{"id":244109,"date":"2024-07-30T18:31:45","date_gmt":"2024-07-30T16:31:45","guid":{"rendered":"https:\/\/www.monaco-tribune.com\/?p=244109"},"modified":"2024-08-06T13:18:57","modified_gmt":"2024-08-06T11:18:57","slug":"neoviva-a-new-life-beyond-addiction","status":"publish","type":"post","link":"https:\/\/www.monaco-tribune.com\/en\/2024\/07\/neoviva-a-new-life-beyond-addiction\/","title":{"rendered":"NEOVIVA : a new life, beyond addiction"},"content":{"rendered":"\n

A luxury hotel, with a picture postcard view of Lake Lucerne, may seem more suited to a celebrity wellness retreat than a psychiatric clinic. And yet that is where NEOVIVA\u2019s Oliver Neubert and his team of professionals help a handful of clients at a time get their lives back. Monaco Tribune spoke with the clinic\u2019s founder and chairman about its exclusive and somewhat unique addiction treatment in Vitznau, Switzerland.<\/strong><\/p>\n\n\n\n

What is an addict?<\/h2>\n\n\n\n

\u201cThere\u2019s a whole bunch of diagnostic criteria,\u201d says Neubert. But for us, only one is relevant. It\u2019s when you begin to experience negative consequences, and the use continues in spite of that. If you can\u2019t fix that yourself, you need help. That\u2019s when we come in.\u201d<\/p>\n\n\n\n

Not a \u2018rehabby thing\u2019<\/h2>\n\n\n\n

\u201cWe\u2019re not one of these \u2018rehabby things\u2019 run by people in recovery. We\u2019re a fully licensed medical, psychiatric clinic. We\u2019re abstinence-oriented but are not dogmatic about it. Of course, while clients are on site, they need to remain abstinent.\u201d<\/p>\n\n\n\n

\u201cNEOVIVA\u2019s residential setting within a private section of a public hotel is purposefully chosen to mirror real-world scenarios where clients are confronted by triggers such as social gatherings and alcohol consumption,\u201d reads their website. In other words, NEOVIVA bursts the \u2018rehab bubble\u2019 provided by most addiction rehabilitation facilities: controlled environments free of any triggers. \u201cWhen clients come out, real life hits them, triggers everywhere, and I have seen a lot of people relapse the moment they leave the safety of the rehab bubble\u2026 \u00ab  says Neubert.<\/p>\n\n\n\n

NOT at NEOVIVA. Due to the setting in a hotel, clients are naturally exposed to triggers; they live among other hotel guests in a social setting, but clinic staff are always on hand to help them learn how to deal with the triggers they experience. \u201cThat\u2019s why we have some staff who are in recovery, some with 30 or more years of abstinence: we understand the client,\u201d explains Neubert. To hotel guests, NEOVIVA\u2019s clients are just a group with dedicated conference rooms. There is no indication of NEOVIVA\u2019s presence and what they do. Discretion and anonymity is guaranteed.<\/p>\n\n\n\n

\u201cOur treatment delves into the medical, psychotherapeutic, social, and philosophical aspects of our clients’ lives, guiding them through profound questions of meaning and purpose,\u201d says Neubert. And purpose is something people can lose when they retire\u2026<\/p>\n\n\n\n

Business leaders, wealthy expats\u2026 living the dream?<\/h2>\n\n\n\n

\u201cIf I were to paint the typical expat picture of someone at risk, it\u2019s someone who has worked really hard all their life, become successful, built a life\u2026 they sell or hand over the company, move to paradise to live the life they deserve \u2026 and then what?\u201d says Neubert. Most business leaders are driven and perhaps feel defined by their professional lives. \u201cSo, when it all stops – they lose purpose.\u201d It can be challenging not to feel needed any more. When the initial \u201cyou can sleep late and play golf\u201d wears off, \u201cyou\u2019ve lost most of your social connections because they were work-related, perhaps moved to a new location\u2026 you meet new people through social functions where alcohol is invariably involved.\u201d <\/p>\n\n\n\n

Alcohol is the number one cause of death worldwide for 15 to 49 year olds, according to the World Health Organisation. \u201cAnd yet it\u2019s so integrated into our society,\u201d observes Neubert. \u201cAlcohol is an anxiolytic, reducing social anxiety, so you can get over yourself and talk to people!\u201d <\/p>\n\n\n\n

A long-time abstinent himself, having kicked an up to 4-bottle a day vodka habit, he is \u201cnot against alcohol, I’m not on a mission. But [expats] start to drink to help them deal with not being needed. The nice glass of wine in the beautiful home makes them feel relaxed, no responsibilities\u2026 and the lingering feeling of \u2018what am I doing with my life\u2019 is just kept down with the alcohol. Or if they start to feel the pressure of that feeling, alcohol helps too.\u201d Especially if they had already started to drink to cope with professional pressures\u2026 \u201cWhile they\u2019re working they may actually control themselves more, but once they retire they can slide into addiction due to a feeling of disconnectedness to their old life.\u201d  <\/p>\n\n\n\n

\u201cBeing part of the wealthy expat community, always needing to be respected and expected to throw the really good parties, to always be sociable and the prototype of the happy, wealthy expat, creates its own unique stress through constant social comparison. Nobody is interested if you are not doing well \u2013 so you put on a happy face and \u201clive the dream\u201d. But when the party is over and the guests have gone home, then what? You are alone, and the feelings of disconnectedness come back.\u201d<\/p>\n\n\n

\n
\"\"
Oliver Neubert, Chairman and founder of NEOVIVA. \u00a9 Manon Barbier<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n

Stigma<\/h2>\n\n\n\n

Many Monegasques or residents are successful business leaders in a competitive environment, used to being in control and with a reputation to uphold. Perhaps they fear addiction will be perceived as a weakness?<\/p>\n\n\n\n

