Home Detox and alcohol detox in the comfort of you own home
facebook Linkedin twitter Google plus email me!

Executive Home Detox is Professional, Competent, & Private.

We come to you.

"Quite simply, you saved my life."

Testimonials from:
> Clients
> Colleagues
Home Detox for Alcohol or Opiate dependence is for the client who prefers privacy or convenience. It is not for everyone.
Executive Home Detox respects the client’s privacy and does not accept health insurance.

Blog Categories

Blog Archives

Home Detox

Executive Detox Program

Executive Home Detox was originally designed to address the needs of the executive. EHD remains a private and discreet option for the executive who recognizes a need for professional help related to their alcohol or drug use.

EHD offers the following for those interested in the Executive Detox Program:

  • Competent medical care by a qualified physician and expert addictions nurse. Most of our nurses are Certified Addictions Registered Nurses or CARNs.
  • The most private care possible: The physician, nurse, and you are the only people who “need” to know of your treatment. It may be clinically suggested that others become aware of your treatment, but that is up to you, the client.
  • We come to you and remain with you. We can accompany you to travel destinations, often during your medical detox. We can assist you in being medically ready for important meetings and dates.
  • We provide, in select cities, optional Executive Early Recovery Dinner groups at fine restaurants.

EHD is committed to assisting clients with their desired recovery. All inquiries are handled with the utmost discretion and confidentiality.

Home Detoxes, In-Home Detox, At Home Detox

Home Detoxes

A lot of people surfing the web attempt to find home detox services by inserting a variation of keywords. The keywords Home Detox, At Home Detox, and In-Home Detox all reference Home Detoxes.

Executive Home Detox provides discreet 1:1 supervised In-Home Detox for client who prefer privacy, convenience, and competence. We are the only medical home detox program that places an expert Registered Nurse in the home 24 hours a day until the medical detox is complete. Safe, private, effective.

Private Home Detox

Private Home Detox

Executive Home Detox may be the most private home detox available:  Only three people need to know about this medical detox: The client, a physician, and the expert nurse clinician.

  • The client: The client can choose whom to tell about the medical detox. A balance between support and privacy is encouraged. Some clients prefer absolute privacy, others choose to inform select family members and/ or select friends.
  • A Physician : A prescribing physician is needed to medically oversee the detoxification. When needed, EHD can access a physician for a house call. The physician is obligated to keep any interactions confidential and private. 
  • Your concierge live in nurse : One Nurse remains with you twenty-four hours a day for as long as the medical detox requires. The nurse creates an environment of safety and can assist with day to day needs.  When needed, the expert nurse will assume an identity protecting your privacy. One nurse remains with the client. Many programs use nurses on a rotating shift. Using multiple nurses can threaten overall privacy as the more treaters involved the increased likelihood of a breach.
  • EHD is Private Pay: There is no insurance trace and a number of options can be utilized to minimize any trace of the payment.

An Emphasis on Privacy and Confidentiality

EHD has never divulged any identifying information of any client we have worked with. EHD has provided Private Home Detox: in a discreet manner to Royalty, Celebrities, Athletes, and high profile business executives. EHD provides discreet 1:1 In-Home Detox for clients who prefer a private, confidential, and / or convenient experience. We specialize in alcohol and opiate detoxification and we specialize in privacy.

Opiate Detox includes: Heroin, Oxycodone, Oxycontin, Percocet, Roxicet, Roxies, Roxy’s, Oxy’s, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, Lortabs,

**Privacy is important, however it may be suggested that a few choice connections be included in treatment for clinical reasons.

Private Home Detox

A Credible Home Detox: EHD Begins it’s Fifth year of Service

A Credible Home Detox.

What makes a credible home detox? One variable is longevity:

Executive Home Detox begins it’s fifth year of service (2012) providing in-home detox.

In January of 2007 William (Bill) Carrick founded the company that now carries the name Executive Home Detox. Executive Recovery Coach (the original name) was created to provide access to addiction treatment for those clients who felt an institutional setting was, in fact, a barrier to their recovery.

