This document summarizes behavioral therapy approaches for treating substance abuse. It discusses contemporary treatment approaches including 12-step programs, inpatient and outpatient treatment, therapeutic communities, and pharmacological and psychological therapies. It specifically focuses on behavior therapy techniques like aversion therapy, cue exposure, skills training, contingency management, and cognitive-behavioral therapy including relapse prevention and coping skills training. The document also discusses models of addiction like Brickman's model of helping and coping as well as biopsychosocial factors in addiction development and maintenance. It analyzes high-risk situations for relapse and provides a cognitive behavioral model of the relapse process along with specific relapse prevention strategies.
Julia Sharkey – The model of treatment for sufferers of alcohol and drug depe...SACAP
I will then focus on the matrix model of evidence-based treatment for individuals suffering
from drug and alcohol addiction. I will tell the audience about the model and focus on why it
is an easy and cost effective way of helping many South Africans with their substance
dependency.
Relapse – in a broader sense, is the return of signs and symptoms of a disease after a remission.
In the case of some psychiatric disorders, relapse is the worsening of symptoms or the re-occurrence of unhealthy behaviors, such as avoidance or substance use, after a period of improvement.
Relapse Prevention – A set of skills designed to reduce the likelihood that symptoms of the illness in question will worsen or that a person will return to an unhealthy behavior, such as substance use.
Skills include, for example, identifying early warning signs that symptoms may be worsening, recognizing high risk situations for relapse, and understanding how everyday, seemingly mundane decisions may put you on the road to relapse (for example, skipping lunch one day may make you more vulnerable to get in a bad mood).
Relapse can be prevented through the use of specific coping strategies, such as identifying early warning signs.
Early Intervention is simply bridging the gap between prevention and treatment. Early intervention is essential to reducing drug use and its costs to society
This document discusses relapse prevention in substance abuse recovery. It outlines the maintenance stage of recovery, defining recovery as abstinence, change in personal and interpersonal relationships, and time. Recovery can be affected by the substance's damage, co-morbid disorders, individual perceptions, motivation, support systems, and culture. Relapse is defined as failure to continue the change process, while a lapse is a brief return to use. Relapse precipitants include intrapersonal factors like mood, interpersonal conflicts, and other issues like treatment length and psychiatric impairments. Relapse prevention management involves helping patients identify high-risk situations and develop coping strategies, understand relapse as a process, and address precipitating factors through medical
Relapse is a complex process that can occur at different levels of severity for those recovering from substance use disorders. The document discusses barriers to healthcare professionals seeking treatment, stages of relapse, determinants of relapse, and consequences for professionals who relapse, emphasizing that their recovery requires lifelong management due to the risk they pose if relapsing in practice. Protecting the public is the primary goal of professional health programs.
Cognitive Behavioural & Relapse Prevention Strategies - University LimerickTim Bingham
Cognitive behavioural therapy (CBT) aims to reduce psychological distress and maladaptive behaviour by altering cognitive processes. It focuses on the relationship between cognitions, affect, and behaviour. CBT techniques teach clients to identify and change dysfunctional thoughts and beliefs, and develop more adaptive cognitive and behavioural skills. Relapse prevention (RP) applies CBT to help clients maintain abstinence by preventing initial lapses and preventing lapses from becoming full relapses. Key CBT concepts include functional analysis to understand high-risk situations for drug use, coping strategies to manage cravings, and increasing time spent in low-risk situations that don't trigger drug use. The clinician plays an active role in teaching CBT skills and
Cognitive behaviour therapy aims to address addiction through four key areas: (1) Motivation and engagement, (2) Managing impulses and craving, (3) Mood management, and (4) Mindful recovery. CBT seeks to motivate change, teach skills to manage impulses to use substances, help manage negative emotions, and support mindful recovery approaches. Recent research also indicates cognitive control is impaired in addiction and CBT may need to directly target and rehabilitate neurocognitive functions to effectively treat addiction.
CBT as a core of psychotherapy in relapse prevention of addictionRaghda Gamil
Cognitive behavioral therapy (CBT) is a psychotherapy approach that integrates cognitive and behavioral theories. It developed from behavioral therapy and focuses on how thoughts, beliefs, and attitudes affect emotions and behavior. CBT aims to change problematic behaviors through cognitive and behavioral techniques such as functional analysis, skills training, and modifying automatic thoughts and core beliefs. Therapists use CBT to help clients recognize high-risk situations, avoid triggers, and develop coping strategies to reduce substance abuse.
This document discusses various addiction treatment models and approaches. It covers the disease model of addiction and neurobiological factors. It describes different treatment settings like inpatient vs outpatient and criteria for long-term inpatient care. Evidence-based therapies in the Matrix Model are outlined, including groups, motivational enhancement, and addressing relapse factors. Medication-assisted treatment is compared to no-medication models. Special techniques like integrated group therapy and contingency management are explained. The conclusion emphasizes considering psychopathology and neurobiology in design, using multidisciplinary teams, and addressing barriers to research.
Julia Sharkey – The model of treatment for sufferers of alcohol and drug depe...SACAP
I will then focus on the matrix model of evidence-based treatment for individuals suffering
from drug and alcohol addiction. I will tell the audience about the model and focus on why it
is an easy and cost effective way of helping many South Africans with their substance
dependency.
