FAQ’s – Alcohol Addiction

What is HRI™ Alcohol Detox?

HRI is at the core of our sedation-assisted alcohol detoxification. The HRI method of alcohol detox was developed over a period of years with ongoing refinement and enhancement to our existing processes. In the comfort of an office-setting, a board-certified anesthesiologist tailors a pharmaceutical regimen containing a sequence of medications, custom designed to each client’s specific needs and underlying state of health to initiate the detoxification process.


HRI technique is the approach to treat alcohol based on a fundamental method designed to stabilize a patient who presents with a history of alcohol addiction or desire to curb their alcoholic cravings.


We insert an intravenous line and start an infusion of fluids and a combination of vitamins, minerals, electrolytes, and other essential elements and medications. Alcoholic clients can be profoundly malnourished and typically depleted of crucial components of thiamine, folic acid, and other fundamental nutrients. These vital items MUST be thoroughly replaced before any treatment begins to avoid any additional risk of alcoholic-related complications. When started, the effects of alcohol are removed and a combination of anti-craving drugs given before and during the detox procedure is concluded before the patient regains awareness in a precisely orchestrated fashion.


Outpatient detoxification procedure is a safe and effective alternative to an inpatient detoxification. We screen the patient to make sure they are appropriate for this outpatient detoxification. The alcohol detox process begins with completion of apre arrival medical screening questionnaire followed by a thorough medical evaluation by the physician. The evaluation includes a medical interview, physical examination, laboratory panel, urine drug testing, EKG, blood alcohol level detection using a breath analyzer, and other assessments that may be deemed crucial.


Typically, clients can resume their daily routines within the first few days after starting the detox procedure. Completion of the detox is defined as being medically stable and no longer experiencing significant withdrawal symptoms after the essential detox medications are discontinued. Upon completion, clients are returned to the care of their community physician, behavioral specialist, and encouraged to enroll in an on going outpatient treatment program. We strongly suggest some form of aftercare support program e.g. AA.

What is Dual Diagnosis Therapy (DDT)?

HRI alcohol detox and Dual Diagnosis Treatment (DDT) programs provide integrated, simultaneous dual diagnosis treatment for clients with major mood disorder [i.e. major depression, severe anxiety] and alcohol abuse. Studies show that nearly 66% of individuals with a substance abuse issue have concurrent mental health issues. By providing treatment for all issues, in a full and highly individualized manner, HRI assures clients of the best chance for recovery.


A dual diagnosis means that someone has a substance abuse issue that is present along with mental health issues. For some individuals, the uncomfortable or distressing emotional and mental symptoms led to using drugs or alcohol. Other clients developed mental health issues, such as anxiety or depression, during the course of their addiction. Co-occurring mental health conditions that are commonly seen with drug and alcohol abuse include:


  • Anxiety
  • Depression
  • Panic Disorder
  • Obsessive Compulsive Disorder (OCD)
  • Post-traumatic Stress Disorder (PTSD)
  • Bipolar Disorder

Is HRI Alcohol Detox Safe?

A number of factors contribute to the overall safety of sedation-assisted alcohol procedure. These include being treated by an experienced and knowledgeable “Board Certified” physician who is present during the vital portions of treatment, the shortest amount of time possible while under sedation, access to proper medications and equipment, and the most dedicated support staff available. As a seasoned anesthesiologist, Dr. Huraibi, takes great interest in his client’s comfort and safety. This is why our patient satisfaction record is second to none! If you don’t believe us come and see and you’ll know quickly why people feel that Dr. Huraibi is the most compassionate and skilled physician known in his field of medicine.

Are there any Risks or Side effects?

As with any procedure, there are always some risks involved. It is possible that clients can experience severe withdrawal symptoms and possibly even a seizure. This can also happen in a hospital setting or in the best of hands. Recognizing these facts, a board-certified physician well versed in the complications of alcohol addiction is always physically present and directing care during the most critical periods of one’s treatment. Medications are given to ensure that severe withdrawal reactions do not occur and if they do, immediate intervention is available. In this event, once the situation is stabilized, it is still possible our client will still need to be hospitalized if their withdrawal experience was shown to be severe.

Will I Be Awake During the Detox Procedure?

