (top, IOP or residential treatment);
- Recovery housing for up to 28 days;
- Full clinical assessment;
- Individualized treatment plan;
- Case management and referral assistance;
- Medically-monitored detox services;
- Medical tests and screening;
- Relapse prevention;
- Assistance with vocational training/employment;
- Family counseling;
- Aftercare plan.
During their stay, patients visit individual and group sessions, attend 12-step meetings (AA, NA) and work closely with the specialists. This is a non-expensive option because patients should bring their clothing, toiletries, and medications, as well as food. Judging by numerous positive customer reviews, this approach works well.
17. New Season
New Season is an opioid addiction treatment center located in Hagerstown and surrounding towns (Frederick, Smithsburg, Maugansville, Martinsburg, Greencastle, and Boonsboro). It is rather recommended to patients that need quality detox services and help with management of withdrawal symptoms. It provides MAT (methadone, buprenorphine or Suboxone) for dealing with cravings and both individual & group counseling. Also, the staff performs regular medical exams to ensure the safety of patients and gives referrals.
Address: 16110 Everly Rd, Hagerstown, MD 21740
During their stay, patients are under 24/7 medical supervision. Since the staff works with opioid addictions, medications are assigned accordingly. What else can be expected from the treatment?
- Improvement of physical and mental health;
- Stability of lifestyle;
- Reduction of incarceration rates;
- Lower risk of criminal activity;
- Reduction or ceasing of substance abuse.
It is possible to organize family counseling, so patients can achieve better outcomes even after a short-term detox program. Also, specialists help them with relapse prevention – an individually assigned plan for continuing support proves to be highly useful in a long-term perspective.
18. The Ranch
The Ranch offers a male residential program that’s performed in a sober living house. For each patient, the recovery program is assigned individually based on mental and physical health, special needs and the specifics of substance abuse. The programs consist of specific strategies and methods, as well as regular diagnostics and assessment of person’s progress. The list of available services includes 12-step meetings, life skills classes and various inspirational programs.
Address: 7902 Fingerboard Rd, Frederick, MD 21704
The center practices 12-step treatment modality, which means clients visit NA or AA meetings, Celebrate Recovery and Smart Recovery Meetings. The duration of stay is 1-3 months – this time is enough for full-fledged mental and psychological recovery. Aftercare program is also assigned to help clients cope with cravings and life challenges further on.
The sober house is located in Frederick County, and offers all essential amenities such as semi-private and private bedrooms, kitchen, lounge zone, gym, and music room. That allows patients enjoy recreational options and develop self-care skills.
There aren’t many customer reviews, but they are mostly positive with clients claiming there’s friendly staff and thought-through programs.
19. Awakenings Recovery Center
The center deals with drug and alcohol addictions and practices the full-fledged approach to treatment. The recovery plan is tailored to meet person’s individual needs after a thorough assessment of physical and mental health. The holistic, multidisciplinary treatment modality includes group and individual meetings, trauma therapy, sessions with a psychiatrist, and supportive & healing environment. It goes without mentioning medical care provided for each patient to achieve total healing of their soul and body.
Address: 111 S Potomac St, Hagerstown, MD 21740
The list of various available therapies is pretty large and includes:
- Case management;
- Family counseling;
- Motivational interviewing;
- Trauma-focused counseling;
- Expressive therapy;
- Aftercare support.
The modern facility is pretty comfortable and provides all conveniences. Thanks to person-first philosophy and community support, patients manage to improve the quality of life and start enjoying sober activities without fears, shame, and anxiety.
Despite the fact there’s a low number of customer reviews, Awakenings Center is high-rated. Customers say that their implementation of 12-step program is on the top level.
Located in Southern Maryland, Walden recovery center provides inpatient substance use disorder treatment. It’s performed in two facilities: Charlotte Hall and Harford County. For each patient, treatment program is assigned individually and includes individual and group counseling, experimental therapies, and the tools for recovery through work and education. Besides, the staff develops an aftercare program for each patient after the discharge. Prior to residential treatment, customers can undergo medically-monitored detox.
Address: 30007 Business Center Dr, Charlotte Hall, MD 20622
The length of stay varies and might be from 28 to 90 days – it depends on the case. Since there is 30-bed capacity, customers enjoy a low staff-to-patient ratio and get enough attention. A typical day in Charlotte Hall consists of learning activities and entertainment options, but all of them are oriented towards recovery and acquiring of coping skills. Besides, the staff performs family counseling, helps with finding occupation and residence, and provides access to the community resources.
