Category Archives: Addiction treatment

addiction, Addiction treatment, How addiction affects family, international rehab, recovery, relapse, sober vacation

Daily Moderate Alcohol Consumption

While moderate alcohol consumption is often socially accepted and even supposedly linked to certain health benefits, such as a reduced risk of heart disease, the long-term effects on overall health are more complex and can be life-threatening. Drinking moderate amounts of alcohol daily, defined as up to one drink per day for women and up to two drinks per day for men, can have very small positive and likely huge negative impacts. The benefits, however, are often outweighed by the subtle but significant risks, which tend to accumulate over time. For example, alcohol can provide antioxidant properties through certain beverages like red wine, but those can also be achieved through fruit juices.

Over the years, consistent moderate drinking can lead to a range of chronic health issues. The liver, tasked with processing alcohol, may begin to show signs of strain, leading to conditions such as fatty liver disease or even cirrhosis if consumption slightly exceeds moderation. Alcohol can also have a cumulative effect on the brain, potentially contributing to cognitive decline or mental health issues like anxiety and depression or early onset dementia. Furthermore, even moderate alcohol consumption is associated with an increased risk of certain cancers, including breast and colorectal cancer, as alcohol is a known carcinogen.

Finally, the daily intake of alcohol, even in moderate amounts, can impact sleep quality, immune function, and overall well-being. Regular drinking can interfere with the body’s natural sleep cycles, leading to poorer sleep quality and fatigue. Additionally, alcohol can weaken the immune system, making the body more susceptible to infections. Over time, these effects can contribute to a diminished quality of life. The short-term pleasure of a daily drink comes at the cost of long-term health and vitality. As such, while moderate drinking may seem harmless, its cumulative effects should not be overlooked when considering one’s long-term health.

If you or a loved is struggling with alcohol or any substance, reach out for help.

1-829-932-0123 for info on how we can assist.

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, recovery, testimonial

Defining Moment

I’m in a defining moment right now in my life, and I am the one who defines the outcome. When adversity comes, it introduces you to who you truly are, at your core, and you get to meet the REAL you. I’ve already met the real me. 12.5 years ago, I crawled up from rock bottom with few believing in me and turned my life around. The unwavering support of my wife and the desire to inspire my boys pushed me to succeed.

When defining moments come, I need to make a choice. Either the moment defines me, or I define the moment! I can either decide to concern myself with the doubters and naysayers and play it safe, or I can focus on what I need to do to achieve the dreams that I have manifested. It’s easy to get bogged down by negative voices and self-doubt, but the real challenge and reward lie in pushing past those barriers and striving for greatness. The choices I make now are pivotal and will shape my future.

Ten years from now, I don’t want to look back and wonder, “What if I had taken a chance to go after my dreams and never gave up, and never gave in?” Adversity will not break me; it will shape me, continually carving me into the person I need to become to persevere in achieving more of my dreams. I am determined to turn every challenge into an opportunity for growth, to show my boys that anything is possible with dedication and resilience. This is my journey, and I am defining my destiny.

addiction, Addiction treatment, Always Hope, Dominican Republic, How addiction affects family, international rehab

Benefits of A Small Addiction Rehab Center in the Dominican Republic

Opting for a small addiction rehab center in the Dominican Republic offers a unique and highly effective approach to overcoming substance abuse. The intimate setting ensures personalized attention, which is often lost in larger facilities. With fewer clients, staff can tailor treatment plans specifically to individual needs, ensuring a more holistic and comprehensive approach to recovery. The one-on-one care fosters a deeper understanding of each client’s struggles, leading to more effective interventions and support. This personalized attention is crucial in addressing the unique circumstances and underlying issues that contribute to addiction, providing a strong foundation for long-term recovery.

The serene and picturesque environment of the Dominican Republic plays a significant role in the healing process. The tranquil beaches, lush landscapes, and warm climate create an ideal setting for recovery, allowing clients to escape the stresses and triggers of their everyday lives. This peaceful atmosphere promotes relaxation and mindfulness, which are essential components of effective addiction treatment. Being in a beautiful, calming location can significantly enhance mental and emotional well-being, making it easier for individuals to focus on their recovery journey. The natural beauty of the Dominican Republic serves as a therapeutic backdrop, aiding in the rejuvenation of both body and mind.

