Session 1: Triggers and Cravings 1-
Changes in the Brain Matrix IOP 1- Limbic System Prefrontal Cortex
Conditioning Matrix IOP 1-
Matrix IOP 1- I.P. Pavlov (1849 – 1936)
Matrix IOP 1- Pavlov’s Dog
A Definition of Addiction American Society of Addiction Medicine Matrix IOP 1- A primary, chronic, neurobiologic disease w...
The Addictive Process <ul><li>Introductory phase </li></ul><ul><li>Maintenance phase </li></ul><ul><li>Disenchantment phas...
Addictive Process Introductory Phase Matrix IOP 1- Positives Relief from Depression Anxiety Loneliness Insomnia Euphoria I...
Conditioning Process During Addiction Introductory Phase Matrix IOP 1- <ul><li>Triggers </li></ul><ul><li>Parties </li></u...
Development of Obsessive Thinking Introductory Phase Matrix IOP 1- Sports Food School TV Girlfriend Hobbies Job Meth Famil...
Development of Craving Response Introductory Phase Matrix IOP 1- Entering Using Site Use of Meth    Heart/pulse rate    ...
Addictive Process Maintenance Phase Matrix IOP 1- Positives Depression relief Confidence boost Boredom relief Sexual enhan...
Conditioning Process During Addiction Maintenance Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Triggers...
Development of Obsessive Thinking Maintenance Phase Matrix IOP 1- Meth Food School TV Girlfriend Hobbies Job Meth Family E...
Development of Craving Response Maintenance Phase Matrix IOP 1- Entering Using Site Physiolog- ical Response Use of Meth M...
Addictive Process Disenchantment Phase Matrix IOP 1- Positives Sociability Occasional euphoria Relief from fatigue Relief ...
Conditioning Process During Addiction Disenchantment Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Trigg...
Development of Obsessive Thinking Disenchantment Phase Matrix IOP 1- Meth Meth Food Meth TV Girlfriend Meth Job Meth Famil...
Development of Craving Response Disenchantment Phase Matrix IOP 1- Thinking of Using Mild Physiological Response Entering ...
Addictive Process  Disaster Phase Matrix IOP 1- Positives Relief from fatigue Relief from stress Relief from depression Ne...
Conditioning Process During Addiction Disaster Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Triggers </...
Development of Obsessive Thinking Disaster Phase Matrix IOP 1- Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth
Development of Craving Response Disaster Phase Matrix IOP 1- Thoughts of Meth- Using Place Powerful Physiological Response...
Matrix IOP 1- Trigger Thought Craving Use
Matrix IOP 1- Interruption Trigger Thought Craving Use
Thought Stopping <ul><li>Visualization </li></ul><ul><li>Rubberband snap </li></ul><ul><li>Relaxation </li></ul><ul><li>Ca...
Thought Stopping <ul><li>Visualization </li></ul>Matrix IOP 1-
Thought Stopping Matrix IOP 1- Rubberband   Snap
Thought Stopping <ul><li>Relaxation </li></ul>Matrix IOP 1-
Thought Stopping Matrix IOP 1- C alling Someone
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  1. 1. Session 1: Triggers and Cravings 1-
  2. 2. Changes in the Brain Matrix IOP 1- Limbic System Prefrontal Cortex
  3. 3. Conditioning Matrix IOP 1-
  4. 4. Matrix IOP 1- I.P. Pavlov (1849 – 1936)
  5. 5. Matrix IOP 1- Pavlov’s Dog
  6. 6. A Definition of Addiction American Society of Addiction Medicine Matrix IOP 1- A primary, chronic, neurobiologic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. Addiction is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving. Graham, A.W.; Schultz, T.K.; Mayo-Smith, M.F.; Ries, R.K.; and Wilford, B.B. eds. Principles of Addiction Medicine , Third Edition. Chevy Chase, MD: American Society of Addiction Medicine, Inc., 2003.