Yes and No. Your board-certified anesthesiologist will do his utmost to keep you comfortably asleep during the detox process, but because responses vary from client-to-client, gentle voices might be overheard while still in a tranquil state of mind. Also, you will NEVER be left unattended as your entire medical team, including your anesthesiologist, remains at your side until your detoxification procedure is safely completed.


Unlike our proprietary alcohol detox program, traditional rehab facilities offer their clients an experience that extends itself for weeks while the agonizing discomfort of alcohol withdrawal is felt.

How Many Days is the Treatment Program?

Two days. Why? During these 48 hours, the patient is at greatest risk for complications once discontinuing alcohol occurs in the absence of counteracting and neuro-protective drugs. Therefore,


  • DAY 1(FRI - Arrival)- is devoted to taking an extensive history, undergoing a thorough physical examination, diagnostic testing, blood work, dispensing of alcohol deterrent and seizure preventing medications, and IV replenishment therapy consisting of essential vitamins and minerals necessary to help prevent severe neurologic and cardiovascular complications caused by alcoholic-related malnourishment.
  • DAY 2(SAT - Detox, Recovery) - you will be admitted to your private room for roughly 6 hours where you will have your alcohol detox procedure followed by additional monitoring, rest, further hydration and vital element replenishment, and discharge planning to your private hotel room where your physician and care team will remain until your discharge the next day.
  • DAY 3(SUN - Aftercare, Discharge Planning) - a post-detox consultation will be conducted first thing in Sunday morning with your treating physician. During this time, most clients are comfortable and safe enough to travel with their companion, if you have come from afar, or return home with a responsible adult, if you reside locally. We will maintain close communication and continue receiving instructions while on your treatment regimen.


During your stay, we observe and monitor for any harmful alcohol withdrawal syndrome [e.g. seizures and cardiovascular arrhythmia] while continually optimizing your condition.

How Long Should I Be on Relapse Prevention Medication?

We strongly believe that clients should be on a relapse-prevention medication therapy for at least 6 to 12 months. This provides a long enough period for the brain to heal and for clients to start making the necessary changes in their lives to adapt to a life of sobriety and clarity and effectively integrate back into society.

How to Prevent Alcohol Addiction Relapse?

A variety of safe and effective medications have become available on the market making HRI alcohol detox possible. These drugs help ease withdrawal symptoms, reduce cravings, and prevent relapse to alcohol.


Alcohol recovery is a process in which both physical and a psychological component need to be addressed. Our treatment program offers our clients continual therapy with FDA-approved medications that deter addiction relapseand/or reduce the craving of alcohol for those who want to curb their alcoholic intake. Each day is a new opportunity to learn and recommit to sobriety, so that you’ll be less likely to relapse in the future.


Simply stated, as long as you stick to the plan by taking our prescribed, non-habit forming medications, your body will resist the urge to drink, and if you continue to take your medicine as directed, you can expect to be alcohol-free for the rest of your life. Let us show you how!

What Is The Cost of Alcohol Addiction?

Although it is impossible to put a dollar figure on the total cost of addiction one thing is certain, however - addiction is expensive. Most people don’t realize the true cost of addiction because it is a slow insidious drain on finances, friendships, careers and eventually…life itself. Take time to inform yourself about the economics of addiction to understand how substance abuse will impact your financial health for years to come.


