Addiction 101 - September 2012

5,942
-1

Published on

“Addiction 101” will examine the dynamics of drinking and drug use, review addiction as a brain disease and describe the process of recovery from chemical dependency. Participants will learn how individuals experience drinking and drug use, gain an understanding of the basic process and diagnosis of addiction, gain a basic understanding of how the brain functions in a person with alcohol/other drug addiction, and become familiar with the tools utilized to treat addiction. This program is presented by James Balmer; President, Dawn Farm. The program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.

Published in: Health & Medicine
0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
5,942
On Slideshare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
133
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Addiction 101 - September 2012

  1. 1. ADDICTION 101A basic primer on addiction
  2. 2. How do we approach addiction? “If the only tool you have is a hammer, you tend to see every problem as a nail.” (Abraham Maslow)
  3. 3. Definition of addiction“Alcoholism is a primary, chronic disease with genetic, psychosocial and environmental factors influencing its development and manifestations. The disease is often progressive and fatal.It is characterized by continuous or periodic impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial.”(National Council on Alcoholism and Drug Dependence, Inc. 2/3/90)
  4. 4. What is a disease? The causal model: 1. cell, organ or system 2. defect or injury 3. measurable symptoms
  5. 5. A broken leg? The causal model: 1. bone 2. defect? 3. symptoms? 4. treatment?
  6. 6. Diabetes? The causal model: 1. pancreas 2. defect? 3. symptoms? 4. treatment?
  7. 7. Alcoholism? The causal model: 1. brain? liver? 2. defect? 3. symptoms? 4. treatment?
  8. 8. The causal model works for easy diagnosis• The model favors simple organs. Addiction? Brain disease? Liver disease?• In the absence of easy causality, what models work? Moral Personality Environment
  9. 9. Language Problems
  10. 10. Treatment for Hypertension: Did Treatment Work?m er usser P doo B l No Tx Tx Tx Tx No Tx Treatment Status Over Time Hypertension is a chronic disease. Treatment is applied consistently over time (anti-hypertensive therapy with consistent follow-up). :
  11. 11. Treatment for Alcoholism: Did Treatment Work?p m s no Cl ohoc A l No Tx Tx Tx Tx No Tx Treatment Status Over Time Should we also be using chronic/rehabilitative treatment model u INSTEAD of an acute/single episode treatment model?
  12. 12. How do these diseases compare? Compliance Relapse Rate Addiction/Chronic Illness Rate (%) (%) Alcohol 30-50 50 Opioid 30-50 40 Cocaine 30-50 45 Nicotine 30-50 70 Insulin Dependent Diabetes Medication <50 30-50 Diet and Foot Care <50 30-50 Hypertension Medication <30 50-60 Diet <30 50-60 Asthma Medication <30 60-80 O’Brien CP, McLellan AT. Myths about the Treatment of Addiction (1996). The Lancet, Volume 347(8996), 237-240.
  13. 13. Learning to drink priming early experimentation being adult designated driver
  14. 14. The mathematics of drinking priming early experimentation building trust reliable effect learning how to use signature experience
  15. 15. More is better priming early experimentation building trust reliable effect learning how to use signature experience
  16. 16. The rules of drinking priming early experimentation building trust reliable effect learning how to use signature experience
  17. 17. How alcoholism develops priming early experimentation building trust reliable effect learning how to use signature experience
  18. 18. The lizard brain MENTAL OBSESSION CRAVING tolerance loss of control blackouts physical dependence withdrawal syndrome
  19. 19. Untreated addiction FEAR LONELINESS hypersensitivity insecurity adaptive defenses delusions “self will run riot”
  20. 20. What’s wrong with these people? MENTAL OBSESSION FEAR CRAVING LONELINESS tolerance hypersensitivity loss of control insecurity blackouts adaptive defenses physical dependence delusions withdrawal syndrome “self will run riot” “the alcoholic drinks as long as he can, stays sober as long as he can, drinks as long as he can…”
  21. 21. Escaping a state of pain MENTAL OBSESSION FEAR CRAVING LONELINESS tolerance hypersensitivity loss of control insecurity blackouts adaptive defenses physical dependence delusions withdrawal syndrome “self will run riot”“the alcoholic drinks as long as he can, stays sober as long as he can, drinks as long as he can…”
  22. 22. Signs and Symptoms • personality change • blackouts • problems at work/school • mood/attitude changes • legal problems • health problems • avoiding friends/family • constant obsession • appetite/sleep changes • high tolerance • lying/dishonesty • strained relationships • financial problems • loss of interests • accidents • depression/suicide attempts • risk-taking behaviors • changes in appearance
  23. 23. Definition of Addiction Addiction, alcoholism and drug dependence is a chronic, progressive disease characterized by physical and psychological symptoms: CRAVING The strong need or compulsion to drink DEPENDENCEWithdrawal symptoms, such as nausea, sweating, shakiness and anxiety when you stop drinking or using after a period of heavy use. COMPULSIONThe frequent inability to stop drinking or using once you’ve begun (see Loss of Control) TOLERANCE You need increasing amounts of drugs/alcohol to get “high”
  24. 24. Definition of Abuse Drug/alcohol abuse may not involve craving, loss of control or physical dependence. Rather, it is a pattern of use that has led to at least one of the following situations within a 12-month period: • Inability to fulfill major work, school or home responsibilities • Drinking while driving a car, operating heavy machinery, or while involved in any other physically dangerous activity. • Relationship problems that are caused or worsened by the effects of use. • Recurring drug/alcohol-related legal problems, such as being arrested for driving under the influence, or for physically hurting someone while impaired.
  25. 25. A Disease of Perception
  26. 26. Traditional Therapeutic Intervention If “self will run riot” is the problem, what is the solution?
  27. 27. AA’s Counterintuitive Model Attend A.A. meetings regularly Read the Big Book Get and use a sponsor Participate in A.A. service work Get a home group of A.A. Pray regularly Help other alcoholics

×