Understanding Addiction in Japan
It seems that the possibilities for the rehab in Japan are limited. This limited number of drug and alcohol rehab centers may be due to the fact that substance abuse is viewed more as a personal issue in Japanese society; the problem of alcoholism and drug addiction does not have a public and national focus.
The social pressure on alcohol consumption in Japan is enormous. Important life events, such as a wedding or a child’s first visit to the temple, are celebrated with ceremonial drinking. Not surprisingly, Japan has a serious problem with Alcohol Use Disorder (AUD) and potential alcohol addiction (PAA).
In 2013, the Japanese Ministry of Health estimated that 1.09 million people suffered from alcohol use disorders. Another 10 million fell into the category of potentially addicted to alcohol. Of these, only 40,000 to 50,000 received treatment.
Work life demands alcohol – employees must have fun after hours. The network even coined a word for the drink: “nomunication,” which is a combination of the Japanese word “nomu,” which means “drinking” and communicating. In an informal survey conducted by The Japan Times, when asked, “Do you think people should be comfortable drinking soft drinks?” In Japan, people diagnosed with alcohol dependence or considered “alcoholics” were disproportionately affected stigma. While excessive drinking can be tolerated and even encouraged (indeed, it’s not uncommon for company employees to pass out on benches all day, according to The Japan Times), drinking etiquette carries an image of laziness and moral weakness. and mental impairment.
According to a 2014 study, family members, friends, and colleagues of AUD patients associated AUD with daily alcohol use, family problems, alcohol abuse, mental illness, and mental weakness. However, alcohol abusers without the label of an alcoholic were much less likely to be perceived as suffering from mental illness and mental weakness. Researchers believe that the stigma surrounding the diagnosis of alcohol dependence is one of the main reasons why people with alcohol dependence so rarely seek treatment and often delay seeking treatment until they have serious physical problems. Other possible barriers to seeking treatment included the fact that hospitalization is often required at the start of treatment and that many patients are unwilling to consider total abstinence. However, the attitude towards the goal of treatment is changing.
Harm-reduction approaches that do not require complete abstinence but focus on minimizing harm to patients are gaining acceptance among the Japanese medical community as well as family and friends of drinkers, even if patients continue to drink. .dependence, and potentially alcohol dependence. In a survey of 200 Japanese physicians who had treated at least 20 patients with alcohol use disorder in the past year, 68% reported that “the goals of treatment depend on individual patient characteristics,” while 75% reported Doctors are open-minded. Pharmacotherapy to help control alcohol consumption in patients who are unable to completely abstain from alcohol.
More and more physicians are willing to consider reducing alcohol consumption as a worthy treatment goal rather than calling for complete abstinence, especially since reducing alcohol consumption can slow the progression of liver damage and improve liver function. This is especially important because alcohol reduction is a more acceptable goal for early-stage patients with alcohol use disorder than withdrawal and primary care physicians, who may be the first healthcare providers these patients come into contact with. Reducing alcohol consumption as a possible goal. Addressing drinking problems early can avoid the physical and social harm that occurs when a potential alcohol addiction develops into full-scale alcohol dependence.
Interestingly, the preferred goals of treatment varied by physician specialty. Of all the specialties, psychiatrists value abstinence the most. Therapists were more concerned with quality of life, while gastroenterologists sought to reduce volume and improve control of alcohol consumption. Other specialties place more emphasis on physical health than psychiatry. Treatment goals for a patient can vary greatly depending on where in the healthcare system they were first diagnosed.
Families of alcohol-dependent individuals are very aggressive in their goal of reducing alcohol consumption. This can be explained by concerns about the health of family members. People who may be addicted to alcohol care more about their relationships and mental health than their physical health. Most people responded positively to drinking less alcohol or reducing harm.
Founded in 1963, it took many ideas from A.A. but wanted to remove the A.A. Christian accent and replace it with Japanese values. As with AA, its goal is total abstinence, and members believe that the “alcoholic” cannot return to controlled drinking.
However, the key difference between the All Japan Alcohol Abstinence Association and AA is that they lack the concept of anonymity. Members enter the door and are called by name. Gen Otsuki, general secretary of the association, says: “This is a place where you can use your real name and build relationships based on it. Here you cannot hide your real self.
