OUR APPROACH: Mindfulness-Based Recovery

Samadhi is a recovery center for those suffering from substance use and related disorders and addictions. We will have a community based Outreach center opening April 2019, a Holistic Detox and Intensive Inpatient center (TBA) all located within Ulster County. The core program is based in alternative treatment modalities: Integrative Harm Reduction Psychotherapy (IHRP), Mindfulness-Based Addiction Recovery (MBAR), Eye Movement Desensitization & Reprocessing (EMDR), Mindfulness-Based Relapse Prevention (MBRP), Dialectical Behavioral Therapy (DBT), and Somatic Experiencing. This program is based on “meeting the patients where they are at”. These treatment modalities are evidence-based and have shown extremely promising results in recent studies (Bissel Van der Kolk- 2006). To date, Mindfulness Based Relapse Prevention has demonstrated efficacy as a treatment for substance use disorders, in comparison to a treatment-as-usual control group in an outpatient treatment setting (Bowen et al., 2009). The practices and exercises throughout MBRP and MBAR are designed to raise awareness and increase intentional responding by shifting out of “autopilot” and bringing attention to physical, emotional, and cognitive experiences, both in triggering situations and in typical daily routine activities. Several practices specifically target tolerance of negative physical, emotional, and cognitive states, thereby decreasing the need to alleviate discomfort by engaging in impulsive behavior.

Addiction is automatic and compulsive. Because of this, it precludes states of mind that are open, peaceful and free. When an individual cultivates mindfulness they become increasingly aware of their addictive behavior and it ceases to be automatic. Many contemporary models of recovery are disease-based and attempt to train individuals to avoid certain states of mind and behaviors. As opposed to “thought suppression” Mindfulness based therapies work rather with “thought acceptance”. In addition to decreasing avoidance of unwanted thoughts, it is hypothesized that mindfulness-based treatments decrease reactivity toward triggers, thereby interrupting the “addictive loop.” Brewer et al. (2009) One study found that participants in a 9-week mindfulness training (MT) group for alcohol and/or cocaine dependence displayed a significantly decreased psychological and physiological response toward personalized and provoked stressful situations (using a stress-reactivity paradigm) when compared with participants in the 12-week cognitive-behavioral therapy group. (Marlatt & Gordon, 1985).

Samadhi’s approach is to help individuals develop their own healing capacities through treatments that are strength-based and encourage them to move towards paths that enliven, empower and enrich. We emphasize the importance of building on health and strength rather than avoiding, disease or pathology. Our approach is about facing what hurts and looking for answers within ourselves. The content and practices are presented in a non-judgmental, compassionate manner, encouraging clients to approach their observations and experiences with kindness rather than harshness or judgment, with the intention of reducing the shame and self-blaming that often precipitates further self-defeating behavior.