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What stays with me about Mr. B is how a man who walked in gripped by fear and severe dependence managed, step by step, to become a calm and reliable presence not only for himself, but for everyone around him.
Arrival and Presenting Issues
Mr. B, a 49-year-old gentleman, admitted himself into Siam Rehab Thailand in January 2025. On arrival, he presented with severe heroin dependence, severe crack cocaine use, and severe benzodiazepine abuse. In addition, he struggled with severe depression, social anxiety/phobia, and general lifestyle issues that had long been creating obstacles in his life.
He arrived feeling desperate, lost, and fearful about being in a clinic so far from home. On admission, he saw the doctor and was prescribed a tapering medical detox. Despite his fear and anxiety, he showed determination and motivation to engage positively in the program.
Past Recovery Efforts
This was not Mr. B’s first attempt at treatment. In 2018, he had completed a 10-week program overseas and maintained sobriety for six years by attending meetings, working with a sponsor, and committing himself to recovery. However, after a heavy relapse, he tried an outpatient program and weekly sessions with a psychologist. Despite these efforts, he continued to struggle before reaching out to Siam Rehab.
Engagement in Treatment
At first, Mr. B’s social anxiety made it difficult for him to trust me, my colleagues, his peers, and the program. Over time, however, he gradually opened up. He engaged actively in all therapeutic groups, SMART Recovery, and Dharma meetings. He developed a strong interest in mindfulness and meditation, practicing daily, and also committed to gym activities and healthy eating.
In our one-to-one sessions, he was honest and diligent, completing all assignments and therapeutic tasks. He became a valued member of the community, supportive of peers, and receptive to feedback. His willingness to help others made him a source of encouragement and inspiration within the group.
Program Extension and Growth
Recognizing that six weeks would not be enough to fully prepare himself for life outside, Mr. B applied for a program extension. He was prepared to cover the costs himself if necessary, though his medical insurance ultimately supported the extension. He stayed for a total of ten weeks, making remarkable progress.
During his stay, Mr. B overcame much of his social anxiety, grew in confidence, and was even appointed as the peer group house leader, a role he carried out with distinction. By the time he completed the program, he was no longer the anxious and fearful man who had first arrived — he had become grounded, confident, and hopeful.
Life After Rehab
Since returning home, Mr. B has stayed in touch. He was welcomed back eagerly to his former job, now as a sober and reliable employee. He has also strengthened his relationships with his mother and sister, both of whom are very supportive of his recovery.
He continues to attend recovery meetings, works closely with a sponsor, and lives a motivated and fulfilling sober life. Today, Mr. B finds joy in simple, everyday things — going to work on time, maintaining his recovery routines, and surrounding himself with people who support his growth.
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