The Avery Lane For Women Diaries

A number of factors can affect exactly how unsafe withdrawals can be, so you must talk with a dependency therapist or clinician to evaluate what steps to take to stay safe. If you have tried to give up utilizing medicines or alcohol yet have actually been unable to, you may take advantage of the organized environment and support that a rehab facility supplies.


Choosing the appropriate rehab can be made complex and daunting, but it doesn't have to be. The primary step is to ensure you recognize what's readily available in your location. rehab for women. You should have the ability to discover a broad array of programsfrom short-term alternatives to lasting household treatmentthrough the SAMHSA online treatment locator


You can likewise chat with your doctor or various other healthcare carriers regarding the very best choices for you and your scenario. There are a number of elements to think about when selecting a rehab program:: Place can affect commitment to soberness. Some individuals might locate it valuable to be close to home, while others may require distance from old atmospheres.


: Consider the credentials of the treatment staff, including their education and learning, training, and experience.: Identify whether the length of the program is ideal for your needs and whether it provides adequate time for you to make progress in your recovery.: Search for a rehab facility that offers aftercare services, such as support system or ongoing therapy, to help you preserve lasting recuperation.

Some Known Incorrect Statements About Avery Lane For Women

: Establish whether the program's expense is within your budget plan and whether funding alternatives are available (drug and mental health rehab).: Think about whether a rehabilitation center focuses on treating particular kinds of dependency or wedding catering to certain teams, such as females or LGBTQ+ people. Taking into consideration these aspects can assist you discover a rehab center customized to your details needsand has the tools and resources to aid you attain lasting recovery


Roughly 80% of patients report living much healthier, much more fulfilling lives after finishing alcohol and drug recovery. When seeking a rehab program, it is necessary to ask a variety of concerns to ensure that you discover the ideal fit for your requirements. What type of therapy does the facility deal? What is the staff-to-client proportion? What is the length of the therapy program? Are aftercare services supplied? Is the facility accredited? What is the cost of the program? Do you deal with co-occurring problems? Asking these concerns can help you make an informed decision and find a rehabilitation facility customized to your details requirements.


Your addiction has become unsafe you could try here to your health and wellness or well-being Your dependency has created problems in your connections or at the workplace. You have underlying mental health and wellness concerns, such as depression or anxiety, contributing to your dependency. You need assistance and guidance to conquer your addiction and accomplish long lasting healing. If you are experiencing any of these problems and are battling with drug or alcoholism, it may be useful to consider looking for treatment at a rehab facility.

Selecting a medication or alcohol rehabilitation facility on your own or for an enjoyed one can really feel frustrating. With the surge of the opioid epidemic, the addiction treatment field has seen an increase in deceptive marketing and dishonest methods by medicine rehabilitation "suppliers" whose only problem shows up to be financial gain.

3 Simple Techniques For Avery Lane For Women

Today, more than ever before, customers require to understand what to look for in a rehabilitation. As you study therapy facilities and talk to rehabilitation service providers, here are essential concerns to ask and topics to cover. Reliable medicine rehab facilities are approved by The Joint Commission or the Commission on Certification of Rehab Facilities (CARF).




State licensing is not the like accreditation provided the fact that states differ commonly in their licensing requirements - https://averylanewomen.blog.ss-blog.jp/. In enhancement, medicine rehabilitation facilities need to be accredited in order to advertise their programs and services on Google and Facebook using a third-party carrier called LegitScript. This accreditation ensures that, with a strenuous vetting procedure, just genuine, high quality therapy centers can market their solutions on these networks


Qualifications and licensure indicate whether the individuals who supply medication rehabilitation programs and services satisfy nationally identified criteria for professional practice. If clinical personnel are not licensed or recognized, they may not have the training and experience required to provide the most-effective care. Specific credentials held by dependency therapy specialists may include LADC (Licensed Alcohol and Drug Counselor), LPC (Certified Professional Counselor), CAC (Certified Addictions Counselor) or CCDP (Certified Co-occurring Disorders Counselor).

This means your rehabilitation program ought to consist of a mix of specialists who work with each other to create a personalized treatment plan. A multidisciplinary treatment group usually is composed of: Chemical dependency therapist Medical medical professional Nurse Psychoanalyst Psycho therapist Nutritional expert Health professional Spiritual care counselor The most efficient therapy programs depend on evidence-based practices that have been proven with science-based study.