The center is accredited by The Commission on Accreditation of Rehabilitation Facilities and is SAMHSA-listed. There are only a few customer reviews, so it’s recommended to visit the sober house prior to agreeing for treatment there.
21. Suburban Hospital
If you are in search of a short-term option for detox services and combating withdrawal symptoms, Suburban Hospital should be taken into primary consideration. This is a 24-bed unit that guarantees low staff-to-patient ratio and helps patient with chronic mental illnesses and adults who face a psychiatric crisis caused by substance abuse.
Address: 8600 Old Georgetown Rd, Bethesda, MD 20814
The range of services includes but not limited to:
- Medical and psychological assessment of patients;
- Detoxification under 24/7 medical supervision;
- Dual diagnosis treatment;
- Regular medical tests.
After detoxification stage, patients can either be referred to sober houses or undergo inpatient treatment right in the hospital. It includes group and individual counseling, occupational therapy, art therapy, pet therapy, AA or NA meetings in the frames of 12-step program, spirituality groups, and so much more. The list of healthy solutions is extensive. This holistic approach allows reaching the best treatment results. A few 5-star customer reviews in Google prove that.
22. The Orenda
This center provides a wide range of treatment modalities (partial hospitalization, intensive outpatient program, traditional outpatient, MAT). This is a 25-bedroom facility that hosts female patients – they are supervised by 28 specialists. Low patient-to-staff ratio ensures that customers get enough attention and care. A typical program lasts for 30 days and is customized according to patients’ needs and the experience of substance abuse.
Address: 17645 Harbaugh Valley Rd, Sabillasville, MD 21780
What makes this center superb?
- Tranquil environment and the picturesque mountain landscape.
- Experimental therapeutic activities (gardening, equine therapy, yoga, and so on).
- Medical and psychiatric care.
- Nutrition classes and chef-cooked cuisine.
- Private bedrooms.
This place is highly recommended for those who need treatment in a peaceful place with amenities, as well as strong community support.
The center accepts some insurance plans and direct payments. There are only a few customer reviews but they are mostly positive. This place deserves consideration since it provides a decent quality of services for the cost.
23. Arundel Lodge
Arundel Lodge specializes on mental and psychological health and offers a comprehensive Residential Rehabilitation Program and housing. It provides help to people with somatic issues, chemically addicted, elderly and deaf. Currently, there are 110 beds available for customers – they can get 24/7 medical supervision, psychological support, and the access to community resources.
Address: 2600 Solomons Island Rd, Edgewater, MD 21037
Special attention should be paid to First Step Recovery program. It includes early intervention, outpatient services and medical assessment. The center works with adult (18+) patients only!
This program includes:
- Person-focused treatment plan;
- Assessment and screening;
- Individual and group counseling;
- Medication assisted treatment;
- Transition and discharge planning.
Also, there is teletherapy available together with outpatient programs of the mental health clinic. This is a great solution for those who want to prevent relapse and find strength to deal with cravings after treatment.
The organization is accredited by CARF and accepts insurance plans and direct payments. There aren’t many customer reviews found in the Net, so it’s hard to evaluate the quality of services as it is.
24. University of Maryland Medical Center
This center offers MAT, individualized treatment planning, group sessions, treatment services and experimental modalities. It deals with all types of addictions: drugs, alcohol, and opioids. Their campus accepts adult patients who need strict supervision and help with mental health. Aside from case managers and tutors, the team has psychiatrists, nurses, social workers, pharmacists and recreational therapists.
Address: 827 Linden Ave, Baltimore, MD 21201
After their routine sessions, customers can dedicate their time to recreational therapy. It includes skills building, physical exercises, yoga and meditation, arts & crafts, music relaxation, and so on. AA and NA groups are also organized. All that contributes to mindfulness and development of coping skills.
Generally, this place if comfortable for short-term treatment. Customers can expect the community support and care of the staff. The center accepts direct payments and insurance plans. Unfortunately, there is lack of customer reviews in the Net.
