"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 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=
Help patients achieve lasting recovery by addressing ALL causes of their symptoms.
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/
CEs can be earned for this presentation at: https://www.allceus.com/member/cart/index/product/id/503/c/
Pinterest: drsnipes
Counselor Toolbox Podcast: Https://allceus.com/counselortoolbox
Youtube: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
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.
This presentation discusses the use of cognitive behavioral therapy and mindfulness in treating addiction.
By Tony Pacione, LCSW, CSADC
Harborview Recovery Center
Saint Joseph Hospital
Chicago, IL
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=
Help patients achieve lasting recovery by addressing ALL causes of their symptoms.
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/
CEs can be earned for this presentation at: https://www.allceus.com/member/cart/index/product/id/503/c/
Pinterest: drsnipes
Counselor Toolbox Podcast: Https://allceus.com/counselortoolbox
Youtube: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
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.
This presentation discusses the use of cognitive behavioral therapy and mindfulness in treating addiction.
By Tony Pacione, LCSW, CSADC
Harborview Recovery Center
Saint Joseph Hospital
Chicago, IL
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
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.
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.
As research into the applications of mindfulness progresses, both in the medical field for problems like pain and chronic illness management, and in the mental health field through therapies such as Dialectical Behavior Therapy, Acceptance & Commitment Therapy, and Mindfulness-Based Cognitive Therapy continue to increase the empirical support for the efficacy of this approach in a variety of conditions, it behooves us to learn more about this and apply it in our own lives and practices.
Kevin Drab
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
Explore and examine the survival function of triggers in mental health and addiction recovery.
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/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
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
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.
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.
As research into the applications of mindfulness progresses, both in the medical field for problems like pain and chronic illness management, and in the mental health field through therapies such as Dialectical Behavior Therapy, Acceptance & Commitment Therapy, and Mindfulness-Based Cognitive Therapy continue to increase the empirical support for the efficacy of this approach in a variety of conditions, it behooves us to learn more about this and apply it in our own lives and practices.
Kevin Drab
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
Explore and examine the survival function of triggers in mental health and addiction recovery.
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/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
Introducing Stop Addictive Habits. Inside this eBook, you will discover the topics about addiction basics, acknowledge the addiction, be rational and don’t deny, get coping skills, what are your triggers, lifestyle changes, be accountable, have support in place and reward accomplishments.
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Inside this Book, You will discover the topics about addiction basics, Acknowledge the addiction, How to be rational and don't deny it, How to get coping skills, What are your triggers, Lifestyle changes, Be accountable, Have support in place and reward accomplishments.
Depression is a disorder that is evidenced by excessive sadness, loss of interest in enjoyable things, and low motivation.
It is normal to experience feelings of sadness and despair in response to adverse life events. Such events could include loss, major life changes, stress, or disappointment. In most cases, the sad feelings resolve as you come to terms with the changes in your life. In situations such as bereavement, these feelings may persist for months and return at signicant times, such as birthdays and anniversaries related to the lost loved one. Provided you have times when you can enjoy things, however, this sadness is not a sign of depression.
If you need your loved one to walk on the pathway to recovery,not only do you need to be the one giving them a gentle pushtowards it, you need to walk beside them! Anyone who is willing to change can get well...
A simple, yet effective way to avoid relapsing altogether and maintain recovery from addiction. Encourages bold and radical measures that, when consistently implemented, ensure success. By removing a certain aspect most adopt when they begin their recovery journey, the chances of relapse decrease drastically.
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Suicide Prevention and Addiction - January 2014Dawn Farm
“Suicide Prevention and Addiction” was presented on Tuesday January 28, 2014; by Raymond Dalton, MA; Dawn Farm Outpatient Services Coordinator. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. 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.
