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All of my friends who have gone to rehab are either on their way back in or already went in again, or their completely fine. It is a personal choice you have to be ready for the pain, ready for the mental reprucussions that no one can explain only learn. Methadone is a nasty little devil of a drug. Though he will make it if he understands being junk sick is not shitty because your sick it is because you don't have junk.
I love how you worded he needs to escape the booze and pills to learn he needs to change not neccesarily his habits. That is what really defined me from a couple of my friends cases.
You need to support him but not baby him. You already have the right mentality, though when he thinks he is dieing from withdrawal you or someone close to him better hold his hand through that shit because that is one thing I wish I had. Stopping the use of those drugs isn't hard, it is staying off of them, because his juxtaposition is off on what good and bad are right now. Like he'll never feel normally up to how he felt with methadone.
He needs marijuana to understand his fears and overcome the paranoia he is attaining. Also he needs days off of marijuana and no drugs. So he can respect the powers of Marijuana instead of the artificial dope he's been putting into his body.
Encourage him to write/read and learn new things durring this process this is key. Due to how the mind works. Make new friends and introduce himself as a person without those problems.
Be a light source of guidance but his plant(mind) must chose to bend towards the same light you use.
If you need anymore pointers feel free to ask me anything I will do my most to help someone in a similiar position. Rehab will teach him some things though, so it won't be the worst learning experiance for him I'm sure especially if he isn't educated on drugs (like I wasn't until I was too old and already using).
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