Some Ideas on Avery Lane For Women You Need To Know

Lots of people that fight with alcohol or drug dependency likewise have a co-occurring mental wellness problem such as anxiousness or clinical depression. https://phaasp-mirk-hriings.yolasite.com/. In order to offer the best treatment, an exact diagnosis is required. For clients with a twin medical diagnosis, the most encouraging therapy comes close to integrate treatment for addiction and the co-occurring psychological wellness problem at the same time


Too frequently, therapy results are not measured by rehabilitation providersor they're measured inconsistently. Even the definition of treatment "success" can be extremely different among suppliers.


Being in-network likewise implies the program has satisfied the high quality criteria of the insurance policy companies. Some therapy service providers will say they "collaborate with your insurance policy" company, yet that does not mean they're in-network. If doubtful, get in touch with your insurance carrier. Clinical detoxification services can be offered by your healthcare facility or healthcare facility prior to you get in a treatment program, however undergoing medical detox on site permits you to start the rehab process at the same time.

 

Excitement About For A New Start Adderall Meth Detox Tampa

It may aid you. Additional analysis on when needs to you look for assistance from a program right here: Substance use disorder is a persistent, brain disease that might be complied with by periodic regressions. For several individuals, the program opens up a brand-new door to transforming over their life, and also starting fresh. Your success relies on your readiness for adjustment, your commitment as well as individual inspiration are the key to your recovery.


Some of the personal aspects that may affect your success include: Inspiration to alter. The involvement of the household or a liked one can reinforce the healing program. Family treatment plays a huge component of in rehabilitation.


There is no responsibility to get in therapy as well as you can choose out at any time. We are right here to assist!

8 Simple Techniques For For A New Start Adderall Rehab Tampa

The ordinary expense of medication rehab per individual is $13,475. $5k, The expense of outpatient rehabilitation for a 3 month program. Cost of Therapy per Episode (2006) Type of Treatment Typical Episode Cost Average Episode Expense Changed for Inflation (2022) Methadone Treatment $8,836 $12,183 Non-methadone Outpatient $1,615 $2,228 Intensive Outpatient $3,582 $4,939 Teen Outpatient $2,377 $3,278 Medicine Court $3,687 $5,083 Adult Residential $7,084 $9,766 Healing Area $23,590 $32,523 In-prison Healing Neighborhood $1,681 $2,317 The data in the preceding table were discovered by averaging the amount of the most inexpensive cost of treatment and also the most pricey expense.

In 2016, non-methadone outpatient therapy expense in between $1,131 and $2,099. Non-methadone outpatient therapy when readjusted for current rising cost of living expenses between $1,561 and also $2,894.


The cost of extensive outpatient therapy when changed for present inflation varieties between $1,908 to $7,969. Adolescent outpatient treatment in 2016 price between $1,517 as well as $3,237. Adolescent outpatient treatment when readjusted for existing rising cost of living prices in between $2,092 and also $4,463. Medication my latest blog post court services in 2016 varied in cost from $2,486 to $4,888.

Excitement About For A New Start Adderall Meth Detox Tampa

The expense of grown-up property treatment in 2016 varied from $2,907 to $11,260. The existing price of grown-up household treatment varieties in between $4,008 as well as $15,524.


The adhering to prices were taken from a 2016 study on the price of therapy each based on a survey on the variety of people looking for medicine rehabilitation services that year. The average cost each is originated from the total expense of all treatments that year divided by the populace dimension.


The price of their therapies totaled $8. 63 billion. Adjusted for rising cost of living that value is now $10. 01 billion. 102,934 individuals enrolled in property therapy programs. The expense of their therapies completed $4. 47 billion. Adjusted for rising cost of living that worth is now $5. 19 billion. The ordinary expense of domestic therapy based on the 2016 Census Survey Results is $50,469.

What Does For A New Start Cocaine Detox Tampa Mean?

276,027 people enrolled in outpatient services. The cost helpful resources of outpatient services completed $1. 99 billion. Readjusted for rising cost of living that value is now $2. 31 billion. 431,780 individuals enlisted in outpatient (methadone) services. The price of outpatient (methadone) solutions amounted to $2. 77 billion. Changed for inflation that worth is currently $3.


