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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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Ambassador Dr. Mehmet Güllüoğlu, Secretary General of the International Federation of Green Crescent (IFGC), visited Pakistan from 19 to 23 July 2026 together with Ergin Beceren, Director of the International Federation of Green Crescent, to meet with representatives of government institutions, Turkish organizations, international organizations and civil society in order to strengthen international cooperation in the field of addiction prevention and recovery. The programme began with participation in the roundtable titled "State of Drugs in Pakistan: Issues, Challenges & Response," hosted by the Karim Khan Afridi Welfare Foundation (KKAWF). The meeting brought together representatives of public institutions, educational organizations, international organizations, civil society organizations, experts, diplomats and members of the media. Discussions focused on the current situation of substance use in Pakistan, the key challenges in addressing addiction, prevention-oriented approaches, treatment and rehabilitation services, and opportunities for international cooperation. In his remarks, Ambassador Dr. Mehmet Güllüoğlu emphasized that addressing addiction should not be limited to treatment services alone, highlighting the critical importance of strengthening prevention efforts and enhancing inter-institutional cooperation to achieve sustainable solutions. He also shared IFGC's experience and ongoing initiatives in different countries, presenting examples of international best practices. During the visit, the delegation also met with Major General Abdul Moeed, Commander of the Pakistan Anti Narcotics Force (ANF). The meeting provided an opportunity to learn about Pakistan's efforts in combating narcotic drugs while exchanging views on prevention strategies, opportunities for international cooperation and potential areas for future collaboration. The programme also included separate meetings with Ms. Saliha Tuna, TİKA Islamabad Programme Coordinator; Mr. Harun Küçükaladağlı, Pakistan Country Representative of the Türkiye Maarif Foundation; and Mr. Eren Miyasoğlu, Pakistan Country Coordinator of the Yunus Emre Institute. The discussions focused on education, prevention initiatives, capacity building and institutional cooperation, while exploring opportunities to develop joint projects in the field of addiction prevention and recovery. The delegation also visited the Greenfield Hospital of Psychiatry Rehabilitation Centre, where they received information on the institution's addiction treatment and rehabilitation services and exchanged views on good practices in the field.  

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The Green Crescent Addiction Prevention Practitioner Training Program (TBM) was successfully held in Baku, Azerbaijan, from 22 to 25 June 2026, through the collaboration of the International Federation of Green Crescent (IFGC), the Turkish Green Crescent Society, the Turkish Cooperation and Coordination Agency (TİKA), the Turkish Maarif Foundation, and the Green Crescent Azerbaijan (Zərərli Vərdişlərə Qarşı İctimai Birliyi). Conducted in Turkish over four days at the Baku International Maarif Schools Youth Campus, the training program brought together 81 participants, including teachers, school psychologists, orphanage volunteers, and dormitory supervisors, with the aim of strengthening their knowledge and practical skills in addiction prevention. The comprehensive curriculum covered a wide range of topics, including the The Green Crescent Addiction Prevention Training Program (TBM), contemporary trends in addiction, adult education methodologies, principles of effective prevention practices, and substance- and behavior-related addictions, including alcohol, tobacco, drugs, technology, and gambling. The program also featured practice-oriented training sessions designed to enhance participants' capacity to implement prevention activities within their communities. Coordinated by the International Federation of Green Crescent and delivered by expert trainers from the Turkish Green Crescent Society, the program provided an important platform for strengthening professional competencies, promoting evidence-based prevention approaches, and encouraging the exchange of knowledge and experience among practitioners. Beyond enhancing individual capacities, the training represented another significant milestone in fostering international cooperation in the field of addiction prevention. By bringing together institutions and practitioners from different sectors, the program contributed to the development of a shared prevention perspective and reinforced collaborative efforts to build healthier and addiction-free communities. The trained practitioners are expected to deliver addiction prevention awareness sessions across Azerbaijan, helping to strengthen prevention efforts at the community level.

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