1. Session 1: Triggers and Cravings 1-

2. Changes in the Brain Matrix IOP 1- Limbic System Prefrontal Cortex

3. Conditioning Matrix IOP 1-

4. Matrix IOP 1- I.P. Pavlov (1849 – 1936)

5. Matrix IOP 1- Pavlov’s Dog

6. A Definition of Addiction American Society of Addiction Medicine Matrix IOP 1- A primary, chronic, neurobiologic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. Addiction is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving. Graham, A.W.; Schultz, T.K.; Mayo-Smith, M.F.; Ries, R.K.; and Wilford, B.B. eds. Principles of Addiction Medicine , Third Edition. Chevy Chase, MD: American Society of Addiction Medicine, Inc., 2003.

8. Addictive Process Introductory Phase Matrix IOP 1- Positives Relief from Depression Anxiety Loneliness Insomnia Euphoria Increased status Increased energy Increased sexual/social confidence Increased work output Increased thinking ability METHAMPHETAMINE (METH) Negatives May be illegal May be expensive May cause missing work

10. Development of Obsessive Thinking Introductory Phase Matrix IOP 1- Sports Food School TV Girlfriend Hobbies Job Meth Family Exercise Parties

11. Development of Craving Response Introductory Phase Matrix IOP 1- Entering Using Site Use of Meth  Heart/pulse rate  Respiration  Adrenaline  Energy  Meth taste Meth Effects

12. Addictive Process Maintenance Phase Matrix IOP 1- Positives Depression relief Confidence boost Boredom relief Sexual enhancement Social lubricant Negatives Employment/school disruptions Relationship concerns Financial problems Beginnings of physiological dependence

14. Development of Obsessive Thinking Maintenance Phase Matrix IOP 1- Meth Food School TV Girlfriend Hobbies Job Meth Family Exercise Parties

16. Addictive Process Disenchantment Phase Matrix IOP 1- Positives Sociability Occasional euphoria Relief from fatigue Relief from stress Negatives Withdrawal depression Paranoia Tweaking Relationship disruptions Family distress Impending job loss

18. Development of Obsessive Thinking Disenchantment Phase Matrix IOP 1- Meth Meth Food Meth TV Girlfriend Meth Job Meth Family Meth Parties

19. Development of Craving Response Disenchantment Phase Matrix IOP 1- Thinking of Using Mild Physiological Response Entering Using Site  Heart rate  Breathing rate  Energy  Adrenaline effects Powerful Physiological Response Use of Meth Meth Effects  Heart rate  Breathing rate  Energy  Adrenaline effects  Heart  Blood pressure  Energy

20. Addictive Process Disaster Phase Matrix IOP 1- Positives Relief from fatigue Relief from stress Relief from depression Negatives Weight loss Paranoia Loss of family Seizures Severe depression Unemployment Bankruptcy

22. Development of Obsessive Thinking Disaster Phase Matrix IOP 1- Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth Meth

23. Development of Craving Response Disaster Phase Matrix IOP 1- Thoughts of Meth- Using Place Powerful Physiological Response  Heart rate  Breathing rate  Energy  Adrenaline effects

24. Matrix IOP 1- Trigger Thought Craving Use

25. Matrix IOP 1- Interruption Trigger Thought Craving Use

28. Thought Stopping Matrix IOP 1- Rubberband Snap

30. Thought Stopping Matrix IOP 1- C alling Someone