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Andrew O'Keefe could get his life back on track with a trip to Thailand

V.Rodriguez25 min ago
A luxury rehab centre that has treated the likes of supermodel Kate Moss and English indie rock star Pete Doherty could help Andrew O'Keefe get his life back on track but it comes with a steep price-tag.

The Channel Seven star's spectacular path of self-destruction has seen him fall from the TV stardom that netted him around $800,000 a year to a recent near-fatal drug overdose and multiple arrests .

One place he might consider to change tack is the Cabin Rehab, which is a secluded and walled-off 33-room resort-style facility that overlooks the Ping river just outside of the northern Thailand city of Chiang Mai.

Lee Hawker, The Cabin's medical director, said O'Keefe would fit the profile of clients the facility takes in at a hefty cost of over $26,000 per month.

'We have a number of high profile clients, super models, TV and sports people,' Mr Hawker told Daily Mail Australia.

The Cabin does not allow any pictures to be taken on site and guarantees discretion along with security, which is provided by guarded entrances and CCTV.

Doherty and Moss are two celebrities that have publicly been reported to attend the clinic but Mr Hawker said there have been some well known Australian clientele as well, including a couple of big-name athletes.

Otherwise, those who attend are mostly from the UK and Australia with a sprinkling of American and Canadians, and generally include professionals such as lawyers, pilots and executives.

They are mostly between 32 and 45 years old, although there are programs for adolescents.

While beating drugs and alcohol is the main focus there is also help for gambling and sex addiction as well as compulsive internet use.

While he cannot properly diagnose O'Keefe from a distance, Mr Hawker said there were potential areas The Cabin would explore to help the troubled 52-year-old break out of his downward spiral.

'He had his legal counsel state there was trauma in his background and some bipolar,' Mr Hawker, who is a 57-year-old qualified forensic psychiatrist from England, said.

'I think both of those are serious antagonists for substance use.

'Most people who come to the Cabin will have faced some sort of adversity in their lives that they haven't been able to move past and the has contributed to their shift towards substances.

'I would suggest that bi-polar would have to brought under control. Unless you have that under control you are prone to the depressive mood swings as well as the hypermanic mood swings, that's where the impulse control goes awry.

'Typically this is done through pharmaceutical prescribing, mood stabilisers and sedatives.

'Where there is poor compliance with taking the medication that can antagonise the substance use.

'Assessing what medication he is on what his compliance is like is going to critical for him.'

If O'Keefe were to check into The Cabin he would be committing to a 12-week program, where he is expected to remain totally drug and alcohol free. The centre claims a 95 per cent success rate at engaging people in the path to sobriety.

Upon entering he and his luggage would be searched for addictive substances and if any were found they would be destroyed but if they are illegal the police would not be told.

Ms Hawker said people did sometimes try to sneak in substances or have forgotten where they have some hidden on their person or in the luggage.

'Addiction by its definition is furtive and sneaky,' Mr Hawker, who has been working at The Cabin for 15 years, said.

'It makes behaviour erratic, thinking more skewed and judgment impaired.'

O'Keefe would undergo a medical check-up with a nurse and then, if necessary, be put on a detox program, where he would be kept separate from others.

'Often people come in having had one last hurrah and stinking of alcohol, Mr Hawker said.

'The sight or smell of alcohol could be quite triggering to someone who is moving through a detox period.'

O'Keefe would sign a 'behavioral contract' to govern his time at The Cabin and part of that would be submitting to random urine tests for any intoxicating substance.

During his stay O'Keefe would enjoy the trappings of a luxury resort, with the facility having previously been a five-star resort.

The Cabin boasts private villas in a Thai teak wooden style as well as colonial marble elegance, swimming pools, lush gardens, meditation salas, a mountain-view state of the art gym, full spa centre and an open-air ala carte restaurant with 'top chefs'.

