Substance Abuse

Question 1

What are the stages of motivation?

Answer 1

1) Precontemplation (using but seen as a problem)

2) Contemplation (using but thinking about it)

3) Determination/Preparation (quit in the future)

4) Action (taking active steps/treatment)

5) Maintenance - about 6 months (behavior change with
continued work)

6) Termination - about 5 years (cognitive and emotional
changes, support system in place)

Question 2

What are the different treatment approaches?

Answer 2

Alcoholics Anonymous (AA) (pg. 365 - 12 Steps)

• Cognitive-Behavioral Therapy (CBT) (Stinking thinking)
• Inpatient Treatment: The Minnesota Model (28
  days)
• Outpatient Programs (1-2 times per week, with
  much criticism)
• Contingency Management (CM) (reward/
  reinforcement based)

Question 3

Enabling vs Codependency

Answer 3

Enabling has to do with one’s BEHAVIOR toward a
chemical dependent, while codependency has to do with one’s RELATIONSHIP
to the chemical dependent

Question 4

Abuse

Answer 4

Chronic, recurrent misuse of chemicals with at least one maladaptive pattern occurring in the past 12 months

Question 5

Addiction

Answer 5

includes development of tolerance and withdrawal and a psychological compulsion to use despite negative consequences

Question 6

set vs setting

Answer 6

Set - the mental and emotional state of the user (i.e. attitudes, expectations, personality, etc.)

Setting - the social and physical environment of the user at the time of use