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Working with Addiction and Substance Misuse

Working with Addiction and Substance Misuse. Steven Mckenna stevenmckenna96@yahoo.com. AIMS:. Definition of Addiction Treatment Options Therapeutic Approaches Case Studies. Definition of Addiction. What is addiction?.

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Working with Addiction and Substance Misuse

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  1. Working with Addiction and Substance Misuse • Steven Mckenna • stevenmckenna96@yahoo.com

  2. AIMS: • Definition of Addiction • Treatment Options • Therapeutic Approaches • Case Studies

  3. Definition of Addiction • What is addiction?

  4. Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and other behaviours. Definition of Addiction • American Society of Addiction Medicine (ASAM) • http://www.asam.org/for-the-public/definition-of-addiction

  5. Addiction is characterized by inability to consistently abstain, impairment in behavioural control, craving, diminished recognition of significant problems with one’s behaviours and interpersonal relationships, and a dysfunctional emotional response. Like other chronic diseases, addiction often involves cycles of relapse and remission. Without treatment or engagement in recovery activities, addiction is progressive and can result in disability or premature death. Definition of Addiction • American Society of Addiction Medicine (ASAM) • http://www.asam.org/for-the-public/definition-of-addiction

  6. Who is an Addict? • Stereotypes & Prejudice • Alcohol Park bench, brown paper bag Frank Skinner, Anthony Hopkins, Stephen King • Heroin Junkie, skinny, track marks, Wearing a hoodie and living in a squat Russell Brand, Angelina Jolie, Robert Downey Jr • Cocaine Stock Exchange brokers, Celebrities, Pop Stars Whitney Houston, Sigmund Freud, George Michael

  7. Kyle Oh Why Can’t Johnny Just Quit?

  8. Kyle Oh Why Can’t Johnny Just Quit?

  9. Can addiction be treated successfully? Yes. Addiction is a treatable, chronic disease that can be managed successfully. Research shows that combining behavioural therapy with medications, where available, is the best way to ensure success for most patients. Treatment approaches must be tailored to address each patient’s drug use patterns and drug-related medical, psychiatric, and social problems. National Institute of Drug Abuse (NIA) http://www.drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics Treatment

  10. Can addiction be treated successfully? Yes. Addiction is a treatable, chronic disease that can be managed successfully. Research shows that combining behavioural therapy with medications, where available, is the best way to ensure success for most patients. Treatment approaches must be tailored to address each patient’s drug use patterns and drug-related medical, psychiatric, and social problems. National Institute of Drug Abuse (NIA) http://www.drugabuse.gov/publications/media-guide/science-drug-abuse-addiction-basics Treatment Options

  11. Treatment Options

  12. Twelve Step Facilitation (TSF) • Person Centred Counselling • Cognitive Behavioural Therapy (CBT)(DBT) • Motivational Interviewing • Mindfulness Relapse Prevention • Marlatt’s Relapse Prevention What can you do?

  13. Paul • Paul presents for counselling following successful completion of a 28 day inpatient detox and rehabilitation for heroin addiction. Case Study

  14. 2. Charlotte • Charlotte presents for counselling as ‘she cannot stop drinking.’ She presents intoxicated and reports taking valium and drinking excessive amounts of alcohol beginning with a drink in the morning, which she says is to cope with her severe chronic anxiety. Case Study

  15. 3. Chris • Chris presents for counselling to work on his ‘perfectionism’ and issues around food. He appears very underweight and weak. You notice a blue-ish tint to his lips and fingernails. Case Study

  16. 4. Penny • Penny has recently split from her partner of 12 years. She explains that she is feeling very depressed and alone and reports an increase in alcohol consumption which she believes relieves the emotional pain. Case Study

  17. 1. Screening Tools: • http://www.drugabuse.gov/nidamed-medical-health-professionals/tool-resources-your-practice/screening-assessment-drug-testing-resources/chart-evidence-based-screening-tools-adults • 2. Websites • www.cauk.org.uk • www.ukna.org • www.alcoholics-anonymous.org.uk • 3. Reading • Why can’t Jonny Just Quit? – Kyle Oh • Motivational interviewing: Helping people change. Miller & Rollnick (2012). Resources

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