Cultivating Mindfulness to Support RecoveryDawn Farm
“Cultivating Mindfulness to Support Recovery” was presented on Tuesday December 17, 2013; by Libby Robinson Ph.D., MSW. Mindfulness practices can help support an individual’s recovery from substance use disorders. This presentation will describe mindfulness, provide opportunities to experience and cultivate mindfulness, and review the evidence of its positive effect on recovery. Dr. Robinson has taught Mindfulness-Based Stress Reduction since 2003. She has practiced mindfulness meditation since 1979 and was trained to teach Mindfulness-Based Stress Reduction by Jon Kabat-Zinn and colleagues at the University of Massachusetts Center for Mindfulness, where he developed this program for cultivating mindfulness. She recently retired from the University of Michigan, where she was a U of M Research Assistant Professor, carrying out NIH-funded research on the role of spiritual and religious change in recovery. She also did an NIAAA post-doctoral fellowship at the U of M Addiction Research Center and was on the social work faculty at Case Western Reserve University and the University at Buffalo. Dr. Robinson has an MSW and MPH from the University of Michigan, as well as her Ph.D. in Psychology and Social Work. 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.
Addiction and Suicide Prevention - December 2012 Dawn Farm
“Addiction and Suicide Prevention” was presented on Tuesday December 18, 2012; by Raymond Dalton, MA; Dawn Farm therapist. There is an alarmingly high prevalence of suicide among people with addiction and people in early recovery. This program will raise awareness of the signs of suicidal thinking and describe ways to offer support and obtain help for people who may be contemplating suicide. Viewers will learn how to recognize suicidal thinking, reach out and offer support to others contemplating suicide, obtain help when suicidal thoughts are present, and access local and national suicide prevention and intervention resources. 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.
Collegiate Recovery Programs: Supporting Second Chances - October 2012Dawn Farm
The transition to a college environment can pose significant risk to a recovering student and to students at risk for alcohol/other drug problems. Many colleges and universities, including the University of Michigan, have developed programs to help recovering students maintain their recovery, excel academically and have a normative college experience apart from the culture of alcohol and other drug use. Research demonstrates exceptionally high rates of academic success and sustained recovery among students who participate in Collegiate Recovery Programs. This presentation will provide an overview of the national and local efforts to build recovery support programs on college campuses, and provide information about what parents and students should look for as they explore their options for pursuing a degree of higher education. The program is presented by Mary Jo Desprez, MA; Director of Health Promotion and Community Relations, for the University of Michigan. Mary Jo manages both the Alcohol and Other Drug Prevention Program and the Collegiate Recovery Program at the University of Michigan. She serves as the Co-Chair for both the Ann Arbor Campus and Community Coalition (A2C3), and the Michigan Campus Coalition (MC3). She is a Center Associate for the Higher Education Center for Alcohol and Other Drug Prevention (U.S Department of Education). Mary Jo has also been an adjunct instructor at Eastern Michigan University since 1997. 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.
Grief and Loss in Addiction and Recovery - September 2012Dawn Farm
“Grief and Loss in Addiction and Recovery” was presented on September 25, 2012; by Janice Firn, LMSW, Clinical Social Worker, University of Michigan Hospital; Matthew Statman, LLMSW, CADC, Dawn Farm therapist and Education Series Coordinator; and Barb Smith, author of “Brent’s World” (http://compassionhearts.com.) The culture of addiction is rife with experiences of grief and loss for the person with addiction and for family and friends. The nature of these experiences combined with the stigma, shame and general lack of understanding of addiction can make grief and loss associated with addiction exceptionally lonely and difficult to heal from. This program will describe Worden's and Kubler-Ross' theories of grief and grief recovery, losses that the chemically dependent individual and his/her family experience throughout the addiction and recovery processes, and how recovery program tools can help individuals cope with grief and loss. It will include a personal account of addiction-related grief, loss and recovery from a mother who lost her son to addiction-related causes. 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.
"Eating Disorders" is presented by Dr. Carl Christensen, MD, Ph.D.; Addictionologist; and Lori Perpich, LLP, MS Clinical Behavioral Psychology; cognitive behavioral therapist and EDEN program facilitator. This program examines the evidence that eating disorders are true biopsychosocial diseases, similar to chemical dependency. It defines various eating disorders and their consequences, explores neurobiological theories of addiction, discusses screening tools used for eating disorders, and provides information on treatment options and resources for eating disorders. 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.
