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MEDICAL TREATMENT

Research confirms that addiction is a multifaceted brain disease encompassing psychological, physiological and social dimensions. Treatment for addiction is often likened to a three-legged stool, with each leg representing essential pillars: medical support, psychological support and social support. Any absence of these pillars can complicate the treatment process.

Treatment for Addiction

The primary objective of addiction treatment is the cessation of substance use and the implementation of preventive measures to avert relapse. During the period of substance cessation, individuals typically endure withdrawal symptoms for about 0-1 month.

The detoxification process, which aims to alleviate withdrawal symptoms and diminish substance cravings, relies heavily on medical support. When assessing the need for medical support, several factors come into play, including the presence and severity of withdrawal symptoms, the existence of significant physical or mental health conditions, frequency of substance use and short intervals between cessation attempts, prior unsuccessful treatment endeavors, the susceptibility of the individual's environment to alcohol/substance use, challenges in orientation regarding location, direction and time as well as the history of epileptic seizures.

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Withdrawal symptoms can vary depending on the type of substance used and any accompanying psychiatric disorders. For instance, individuals undergoing withdrawal may experience symptoms such as sweating, tremors, muscle and joint pain, abdominal discomfort, tension, restlessness and insomnia. Medical support plays a crucial role in managing these symptoms effectively. Following an assessment of symptoms and other relevant factors, individuals may be referred to addiction treatment centers in hospitals, where psychiatrists may prescribe substitution therapies based on the substance used. Additionally, the presence of a social support specialist throughout the treatment process can significantly enhance the effectiveness of medical treatment.

Withdrawal Period (0-1 month): This stage marks the initial phase after individuals stop using alcohol or drugs. During the first month without substance use, they may experience physical and psychological withdrawal symptoms. These symptoms can vary from person to person, with some experiencing more intense physical symptoms while others may experience more intense psychological symptoms. Seeking medical support to assess these withdrawal symptoms, coupled with psychological and medical treatments, will gradually alleviate and diminish these symptoms, enabling individuals to resume their lives with less disruption.

Early Recovery Period (1-3 months): This stage signifies a time when withdrawal symptoms have diminished or ceased and individuals no longer feel compelled to use alcohol or drugs. However, they may mistakenly believe they have fully recovered and no longer require treatment, potentially overlooking certain risky situations. During this stage, individuals should be informed about these situations. In addition, individuals may also experience fatigue, lethargy and feelings of depression.

Prolonged Recovery Period (3-6 months): This stage is characterized by uncertainty for individuals who have structured much of their lives around addiction and may struggle to navigate life without addictive behaviors. They may experience feelings of dissatisfaction, anhedonia and emptiness. It is a period when they may be vulnerable to relapse behaviors and thoughts that could lead to alcohol or drug use. Active participation in self-help groups and continued psychosocial support can aid individuals in navigating this period more comfortably.

Restructuring Phase (6 months and beyond): During this phase, individuals in recovery move beyond previous stages and embark on the final stage of restructuring, where they begin to form new friendships and interests, thus creating a new lifestyle. Additionally, they may seek employment during this phase. Essentially, in this phase, individuals move away from many withdrawal symptoms and feelings of longing for the past, replacing them with new and healthy habits to fill certain gaps.

Finally, the recovery process involves individuals gaining a better understanding of themselves, recognizing the factors contributing to substance use and acquiring skills to intervene. The gains made during the recovery process are crucial for preventing relapse after treatment.

Green Crescent Counseling Center (YEDAM), a service provided by the Turkish Green Crescent Society, primarily offers psychosocial support to individuals with addiction and their families, without providing medical detoxification or medical support services. If there is a need for medical treatment, individuals are assessed and referred to other appropriate institutions accordingly.

Criteria for medical support:

  • If there are any withdrawal symptoms and if their severity, frequency and impact on daily life are increasing,
  • If there is a significant and clear physical and/or mental disease,
  • If substance use is frequent and withdrawal periods are short,
  • If previous outpatient treatments have been unsuccessful,
  • If the individual is living in an environment suitable for alcohol/substance use (such as their surroundings, occupation, etc.),
  • If there is heroin or similar substance use involved,
  • If the individual is experiencing confusion or reports confusion at home (such as loss of orientation in place, direction and time),
  • If there is a history of epileptic (seizure) episodes,
  • If there has been a history of delirium tremens.

In such cases, individuals are referred to an Alcohol and Substance Treatment Center (AMATEM). It is essential for a Social Services Specialist to accompany individuals referred for medical support, as they ensure the seamless integration of treatment processes with YEDAM by overseeing their hospital procedures.

For more detailed information on the topics covered in this section, you may refer to the following sources:

· Green Crescent Counseling Center (YEDAM)

More Latest News

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The 79th World Health Assembly, convened in Geneva, Switzerland, brought together government delegations, United Nations agencies, international organizations and civil society actors to discuss global public health priorities. As the highest decision-making body of the World Health Organization, the Assembly serves as a key platform for international health diplomacy and cooperation on issues related to health systems, universal health coverage, mental health, pandemic preparedness and sustainable development. Held at the Palais des Nations from 18 to 23 May 2026, the Assembly provided an important opportunity for governments, experts and civil society organizations to exchange views on current global health challenges and strengthen international cooperation in the field of public health. Within this framework, the IFGC participated in the 79th World Health Assembly with a particular focus on addiction prevention and public health approaches. Representing 70 Country Green Crescent organizations, IFGC followed discussions related to public health policies and engaged in meetings and side events concerning addiction and preventive health services. A key highlight of IFGC’s participation was its contribution to the panel titled “From Commitment to Coverage, Integrating Substance Use into Universal Health Coverage,” hosted by the International Federation of Red Cross and Red Crescent Societies on 20 May 2026. The panel brought together a wide range of stakeholders, including international organizations, public health experts and civil society organizations working in the field of chemical and behavioral addiction. Speaking on behalf of IFGC, Secretary General Ambassador Dr. Mehmet Güllüoğlu described addiction as a growing global public health challenge and emphasized that harm reduction approaches alone are not sufficient. IFGC shared recommendations including integrating addiction services into primary healthcare systems, recognizing prevention as an essential health service and strengthening protective public health policies. Throughout the Assembly, IFGC also held courtesy meetings with diplomatic representatives of Türkiye in Geneva. Within this scope, meetings were conducted on 21 May with Türkiye’s Permanent Representative to the World Trade Organization Hakan Çakıl and Consul General of Türkiye in Geneva Salih Boğaç Güldere. The International Cooperation and Federation Management Director Ergin Beceren of the The Turkish Green Crescent Society and Manager of the International Federation of Green Crescent, Sara Evli Özhan also met on 22 May with Alex Mejia, Director of the Social Development Division at the United Nations Institute for Training and Research. In addition, a courtesy meeting was held with Deputy Director of the Social Development Division Prof. Dr. Ebru Canan-Sokullu to assess ongoing and potential collaborations. Turkish Green Crescent Society also participated in WHA79 through the official delegation of the Ministry of Health of the Republic of Türkiye. The delegation followed developments related to tobacco and alcohol control policies, mental health and addiction, engaged with international civil society organizations and member state representatives, and participated in side events focusing on scientific developments and good practices in the field of addiction prevention. Members of the Scientific Committee of Türkiye Yeşilay Cemiyeti, Prof. Hakan Coşkunol and Associate Professor Dr. Perihan Torun, also took part in the Assembly as part of the delegation.  

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