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If Dr. Drew still didn't practice medicine every day with old people that are not famous, I'd call him a quack. The reality is that he is still a regular doctor by day and a famous doctor by night.
Many of these people had demons before fame, but the demons took over after fame. They crave the spotlight. It's alternative treatment, but if you look at the alumni, it appears to work for many. Put them back in the limelight, on TV and they are happy and focus on their sobriety.
Of course, the limelight will end again, and what they do after treatment is what will matter the most. How does that differ from any other addict? The goal is to get them to focus on themselves and not the fame. An hour of reality TV is usually made from one week of treatment. The majority of the treatment they receive is never shown on TV.
There are many types of effective treatment. I got clean on outpatient treatment when the majority of people that abuse what I did never get clean and/or require many stints of inpatient. Treatment on TV may be what works best for fallen stars.
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