25. Recovery Centers of America
RCA network specializes on individual addiction treatment programs – they are tailored to meet customers’ needs from both mental and physical standpoints. The center offers Bracebridge Hall facility for residential treatment. This is a luxurious and tranquil place that allows patients enjoy stress-free atmosphere.
Address: 314 Grove Neck Rd, Earleville, MD 21919
The facility features private and semi-private bedrooms, private bathrooms, TV, lounge and walk zones, and nutrition. Individual and group meetings are only a part of the program. It also includes:
- Family therapy;
- CBT and DBT;
- 12-step program meetings;
- Workshops for skill-building;
- Fitness and yoga;
- Spiritual classes;
- Art & Music therapy;
- Meditation & mindfulness;
- Treatment of co-occurring diseases.
Together with direct payments, the center accepts various insurance plans, such as Aetna, BlueCross, Cigna, ComPsych, and others. There are over a hundred positive customer reviews on Google. This place truly deserves your consideration due to great facilities and an extensive range of services.
26. Phoenix Health Center
Phoenix Center helps patients with all types of substance abuse and addictions (opioids, steroids, tobacco, alcohol, sedatives, stimulants, sex addiction). It puts focus on withdrawal management and behavioral health. Patients can start their treatment with a detox program that includes medication-assisted treatment (with Suboxone, Subutex, Vivitrol, Methadone, and other medications). During this process, patients get 24/7 nursing care and work with psychiatrists to manage their withdrawal symptoms easier.
Address: 217 E Antietam St, Hagerstown, MD 21740
The center practices an interdisciplinary approach to treatment and offers all essential services. Customers visit group and individual meetings, participate in experimental therapies, and enjoy sober activities. For each patient, the treatment plan is developed and customized individually. Also, the focus is put on underlying issues, such as anxiety, panic, bipolar disorders, obsessive-compulsive disorders, and so on.
The center is certified by SAMHSA, NAADAC, and Maryland Department of Health & Mental Hygiene. It accepts insurance plans and direct payments.
This is the opioid addiction treatment center that’s located in Baltimore. It helps patients with co-occurring mental and psychological disorders and practices the holistic approach. Although there is no residential treatment, this center is pretty efficient for those who need physical treatment and attention at the early stages of withdrawal.
Address: 4615 Park Heights Ave, Baltimore, MD 21215
Why choose this center? It has several advantages:
- After a thorough assessment of patients’ state, the staff develops an individualized treatment plan;
- Both private and group counseling is available, this combination provides the best results;
- Convenient outpatient services are offered to help customers combine treatment with education or work;
- MAT is performed with advanced modern medications.
Separate programs for men, women, and young adults are available. After entering the maintenance phase, some patients manage to stay clean & sober forever without residential treatment.
This center is accredited by SAMHSA and CARF. It accepts Medicaid insurance and direct payments. There are no many customer reviews found online, so it’s important to check the place before letting your beloved one in.
28. Sandstone Care
Sandston Care offers various programs for teens, adult patients, and young adults. All treatment modalities are present: residential, day treatment (35 hours per week), intensive outpatient (16 hours per week), and therapeutic sober living. What makes these programs superb is age-specific care, full family involvement, and support with work and education. The staff practices evidence-based treatment for both mental health disorders and substance abuse.
Address: 11820 Parklawn Dr Suite 403, Rockville, MD 20852
One of the best things about this center is that patients can vary the length of their stay depending on the desired objectives. Residential treatment might last 2-4 weeks, but if necessary, it’s prolonged. The same applies to IOP.
Aside from personal and group meetings, customers also try other treatment modalities, such as:
- Music therapy;
- DBT and CBT;
- EMDR therapy;
- Art therapy;
- Psychoeducational seminars;
- Self-expression groups;
- Acceptance commitment therapy.
The center accepts insurance plans from Cigna, Aetna, Humana, MultiPlan, and others. It’s fully certified and accredited by leading local and national associations. It boasts a convenient location and a tranquil atmosphere.
29. Serenity Treatment Center
This center practices patient-centered philosophy and does its best to provide full-fledged holistic treatment with the best outcomes. There is a large array of services available. They include a detox program with quality medications (Vivitrol), educational courses as a part of the DUI/DWI program, medical testing, family therapy, group, and individual sessions, and so on.
