Inside Rehab
The Surprising Truth about Addiction Treatment - and How to Get Help That Works
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Narrated by:
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Marguerite Gavin
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By:
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Anne M. Fletcher
About this listen
Anne M. Fletcher is a trusted New York Times best-selling health and medical writer who visited 15 addiction treatment centers - from outpatient programs for the indigent to famous celebrity rehabs; from the sites of renowned 12-step centers to several unconventional programs - to find out what really happens. What she reveals ranges from inspirational to irresponsible and, in some cases, potentially dangerous.
As always with her books, Fletcher gets the inside story by turning to real people who "have been there", interviewing more than 100 individuals whose compelling stories illustrate serious issues facing people in rehab and endemic in the rehab industry today.
Fletcher exposes 12 supposed facts for the falsehoods they are, including "rehab is necessary for most people to recover from addictions"; "highly trained professionals provide most of the treatment in addiction programs"; and "drugs should not be used to treat a drug addict". Fletcher's most important finding is the alarming discrepancy between the treatments being employed at many rehab centers and the treatments recommended by leading experts and supported by scientific research. Inside Rehab also highlights what is working, spotlights state-of-the-art programs and practices, and offers advice and guidance for people seeking quality care and treatment for themselves or those they care about.
Inside Rehab is the first book to give listeners a thoughtful, sensitive, and bracingly honest insider's view of the drug and alcohol rehab industry in America. For people seeking quality care for themselves or a loved one, Inside Rehab is essential listening, offering a wealth of accurate information and wise guidance.
©2013 Anne M. Fletcher (P)2013 TantorListeners also enjoyed...
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In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nations children. What is going on?
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The author does not use a fair scientific approach
- By Michael on 08-15-10
By: Robert Whitaker
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Saving Normal
- An Insider’s Revolt Against out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life
- By: Allen Frances MD
- Narrated by: Paul Boehmer
- Length: 11 hrs and 53 mins
- Unabridged
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In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: Stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation.
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Right on the money
- By Mentecuerpo on 03-29-19
By: Allen Frances MD
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The Book of Woe
- The DSM and the Unmaking of Psychiatry
- By: Gary Greenberg
- Narrated by: David Drummond
- Length: 14 hrs
- Unabridged
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For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (the DSM) - the American Psychiatric Association's (APA) compendium of mental illnesses and what Greenberg calls "the book of woe". Since its debut in 1952, the book has been frequently revised, and with each revision, the "official" view on which psychological problems constitute mental illness has changed.
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Disappointment
- By NYNM on 06-03-13
By: Gary Greenberg
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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Beyond Addiction
- How Science and Kindness Help People Change
- By: Jeffrey Foote PhD, Carrie Wilkens PhD, Nicole Kosanke PhD, and others
- Narrated by: Randye Kaye
- Length: 12 hrs and 2 mins
- Unabridged
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Drawing on forty collective years of research and decades of clinical experience, the authors present the best practical advice science has to offer. Delivered with warmth, optimism, and humor, Beyond Addiction defines a new, empowered role for friends and family and a paradigm shift for the field.
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No PDF with supplemental
- By Zena on 01-23-18
By: Jeffrey Foote PhD, and others
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American Psychosis
- How the Federal Government Destroyed the Mental Illness Treatment System
- By: E. Fuller Torrey
- Narrated by: Stephen McLaughlin
- Length: 9 hrs and 48 mins
- Unabridged
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E. Fuller Torrey's audiobook provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.
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Devastating analysis on US mental health policy!
- By Kevin on 07-13-14
By: E. Fuller Torrey
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One Nation Under Therapy
- How the Helping Culture is Eroding Self-Reliance
- By: Christina Hoff Sommers, Sally Satel
- Narrated by: Dianna Dorman
- Length: 8 hrs and 30 mins
- Unabridged
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Americans have traditionally placed great value on self-reliance and fortitude. Recent decades, however, have seen the rise of a therapeutic ethic that views Americans as emotionally underdeveloped, requiring the ministrations of mental-health professionals to cope with life's vicissitudes. Today, having a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every problem degrades one's native ability to cope with life's challenges.
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If you want another perspective
- By Kurt on 03-07-09
By: Christina Hoff Sommers, and others
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Crazy Like Us
- The Globalization of the American Psyche
- By: Ethan Watters
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 57 mins
- Unabridged
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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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He is a reporter...
- By Briana on 05-07-18
By: Ethan Watters
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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Transcendence
- Healing and Transformation Through Transcendental Meditation
- By: Norman E. Rosenthal
- Narrated by: Gildart Jackson
- Length: 8 hrs and 4 mins
- Unabridged
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Norman E. Rosenthal, M.D., a 20-year researcher at the National Institute of Mental Health and the celebrated psychiatrist who pioneered the study and treatment of Season Affective Disorder (SAD), brings us the most important work on Transcendental Meditation since the Maharishi Mahesh Yogi's Science of Being and Art of Living - and one of our generation's most significant books on achieving greater physical and mental health and wellness.
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Inspirational yet "Informercional"
- By James on 05-24-13
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Counterclockwise
- Mindful Health and the Power of Possibility
- By: Ellen J. Langer
- Narrated by: Sandra Burr
- Length: 7 hrs and 10 mins
- Unabridged
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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Surviving and Thriving with an Invisible Chronic Illness
- How to Stay Sane and Live One Step Ahead of Your Symptoms
- By: Ilana Jacqueline
- Narrated by: Lori Prince
- Length: 5 hrs and 14 mins
- Unabridged
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Do you live with a chronic, debilitating, yet invisible condition? You may feel isolated, out of step, judged, lonely, or misunderstood - and that's on top of dealing with your actual illness. Take heart. You are not alone, although sometimes it can feel that way. Written by a blogger who suffers from an invisible chronic illness, Surviving and Thriving with an Invisible Chronic Illness offers peer-to-peer support to help you stay sane, be your own advocate, and get back to living your life. This compelling guide is written for anyone suffering with an illness no one can see.
