At Holina, we understand that that when it comes to a long-term successful recovery, addiction treatment in residential rehab is only the beginning. But it’s such an important beginning!.
It’s time to get back to yourself.
The NeuroAffective Relational Model (NARM) is an advanced clinical training for mental health professionals who work with complex trauma. NARM is a cutting-edge model for addressing attachment, relational and developmental trauma, by working with the attachment patterns that cause life-long psychobiological symptoms and interpersonal difficulties. These early, unconscious patterns of disconnection deeply affect our identity, emotions, physiology, behaviour and relationships. Learning how to work simultaneously with these diverse elements is a radical shift that has profound clinical implications for healing complex trauma. As such, NARM is positioned to become an invaluable treatment option for the Trauma-Informed Care movement as we gain a greater understanding of the nature of adverse childhood experiences (ACEs).
This developmentally-oriented, neuroscientifically-informed model emerged out of earlier psychotherapeutic orientations including Psychodynamic Psychotherapy, Attachment Theory, Cognitive Therapy, Gestalt Therapy, and Somatic Experiencing®, and bridges traditional psychotherapy with body-mind approaches within a context of relational practice. NARM is a mindfulness-based clinical treatment, as its method is grounded in a phenomenological approach to addressing identity and consciousness of Self – who we truly are beneath these patterned ways of relating to ourselves and the world. Seen in this way, healing complex trauma is a vehicle for transformation on a personal, spiritual and collective level.
In recent years the role of self-regulation has become an important part of psychological thinking.
The NeuroAffective Relational ModelTM (NARM) brings the current understanding of self-regulation into clinical practice. This resource-oriented, non-regressive model emphasizes helping clients establish connections to the parts of self that are organized, coherent and functional. It helps bring into awareness and organization the parts of self that are disorganized and dysfunctional without making the regressed, dysfunctional elements the primary theme of the therapy.
The NeuroAffective Relational ModelTM focuses on biological and psychological development’s fundamental tasks and functional unity The NARM model:
Whereas much of psychodynamic psychotherapy has been oriented toward identifying pathology and focusing on problems, NARM is a model for therapy and growth that emphasizes working with strengths as well as with symptoms. It orients towards resources, both internal and external, in order to support the development of an increased capacity for self-regulation.
At the heart of what may seem like a wide range of physical and emotional symptoms, most psychological and many physiological problems can be traced to a disturbance in one or more of the five organizing developmental themes related to the “survival styles” rooted in childhood.
Initially, survival styles are adaptive, representing success, not pathology. However, because the brain uses the past to predict the future, these survival patterns remain fixed in our nervous system and create an adaptive but false identity. The persistence of survival styles appropriate to the past distorts present experiences and creates symptoms. These survival patterns, having outlived their usefulness, create ongoing disconnection from our authentic selves and from others.
In NARM the focus is less on why a person is the way they are and more on how their survival style distorts what they are experiencing in the present moment. Understanding how patterns began can be helpful to the client but is primarily useful to the degree that these patterns have become survival styles that influence the present experience.
Each therapeutic tradition has an implicit metaprocess. The metaprocess teaches clients to pay attention to certain elements of their experience and to ignore others.
The metaprocess for the NARM model is the mindful awareness of self in the present moment. The client is invited into a fundamental process of inquiry: “What are the patterns that are preventing me from being present to myself and others at this moment and in my life?” We explore this question on the following levels of experience: cognitive, emotional, felt sense, and physiological. NARM explores personal history to the degree that patterns from the past interfere with being present and in contact with self and others in the here and now. It brings an active process of inquiry to clients’ relational and survival styles, building on their strengths and helping them to experience a sense of agency in the difficulties of their current life.
Using a dual awareness that is anchored in the present moment, a person becomes mindful of cognitive, emotional, and physiological patterns that began in the past while not falling into the trap of making the past more important than the present. Working with the NARM approach progressively reinforces the connection to self in the present moment. Tracking the process of connection/disconnection, regulation/dysregulation in the present time helps clients connect with their sense of agency and feel less like victims of their childhood.
Using resource-oriented techniques that work with subtle shifts in the nervous system adds significant effectiveness. Working with the nervous system is fundamental in disrupting the predictive tendencies of the brain. It is a connection to our body and to other people that brings healing re-regulation. Using techniques that support increased relationships with self and others is instrumental in supporting effective re-regulation.