  7. 7. The Addictive Process <ul><li>Introductory phase </li></ul><ul><li>Maintenance phase </li></ul><ul><li>Disenchantment phase </li></ul><ul><li>Disaster phase </li></ul>Matrix IOP 1-
  8. 8. Addictive Process Introductory Phase Matrix IOP 1- Positives Relief from Depression Anxiety Loneliness Insomnia Euphoria Increased status Increased energy Increased sexual/social confidence Increased work output Increased thinking ability METHAMPHETAMINE (METH) Negatives May be illegal May be expensive May cause missing work
  9. 9. Conditioning Process During Addiction Introductory Phase Matrix IOP 1- <ul><li>Triggers </li></ul><ul><li>Parties </li></ul><ul><li>Special occasions </li></ul><ul><li>Other events </li></ul><ul><li>Responses </li></ul><ul><li>Pleasant thoughts about meth </li></ul><ul><li>Infrequent use </li></ul>Strength of Conditioned Connection: Mild
  10. 10. Development of Obsessive Thinking Introductory Phase Matrix IOP 1- Sports Food School TV Girlfriend Hobbies Job Meth Family Exercise Parties
  11. 11. Development of Craving Response Introductory Phase Matrix IOP 1- Entering Using Site Use of Meth  Heart/pulse rate  Respiration  Adrenaline  Energy  Meth taste Meth Effects
  12. 12. Addictive Process Maintenance Phase Matrix IOP 1- Positives Depression relief Confidence boost Boredom relief Sexual enhancement Social lubricant Negatives Employment/school disruptions Relationship concerns Financial problems Beginnings of physiological dependence
  13. 13. Conditioning Process During Addiction Maintenance Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Triggers </li></ul><ul><li>Parties </li></ul><ul><li>Friday nights </li></ul><ul><li>Friends </li></ul><ul><li>Alcohol </li></ul><ul><li>“ Good times” </li></ul><ul><li>Sexual situations </li></ul><ul><li>Responses </li></ul><ul><li>Thoughts of meth </li></ul><ul><li>Eager anticipation of meth use </li></ul><ul><li>Mild physiological arousal </li></ul><ul><li>Cravings occur as use approaches </li></ul><ul><li>Occasional use </li></ul>Moderate
  14. 14. Development of Obsessive Thinking Maintenance Phase Matrix IOP 1- Meth Food School TV Girlfriend Hobbies Job Meth Family Exercise Parties
  15. 15. Development of Craving Response Maintenance Phase Matrix IOP 1- Entering Using Site Physiolog- ical Response Use of Meth Meth Effects  Heart  Breathing  Adrenaline effects  Energy  Meth taste <ul><li>Heart </li></ul><ul><li>Blood pressure </li></ul><ul><li>Energy </li></ul>
  16. 16. Addictive Process Disenchantment Phase Matrix IOP 1- Positives Sociability Occasional euphoria Relief from fatigue Relief from stress Negatives Withdrawal depression Paranoia Tweaking Relationship disruptions Family distress Impending job loss
  17. 17. Conditioning Process During Addiction Disenchantment Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Triggers </li></ul><ul><li>Fatigue </li></ul><ul><li>All friends </li></ul><ul><li>Stress </li></ul><ul><li>Boredom </li></ul><ul><li>Anxiety </li></ul><ul><li>Free time </li></ul><ul><li>Sexual arousal </li></ul><ul><li>Loneliness </li></ul><ul><li>Responses </li></ul><ul><li>Continual thoughts of meth </li></ul><ul><li>Strong physiological arousal </li></ul><ul><li>Psychological dependency </li></ul><ul><li>Strong cravings </li></ul><ul><li>Frequent use </li></ul>STRONG
  18. 18. Development of Obsessive Thinking Disenchantment Phase Matrix IOP 1- Meth Meth Food Meth TV Girlfriend Meth Job Meth Family Meth Parties
  19. 19. Development of Craving Response Disenchantment Phase Matrix IOP 1- Thinking of Using Mild Physiological Response Entering Using Site  Heart rate  Breathing rate  Energy  Adrenaline effects Powerful Physiological Response Use of Meth Meth Effects  Heart rate  Breathing rate  Energy  Adrenaline effects  Heart  Blood pressure  Energy
  20. 20. Addictive Process Disaster Phase Matrix IOP 1- Positives Relief from fatigue Relief from stress Relief from depression Negatives Weight loss Paranoia Loss of family Seizures Severe depression Unemployment Bankruptcy
  21. 21. Conditioning Process During Addiction Disaster Phase Matrix IOP 1- Strength of Conditioned Connection: <ul><li>Triggers </li></ul><ul><li>Any emotion </li></ul><ul><li>Day </li></ul><ul><li>Night </li></ul><ul><li>Work </li></ul><ul><li>Free time </li></ul><ul><li>Responses </li></ul><ul><li>Obsessive thoughts about meth </li></ul><ul><li>Powerful autonomic response </li></ul><ul><li>Powerful physiological dependence </li></ul><ul><li>Automatic use </li></ul><ul><li>Persistent paranoia </li></ul>OVERPOWERING
  22. 22. Development of Obsessive Thinking Disaster Phase Matrix IOP 1- Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth
  23. 23. Development of Craving Response Disaster Phase Matrix IOP 1- Thoughts of Meth- Using Place Powerful Physiological Response  Heart rate  Breathing rate  Energy  Adrenaline effects
  24. 24. Matrix IOP 1- Trigger Thought Craving Use
  25. 25. Matrix IOP 1- Interruption Trigger Thought Craving Use
  26. 26. Thought Stopping <ul><li>Visualization </li></ul><ul><li>Rubberband snap </li></ul><ul><li>Relaxation </li></ul><ul><li>Calling someone </li></ul>Matrix IOP 1-
  27. 27. Thought Stopping <ul><li>Visualization </li></ul>Matrix IOP 1-
  28. 28. Thought Stopping Matrix IOP 1- Rubberband Snap
  29. 29. Thought Stopping <ul><li>Relaxation </li></ul>Matrix IOP 1-
  30. 30. Thought Stopping Matrix IOP 1- C alling Someone
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