Review:
Stages-of-Change Model
Goals of Brief Intervention
Components of Brief Interventions and Effective Brief Therapy
Essential Knowledge and Skills for Brief Interventions
When To Use Brief Therapy
Approaches to Brief Therapy
Components of Effective Brief Therapy
Cognitive Behavioral (CBT)
Cognitive Processing
Trauma Focused CBT
Brief Strategic/Interactional
Brief Humanistic/Existential
Brief Psychodynamic
Brief Family therapy
Time Limited Group Therapy
When faced with a problem you can stay miserable, tolerate the distress, change how you think and feel about the problem or change the situation. Distress Tolerance Skills help you tolerate unpleasant feelings until you can think clearly and make the best choice to keep you moving toward your goals.
This was released as Episode 373 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
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=
Most people do not enter into relationships with the intention of sabotaging it, yet that is exactly what ends up happening. In this presentation, we explore, in depth, certain behaviors that commonly sabotage relationships, how they are actually protective for the "saboteur" and what can be done to address them.
When faced with a problem you can stay miserable, tolerate the distress, change how you think and feel about the problem or change the situation. Distress Tolerance Skills help you tolerate unpleasant feelings until you can think clearly and make the best choice to keep you moving toward your goals.
This was released as Episode 373 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
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=
Most people do not enter into relationships with the intention of sabotaging it, yet that is exactly what ends up happening. In this presentation, we explore, in depth, certain behaviors that commonly sabotage relationships, how they are actually protective for the "saboteur" and what can be done to address them.
Listen to this presentation on Counselor Toolbox Podcast, available on any podcast app. Earn CEUs for this at https://www.allceus.com/member/cart/index/product/id/923/c/
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=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. During this session we explore the characteristics of crisis, steps to take in an acute crisis and why some events trigger a crisis for some people, but not others.
Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
View the video here: https://youtu.be/RtJdZ7xfCHQ
Earn counseling CEUs: https://www.allceus.com/member/cart/index/product/id/519/c/
ACT is a useful tool to help people evaluate the thoughts and feelings underlying their reactions, step back and evaluate whether those behaviors, thoughts and feelings are helping them move toward their goals and commit to thoughts and actions that will improve their happiness and help them move closer to those things which are important to them
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=
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/
Instagram: AllCEUs
Pinterest: drsnipes
Learn about co-dependency and interventions to help the person with co-dependency issues.
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/393/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
Part of the Addiction Counselor Training Curriculum at AllCEUs Examines different approaches to treatment--medical, psychological, spiritual
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Describe the family life cycle
Distinguish the shift from linear to circular thinking.
Describe the influence of Bateson
Describe the core concepts of systemic therapy: phase 1 & 2
Learn tips and tools to prevent the recurrence of mental health and addiction symptoms.
Listen to this presentation on Counselor Toolbox Podcast, available on any podcasting app.
Get CEUs for the Journey to Recovery Series at https://www.allceus.com/member/cart/index/product/id/924/c/
Read the accompanying book for FREE with Kindle Unlimited https://allceus.com/JTR
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/392/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
Objectives
Help clients identify 3 Steps to a Breakthrough
Helping clients decide to do the impossible
Tools to encourage clients to explore motivation: Why we do what we do
Identify techniques to help clients get unstuck
Help clients explore whether they use a Growth vs. Fixed Mindset
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Listen to this presentation on Counselor Toolbox Podcast, available on any podcast app. Earn CEUs for this at https://www.allceus.com/member/cart/index/product/id/923/c/
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=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. During this session we explore the characteristics of crisis, steps to take in an acute crisis and why some events trigger a crisis for some people, but not others.
Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
View the video here: https://youtu.be/RtJdZ7xfCHQ
Earn counseling CEUs: https://www.allceus.com/member/cart/index/product/id/519/c/
ACT is a useful tool to help people evaluate the thoughts and feelings underlying their reactions, step back and evaluate whether those behaviors, thoughts and feelings are helping them move toward their goals and commit to thoughts and actions that will improve their happiness and help them move closer to those things which are important to them
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=
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/
Instagram: AllCEUs
Pinterest: drsnipes
Learn about co-dependency and interventions to help the person with co-dependency issues.