Additionally, the cultural richness and hospitality of the Dominican Republic provide a supportive and welcoming environment for those seeking to overcome addiction. The local community’s warmth and friendliness can be incredibly comforting for clients, helping them feel less isolated and more connected during their stay. Engaging in local traditions and activities can also offer positive distractions and new experiences, contributing to a more well-rounded and fulfilling recovery process. This cultural immersion, combined with the professional support of a small rehab center, creates a comprehensive and enriching path to sobriety, making the Dominican Republic an ideal destination for addiction treatment.

Call or Message 1-829-932-0123 for more info.

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, international rehab, recovery, testimonial

12 Years Clean

January 27, 2012 at the age of 34 was the first full day at my second Rehab. Since high school I always enjoyed getting high, alcohol and weed at first but then also the occasional dabbling in harder drugs as I entered university. It seemed the norm at that age but I usually did everything to the extreme and my competitive nature contributed to me using harder and doing dumb stuff to injure myself while high or drunk. 

After many years of enjoying getting high I thought I hit the jackpot when my doctor prescribed me OxyContin to deal with migraine headaches and back pain. I say jackpot since it took away the pain and got me high, I thought this was perfect. It was great until my tolerance kept increasing, and then after 4 years of not abusing the opiates I fell and separated some ribs and the OxyContin abuse started. I used up a month’s prescription in days and started buying them off the street. (NOT my doctors fault as for 3 years he tried most alternative therapy and non narcotic meds, but nothing worked.)

Even though I was taking so many pills daily my mind was telling me that it’s ok cause I’m taking meds that are prescribed and my doctor should really just increase my dosage so I’m not in pain or buying them illegally. In hindsight I see how ridiculous that is but at the time that was my logic. After a few years of abusing the OxyContin family noticed and I was confronted, I tried to deny and talk my way out but deep down I knew I needed help. I decided to go to rehab to get my family off my back and to learn how to “use properly” I never intended to fully quit. I was warned to abstain from all mind altering substances but I of course needed to test that theory because I thought I was smarter than all these “addicts and alcoholics”

My controlled using lasted 2 weeks and started the day I left my first rehab. 6 months later I found another rehab that offered the shortest length of stay (3 weeks) and the reason I went to that rehab was I was dying physically and mentally and needed to quit for my sanity and health. I also had learned from the previous rehab and my “controlled using” that I had to fully abstain or I would die and lose my wife and 2 boys. 

So today as I sit having coffee by the pool in the Dominican Republic I’m grateful to have my health and my family still in my life. Recovery is possible.  Call me at 1-829-932-0123 for more info or assistance.

12 step meetings, addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, international rehab, recovery

Rehab, 12 Step Meetings, Religion, or Other?

Embarking on the journey to recovery from substance abuse is a deeply personal and unique experience. There is no one-size-fits-all solution, and individuals often find success through various avenues. I will explore the different pathways to recovery, including rehab programs, religious approaches, and peer support groups such as 12 step programs. The key to success often lies in a personalized combination of these resources, coupled with a strong social support system. 

Personally I went to rehab twice to get the assistance I needed. First time was to get family off my back and second time because I was “sick and tired of being sick and tired”. The second time I was also more accountable by attending weekly 12 step meetings. Grateful for my past as I near another yearly milestone and thought I’d reflect on different options for successful recovery. 

Call or message me at 1-829-932-0123 for more info.

1. Rehabilitation Programs:

Rehab programs, whether inpatient or outpatient, play a crucial role in helping individuals break free from the cycle of addiction. These programs often offer a structured environment where individuals can receive professional guidance, counseling, and medical support. Inpatient rehab provides intensive, around-the-clock care, while outpatient programs allow individuals to receive treatment while maintaining their daily routines. The immersive nature of inpatient rehab helps many people kick start their recovery journey and was instrumental in helping me recover. 

2. Religious Approaches:

For some individuals, religion serves as a powerful anchor in their recovery process. Religious communities often offer support and a sense of belonging, providing individuals with a framework for moral and spiritual guidance. Religious practices, such as prayer and meditation, can be integral components of a holistic recovery plan. However, it’s important to note that the effectiveness of religious approaches varies from person to person based on individual beliefs and preferences. 