Relapse – in a broader sense, is the return of signs and symptoms of a disease after a remission.
In the case of some psychiatric disorders, relapse is the worsening of symptoms or the re-occurrence of unhealthy behaviors, such as avoidance or substance use, after a period of improvement.
Relapse Prevention – A set of skills designed to reduce the likelihood that symptoms of the illness in question will worsen or that a person will return to an unhealthy behavior, such as substance use.
Skills include, for example, identifying early warning signs that symptoms may be worsening, recognizing high risk situations for relapse, and understanding how everyday, seemingly mundane decisions may put you on the road to relapse (for example, skipping lunch one day may make you more vulnerable to get in a bad mood).
Relapse can be prevented through the use of specific coping strategies, such as identifying early warning signs.
Early Intervention is simply bridging the gap between prevention and treatment. Early intervention is essential to reducing drug use and its costs to society
This document discusses relapse prevention in substance abuse recovery. It outlines the maintenance stage of recovery, defining recovery as abstinence, change in personal and interpersonal relationships, and time. Recovery can be affected by the substance's damage, co-morbid disorders, individual perceptions, motivation, support systems, and culture. Relapse is defined as failure to continue the change process, while a lapse is a brief return to use. Relapse precipitants include intrapersonal factors like mood, interpersonal conflicts, and other issues like treatment length and psychiatric impairments. Relapse prevention management involves helping patients identify high-risk situations and develop coping strategies, understand relapse as a process, and address precipitating factors through medical
Relapse is a complex process that can occur at different levels of severity for those recovering from substance use disorders. The document discusses barriers to healthcare professionals seeking treatment, stages of relapse, determinants of relapse, and consequences for professionals who relapse, emphasizing that their recovery requires lifelong management due to the risk they pose if relapsing in practice. Protecting the public is the primary goal of professional health programs.
Cognitive Behavioural & Relapse Prevention Strategies - University LimerickTim Bingham
Cognitive behavioural therapy (CBT) aims to reduce psychological distress and maladaptive behaviour by altering cognitive processes. It focuses on the relationship between cognitions, affect, and behaviour. CBT techniques teach clients to identify and change dysfunctional thoughts and beliefs, and develop more adaptive cognitive and behavioural skills. Relapse prevention (RP) applies CBT to help clients maintain abstinence by preventing initial lapses and preventing lapses from becoming full relapses. Key CBT concepts include functional analysis to understand high-risk situations for drug use, coping strategies to manage cravings, and increasing time spent in low-risk situations that don't trigger drug use. The clinician plays an active role in teaching CBT skills and
Cognitive behaviour therapy aims to address addiction through four key areas: (1) Motivation and engagement, (2) Managing impulses and craving, (3) Mood management, and (4) Mindful recovery. CBT seeks to motivate change, teach skills to manage impulses to use substances, help manage negative emotions, and support mindful recovery approaches. Recent research also indicates cognitive control is impaired in addiction and CBT may need to directly target and rehabilitate neurocognitive functions to effectively treat addiction.
CBT as a core of psychotherapy in relapse prevention of addictionRaghda Gamil
Cognitive behavioral therapy (CBT) is a psychotherapy approach that integrates cognitive and behavioral theories. It developed from behavioral therapy and focuses on how thoughts, beliefs, and attitudes affect emotions and behavior. CBT aims to change problematic behaviors through cognitive and behavioral techniques such as functional analysis, skills training, and modifying automatic thoughts and core beliefs. Therapists use CBT to help clients recognize high-risk situations, avoid triggers, and develop coping strategies to reduce substance abuse.
This document discusses various addiction treatment models and approaches. It covers the disease model of addiction and neurobiological factors. It describes different treatment settings like inpatient vs outpatient and criteria for long-term inpatient care. Evidence-based therapies in the Matrix Model are outlined, including groups, motivational enhancement, and addressing relapse factors. Medication-assisted treatment is compared to no-medication models. Special techniques like integrated group therapy and contingency management are explained. The conclusion emphasizes considering psychopathology and neurobiology in design, using multidisciplinary teams, and addressing barriers to research.
The document discusses the drug problem and treatment of drug dependence in the Philippines. It provides statistics on drug use and admissions to rehabilitation centers. It then covers the psychological dimensions of drug problems, reasons for drug use, treatment processes including discontinuation of substance use and behavioral modification, and prevention strategies.
This document summarizes a workshop on applying cognitive behavioural therapy to addiction. It discusses motivational interviewing and the "four M's" approach of motivating change, managing impulses and craving, managing emotions, and maintaining lifestyle changes. It outlines techniques like identifying triggers, coping skills, and relapse prevention. It also notes the role of impaired cognitive control in addiction and the need to address automatic tendencies and cognitive biases through treatments like contingency management and mindfulness.
The document discusses relapse prevention in substance use disorders. It covers several key points:
1. Relapse is common in addiction recovery, with rates as high as 60-90% within a year of treatment. Prevention of relapse is critical for effective treatment.
2. Relapse is a process that occurs in phases, from initial internal changes to full loss of control over substance use. There are warning signs in each phase.
3. High-risk situations like negative emotions, conflicts, and social pressure can lead to relapse if the person does not have coping skills. The "abstinence violation effect" can also undermine commitment to sobriety.