A slow beginning has given way to a healthy and busy company and a service valued by many. Executive Recovery Coach, Inc. remains the parent company. Executive Home Detox was coined to better describe what we do.

Executive Home Detox is a unique treatment model in the addictions, alcohol abuse, and drug dependence field. EHD brings an intensive medical model of treatment to the client’s home. We actually live with the client 24/7 for as long as the client requires medical detoxification. This has ranged from one week to six weeks.

One nurse, a Certified Addictions Registered Nurse (CARN), or CARN eligible nurse supervises the medical detox in the clients home from beginning to end. This expert nurse provides the most private medical detox available. The continuity of care has no disruption.

EHD prides itself in it’s working relationships with physicians and therapists. EHD always works with a qualified physician prescriber. We welcome the opportunity to work with the client’s physician or we can access a qualified physician if that is what the client wants.

Additionally, we welcome the opportunity to work with a client’s therapist. If the client does not have a therapist we highly encourage consideration for the client to see a therapist.

EHD has medical contacts and therapeutic contacts throughout the US. In addition to “home detox”, EHD has become a consultant for specialized addiction services.

As we embark on our fifth year of service to clients seeking competent, private, and convenient care we look forward to providing a needed service to our clients today, tomorrow, and well into the future.

A ‘credible home detox’ moniker is important to EHD. We feel it is important that we represent our services accurately and that we provide a safe, effective program.

Opiate Detox includes: Heroin, Oxycodone, Oxycontin, Percocet, Roxicet, Roxies, Roxy’s, Oxy’s, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, Lortabs,

Alcohol Detox at Home

Alcohol Detox at Home:

The process of detoxing or withdrawing from alcohol at home can be simply labeled as “Alcohol Home Detox”. Home Detox is a viable alternative for the majority of clients compared to detoxing in hospitals, or Level Three Residential programs.

An Alcohol Detox at Home must be carefully considered as there are potential serious concerns for anyone with moderate to severe withdrawal symptoms. The primary concerns include seizures and delirium tremens, and additional concerns include (but are not limited to) dehydration and risk for falling. Seizures, Delirium Tremens and Falls are medical concerns that can result in serious injury or even death. No one should attempt to detox from alcohol dependency alone in their home.

Mild Alcohol Detox can be accomplished at home with the assistance of a responsible person and the advice and oversight of a physician. Moderate or Severe Alcohol Detox can be accomplished at home with the assistance of an in-home expert supervising the medical detox and with the oversight of a physician. This is what EHD offers.

Executive Home Detox, or EHD, provides expert supervision for in-home detox. A Certified Addictions Registered Nurse or CARN eligible nurse remains in the home 24 hours a day, for as long as the medical detox requires. The focus is on safety, privacy, and comfort.

Alcohol Detox at Home.

Safe Home Detox

Safe Home Detox

A safe Home Detox is a viable alternative for most people dependent on alcohol, drugs, or any other substance. The key points to keep in mind are safety and sustainability.

Safety in Home Detox is paramount. One should never attempt to detox from Alcohol, Opiates (Oxycontin, Oxycodone, Hydrocodone, Heroin, and others), or Benzodiazepines alone. and should always consult with a physician. Mild detox and withdrawal symptoms can usually be managed with a responsible person assisting and with a physician’s direction. Moderate to Severe detox and withdrawal symptoms often require a trained professional, like a nurse, to assist with the medical detoxification. A safe home detox can be accomplished with the proper medical supervision.

Sustainability is as important as the medical detox. Anyone can detox from Alcohol, Opiates and other substances, the challenge is sustaining sobriety or a reduction in the substance intake. A safe home detox is the first step, the next step is to sustain recovery. The expert RN staying with the client can initiate an aftercare plan to help promote ongoing sobriety.

Executive Home Detox provides a safe home detox and effective Alcohol Home Detox, Opiate Home Detox, and EHD consults with regard to other substances. EHD works closely with the client and community resources to develop a plan to sustain recovery.