This is a powerful position in a society that stigmatizes those who consider themselves alcoholics so much that they are often isolated from society, including their families. Drinking alcohol is a social norm. Also, Japanese society is somewhat more supportive of drinking culture than many other cultures. Alcohol availability is high (even for minors) and advertising trumpets alcohol consumption.
“Whether for business or social reasons, the urge to drink remains strong, especially in my generation. Alcoholics are admired for their strength, forgiven for their rude behavior and ignored the next day. ” While the quote above speaks to Japan’s traditional and established drinking norms for middle-aged and older men, the culture has traditionally had a history of disdain for the behavior by women and younger men of the same age. However, there is an evolutionary trend for the latter two groups: while overall alcohol consumption in Japan has plateaued in recent years, alcohol consumption among women is rapidly increasing among young adults.
Indeed, often it is the lack of close personal connections that causes addiction in the first place. Another danger of developing an addiction problem while living abroad is that you may not know where to turn for help. Even if you are fluent in Japanese, you may still not know about local drug help services and how to access them – usually not the kind of information you get in a language course.
If alcohol or drug addiction is making your life hell, it is imperative that you receive adequate support and advice. There are some services and resources available in Japan, but you may also want to consider seeking help abroad – this is especially likely if you are concerned that acknowledging addiction will damage your reputation. Choosing a rehab outside of Japan can be a good option for both locals and expats.
While alcohol consumption is considered socially acceptable here, there is still significant stigma associated with developing any type of addiction. It is customary in Japanese society to blame the person who finds himself in such a situation, and the stigma is even worse if the addiction is related to illegal drugs. It is now generally accepted in the West that alcoholism is a disease, and there is strong evidence to support this position, but the concept of disease has not caught on in Japan. On the contrary, addicts are often viewed as lacking self-control or even degenerates.
Clients who come to us from Japan tell us that it is difficult for them to find the right resources locally. They also concluded that acknowledging any addiction problems would damage their careers. It is for these reasons that they chose Hope Rehab Thailand, which may also be the right choice for you.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM), Addiction in Japan is diagnosed on a spectrum of eleven criteria, including:
- Lack of control
- Desire to quit but unable
- Spending a lot of time trying to get the substance
- Lack of responsibility
- Problems with relationships
- Loss of interest
- Dangerous use
- Worsening situations
The severity is determined by how many criteria you meet. For example, if two to three of the criteria apply to you, you would have a mild substance use disorder. But even if you have a mild diagnosis, you should still seek the help of qualified professionals.
When to go to Rehab in Japan
Substance abuse and co-occurring mental health disorders are responsible for hundreds of thousands of deaths globally though when it comes to addiction it can prove very difficult to admit that a problem exists.
As a general guide if substance abuse and addictive behaviors are causing a negative effect on any aspect of your life then it’s time to consider a period of rehabilitation and recovery. If you’re questioning whether you may need help in rehabilitating your life then it’s very likely that you do, especially if your concerns are around alcohol, opioids or any other psychoactive substance.
Inpatient or Outpatient Recovery in Japan
After the decision has been made to undertake a period of rehabilitation one of the first decisions will be to choose between inpatient rehab or outpatient treatment. At Worlds Best Rehab we are firm advocates of inpatient treatment models, given the greater chance of long-term complete recovery.
Statistically, those choosing residential treatment in 48-day, 60-day or 90-day programs stand a greater chance of success long-term. The 28-day rehab model can also be successful although do remember that if the 28-days includes a period of medical detox then the total number of ‘therapeutic days’ will be greatly reduced. For this very reason many rehabs in Japan have after care or secondary treatment options to assist a client reintegrate into their new life in recovery.
Alcohol and Substance abuse is one of the biggest killers in the World with nearly 3 million directly attributable deaths per year and countless more unattributed. Even with these facts it remains the one with the most stigma. Worlds Best Rehab is designed to help people make informed choices about high end treatment for recovery from a life threatening condition.
Phase one of inpatient Japan rehab usually starts with detoxification and it’s the detox phase of recovery that presents the most brutal physical symptoms of addiction. Detox can be undertaken in a medically supervised home detox environment though this must be under the guidance and direction of a Japan rehab physician.
A poorly managed detox can be fatal as the potentially life-threatening effects of suddenly quitting (withdrawing) from alcohol and substance abuse can be very severe.
