Holistic Approaches

 • Acupuncture  • Imagery
 • Biofeedback  • Meditation
 • Brainwave Biofeedback  • Nutrition
 • Herbal Therapy  • Qigong
 • Hypnosis  • Yoga

Holistic approaches to addiction and alcoholism reduce stress and improve mental and physical well being. They also generally help increase behavioral self-control. Now scientific studies are demonstrating, in some cases, dramatically improved success rates. If you would like to read the full text of any of the research studies cited below they can be ordered through www.docdeliver.com or www.ingenta.com.


Acupuncture

Developed in China over 2,500 years ago, acupuncture is part of a system of medicine that seeks to establish the free and balanced flow of energy (or chi) by the insertion of needles on specific points along the energy pathways of the body. It is based on the idea that blocked chi is the cause of disharmony in the body/mind, and therefore disease.

Acupuncture and Oriental Medicine Alliance (www.acupuncturealliance.org) This site provides a referral service to help people locate acupuncture or Oriental medicine practitioners in the US. It contains over 8,000 practitioners who have been verified as state licensed or national board certified in acupuncture or Oriental medicine with the appropriate state agency or national certification commission. Searches can be done by practitioner’s last name, zip code, city, area code or state.

American Academy of Medical Acupuncture (www.medicalacupuncture.org) A physician-only professional acupuncture society. Their site provides a medical acupuncturist referral service located by state or area code as well as general information and research on acupuncture.

Research
Avants SK. Margolin A. Holford TR. Kosten TR. “A randomized controlled trial of auricular acupuncture for cocaine dependence.” Archives of Internal Medicine. 160(15):2305-12, 2000.
This study was undertaken to evaluate the effectiveness of auricular acupuncture for the treatment of cocaine addiction. Patients who received acupuncture in this study were significantly more likely to test free of cocaine at the end of the eight week treatment period. Researchers concluded that acupuncture shows promise for the treatment of cocaine abuse and should be further studied.

Acupuncture is currently used in many drug treatment facilities or can be part of a self-help program for recovery.


Biofeedback

Biofeedback is a scientific way of learning tension reduction. Biofeedback practitioners employ instruments to give a person immediate feedback about the level of tension in their body. People practicing biofeedback often say they gain psychological confidence when they learn they can control their physiology. Biofeedback has been found effective in several aspects of addiction treatment.

Biofeedback practitioners can be located at the
Biofeedback Certification Institute of America (BCIA) (www.bcia.org).

Research
Stewart SH, Kushner MG. “Introduction to the special issue on “Anxiety Sensitivity and Addictive Behaviors.” Addictive Behaviors. 26(6): 775-785, 2001.
Anxiety sensitivity (AS) is characterized by a fear of arousal-related bodily sensations that are interpreted as signs of impending catastrophe on physical, psychological, or social levels. AS has been linked to increased risk for the development of panic attacks, anxiety disorders and more recently to substance use disorders. AS is thought to increase drug withdrawal severity and to lower tolerance for withdrawal symptoms.

Biofeedback is a technique that is used to treat the type of anxiety sensitivity described above.


Brainwave Biofeedback (also called Neurofeedback)

Brain wave biofeedback (or neurofeedback) is a therapy in which patients learn to alter their brain wave patterns. In one type of neurofeedback the training involves normalization of alpha and theta waves which are disturbed by long term substance abuse. Brainwave Biofeedback has shown dramatic success in several studies to prevent relapses from drug and alcohol addiction. This very promising treatment can be more fully understood by reading
"Effects of Neurofeedback on Chemical Dependency Treatment" by D.A. Kaiser, S. Othmer and W. Scott at www.eegspectrum.com/Applications/Addiction/

Brainwave biofeedback practitioners can be located at the following sites:

Biofeedback Certification Institute of America (BCIA) (www.bcia.org)
BCIA certifies practitioners in both biofeedback and neurofeedback. Their site provides an updated register of certified practitioners. A Practitioner Search can be done by first and/or last name of the practitioner, city, state, or zip code. The letters BCIA after a name means the practitioner is certified in General Biofeedback. The letters EEG after a name means the practitioner is certified in EEG Biofeedback (or Neurofeedback). In addition information is given on questions you might ask a practitioner before scheduling a session.