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/393/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
Part of the Addiction Counselor Training Curriculum at AllCEUs Examines different approaches to treatment--medical, psychological, spiritual
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Describe the family life cycle
Distinguish the shift from linear to circular thinking.
Describe the influence of Bateson
Describe the core concepts of systemic therapy: phase 1 & 2
Learn tips and tools to prevent the recurrence of mental health and addiction symptoms.
Listen to this presentation on Counselor Toolbox Podcast, available on any podcasting app.
Get CEUs for the Journey to Recovery Series at https://www.allceus.com/member/cart/index/product/id/924/c/
Read the accompanying book for FREE with Kindle Unlimited https://allceus.com/JTR
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/392/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member
Objectives
Help clients identify 3 Steps to a Breakthrough
Helping clients decide to do the impossible
Tools to encourage clients to explore motivation: Why we do what we do
Identify techniques to help clients get unstuck
Help clients explore whether they use a Growth vs. Fixed Mindset
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Explore the 5 Main Influences in Clinical Supervision
Philosophical foundation
Descriptive dimensions
The supervisor’s stage of development
The supervisee’s stage of development
Contextual factors including personal characteristics and setting/environment
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Based on TIP 57: Trauma-Informed Care in Behavioral Health Services|SAMHSA A single counseling CEU course is available at https://www.allceus.com/member/cart/index/product/id/394/c/ or the complete Trauma Informed Care Training Certificate are available at https://www.allceus.com/member/cart/index/product/id/399/c/
Prof Mick Cooper in his keynote speech to the conference address counselling psychotherapy: putting statistics and quantitative evaluation before the complex reality of a human, person-to-person encounter.
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Practical hints and tips for assessing readiness to change - Dr Bronwen BonfieldMS Trust
Aims:
To have increased awareness of the factors that affect an individuals readiness to change.
To explore the theoretical models that underpin change behaviour
To develop awareness of skills and strategies to support individuals and their families.
Review of brief Interventions which are useful in working with patients with addictions and/or co-occurring disorders. 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
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
More from Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training (20)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Brief Interventions and Breif Therapies for Mental Health
1. 10 Useful Brief Interventions
and Brief Therapies
Instructor: Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
2. Objectives
We will review:
Stages-of-Change Model
Goals of Brief Intervention
Components of Brief
Interventions and Effective
Brief Therapy
Essential Knowledge and Skills
for Brief Interventions
When To Use Brief Therapy
Approaches to Brief Therapy
Components of Effective Brief
Therapy
Cognitive Behavioral (CBT)
Cognitive Processing
Trauma Focused CBT
Brief Strategic/Interactional
Brief Humanistic/Existential
Brief Psychodynamic
Brief Family therapy
Time Limited Group Therapy
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
3. Who Can Use Brief Interventions
Primary care physicians
Substance abuse treatment providers
Emergency department staff members
Nurses
Social workers
Health educators
Lawyers
Mental health workers
Teachers
EAP counselors
Crisis hotline workers, student counselors
Clergy
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
4. Benefits
Reduce no-show
Increase treatment engagement
Increase compliance
Increase self-efficacy
Reduce aggression and isolation
Provide an interim for clients on waiting lists
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
5. Goals of Brief Interventions
Making a measurable change in specific target behaviors
Helping the client demonstrate a new understanding and
knowledge of problems and issues
Improving the client's personal relationships
Resolving other identified problems
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
6. Characteristics of Brief Interventions
1. They are either problem focused or solution focused; they target the
symptom and not what is behind it.
2. They use interventions appropriate to the stages of change model
3. They clearly define goals related to a specific change or behavior.
4. They should be understandable to both client and clinician.
5. They should produce immediate results.
6. The therapeutic style is highly active, empathic, and sometimes
directive.
7. Responsibility for change is placed clearly on the client.
8. Early in the process, the focus is to help the client have experiences
that enhance self-efficacy and confidence that change is possible.