4. Understanding relapse as a complex, multi
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Risk Reduction Through Family Therapy (RRFT)BASPCAN
An integrative approach to treating substance use problems and PTSD among maltreated youth.
Carla Kmett Danielson PhD
Medical University of South Caolina
Relapse Prevention Counseling Strategies for SUD ClientsAaron Garner
NINTH ANNUAL ANN DAUGHERTY SYMPOSIUM (Tara Treatment Center)
FOR BASIC SCIENCE OF ADDICTION, TREATMENT AND RECOVERY
June 6th 2018 from 8am-4:30pm
Franklin College 101 Branigin Blvd. Franklin, IN 46131
This conference is a forum for professionals, policymakers, educators and the public from diverse disciplines interested in the biochemical, genetic, behavioral, and public health aspects of addiction.
Registar at:
https://crm.bloomerang.co/HostedDonation?ApiKey=pub_83aac092-878e-11e4-b8ac-0a8b51b42b90&WidgetId=1418240
Presentation By:
By: Lawrence T. Pender, ACRPS, Senior CENAPS Trainer
"Relapse Prevention" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC; Dawn Farm Downtown Program coordinator. This program discusses the dynamics of relapse, the warning signs that lead the chemically dependent person into a relapse, and strategies to prevent relapse and help handle high-risk situations. This 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.
The Hidden Agenda: Cognitive processes in addictiondrfrankryan
1. The document discusses cognitive processes like attentional biases and impaired executive function as latent vulnerability factors that can increase drug craving and relapse risk in addiction.
2. Treatment should focus on modifying these cognitive processes through strategies like cognitive rehabilitation, impulse control training, and reversing cognitive biases.
3. Translating cognitive psychology findings into effective clinical applications is challenging but treatments combining cognitive and behavioral approaches may be most effective in addressing addiction at both implicit and explicit cognitive levels.
The document provides an overview of substance use disorders, treatment, and recovery. It discusses the learning objectives which are to identify substances and effects, understand the continuum and brain chemistry of substance use disorders, recognize signs and symptoms, discuss cultural context, and understand treatment and recovery. It then covers topics like the brain science of addiction, screening and assessing for substance use disorders, the treatment process and modalities, principles of effective treatment, family-centered treatment approaches, and understanding treatment progress. The goal is to educate child welfare workers on substance use disorders and improving outcomes for parents and families.
Recovery and-beyond-drug-rehab-guide-by-rehab centernetRehab Center
Putting the principles and lessons learned during drug rehabilitation into practice in the real world takes even more hard work, dedication and practice. This is guide to help you through the new life of sobriety.
Relapse Prevention Inservice VA PrescottGuy Lamunyon
This document discusses relapse prevention and provides details about:
1) Relapse theory and the importance of managing relapse as part of recovery for substance abuse disorders.
2) Gorski and Marlatt's models of relapse prevention, which identify phases and warning signs of impending relapse.
3) A list of 37 warning signs organized into 10 phases that can help individuals personalize warning signs most relevant to them.
The document discusses various aspects of drug abuse prevention programs and strategies. It provides statistics showing that in 2011, about 20.6 million Americans aged 12 or older were dependent on or abused substances. It also outlines the goals of prevention programs as enhancing protective factors, addressing all forms of drug abuse, and tailoring programs to specific audiences. Finally, it describes different levels and examples of prevention programs, including primary, secondary, and tertiary prevention as well as school-based, community-based, and family-based approaches.
Personality disorders are enduring patterns of behavior and cognition that deviate from cultural norms and cause distress or impairment. They are classified into three clusters - A, B, and C - based on clinical characteristics. Borderline personality disorder, the most common diagnosis, is characterized by instability in interpersonal relationships, self-image, and affect. Treatment involves psychotherapy such as dialectical behavior therapy or psychodynamic therapy, as well as medication management when comorbid conditions are present. Prognosis is variable, with about one-third recovering over time and intervention improving outcomes.
This document discusses the relationship between substance use and HIV/AIDS. It notes that between 55,000-60,000 people in the US become infected with HIV each year, totaling over 1.1 million currently infected. Scientists have found that alcohol use can contribute to the spread of HIV/AIDS and impact treatment for infected patients in several ways: by impairing judgment and leading to risky sexual behaviors, causing delays in getting tested for HIV or seeking treatment if positive, and making it difficult for infected patients to adhere to complex medication regimens.
Implicit cognitive processes in the addiction clinicdrfrankryan
The document discusses implicit cognitive processes in addiction treatment. It argues that implicit processes underlie involuntary aspects of addiction and are potential targets for modification through existing and new treatments. Specifically, it suggests that addressing implicit biases and improving executive control can enhance treatment outcomes by reducing cue reactivity and preoccupation with drug cues. A number of cognitive and behavioral techniques are proposed that aim to increase cognitive control and reverse automatic tendencies, such as cognitive bias modification and implementation intentions.
This document provides an overview of personality disorders, including their defining characteristics, diagnostic criteria, prevalence, and treatment approaches. Personality disorders are characterized by inflexible and maladaptive patterns of behavior that cause distress or impairment. They are divided into three clusters (A, B, and C) based on clinical characteristics. Borderline personality disorder is one of the most common personality disorders and is defined by instability in interpersonal relationships, self-image, and affect. Treatment focuses on establishing therapeutic alliances, managing crises, education, and therapies like dialectical behavior therapy that target affect regulation and adaptive coping skills.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
This document discusses various approaches to treating drug addiction. It covers assessing addiction severity and readiness to change using tools like the Addiction Severity Index. It outlines principles of treatment including using a variety of behavioral and pharmacological therapies tailored to the individual. Comorbidity between substance abuse and mental illness is common requiring accurate diagnosis and integrated treatment. Factors like age, gender, criminal justice involvement and availability of treatment influence outcomes.