EEG Spectrum International (www.eegspectrum.com) This site provides a good introduction to neurofeedback (EEG biofeedback) including its applications to various health conditions. In the "Finding a Provider" section of the site you can locate by state a therapist or practitioner who has been trained in neurofeedback at the EEG Spectrum Institute.

Research
Trudeau DL. “The treatment of addictive disorders by brain wave biofeedback: a review and suggestions for future research.” Clinical Electroencephalography. 31(1): 13-22, 2000.
In small clinical trials and case studies, specific EEG aberrations in substance abuse disorders have been noted, including very specific abnormalities likely associated with drug neurotoxicity. This suggests the possibility that specific EEG biofeedback protocols may be studied for their effect on these conditions.

These EEG documented changes are further proof that addiction is an illness of the brain.


Herbal Therapy

Herbs are natural botanical substances that have effects on the body. Many herbs have long been used in detoxification. Kudzu has the potential for moderating alcohol abuse. Kava and valerian can be used to treat the insomnia that accompanies withdrawal. Milk thistle has been shown to improve liver function.

The use of herbs in the recovery process may be most effective when used in conjunction with other strategies that support the whole person including nutrition, bodywork, acupuncture, relaxation and exercise.

Alternative Medicine Foundation (AMF) (www.herbmed.org) This site, highly recommended by herbal therapists and physicians who use herbs, features HerbMed, an evidence-based resource on medicinal herbs providing a variety of detailed information on approximately 125 herbs. The site also links to clinical and scientific publications.

Research
Takahashi M, Toduyama S. “Pharmacological and physiological effects of ginseng on actions induced by opioids and psychostimulants.” Methods & Findings in Experimental & Clinical Pharmacology. 20(1): 77-84, 1998.

This review summarizes studies that looked at the effects of ginseng on the actions of opioids and psychostimulants. Among the findings, ginseng was able to block the analgesic effects of opioids and inhibit tolerance to and dependence on morphine. Findings provide evidence that ginseng may be useful clinically for the prevention and treatment of morphine, cocaine, and methamphetamine dependence.


Hypnosis

Hypnosis is a state of focused attention and concentration induced by the self or a therapist. From that state, the mind is especially receptive to ideas and suggestions compatible with the person's goals. Some people have found hypnosis to be a useful part of a total recovery program.

American Society of Clinical Hypnosis (ASCH) (www.asch.net)
The ASCH site provides general information on hypnotherapy, its benefits and medical uses, and guidance in how to select a qualified hypnotherapist. To obtain a referral list, either call (630/980-4740) or email (info@asch.net) the ASCH office with a fax number and include the state in which you reside. You can also send a self-addressed stamped envelope to ASCH, 130 East Elm Court, Suite 201, Roselle, IL 60172-2000.


Imaging

Imagery involves the use of the imagination to achieve specific healing and life goals. It can be effective in helping people cope with stress and regain a sense of control and well-being. As with all other mind/body techniques, interest, motivation and practice are keys to the successful use of imagery for health and healing.

Health Journeys (www.healthjourneys.com/catalogue.asp)
Alcohol and Other Drugs (audiotape)
Created by Belleruth Naparstek, a pioneer in guided imagery, this audiotape is designed to reduce addictive craving and the discomfort of withdrawal, teach new relaxation skills, and reinforce positive behavior change. Tapes can be ordered by telephone (1-800-800-8661), online or by mail.

Meditation

There are many different types of meditation which all work to slow down the chatter of the mind and promote relaxation and mental clarity. Studies have shown Transcendental Meditation’s effectiveness in relapse prevention.

Wildmind Buddhist Meditation (www.wildmind.org)
Wildmind offers a variety of practical approaches to learning Buddhist meditation online, including written material, guided meditations in RealAudio format, and online meditation courses led by an experienced instructor. A good amount of guidance is provided overall, making the site appropriate for beginners as well as more advanced meditation practitioners.

The World Wide Online Meditation Center (www.meditationcenter.com)
Simple written instruction for eight different types of meditation including healing, centering, relaxation , and mindfulness meditation are provided online.

Transcendental Meditation (TM) (www.tm.org) The site describes the TM program, its health benefits, and the extensive research that has been done on TM. An online locator is provided in order to find the closest Maharishi Vedic University, College, School or Center where the TM technique is taught or you can call toll free at 1-888-532-7686.