How To Support Recovery and Not Support Addiction - May 2012Dawn Farm
"How to Support Recovery and Not Support Addiction" was presented on Tuesday May 15, 2012, by Dr. Charles F. Gehrke, MD, FACP, FASAM. When all else has failed - what does work when confronted with a loved one’s addiction? What does not work? What can others do to help? What does not help? What role does an individual play in supporting another person’s recovery process? These and other questions will be addressed in order to assist participants to find effective methods to successfully support another person’s recovery, avoid enabling another person’s addiction, and maintain their own health and well-being. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
The Intersection of Domestic Violence and Substance Abuse- April 2012Dawn Farm
"The Intersection of Domestic Violence and Substance Abuse" was presented on April 17, 2012, by Barbara Niess May, MPH, MSW; Executive Director, SafeHouse Center; and David J.H. Garvin, LMSW; Director, Alternatives to Domestic Aggression, Catholic Social Services of Washtenaw County. Domestic violence offender and survivor alcohol and other drug use/abuse is central to this discussion. The audience is provided with a primmer regarding batterer tactics, strategies, and core beliefs which hold the batterer accountable for his abusive behaviors while maintaining and promoting survivor safety. The program will help participants to recognize the critical importance of understanding domestic violence and alcohol/other drug use/abuse in order to safely and effectively intervene and/or interrupt the batterer's abusive behaviors and support the survivor. 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 Physiology of Addiction - February 2012Dawn Farm
"The Physiology of Addiction" was presented on Tuesday February 21, 2012, by Dr. Carl Christensen, MD, PhD, FACOG, CRMO, ABAM. This program explores the differences in neurochemistry between the addicted brain and the normal brain, the progression of physiological changes that occur in people with alcohol/other drug addiction, the mechanisms of physiologic tolerance and withdrawal, and the effects of treatment on the addicted brain. 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.
Transformation of the Culture of Recovery in America by William L. White - Oc...Dawn Farm
"Transformation of the Culture of Recovery in America" was presented on Tuesday October 18, 2011; by William L. White, MA; Senior Research Consultant, Chestnut Health System. For almost three centuries, people recovering from severe alcohol and other drug problems have found ways to help each other initiate and sustain their recovery journeys. Today, recovering people, their families, and visionary professionals have responded to the stigma, criminalization, and lack of appropriate medical care associated with severe alcohol and other drug problems by creating an unprecedented growth in new structures of recovery support. This presentation will explore recent recovery community building activities and the influence they will exert on the future of addiction treatment and recovery in America. William White is one of the world’s best-know and most influential advocates, authors and public speakers on the subject of recovery from addiction. He has authored or coauthored more than 350 articles and monographs and fifteen books, including "Let's Go Make Some History: Chronicles of the New Addiction Recovery Advocacy Movement," "Pathways From The Culture of Addiction to the Culture of Recovery," and "Slaying the Dragon: The History of Addiction Treatment and Recovery in America" which received the McGovern Family Foundation Award for the best book on addiction recovery. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
"Codependency" was presented on Tuesday March 22, 2011, by Ronald E. Harrison; Chemical Dependency Therapist. This program discusses the symptoms and progression of codependency and describes actions and resources that help codependent people to recover from codependency. This program is part of the FREE, annual Dawn Farm Education Series. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please contact Matt Statman, LLMSW, CADC, Education Series Coordinator, at 734-485-8725 or info@dawnfarm.org, or see http://www.dawnfarm.org/programs/education-series.