Relapse prevention (RP) is a tertiary intervention strategy that provides a conceptual framework for understanding relapse and treatment strategies to reduce the likelihood and severity of relapse. RP views relapse as a process rather than a failure. It identifies covert antecedents like stress and urges, as well as high-risk situations that can trigger initial substance use. RP techniques teach clients to recognize and cope with triggers, enhance self-efficacy, and develop a relapse prevention plan. By addressing thoughts, emotions and behaviors, RP aims to help recovering addicts maintain abstinence.
The document discusses addiction from multiple perspectives:
- Addiction involves biological, psychological, and social factors that result in long-term brain changes and compulsion to use substances despite harm. It is considered a chronic disease by medical organizations.
- Most people seeking treatment for substance use disorders or mental illness also have a concurrent or co-occurring disorder. Treatment aims to stabilize the individual, help them understand their disease and develop relapse prevention skills.
- Recovery is a lifelong process of maintaining abstinence through structure, managing co-occurring issues, and reintegrating into family and community life with support. Understanding addiction helps individuals and families.
The document discusses the drug problem and treatment of drug dependence in the Philippines. It provides statistics on drug use and admissions to rehabilitation centers. It then covers the psychological dimensions of drug problems, reasons for drug use, treatment processes including discontinuation of substance use and behavioral modification, and prevention strategies.
This document summarizes a workshop on applying cognitive behavioural therapy to addiction. It discusses motivational interviewing and the "four M's" approach of motivating change, managing impulses and craving, managing emotions, and maintaining lifestyle changes. It outlines techniques like identifying triggers, coping skills, and relapse prevention. It also notes the role of impaired cognitive control in addiction and the need to address automatic tendencies and cognitive biases through treatments like contingency management and mindfulness.
The document discusses relapse prevention in substance use disorders. It covers several key points:
1. Relapse is common in addiction recovery, with rates as high as 60-90% within a year of treatment. Prevention of relapse is critical for effective treatment.
2. Relapse is a process that occurs in phases, from initial internal changes to full loss of control over substance use. There are warning signs in each phase.
3. High-risk situations like negative emotions, conflicts, and social pressure can lead to relapse if the person does not have coping skills. The "abstinence violation effect" can also undermine commitment to sobriety.
4. Understanding relapse as a complex, multi
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Risk Reduction Through Family Therapy (RRFT)BASPCAN
An integrative approach to treating substance use problems and PTSD among maltreated youth.
Carla Kmett Danielson PhD
Medical University of South Caolina
Relapse Prevention Counseling Strategies for SUD ClientsAaron Garner
NINTH ANNUAL ANN DAUGHERTY SYMPOSIUM (Tara Treatment Center)
FOR BASIC SCIENCE OF ADDICTION, TREATMENT AND RECOVERY
June 6th 2018 from 8am-4:30pm
Franklin College 101 Branigin Blvd. Franklin, IN 46131
This conference is a forum for professionals, policymakers, educators and the public from diverse disciplines interested in the biochemical, genetic, behavioral, and public health aspects of addiction.
Registar at:
https://crm.bloomerang.co/HostedDonation?ApiKey=pub_83aac092-878e-11e4-b8ac-0a8b51b42b90&WidgetId=1418240
Presentation By:
By: Lawrence T. Pender, ACRPS, Senior CENAPS Trainer
"Relapse Prevention" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC; Dawn Farm Downtown Program coordinator. This program discusses the dynamics of relapse, the warning signs that lead the chemically dependent person into a relapse, and strategies to prevent relapse and help handle high-risk situations. This 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.
The Hidden Agenda: Cognitive processes in addictiondrfrankryan
1. The document discusses cognitive processes like attentional biases and impaired executive function as latent vulnerability factors that can increase drug craving and relapse risk in addiction.
2. Treatment should focus on modifying these cognitive processes through strategies like cognitive rehabilitation, impulse control training, and reversing cognitive biases.
3. Translating cognitive psychology findings into effective clinical applications is challenging but treatments combining cognitive and behavioral approaches may be most effective in addressing addiction at both implicit and explicit cognitive levels.
The document provides an overview of substance use disorders, treatment, and recovery. It discusses the learning objectives which are to identify substances and effects, understand the continuum and brain chemistry of substance use disorders, recognize signs and symptoms, discuss cultural context, and understand treatment and recovery. It then covers topics like the brain science of addiction, screening and assessing for substance use disorders, the treatment process and modalities, principles of effective treatment, family-centered treatment approaches, and understanding treatment progress. The goal is to educate child welfare workers on substance use disorders and improving outcomes for parents and families.
Recovery and-beyond-drug-rehab-guide-by-rehab centernetRehab Center
Putting the principles and lessons learned during drug rehabilitation into practice in the real world takes even more hard work, dedication and practice. This is guide to help you through the new life of sobriety.
