Let's get some common understanding of heroin addiction. The heroin problem will get worse if you let it happen. The problem is addiction and many of those who take it are seriously depressed. These are issues why, maybe 25 reasons, they turn to heroin. But the essential reason is mental health-related.
The trouble in treating many users on an out-patient basis is that it often doesn't help. With this kind of addiction, they are faced with a dilemma and the answer for their depressive state is called heroin. Some can be treated this way, but the antidote to their psychological problem is the drug that makes them feel better. It can become death, because that too stops the depression.
So often out-patient therapy cannot work unless they first enter a rehabilitation home or hospital. This term is dependent on their use of the drug and it becomes necessary to void the system that might end in their death. After an intermittent stay, they may be treated on an out-patient basis to help them with their reasons for taking the drug, which is usually some form of depression.
The usual question to answer is, why get treatment when I can get heroin from a needle. Next of all, they have to want to change. This requires that the therapist has some serious training and has a complete understanding of addiction.
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Feeling unloved feeds the participant's disregard for the self. In addition, many times it is anger not expressed, which turns around and attacks the self.
Convincing them to go into therapy takes time and work when heroin gives them immediate satisfaction. Therapy is hard work and it is equivalent to having a job. Nothing in this world is easy, you have to work for it, so is therapy. Success at work is no different than therapy. The chances, however, provides them (we hope) with love (including self-love) and passion and acceptance. Not too bad traits to take on in this world.
Norman K. Ellman, Ph.D.