In The Doctors Office: Recovery Friend or Foe? - March 2012Dawn Farm
“In the Doctor’s Office: Recovery Friend or Foe?" was presented on Tuesday March 20, 2012; by Dr. Mark A. Weiner, MD; Internal Medicine and Addiction Medicine; and Matthew Statman, LLMSW, CADC; Dawn Farm therapist and Education Series Coordinator. It’s been said that the doctor’s office is a dangerous place for people in recovery from addiction. It’s also been said that recovering people are terrible patients. This program discusses whether these statements are fair and why doctors and other healthcare providers are essential allies for long term recovery. The program describes in detail how people in recovery from alcohol/other drug addiction can take responsibility for their physical health and recruit health care providers as allies. 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.
Tobacco Cessation and Addiction Recovery - June 2011Dawn Farm
"Tobacco Cessation and Addiction Recovery" is presented by Anna Byberg, Dawn Farm Project Manager. This program describes the prevalence of tobacco addiction among alcoholics and drug addicts, the relationship between tobacco use and recovery, and basic information about how to quit using tobacco. 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.
Relationships In and Out of Addiction and Recovery - May 2010Dawn Farm
"Relationships In and Out of Addiction and Recovery and Recovery" was presented by Ed Conlin, BSEd, CAC-R; addiction counselor, Detroit Capuchin Service System; and Janice Firn, LMSW; Clinical Social Worker, University of Michigan Hospital. This program describes the process of self-actualization; the formation of personal bonds; the dynamics of relationships in addiction; how patterns in thought, action and relationships are affected by addiction; and key attitudes and tools for healthy relationships. It 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.
A History Of Alcoholics Anonymous - April 2011Dawn Farm
"A History of Alcoholics Anonymous" presents a fascinating overview of the history and development of the Alcoholics Anonymous (A.A.) program, including its founding and growth. The discussion also includes a brief overview of the Twelve Steps of A.A. The program is presented by James Balmer, President of Dawn Farm. 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 Doctors Opinion on Alcoholism – Revisited (November 2011)Dawn Farm
This program describes a physician's view of alcoholism, as presented in the literature of Alcoholics Anonymous and updated with the modern neurobiology of addictive illness. It includes a discussion of Dr. Silkworth’s explanation of alcoholism as a twofold disease, affecting mind and body, how Dr. Silkworth's opinion relates to the modern neurobiolgy of addictive illness, and identification of therapy for alcoholism as promoted by Alcoholics Anonymous and its relationship to Dr. Silkworth’s opinion. The program is presented by Dr. Herbert L. Malinoff, MD; addictionologist. 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.
“Adult Children of Alcoholics" was presented on May 19, 2009 by MaryGrace Fisher, LLMSW, CAAC; Dawn Farm Huron Street therapist. This program provides an overview of beliefs and behaviors that are common to adult children of alcoholics. 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 Culture of Addiction and the Culture of RecoveryDawn Farm
"The Cultures of Addiction and Recovery" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC, Coordinator of the Dawn Farm Huron Street program; and Quintin Williams, BS, CAC-M; Dawn Farm Huron Street therapist. This program discusses the cultural elements of addiction and recovery, explores the role of “cultures” in addiction and recovery, and describes how the symptoms and behaviors of culturally enmeshed alcoholics and addicts change as the individual moves from the culture of addiction to the culture of recovery. 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.
Psychiatric Disorders in Chemically Dependent Individuals - October 2012Dawn Farm
This program provides an overview of co-occurring addiction and psychiatric illness, including standard diagnostic criteria, individual considerations for determining the appropriate course of treatment, available treatment interventions, and the perspectives of both the addict and the treatment provider on addiction and psychiatric illness. It is presented by Dr. Patrick Gibbons, LMSW, DO; Adjunct Clinical Instructor in Psychiatry at the University of Michigan; Medical Director of the WCHO Community Crisis Response Team; consultant with Pain Management Solutions in Ann Arbor; Medical Director of the Michigan Health Professionals Recovery Program, and Medical Director of Dawn Farm. 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.