Cost of Treatment per Person (2016) Treatment Type Price each Price each Changed for Rising Cost Of Living (2022) Detoxification $121,381 $141,001 Residential $43,446 $50,469 Outpatient $7,219 $8,386 Outpatient (Methadone) $6,414 $7,451 Outpatient rehabilitation is when a specific gets scientific solutions without being confessed right into the facility as an individual. Outpatient solutions are much less extensive than inpatient or household treatment strategies.


Several outpatient rehabilitation facilities offer a 3 Find Out More month program for $5,000 total amount. Intensive outpatient care for alcohol dependency can set you back in between $500 to $650 a day in an exclusive care facility.

 

The 10-Second Trick For For A New Start Cocaine Detox Orlando

They additionally offer education so individuals can much better understand the disease of dependency as well as the value of self-care for addiction as well as co-occurring conditions. Registered nurses inform the patient's household participants regarding what to anticipate from rehabilitation. Nurses additionally teach families exactly how they can support their liked one's recovery while they're in household treatment and also as they shift to reduced levels of treatment, such as PHP, IOP or continuing treatment.


They understand the mental issues that add to addiction and also help people overcome these issues and minimize the threat of relapse. "When we confess them, you can see the destruction, and also how beat they are," Harris said. "My finest minutes in this job typically come concerning a week before they release and you check out the distinction.


You see a sense of possibility on their face. It offers me remarkable satisfaction.".

For A New Start Fentanyl Detox Orlando Things To Know Before You Get This

Right here are a list of 10 usual triggers that add to addiction regression. 1. Withdrawal Many individuals relapse within the very first week of stopping their material usage in order to prevent withdrawal symptoms, or after that because of post-acute withdrawal symptoms which can last for as much as 6 to 18 months.


Because of this, it is very recommended that people that quit using drugs or alcohol seek out a medical detoxification where they can securely as well as much more comfortably get off of the compounds they were using under medical supervision as well as utilizing medically assisted treatments such as Suboxone or Valium. 2. Mental Wellness Alcohol addiction and medication dependency are a problem per se, yet there is also an issue underlying the material dependence.

One must not surround themselves intentionally with other individuals who are utilizing alcohol or drugs unless they have a steady structure in their own recovery. It is likewise valuable to have a plan in position when bordering oneself with people who are making use of alcohol or medications, and also bring a sober assistance and also accountability partner with them when possible.

8 Simple Techniques For For A New Start Meth Detox Orlando

Places Nights clubs, liquor stores, vineyards, strip clubs, online casinos, and events are some obvious areas that individuals in healing from alcohol or drug addiction may wish to prevent, yet there are many others. The place will hinge on the person. Any location that you might have associated with your alcohol or medicine use is an area you would preferably wish to keep away from.

This is very important for individuals in recuperation to be familiar with, as well as if they do feel set off in a "random" scenario they might intend to take stock of their surroundings and ask themselves why they are really feeling activated. If an addicted person was often making use of alcohol or drugs in their own house or apartment or condo, their very own residence per se may be setting off for them. For a New Start Fentanyl Detox Orlando.


In such cases, it might be helpful to obtain brand-new furnishings or reorganize furniture to allow for a brand-new room that they can correlate with their newfound life in soberness instead of with alcohol treatment facility their substance use. 5. Points Individuals, places as well as things, oh my. Yes, we could not have this list without detailing things.

What Does For A New Start Alcohol Detox Orlando Mean?

It is necessary for people in recuperation to consume well, workout, meditate, have appropriate sleep-hygiene, and engage in various other such self-care behaviors that support their psychological health as well as dependency recovery. 7. Relationships and also Affection If an individual is not in an intimate partnership when they go into healing, it is often motivated to avoid of one for numerous months or even a year, up until they are extra steady in their recovery.


There are numerous various other factors it is urged not to date in soberness. Dating as well as affection frequently entails alcohol, substance abuse therapy and also a newly sober person may not recognize exactly how to browse the dating scene without alcohol or medication usage. Additionally, relationships (also long-lasting partnerships that existed prior to recuperation) can set off undesirable as well as undesirable emotions that a freshly sober individual may not recognize how to manage.