Safe home detox

A Testimony for Fentanyl Home Detox

A client recently wrote a testimony related to her opiate detox. She was on a significant amount of Fentanyl and Fentora. Fentanyl is, gram for gram, much more potent than Morphine. It is most often used for chronic pain and usually dispensed in the patch form of Fentanyl.  Fentora is an oral form of Fentanyl.

Kelley*, a 23 year old female contacted Executive Home Detox through a third party. Kelley was in dire need of a medical detox. A treatment team was put together and an opiate home detox was initiated. The testimony speaks for itself:

When I met Bill (Chief clinician for EHD), I was on more fentanyl than any rehab would accept, afraid of treatment because I am not a drug addict and not open to meeting medical professionals. He lived with me for 6 weeks in the detox and he really was compassionate and helpful with a vast medical understanding while being accommodating. I don’t think I could have gotten off fentanyl without the aid of Bill and I would have died at 21 from prescribed medicine. I strongly believe I could not have done this without him and he is fully capable of detoxing anyone, anywhere.

Kelley was successful in her treatment largely due to her perseverance and her survivor’s attitude. EHD thanks Kelley for her testimony and thanks her even more for her continued perseverance in improving her overall health.

*Kelley is an alias. EHD respects the privacy and confidentiality of every client. EHD has never divulged any name of a client, including celebrities, professional athletes, government officials, and unique and wonderful individuals.

**Opiate Detox includes: Heroin, Oxycodone, Oxycontin, Fentanyl, Percocet, Roxicet, Roxies, Roxy’s, Oxy’s, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, Lortabs,

Home Detox: Private and Confidential

A home detox treatment model is often requested due to privacy concerns and confidentiality concerns. Executive Home Detox (EHD) takes this request seriously. Very seriously.

We take this request so seriously that you won’t see a picture of any of our staff anywhere on our web site and it would be difficult to find any pictures of our staff anywhere on the open internet. We don’t want to compromise the privacy and confidentiality of our clients at any time. Some colleagues have suggested this is “overdoing” it a bit. We don’t think so.

EHD is a unique home detox treatment model. We actually live with our clients for the duration of the medical detox. One Certified Addictions Registered Nurse lives with the client and supervises the medical detox. He or she will also set up an aftercare plan to assist in maintaining sobriety.

EHD is the most experienced 1:1 supervised in-home detox program in the United States and possibly the world. We primarily detox clients from Alcohol or Opiates*.

Opiate Detox includes: Heroin, Oxycodone, Oxycontin, Percocet, Roxicet, Roxies, Roxy’s, Oxy’s, Dilaudid, Hydromorphone, Opana, Hydrocodone, Vicodan, Lortabs,

Sober Advisor: Sober Companion Provider

Sober Advisor

A tip of the hat to my friend Russ Jones and Sober Advisor (www.Soberadvisor.net). Russ provided an exceptional sober companion for a high profile client who required an individual treatment plan to sustain his sobriety. Executive Home Detox spent an initial seven days with the client managing an in-home detox. The Sober Companion overlapped with the expert private duty detox nurse and then spent an additional 30 days with the client.

The client, a prominent business man in the South, required privacy and confidentiality. The sober companion was able to provide this and more. The companion was able to provide daily assistance in the busy office posing as a customer service consultant. The client, unable to utilize conventional treatment options, was able to have a 24 hour companion to provide substance use direction and discussion. Weekly accompaniment to an ASAM based internist also helped to sustain recovery.

The sober companion provided appropriate and needed communication to other treatment members. This type of communication is invaluable in early recovery treatment.

So thank you Sober Advisor, and thank you to your anonymous sober companion!

Definition of Addiction: ASAM Definition of Addiction

Definition of Addiction:

ASAM, the American Society of Addiction Medicine recently adopted a new definition of Addiction. They have a short version and a long version. The short version reads as such:

Public Policy Statement: Definition of Addiction

Short Definition of Addiction: Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviors.