3. Peer Support Groups:

Peer support groups, such as 12 step programs like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA), provide individuals with a community of like-minded individuals who understand the challenges of addiction. These groups follow a structured approach that includes steps toward recovery, accountability, and sponsorship. The power of shared experiences and mutual support within these groups can be a driving force in sustaining recovery over the long term. I still get a lot of support by attending 12 step meetings when I can. 

Call or message me at 1-829-932-0123 for more info.

Regardless of the chosen path, maintaining a social connection with supportive family and friends is crucial. A strong support system provides encouragement, understanding, and a sense of accountability. Whether it’s attending family therapy sessions, involving loved ones in the recovery process, or going to 12 step meetings, the power of social connections cannot be overstated.

In the realm of addiction recovery, diversity is strength. There is no universal answer to the question of which pathway is the “right” one, as each individual’s journey is unique. By embracing a combination of rehabilitation, religious practices, outpatient support, and peer engagement, coupled with the unwavering support of friends and family, individuals can pave their way to a successful and sustainable recovery. The key lies in recognizing that recovery is a dynamic process, and the chosen pathway should be tailored to meet the specific needs and preferences of the individual seeking a new, healthier chapter in life.

addiction, Addiction treatment, Always Hope, Dominican Republic, How addiction affects family, international rehab, recovery, relapse

Holidays: Recovery and Relapse

December is often the season of joy and celebration, yet for those on the path of recovery from addiction, the holiday season can pose unique challenges. As we approach Christmas, a time traditionally associated with parties and alcohol, the journey of recovery can be a slippery slope. Let us dig into the complexities of navigating recovery and the potential pitfalls of relapse during this festive time.

Call or message 1-829-932-0123 for assistance.

**The Challenge of Temptations:**

The Yuletide season brings with it a myriad of temptations – from spirited gatherings to the presence of alcohol at every turn. For those in recovery, maintaining sobriety amidst the festive cheer can be similar to traversing a minefield. Old habits may resurface, testing one’s resilience.

**Navigating Social Pressures:**

The holiday season is often marked by social obligations, where the pressure to partake can be overwhelming. Friends and family, unaware of the delicate nature of the recovery process, may inadvertently contribute to the struggle. It becomes crucial to communicate boundaries and seek support during these challenging moments.

**Embracing Support Systems:**

Recovery is not a solitary journey but a collective effort. The holiday season emphasizes the importance of leaning on support networks – be it through 12-step programs, therapy, or the understanding embrace of loved ones. Acknowledging vulnerability and seeking help can be a powerful deterrent against the chance of relapse.

**Mindful Celebrations:**

As one treads the path of recovery, approaching celebrations with mindfulness becomes paramount. Opting for sober gatherings, engaging in activities that bring genuine joy, and steering clear of environments that may trigger relapse are strategic choices during the festive season.

**Coping Strategies for Resilience:**

Developing coping strategies is an essential aspect of maintaining recovery. Whether through meditation, journaling, or engaging in fulfilling activities, individuals can fortify themselves against the allure of substances. The holidays, though challenging, can also be an opportunity for self-discovery and growth.

**Reflection and Renewal:**

The Christmas season, with its emphasis on reflection and renewal, provides a fitting backdrop for those in recovery. It’s a time to assess progress, acknowledge victories, and chart a course for the future. While relapse may be a stumbling block, it need not define the entirety of one’s journey.

Call or message 1-829-932-0123 for info about rehab or recovery.

In conclusion, the holiday season, which may contain potential pitfalls, also offers a chance for profound transformation. Navigating recovery during Christmas requires resilience, self-awareness, and a commitment to embracing the true spirit of the season. Together, let us walk this path, supporting each other through the trials and triumphs, as we strive for lasting recovery during the festive season and beyond.

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, international rehab, recovery, testimonial, testimony

The Magic of Always Hope

A testimonial from a previous guest:

“Roger Palsma and his family’s Always Hope center is special in too many ways to mention. Besides being in a lovely, comfortable location with a private bedroom and bath, you are made to feel ‘at home.’”

