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Please drink responsibly: The science of moderation


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TOTC 2019

Published in: Science
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Please drink responsibly: The science of moderation

  1. 1. Please Drink Responsibly: The Science of Moderation
  2. 2. Jada Hector LPC Brenna McHugh Substance Abuse Counselor Lauren Myerscough Moderator Our Panel Jesse Roessler LPC
  3. 3. 1. Definitions
  4. 4. Moderation CDC definition of moderate drinking: Up to one drink per day for women Two drinks per day for men Moderation v Addiction Alcohol Use Disorder (formerly Alcohol Addiction) DSM V definition: A chronic relapsing brain disease characterized by compulsive alcohol use, loss of control over alcohol intake, and a negative emotional state when not using. Signs of addiction: Continued use despite ongoing negative consequences, withdrawal, craving a. Sobriety Not abstinence from a substance, but rather not being impaired
  5. 5. Polysubstance abuse The consumption of more than one drug at once. Although polysubstance abuse often refers to abuse of multiple illicit drugs, it’s also inclusive of prescription medications used in nonmedical circumstances. Life in moderationb. Process (behavioral) addiction A form of addiction that involves a compulsion to engage in a rewarding non-substance-related behavior – sometimes called a natural reward – despite any negative consequences to the person's physical, mental, social or financial well-being.
  6. 6. What is harm reduction? “Harm reduction can be described as a strategy directed toward individuals or groups that aims to reduce the harms associated with certain behaviours. When applied to substance abuse, harm reduction accepts that a continuing level of drug use (both licit and illicit) in society is inevitable and defines objectives as reducing adverse consequences. It emphasizes the measurement of health, social and economic outcomes, as opposed to the measurement of drug consumption. Harm reduction has evolved over time, from its initial identification in the 1980s, as an alternative to abstinence-only focused interventions for adults with substance abuse disorders. At the time, it was recognized that abstinence was not a realistic goal for those with addictions. In addition, those individuals who were interested in reducing, but not eliminating, their use were excluded from programs that required abstinence.”
  7. 7. Harm reduction continuum
  8. 8. 2. The Problem with Moderation
  9. 9. Subjectivitya.
  10. 10. Social aspects of drinkingb. Environmental Peer Pressure Trauma Isolation, Culture and values, Need for a neutralizing place Challenge coins, Icing, Shots Self-medicating, Hangxiety, Tension reduction theory
  11. 11. When a person does something for another person - a pro-social act, as it's called - they are rewarded not only by group approval but also by an increase of dopamine and other pleasurable hormones in their blood. Group cooperation triggers higher levels of oxytocin, for example, which promotes everything from breastfeeding and women to higher levels of trust in group bonding in men. Oxytocin creates a feedback loop of good feeling and group loyalty that ultimately leads members to ‘self-sacrifice to promote group welfare.’ “
  12. 12. 3. Methods for Moderation
  13. 13. “The self-determination theory holds that human beings need three basic things in order to be content: they need to feel competent and what they do; they need to feel authentic in their lives; and they need to feel connected to others. Those values are considered “intrinsic” to human happiness and far outweigh “extrinsic” values such as beauty, money, and status. Bluntly put, modern society seems to emphasize extrinsic values over intrinsic ones, and as a result, mental health issues refused to decline with growing wealth. The more assimilated a person is into American society, the more likely they are to develop depression during the course of their lifetime, regardless of what ethnicity they are.” Culture defineda.
  14. 14. Values Explorationb. Behavior Thoughts Feelings Expectations Values Yearnings Self
  15. 15. “Developing a healthy relationship with alcohol starts by being honest about its pleasures and drawbacks, and sharing strategies that help achieve balance. For many people, that’s sobriety. For some of us, it’s making sure drinking doesn’t become a lifestyle, and remains a controlled activity.” Healthy livingc.
  16. 16. Boundariesd. Social Media Supporting New Boundaries Access to Care
  17. 17. 4. A Meditation with Effie Panagopoulos
  18. 18. List of Resources: Local chapters of NAMI exist nationwide: Nami New Orleans -