Rehab Counseling . Substance Abuse Class 05 Markus Dietrich LMHC,CRC,CAAP Shands Healthcare firstname.lastname@example.org. Drug Use-Scope. In 2001 an estimated 15.9 million Americans 12 or older used illicit drugs. This represents 7.1% of this population.
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Substance Abuse Class 05
Markus Dietrich LMHC,CRC,CAAP
Marijuana 4.8% to 5.4%
Cocaine 0.5% to 0.6%
Pain Relievers 1.2% to 1.6%
Tranquilizers 0.4% to 0.6% National Household Survey 2001
Of the 4.8 million users of therapeutic drugs,
Unemployment is highly correlated with drug and alcohol use however,
Alcohol and drug abuse correlate positively
Abuse - intentional overuse in cases of celebration, anxiety, despair, self-medication, other mental health disorders or ignorance. Tends to decline with consequences or adequate treatment of other mental health disorder.
SPECT – single photon emission computed tomography
PET – positron emission tomography
fMRI – functional magnetic resonance imaging
Inherited genes or
Early exposure to drugs
PET scan after cocaine use
Your Brain on Drugs
YELLOWshows places in brain where cocaine goes (Striatum)
Alcohol 25 yrs
Marijuana 12 yrs
Obsession and Compulsion.
Bad judgment, poor morals, self will
Normal brain chemistry
No specific personality
Frequent character or personality pathology
May have significant consequences
Unable to stop because of consequences – loss of control
Likely to stop as consequences progress
Key Factors for Change for the Counselor:
Is it a problem?
What can I do?
I am doing something
I am successful
Evoke reasons for change
Help client find best course of action
Support steps toward change