Addiction is characterized by inability to consistently abstain, impairment in behavioral control, craving, diminished recognition of significant problems with one’s behaviors and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death.

Definition of Addiction: A very important step:

This definition of addiction is a very important step. The medical establishment in the United States is going on record as declaring addiction a disease. There has been ongoing debate in the medical arena and in the addiction treatment arena whether addiction is an actual disease. ASAM goes on record stating Addiction is a disease.

Alcohol addiction, opiate addiction and benzodiazepine addiction all fall under the umbrella of ASAM’s definition.

Executive Home Detox applauds ASAM’s adoption of this definition of addiction. We recognize addiction is a complex syndrome involving Neurobiology, Social behaviors, and Spiritual ramifications. Our Home Detox treatment model takes these components into consideration as we assist the client in making positive changes in their life.

Definition of Addiction: Long Version

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Addiction affects neurotransmission and interactions within reward structures of the brain, including the nucleus accumbens, anterior cingulate cortex, basal forebrain and amygdala, such that motivational hierarchies are altered and addictive behaviors, which may or may not include alcohol and other drug use, supplant healthy, self-care related behaviors. Addiction also affects neurotransmission and interactions between cortical and hippocampal circuits and brain reward structures, such that the memory of previous exposures to rewards (such as food, sex, alcohol and other drugs) leads to a biological and behavioral response to external cues, in turn triggering craving and/or engagement in addictive behaviors.

The neurobiology of addiction encompasses more than the neurochemistry of reward.1 The frontal cortex of the brain and underlying white matter connections between the frontal cortex and circuits of reward, motivation and memory are fundamental in the manifestations of altered impulse control, altered judgment, and the dysfunctional pursuit of rewards (which is often experienced by the affected person as a desire to “be normal”) seen in addiction–despite cumulative adverse consequences experienced from engagement in substance use and other addictive behaviors. The frontal lobes are important in inhibiting impulsivity and in assisting individuals to appropriately delay gratification. When persons with addiction manifest problems in deferring gratification, there is a neurological locus of these problems in the frontal cortex. Frontal lobe morphology, connectivity and functioning are still in the process of maturation during adolescence and young adulthood, and early exposure to substance use is another significant factor in the development of addiction. Many neuroscientists believe that developmental morphology is the basis that makes early-life exposure to substances such an important factor.

Genetic factors account for about half of the likelihood that an individual will develop addiction. Environmental factors interact with the person’s biology and affect the extent to which genetic factors exert their influence. Resiliencies the individual acquires (through parenting or later life experiences) can affect the extent to which genetic predispositions lead to the behavioral and other manifestations of addiction. Culture also plays a role in how addiction becomes actualized in persons with biological vulnerabilities to the development of addiction.

Other factors that can contribute to the appearance of addiction, leading to its characteristic bio-psycho-socio-spiritual manifestations, include:

  1. The presence of an underlying biological deficit in the function of reward circuits, such that drugs and behaviors which enhance reward function are preferred and sought as reinforcers;
  2. The repeated engagement in drug use or other addictive behaviors, causing neuroadaptation in motivational circuitry leading to impaired control over further drug use or engagement in addictive behaviors;
  3. Cognitive and affective distortions, which impair perceptions and compromise the ability to deal with feelings, resulting in significant self-deception;
  4. Disruption of healthy social supports and problems in interpersonal relationships which impact the development or impact of resiliencies;
  5. Exposure to trauma or stressors that overwhelm an individual’s coping abilities;
  6. Distortion in meaning, purpose and values that guide attitudes, thinking and behavior;
  7. Distortions in a person’s connection with self, with others and with the transcendent (referred to as God by many, the Higher Power by 12-steps groups, or higher consciousness by others); and
  8. The presence of co-occurring psychiatric disorders in persons who engage in substance use or other addictive behaviors.

Addiction is characterized by2:

  1. Inability to consistently Abstain;
  2. Impairment in Behavioral control;
  3. Craving; or increased “hunger” for drugs or rewarding experiences;
  4. Diminished recognition of significant problems with one’s behaviors and interpersonal relationships; and
  5. A dysfunctional Emotional response.