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Great Reference Guide!
- By Heather D on 03-21-18
By: Ilana Jacqueline
What listeners say about Inside Rehab
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Brandi
- 04-17-15
Good !
A lot of repeating same info but overall very informative. It's good to know that people are starting to understand that this is a complicated issue and all people are different. There are abusers and addicts who are bad people but they were that before drugs. Drugs don't make a person bad but have influence over making bad choices. the person has the choice. Stereotypes of all kind are hurtful and are counter productive. It's sad we live in a world with such judgement and not enough understanding on what really lies beneath that most likely caused the addiction in the first place. Rehab is a scam , AA is a religious like cult and if addiction is to stop we need to start pushing harder for different ways to help.
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1 person found this helpful
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- Nathan D.
- 03-26-13
Much Needed Primer on the State of Drug Treatment
If you or someone you know needs drug or alcohol treatment, read this first. Fletcher exposes the sad state of addiction treatment in the US, and why it costs many families 100's of thousands of dollars for very little effect. She interviews therapists, administrators, and patients of rehab centers across the country to bring this issue to light. She is also hopeful, as she discusses additional treatments, often more effective and much less costly. As a Therapist, I recommend this book for any and all patients needing drug and alcohol treatment.
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4 people found this helpful
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- One Size Fits None
- 01-07-14
Solid - But Sometimes Reminds of Consumer Reports
I think Fletcher has done a commendable piece of work here. She's researched, she's interviewed, she's thought it out and she writes convincingly. She effortlessly bats down the "AA is the Only Way" crowd with - hang on - scientific evidence. Not only doesn't AA fail a lot of people as "treatment", it probably shouldn't even be the first line. If addiction is a disease, then it deserves to be treated medically, like TB, not spiritually. It's common sense that nobody tells a diabetic to accept powerlessness over their blood sugar because that is not going to help anybody conquer it successfully, and when it fails, tell them it's because they didn't really want to get better. The treatment protocol can't be "the leeches aren't working! Get more leeches!".
However...
What keeps me from giving the book 5 stars is that from time to time Fletcher switches from an objective and insightful discussion of treatment to advice on choosing and paying for rehab that sounds more like a naive and breezy "how-to". Some of it is silly: consult your insurance company about in-network facilities, and keep notes about everyone you speak to, and get them to guarantee in writing what they will pay for your treatment. Has she never been on hold with Blue Cross? "Certification is no guarantee of payment. Payment decisions are made at the time claims are reviewed", or thereabouts. You should also call the rehab and ask what approaches they take, such as whether they will prescribe medications to assist in detox or maintenance; ask about the professional qualifications of their staff including their education, training and experience; whether there is individual therapy in addition to group; whether there will be a refund of advance payment if someone drops out or is kicked out; and on and on and on. Compare to find the best fit for you.
The problem is, addiction treatment is not a consumer good being marketed to and purchased by consumers. These are sick people who need health care. They aren't buying a car. They can't comparison shop. Anyone in need of rehab will not be in any shape to be spending hours on the phone with the insurance company, which is the one that will drive the bus in the end no matter how much work you do since your only choice will likely be what they'll pay for. Likewise hours on the phone with rehabs, which will likely be unwilling to disclose a lot of information on staff and treatment approaches, on the theory that if you still think you have any say in your treatment and can pick and choose based on what you think will work best for you, you aren't really ready for it anyway. Sure, Mom & Dad could make the calls for you, should you still have them, and should you all still be speaking. That's no answer to someone who is on their own.
A very good piece of work, overall, but buying into the myth of the "healthcare consumer", which this book pretty much does whether or not it uses the phrase, mars it.
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3 people found this helpful
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- Jude
- 09-13-19
Voice
It gets annoying when the speaker felt the need to lower her voice to imitate a mans voice when speaking the male parts. This Made listening to the narrative difficult. I’m only half way through the book and had to order the physical book in order to finish. The content is too good not to finish this book. I’m a medical professional and this formation is very important to my research in this field. Please revise this piece. It’s like nails on a chalkboard.
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- Happy
- 08-11-17
Great book, not great narration
I really feel like this book was valuable and insightful, yet I quit listening to it 3 times. The narrator HAS a way OF emphasizing the wrong words IN A sentence, that sometimes even muddies what the sentence means. But other than that, it was great. Lots of important information and resources, shared by a author that is motivated by science and empathy.
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- Richard B.
- 09-24-14
A good idea, but I wish it were better done.
What could have made this a 4 or 5-star listening experience for you?
Aside from the snarling tones of the reader, I felt like this book tended to be repetitive, inconsistent, and sometimes poorly argued. Big swaths of the book felt like listening to summaries of Yelp reviews. The author repeatedly presents complaints of former patients of these programs without ever providing context.
What could Anne M. Fletcher have done to make this a more enjoyable book for you?
I wish the author had spent more time doing research into the current state of research and regulations. For example, at one point she lists a complaint of a patient that a hospital didn't allow the patient to use their own medications that they brought with them. In fact, this is for legal reasons. This could have been a great resource, but she shouldn't have settled on this draft. The book needs more organization and context.
How did the narrator detract from the book?
The narrator sounded angry or outraged the whole time. It was like she was trying to add too much drama to the thing. It's sad because although she struggled with the pronunciations of prescription drugs, her diction and pace were very good.
What reaction did this book spark in you? Anger, sadness, disappointment?
This book mostly sparked tedium and sometimes annoyance.
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2 people found this helpful