This is not what you would expect. I envisioned sterile walls, militaristic rules and pounded with the lengthy doctrines of AA.  Instead the process is laid back and loving—while keeping it very real why you are there.

Very customized and personalized; you can work as hard as you want or not at all. It’s up to you.

But the magic I think, is Roger’s unique brand of dry humor and empathy. Having clearly been a former abuser of most every recreational drug, he speaks from first-hand experience. You never feel ashamed to speak up about anything.

For those of you turned off by the dogma of AA or NA, this center has a unique way of filtering through that stuff and focusing on the useful messages within.

In short. They demystify the process of getting sober into digestible pieces.

Nothing short of brilliant.”

Call or message 1-829-932-0123 to contact Roger with Always Hope

addiction, Addiction treatment, Always Hope, Caribbean, Dominican Republic, How addiction affects family, recovery, testimonial

Rebirth at Always Hope

Today, I celebrate six months without a drop of alcohol—a milestone I once thought was beyond my reach. For over 30 years, alcohol shadowed my every step, accompanying me in every celebration and every hardship. Despite my successes in business and finance, there was an ever-looming shadow: my reliance on alcohol. It reached a point where I felt I had hit rock bottom, prompting me to seek help.

While I reached out to several places, many didn’t offer the genuine support and understanding I was yearning for. Everything changed when I spoke to Roger. In him, I found someone who truly listened, understood my concerns, and most importantly, didn’t offer empty promises. I decided to embark on this journey to recovery, and upon arriving at this home, I felt embraced, as if I had found a family. It wasn’t a traditional setting but a home where you’ll feel at ease, have space, and above all, find peace.

Throughout my stay, each day marked a step towards healing, with unwavering support from the team, Kendal the consulerand earnest conversations with Roger. I’m learning to enjoy more time in the present, cherishing moments with my kids, and having better control over myself. Every day, I wake up without the regret of the day before. Is it easy? Not always. I miss the times of “fun” and parties. However, now I can attend a party, enjoy it, and not be burdened with conflicting thoughts the next day.

If you’re struggling with this, I recommend taking action, seeking help, making a decision, and just taking that step forward. My only regret is not taking action sooner. If you’re willing to make a change, reach out to Always Hope and give yourself a chance to live again.

Thanks, Roger and your family! You always have a friend here! 

Call or Message 1-829-932-0123 today for assistance.

addiction, Addiction treatment, alberta rehab, Always Hope, Caribbean, Dominican Republic, How addiction affects family, international rehab, recovery, testimonial, testimony

Addict in Denial, A Testimonial

Addict in denial is a long testimonial. I never change any words and post exactly what was given to me. Due to the length, and to protect anonymity I have deleted some words, sentences and paragraphs.

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I never imagined I’d end up in any type of rehab program. Being a musician for more than half of my life, I’ve always been surrounded and tempted by every drug imaginable and endless free drinks. What I was not aware of was all of the childhood trauma and PTSD , that was also part of who I was. I came to the Dominican Republic for the first time with my fiancé on April 20th for our engagement trip, and she left me there because I had gotten a middle ear infection from swimming in the ocean and the doctors told me I could not fly for 5 to 7 days. After she flew home, things in my life went horribly south.


Not only was there previous problems in my relationship with my fiancé and family back in the states, but a lifetime of fighting my own demons internally. So after a couple days of severe, “fear and loathing” in the Dominican all by myself. My fiancé decided that she needed to find a rehab program that I would actually participate in. Which brings me to Always Hope.


I had already agreed to her and my family that maybe I needed to get some help or therapy and come to terms with my addiction which I was in complete denial of. So she said she found this place and that it was completely paid for if I go for the entire month. After getting into a bar fight at the dance club I got in a cab and 7 1/2 hours later, I arrived in Sosúa. Knowing nothing about Always Hope or who these people were much less the therapist that I was going to be assigned to… I went.

I arrived on May 1 in the middle of a rainstorm, about seven or 8 o’clock in the evening. Not only was the staff, polite and welcoming. I merely felt the sense of being in someone’s home, not in any type of medical facility.
After an arduous, seven hour grueling ride through the mountains and winding roads, I was so exhausted that I made some food and went directly to my own private room, turn on the air-conditioning and lay down for the night.

