New Approach to the Treatment of Addiction [Interview][Transcript]

Dr_Indra_Cidambi_Addiction_TreatmentGuest: Dr. Indra Cidambi
Presenter: Neal Howard
Guest Bio: Indra Cidambi, M.D. is recognized as a leading expert and pioneer in the field of Addiction Medicine. She founded the Center for Network Therapy (CNT), New Jersey’s first state licensed Ambulatory (Outpatient) Detoxification care and treatment facility, and currently serves as its Medical Director working to to help patients addicted to substances such as alcohol, anesthetics, benzodiazepines, opiates and suboxone.
Dr. Cidambi received her medical degree from Tashkent State Medical Institute in the former U.S.S.R and completed her residency at Maimonides Medical Center in Brooklyn, New York. She was then selected for the prestigious Fellowship in Addiction Medicine at New York University/Bellevue Hospital in New York City. Dr. Cidambi is Board Certified in General Psychiatry and double Board Certified in Addiction Medicine (ABAM, ABPN). She is fluent in five languages, including Russian.

Segment overview: Dr. Indra Cidambi, MD, expert and pioneer in the field of addiction medicine, talks about a new drug delivering implant.

Transcription

Health Professional Radio – Addiction Treatment

Neal Howard: Hello welcome to Health Professional Radio. I’m your host Neal Howard, thank you so much for joining us today. Our guest in studio is Dr. Indra Cidambi, a leading addiction expert and Medical Director at New Jersey’s first licensed out-patient substance abuse detox facility known as “The Center for Network Therapy.” She has more than a decade of experience in Addiction Medicine. DR. Cidambi has in depth knowledge and vast experience in addictive substances, treatment and rehabilitation. How are you doing today Dr. Cidambi?

Dr. Indra Cidambi Thank you Neal, doing pretty good.

N: Thank you. As an Addiction expert, there are many different types of approaches to rehabilitation. The Center for Network Therapy, is this your own type of addiction therapy program?

C: Yes, I kind of coined this kind of an ambulatory detox because one size does not fit all for addiction treatment. Now many patients when they are confronted about their addiction, like the abuse of substances, the initial reaction will be to kind of deny it, and they would say “I didn’t do it” or you know want to escape from their situation. So they don’t want to, the fear of going away like you’re going for an in-patient treatment is a huge thing. And so the intervention takes place among the family members, the professionals to kind of talk to them into going for treatment, getting the right step into treatment. But now that we have this Ambulatory Detox, it’s less threatening to a patient. It doesn’t mean like all patients can start with Ambulatory Detox. This approximately would place 50% of the Opioid addicted population can really benefit from Ambulatory Detox, that means a lot.Ttoo many reasons to kind of get … yes?

N: Are we just talking about just opioid addiction or addiction across the board?

C: Just opioid, addiction in general but most of the opioid addiction you see by … population. And you know these 19 to less than 30 years of age, they don’t want to go get locked up and … they’re just afraid to leave their homes, house, and then go away. So when you present them with this ambulatory detox, they don’t kind of reluctantly agree to try that, but then that also gives their stepping stones for them to look into treatment in general. And we can also teach them that if you fail Ambulatory Detox, the next step is for you to go to in-patient. So that where they feel the autonomy, they don’t think that you’re pushing them right away, they have no choice. So it’s less threatening and as I said 50% of the population can really benefit from this level of care and then they might not even go to in-patient – there wouldn’t be any necessity.

N: Now the 50, what sets one 50% away from the other?

C: The 50% meaning like I have been running this Ambulatory Detox for the past 2 months less than 3 years so it’s kind of awkward, it’s more than 2 and half years. So from my experience here, I have come to see that many patients with all kinds of addiction – be detox, opiates, alcohol and benzodiazepine. And when you see that, not all of them who qualifies to be, they don’t need the criteria to be at the Ambulatory Detox level of care. Meaning they should have some support at home when they go back home, and they should be able to come back every day. So there should be someone who should be driving them if they are coming off of alcohol, they can’t be driving back home. So you do need some family support. So once they meet those criteria they shouldn’t be having any psychiatric active illnesses – like many they’re hearing voices, they’re suicidal then they qualify to go in-patient. Or they don’t have any debilitating medical issues, so those kind of patients do come in and they do leave there because we are cleaning these addictions in the same environment from where the problem started. What I mean by that if you take an out-patient and put them in-patient, they feel very good because they have been isolated from the stressors, like the drug dealer not calling them. The patterns are cannot aggravating them and all the problems that they have. But then here they have to go home, face everything and they might have a relapse and the next day we bring in the family members and we drive them and teach them how to survive in their own environment, because after all people … they cannot run away from their living condition.

N: Do you help family members to be that support because many family members they’re pulling their hair out? They have no idea what to do. Do you address, do you have programs specifically for the family member of the addicted person?

C: Yes, when they come to our center, number one issue is “addiction,” and so while they’re into the treatment, in many in-patient setting the patient might say “I’m not giving you permission to call any of the family members” that’s the heap we are talking about. But then they say that to me, maybe if you’ll tell them “Your mom or dad is sitting in the waiting room. I do want you released for them because if you want to be at this level of care, I need a family member to be involved, in your treatment”. I can get can you a good amount of success. The reason being that the patient does not want to talk about their relapse and they are not willing to come back the next day. The family is helping the patient to get them back on track. So it’s really interesting to see how addiction is a family illness either because of the chaotic family, the patient is addicted to drugs or because of the patient’s drug addiction, the family has now become a chaotic one. So it does benefit both family and the patient being together, working the steps and getting marching towards sobriety.

N: Where can we get more information about The Center for Network Therapy?

C: We have a website that they can go to which is recoverycnt.com and that of kind gives you quite a bit of information about what we do, we give an ambulatory detox and the PHP level of care. And what is interesting about our center is that we accept all private insurances, we are in network with the majority of the insurance companies. And also there is a next to zero like absolutely one, not even one patient has been like denied of the services at this level of care, because it is half or even a less than half of our in-patient expensive that they have to bear it. So insurance company really does meet the criteria for Ambulatory Detox for majority of the patients. So it is very helpful and also they can call the center it’s on 732-560-1080 and we are open seven days a week. It doesn’t matter if it’s snowing or it’s Christmas eve or New Year’s eve – we are open 365 days. So from 9am to 7pm and afterwards there is an answering service and we will get back to them. So they can easily, there’s no waiting period to come in … they can call us in, they can come in and they will get medicated. We have people waiting to serve them so kind of like the patients turn to withdrawal from an addiction right away.

N: You’ve been listening to Health Professional Radio, I’m your host Neal Howard. We’ve been in studio talking with Dr. Indra Cidambi, recognized as a leading expert and pioneer in the field of Addiction Medicine. She Founded the Center for Network Therapy and she currently serves as its Medical Director. And she’s been in studio this afternoon talking with us about Ambulatory Detox, how it differs from a traditional detox, and what type of addict would benefit from this type of detoxification. It’s been great having you here with us today Dr. Cidambi.

C: Thank you.

N: Thank you. Transcripts and audio of this program are available at healthprofessionalradio.com.au and you can subscribe to our podcast on iTunes. Also available at hpr.fm.

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