Certain, it is a wonderful feeling when you are confident in your recuperation, however remember that everyone is eligible for regression. All it takes is a millisecond, being in the wrong area at the wrong time, or simply one negative thought that brings about one negative choice. Do not be so certain in your healing that you are prepared to put on your own in dangerous circumstances or seek them out to prove to yourself that you can be sober at a party.

Everything about For A New Start Adderall Rehab Orlando

Monotony and Isolation Dullness and isolation can easily be provided as the number read more one factor for relapse by several individuals in early healing. Any kind of as well as all down time previous to recovery was generally used obtaining their compound, using their material, as well as recovering from their compound.


When one is bored or separated they are entrusted their own thoughts and also feelings, which often do not want to be heard or felt. While one must also be mindful to not load their days with task after visit after task as a way to escape reality as well as avoid their thoughts as well as feelings, it is likewise not healthy and balanced to be burnt out and also separated in very early recuperation.


10. Uncomfortable Emotions In active addiction, when you were tired you secondhand alcohol or medicines. When you were mad you made use of alcohol or drugs. When you were unfortunate you made use of alcohol or medicines. When you were lonely you utilized alcohol or drugs. When you were stressed you utilized alcohol or medicines.

 

What Does For A New Start Alcohol Rehab San Francisco Mean?

 

These centers array in strength as well as period of care from long-lasting and self-contained restorative communities to much less monitored midway and quarterway residences where the residents are transitioning back into the neighborhood. Specialized domestic programs are specifically customized to the needs of teens, expecting or postpartum ladies and their reliant kids, those under supervision by the criminal justice system, or public inebriates for whom extensive treatment has actually not worked (American Psychiatric Organization, 1995; Landry, 1996). Intensive outpatient treatment requires a minimum of 9 hours of weekly presence, normally in increments of 3 to 8 hrs a day for 5 to 7 days a week.


This environment is ideal for clients that do not require full time guidance and have some available assistances but need even more structure than is normally offered in less intensive outpatient setups. This therapy incorporates day care programs and night or weekend programs that might offer a full array of services. The regularity as well as length of sessions is typically tapered as people demonstrate progress, less danger of regression, and a more powerful dependence on drug-free community supports (American Psychiatric Organization, 1995). Least extensive is outpatient treatment with scheduled presence of less than 9 hours each week, generally including when- or twice-weekly person, group, or family members therapy along with other services.

 

 

 

Clients attending outpatient programs must have some ideal support group in area, appropriate living plans, transport to the solutions, and also significant motivation to go to continually and also gain from these least extensive initiatives. Ambulatory treatment is made use of by both public programs and also personal experts for key treatment initiatives along with prolonged aftercare and also followup (Institute of Medicine, 1990). Within each therapy approach, a variety of specialized treatment strategies (also understood as aspects, modalities, components, or solutions) are supplied to attain defined objectives - For a New Start Cocaine Rehab San Francisco.


The emphasis might transform, for instance, from pharmacological treatments to soothe withdrawal pains in the preliminary stage of therapy to behavioral treatment, self-help support, and regression prevention initiatives during the medical care and stablizing phase and proceeding AA engagement after discharge from official treatment. An individual in methadone maintenance therapy will certainly get pharmacotherapy throughout all phases of treatment, along with various other emotional, social, or lawful solutions that are selected as ideal for achieving specified individual therapy goals.

 

 

 

Rumored Buzz on For A New Start Alcohol Detox San Francisco

Nevertheless, the principal elements are Pharmacotherapies, which discourage proceeding alcohol or various other substance abuse, suppress withdrawal signs, block or decrease blissful effects or cravings, change an immoral medication with a recommended drug, or treat coexisting psychological problems (see Appendix A for more information on details pharmacotherapies) Psychosocial or mental interventions, which modify devastating social feelings, perspectives, as well as habits via individual, team, marital, or family members treatment Behavior modifications, which relieve or extinguish unwanted habits as well as urge desired ones Self-help teams for mutual assistance as well as encouragement to come to be or remain abstinent before, throughout, as well as after official therapy Medicines to take care of withdrawal make use of cross-tolerance to replace the abused medication with one more as well as safer medication in the very same class. For a New Start Cocaine Rehab San Francisco.


Benzodiazepines are often used to ease alcohol withdrawal symptoms, and methadone to manage opioid withdrawal, although buprenorphine and clonidine are additionally used. Numerous medications such as buprenorphine and amantadine as well as desipramine hydrochloride have been tried with cocaine abusers experiencing withdrawal, however their efficacy is not established. Intense opioid drunkenness with significant respiratory clinical depression or coma can be deadly and also calls for punctual turnaround, making use of naloxone.




