Behavioral Addictions: Exploration and Interventions
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The video for this presentation is available on our Youtube channel: https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c= Examine Behavioral Addictions...Their similarity and differences to chemical addictions, effective interventions for addictive behaviors in which abstinence is not the treatment goal (i.e. eating, sex) Addiction and Mental Health Counselors can earn continuing education credits (CEs) for this course at: https://www.allceus.com/member/cart/index/product/id/466/c/ Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/ Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/ Patreon: https://www.patreon.com/CounselorToolbox Help us keep the videos free for everyone to learn by becoming a patron. Pinterest: drsnipes AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs. AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
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Behavioral Addictions: Exploration and Interventions
- 1. Dr. Dawn-Elise Snipes PhD, LPC-MHSP, NCC Executive Director, AllCEUs.com AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 2. Define addiction Define behavioral addictions Examine some of the most common behavioral addictions Explore similarities and differences between behavioral and chemical addictions Discuss similarities & differences in treatment between chemical & behavioral addictions AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 3. A substance, person or activity Outside of ones self Used to escape from emotional or physical pain Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 4. Addiction serves a survival purpose. Addiction represents the best way a person had to cope until now The addiction can become the person’s best friend Everyone’s ability to deal with life on life’s terms differs Patients can address the ways issues from the past are impacting them today AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 5. Lack of early bonding (Trust/Mistrust) Lack of confidence (Industry/Inferiority) Lack of self-esteem (Identity or Intimacy) Recreational or Prescribed Use Mental Health Issues AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 6. Recreational Use Occasional Use for Relief Increasing craving Increased triggers (stimulus generalization) Unable to discuss the problem Efforts to control fail (increased time and energy) Continued use despite negative consequences ◦ Stop using see the original problems plus the addiction-created problems ◦ Use again AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 7. Makes the decision to change Seeks to understand and address the reasons for ◦ The original distress ◦ Distress created from the addiction Addresses physical issues maintaining the distress Develops healthy coping skills Improves self esteem Rebuilds healthy support network AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 8. Tolerance (marked increase in amount; marked decrease in effect) Characteristic withdrawal symptoms; substance taken to relieve withdrawal Substance taken in larger amount and for longer period than intended (loss of control) AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 9. Persistent desire or repeated unsuccessful attempt to quit Much time/activity to obtain, use, recover Important social, occupational, or recreational activities given up or reduced Use continues despite knowledge of adverse consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 10. Use continues despite adverse consequences ◦ Emotional Problems Depression Anxiety Guilt Anger/Resentment AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 11. Use continues despite adverse consequences ◦ Cognitive Problems Memory problems (loss, blackouts) Confusion Paranoia AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 12. Use continues despite adverse consequences ◦ Physical Problems Hepatitis, HIV and STDs Inadequate sleep or nutrition Reduced immune system Injuries AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 13. Use continues despite adverse consequences ◦ Relationship Issues Lying Manipulation Secrecy Change of Friends Difficulty getting along with others AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 14. Use continues despite adverse consequences ◦ Occupational Issues Poor work attendance Poor quality or productivity Job loss AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 15. Use continues despite adverse consequences ◦ Spiritual Issues Hope Faith Integrity Discipline Courage Compassion AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 16. If you have any questions or comments thus far, and have not already asked them, please do so during the break. AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 17. Dr. Dawn-Elise Snipes PhD, LPC-MHSP, NCC AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 18. Inability to consistently Abstain Impairment in Behavioral control Craving; increased “hunger” for drugs or rewarding experiences; Diminished recognition of significant problems with one’s behaviors and interpersonal relationships A dysfunctional Emotional response http://www.asam.org/for-the-public/definition-of-addictionAllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 19. Chemical Addictions Behavioral Addictions Substances directly impact the brain and/or nervous system Activities that impact the pleasure centers ◦ Adrenaline rush ◦ Dopamine rush ◦ Endorphin rush ◦ Oxytocin AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 20. Cause chemical reactions in the brain Are a tool to escape or avoid pain Produce a tolerance Have psychological withdrawal symptoms Can have devastating biopsychosocial consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 21. Abstinence is not possible or ideal for some behavioral addictions (i.e. sex, food, shopping, exercise) Many treatment centers ignore the substitution of a behavioral addiction for a chemical addiction AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 22. Is an alcoholic who hasn’t had a drink in 3 weeks in recovery? Is an addict who hasn’t used his drug of choice in 3 months in recovery? