Category Archives: addiction

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

Lessons Learned From Past Guests

I have learned so much from all the past guests that have stayed at Always Hope. As I was reflecting on the lessons and tips they taught me I thought I’d take the time to write a “thank you” blog. I’m sure after I post this and reread it I’ll remember more but for now I will just reflect on some of the things I learned or was inspired to do. 

First, reading books and novels. I used to read a lot growing up but when I started farming my reading became limited to informational magazines and newspapers. We had a guest a few years ago that read a novel every 1-2 days on top off all the recovery literature. This inspired me to start reading novels and some non-fiction books again. Although I can’t read at the pace this guest could, I learned that I could read 2-4 books a month and have continued that for the past 5 years. 

Second, different exercises.  I dislike “working out” or running but love playing sports like hockey and basketball. I like to be in shape but the occasional sports isn’t quite enough to keep me as fit as I’d like. A recent guest inspired me to try running again after I saw them religiously run in the mornings. Not sure if I enjoy it much yet but I do love the feeling of sweating and working my body hard first thing in the mornings. Hopefully I continue but regardless I learned I can do it and it’s worth the feeling of accomplishment when I finish. 

Third, healthier food and cooking different recipes. Having guests that come from all corners of North America, the Caribbean and other parts of the world has taught me different foods I would never have encountered. The different heritages and backgrounds of our guests has shown me many healthy recipes and food choices that I never would have tried. I have learned to be more open to taste and try different fruits, vegetables and dishes that I never would have experienced if I never met these people. 

Fourth, is geography and culture. Every guest is unique and grew up in a location I likely haven’t travelled to. During the course of their stay I’m blessed to have them share personal experiences and info on their lives. I have learned so much about small towns, big cities, and also the countries they live in and have travelled to. Much of this info I couldn’t obtain through travel shows or guides and it has taught me a lot about the world. 

Lastly, I have learned that each guest is super intelligent and often “too smart for their own good”. This may have contributed to them ending up in rehab to deal with their addiction issues, but it also will help them succeed in recovering. Past guests have shown me how to be more emphatic, vulnerable, caring and how to set boundaries. I have learned tech advice and business tips. I have gained some friends for life and am so grateful to have met all that have come to Always Hope. 

A huge thanks to all that have taught me so much. And if you or a loved on is struggling with an addiction call anytime. Even every phone call teaches and helps me, it reminds me that the struggle is real. And I never want to put myself or my loved ones through the agony of dealing with my addiction issues again. 

Call 1-829-932-0123 today if you want assistance. 

3 Signs You Have An Addiction Issue

When I was using there were many signs of to myself and loved ones that I was out of control and life was becoming unmanageable. For the most part I thought I was using my “meds” cause I needed them to survive, although I loved the high it gave me and helped manage my pain. Until I got sick and tired of being a slave to my OxyContin I assumed I would just be on them for the rest of my life. I didn’t believe I could go without them even though I knew that taking 5-10 times the dose my doctor prescribed was a red flag. I’m glad my family and doctor finally noticed and were brave enough to confront me about my addiction. I was of course pissed off initially at then and everything but deep down I needed help and glad they noticed the signs.

Below are just 3 common signs of addiction.

Using is Causing Work or Relationship Problems

While I was using I was so preoccupied with figuring out how when to get more and how to hide my problem. This made me emotionally, mentally and physically unavailable for family and friends. It also was starting to impact the quality of my work. Although the bills were always paid, the work was completed and I was physically around for my family I wasn’t 100% there.

I have met many highly successful and “functional” addicts and alcoholics. Everyone has a different bottom or turning point where they decide enough is enough. Not every person needs to lose their job, house and family before they decide that they have a substance abuse problem. It’s progressive and sometimes slowly gets worse unless actions are taken. Therapy, 12 step meetings, rehab are all options to help before ending up in jails, institutions or death. Help is available in many forms.

We can help by either chatting on the phone or pointing you in the right direction to receive the assistance that you want or like.

Call or message me at 1-829-932-0123 to talk with me today.

Trying to “Control or Manage” Consumption

It isn’t always about how much or how often you drink or use but more likely that you find you can’t live without it. Binge drinkers or weekend warriors often assume because they don’t consume on a daily basis that it’s not a problem. But if they had to picture going without their substance of choice for a month or more they would be resistant.

Many like myself felt we could control or limit or using. For an addict or alcoholic this is just an excuse or we are fooling ourselves. Many people have mentioned (and me also) that many days, weeks and months went by where every night I thought that tomorrow I won’t use. That rarely or never happened once the craving and obsession entered the mind.