Christian Spirituality and Recovery from Addiction - January 2014Dawn Farm
“Recovery From Addiction and Christian Spirituality” was presented on Tuesday January 21, 2014; by Brother Edward Conlin, BSEd, CADC; Addiction Counselor, Detroit Capuchin Service System. Spirituality often plays an important role in recovery initiation, recovery maintenance, and quality of life in recovery from chemical dependency. This program will describe a Christian perspective of how spirituality relates to recovery from chemical dependency, explore personal spiritual needs and life choices, and discuss the Twelve Steps as a spiritual program. 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.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. Quote from Staying Sober by Gorski and Miller (p.35) “Relapse and recovery are intimately related. You cannot experience recovery from addiction without experiencing a tendency toward relapse. Relapse tendencies are a normal and natural part of the recovery process. They are nothing to be ashamed of. They need to be dealt with openly and honestly. If they are not, they grow stronger. Relapse tendencies are a lot like poison mushrooms or mold. They grow best in the darkness. The light of clear accurate thinking tends to kill relapse tendencies very quickly.”
3. Definitions of Relapse The process of returning to drinking or using drugs after a period of sobriety A return of the signs and symptoms of a particular disease (medical)
4. Myth #1 Relapse is an event defined by an individual returning to use alcohol and/or drugs.
5. Fact Relapse is a process. Returning to using or drinking is actually the completion of the process. It begins with slight and often unseen changes in behavior, attitude and beliefs.
6. Relapse is a process, not an event. These slight and often unseen changes begin when an individual slips back into old ways of thinking and behaving. Left unchecked, over time, (days, weeks, year) those changes in behavior, attitudes and beliefs begin to convince an individual, either consciously or unconsciously, that a return to relapse makes sense.
7. Where do checks come from? There are warning signs and symptoms you can learn to recognize and to warn you that there is a danger of relapse. You can also learn tools to interrupt or change the process at any time.
8. Relapse Prevention Explores these changes in attitudes, beliefs, and thinking patterns that an individual would exhibit prior to returning to chemical use. Knowing the relapse warning signs helps cut the process short without having the end result of actually returning to chemical use.
9. Myth #2 The individual will see a relapse coming and will be able to stop it. “If I get too far off the recovery trail, I’ll see it and change my behavior.”
10. Fact Actually, individuals often describe a relapse as a “flash,” “shock,” or “surprise.” Examples of relapse stories Why does this happen?
11. Disease of Perception The disease of perception tells the addict or alcoholic that what he or she is doing is ok and finds ways to justify behaviors, attitudes and thoughts. In recovery, individuals learn to see themselves through the feedback they receive from others.
12. Disease of Perception Individuals need to surround themselves with relationships with people who will hold them accountable and point out concerning changes in behaviors, attitudes or thought patterns. You can’t trust that you’ll see a relapse coming. You have to trust others to help you along the recovery path.
13. Myth #3 “Once I’m on the recovery road, I won’t use alcohol or drugs again.” “It will never happen to me.” “I know I won’t use again. I don’t want to.”
14. Fact Actually a large number (40-60 percent) will return to alcohol and/or drug use in the first year What are some possible reasons for this?
15. Biopsychosocial Model Just as the disease of addiction affected the physical, emotional, social and spiritual aspects of an individual’s life, the road to relapse may have signs that appear in all areas of one’s life. Recovery is much more than not using. It’s a biopsychosocial healing process and a commitment to change and growth.
16. Path of Relapse The path is different for each individual. Usually several warning signs are present. There is no particular order in which they may appear.
17. Path of Relapse The time element for warning signs not being dealt with and a return to using substances will vary according to the individual. The symptoms are different in everyone. There is no crystal ball.
18. “Dry Drunk” You can relapse into old behavior and ways of thinking without returning to drugs and alcohol. Relapse begins long before the individual actually uses a substance. An individual cannot be using substances and be in full relapse mode.
19. “I slipped.” Be careful of using this phrase to minimize a relapse SLIP = Sobriety Losing Its Priority “Do not look where you’ve fallen, look at where you slipped.”