Disulfiram (Antabuse), the very best understood of these agents, hinders the task of the enzyme that metabolizes a significant metabolite of alcohol, resulting in the build-up of poisonous levels of acetaldehyde and also countless extremely unpleasant side effects such as flushing, nausea, throwing up, hypotension, and anxiety. Extra just recently, the narcotic antagonist, naltrexone, has actually likewise been found to be reliable in reducing relapse to alcohol use, apparently by obstructing the subjective effects of the first drink.

 

 

 

Naltrexone keeps opioids from occupying receptor websites, thus inhibiting their blissful effects. These antidipsotropic agents, such as disulfiram, and also obstructing agents, such as naltrexone, are just helpful as a complement to other treatment, specifically as motivators for regression prevention (American Psychiatric Organization, 1995; Agonist substitution therapy changes an illicit medicine with a suggested medication.

 

 

 

All About For A New Start Meth Detox San Francisco

The leading replacement treatments are methadone as well why not check here as the even much longer acting levo-alpha-acetyl-methadol (LAAM). Individuals utilizing LAAM just require to ingest the medicine three times a week, while methadone is taken daily. Buprenorphine, a mixed opioid agonist-antagonist, is additionally being utilized to reduce withdrawal, lower medication yearning, and also block euphoric as well as enhancing impacts (American Psychiatric Association, 1995; Medicines to treat comorbid psychological conditions are an essential complement to compound abuse therapy for patients diagnosed with both go to this web-site a material usage condition and also a psychiatric problem.


Since there is a high prevalence of comorbid psychiatric problems among individuals with substance reliance, pharmacotherapy directed at these conditions is frequently suggested (e. g., lithium or various other mood stabilizers for individuals with confirmed bipolar illness, neuroleptics for clients with schizophrenia, and also antidepressants for patients with significant or atypical depressive condition).

 

 

 

Lacking a confirmed psychiatric diagnosis, it is unwise for health care clinicians as well as various other physicians basically abuse therapy programs to suggest drugs for sleeplessness, anxiety, or anxiety (particularly benzodiazepines with a high abuse possibility) to people who have alcohol or other medicine problems. For a New Start Adderall Detox San Francisco. Even with a validated psychiatric diagnosis, clients with compound usage disorders should be prescribed medications with a low capacity for (1) lethality in overdose circumstances, (2) exacerbation of the effects of the over used substance, and (3) abuse itself.


These drugs need to also be given in minimal amounts and also be carefully monitored (Institute of Medicine, 1990; Due to the fact that prescribing psychotropic visit this site right here medications for patients with twin medical diagnoses is scientifically complicated, a conservative and sequential three-stage approach is advised. For an individual with both an anxiousness condition and also alcoholism, for instance, nonpsychoactive choices such as exercise, biofeedback, or stress decrease strategies must be tried initially.
 

Getting The For A New Start Adderall Meth Detox Jacksonville To Work

 

One of the primary advantages of a drug misuse rehabilitation facility is the framework it offers. For a New Start Adderall Rehab Jacksonville. Creating a routine is the initial step for addiction recuperation, and also the framework of rehabilitation motivates this. Typically, rehabilitation facilities will certainly highlight day-to-day routines, producing effective tasks and routines, while individuals also go to numerous treatments and treatments.


The framework that rehab gives enables individuals to produce a solid yet straightforward day-to-day regimen that concentrates on keeping sobriety as well as producing new healthy and balanced habits that they can adhere to as soon as the treatment has ended.


Developed for member of the family of people with alcoholic abuse or substance abuse problems. Solutions concerns regarding chemical abuse, its signs and symptoms, different kinds of treatment, and healing. Addresses worries of youngsters of moms and dads with substance use/abuse issues. Guarantees teenagers with moms and dads who abuse alcohol or medications that, "It's not your mistake!" which they are not the only one.


For additional resources, please check out the SAMHSA Store.