Address: 420 E Patrick St, Frederick, MD 21701
What makes this center special? It offers customized treatment plans that allow patients to combine recovery with work and education. Quality mental evaluations allow defining diseases at early stages and prevent problems. It provides specific criminal justice programs and court-approved treatment procedures. Patients with HIV/AIDS and the representatives of LGBTQ are accepted.
Payment information is available upon request, the center accepts private insurance plans and direct transfers in cash/credit cards. The center is CARF-accredited. Although there are only a few customer reviews in Google, they are mostly positive – customers are fully content with programs and the quality of support. The only complaint is about customer support.
30. Columbia Treatment Center
This is an all-in-one solution to undergo the entire process of detoxification and recovery. Columbia Treatment center offers programs with various duration (from 90 days to 48 weeks) and works with adolescents, adults, and young adults. Programs are tailored after a detailed assessment of the patient’s mental and physical state.
Address: 5570 Sterrett Pl #205, Columbia, MD 21044
There is also a 12-hour DWI/DUI educational course available. Other interesting modalities include anger management and pain management groups. 12-step NA and AA meetings are organized, as well.
What makes this center superb?
- Certification by the Department of Health and Mental Hygiene;
- Each therapist has a master degree and certificates;
- The staff develops individualized plans with attention to details and patients’ needs;
- 33 years of experience;
- The non-blaming atmosphere and community support improve recovery outcomes.
The center is highly rated on Google. There are many 5-star reviews with people admitting that the staff is truly experienced and caring. Columbia Treatment Center accepts public insurance plans and direct payments.
31. Man Alive
This is a Baltimore center that has been around for over 50 years. It works with substance abuse and mental health disorders. Creative approach and holistic programs make it a perfect choice for patients with complex issues. They specialize in DUI/DWI alcohol education program and help people referred by courts and administrative organs. After a comprehensive assessment, the staff provides individualized treatment plans that include mental, social, and physical recovery options.
Address: 2117 Maryland Ave, Baltimore, MD 21218
Each course lasts from 12 to 26 weeks and includes not only group and individual counseling. A wide array of services is provided:
- Anger management groups;
- Relapse prevention;
- Working with compulsive behaviors;
- Help with psychological dependence and the development of coping skills in patients.
The list is extensive. For each patient, the range of consultation sessions and therapies is figured out personally.
The center is CARF-certified. It accepts the public and some private insurance plans, as well as self-payments. There are a few customer reviews on Google, but they are mostly 5- and 4-star. The former patients and their relatives stay content with the quality of services.
32. Outlook Recovery
Outlook Recovery accepts adult patients and young adults and practices a person-centered approach. Each recovery plan is customized after a thorough assessment of a person’s mental and physical state. The treatment path starts with a detox stage: the center provides MAT therapy to fight addiction to opioids, drugs, and alcohol. Each patient stays under the supervision of medical and clinical specialists and psychologists.
Address: 21030 Point Lookout Rd Unit 10, Callaway, MD 20620
The list of services is extensive, and essential therapy modalities include:
- Group and individual counseling;
- Supervised drug screens;
- Consultations with case managers and psychologists;
- Guest dosing services.
Generally, the staff strives to deliver well-balanced treatment modalities that include spiritual, physical, and mental approach covering all those needs. Educational classes and sober entertainments improve the quality of treatment by a mile.
The center accepts Medicaid insurance and private payments. There’s a decent number of 5-star customer reviews which proves it can be trusted.
33. Addiction Treatment Centers of Maryland
This network of centers provides various counseling programs in different locations. This option is recommended for outpatient treatment – it’s a top choice for those who need to combine recovery with education or work.
Address: 6401 Dogwood Rd #201, Woodlawn, MD 21207
The list of available programs includes (but not limited to):
- A Helping Hand is recommended for opioid addiction treatment. It includes MAT and DWI classes in the frames of IOP groups;
- Genesis Treatment Services in Westminster is based on methadone and suboxone administration and includes group/individual counseling. It’s recommended for people seeking detox services;
- Genesis Treatment Services in Frederick provides the same things as mentioned above and puts the focus on counseling.
Aside from it, the center performs regular drug screening and blood tests. It has referral services and works closely with primary care physicians and case managers. Some patients can continue their recovery way in drug and alcohol treatment facilities.
Recently, the center started accepting Medicaid insurance. Direct payments can be made, as well. Generally, this is a nice choice for patients in need of outpatient services only.