  • Money Spent: The actual cost of buying drugs, alcohol or even cigarettes adds up fast. This information is based on the purchase of an inexpensive domestic six-pack of beer (pre-tax). Other forms of alcohol, such as wine, whiskeys, rum, and liqueurs cost significantly more.
  • Loss of Productivity: The economics of addiction don't stop with the purchase price alone; substance abuse is associated with increased absenteeism from work, fewer promotions and increased risk of unemployment.
  • Lifestyle: The time spent searching for drugs, using drugs, recuperating from the use of drugs and then repeating the cycle could be better spent learning new skills to increase job opportunities, exercising to take better care of one’s health, spending quality time with friends and family, or simply involving in faith-based ventures.
  • Illness: Drug and alcohol abuse eventually result in higher medical bills, increased risk of injuries and illnesses directly – or indirectly – related to addiction, and long term loss of earning capacity due to illness, disability and medical costs.
  • Insurance: Plan to pay more for almost every type of insurance ranging from car insurance to health insurance due to substance abuse. The average person dealing with an addiction is charged with 1.4 DUI’s that result in increased car insurance rates of up to 300 percent – if not outright cancellation. Co-morbidities, illnesses and injuries caused by intoxication further increase the cost of all types of insurance leaving the entire family more susceptible to all kinds of accidents, injuries or other financial downturns.
  • Legal Bills: In addition to increased insurance rates, DUI’s, arrest warrants and other legal problems are common among those that abuse drugs or alcohol.
  • Loss of Earned Income: Substance abuse is strongly correlated with dropping out of school – whether high school or college – creating a lifelong loss of earned income. Worse, social security and retirement benefits are correlated to earned income so the loss of annual earnings will impact retirement.
  • General Money Problems: Late bills, higher interest rates and bad credit scores are common problems. It only makes sense; money that should go toward paying down debt goes toward buying drugs instead, accidents and higher insurance rates result in increased charges for buying everything from a new car to qualifying for a mortgage. Not only does it hurt the person suffering from the addiction but impacts the lives of spouse, parents and children for years to come.
  • Add it Up: Take time to tally the results from each of the above areas to understand the real threat to your financial future. The sooner treatment begins the better the chance for success. Early intervention reduces the risk of an illness, injury, increased legal and insurance rate, and completion of educational or professional goals.
  • Compare: The cost of treatment amounts to very little when compared to the big picture; the difference in annual income for one single year between finishing school and failing to complete a degree more than compensates. Even using the most conservative estimates, the economics of addiction creates a devastating financial impact for years to come. The cost of treatment often amounts to only a few weeks or months of use when the total impact is calculated. Finally, add to that the cost of lost jobs, broken homes, alimony and child support, increased healthcare costs as the addiction erodes your health, and the numbers really start to add up. Addiction is incredibly expensive, in monetary terms, and in the price you pay in your lifespan, your family, your career and your personal satisfaction with your life.

What Does Our Program Cost?

Paying For Treatment


  • All-inclusive, $9,500 USD*


Accepted Forms of Payment:


  • Cashier’s Check
  • Certified Check
  • Money Order
  • Wire Transfer
  • Cash
  • Personal Check**


NOTE: Because of the high demand and very limited spots available, we are required to charge a cancellation fee. Our specialists and staff members have been hand-selected to provide you with the best possible service. Their support and commitment requires a premium in order to retain their availabilities on a regular basis.

What Exactly Is Alcoholism?

Alcoholism is not an easily definable term, which is why it is now called Alcohol Use Disorder (AUD), instead.


AUD defines a person with habitual and excessive drinking habits, many unsuccessful attempts to stop, and describes their continued drinking despite adverse consequences to health, responsibilities, and personal values.


Men are two to four times more likely than women to become alcoholics. The disease is divided into two categories: alcohol abuse and alcohol dependence.


Alcohol abuse, people have tendency with binge drinking (consuming six or more alcoholic drinks in one sitting), as well as engaging in risk-taking behaviors such as drinking, driving, and unprotected sex.


Alcohol dependence is even more serious. People who are dependent on alcohol lack the ability to voluntarily cut dowbor stop drinking. They develop a physical tolerance, so that they require increasingly large amounts to become intoxicated. They also develop withdrawal symptoms, including rapid heartbeat, anxiety, and even seizures, when they try cutting down or stopping altogether.

How Is Alcoholism Diagnosed?

There is no one test that can medically diagnose alcoholism. Doctors can identify the physiologic signs of long-term alcohol abuse through a physical examination and blood tests. They may also ask the patient questions about his or her drinking habits, using a standardized questionnaire, and explore for psychological signs. Since many alcoholics are in denial about their problem, doctors may ask the patient’s permission to speak with family and friends as well.

What Are The Causes Of Alcohol Use Disorder (formerly known as Alcoholism)?

Alcohol Use Disorder (AUD) reflects an inappropriate and harmful relationship with alcohol. AUD can develop when repeated drinking alters the brain’s chemical levels that support a feeling of well being, which can lead people to compulsively consume alcohol to restore positive or avoid negative emotions. There is no known single cause of alcoholism, or AUD, but several risk factors appear to play a role, including:


  • Having An Alcoholic Parent
  • Ongoing Depression or Anxiety (sometimes called "self-medicating" for depression)
  • Desire For Social Acceptance
  • Chronically High Levels Of Stress

What Are Some Behavioral Signs of An Alcoholic?