9. Termination is discussed from the beginning.
10. Outcomes are measurable.
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
7. Objectives for Brief Interventions
It is important to extract at least one measurable change in the
client's behavior
Time management
Expanding a support system
Improving social skills
Changing unhelpful thoughts
Improving health behaviors
Vulnerability awareness and prevention
Vocational issues
Support group attendance
Forgiveness and acceptance
Staying in the "here and now”
Identifying triggers for the mood or behavior
Coping with high risk or triggering situations
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
8. Goals Setting Within Brief Interventions
Goals should be…
Specific
Measurable
Achievable in 8-10 weeks
Realistic
Time Limited
Purpose: Reduce the likelihood of damage/additional
problems from the current issue. (i.e. family, work,
health, self-esteem, guilt, anger)
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
9. Components of Brief Interventions
FRAMES
Feedback
Responsibility
Identification of future goals for health, activities, hobbies, relationships
Identification of the pros and cons of current behavior in terms of self or
family/community
Consequences of staying the same
Reasons to change
Sensible strategies for change
Advice
Menu
Empathy
Self-Efficacy
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
10. Stages of Change
Precontemplation: “I’m okay”
Provide
Information linking problems with current behaviors (thoughts, reactions)
or issues (health, environment, social etc.)
Education
Motivational Interviewing: “List 5 ways the problem has impacted….”
Family/Peer commentary specifically about the client
Types
Reluctant
Increase knowledge of the problem, and the personal impact
Rebellious
Shift energy from fear of losing control to improving the next moment
Resigned
Rekindle hope/optimism by highlighting successes, strengths
Why is knowing stage of
change important?
11. Stages of Change
Contemplation: “It’s getting a little hot, but I’m okay”
Increase awareness of the consequences of the current problem
Explore/address ambivalence by tipping the decisional balance
scales
Address anxiety and grief about change
Help clients visualize change
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
12. Treatment Needs: Preparation
Preparation: “I’ll just stick my toe in and see.”
Identify benefits of treatment
Identify/address fears/apprehensions about treatment
Give the client a list of options for treatment
Clarify goals and strategies
Identify and address barriers to change
Highlight strengths and past successful strategies
Garner social support
Envision change and find motivating stories from others
Identify motivations in each area and create small successes for components
of the goal
Increase self efficacy and hardiness (C3)
Strengthen commitment
Begin learning about the issues
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
13. Stages of Change
Action: “I’m tired of being hot.”
Help client implement plan
Identify ways to ensure motivation and progress is maintained
(Mindfulness)
Identify triggers, how they could cause relapse and how to deal with
them
Provide practical tools in each session and discuss/roleplay
application
Address obstacles
Acknowledge the client's feelings and experiences
as a normal part of recovery
Maintenance:
Enjoy your successes. Step back and look how far you’ve come.
Stay mindful of continuing to “work your program.” Remaining
vigilant for relapse triggers.
Make minor adjustments as needed.
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
14. Stages of Change
Relapse: Cold pool uncomfortable Jump out
Relapse means falling back into old ways of thinking and
acting
Relapse is not a requirement for recovery
The earlier you catch a relapse the better
Relapse is an opportunity for learning about:
What triggered the relapse
What things need to be addressed to keep recovery the most
rewarding choice
A good relapse prevention plan will have strategies for
identifying early relapse warning signs, triggers and solutions
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
15. Treatment Needs: Maintenance
Maintenance
Relapse prevention
Reassure
Evaluate present actions
Redefine long-term recovery plans
Educate about the relapsing nature of mental health/addictive
disorders
Develop a list of circumstances that require a return to treatment
Review problems that emerged but were not addressed and help
the client develop a plan for addressing them in the future
Develop strategies for identifying and coping with high-risk situations
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
16. Treatment Needs: Maintenance
Maintenance cont…
Teach the client how to capitalize on personal strengths
Emphasize client self-sufficiency
Develop a plan for support, including family/community support
Prepare the client to maintain positive change through difficult
times
Identify potential stressors and challenges
Prepare the client for changes to the environment
At the end of treatment, ask the client to look into the future
and describe where he intends to be at a certain time
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
17. Appropriateness of Brief