Oliver Neubert agrees. \u201cThere is huge stigma, but not just from society or the people around them, the biggest one is self-stigma: \u201cI’m not an alcoholic, like those guys on the park bench with the brown paper bag,\u201d whether the person is successful through business or \u201cjust inherited a pile of money, which brings its own challenges.\u201d <\/p>\n\n\n\n

The clinic receives more applications than it can handle, as only 5 clients are treated at a time. How do they prioritise, and how long do people typically stay? <\/p>\n\n\n\n

\n

\u201cMost places take anybody who pays. We don\u2019t.\u201d<\/h1>\nOliver Neubert, Chairman and Found<\/em>er of NEOVIVA<\/cite><\/blockquote>\n\n\n\n

\u201cThose are good questions. Part of our initial consultation is to determine \u2018Are we the right people to treat you?\u2019 I’m sorry to talk negatively about some of my colleagues, but most places will take anybody who pays. We don\u2019t. We only propose treatment when we are convinced we can help this person in the long-term. If we realise we are not the right place for them, be it due to our setting or financial reasons, we try to help find something that suits them. So yes, we do some triage. And we do get a lot of enquiries, but we\u2019re also not cheap. Treatment with us is about 30k USD a week. It\u2019s expensive,\u201d he concedes, \u201cbut if you compare it to private psychiatric care in Switzerland for foreigners, we\u2019re not far off. Besides, if you compare it to the damage and cost of the addiction in their lives, it\u2019s not a bad deal. Commonly a six-week stay is recommended. It sounds long, but if you really want to get well, that\u2019s what it will take.\u201d In most cases, it is only when treatment begins that the true depth of their issues is revealed.<\/p>\n\n\n

\n
\"\"
A dream location in which to recover – photo courtesy NEOVIVA<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n

\u201cDetox is the easy part\u201d<\/h2>\n\n\n\n

Clients first receive a full checkup at a partner hospital, including a brain MRI, and detox under NEOVIVA\u2019s medical guidance if necessary, only entering the hotel when cleared by the hospital\u2019s and NEOVIVA\u2019s medical staff. \u201cMost have a substance or alcohol problem. That\u2019s the easy part. We can detox people from any substance in a week. Then the real work starts, and that\u2019s when it gets scary,\u201d says Neubert. \u201cWe do a deep dive into the underlying causes, find out what function does the behaviour or substance use have and help our clients to resolve the psychological problems they may suffer from. This could be depression, anxiety, trauma or any other problem. We even have our own pharmacy in-house, which is a huge deal in Switzerland. However, we don\u2019t rely on medication as a primary path; we\u2019re abstinence-oriented. We use only as little as necessary and work intensely with our clients to give them the skills and tools to live healthy lives, free from addiction.\u201d <\/p>\n\n\n\n

\u201cClients get in touch and say \u2018I’d like to come for a week.\u2019 We say \u2018yeah\u2026 no\u2019. Our property may be in a holiday destination but that\u2019s not what we\u2019re selling. We\u2019re providing treatment.\u201d<\/p>\n\n\n\n

Resistant or reluctant? <\/h2>\n\n\n\n

\u201cDoes the clinic ever treat patients who didn\u2019t choose to be there?\u201d we wondered.<\/p>\n\n\n\n

\u201cWe don\u2019t accept people who absolutely refuse to come.\u201d Sometimes families give the clinic leverage: \u201cOften they\u2019re young adults who suddenly become wealthy, they spin out of control, so the family steps in.\u201d<\/p>\n\n\n\n

The initial consultation by a video meeting covers motivation, substance use, behaviour, and gauges ambivalence or resistance. \u201cI’ve seriously never encountered a client who didn\u2019t have some kind of ambivalence about treatment or starting a new way of life,\u201d Neubert states. \u201cIt\u2019s a big deal. Drug use, behaviour, even social media\u2026 if a young person comes in for social media addiction, you\u2019re taking away their \u2018go to escape\u2019. Same with the alcohol, it\u2019s a crutch.\u201d <\/p>\n\n\n\n

Even if treatment is what clients come for, some can be \u201csuper-resistant\u201d to treatment.  \u201cThey pay, they come, they know they have huge issues, and then they don\u2019t want to talk about it. It\u2019s so common!\u201d Neubert laughs. \u201cIt\u2019s like \u2018I want a 6-pack but I don\u2019t wanna go to the gym.\u2019 We understand, because the stuff we do is hard,\u201d he says, stressing that last word. <\/p>\n\n\n\n

The clinic\u2019s youngest client to date was 15. \u201cIn the initial consultation we determine how mature they are. We\u2019re not their parents. We did have to arrange for him to do his homework,\u201d Neubert smiles, \u201cbut largely, he was able to take on his responsibilities.\u201d Conversely, a 40 year old man had to be asked to tidy his room, and change his T shirt. \u201cWe had to parent him!\u201d <\/p>\n\n\n\n

Life beyond<\/h2>\n\n\n\n

After clients leave, they have access to NEOVIVA\u2019s continuing care programme for a minimum of 7 months, included in the cost, whereas most rehabs \u201cswitch\u201d the client to an aftercare team, if one exists. In Oliver Neubert and his team\u2019s experience, the transition is too critical, and people \u2018drop out\u2019 when the connection to their carers is lost. \u201cWe\u2019ll be on this journey with our clients for as long as they want us,\u201d says the clinic\u2019s founder.<\/p>\n\n\n\n

\n\n\n\n

Enquiries to :
welcome@neoviva.com<\/a>
+41 58 100 08 08
www.neoviva.com<\/p>\n","protected":false},"excerpt":{"rendered":"

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