The signs and symptoms of alcoholism are often individualized, but may include:


  • Drinking alone or in secret
  • Being unable to limit the amount of alcohol consumed in spite of desire or intentions to not drink, or to drink only ascertain amount
  • Feeling of compulsion to drink
  • Insomnia
  • Anxiety, depression, and/or irritability
  • Frequent falls and bruises
  • Blackouts (inability to remember what occurred while drinking)

Who is Likely to Become an Alcoholic?

  • An estimated 5 - 10% of male drinkers and 3 - 5% of female drinkers are dependent on alcohol.
  • People who consume more than 15 drinks a week for men, or 12 drinks a week for women are more likely to become an alcoholic.
  • Men are more likely than women to be alcoholic, as are people who start drinking before age 16.

What Are Some Signs & Symptoms of Alcohol Withdrawal Syndrome?

These symptoms occur due to central nervous system hyperactivity. Typical symptoms include:


  • Mental symptoms like confusion, irritability, mood swings, depression, nightmares and anxiety or agitation.
  • Physical symptoms like tremor and shakiness, headache, clammy skin, loss of appetite, nausea and vomiting, insomnia, fast heart rate, sweating and pallor


More severe symptoms Include:




Hallucinations can be visual, tactile or auditory. If present, these typically occur between 12 to 24 hours after your last drink.




  • Seizures are usually generalized tonic-clonic, and if present, typically occur within 24 to 48 hours after your last drink.
  • Roughly 2 to 3% of people in alcohol withdrawal will experience a seizure. You are most likely to have a withdrawal seizure if you’ve previously had a withdrawal seizure.
  • Other significant risk factors for seizure include having had 3 or more significant periods of alcohol withdrawal, having drunk for 2 decades or longer, having a history of head injuries, being in poor health, being malnourished and presenting with an electrolyte imbalance.


Delirium Tremens


Severely altered mental functioning, extreme confusion, agitation characterize DTs, hallucinations and delusions, and usually occur within 24-72 hours after your last drink.


The Timeline


  • You can start experiencing alcohol withdrawal symptoms from 6 to 8 hours after your last drink, or in serious cases, whenever your blood alcohol level falls below a certain point.
  • For most people, symptoms will intensify to a peak at between 24 and 48 hours and then dissipate between 3 to 7 days from your last drink.
  • Though acute withdrawal symptoms dissipate within a week, protracted or subacute withdrawal symptoms, such as insomnia, irritability and cravings can persist for many weeks.

Am I at Risk of Severe Withdrawal?

In addition to an elevated CIWA-Ar score, other signs that indicate a risk for complicated withdrawal include:


High-risk signs (at presentation)


  • Having a body temperature of 101 Fahrenheit or greater
  • Having a pulse rate of 115 or greater
  • Having a systolic blood-pressure measurement of 170 or higher
  • Experiencing alcohol withdrawal symptoms when blood alcohol levels drop to 0.15 or higher

What Are The Stages of Alcohol Withdrawal Syndrome (AWS)?

1 MILD: Anxiety, tremor, insomnia, headache, palpitations, gastrointestinal disturbances.

2 MODERATE: mild symptoms plus diaphoresis, hypertension, tachypnea, tachycardia, confusion, and mild hyperthermia

3 SEVERE(delirium tremens): - moderate symptoms plus disorientation, impaired attention, hallucinations, and seizures

What Are The Additional Risk Factors For Complicated Withdrawal?

  • Stopping after a period of drinking 13 or more units per day (standard beer or equivalent)
  • Having a history of needing to drink in the mornings to stave-off withdrawal symptoms
  • Abusing both alcohol and another substance – particularly benzodiazepines
  • Having a history of complicated alcohol withdrawal
  • Being older

Long-Term Alcoholism Can Result in What Kinds of Medical Conditions?

  • Nerve damage
  • Pancreatitis
  • Cirrhosis
  • Heart disease
  • Seizures
  • Confusion and hallucinations
  • Malnutrition
  • Bleeding ulcers
  • Muscle Wasting
  • Ascites

What Are The Signs of Alcoholism And Its Dangers?