Dual diagnosis issues
The range and severity of presenting problems
The duration of substance dependence
Availability of familial and community supports
The level and type of influence from peers, family and
community
Previous treatment or attempts at recovery
The level of client motivation
The clarity of the client's short- and long-term goals
The client's belief in the value of brief therapy
The numbers of clients needing treatment
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
18. Criteria for Longer Term Treatment
Failure of previous shorter treatment
Multiple concurrent problems
Severe substance abuse
Acute psychoses, intoxication or withdrawal
Cognitive inability to focus
Long-term history of relapse
Many unsuccessful treatment episodes
Low level of social support
Serious consequences related to relapse
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
19. The Opening Session
Produce rapid engagement
Identify, focus on and prioritize problems
Work with the client to develop possible solutions
Negotiate the plan with client
Elicit client concerns and solutions
Understand client’s expectations
Explain the structural framework and rationale of
brief therapy
Website video can be helpful
Make referrals
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20. Assessment Areas
Current use patterns
History of substance abuse
Consequences of substance abuse (especially external pressures
that are bringing the client into treatment at this time, such as
family or legal pressures)
Coexisting psychiatric disorders
Information about major medical problems and health status
Information about education and employment
Support mechanisms
Client strengths and situational advantages
Previous treatment
Family history of substance abuse disorders and psychological
disorders
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
22. Cognitive Behavioral (CBT)
Assumes that problems are caused by:
Deficient coping skills
Choosing not to use those they have
Are inhibited from doing so
Helps clients:
Recognize situations which are likely to trigger or worsen the problem
Identify unhelpful thoughts maintaining their problem
Find ways of avoiding those situations
Cope more effectively
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
23. CBT Core Elements
Functional analysis
Identify the antecedents and consequences of behaviors/condition
which serve as triggering and maintaining factors
Coping skills training
Relapse Prevention
Identification of high risk situations
Coping skills training
CBT is generally not appropriate
psychotic or bipolar disorders and are not stabilized on medication
no stable living arrangements
not medically stable
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
24. CBT cont….
The initial session in brief CBT therapy explores:
Reasons the client is seeking treatment
Extent to which this motivation for treatment is intrinsic, rather than
influenced by external sources
Areas of concern that the client and significant others may have about the
problem
Situations in which the problem is worse
Consequences she experiences
Three Major Steps
1. Establish rapport: Understand how the client thinks about his life
circumstances and how those thoughts relate to the current problem
2. Educate client about the CBT
3. Ask client to describe a recent event that has triggered some negative
feelings, as a way of illustrating the CBT process
25. Cognitive Processing therapy
Cognitive processing therapy (CPT) is a manualized therapy
used by clinicians to help people recover from
posttraumatic stress disorder
It includes elements of cognitive behavioral therapy (CBT)
treatments.
CPT conceptualizes PTSD as a disorder of non-recovery, in
which a sufferer's beliefs about the causes and
consequences of traumatic events produce strong negative
emotions, which prevent accurate processing of the
traumatic memory and the emotions resulting from the
event
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26. Cognitive Processing therapy
Four essential parts
Educating the patient about the specific post-traumatic stress
disorder (PTSD) symptoms and the way the treatment will help
Exploring the connection between thoughts and feelings.
Imparting lessons to the patient to help him/her develop skills to
challenge or question his/her own thoughts.
Helping the patient to recognize changes in his/her beliefs that
happened after going through the traumatic event.
Structure of CPT individual sessions
Twelve 50-minute structured sessions
Sessions typically conducted once or twice weekly
Patients complete out-of-session practice assignments
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27. Trauma Focused CBT
Trauma focused cognitive behavioral therapy (TF-CBT)
aims to address the needs of children and adults with post
traumatic stress disorder (PTSD), depression, anxiety,
behavioral difficulties & shame related to traumatic life
events.
The goal of TF-CBT is to provide psychoeducation to both
the child and the caregivers and help them to identify and
cope with emotions, thoughts and behaviors
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28. Trauma Focused CBT
Major components of TF-CBT are denoted by the
“PRACTICE” acronym.
