Basic causes of treatment resistance

The main cause for resistance in such situations is the ambivalence of motivations: the need for continued treatment and the desire to get rid of unpleasant physical symptoms. A compromise, according to the patients, is a desire to be "put to sleep for a few days", or they prefer to shift the blame entirely on physicians with statements like "I'm in the hospital, I need help". The result of this position is expressed in constant demands of "anesthetic" or "sleeping pills". The patient almost completely switches from the recovery process to the process of pain relief. Often patients adhere to this stereotype throughout the course of treatment, continuing to complain of physical ailment.

The way to overcome the lack of efficacy of treatment in these cases is addition of unconventional (laser therapy, acupuncture) and physiotherapy (infrared and kryosauna, TRANSAIR) methods. At the same time psychotherapy is added with a suggestive emphasis that all physical manifestations of withdrawal syndrome is the price paid for the "high" in the past and now it shifts responsibility for the suffering only on the patient. Justified is the position of a doctor that is fixing the patient’s attention on a daily physical improvement as a result of his own efforts and the possibility of rapid completion of withdrawal.

In some cases, doctors openly express their opinion about the patient's reluctance to get rid of dependence and the necessity to eliminate ineffective treatment. Often such patients return for further treatment after 1 - 2 months and throughout this period they did not use psychoactive substances. Taking responsibility on themselves for an incomplete course of treatment with the support of micro social environment shaped their need for continued therapy. Such conclusions can be very instructive for the rest of the group of patients undergoing complex treatment. They  give them a chance to rethink the validity of the decision to get rid of symptoms of the disease.

Another factor affecting the efficiency of the treatment is related to sessions of super stress group hypnosis. Sometimes this therapy is perceived as a "mockery", "violence against the personality", and unconsciously it generates another option of psychological protection.

Rarely do patients speak about “false patients or performers” in the course of treatment. This distrust is not always immediately expressed and discussed only among groups or parents. However, this opinion can be quickly detected in the behavior during the session. Such patients repeatedly tried to leave the session. When this was not possible, the patients nonverbally demonstrated alertness and rejection to the code words of the hypnosis. They constantly opened their eyes and looked around; tried to smile, laugh, and talk with neighbors; there was no emotional response to experiences in their mimic manifestations. Such an attitude could be formed by a personal position that a man with strong willpower cannot be influenced by suggestion (hypnosis). Patients with little experience of addiction claimed that the events described during the psychotherapeutic session were absent in their lives and could not happen at all. Patients with long period of substance use said they have seen so much in a lifetime that nothing new could teach them.

These statements require further disproof in the process of individual psychotherapeutic work. Emphasis was made on the allocation of the addicted "sub-personality" and the opportunity to see its manifestation with their "eyes open" and feel it emotionally. The demonstrated "life experience" and "willpower" was recommended to direct to the overcoming of the addiction, and not to the "struggle for independence" during the session. Compelling is the clarification of the fact that such complex diseases require radical psychotherapeutic approach. Ineffectiveness of previous treatment by other methods and programs confirms this conclusion.