Until I came to the conclusion that one is too many and a thousand is never enough I didn’t and couldn’t recover. For me and many abstinence was the only way.

Health is Affected

Lastly I personally could tell my health was being adversely affected and I know family noticed it as well. I was extremely under weight and ill often, also every scrape or cut seemed to get infected as my immune system was compromised by my using.

Many people I’ve met through Always Hope and my stints in rehab felt their health was failing. Some noticed the signs on their own and others were made aware by their doctors. Some of the health issues like failing liver or memory loss were so extreme that hospitalization was likely the next step.

Thankfully the body can often heal the damage before it’s permanent by abstaining from the abused substances. I just hope anyone suffering through the grips of active addiction seek help before it’s too late.

Relapse Stages

There are often a number of warning signs that precede a relapse. If a person is aware of these 3 common relapse stages they have a better chance of reversing their thinking and can prevent and actual relapse. 

Usually emotional relapse occurs first, this is identified when habits and actions are happening that aren’t healthy. Usually at this point a person isn’t thinking about using or drinking but they are behaving in a way that can threaten their sobriety. Examples are: isolation, unhealthy eating, lack of sleep, easily angered, and bottling up emotions. These are warning signs but they can be addressed easily; connect socially with friends, family or people that have your best interest in mind, eat better and drink lots of water, make an effort to get enough sleep and exercise and be kind to yourself. 

Mental relapse is usually the next stage. One starts romanticizing past use while forgetting the chaos and pain it caused. You may start hanging out with old “friends” and in places that are triggers. Considering and bargaining with oneself that “one more drink or drug won’t hurt me”. This is also the stage and time when one is usually visualizing where and when they will get high or drunk again. It’s at this relapse stage that reaching out to someone for help is crucial. A friend, family member, or a professional that understands addiction is extremely beneficial. 

Call me at 1-829-932-0123 at anytime if you need to talk. 

The last of the relapse stages is physical relapse. It occurs when one is actively planning and seeking out drugs or alcohol. If you are calling your dealer, driving to a liquor store, lying to loved ones so you can be alone you are usually within minutes or seconds of full relapse. Unless a great coincidence happens and the right person calls you or interrupts your thoughts during this small window in time a relapse is almost certain. Hopefully you or a loved one can recognize what’s going on and help you get back on the path of healthy recovery. 

I and many others have said often that we all have a relapse available to us but recovery isn’t guaranteed. The next relapse could unfortunately lead to jails, institutions or death. Please reach out to me or anyone you trust if you are struggling with active addiction or if you are on the verge of relapse. 

Rehab Cost and Benefits

Rehab cost is often one of the first questions asked when someone is inquiring about addiction help. I realize that $ is an important factor but there is much more to consider when deciding where to go for help such as location, individual attention, the program offered and availability.

First in reference to the cost of rehab I’ll try and put it into perspective. For example a 2 week all inclusive resort can likely cost $3000-$5000 or more so it’s a similar price but rehab will include professional counseling instead of “all you can drink”. Rehab is also a step in the right direction for recovery by helping the individual deal with underlying issues vs hoping that a 2 week break from reality might be the cure.

It is also noticeable as the years pass that an investment in your health is cheaper than most funerals. Even though I’m only mid 40’s it seems that a handful of classmates and acquaintances are dying from overdoses and suicides every year now. The financial cost of death is small in comparison to the emotional cost to friends and families.

Location, individual attention and the type of program offered can differ greatly between all rehabs. During this past month I was blessed to visit a rehab that held open meetings. It was unfortunate to see that the facility was almost full capacity (25-30 people) but it was also great to see that those individuals were seeking help. It was sad to see that some of them weren’t getting the 1-1 counseling they deserved, but it was nice to see the social connections they were making which would help keep  them from isolation in the future.

There is no “one size fits all” rehab and so Always Hope was designed to be a different option. We offer 1-1 counseling for an hour 5 days a week, the program is tailored to the individual and the cost is similar or less than most private rehabs. We allow you to determine the length of stay, any timeframe over 2 weeks is feasible. If you or a loved one is looking for a different option for addiction help we may be able to help.

Call or message 1-829-932-0123 and we will help you start on your road to recovery.

