Can You Drink Your Way Sober? This Rehab Promises You Can.

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Can You Drink Your Way Sober? This Rehab Promises You Can.
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Inside the controversial 'aversion therapy' of Schick Shadel, a 10-day inpatient rehab facility near Seattle.

Inside the controversial"aversion therapy" of Schick Shadel, a 10-day inpatient rehab facility near Seattle.By the time Tara wound up at Schick Shadel Hospital, a 10-day inpatient rehab facility just south of Seattle, she had hit a personal low. She’d always been a drinker —runs in her family — but things had spiraled over the past few years. More than once, she found herself sobering up in jail, trying to remember what made her husband call the cops the night before.

There, Tara found a type of treatment altogether different than the spiritual transformation emphasized in most 12-step-based programs. Schick Shadel treated addiction with brute force, like a physical foe. “It was nice to have permission to reject AA,” Tara said. Schick Shadel patients are given a nausea-inducing drug followed by a cup filled with their drink of choice, which is repeated over and over again, and again, and again. If a patient’s body can’t handle vomiting, they can opt to swirl alcohol in their mouths while getting a series of mild electric shocks; if a patient is a drug user, Schick Shadel offers authentic-looking simulacra to snort or smoke.

Schick Shadel refers to these vomiting sessions as “duffies” — a reference to a fictitious bar that doubles as an in-joke among people in the program. On days when patients aren’t doing “duffies,” they have “sleepies” — interviews under sedation that are supposed to give counselors direct contact with a patient’s subconscious mind.

In the hospital, the aversion sessions are treated like a kind of shared trauma. Many wear navy “I had my last drink at Duffy’s Tavern” hoodies, which are available for $30 near the reception desk, over their green hospital scrubs. Like most studies that treatment centers conduct, the results are limited to self-reporting from former patients who responded to surveys, and rarely include results beyond one year after treatment. The most comprehensive modernof Schick Shadel’s method was in 1993, and suggested that about 65% of former patients surveyed said they were still sober after a year; however, 29% of the patients contacted did not respond to researchers at all, so the real “success” rate was likely much lower.

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