Relapse Prevention Inservice VA PrescottGuy Lamunyon
This document discusses relapse prevention and provides details about:
1) Relapse theory and the importance of managing relapse as part of recovery for substance abuse disorders.
2) Gorski and Marlatt's models of relapse prevention, which identify phases and warning signs of impending relapse.
3) A list of 37 warning signs organized into 10 phases that can help individuals personalize warning signs most relevant to them.
The document discusses various aspects of drug abuse prevention programs and strategies. It provides statistics showing that in 2011, about 20.6 million Americans aged 12 or older were dependent on or abused substances. It also outlines the goals of prevention programs as enhancing protective factors, addressing all forms of drug abuse, and tailoring programs to specific audiences. Finally, it describes different levels and examples of prevention programs, including primary, secondary, and tertiary prevention as well as school-based, community-based, and family-based approaches.
Personality disorders are enduring patterns of behavior and cognition that deviate from cultural norms and cause distress or impairment. They are classified into three clusters - A, B, and C - based on clinical characteristics. Borderline personality disorder, the most common diagnosis, is characterized by instability in interpersonal relationships, self-image, and affect. Treatment involves psychotherapy such as dialectical behavior therapy or psychodynamic therapy, as well as medication management when comorbid conditions are present. Prognosis is variable, with about one-third recovering over time and intervention improving outcomes.
This document discusses the relationship between substance use and HIV/AIDS. It notes that between 55,000-60,000 people in the US become infected with HIV each year, totaling over 1.1 million currently infected. Scientists have found that alcohol use can contribute to the spread of HIV/AIDS and impact treatment for infected patients in several ways: by impairing judgment and leading to risky sexual behaviors, causing delays in getting tested for HIV or seeking treatment if positive, and making it difficult for infected patients to adhere to complex medication regimens.
Implicit cognitive processes in the addiction clinicdrfrankryan
The document discusses implicit cognitive processes in addiction treatment. It argues that implicit processes underlie involuntary aspects of addiction and are potential targets for modification through existing and new treatments. Specifically, it suggests that addressing implicit biases and improving executive control can enhance treatment outcomes by reducing cue reactivity and preoccupation with drug cues. A number of cognitive and behavioral techniques are proposed that aim to increase cognitive control and reverse automatic tendencies, such as cognitive bias modification and implementation intentions.
This document provides an overview of personality disorders, including their defining characteristics, diagnostic criteria, prevalence, and treatment approaches. Personality disorders are characterized by inflexible and maladaptive patterns of behavior that cause distress or impairment. They are divided into three clusters (A, B, and C) based on clinical characteristics. Borderline personality disorder is one of the most common personality disorders and is defined by instability in interpersonal relationships, self-image, and affect. Treatment focuses on establishing therapeutic alliances, managing crises, education, and therapies like dialectical behavior therapy that target affect regulation and adaptive coping skills.
Review best practices for working with persons with addictions and mental health issues. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
This document discusses various approaches to treating drug addiction. It covers assessing addiction severity and readiness to change using tools like the Addiction Severity Index. It outlines principles of treatment including using a variety of behavioral and pharmacological therapies tailored to the individual. Comorbidity between substance abuse and mental illness is common requiring accurate diagnosis and integrated treatment. Factors like age, gender, criminal justice involvement and availability of treatment influence outcomes.
Relapse prevention (RP) is a tertiary intervention strategy that provides a conceptual framework for understanding relapse and treatment strategies to reduce the likelihood and severity of relapse. RP views relapse as a process rather than a failure. It identifies covert antecedents like stress and urges, as well as high-risk situations that can trigger initial substance use. RP techniques teach clients to recognize and cope with triggers, enhance self-efficacy, and develop a relapse prevention plan. By addressing thoughts, emotions and behaviors, RP aims to help recovering addicts maintain abstinence.
The document discusses addiction from multiple perspectives:
- Addiction involves biological, psychological, and social factors that result in long-term brain changes and compulsion to use substances despite harm. It is considered a chronic disease by medical organizations.
- Most people seeking treatment for substance use disorders or mental illness also have a concurrent or co-occurring disorder. Treatment aims to stabilize the individual, help them understand their disease and develop relapse prevention skills.
- Recovery is a lifelong process of maintaining abstinence through structure, managing co-occurring issues, and reintegrating into family and community life with support. Understanding addiction helps individuals and families.
This document discusses the background and history of addiction treatment, sociocultural factors influencing substance abuse, and alcohol as the most commonly abused substance. It then covers various models of addiction, definitions of addiction-related terms, defense mechanisms, enabling behaviors, and how addiction affects children and adult children of alcoholics. The document concludes by examining treatment approaches, intervention strategies, the assessment and detoxification processes, principles of addiction treatment, and the importance of aftercare.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact family functioning and child development. The goal is to help child welfare workers understand substance use disorders in order to safety plan for children and support parents' recovery processes.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact families. The goal is to help child welfare workers understand substance use disorders in order to safely and effectively help families.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders from mild to severe, how substance use affects the brain, signs of substance use, cultural considerations, treatment modalities, and long-term recovery. The goal is for child welfare workers to better understand substance use disorders and how they impact families involved with the child welfare system.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders, how substance use affects brain chemistry, signs and symptoms of substance use, cultural considerations, different treatment modalities and the recovery process. It emphasizes that substance use disorders are medical conditions that are treatable. Family-centered treatment that involves children and other family members leads to better outcomes for parents and children. Monitoring a parent's progress in key areas like knowledge gained, abstinence and relapse prevention planning helps understand their treatment journey.