Paradise found: a rehab like no other (testimonial)

Paradise found: I came to Always Hope at a low point in my life.  Five days into my two week stay at my house in Cabarete, having escaped the northeast winter as I do every year, I was still living a life which revolved around anticipating, using and recovering from a daily intake of alcohol, much as I had done for the past 25 years or so in the states.  I was in the throes of my addiction,  my life closing in around alcohol, and wanting to stop all the time.  I thought about going to AA, going into rehab, etc., but I did not, could not take the first step.  It was the stage 4 cancer diagnosis I received at the end of 2021 which was my “rock bottom” in which I realized I may very well die, but I will definitely die, sooner rather than later, if I don’t stop NOW!  But here I was in the DR, still doing the same old thing.

 Finally,  one late night I googled “rehab in Cabarete” and came upon “Always Hope”.  I immediately called the next day and was answered by a human ,  Roger, the owner.   He answered my questions about his program, in a measured , soft spoken manner, and did not say too much, though I noted a calm voice, which I found reassuring.  I detected a heart.  Though there was no hard sell here, almost a benign indifference.  “Take it or leave it” he seemed to say.   He told me about local AA meetings which he offered to meet me at.  But I knew I probably wouldn’t get there on my own, and I needed help to get away from the alcohol. So without any real hesitation or investigation, and with no real options (there was no Dr. Bob to lock me in a room), I requested that he take me in.  He came the next day to pick me up.


The location is a well appointed, modest sized villa with a large terraced pool in a luxury gated community between Sosua and Cabarete.  I was immediately greeted by his friendly wife  Shauna and their son,  then shown to my private  room and bath in a separate area overlooking the pool terrace.  I quickly felt at home.  I soon realized I was the only “visitor”, something which at first made me a little nervous, but which I soon came to relish.    It was my first day of sobriety in 25 years and had no idea how it would go.  But I was in a low-key, quiet, relaxing place away from alcohol.  Even there are no locks on the door, I knew I was safe.  And off to my first meeting later that day.  Once I made that first break, I never looked back.

  
 The program at “Always Hope” is deceptively simple, almost minimalist in style.  The structure being daily 1 hour counseling sessions, two or three weekly AA meetings “off-campus, and study guides and literature provided by Roger to take yourself through a kind of self-guided 12 step program.   At first I felt like I needed more help and structure.  Being the only patron (the max is 3), I didn’t have any people to share experiences with and I worried a wouldn’t benefit from the interaction with other addicts in and out of various groups, as you would in a typical rehab.  But I soon realized the peace and introspection that came without having to deal with other people’s baggage, and the ability to really focus on my recovery, in such a pleasant, peaceful space.     ( I also soon realized that I would get plenty of feedback, sharing, and meeting other “people like me” in the AA meetings.).

Roger and his wife are always there, but almost in the background, present and available to talk to when needed, but otherwise pleasantly and “quietly” going about their lives.  Roger is quick to point out that he is not a counselor, but he was a good sounding board and shared his own experiences with addiction and recovery when appropriate.  I soon realized that Roger’s function for me was like that of a host, or tour guide;  helping me navigate through the process of my own new found sobriety in a congenial, unobtrusive, and relaxed  manner.  Going to my first AA  meetings with him was major a life changing experience.  Having avoided and been afraid to go for so many years, I needed that personal escort.  Once there, I quickly embraced and became emerged the AA program.  A life long skeptic and atheist, I  soon realized that AA would be essential to my long-term sobriety.    

Daily  runs and casual chats with Shauna, and movie night, focused on addiction movies, were some recreational highlights.   The unrestricted use of my phone and IPad was also much appreciated, as I did not want to place my life on hold.  In fact, for me, one of the chief therapeutic aspects of the program was the ability  to experience elements of my life and some of the daily stressors sober, within the confines of a safe place.  A kind of “exposure” therapy.    Shopping trips with the host, which entailed walking past the liquor aisles, also served in this regard, as well preparing my own meals, which I had normally done drunk.   Though food is provided and there is easy access to the kitchen, Shauna is happy to prepare meals upon request. This is not the place for 4 star resort service, however, and you are expected to basically clean up after yourself, do your own laundry, etc., which is all part of the process.   

Though most of my time was spent at the Villa, customized outings were arranged.    I was able to visit my house several times and tend to my chores, chickens and dog, without alcohol being part of the picture.  That was hugely therapeutic.  The most important thing was to be able to stop drinking, and begin my AA experience, and I could not have done it without  “Always Hope “.  I will forever be grateful.

5 Foods to help during recovery from addiction

Every substance that gets abused has its own set of specific effects on health. Many drugs or alchohol have similar impacts on a person’s ability to get all the nutrients necessary for health in recovery. Those who abuse any drug or alcohol are likely to experience vitamin and nutrient deficiency. 