21. Behavior Changes Not attending 12-Step meetings Changes in meeting schedule Not working the 12 Steps Withdrawal from support system Forgetting the basics No accountability Dishonesty Increased stress Recovery tools not being used to find solutions Involved in romantic relationship too soon (defocusing from recovery)
22. Support Community Not attending 12-Step meetings Changes in meeting schedule Not working the 12 Steps Withdrawal from support system Not attending recovery activities No accountability
23. Dishonesty Dishonesty played a crucial role in the success of the addiction. “Secrets keep you sick.” Often begins with a pattern of unnecessary little lies Rationalizing begins – making excuses for doing what we know we should not do The Big Book and 12 Steps emphasize rigorous honesty.
24. Slippery People & Places “If you keep going to the barbershop, sooner or later you’ll wind up with a haircut.” “If you don’t want to slip, stay out of slippery places.” Relapse is often triggered by relapse cues: sights, sounds, & situations that are connected with drinking or using Video: HBO Series Addiction
25. HALT Hungry, Angry, Lonely & Tired Irregular eating habits, restless sleeping, and/or loss of daily structure can all lead to depression and/or mood swings The importance of self-care (bio-psycho-social model)
26. Stress Stress is cumulative At some point in recovery, the problems of everyday life return and with them come many of the circumstances which caused the individual to use in the past. Consequences of a recent relapse or period of using can add additional stress Ignoring stress can lead to unmanageable situations and increase likelihood of a relapse Emotional backpacks
27. Relationships & Isolation Relationships in early recovery can be sobriety-threatening due to emotional highs and lows. Isolation gives the opportunity to get stuck in irrational thinking and/or engage in self-pity.
29. Complacency “I’m feelin’ good!” Begin to minimize the severity of the disease & effort needed to stay in recovery Putting self and recovery at risk Relapse often happens when an individual lets his or her guard down. Work the First Step DAILY
30. Resentment Big Book of Alcoholics Anonymous refers to resentment as “the number one offender” because “it destroys more alcoholics than anything else.” Anger with the world in general, with specific individuals, and/or with self Adds to tension, stress, and isolation Continue to work 4th and 5th Steps with sponsor
31. Guilt and Shame Strong feelings of worthlessness may surface Remembering all the bad things I’ve done (guilt) Individual may come to believe that I am bad (shame) Why bother? Working Steps 4 and 5; working with therapist
32. Control No control over people, places, and things Leads to frustration; things aren’t going my way “Acceptance is the answer to all of life’s problems.”
33. Impatience Things aren’t happening fast enough; others aren’t doing what they should be doing fast enough Demand instant gratification Setting expectations too high for early recovery only takes away from one’s serenity I’ve changed – why hasn’t everyone else? “Trust the process.”
34. BUDD = Building Up to Drink or Drug BUDDing = sudden changes in mood, which if not dealt with, will lead to relapse Changes begin in small ways, often unrecognizable, but gradually grow into a serious risk for relapse Usually detected by others
36. What to do? Early recognition Acceptance Action
37. Changes in Thoughts Denial Glamorizing Substituting drugs Feeling “cured” Being all-knowing Convincing self it was just a phase Weak foundation of the first 3 Steps
38. Changes in Thinking Begin to think recovery program isn’t as important as it used to be Things are going well. I don’t need to put in as much effort. Spend more time focusing on others
39. Being All-Knowing Plays down the effort truly needed to stay in recovery Individual starts to think he or she has all the answers for self and others When no one can tell us anything, we begin to ignore suggestions or advice from others. Lose humility in the face of a powerful disease “Half measures avail us nothing.”
40. Biggest Warning Sign Addicts overestimate their recovery and underestimate the power of their disease.
41. Interrupting the Relapse Process Stabilization Self-assessment Relapse Education Warning Sign Identification & Management Involvement of Significant others Prevention Planning
43. Assessment Identify recurrent patterns of problems that led to past relapses and resolve the pain associated with those problems. Reconstruct present problems, life history, alcohol and drug use history and the recovery relapse history.