Research
Taub E, Steiner SS, Weingarten E, Walton KG. “Effectiveness of broad spectrum approaches to relapse prevention in severe alcoholism: a long-term, randomized, controlled trial of Transcendental Meditation, EMG biofeedback and electronic neurotherapy.” Alcoholism Treatment Quarterly. 11(1-2): 187-220, 1994.
Large improvements in relapse prevention were seen with the addition of Transcendental Meditation (TM) or EMG biofeedback to the routine treatment program in an alcohol residential treatment facility. Complete abstinence 18 months after leaving the center was reported by 65% of the TM group and 55% of the biofeedback group compared to 25% of the standard care group and 28% for the neurotherapy group.

The long-term positive effects of TM, in particular, seem to be correlated with a reduced relapse rate. TM may not only reduce tension and anxiety, but also enhance a sense of control in anxiety-provoking situations that strengthens the long-term resistance to stress.

It should also be noted that there are many ways to achieve a meditative state of mind. For those who have trouble sitting quietly for periods of time, various movement practices and martial arts, such as t’ai chi, qigong, and karate, can also focus and calm the mind and enhance feelings of self-confidence and self-worth.


Nutrition

Nutrition plays a vital role in a holistic approach to addiction. A good starting point is the book, "Seven Weeks To Sobriety: The Proven Program to Fight Alcoholism Through Nutrition" by Joan Mathew Larson Ph.D

American Dietetic Association (ADA) (www.eatright.org) - The American Dietetic Association is the nation's largest organization of food and nutrition professionals. Their web site provides a "Find a Dietitian" feature locating dietitians in the United States by zip code. Descriptions include areas of practice or specialty for each dietitian.


Qigong

Qigong is a traditional Chinese health practice. Qi (life energy or breath) gong (work) is a series of slow moving exercises that gather and stimulate the movement of Qi in the body. Qigong has also been called "moving meditation." Qigong is believed to have general health promoting and healing effects.

Qigong Institute (www.qigonginstitute.org) The site provides a directory organized by state of Qigong teachers and therapists who are members of the Institute and briefly describes their practices. Recommended books and videos on Qigong as well as abstracts of published articles are also available.

National Qigong Association (NQA) (www.nqa.org) On the Professional Member's page, practitioners who are members of NQA are listed by state. Listings often include the practitioner's own web site with their teaching schedule and further information. The web site also includes an extensive list of links on Qigong.

Research
Li M, Chen K, Mo Z. “Use of qigong therapy in the detoxification of heroin addicts.” Alternative Therapies in Health and Medicine. 8(1): 50-59, 2002.

In this study conducted in China on 86 male heroin addicts undergoing detoxification, the treatment group practicing Qigong experienced less anxiety and more rapid reduction of withdrawal symptoms than the group receiving detoxification drugs alone.

The practice of qigong, through its use of movement, breath work, visualizations and meditation, may be a beneficial addition to both a detoxification regimen and to an overall treatment and relapse prevention strategy.


Yoga

Yoga is a technique that uses physical postures and controlled breathing to lengthen
and strengthen the spine, increase flexibility, calm the mind, improve concentration, and promote patience. Yoga can also contribute to a greater sense of control in more acute states when experiencing cravings, insomnia, agitation, etc. Regular practice is need to fully experience these benefits.

American Yoga Association (AYA) (www.americanyogassociation.org/)
This site provides information on the different types of yoga and guidance on how to choose a qualified teacher. A 15-minute online meditation is planned.

Himalayan International Institute of Yoga Science and Philosophy of the U.S.A.
(www.himalayaninstitute.org/ytg) This site provides a useful locator for yoga practitioners through the Yoga Teachers Guide. In the “Find a Teacher” section you can specify a zip code to locate yoga classes near you. Searches can also be done by organization name, practitioner name, city or country.

Research
Lohman R. “Yoga techniques applicable within drug and alcohol rehabilitation programmes.” Therapeutic Communities. 20(1): 61-71, 1999.

This article describes specific yoga techniques used for detoxification and rehabilitation including breath control, relaxation and meditation, postures, diet and chanting. Research results strongly suggest that yoga is a positive motivator for rehabilitation and an aid to detoxification. Yoga used in conjunction with counseling and group work appears to support and further the healing process.

 

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