For many people it is safest and preferable to detox under medical supervision in a Japan rehab facility.
Next Phase of Japan Rehab
After a successful detox, therapeutic efforts begin at the in earnest at the Japan rehab of choice to address the underlying symptoms and catalysts that lead to substance abuse and behavioral disorder. During inpatient Japan rehab this phase of recovery includes therapy, counseling, peer support and medical care if required.
Additionally, many holistic and nutritional therapies can be applied at this stage including nutritional rehabilitation, biochemical restoration, equine therapy, art therapy, yoga, exercise and a raft of local and international techniques.
Admissions Process for Japan Rehab
There are many different pathways into rehab in Japan and we still believe that reaching out to rehabs and treatment centers directly is the best way.
You may be referred by your medical specialist or interventionist, but it pays to ask whether that physician or referrer will receive a commission for your admission. Be sure not to accept the first recommendation for a Rehab Facility in Japan and check our full list of handpicked and expertly vetted facilities in Japan.
From making the initial enquiry to a Japan Rehab our featured treatment centers will work with you to understand the nature of the clients condition and to assess whether their facility or treatment models are best suited to the individual needs and requirements. Often, a client will be based out of State or indeed internationally and the rehab team will work closely alongside other medical and sober transport agencies to ensure a safe and secure transport pathway to admission.
Cost of Rehab in Japan
Rehab in Japan can cost between $10,000 and $650,000+ per month depending on the individual rehab. If you’d like to receive our Free Full Color Brochure of our featured Japan Rehabs then please do leave your details below, in the very strictest of confidence.
Outpatient Rehab Options in Japan
Outpatient treatment varies in length, depending on the specific needs of the patient and might require 13-26 hours of treatment participation per week and can last from 3 to 12 months. Outpatient treatment in Japan can be successful, of that there is no doubt. Though many patients need to draw upon huge reserves of self-motivation and self-discipline to fully recover. And during active addiction such reserves have generally been exhausted through the very cycle of addiction that leads a patient or their loved ones to consider rehab in Japan as the only option.
Dual Diagnosis in Japan
Dual diagnosis: In Japan, the term dual diagnosis refers to psychiatric disorder and addictive behavior. Dual diagnosis allows the treatment of co-occurring mental health issues alongside other individualized treatment methods.
Biochemical Restoration in Japan
Rehabs in Japan have embraced the importance of biochemical restoration over the past decade, in line with the general evolution of this dynamic approach to addiction treatment globally. Biochemical restoration in Japan analyses and treats the biochemical imbalances in the body that make a person more prone to addiction. Lab testing and blood work to identifies biochemical imbalances such as hormone levels, neurotransmitters, amino acids and nutrient deficiencies while checking for the presence of heavy metals and toxicities.
Nutritional rehabilitation in Japan
Comparing the symptoms of nutritional deficiencies that were formed during addiction assists nutritional experts to identify which exact biochemical imbalances are triggering the addictive state, and to begin to restore the biochemistry of the body, over the course of treatment. Proper nutrition can often be the last piece of the puzzle that can make biochemical restoration successful for sobriety.
Secondary Rehab in Japan
Secondary care rehabs cement the life skills required for recovery over a far longer period than would traditionally be feasible in a primary care facility. These extended exposure and life skills geared programs enables clients to operate their day to day lives and remain in a constructive system over a long period of time, which is universally the key to a sustained recovery.
Citations: Rehab in Japan
Mathews-Larson, J., & Parker, R. A. (1987). Alcoholism treatment with biochemical restoration as a major component. International Journal of Biosocial Research, 9(1), 92–104.
Hannah Ritchie and Max Roser (2019) – “Drug Use”. Published online at OurWorldInData.org. Retrieved from: https://ourworldindata.org/drug-use‘ [Online Resource]
Severe white matter damage in SHANK3 deficiency: a human and translational study (2019)
References: Japan Rehab
The latest study can be found at the website of the Lancet here: TheLancet.com/GBD
The 2017 study was published as GBD 2017 Risk Factor Collaborators – “Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017” and is online here.
Further Guidance and Support: Japan Rehab
Author Details: Japan Rehab
Author: Zara Smith, Editor @ Worlds Best Rehab
Title: Rehab in Japan
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