1. Food & Water
I couldn't keep water down on day 1 of a home detox. Medical detox has drugs that alleviates the nausea enough to the point where even marginal hospital food looks and smells good. Plus there was (at least) at mine a cart of nutritious snacks like Special K and Nutrigrain bars that came out on the hour, complete with an assortment of fruit juices. Your body is given the nutrients to heal in medical detox. It is not in home detox.
2. Sleep
My sleep patterns typically went something like this during a home detox: up until about 1, sleep for 1-2 hours. Unable to sleep for 3-4 hours, then sleep for 4-6 hours (I've even slept as late as 9 hours, waking up at 4pm). It's not pleasant. Medical detox has medications that make sure your proper sleep schedule is reset right away so you go to sleep and are ready to participate in the following day's activities.
3. Solitude
I did nothing during a home detox. Perhaps occasionally play on the iPhone, but don't use the computer, don't watch TV nothing. I just lay on the couch with my eyes closed waiting for sleep that never comes. You are kept preoccupied constantly at medical detox with group activities, plus you meet some pretty interesting characters…Also they enforce personal hygiene, something that falls by the wayside during home detox.
4. Safety
This one should come as a no brainer, but on my last home detox, I was about 36 hours in, and I had those weird waves of alternating euphoria and anxiety that Dr. Ameisen describes as preceding a seizure in his book. I hadn't had any hallucinations prior (which is pretty much a sure bet that you will have a seizure), but nonetheless it was terrifying to lay there knowing you had a 50/50 chance of having a seizure. It was like having the grim reaper in the room with you deciding whether or not to touch you with his bony finger, then pulling it away at the last minute. No exaggeration.
HOME DETOX AT YOUR OWN PERIL.
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