Self efficacyand Problem solvingin addiction disorders By Ahmed Albehairy, M.D Psychiatry Consultant
IntroductionPossibility of relapse in addiction therapy Relapse prevention
Key Themes in Relapse Prevention1- identify risk relapse factors and develop strategies to deal with.2- understand relapse as a process and as an event.3- understand and deal with cues and cravings.4- understand and deal with social pressures to use substance.5- develop and enhance a supportive social network.
Key Themes in Relapse Prevention6- develop methods of coping with negative emotional states.7- assess the pt. for co morbid psychiatric disorder.8- help and learn the pt. methods to cope with cognitive distortions.
What is self Efficacy????self-efficacy as our belief in our ability tosucceed in specific situations. high risk factors internal, external( thoughts,feelings, people, places, events and things )
Factors affecting self-efficacy Bandura points to four sources affecting self-efficacy; 1. Experience – "Mastery experience" is the most important factor deciding a persons self-efficacy. Simply put, success raises self-efficacy, failure lowers it. 2. Modeling - a.k.a. "Vicarious Experience" – “If they can do it, I can do it as well.” This is a process of comparison between a person and someone else., modeling
Factors affecting self-efficacy 3. Social Persuasions – Social persuasions relate to encouragements/discouragements. These can have a strong influence – most people remember times where something said to them significantly altered their confidence. Where positive persuasions increase self-efficacy, negative persuasions decrease it. It is generally easier to decrease someones self- efficacy than it is to increase it. 4. Physiological Factors – In unusual, stressful situations, people commonly exhibit signs of distress; shakes, aches and pains, fatigue, fear, nausea, etc. A persons perceptions of these responses can markedly alter a persons self-efficacy.
Cognitive behavioral model of the relapse process Decreased Coping Increased Probability response Self efficacy Of relapseHigh risksituations AVE disonance No Initial use Increased Decreased conflicts Coping Of Probability Self efficacy Of response substance Self relapse attribution
Tools of managing self efficacy in addict- Individual psychotherapy .- Group .- Team work.- Motivational skills.- Ex addict .- Family involvement.- Relapse and lapse investigations.
Self efficacy and solve problem- Psycho education- Anticipation of risky situations .- Discussion ??????- Training , motivation.- List of problems- Prioritize the problems .- Analysis of the problems.( cognitive errors and other related psychosocial issues).
Problem solving- Alternative solutions.- Choose the suitable solution ( with, against, and key persons).- Test the solution .- Approve the solution or choose other alternative.- Recycle and repeat.
Types of problems to be solved- cues.- Craving- Psychiatric disorders.- Medical disorders.- Legal problem.- Family .- financial.
Self efficacy and problem solving meanContinous motivation for change of- Attitude .- Thoughts .- Mood .- Behavior .