The next morning I woke to Roger smoking cigarette, drinking coffee on the back patio by the pool. He handed me a binder with some paper and a pen, and that started my journey. Just like any addict in denial I thought there was no way I was gonna make it a week much less a month here and I immediately contacted my fiancé to tell her she needed to get me a plane ticket and get me the hell out of here. Not because Roger, his wife or son we’re in anyway mean or rude. It was because I just felt so out of place.


How could I be here? 45 years old just got engaged and here I am checking into a rehab program for a month. Roger handed me the AA 12 step book as well as the NA book. And I remember him saying you’ll get out of this what you put into it. And he gave me his backstory of 11 years of sobriety from much harsher drugs and much worse scenarios that I had ever imagined. I think that was the catalyst that changed my mind and heart about this program.

Over the course of the next few days upon meeting my therapist, Kendall and really immersing myself 110% with all of the literature, worksheets, and both AA and NA meetings, I began to feel the healing and the legitimacy of this program of recovery. And even though I was at most times, very stubborn and apprehensive to do any of the worksheets, I always told Roger my answer is “YES”.

What I got from going to three AA meetings and one NA meeting a week was beyond what I could ever have hoped for. The “community” as they call it of people from all over the world and backgrounds became my new group of friends and family almost immediately. Their stories of trials and tribulations and battles of their own addiction of all kinds, truly inspired and motivated me to stay the course.

I was not supposed to leave the premises unless with Roger to go to the beach, grocery store, dinner or meetings. At times, I felt trapped because I would continuously ask after my one hour therapy session every morning from 9 to 10, to go to the beach or see the town. Roger would say let’s talk about it tomorrow. What I didn’t realize until my third week was that he had done this program with so many different clients over the years, and he had learned from his mistakes and the mistakes of those that did not abide by the program and the 12 steps. So I always knew he had my best intentions at heart, and he was only difficult because he actually cared about me.

What I got from that was a lifetime of tools that I could apply for not only myself, but any individual I come across for the rest of my life who is suffering from an addiction. I am truly grateful for those that got me here for the friends that supported me through it and for the entire community here in Sosua, especially Roger, Shauna, and Pierce for welcoming me into their home and trusting me.

I’ve never left a review of any type on any social media or Internet platform until now. And I only did this, because I believe if there’s someone out there or someone that you know that could benefit from reading this testimonial, and it could inspire them to even go to an AA meeting or seek help, then I believe it was worth every single moment, and word I wrote. If I was able to give Always Hope six stars, I would do that because Roger and his team down here and community truly know how to help individuals just like themselves overcome even the deepest, darkest demons.

Call or message 1-829-932-0123 for info or assistance

addiction, Addiction treatment, Always Hope, Dominican Republic, How addiction affects family, international rehab, recovery, testimonial, testimony

Ego and Pride (Testimonial)

I ask all guests if they would submit a review or testimonial to help others have a better understanding of what it’s like at Always Hope. I enjoy when they give me it before leaving but I love it more when it comes months or years after they have left. I find it means they are still doing good and that we are still in weekly contact. Below is a testimonial I just received from a guest that was with us within the last year. I copy and paste and don’t change or fix grammar or spelling

“I would like to add a testimonial, to help those of you who are looking for help restoring balance to your life.

As an older professional, I felt trapped by discreetness. My pride or ego could not handle other people potentially knowing. I kept trying to deal with my addictions by myself, and I kept failing. My wife helped me find this program which is different from an institutional program. I was ready for a change. I didn’t know what to expect, but this program was perfect for me. I realized that the journey to be able to reflect on my disease or behaviour is personal. The opportunity that is created by Always Hope was safe caring and supportive of all the challenges that I faced. It truly can only come from people that have faced the same challenges.

For those of you that know the institutional road is not for you. Please consider this opportunity. Saying that you must be ready to change. Only you can make that decision, this program is too help give you the tools and resources for success.”

If you or a loved one is looking for a place to heal and recover from your addiction call or message Always Hope anytime. Don’t let your pride or ego stand in the way of getting the help you want or need.

1-829-932-0123