The power of external cues to trigger craving and drug use, as well as to increase the frequency of engagement in other potentially addictive behaviors, is also a characteristic of addiction, with the hippocampus being important in memory of previous euphoric or dysphoric experiences, and with the amygdala being important in having motivation concentrate on selecting behaviors associated with these past experiences.

Although some believe that the difference between those who have addiction, and those who do not, is the quantity or frequency of alcohol/drug use, engagement in addictive behaviors (such as gambling or spending)3, or exposure to other external rewards (such as food or sex), a characteristic aspect of addiction is the qualitative way in which the individual responds to such exposures, stressors and environmental cues. A particularly pathological aspect of the waythat persons with addiction pursue substance use or external rewards is that preoccupation with, obsession with and/or pursuit of rewards (e.g., alcohol and other drug use) persist despite the accumulation of adverse consequences. These manifestations can occur compulsively or impulsively, as a reflection of impaired control.

Persistent risk and/or recurrence of relapse, after periods of abstinence, is another fundamental feature of addiction. This can be triggered by exposure to rewarding substances and behaviors, by exposure to environmental cues to use, and by exposure to emotional stressors that trigger heightened activity in brain stress circuits.4

In addiction there is a significant impairment in executive functioning, which manifests in problems with perception, learning, impulse control, compulsivity, and judgment. People with addiction often manifest a lower readiness to change their dysfunctional behaviors despite mounting concerns expressed by significant others in their lives; and display an apparent lack of appreciation of the magnitude of cumulative problems and complications. The still developing frontal lobes of adolescents may both compound these deficits in executive functioning and predispose youngsters to engage in “high risk” behaviors, including engaging in alcohol or other drug use. The profound drive or craving to use substances or engage in apparently rewarding behaviors, which is seen in many patients with addiction, underscores the compulsive or avolitional aspect of this disease. This is the connection with “powerlessness” over addiction and “unmanageability” of life, as is described in Step 1 of 12 Steps programs.

Addiction is more than a behavioral disorder. Features of addiction include aspects of a person’s behaviors, cognitions, emotions, and interactions with others, including a person’s ability to relate to members of their family, to members of their community, to their own psychological state, and to things that transcend their daily experience.

Behavioral manifestations and complications of addiction, primarily due to impaired control, can include:

  1. Excessive use and/or engagement in addictive behaviors, at higher frequencies and/or quantities than the person intended, often associated with a persistent desire for and unsuccessful attempts at behavioral control;
  2. Excessive time lost in substance use or recovering from the effects of substance use and/or engagement in addictive behaviors, with significant adverse impact on social and occupational functioning (e.g. the development of interpersonal relationship problems or the neglect of responsibilities at home, school or work);
  3. Continued use and/or engagement in addictive behaviors, despite the presence of persistent or recurrent physical or psychological problems which may have been caused or exacerbated by substance use and/or related addictive behaviors;
  4. A narrowing of the behavioral repertoire focusing on rewards that are part of addiction; and
  5. An apparent lack of ability and/or readiness to take consistent, ameliorative action despite recognition of problems.

Cognitive changes in addiction can include:

  1. Preoccupation with substance use;
  2. Altered evaluations of the relative benefits and detriments associated with drugs or rewarding behaviors; and
  3. The inaccurate belief that problems experienced in one’s life are attributable to other causes rather than being a predictable consequence of addiction.

Emotional changes in addiction can include:

  1. Increased anxiety, dysphoria and emotional pain;
  2. Increased sensitivity to stressors associated with the recruitment of brain stress systems, such that “things seem more stressful” as a result; and
  3. Difficulty in identifying feelings, distinguishing between feelings and the bodily sensations of emotional arousal, and describing feelings to other people (sometimes referred to as alexithymia).