34. Hudson Behavioral Health
The center offers residential treatment modalities and recovery housing in a safe, tranquil place. For each adult patient, programs are developed individually according to their mental and health problems, the experience of substance abuse, and personal needs. During their stay, patients not only visit individual and group sessions but also participate in house activities and contribute to housekeeping.
Address: 1505 Emerson Avenue, Campus, 1506 Harting Dr, Salisbury, MD 21801
The list of services is pretty extensive, the most interesting ones are:
- Peer support service with a mentor;
- Recovery support groups (12 steps, AA, NA, Celebtrate Recovery);
- Mental health groups;
- Narcan training;
- Music therapy (drumming);
- Yoga and meditation.
The holistic approach presupposes that all patients are not only struggling with their cravings via individual and group sessions but also learn to overcome their fears, anxiety, and stress. They develop coping skills and learn to enjoy sober activities. A peaceful, non-judgmental environment motivates them to recover faster.
The center accepts some insurance plans and direct payments. Customer reviews in Google are mixed, so it’s recommended to visit this place beforehand.
35. Glenwood Life Counseling Center
Being present on the market since 1971, Glenwood Life counseling center is recommended for outpatient treatment. The list of its services includes MAT with modern medications, primary care, and intensive outpatient program. For each patient, their way starts with the physical and psychological assessment after which they can start treatment in Glenwood or be referred to another place. Case managers figure out an individually-tailored program and may provide customers with temporary housing and other community resources.
Address: 516 Glenwood Ave, Baltimore, MD 21212
The staff is well-trained to cope with various co-occurring diseases and mental disorders. Individual, group and family counseling is provided – the center strives to have family members involved for maximum support of patients.
IOP services are recommended for relapse prevention and customers at the initial stages of addiction. Such program includes:
- Symptom management;
- Life skills training;
- Relapse prevention;
- Anger management;
- Trauma therapy;
- Gender-specific therapies.
There are several 5-star reviews on Google, but those are not enough to make the final decision – visit the center beforehand.
36. Chrysalis House
The center works with all types of chemical addictions: drugs, opioids, medications. It accepts adults and provides inpatient and residential treatment together with transitional housing. Patients must undergo the detox in third-party clinics first! The staff practices a holistic approach aimed at the achievement of long-term sobriety.
Address: 1570 Crownsville Rd, Crownsville, MD 21032
The list of services available is pretty extensive:
- Individual and Group Counseling
- Substance Abuse Education
- Relapse Prevention
- Smoking addiction struggle
- Parenting Skills Training
- Life Skills Development
- PTSD/Trauma Counseling
- Auricular Acupuncture
- Therapeutic Recreational activities
- On-site infant and child care
- In-house/Community 12 Step Meetings
- Family Counseling
The facilities for housing are pretty comfortable and include all essentials: semi-private rooms, kitchen, lounge zone, TV, and so on.
The center is certified by CARF and other associations. It accepts some insurance plans and direct payments. The majority of customer reviews in Google are 5-star: former patients and their relatives claim that the programs are efficient.
37. Porto Treatment
This organization offers outpatient and residential treatment of various dependencies: drugs, medications, opioids. It accepts adult patients of all genders. What is special about it? Porto Treatment team puts focus on the longitude of treatment: the minimum duration of stay is 28 days, and programs there last longer than in many other centers in Maryland. There’s one more great advantage: patients can combine treatment and work.
Address: side entrance, 125 Fairground Rd, Prince Frederick, MD 20678
The list of services includes:
- Dual diagnosis treatment;
- Residential treatment;
- Behavioral disorder therapy;
- Traditional outpatient services.
Also, there is a sober house available – it’s located in Prince Frederick and provides all essential amenities and conveniences. This is an optimal choice for mid-term treatment.
The center is certified by the Maryland Department of Health and Mental Hygiene and National Accreditation. It accepts some insurance plans and direct payments. The customer reviews on Google are mixed.
38. Damascus House
This is a residential treatment facility for men that provides a peaceful environment and support services for men at the early stages of addiction. The staff not only provides individual and group counseling but also helps patients to prevent relapse and lead a healthy, sober life. It mostly works with the residents of Baltimore City and Anne Arundel County. Specialists work with all types of addictions: alcohol, opioids, prescription medications. They help patients with dual diagnosis and mental problems.