45. Warning Sign Identification & Management Surrounding self with people who will provide honest feedback about the warning signs Developing coping strategies to deal with the warning signs, including the irrational thoughts, unmanageable feelings & self-defeating behaviors If you know a dog bites, treat it accordingly.
46. Family Involvement Addiction is a FAMILY DISEASE Addict/Alcoholic needs treatment for addiction. Family members need treatment for coaddiction/codependency. Al-Anon, Families Anonymous, ACOA
47. Warning Signs for Coaddiction Loss of daily structure Lack of personal care Inability to effectively set and maintain limits Indecision Compulsive behavior Fatigue/Lack of rest Return of unreasonable resentments Feelings of loneliness & isolation Health problems Return of tendency to control people, situations and things Defensiveness Self-pity Scapegoating Lack of Al-Anon attendance Return of fear and general anxiety Failure to maintain interpersonal support system Alcohol and/or drug use
48. Gorski & Miller’s Family Recovery Plan Stabilization Assessment Education Warning Sign ID Family Validation of Warning Signs Family Relapse Prevention Plan Inventory Training Communication Training Review of Recovery Program Denial Interruption Plan Relapse Early Intervention Plan Follow-up & Reinforcement
49. Early Recovery & Family Relationships Be careful about setting expectations of acceptance or understanding from family Hurt, resentment, suspicion of new behavior and lifestyle may exist Family may have adjusted their own behavior in unhealthy or enabling ways to accommodate for addict’s actions Healing takes time.
50. Prevention Back to the basics Continue with attendance and involvement in AA meetings Service work / Home group Work the 12 Steps with sponsor Frequent contact with sponsor Accountability with others Continued therapy support / self-awareness
51. Planning If an individual in recovery must be in a high-risk or sobriety-threatening situation, then it’s important to plan for it. Don’t set yourself up. Watch out for pride. Plan for before, during and after
52. Personal Emergency Relapse Plan Allows others to help support recovery Holds individual accountable A person cannot achieve recovery alone.
53. Relapse, Now What? Stop using Call Detox, if needed Safety from continuing use is the first priority Turn to support system immediately Ask for help Share feelings surrounding relapse – be honest
54. Wrap-Up Prevention = Plan = Action Know the power of the disease Surround yourself with accountable relationships and listen! Allow yourself to be uncomfortable Remember that recovery is a process “Relapse and recovery are intimately related.”
57. Contact Information Robin Edison Dawn Farm Downtown Program Coordinator 544 N Division Ann Arbor, MI 48104 734-769-7366 redison@dawnfarm.org
Editor's Notes
Relapse requireswork. You cannot stop working and changing your behavior and continue to stay sober and clean.A RECOVERY PROGRAM DOES NOT HAVE A FINISH LINE.What do I mean by “left unchecked?”
This is the purpose of…
Just as a note: Abstinence is NOT recovery. Abstinence is prerequisite to recovery, which is difficult and emotional work.So recovery is a commitment to a different lifestyle, one that involves growth and change.
Which is why all relapse red flags should be taken seriously.
Examples: Some individuals exhibit relapse behaviors and return to using within a matter of hours or days. I have seen others exhibit behaviors for weeks, months, even years before a return to using substances. Problem is: there is no way to tell which individual will exhibit which signs and if, and when, they may return to using.Sure, I have those clients who make the choice to prioritize recovery in most of their life decisions. More often than not, I see individuals take some risks in early recovery, make choices to enter into relapse risky behaviors. What is there to do? I have to respect their choices, their recovery journey.At the end of the day, there is no crystal ball. We can’t tell the future. The individual in recovery makes choices every day on where he or she falls on the recovery and relapse path.
The recovery community usually refers to this as being a dry drunk.Example: someone in recovery winds up not using but fighting, stealing, sexualizing, getting arrested, selling drugs, etc.This is part of the relapse process and explains that even w/o using an individual can be in full relapse mode.