Psychoeducation and Parenting skills
Relaxation
Affective Expression and Regulation
Cognitive Coping
Trauma Narrative Development and Processing
In Vivo Gradual Exposure
Conjoint Parent-Child sessions
Enhancing Safety and Future Development
https://tfcbt.musc.edu/
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29. Solution Focused Brief Therapy
Focuses on solutions instead of problems
Uses the miracle question
Uses compliments to highlight strengths and successes and build
self-efficacy
Encourages clients to identify previous solutions
Invites clients to do more of what is working
Uses present and future focused questions
“What will you be doing in the next week that would indicate to you
that you are continuing to make progress?”
Uses scaling questions
Confidence treatment will work
Where the person is in terms of change
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30. Solution Focused Questions
What would you like to achieve today?
How will you know later that this meeting has been successful?
Are there times when this problem is not happening?
Before this problem existed, what was different?
What have you found helpful in managingthis situation?
Considering how depressed and overwhelmed you feel how is it
that you were able to get out of bed this morning and make it to
our appointment (or make it to work)?
How will others know when you start to change?
Of the thinking we've done here today, what has been helpful
for you?
What would you like to see yourself doing differently between
now and next time we meet?
Use when rather than if
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31. Brief Strategic/Interactional Therapies
Overview
Focus is on the individual’s strengths
The relationship to the therapist is essential
Interventions are based on client self-determination with the
community serving as a resource rather than an obstacle
Goals
Define situations that contribute to the problem in terms
meaningful to the client
Identify steps needed to address the problem
Heal the family system so it can support change
Maintain behaviors that will help support recovery
Respond to situations in which the client has relapsed
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
32. Brief Humanistic & Existential Therapy
Humanistic and existential therapies emphasize
Understanding the human experience
Focusing on the client rather than the symptom
Psychological problems are the result of inhibited ability to make
authentic, meaningful, and self-directed choices about how to live
Initial Session
Build an alliance, developing therapeutic rapport, and creating a climate of
mutual respect
Emphasize the client's freedom of choice and potential for meaningful
change
Articulate expectations and goals of therapy (how goals are to be reached)
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33. Brief Psychodynamic Therapy
A psychodynamic approach enables the client to
examine “stuff” from their past which led to a
desire to abuse substances.
Techniques
Work with the client's perceptions of reality
Ask questions
Sidestep, rather than confronting defenses
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
34. Brief Family Therapy
Interactions with family sets the patterns and dynamics for
their problems
Family member interactions can either perpetuate or help
resolve the problem
Family therapy offers an opportunity to:
Focus on the expectation of change within the family
Test new patterns of behavior
Teach how a family system supports symptoms and maintains
needed roles
Elicit the strengths of every family member
Explore the meaning of the problem within the family
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35. Brief Family Therapy cont…
Initial session
Clarify the nature of the problem and identify the family's goals
with open-ended questions such as, "What is your goal in coming
here?“
Educate the family about what is needed to participate effectively
in the therapeutic process.
Understand key biosocial issues related to the problem
Provide feedback to the family on what was said, demonstrating
whose goals are similar or different.
Prioritize directions for change; or, if the direction is sufficiently
clear, start work.
Appropriate for families who are able to benefit from
teaching and communication to better understand some
aspect of the problem
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149
36. Time-Limited Group Therapy
Groups can:
Help reduce denial; process ambivalence
Facilitate acceptance of the problem
Assist in identifying exacerbating and mitigating factors
Provide a wealth of coping strategies and resources
Increase motivation for change
Treat co-occurring conditions
Increase the capacity to recognize, anticipate and cope with situations
Provide a warm environment that provides social acceptance and
support
Help explore whether they believe they have the ability to choose
effective actions
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37. Summary
Brief therapy is a cost effective technique that can:
Help engage clients in the preparation phase
Enhance treatment compliance
Improve outcomes
Increases success and client self-efficacy
Reduce cost-per-patient expenses
Be used for a variety of issues to help clients accomplish SMART
goals
Be implemented in group or individual settings
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38. Summary
Essential Characteristics of Brief Interventions
1. Specific focus
2. Enhanced experiencing
3. Highly interactive
4. Useful with clients who are moderate to high functioning
5. Emphasis on readiness for change
6. Emphasis on the impact of the intervention
AllCEUs Unlimited CEUs $59 | Live Webinars $4 | Addiction Counselor Certification Training $149