There are continual loops of information going in both directions from the body to the brain and from the brain to the body. There are similar loops within the lower and higher structures of the brain, that is between the brain stem, limbic system, and cortex. NARM uses both top-down and bottom-up approaches. Top-down approaches emphasize cognitions and emotions as the primary focus. Bottom-up approaches, on the other hand, focus on the body, the felt sense and the instinctive responses as they are mediated through the brain stem toward higher levels of brain organization. Using both bottom-up and top-down orientations greatly expands therapeutic options when treating Developmental Trauma.
The spontaneous movement in all of us is toward connection and health. No matter how withdrawn and isolating we have become, or how serious the trauma we have experienced, on the deepest level, just as a plant spontaneously moves towards the sun, there is in each of us an impulse moving toward connection. This organismic impulse is the fuel of The NeuroAffective Relational ModelTM.
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We have a wide selection of accommodation options available when you stay at Holina Rehab, Koh Phangan. We believe your environment and the people around you can make a big difference in your treatment and your overall well-being.
Please enquire about the pricing structure of 24/7 medically managed detox, supervised by Doctors and nurses, licensed as an inpatient hospital on the contact form below.
Holina Village is a safe and contained space designed for young people from the age of 16 to 26, who are choosing to deal with their addictions.
Specialising in healing trauma and expanding our spirit through our beautiful retreat in the ancient city of Caesarea Israel.
Holina Rehabilitation Services are also available in Europe at our new Holina Youth Village in Cyprus where we welcome the younger generation who have addictions and more commonly online and behavioural addictions. We also cater for the corporate and business world with our Spiritual Retreats at our forthcoming location on Koh Phangan Island.
Holina’s holistic approach brings to life a broad and healthy view that meets the 6 primary human needs – certainty, significance, variety, love/connection, growth and contribution.
At Holina, we use this framework to provide a solution to the full range of addictive symptoms, while investing in the most beautiful location for recovery you’re likely to find in Asia and beyond. with the highest quality and prestigious facilities available.
Holina’s holistic approach brings to life a broad and healthy view that really meets the 6 primary human needs – certainty, significance, variety, love/connection, growth and contribution.
At Holina, we use this framework to provide a solution to the full range of addictive symptoms, while investing in the most beautiful location for recovery you’re likely to find in Asia and beyond. with the highest quality and prestigious facilities available.
This, combined with some of the world’s leading addiction specialists are some of the key components that lead to our client’s long term success.
The Holina therapeutic program is a combination of physical, cognitive, mental, behavioural, emotional and spiritual functionally alongside practical socially supportive activities and learnings.
If the substances you consume, or your behaviour or attitude is getting you into trouble or having a negative impact on your life, Holina Rehab may be an important option for you to consider. Not only will we provide you with the tools that you need, but we will also give you access to customized levels of treatment that will enable you to literally reinvent your life.
We treat the disease of addiction, which incorporates all substance dependencies, including alcohol, cocaine, crack, crystal meth, ketamine, heroin, methadone, Subutex, morphine, benzodiazepines, barbiturates, psychedelics, ecstasy, solvents, and legal (prescribed) medication addictions, as well as other process and behavior addictions such as sex, love, gaming, gambling, internet or technologies, shopping, food, exercise and co-dependency. We believe that addiction is a disease of the mind, from which we can recover, one day at a time.
We are a residential rehab experience, with a minimum of one month commitment. People are not permitted to come by and visit or look around unless an appointment has been made. This is to protect the privacy and the space for our residents and to keep them safe. We are not a day care facility or outpatient service. We only serve those people looking for a fully immersive experience.
Our minimum commitment is 4 weeks. Even considering that it’s possible to overcome an addiction with any long-lasting effect for any shorter period is simply unrealistic, and likely unethical. Whilst our minimum commitment is 4 weeks, many, probably most of our residents stay 6 to 8 weeks and some up to 12 weeks (the full program length).
We will discourage this until after week 9. Whilst it may be nice to think that your family are supportive and want to encourage you, it’s a huge distraction from treatment for the individual, and our collective observations (in other facilities) are that in over 66% of these visits it leads to disruption, early self-discharge, and often relapse. That said, please know we’re a treatment centre driven by your success and we do know that your success is significantly improved when family members are engaged in their loved one’s recovery. So if you would like to organise either a zoom call with your family and your primary therapist, or an actual family visit on site, we would encourage this towards the end of your treatment experience.
We appreciate that you will be away from your loved ones for fairly long periods of time and that connection to them is important. Sometimes work or business calls are important to you. We will always find ways to help you facilitate these relationships. We have super-fast internet, and all the bedrooms have Smart TVs running YouTube and Netflix etc.
It is our policy that in today’s modern world, our residents need to find recovery with their smart devices to hand. We are against hiding technology from our residents as it’s a useful tool to support our recovery as well as our lifestyles.