Address: 4203 Ritchie Hwy, Baltimore, MD 21225
Damascus House also provides the elderly program and young adult program. Their residential facility offers all utilities and conveniences: semi-private bedrooms, lounge zones, conference hall, kitchen, and so on. The capacity is 26 men, so there’s a low staff-to-patient ratio which guarantees proper care and due attention.
Additional services include:
- Anger management groups;
- Tobacco cessation groups;
- Family counseling;
- Regular screening and testing;
- Transitional housing;
- Matrix model;
- Aftercare planning.
The center accepts Medicare and Medicaid insurance and self-payments. Customer reviews on third-party websites and Google are mixed, so it won’t hurt to visit this place before you make the final decision.
39. I’m Still Standing by Grace
The center offers treatment of substance abuse (drugs, alcohol, prescription medications) and helps patients with mental health disorders. It deals with both dependencies and co-occurring disorders causing them. Patients can choose from outpatient, short-term, and long-term residential programs. LGBT community representatives and women with children are accepted, as well.
Address: 1003 E Patapsco Ave, Baltimore, MD 21225
The list of treatment modalities is not limited by individual and group counseling only. It also includes:
- Family therapy. It encourages patients to recover and feel support.
- Couples therapy. It’s aimed at exploring the causes of addiction.
- Motivational interviewing. It’s more goal-oriented than traditional psychotherapy.
- Nicotine replacement therapy. It helps with smoke cessation.
- Trauma therapy. It’s recommended for customers affected by domestic violence, sexual abuse, and so on.
The center accepts Medicaid, Medicare, and some state insurance plans as well as direct payments. Customer reviews in Google are scarce and mixed, so it’s recommended to visit this place beforehand.
40. Lasting Change
This is a gender-specific female treatment center that partners with various sober living houses to help patients at different stages of addiction. For each woman, the treatment program is individualized and lasts about 90 days (the duration varies according to the program peculiarities and patient’s needs). Both NA and AA meetings are organized, and the 12-step program is also practiced.
Address: 519 N Locust St, Hagerstown, MD 21740
The following services are provided:
- Clinical assessment;
- Individual and group counseling;
- Family therapy;
- Co-dependency education;
- Anger management;
- Regular medical tests;
- Orientation period;
- Life skills development.
The residential facility’s capacity is 40 beds. However, the staff-to-patient ratio is optimal – none of the patients complained about the lack of attention of the personnel. During their stay, women share semi-private bedrooms, provided with 2-3 meals a day, and have access to various amenities and conveniences.
The center accepts insurance plans and direct payments. More payment information is available on the website. Unfortunately, no customer reviews have been found online.
The Importance of Drug Addiction Treatment
Drug use is among the top 20 contributing factors to global health risk and one of the top ten developed countries. Disorders related to the use of drugs are associated with an increased risk of occurrence of other health problems like HIV / AIDS, hepatitis, tuberculosis, suicide, overdose death, and illnesses cardiovascular.
Injection drug use is a common pattern of transmission of HIV / AIDS and hepatitis in many regions. Around 3 million injection drug users are HIV positive. If we exclude in sub-Saharan Africa, 30% of cases of HIV infection are caused by this mode of transmission. It goes without mentioning criminal activities related to the use of drugs, the economic cost of drug use and drug addiction can reach up to 2% of the product gross domestic (GDP) in some countries.
The USA is one of the countries with a high percentage of addicted people. Drugs and alcohol are not the only problems – there is a large number of people suffering from prescription medication dependence. This is why there are many rehabilitation centers in every state. Let’s find out how they work and help people.
About Rehabilitation Centers
A rehabilitation center is a place that performs treatment of dependencies (drugs, alcohol, medications, gaming, sex, etc.). They provide different treatment modalities (inpatient, outpatient, full or partial hospitalization, and so on), therapies, and services that help people overcome their cravings and deal with co-occurring diseases.
So, what exactly do rehabs do? They develop and practice comprehensive treatment systems and provide former patients with due support even after their graduation from programs. They review the needs of the populations, legislative frameworks and services, and programs available for treatment and management of drug dependence. Also, rehabs keep track of policies and legislation with the aim of finding well-balanced treatment and to promote prevention, effective recovery, and care that respects human dignity.