 

 

 

The Ultimate Guide To For A New Start Adderall Detox Jacksonville

Forty-five were selected as centers including health care techniques, healthcare facilities, Federally Qualified Health and wellness Centers, substance-use condition (SUD) treatment service providers, and also SCAs. The Carbon monoxides were made to engage the community to identify all persons with OUD as well as ensure everyone with OUD attains ideal health. This implies COEs take care of the entire individual, including OUD treatment, physical health and wellness therapy, and psychological health and wellness therapy such as anxiousness or clinical depression treatment.


The price of these services will vary depending upon the kind of service. Pennsylvania's Medical Support program, either through a taken care of care organization or the standard fee-for-service system, pays for most of these services for qualified people. Individuals who use solutions, however are not on Medical Assistance and also are without access to various other insurance coverage, will certainly be examined for their ability to spend for services by the county SCA.




Inpatient rehabilitation facilities are facilities for someone seeking aid for a drug or alcohol issue, where they live complete time. This is in comparison to outpatient rehabilitation when a person attends therapy throughout the day but goes house at evening. Inpatient rehab, also called household therapy, is appropriate for serious addictions as well as supplies care 24 hr a day.

 

 

 

The ordinary keep of domestic treatment is thirty day, but some therapy programs use longer sizes of stay (between 60-90 days). Depending upon the severity of an individual's dependency, they may attend lasting household therapy or short-term residential therapy. While it is not appropriate for everybody, there are several benefits of inpatient rehabilitation.

 

 

 

Our For A New Start Cocaine Rehab Jacksonville PDFs

From the minute a private decides to look for treatment, they are preparing to go with a radical change in their life. While this adjustment is for the far better, it comes with its own set of obstacles to face, starting with cleansing. For somebody that has actually been abusing medications or alcohol, the procedure of experiencing withdrawal and detoxing can be extremely unpleasant, and lots of attempt to avoid it for as long as possible.

 

 

 

Left without supervision, withdrawal signs can be possibly deadly. Connect to a therapy company free of cost today for immediate support. - OR - One of the benefits of inpatient rehab is that they offer a secure area to detox where medical specialists can monitor vitals and also ease some of the undesirable signs.


Alcohol detoxification generally lasts anywhere from 3 to 10 days, with withdrawal symptoms beginning within 6 hours and also being their worst at 72 hours. Alcohol withdrawal lessens considerably in severity after 72 hrs to one week, which is called the severe withdrawal stage. There have been reports of signs and symptoms lasting for a month, as well as sometimes feelings of stress and anxiety and also anxiety this content last for check this months.

 

 

 

One of the advantages of inpatient rehabilitation is that individuals do not have accessibility to their material of selection, and also while they have the liberty to leave any time, they will likely not return if they exit rehabilitation as well as relapse. Researches have shown that more inpatients complete detoxification contrasted to people in outpatient treatment.

 

 

 

The Only Guide for For A New Start Meth Rehab Jacksonville

Those that overcome a substance usage disorder (SUD) learn the devices to avoid regression, as well as might be at a decreased threat for establishing another SUD, according to a research published in JAMA, which stated, "As compared with those who do not recover from an SUD, individuals that recoup have less than half the threat of creating a new SUD.


Having a support system of individuals that understand the battles of dependency and can be a shoulder to lean on is exceptionally beneficial, and it might be impossible for some to ever before recover without it - For a New Start Meth Rehab Jacksonville. The Material Misuse and Mental Health and wellness Providers Management specifies that having social networks and also connections that supply love, hope, relationship, and support are a vital part of healing.


Some might check out here believe that alcohol addiction therapy is unworthy the rate, but actually, an addiction sets you back much more than therapy. Chemical abuse expenses America over $600 billion annually yet treatment has been shown to reduce expenses. If you or a liked one is having a hard time with an alcoholism, there are options.


You can explore your treatment choices by contacting a treatment service provider today.

 

 

 

For A New Start Adderall Detox Jacksonville for Dummies

Go to "Care Company Look" and go into the area name or postal code of the location where you are looking for therapy programs. This customer service can likewise route you to moneying options for the without insurance who may not be eligible for Medicaid. This internet site gives education and learning about the dangers of and also relationships between prescription painkiller and also heroin usage.


This campaigning for company gives details and also assistance for families as well as those with a compound use condition. This web site has different resources for families to understand and also resolve a youngster's substance use. The resources can be filtered by the desired userfor instance, moms and dads of young teens, older teens, adult youngsters, or teachers/community support personnel.