Effective therapies for drug and alcohol addiction include CBT, community reinforcement approach plus vouchers, contingency management/motivational incentives, motivational enhancement therapy, the Matrix Model, 12-step facilitation therapy, and behavioral couples therapy. Therapies created for adults like CBT, MET, and the Matrix Model need modifications to be effective for adolescents. Family-based therapies shown to work for adolescents include multisystemic therapy, multidimensional family therapy, and brief strategic family therapy. These therapies aim to improve individual and family dynamics that influence adolescent substance use.
This document discusses behavioural intervention approaches to reducing ecstasy abuse in Malaysia. It provides background on the rise of synthetic drug use including ecstasy. Key points include identifying risk factors for ecstasy abuse using ecological and social learning theories to inform prevention. A multi-pronged strategy is suggested using monitoring of drug trends, legal controls on availability, and targeted prevention programs teaching life skills and resistance to social influences. Environmental changes are also advocated like increasing non-drug activities for youth.
INTRODUCTION
HISTORY OF CANNABIS
EPIDEMIOLOGY
RISK FACTORS
CAUSES
HIGH RISK GROUP
PATHOPHYSIOLOGY
D/D
PREPARATION OF CANNABIS
METHOD OF USE
CLINICAL PICTURES
CANNABIS INDUCED DISORDER
COMPLICATION
MANAGEMENT
BRAIN STORMING
REFERENCES
This document provides an agenda and overview for a 6-week online learning series on co-occurring disorders. Week 1 will introduce the series, discuss the need for understanding co-occurring disorders, and preview upcoming topics. Participants will be asked to complete a learning activity by reading an article on co-occurring substance use and mental disorders and considering discussion questions. The document provides context on co-occurring disorders prevalence, screening tools, treatment approaches, and impacts on mortality to emphasize the importance of the topic.
Addiction is a complex disease involving biological, psychological, and social factors. Drug use activates the brain's reward system by flooding it with the neurotransmitter dopamine, leading to drug craving. Continued drug use can physically change the brain and impair decision making. Addiction is influenced by genetics and environmental stressors. While relapse is common, addiction treatment aims to address the whole person and can be effective, as addiction is a chronic disease similar to other illnesses.
Role of Health Care workers against Drug abuse & Illicit Trafficking among Ch...Smriti Arora
Dr Deepika Khakha presented on drug abuse and illicit trafficking among children in India. She summarized a nationwide study from 2013 that found children began using substances like tobacco at 12 years old on average. Peer pressure and lack of treatment were common factors. During COVID-19, existing mental health issues in children may be exacerbated by school closures. Health care professionals can help by reducing risk factors through family and school programs, as well as treatment including detoxification, counseling, and relapse prevention. Collaboration across sectors is needed to address this issue.
Hallucinogenic substances are capable of distorting an individual’s perception of reality. They have the ability to alter sensory perception and induce hallucinations. Substance induced hallucinations are usually visual.
This document discusses substance abuse in special populations such as adolescents, women, and the geriatric population. It provides details on:
1. Substance abuse in adolescents, including risk factors like family history, peer influences, and common substances abused. Treatment approaches for adolescents include motivational interviewing, cognitive behavioral therapy, and contingency management.
2. Substance abuse is less prevalent in women but they progress faster from use to substance use disorder. Pregnant women who abuse substances can negatively impact fetal development.
3. The geriatric population is also at risk for substance abuse due to medical conditions, medications, and social isolation. Proper screening and treatment tailored for their needs is important.
The document provides statistics on substance use and abuse in the United States, noting that 28 million Americans over 12 years old use drugs or alcohol, with the highest rates among white males aged 18-25 with a high school education. Reasons for substance use include social and cultural factors, mental health issues, and genetics. The document also discusses signs of substance abuse and dependence based on DSM-IV criteria.
The document provides statistics on substance use and abuse in the United States, noting that 28 million Americans over 12 use drugs or alcohol, 17 million abuse substances, and the highest prevalence is among white males aged 18-25 with a high school education. Reasons for substance use include social and cultural factors, mental health issues, and genetics, while harms include health, legal, and social consequences. Assessment and treatment of substance use disorders involves evaluating physiological, psychological, and social aspects to develop an appropriate plan.
substance use in children and young adultsHimanshi Walia
Substance use disorders often begin in adolescence. This narrative review examines substance use patterns, epidemiology, risk factors, and management among those under 18 in India. Literature shows over half of psychiatric disorders start before age 14. In India, 13% of substance abusers are under 20. Street children have very high rates of inhalant use. Social and psychological risk factors include adverse life events, conduct disorders, parental substance abuse, and poor parenting. Prevention strategies target schools, families, and communities to build resilience. Treatment involves comprehensive assessment and psychosocial interventions like CBT and family therapy. More research is still needed on substance use among children and adolescents in India.