Mr Hawker said what sets The Cabin apart from other cheaper rehab centres is its focus on sport and activities, which can include hiking and biking in the surrounding rain forest to the more exotic choices of cleaning elephants or white water rafting.

'People have likened us to a clinical country club,' Mr Hawker said.

Once O'Keefe has been through detox his days will be filled with mandatory and elective therapy sessions and activities.

'It's a busy schedule but we only have people for a short period of time so we have to get as much done as possible, Mr Hawker said.

Each day has about seven or eight hours of clinical interventions. It is not just sitting around navel gazing.'

There is an elective yoga start to each day at 7am but then mandatory group therapy sessions at 9am and exercise straight after.

Mr Hawker said exercise is an important way to 'change behavioural patterns from drug use, indolence and sedentary lifestyles'.

After lunch there is one-on-one sessions with the psychiatrists and psychotherapists on staff.

Later in the afternoon people can choose between activities such as personal training, holistic healing, more counselling or massage.

In the evening people are allowed escorted trips to community support groups such as AA but there is a strict 10pm curfew.

Mr Hawker said with The Cabin being one of the first such rehabs based in Thailand, which lowers the cost, it was also a leader in practicing mindfulness.

'Our program that combines western psychology with elements of eastern practices such as mindfulness,' he said,

'We are a bit of the game because we are based in Thailand and with Buddhism being the spiritual language of this part of the world it lends itself to delivering mindfulness in its purist form.'

Mr Hawker said one of the most common moods of those coming into rehab was fear.

'A lot of people are afraid, when you get to this stage of your addiction you are at the final stop or the next stop after this is often a prison sentence or a life-altering medical condition.

'I think it is very easy to move people from that fear-based place to one where there is hope.

'This is a place where people do turn corners and make changes and you have every chance of doing that.'

Mr Hawker said the 95 per cent success rate was not a measure of whether someone left the centre and stayed off their substance forever but whether they remain for the 12 weeks and stay committed to the things the program asks of them.

One who famously did not was Doherty, who was asked to leave.

If someone is caught lapsing or trying to obtain their addiction they aren't automatically asked to leave, as happens in some rehabs.

'We have a more person-centred approach,' Mr Hawker said.

'We say "well let's look at what informed that decision, what was going on beforehand". It is grist for the mill you can learn from it.

'Deciding whether someone can stay is weighed on merit, was anyone else involved? Was the intention to get rejected from treatment because believe it or not some people actually want that.'

'We want people who are coachable and motivated and they follow recommendations,' Mr Hawker said.

'Most of the people we have are motivated to be there and have paid significant money to be there.

'What you really want is someone who is coming in for treatment because they really want to make long term changes and will engage in treatment off their own bat,'

Despite The Cabin not being part of any court-ordered regime some people still treat it as 'punishment' or a 'grudging obligation'

'You could say the same anyone who walked in here and they were doing treatment for an external reason say the wife is going to take the kids or the boss is going to sack them,' Mr Hawker said.

There are some people who do rehabs almost habitually.

'We have someone in here that has been to 12 rehabs,' Mr Hawker said.

'There is one lady who has already done three treatment cycles.'

'Sometimes wealth can be an obstacle because people think "Yeah I will do treatment, yeah I will dry out I will chase this, I won't chase that. They will cherry pick.'

'Some people don't make the efficient change in terms of their attitudes.

'They still think they've got this there is self reliance involved.

'If you leave here thinking "I know what is best for me" you may end up repeating the same problems.

'That's fairly common, especially when you've got educated people that come from powerful positions they sometimes think: "I'll give a little but I am not going to change that".'

Of all The Cabin's therapeutic activities, Mr Hawker singles out group therapy as the most potentially transformative.

'There are those lightbulb moments,' he said.

'It tends to happen in group therapy rather than individual therapy.

'In group therapy is a much more powerful experience. Sometimes if people are not speaking they are listening and they are hearing stuff that they can identify with.

'When you have got a well functioning group it will turn people's lives around.'

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