????穿越動蕩期

????穿越動蕩期(Coaching Through Chaos)是一家位于圣地亞哥的私人診所，業(yè)主是心理學(xué)博士、家庭與婚姻治療師柯林?穆倫。她說她的高管病人經(jīng)常因為止痛治療而對麻醉劑上癮。

????她表示：“他們的耐藥性已經(jīng)提升了，但疼痛仍未緩解，所以他們使用了超出醫(yī)囑的藥量。”她說，最終，藥物已經(jīng)不再有效了，這種情況下，一些高管進(jìn)而采用海洛因等毒品也并非罕見。

????她說：“到那個時候，無論他們身處何種位置，看起來和其他癮君子也沒什么區(qū)別了，也許除了他們還有更好的家可以住以外?！?/p>

????無論他們外型如何，他們都需要維護(hù)聲譽(yù)，繼續(xù)經(jīng)營自己的事業(yè)，所以她的治療方法在某些方面進(jìn)行了調(diào)整，以滿足高管的需求。

????她表示：“我這邊的治療服務(wù)不僅可以用傳統(tǒng)的醫(yī)保支付，如果他們想隱藏自己的身份，我也接受現(xiàn)金付款。我還可以提供上門服務(wù)，在他們的辦公室里與他們見面。如果他們要出差，我也可以提供電話或視頻會議的額外指導(dǎo)?！?/p>

????作為門診服務(wù)提供者，穆倫博士的每月治療費(fèi)用沒有達(dá)到那些高端住宅式療養(yǎng)院的標(biāo)準(zhǔn)。

????她說：“我在自己的辦公室內(nèi)看病，收費(fèi)是每小時120美元。一般每個病人每周至少要來看一次。如果有人要求我提供專門服務(wù)，比如在辦公室之外與他們會面，或是提供額外的電話指導(dǎo)，收費(fèi)就會是每周600美元或更高。所以每個月的平均價格是500至4000美元不等?！?/p>

????馬里布的季節(jié)

????南希?埃爾文博士是住院式醫(yī)療中心馬里布的季節(jié)(Seasons in Malibu)的臨床醫(yī)學(xué)家。她表示，住院30天的平均費(fèi)用約為5.5萬美元，但病人享受的服務(wù)絕對物有所值。實際上，中心提供的治療選擇太誘人了，即便是完全清醒的人可能也愿意短暫入住。

????她說：“我們的整體治療中包括藝術(shù)療法、推拿、頭部按摩、催眠療法、針灸、精神輔導(dǎo)，還有許多康復(fù)小組——創(chuàng)傷組、男子組、女子組、釋夢組、家庭組等等?！彼€列出了一系列健身項目，包括沖浪、瑜伽和泰拳。

????如果高管們有緊迫的事情要辦，馬里布的季節(jié)還提供“高管特權(quán)通道”，病人可以在療養(yǎng)院通過視頻會議直接參與公司事務(wù)。埃爾文表示：“我們不想讓病人在入住這里的30天中還擔(dān)心他們的公司業(yè)績下滑?！?/p>

????她表示，壓力和尚未解決的創(chuàng)傷是導(dǎo)致這類病人出院后故態(tài)復(fù)萌的常見原因。然而，她認(rèn)為“故態(tài)復(fù)萌”這個詞不具有貶義。

????“大多數(shù)成癮患者都會故態(tài)復(fù)萌，但我們認(rèn)為這是通向成功的踏腳石。聰明的人會從其中吸取教訓(xùn)，就像從其他錯誤中一樣。他們會利用它來取得成功，而不是將它看作得到驗證的成見：‘一旦上癮，永久上癮?！保ㄘ敻恢形木W(wǎng)）

????作者丹尼爾?布克茨潘是一名居住在紐約的自由撰稿人。

????譯者：嚴(yán)匡正

????審校：任文科

????Coaching Through Chaos

????Coaching Through Chaos is a private practice located in San Diego and run by Colleen Mullen, Psy.D., LMFT. She said that her executive patients frequently present with addictions to opiates that were prescribed for pain management.

????“Their tolerance to the medication has built up, but the pain is still there, so they begin taking more than prescribed,” she said. Eventually, the pills just don’t do the trick any more, and she said that it’s not uncommon for someone in that situation to move on to a drug such as heroin.

????“By that time, no matter what position in life the person started out in, they often look like any other addict, except maybe they still have a nicer home to use in,” she said.

????Whatever their appearance, they have reputations to protect and businesses to run, so she’s tailored certain aspects of her practice to suit those needs.

????“In addition to traditional insurance-covered therapy services, I offer a cash option, should they want to fully protect their anonymity,” she said. “I also provide concierge therapy services in which I can come and meet with them in their office or provide extra support by way of coaching phone calls or video-conference sessions when they may be traveling.”

????As an outpatient provider, the costs for Dr. Mullen’s monthly services don’t reach the heights of those of a high-end, residential inpatient facility.

????“My hourly in-office rate is $120,” she said. “The average person comes at least one time per week. If someone hires me for concierge services, ranging from meeting with them outside of my office or extra coaching calls, we could be looking at $600 or more per week. So the average range is about $500 to $4,000 a month.”

????Seasons in Malibu

????Dr. Nancy Irwin is staff therapist at Seasons in Malibu, an inpatient facility. She said that the average 30-day stay costs approximately $55,000, but patients get a lot of bang for their buck. In fact, the center offers treatment options so enticing that even the utterly lucid might briefly entertain the prospect of checking in.

????“Our holistic modalities include art therapy, massage, cranial-sacral work, hypnotherapy, acupuncture, spiritual counseling… and a host of groups — trauma, men’s, women’s, dream interpretation, family systems, and more,” she said. She also noted the physical exercise options, which include surfing, yoga and Muy Thai.

????If business simply won’t wait, Seasons in Malibu offers “Executive Track,” a plan that allows patients to attend to company matters via video-conferencing while they’re still on the facility’s grounds. “We don’t want people to think their business is going to tank if they’re here for 30 days,” Dr. Irwin said.

????She said that stress and unresolved trauma were common triggers that cause these kinds of patients to relapse after leaving the facility. However, she objected to the negative connotation associated with the word “relapse.”

????“Most addicts do relapse, but we view that as a stepping stone to success,” she said. “Wise people learn from a relapse, like any other mistake, and use that to empower their success, versus viewing it as proof of the limiting belief, ‘Once an addict, always an addict.’”

????Daniel Bukszpan is a New York-based freelance writer.