Defining “Rock Bottom” And What To Do When You Get There

A substance abuse disorder can be all encompassing, making it difficult for some people to determine when they should ask for help.

Hitting rock bottom is a clear indicator that you or your loved one needs immediate help.

Recognizing “Rock Bottom”

People with substance abuse issues may feel as though they’ve hit “rock bottom.” Some of the most common challenges faced include relationship struggles, employment difficulties, financial collapse, and legal trouble.

Relationship Struggles

People experiencing substance abuse disorders may face relationship struggles as a result of their addiction. Sometimes, substance abuse can make existing relationship problems worse.

Communication Issues: Addiction often leads to the breakdown of communication, as someone who abuses alcohol or drugs is more likely to be secretive and experience volatile moods.

Codependency: Substance abuse can also make one or both parties in a relationship excessively dependent on each other for emotional or psychological support, often resulting in abusive dynamics.

Employment Difficulties

People with addiction often face employment difficulties due to the physical, emotional, and behavioral challenges associated with substance abuse.

The physical and psychological effects of addiction can cause:

  • frequent absences
  • late arrivals
  • poor judgment
  • lack of concentration
  • accidents on the job
  • poor quality work

As a result of these difficulties people who are living with addiction may struggle to find and maintain employment.

Financial Collapse

Drug and alcohol addiction can cause a range of financial problems that affect both the person with the addiction as well as their loved ones.

Money spent on drugs and alcohol can quickly add up. As a person’s tolerance increases, they may need larger amounts of drugs or alcohol to reach their desired effects.

Addiction may also decrease the amount of money a person earns due to underemployment or unemployment resulting from their substance abuse disorder.

Legal Trouble

People with a substance use disorder are often at risk of legal trouble related to the possession, sale, or distribution of illegal drugs. These charges can result in arrests, fines, and incarceration.

Driving under the influence (DUI) or driving while impaired (DWI) due to substance use is another common legal issue. It can lead to license suspension, fines, mandatory substance abuse treatment, and time in prison.

The Turning Point

Medical and mental health conditions often require professional care in the form of treatment programs or therapy.

Getting professional help for a substance use disorder is an important step towards recovery because it offers specialized treatment, psychological support, and a structured path to healing.

Those who begin treatment programs or therapy understand that addiction is a treatable medical condition, and seeking professional care is a positive decision.

Forms Of Substance Use Disorder Treatment

While some people who use less volatile substances may be able to handle the initial stages of recovery with minimal support, most people need professional guidance to achieve lasting results.

Choosing between inpatient and outpatient treatment for addiction is an important decision. The right choice depends on the seriousness of the addiction, individual needs, and personal circumstances.

Inpatient Treatment Programs

Inpatient treatment programs allow patients to receive 24/7 care in a structured environment. Treatment may last anywhere from a few weeks to months.

Inpatient treatment is a good option for people who have tried outpatient treatment without success. It is also a good choice for people with severe addiction who may struggle with triggers.

True inpatient treatment differs from residential treatment by offering onsite medical staff. These services often include medical detox for people who may need medication to manage withdrawal.

Outpatient Treatment Programs

Outpatient treatment is available for people with substance abuse disorders that they are able to manage without 24/7 care. This includes people with less severe cases and those transitioning from inpatient care.

Outpatient treatment allows people to continue their work, education, and family responsibilities while receiving help. This flexibility can be essential for those who cannot take a long break from their obligations.

Types Of Therapy

There are many different types of therapy that can be effective in treating addiction.

The goal of therapy in the case of addiction is to address the psychological, emotional, and behavioral aspects of the disorder.

Some popular forms of therapy include:

The choice of therapy depends on individual needs, the severity of addiction, and additional mental health conditions.

Researching Payment Options And Financial Aid

One obstacle many people with addiction face is the financial burden that comes with addiction treatment. Fortunately, there are many resources available to help make treatment more affordable.

Health Insurance

Health insurance is a valuable resource for those seeking addiction treatment. Many plans offer health insurance coverage for substance abuse treatment services.


The Substance Abuse and Mental Health Services Administration (SAMHSA) offers grants and funding to support addiction treatment across the United States.

SAMHSA grants can provide financial relief for people seeking help for substance use disorders.

Eligibility criteria for SAMHSA grants vary, but they often target underserved populations or specific communities in need.

Local Nonprofits

Many local nonprofits and community organizations are dedicated to supporting individuals in their journey to recovery.

These organizations can provide financial assistance, counseling, support groups, therapy, and other services. Research nonprofit organizations in your area that focus on addiction recovery.

Sliding Fee Scales

Sliding fee scales are a flexible payment option offered by many addiction treatment centers and clinics. These scales adjust treatment costs based on your income and financial situation.

Federal And Local Programs

Federal and local programs provide support for people with addiction. These programs vary in size and focus, addressing different aspects of addiction prevention, treatment, recovery, and support.

Housing Support

Housing support is an important part of addiction treatment. Stable and safe housing plays a large role in a person’s ability to stay sober and rebuild their lives.

There are many housing programs offered federally and locally, including sober living homes, transitional housing programs, and housing vouchers and subsidies.

Employment Support

Employment support is another important part of addiction treatment. There are many employment support programs offered federally and locally.

These programs can include vocational rehabilitation programs, job training, placement programs, job fairs, reentry programs for people who have been in prison, and legal protection.

Start Your Addiction Recovery In Massachusetts

If you or someone you love has hit rock bottom, our Bedrock Recovery Center specialists can help. Call us today.

  1. American Psychiatric Association (APA)
  2. Department Of Housing And Urban Development (HUD),permanent%20housing%2C%20whichever%20is%20earlier
  3. Help Guide
  4. Kaiser Permanente
  5. National Institutes Of Health (NIH)
  6. National Institutes Of Health (NIH)
  7. Substance Abuse And Mental Health Administration (SAMHSA)

Written by Bedrock Recovery Center Editorial Team

Published on: October 2, 2023

© 2024 Bedrock Recovery Center | All Rights Reserved

* This page does not provide medical advice.

Prefer Texting?
We've got you covered.

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.

Sign up for text support

Receive 24/7 text support right away.
There is no obligation and you can opt out at any time.
Ready to make a change? Talk to a specialist now.
(617) 657-2877
icon-angle icon-bars icon-times