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 23. Think about behaviors that your patients engage in when they are deprived of their addiction of choice. ◦ What behavioral substitutions appear? ◦ What function are these behaviors serving? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 24. Food Sex/Pornography Gambling Shopping Exercise Internet Relationships Generally, the more primitive the primary addiction or the more fundamental need it meets, the earlier it started. Once an addiction starts, psychosocial development slows or stops, especially as it relates to coping and relationships AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 25. When faced with two choices, the tendency is to choose the more rewarding option To increase motivation for change the less rewarding choice must become more rewarding The alternate behaviors need to be equally rewarding as the “addiction.” AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 26. When assessing a person for mental health issues, always ask about how they cope and apply a modified CAGE questionnaire ◦ Have you ever felt you needed to Cut down? ◦ Have people Annoyed you by criticizing your behavior? ◦ Have you ever felt Guilty about your behavior? ◦ Have you Eliminated or reduced important roles, tasks or relationships because of your behavior AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 27. When assessing someone with other addictions look for behavioral addictions When assessing someone with a family history of addiction For many people, behavioral addictions are a relapse warning sign for other mental health or addictive issues AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 28. If you have any questions or comments thus far, and have not already asked them, please do so during the break. AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 29. Dr. Dawn-Elise Snipes PhD, LPC-MHSP, NCC AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 30. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 31. What are the benefits of gambling? What are the drawbacks to and negative consequences of gambling? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 32. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 33. What are the benefits of binge eating? What are the drawbacks to and negative consequences of binge eating? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 34. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 35. What are the benefits of pornography? What are the drawbacks to and negative consequences of pornography? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 36. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 37. What are the benefits of shopping? What are the drawbacks to and negative consequences of shopping? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 38. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 39. What are the benefits of exercise? What are the drawbacks to and negative consequences of exercise? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 40. Function Manifestation ◦ Tolerance ◦ Withdrawal ◦ Unsuccessful effort to cut down ◦ Excessive time/energy to obtain, use, recovery ◦ Other activities reduced or eliminated ◦ Continued despite negative consequences AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 41. What are the benefits of compulsive internet use? What are the drawbacks to and negative consequences of compulsive internet use? AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 42. Is abstinence possible Decisional Balance ◦ Pros of it Alternate way to meet those needs ◦ Cons of it ◦ Pros of stopping ◦ Cons of stopping Alternate way to meet those needs AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 43. Possible triggers ◦ Environmental Media, surroundings Sight, sound and smell ◦ Temporal Times of day Holidays ◦ Emotional ◦ Social AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 44. Interventions ◦ Support groups ◦ Coping skills training Use strengths Index card or phone ◦ Identify stressors and triggers and alternate ways to cope ◦ Identify any underlying neurochemical imbalances ◦ Rule out physical causes of distress AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 45. Chemical and behavioral addictions ◦ Often occur together ◦ Often co-occur with other mental health “stuff” ◦ Represent the best the person could do with the tools they had…until now Abstinence is not always a possibility with behavioral addictions The causes of the distress must be addressed AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 46. If you have watched and participated in this program for CEUs, login to the classroom at AllCEUs.com and take the quiz. If you have watched and participated in this presentation, and want CEUs, but have not yet registered, purchase access to the quiz and certificate at: https://www.allceus.com/live- interactive-webinars/ AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89
- 47. This presentation was recorded as part of a live, interactive webinar. If you are watching it on replay, please remember you can contact her on her personal chat page: https://purechat.me/cuetvx AllCEUs.com Unlimited CEUs $59 Specialty Certificates $89