Kohlenberg: Treatments for Substance Abuse Disorders and Psychotherapy Techniques Flashcards
People with severe mental illness have a lifetime prevalence rate for substance abuse disorder of (blank)%
50%
T/F: Addiction and trauma are highly comorbid
True
This is an important first step in treatment of substance abuse disorders
medically assisted detox
T/F: Treatment for substance abuse disorders does not have to be voluntary to be effective
True
**court-mandated, for example
How effective is treatment?
most people who get into and remain in treatment stop using drugs and improve their lives overall
**relapse rates similar to those with chronic illnesses
What are the stages of change in a person giving up addiction?
precontemplation: pts not concerned about their problem, no intention to change
contemplation: pt acknowledges their problem, but pros and cons are equal (action in the next 6 months?)
preparation: pt plans to make changes in the next month or so
action: begins to change
maintenance
If a patient slips and uses drugs after a period of abstinence, one of two things can happen. What are they?
- He/she thinks “I made a mistake, I will now work harder to get sober.”
- “This is hopeless, I’ll never get better.”
What is abstinence violation syndrome?
thinking that your efforts at getting clean are hopeless, so you might as well keep abusing
What is the difference b/w a lapse, relapse and prolapse?
lapse: minor setback, no real analysis
relapse: complete reversion to a previous pattern of behavior, spiral downward
prolapse: you work it over and it sends you forward in your recovery
What is urge surfing?
learning how to respond differently to your cravings - wait a bit and your craving will subside on its own!
What are “seemingly irrelevant decisions?”
the chain of events that lead to a relapse or a poor decision
In a study of people who took bupropion (Zyban) for smoking cessation vs a group who took bupropion and did ACT treatment, which group did better?
medicine + ACT (acceptance and commitment therapy)
Talk utilized in the service of behavior change, alleviation of emotional symptoms, progress toward a meaningful, value based life.
Focus on thoughts and behavior (CBT), behaviors (BA), Couples therapy (IBCT), family systems (FFT).
Balancing symptom reduction with value driven living.
Feeling sad AND…not wait until I feel better so that I can start….
Creation of a therapeutic relationship in which tools and skills are acquired and practiced.
psychotherapy
T/F: Psychotherapy can be individual, group, couples, family. It’s for all ages. For DSM V problems and growth issues. Covered by most insurances. Very confidential.
True
What is the active ingredient across psychotherapies?
relationship/alliance - agree on goals, tasks, bond, trust, connect
Aims on CHANGING the beliefs central to depression, trauma, whatever
cognitive therapy
What are the ABCs?
antecedent
belief
consequence
This therapy strategy believes that beliefs are NOT important to change. The harder one tries NOT to think about something, the more they will thing about it!
Acceptance and commitment therapy
What is the focus of acceptance and commitment therapy?
focus on changing ones relationships with ones thoughts and feelings, in the service of heading in a cherished, valued life direction
Ex: you can still think about your craving, but make useful choices
What type of therapy is this?
Focus on doing what in the past, provided meaning and value and pleasure. Negative thoughts and feelings are not viewed as barriers.
**New relationship with thoughts and feelings, focus on activities.
behavioral activation
**ex: before you were in medical school, what did you like to do? commit to creating small opportunities in time to do what you used to do
Based on the idea that the events in your life and how you respond to such events influence how you feel.
behavioral activation
When life is less rewarding or stressful, people sometimes (blank) from the world around them and find that basic routines in their lives become disrupted.
pull away
**behavioral activation is about getting people back into their lives that they can enjoy
What kind of therapy is this?
Focus on changing ones relationship with conflict and difference
**Not “getting rid” of conflict
Tools:…Acceptance/mindfulness training
integrative behavioral couples therapy
Bad signs in couples therapy?
criticism
defensiveness
contempt
stonewalling