The emotional aspects of addiction are quite complex. Some persons use alcohol or other drugs or pathologically pursue other rewards because they are seeking “positive reinforcement” or the creation of a positive emotional state (“euphoria”). Others pursue substance use or other rewards because they have experienced relief from negative emotional states (“dysphoria”), which constitutes “negative reinforcement.“ Beyond the initial experiences of reward and relief, there is a dysfunctional emotional state present in most cases of addiction that is associated with the persistence of engagement with addictive behaviors. The state of addiction is not the same as the state of intoxication. When anyone experiences mild intoxication through the use of alcohol or other drugs, or when one engages non-pathologically in potentially addictive behaviors such as gambling or eating, one may experience a “high”, felt as a “positive” emotional state associated with increased dopamine and opioid peptide activity in reward circuits. After such an experience, there is a neurochemical rebound, in which the reward function does not simply revert to baseline, but often drops below the original levels. This is usually not consciously perceptible by the individual and is not necessarily associated with functional impairments.

Over time, repeated experiences with substance use or addictive behaviors are not associated with ever increasing reward circuit activity and are not as subjectively rewarding. Once a person experiences withdrawal from drug use or comparable behaviors, there is an anxious, agitated, dysphoric and labile emotional experience, related to suboptimal reward and the recruitment of brain and hormonal stress systems, which is associated with withdrawal from virtually all pharmacological classes of addictive drugs. While tolerance develops to the “high,” tolerance does not develop to the emotional “low” associated with the cycle of intoxication and withdrawal. Thus, in addiction, persons repeatedly attempt to create a “high”–but what they mostly experience is a deeper and deeper “low.” While anyone may “want” to get “high”, those with addiction feel a “need” to use the addictive substance or engage in the addictive behavior in order to try to resolve their dysphoric emotional state or their physiological symptoms of withdrawal. Persons with addiction compulsively use even though it may not make them feel good, in some cases long after the pursuit of “rewards” is not actually pleasurable.5 Although people from any culture may choose to “get high” from one or another activity, it is important to appreciate that addiction is not solely a function of choice. Simply put, addiction is not a desired condition.

As addiction is a chronic disease, periods of relapse, which may interrupt spans of remission, are a common feature of addiction. It is also important to recognize that return to drug use or pathological pursuit of rewards is not inevitable.

Clinical interventions can be quite effective in altering the course of addiction. Close monitoring of the behaviors of the individual and contingency management, sometimes including behavioral consequences for relapse behaviors, can contribute to positive clinical outcomes. Engagement in health promotion activities which promote personal responsibility and accountability, connection with others, and personal growth also contribute to recovery. It is important to recognize that addiction can cause disability or premature death, especially when left untreated or treated inadequately.

The qualitative ways in which the brain and behavior respond to drug exposure and engagement in addictive behaviors are different at later stages of addiction than in earlier stages, indicating progression, which may not be overtly apparent. As is the case with other chronic diseases, the condition must be monitored and managed over time to:

  1. Decrease the frequency and intensity of relapses;
  2. Sustain periods of remission; and
  3. Optimize the person’s level of functioning during periods of remission.

In some cases of addiction, medication management can improve treatment outcomes. In most cases of addiction, the integration of psychosocial rehabilitation and ongoing care with evidence-based pharmacological therapy provides the best results. Chronic disease management is important for minimization of episodes of relapse and their impact. Treatment of addiction saves lives †

Addiction professionals and persons in recovery know the hope that is found in recovery. Recovery is available even to persons who may not at first be able to perceive this hope, especially when the focus is on linking the health consequences to the disease of addiction. As in other health conditions, self-management, with mutual support, is very important in recovery from addiction. Peer support such as that found in various “self-help” activities is beneficial in optimizing health status and functional outcomes in recovery. ‡

Recovery from addiction is best achieved through a combination of self-management, mutual support, and professional care provided by trained and certified professionals.

______________________________________

† See ASAM Public Policy Statement on Treatment for Alcohol and Other Drug Addiction, Adopted: May 01, 1980, Revised: January 01, 2010

This definition of addiction was downloaded from the ASAM Web Site at www.ASAM.org

Definition of addiction.