Rehabs integrate the prevention, treatment, and management of drug use disorders to the general system of health care, establishing links with non-profit organizations and governments and ensuring full coordination with this system, as part of a continuity of care. Besides, they offer drug users the alternatives to imprisonment or, failing that, the possibility of following treatment in a penitentiary environment.
Main Aims and Functions of Rehabs
Rehabilitation centers play a crucial role in the recovery of addicted people and perform the whole gamut of functions:
- They treat alcohol/drug/medication addiction with effective and inexpensive drugs, as well as simple psychological interventions.
- Drug treatment can be integrated into primary health care, and aftercare programs are provided to prevent relapse.
- Non-specialist health care providers can conduct mental health interventions through appropriate training.
- Rehab staff helps patients understand that drug addiction is a multifactorial disorder that can be prevented and treated. They provide patients with essential skills and tools for controlling their cravings.
- Rehabs ensure that treatment for drug dependence does an integral part of health care, and goes along with the treatment of other disorders (including chronic physical and mental health problems). It can and must be cured like any other disease.
- Advanced clinics and rehabs invest in comprehensive results-oriented programs for treatment and care of drug addicts, in particular for interventions at the local level. To increase access to care, rehabs improve retention rates by treatment and reduce relapse rates, the services developed are designed to meet the needs of various patients as part of continuing care.
- They take awareness-raising measures for patients who are not motivated.
- They provide hospitalization and clinical interventions aimed at stopping or reducing drug use, to control addictive behavior, to re-establish interpersonal relationships, and improve social, emotional, and professional skills.
- They provide help to patients with HIV / AIDS and hepatitis and offering health and social care to them.
According to statistics, every US dollar invested in treatment saves money up to $ 6 on health care expenses, security, and social protection for each patient.
Types of Treatment
There are many types of treatment and the settings in which they are provided. The best option depends on many factors, including the severity of the problem and the state of physical and mental health. The characteristics of each case are determined by an addiction treatment provider or qualified health care through a comprehensive assessment.
There are several major treatment modalities:
- Detox. This is the initial stage of treatment. It’s provided in a detoxification center where people physically dependent on alcohol or drugs receive assistance to quit using safely. This type of center can be found in various settings, such as hospitals, centers with accommodation, and outpatient treatment centers.
- Outpatient. This is the provision of care in various community settings such as addiction treatment centers or at health care providers’, or mental health clinics and clinics. It is usually used by people who have a securely fixed abode and whose alcohol or drug abuse does not pose a serious risk to themselves or others. Outpatient treatment can include structured therapeutic activities.
- Inpatient (hospitalization). Provision of 24-hour care in a hospital/residential setting, including intensive structured therapy. Inpatient treatment is generally used by people who have serious alcohol or drug use problems and physical or mental health issues. Comprehensive intensive supportive measures, including increased supervision and medical care, are recommended to patients undergoing the withdrawal stage.
- Residential It presupposes the provision of care 24 hours a day in a treatment center with accommodation, including intensive structured therapeutic activities. Residential treatment is generally used by people who have long-standing complex substance use problems.
- Continuing Care. The provision of post-treatment care aimed at promoting the recovery and maintenance of healthy habits, which may include participating in peer support groups, continuing medication use, and individual counseling.
About Peer Support Groups
This is an important part of any treatment, be that residential or outpatient. Group counseling is provided as a part of the 12-step program and other therapies. Peer support groups are a safe environment where people with alcohol or drug problems can support each other. Taking part in such groups during and after treatment can facilitate transitions and ensure continuity of support throughout the recovery process.
These programs groups are offered free of charge in many communities, as well as online. Without constitute a treatment, they provide valuable support for recovery, during, and after treatment. Among these groups, the most prominent ones are 12-step programs – AA (Alcoholics Anonymous), NA (Narcotics Anonymous), Al-Anon / Alateen (recovery program for family and friends) – and other programs, notably of the SMART (Self-Management and Recovery Training) and LifeRing type.
Medicines Used to Treat Dependency
There are several medications that can help people with alcohol dependence or drugs. The most common ones are aimed at treating addiction to alcohol and opioids (eg. prescription pain relievers, heroin). The drugs give optimal results when combined with counseling and other forms of help.