Another term you may here in the recovering community is “He or she slipped.”Be careful: could discourage the individual from really identifying the warning signs that preceded the relapse.This term simply points out the difference between a long series of binges and a single using episodeEither way – they are both a relapse that an individual can learn fromUsed appropriately, it sets the stage for relapse prevention planning…
Men and women with healthy recovery programs have discovered that they can’t stay sober by themselves – they need others.“Oh I still go to 5 mtgs a week. Come to find out they’re going to meetings where they know no one and avoiding their sponsor. No one here knows me so they can’t hold me accountable and/or see change that is concerning.One client reported not using his support system after leaving tx. He just socialized with his roommates in transitional housing. There was no balance and all of a sudden his support network was comprised of people with less than six months sober. This is dangerous b/c chances are he is not getting honest, accountable feedback on a regular basis. Balance in recovery support network – friends but also making connections with members of the community with strong, solid recovery
Early recovery can be a roller coaster of emotions. The positive changes and outcomes of being in recovery can bring hope and energy to one’s life.At some point, the stresses of life return.Consequences: legal, financial, family, loss of job, housing, family/children, divorceStress cannot be erased from life. An individual needs to learn to manage it!! If an individual does not learn how to manage stress, he or she is more likely to return to old habits and ineffective ways of coping with problems. All of us carry around an emotional backpack where we stuff our unresolved feelings and emotions. Some of us have larger backpacks than others. When we stuff too many unresolved feelings into our backpack, it can lead to an emotional breakdown, which may lead an individual in recovery back to using. The individual experiences a Loss of HOPE and doesn’t reach out for help.That’s why it is so important to focus on the basics!Example: cancer patient new in recovery – all these expectations
Pretty strong statementThe world is not giving me what I want; others are not acting the way I want; and I am angry at my inability to behave the way I want toHow many of us have been so angry with someone and when we stopped to take an honest look at it, we were more frustrated that it bothered us in the first place?If an individual is holding onto resentments, he or she tends to feel stressed out, angry and is more likely to avoid people and recovery.
Guilt – Relapse can happen when an individual begins to feel the emotions that had been numbed with alcohol and/or drugs.Addicts and alcoholics aren’t comfortable with feelings and don’t necessarily know how to cope or deal with them!Remember: Recovery is a process. You can’t use alcohol and drugs to cope with feelings/life for 10 years and then expect to be able to learn to cope and deal with all those feelings in 10 months. One day at a time.
Then there’s impatience, which is very similar. Trying to control the outcome of something. Setting expectations of how things should be. One’s serenity is usually proportional to an individual’s level of expectations for self and others. Impatience can also lead to resentments for others. If I continue to expect that my 3 year old is going to do as I say all the time, I set myself up for impatience, insanity and loss of serenity.Lose patience and sense of one day at a time. No longer accept that progress comes in small, positive steps. I want it now!The world is not obligated to pay individuals in recovery because he or she decided to be sober. You can’t expect others to change their lifestyles just because you decided to change yours.
Idea from The Change Company to address changes in attitudesOTHERS usually detect these changes before the individual experiencing them.
Taken from The Change Companies resource
Early recognition – watch for changes in mood; learn to accept suggestions of sponsor and support communityAcceptance – Accept reality that symptoms exist If I accept that it exists, then I need to do something about it.Brings individual to action Back immersed in recovery (sponsor, meetings, 12 Steps, Big Book/readings, spirituality, gratitude, etc)
Actually individuals with long-term recovery usually encourage individuals to increase his or her recovery involvement/commitment as they gain more sober time.Example: client who relapsed every few years; created a list of ways he plans to increase his recovery involvement/commitment every 6 months; counterintuitive to manyFocus on others: I got this. Take the focus off self and privately judge those around me. Keep these judgments to myself unless others confront me. Then I try to turn the tables by criticizing them. Very common struggle in aftercare groups
Recognize that your actions over time will make a larger statement than any spoken promises.Concentrate on your own behavior and allow time for healing.Everyone begins a recovery/healing process at different times and experiences it individually, just as addicts do in recovery.