Similar to Behavioral therapy in post traumatic stress disorder by dr. santosh (20)
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
2. Contemporary Approaches to
Substance Abuse Treatment
12-Steps Fellowships - AA, Al-Anon, ACOA, NA, CoDA, SLAA
Traditional Minnesota Model Inpatient Treatment - Detox,
medical supervision, disease model, AA, group, drug
education
Intensive Outpatient Minnesota Model Treatment - Medical
supervision, individual sessions, disease model, AA, groups
Therapeutic Communities for Substance Abuse - 24-hour
residential setting, norms, responsibility, encounter groups
Pharmacological Therapy – Antabuse, methadone, LAMM,
buprenorphine, naltrexone, etc
Psychological Therapies – Group, couple, and individual
therapy
Behavior Therapy – Aversion therapy, cue exposure, skills
training, contingency management, community reinforcement
Cognitive-Behavioral Therapy – Relapse Prevention, coping
skills training, cognitive therapy, lifestyle modification
3.
4.
5.
6.
7.
8.
9.
10. Brickman’s Model of Helping &
Coping Applied to Addictive
Behaviors
Is the person
responsible
for the
development
of the
addictive
behavior?
Is the person responsible for
changing the addictive behavior?
YES
NO
COMPENSATORY MODEL
(Cognitive-Behavioral)
Relapse = Mistake, Error, or
Temporary Setback
YES NO
MORAL MODEL
(War on Drugs)
Relapse = Crime or Lack of
Willpower
SPIRITUAL MODEL
(AA & 12-Steps)
Relapse = Sin or Loss of
Contact with Higher
Power
DISEASE MODEL
(Heredity &
Physiology)
Relapse = Reactivation
of the Progressive
Disease
11.
12. Biopsychosocial Factors in Development
and Maintenance of Addictive Behaviors
BIOLOGICAL FACTORS
• Biological vulnerability and genetic predisposition in
interaction with certain facilitating environments create
problems and eventually disease.
• Pharmacological impact of excessive use of alcohol
and other drugs on body chemistry, physiology , and
the organ systems of the body.
• Tolerance – Increased frequency of use and higher
doses over time.
• Withdrawal – Negative effects of cessation of
addictive behaviors.
• Higher risk of developing specific physical disorders
(diseases) associated with the chronic and excessive
use of particular substances.
13. Biopsychosocial Factors in Development
and Maintenance of Addictive Behaviors
PSYCHOLOGICAL FACTORS
• Motivation – Stages of habit initiation and stages of
habit change.
• Expectancies – Positive outcomes of drug use and
self-efficacy.
• Attributions – Effects of substance use and reasons
for relapse.
• Sensation-Seeking – Excessive need for stimulation
• Impulsivity – Inability to effectively control or restrain
behavior.
• Negative Affect – Dysphoric moods such as anxiety &
depression.
• Poor Coping – Deficits in cognitive and behavioral
skills or inhibitions in the ability to perform behaviors
due to the effects of anxiety.
14. Biopsychosocial Factors in Development
and Maintenance of Addictive Behaviors
SOCIOCULTURAL FACTORS
• Family History – Dysfunctional family settings
especially parental alcohol and drug problems and
parental abuse or neglect of children.
• Peer Influences – Social pressure to engage in risk-
taking behaviors including substance use especially
when related to gang membership.
• Culture and Ethnic Background – Norms and religious
beliefs that govern the use of alcohol and drugs and
ethnic variations the body’s rate and efficiency of
metabolizing drugs and alcohol.
• Media/Advertising – Societal emphasis on immediate
gratification and glorification of the effects of alcohol
and drug use.
15.
16.
17.
18.
19.
20. Analysis of High-Risk Situations for Relapse Alcoholics,
Smokers, and Heroin Addicts
RELAPSE SITUATION
(Risk Factor)
Alcoholics
(N=70)
Smokers
(N=35)
Heroin
Addicts
(N=32)
TOTAL
Sample
(N=137)
Negative Emotional States 38% 43% 28% 37%
Negative Physical States 3% - 9% 4%
Positive Emotional States - 8% 16% 6%
Testing Personal Control 9% - - 4%
Urges and Temptations 11% 6% - 8%
TOTAL 61% 57% 53% 59%
Interpersonal Conflict 18% 12% 13% 15%
Social Pressure 18% 25% 34% 24%
Positive Emotional States 3% 6% - 3%
TOTAL 39% 43% 47% 42%
INTRAPERSONAL DETERMINANTS
INTERPERSONAL DETERMINANTS
25. Relapse Prevention: Specific Intervention Strategies
High-Risk
Situation
Abstinence
Violation Effect
Ineffective
Coping
Response
Lapse
Decreased
Self-Efficacy
¤
Positive
Outcome
Expectancies
Self-Monitoring
¤
Inventory of
Drug-Taking Situations
¤
Drug Taking
Confidence
Questionnaire
Mediation,
Relaxation Training,
Stress Management
¤
Efficacy-Enhancing
Imagery
Contract to limit
extent of use
¤
Reminder Card
(what to do if
you have slip)
Description of
Past Relapses
¤
Relapse Fantasies
Situational
Competency Test
¤
Coping-Skill
Training
¤
Education about
immediate vs.
delayed effects
¤
Decision Matrix
Cognitive
Restructuring
(a lapse is a mistake:
coping vs.
27. Describe the philosophies, practices, policies, and
outcomes of the most generally accepted and
scientifically supported models of treatment,
recovery, relapse prevention, and continuing care
for addiction and other substance-related problems.