Here’s a common attitude…”I’ll tough it out and detox at home and if things get too serious, then I’ll just head to the ER.”


Things can deteriorate rather quickly than you might realize, which exposes you to a lot of very avoidable risk. Here are for good reasons to get a physician involved right from the start:


  • Alcohol withdrawal can kill you, so it’s worth taking this matter seriously.
  • Though you may think you could just head to the ER if needed, withdrawal symptoms can go from moderate to life threatening quickly and without warning.


Severe Alcohol Withdrawal Can Lead To Life Threatening Delirium Tremens:


  • Roughly 5% of people presenting with alcohol withdrawal symptoms will progress to a syndrome known as the delirium tremens, or DT’s. Left untreated, DT’s have a 15 -20% fatality rate, but with appropriate treatment, that rate falls to between 1 - 5%.


DT’s are only one of many life-threatening scenarios to worry about. Other life threatening complications can include:


  • Accident trauma (you fall over and bang your head)
  • Severe dehydration and electrolyte imbalance
  • Seizures
  • Alcohol withdrawal symptoms combining with other conditions, such as diabetes, kidney disease or other acute infections


Problematically, alcohol withdrawal symptoms can change quickly – going from mild to severe within a period of hours, not days.


Since symptoms can change quickly, and since you could go from moderate discomfort to life-threatening distress within a few hours, it’s important that anyone at risk of serious complications start out under medical observation, receiving medications that can stop serious symptoms before they get started.

What is the Selection Criteria for Outpatient Alcohol Detox Therapy?

Individuals that exhibit symptoms or signs or have certain medical conditions may not be eligible for HRI’s Alcohol Detox Program. Our screening questionnaire will aid us in identifying who is at high risk and would benefit from inpatient detoxification program, instead.


ABSOLUTE Contraindications:


  • Coexisting acute or chronic illness requiring inpatient treatment
  • Current severe alcohol withdrawal, especially with delirium tremens present
  • No possibility for follow-up
  • No reliable contact person to monitor the patient
  • Pregnancy
  • Seizure disorder or history of severe alcohol withdrawal seizures
  • Suicide risk


RELATIVE Contraindications:


  • Coexisting benzodiazepine dependence
  • History of unsuccessful outpatient detoxification
  • High risk for severe alcohol withdrawal or Delirium Tremens
  • Age > 40 years
  • Heavy drinking > 8 years
  • Drinking > 100 g of ethanol daily (e.g.,about one pint of liquor or eight 12-ozcans of beer)
  • Symptoms and signs of withdrawal whennot drinking
  • Random blood alcohol concentration e.g. >200 mg/dL
  • Elevated mean corpuscular volume (MCV)
  • Elevated blood urea nitrogen (BUN)
  • Cirrhosis

Is My Information Kept Confidential?

Our treatment program is completely private and confidential. All medical records are held in strict confidence. Because of the strict confidential policy and practice, many professional people such as doctors, corporate executives, administrators, lawyers, nurses, law enforcement officers, sport figures, and celebrities have traveled to us from all over the country and the world to have their treatment in our center. At HRI, your confidentiality is our highest priority as you overcome your alcohol and drug addiction and dependency.

How Can I Reach Your Office If I Am From Another Country?

We can always be reached by email at info@huraibiMDPLLC.com. By phone, please visit www.countrycodes.com to search for your country's international country code used for long distance calls.

Can I Use My Phone or Computer?

YES. At HRI, we understand that people have other important matters to deal with. Not being able to keep in touch with your office and family could cause a considerable amount of stress. All we ask is that you turn off your mobile phones during immediate recovery phase and meal times. There is Wi-Fi at our office and at the hotel.

Can I Bring an iPod, iPad, e-Reader, Laptop, or Books?

YES. Your room will also have TV and selection of movies if you chose to watch. You may also bring in your favorite DVDs to watch in your room.

Is There A Doctor On Full-time?

YES. Our Medical Director and entire medical support team will be present during every phase of your treatment including being at the hotel until you are safely and comfortably discharged home.

What Can’t I Bring?

Illegal drugs or alcohol, aftershave and mouthwash containing alcohol, any medication that you don’t have a prescription for. Please bring your prescribed medication in a sealed container with the original prescription attached.