Water is most important. While the body can withstand lack of food or malnutrition for weeks, if not longer. Dehydration quickly becomes a matter of life or death. Water makes up the majority of the human body and plays vital roles in nearly every function. Examples include helping brain function, improving mood, flushing out toxins and transferring nutrients through the body. 

Bananas contain a lot of tryptophan, this is an amino acid that’s not absorbed easily when using drugs and alcohol. Tryptophan is essential in the formation of the neurotransmitter serotonin, which promotes relaxation and proper sleep.

Yogurt is full of probiotics. Alcohol and opiates will disrupt your gastrointestinal system, which is why constipation and diarrhea are so common. Probiotics will help normalize the digestive tract.

Vegetables in general, contain a range of essential vitamins. During active addiction, improper nutrition absorption, along with a poor diet, causes malnutrition, but a vegetable-rich diet helps to restore proper nutrition levels. Vegetables will also help to improve skin and hair health, which commonly deteriorates during active addiction. Foods like papayas, bell peppers, strawberries, pineapple and oranges are all high in vitamin C and many other vitamins. Load up!

Garlic tastes good on almost everything. You can put it on pastas, in bread, on meats, on vegetables, and more. Not only does it taste great, but it is also good for your body. Garlic is antibacterial and anti-inflammatory. It will help to clean your liver, and it will help to restore some of the damage in your body. Plus, it supports your immune system, improves bone health, and helps to regulate your blood pressure. Garlic is like a wonder drug disguised as food.

These are just examples of some of common foods (and water) that are readily available and can help speed up the recovery process. At Always Hope the food on this list is usually organically grown, and fresher than you could find in most rehab locations. Most are available year round in tropical Dominican Republic. 

Reflection as I age

As I turned 44 years old I did some reflection and there was a time when I was concerned about if I would make it to 40 or even 35 years of age.  


Many blessings and adventures have come my way since giving up drugs and alcohol. The list is endless but some of the bigger achievements I have witnessed and at 1 point never thought possible are…


Family is still by my side. (Anyone that knows me realizes how great and supportive my family is)

Saw my oldest son graduate high school and my youngest graduate from middle school. (I used to hope I’d witness this)

Live in a new country. (Many dream of this but few are brave enough to try)


I never know what the future holds but at least I have many things to look forward to. Life may have thrown me a few lemons (obstacles) to test me but I’m not special in that regard as all of us have issues to face daily. 

Everyone has a past and challenges that they need to overcome and it is worth the effort to try and make another day of memories. I try now to take it one day at a time cause the best present  is being “present” in the moment. 

Addiction is a Pandemic

Addiction doesn’t take a break just because of a worldwide pandemic. The issues and consequences of active addiction haven’t decreased during this time but have unfortunately actually increased. Physical abuse to self and others, crime etc have been rising during this pandemic. This is because alcohol and drugs “seem” like a viable solution or alternative to dealing with this new reality (Coronavirus) but in an unhealthy way.

Always Hope has remained open and taken the necessary steps and precautions to help those wishing to deal with their addictions. Our unique rehab which only takes a maximum of 3 quests at a time helps maintain social distancing. This also gives you the opportunity heal in a safe environment. Plus decreased exposure to those possibly infected.

Air travel has also resumed to the Dominican Republic and measures are in place at airports to perform rapid tests upon arriving. We at Always Hope are and will continue to be available to help those struggling with addiction. Don’t suffer alone, there is no better time to begin your road to recovery.

Call or text 1-829-932-0123 today for more info. 

Free Rehab

UPDATED JULY 1,2020 *THIS OFFER IS UNFORTUNATELY NOT AVAILABLE ANYMORE DUE TO THE FACT THAT FLIGHTS ARE COMING INTO THE DOMINICAN REPUBLIC AGAIN. THE OFFER WAS TO HELP DURING THE COVID-19 AND THE TRAVEL RESTRICTIONS*

I’ll try and make this short and to the point; free rehab online was available to anyone interested. Due to social distancing and the need for all to self isolate so the spread of this pandemic ends. We at Always Hope wanted to still help those still suffering in active addiction, or anyone who wants to learn more about what someone may learn at rehab. 

We were willing to email out all our literature and program info to anyone that contacted me through Facebook, text, phone call or email.  There are 33 different assignments or reading info

1-829-932-0123

contact@always-hope.ca

I realize this didn’t give you the 1-1 counselling but I personally am also always available for any questions, calls or videochats. 
This wasn’t ideal or a cure all but I wanted to do my part to help while we all struggled through these trying times. I hope this helped those that took advantage of this offer when it was still available.

Take care

Roger Palsma owner of Always Hope