The family doctor can assess whether medication should be used to treat addiction. Note that the drugs described further require a prescription and that taking continuous should be subject to supervision by a doctor or licensed health care provider or approved trained for this purpose (this requirement may vary depending on the state and even city).
The following medicines are often used to treat alcohol dependence:
- Disulfiram blocks the metabolism of alcohol and can induce an unpleasant and sometimes serious reaction if it is consumed with alcohol.
- Naltrexone alleviates craving by inhibiting some pleasurable effects of alcohol.
- Acamprosate alleviates the first symptoms of alcohol withdrawal, such as craving and discomfort.
Medicines used to treat addiction to opioids:
- Buprenorphine–naloxone combines buprenorphine and naloxone and comes in tablet form. It aims to treat opioid dependence and poses a lower risk of overdose. Buprenorphine reproduces the physical effects of the substance causing addiction, while naloxone is used to prevent misuse. Like methadone, buprenorphine-naloxone can be used as pharmacotherapy and not should be taken only under the supervision of a doctor or from a qualified health care provider.
- Methadone alleviates withdrawal symptoms opioids and craving, in addition to blocking the feeling of euphoria caused by other opioids, and can be used in pharmacotherapy. The treatment methadone maintenance is generally used to treat people who have used opioids for a long time and who failed to quit after treatment. Yet, methadone is very powerful and can lead to an overdose in case of misuse; its catch should therefore always be supervised by a doctor or another licensed health care provider.
Aspects to Consider When in Search of a Rehab
Before sending a dependent person for rehabilitation, his friends/family should come and see the center and its conditions, even if it is located hundreds of miles away. Almost all rehab centers claim to provide decent conditions, not all of them are created equal.
In some cases, there is no 24/7 medical support as claimed on the website – doctors don’t have the opportunity to commute 100+ miles every day. The issue of the high patient-to-staff ratio is also pretty widespread. Sometimes, the representatives of patients are convinced that there are fewer people in the center than there are. It’s not a rare occasion when there are two consultants (former drug addicts) for 40 people or more. This is the most common cause of cheating, so make sure to find out how many people are served.
Also, pay attention to the cost of treatment. When it comes to rehabilitation centers, the price cannot be lower than $1,000 per month. Ideally, all programs should be covered with insurance. Before agreeing for treatment, make your research, and make sure the center accepts your insurance – many patients complain that they have been lied about payment options and had to pay out of their pocket.
You should not trust institutions that promise to cure addiction in luxury conditions for free. Even non-profit centers need financial resources, and patients have to cover the expenses in one way or another. The higher is the specialists’ qualifications, the more expensive it will be.
What else determines the quality of treatment in a rehabilitation center? There are several criteria that indicate the level of professionalism of the rehabilitation process, including:
- The number of patients. A group with 15-23 participants is considered optimal. The greater number of rehabilitators complicates the work with each addict. If there are fewer patients, the possibility of social interaction within the group is reduced.
- Physical education, sports. Rehabilitation is much more effective if proper attention is paid to physical recovery after use. Having access to gym, yoga, meditation, and other physical exercises is a great benefit for patients.
- Availability of qualified addiction specialists and psychologists on site. Only professional help helps addicts overcome psychological addiction. In some centers, the rehabilitation process is carried out by former addicts. Such rehabilitation, if not based on deep theoretical knowledge, cannot give the desired result.
- Professional growth of the center staff. Only constant work on oneself ensures the proper level of qualifications of employees who provide assistance in rehabilitation. New types of drugs appear every day, and a real professional should know the peculiarities of their effect on a person, as well as the specifics of the rehabilitation process.
- Types of therapeutic activities. Writing and journalism, art therapy, and music lessons are recognized as the best methods of treatment. A large number of occupational therapy in the center’s program suggests that the main task of the institution is not to rehabilitate addicts but to use them as free labor.
- Post-treatment program. In worthy centers, the rehabilitation process continues after the end of the course of inpatient treatment. The former patient starts attending self-help groups. Besides, he always has the opportunity to consult a specialist when feeling the threat of a breakdown.
- Family counseling and working with the codependent. Relatives of addicts need psychological help no less than drug addicts and alcoholics themselves. The result of treatment largely depends on the behavior of loved ones but relatives need to acknowledge the fact that a breakdown is possible, and learn to live with this awareness.