Chapter 21 Flashcards
Why did the individual in the case study seek treatment?
He came to treatment reluctantly, under pressure from his wife who had threatened to leave him and take the children if he didn’t seek help.
What was the individual’s average weekly alcohol consumption before treatment?
96 standard drinks per week.
How was the individual’s drinking behavior categorized in the clinical trial?
He was classified as ‘relapsed’ at week 16 even before treatment had ended.
What was the reduction in alcohol use during treatment and follow-up?
Alcohol use had decreased by 89% during treatment and by 96% during follow-up.
What percentage of individuals remained completely abstinent in a 12-month outcome study?
24% remained completely abstinent.
How is addiction treatment held to a different standard compared to other chronic diseases?
Addiction treatment is often seen as a failure if symptoms return, whereas in other chronic illnesses, symptom reduction is viewed as success.
Why do the authors argue against the term ‘relapse’?
The term implies only two possible outcomes—success or failure—and carries moralistic, pejorative connotations that can be demoralizing.
How does DSM-5 define remission for substance use disorders?
Absence of any symptoms (other than craving) for at least 3 months (early remission) or 12 months (sustained remission).
Why should addiction be treated as a chronic condition?
Because like other chronic diseases, successful management requires ongoing care and lifestyle changes.
What are the four phases of addiction treatment?
(1) Palliative care, (2) Stabilization, (3) Rehabilitation, and (4) Maintenance.
What is the purpose of follow-up visits in addiction treatment?
To check back on progress, detect early warning signs, and provide continued support to prevent relapse.
What role do mutual help groups play in maintenance?
They provide ongoing support and help individuals maintain their recovery.
What is one effective strategy for maintaining sobriety?
Self-monitoring, such as tracking mood or cravings, to detect early warning signs of relapse.
What is the recommended approach for clients who resume substance use?
Resumed use should be a reason to resume or intensify treatment, not withdraw it.
What is a key recommendation for addiction treatment providers?
Keep the door open for ongoing consultation and follow-up care.