Scientifically Supported Models of Treatment
› Pharmacotherapies
› Behavioral Therapies
› Approaches Used by Substance Abuse Treatment
Facilities
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-27
29. Cognitive Behavioral Therapy
Community Reinforcement Approach Plus
Vouchers
Contingency Management Interventions &
Motivational Incentives
Motivational Enhancement Therapy
The Matrix Model
Stimulants
12-Step Facilitation Therapy
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-29
BEHAVIORAL THERAPIES
30. Clinical or Therapeutic
Approaches Used by Substance
Abuse Treatment Facilities
In Brief
In 2009, the majority of substance abuse treatment facilities
always or often used substance abuse counseling (96%),
relapse prevention (87%), cognitive-behavioral therapy (66%),
12-step facilitation (56%), and motivational interviewing (55%).
More than one third of facilities always or often used anger
management (39%) or brief intervention (35%). More than one
quarter always or often used contingency
management/motivational incentives (27%). More than one fifth
always or often used trauma-related counseling (21%).
More than half of all facilities either rarely or never used or were
not familiar with community reinforcement plus vouchers (86%),
Matrix Model (63%), or rational emotive behavioral therapy
(51%).
31. BEHAVIORALTHERAPIES
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-31
Behavioral Couples Therapy
Behavioral Treatments for
Adolescents
Multisystemic Therapy
Multidimensional Family Therapy
for Adolescents
Brief Strategic Family Therapy
32. Competency 6
Recognize the importance of family, social
networks, and community systems in the
treatment and recovery process.
Families often do not understand
substance use disorders or recovery
Family education and opportunities to
express their concerns during the recovery
process are critical
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-32
33. Goals
› Present accurate information about addiction, recovery,
treatment, and the resulting interpersonal dynamics.
› Help clients and family members understand how the
recovery process may affect current and future family
relationships.
› Provide a forum for families to discuss recovery issues.
› Present accurate information about the effects of drugs.
› Teach, promote, and encourage clients’ family members to
care for themselves while supporting clients in their
recovery.
› Provide a professional atmosphere in which clients and their
families are treated with dignity and respect.
› Encourage participants to get to know other recovering
people and their families in a comfortable and
nonthreatening environment
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-33
34. Understand the importance of research and
outcome data and their application in clinical
practice.
Evidence-Based Practice (or Best Practice) Defined
› Approaches to prevention or treatment that are
validated by some form of documented scientific
evidence.
› Evidence often is defined as findings established
through scientific research
› Evidence-based practice stands in contrast to
approaches that are based on tradition,
convention, belief, or anecdotal evidence
(SAMHSA OAS, 2010).
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-34
Competency 7
35. Best research evidence: supporting
clinically relevant research, especially
patient-centered research
Clinician expertise: using clinical skills
and past experience to identify and treat
the individual client
Patient values: integrating the
preferences, concerns, and expectations
that each client brings to the clinical
encounter into treatment planning (Institute of
Medicine)
Lori L. Phelps
California Association for Alcohol/Drug Educators, 2013
3-35
39. Empirical Support:
Review of 24 RCTs
Kathleen M. Carroll (1996)
Relapse Prevention:
• Does not usually prevent a lapse better than other active
treatments, but is more effective at “Relapse
Management,” i.e. delaying first lapse and reducing
duration and intensity of lapses
• Particularly effective at maintaining treatment effects over
long term follow-up measurements of 1-2 years or more
• “Delayed emergence effects” in which greater
improvement in coping occurs over time
• May be most effective for “more impaired substance
abusers including those with more severe levels of
substance abuse, greater levels of negative affect, and
greater perceived deficits in coping skills.” (Carroll, 1996,
40. • Reviewed 17 controlled studies to evaluate overall
effectiveness of the RP model as a substance abuse
treatment
• Statistically identified moderator variables that
may reliably impact the outcome of RP treatment
• “Results indicate that RP is highly effective for
both alcohol-use and substance-use disorders”
Empirical Support: Meta-Analytic
Review
Irvin, Bowers, Dunn & Wang (1999)
41. Moderator Variables with Significant Impact on RP
Effectiveness:
Group format more effective than individual therapy
format
More effective as “stand alone” than as aftercare
Inpatient settings yielded better outcomes than outpatient
Stronger treatment effects on self-reported use than on
physiological measures
While effective across all categories of substance use
disorders, stronger treatment effects found for substance
abuse than alcohol abuse
Empirical Support: Meta-Analytic
Review
Irvin, Bowers, Dunn & Wang (1999)
42.
43. The Abstinence Violation Effect
Emotional- guilt, blame, failure, etc.
Cognitive- Internal, stable, global,
uncontrollable
Self-awareness increase
Comparison to Internalized
Standards- greater difference, more guilt
Behavioral Reaction- dominant habitual
response
Cognitive Reaction- resolve discrepancy
44.
45.
46.
47.
48. Relapse Prevention
Specific Intervention Strategies
What to do if a lapse occurs
• Stop, Look, and Listen
• Keep Calm
• Renew Your Commitment
• Implement your Relapse Prevention
plan
• Ask For Help
• Review the situation leading-up to
the lapse
49. RELAPSE PREVENTION
Specific Intervention Strategies
Coping with Lapses
(Initial Use of a Substance)
• Relapse Plan with Emergency Procedures
• Relapse Contract to limit extent of use
• Relapse Reminder Card
“What do I do in case of a lapse?”