Therefore, unless you specifically require a digital detox, you can use your phone, pad and laptop in your room outside of the scheduled structure and groups, meaning that you can use your devices before morning activities, after the daily groups, and even in between the scheduled program (for instance, lunchtime) should you choose to.
Yes you may. Whilst we’d love to encourage you to quit whilst youre with us, we acknowledge that many people still smoke So you may smoke on the balcony of your room, or in the dedicated smoking sala in the lounge area.
Koh Phangan is a warm climate all year round. It is typically in the low to mid 30s*c / low 90s*f during the day, and at night it rarely goes under 23*c / mid 70s*f Sometimes it rains, usually for up to 30 minutes, which serves at cooling down the air. Occasionally it may rain for longer periods (typically in October or November), though this doesn’t interfere with treatment particularly.
Pack as if you were coming on holiday to a tropical paradise island in Thailand – which, of course you are. Summer style clothing is recommended (light shirts, T-shirts, shorts, comfortable shoes, sneakers, flip flops / sandals, etc, light, breathable clothing and swimwear for the pool and the beaches. Most of us wear underwear, shorts, T-shirts / Tank Tops / Vests, sneakers, sandals & tongs / flip flops. Active wear for workouts and other fitness activities including swimming, sports shoes, and light wear for yoga. We do physical activities almost every day, so bring a few pairs to allow for laundry times.
There is no need to dress formal or smart. Everything is relaxed, comfort focused and easy going. We have a safe to keep your valuables in, but expensive jewellery and other luxury items are unnecessary. Toiletries: Please bring your own toiletries and hygiene products, such as toothbrushes, toothpaste, shower gel, shampoo, conditioner, shaving materials, basic makeup, hairbrush, etc. Anything you forget we can purchase from local shops.
Medications: You are allowed to continue using your doctor-prescribed medications while in rehab, but please do bring proof of your prescription. Please keep all your pills in the original packaging so that they are not to be unauthorized narcotics.
Kindly do not bring the following: Alcohol or drugs: It might seem self-explanatory, but some clients may try to sneak in a last-minute hit, fix, pill, can, bottle, etc. Your bags and belongings will be searched when you arrive at Holina. Alcohol or drug paraphernalia: This includes anything that advertises or glorifies the use of alcohol or drugs. This should also include items that display support for criminal acts including terrorism, sex, gambling, or other negatively perceived notions that could upset other residents.
Weapons: There is absolutely no need to bring any knives or weapons with you to Thailand or to treatment. They will be confiscated and destroyed. Toiletries that contain alcohol: Leave any alcohol-based products at home, such as certain mouthwashes, nail polish remover, perfumes, and aerosols.
We have 2 main Chef’s (supported by 2 other Thai chefs) – a Meat focused one and a Vegan Chef. You can advise us of any of your specific dietary needs and we can manage them. We’re used to having people with all types of needs. Nothing unusual there.
Our prices are all inclusive and dependent upon the style of room you choose – shared, single occupancy or private plunge pool villa. You can view our prices here
We don’t have any hidden costs, though there are some costs that should be aware of. We pay for any psychiatric assessments and other mental health professional visits. We ask you to pay for anything non detox or mental health related, including your medications.
We also ask that you have travel or medical insurance in place before you come to us. This is really for any non-detox or psychiatric related problems, like if you fall over and break your arm, or some other uncalculated trip to accident and emergency.
We don’t pay for your flights to and from Koh Samui Airport (USM), but we do cover the cost of getting you from the airport to Holina and we will pay for your return to the airport unless you check out against clinical advice. Typically, our clients spend between US$50 and $75 per month on personal items, such as snacks, sodas, cigarettes, some toiletries, etc, but it’s not necessary to spend any more. Even gift buying on this island is relatively cheap compared to the rest of the world.
At this time, residents of most countries around the world are able to come into Thailand and achieve a visa upon entry. We will advise you on this process. It’s very straight forwards.
If you extend your treatment and need a longer visa then we will take care of this for you, and in most instances we will pay for all your visa extensions too.
Currently, there are no requirements for any vaccines to come into Thailand. This includes COVID vaccines or any other historical vaccines previously required. So please don’t worry about this, unless you specifically want to be extra vaccinated.
Holina Addiction Treatment Center
Koh Phangan – Thailand
At Holina, we understand that that when it comes to a long-term successful recovery, addiction treatment in residential rehab is only the beginning. But it’s such an important beginning!.
It’s time to get back to yourself.
© Holina Rehab Koh Phangan 2024