Therapy of addiction Flashcards
Alcohol vs other drugs
We know that alcohol impairs the brain and results in addiction with repeated use in the same way as other drugs
however. .
- abuse is a preventable behavior
- addiction is a treatable disease
What is addiction
- A brain disease expressed as a compulsive behavior
- The continued abuse of drugs despite negative consequences
- A chronic, potentially relapsing disorder
Addiction is similar to other chronic illnesses…?
- Recover from it; protracted abstinence and restored functioning. is often a long-term process requiring repeated treatment
- Relapse to drug abuse can occur during or after successful treatment episodes
- participation in self-help support programs during and following treatment can be helpful in sustaining long-term recovery
Why do people take drugs?
TO FEEL GOOD:
- most abused drugs produce intense feelings of pleasure
- the initial sensation of euphoria is followed by other effects which differ with the type of drug used
TO FEEL BETTER
- to lessen: anxiety, worries, fears, depression, hopelessness
Stress and drug abuse
stress can play a major role in:
- beginning drug use
- continuing drug abuse
- relapse in patient recovering from addiction
Coexistance of substance abuse with other psychiatric disorders
- very commong
- individuals with psychiatric disorders are 2,7 times as likely to have alcohol or other drug problems impaired to those without psychiatric disorder
- 37% of individuals with substance abuse disorders had coexisting mental disorders
Most common coexisting mental disorder
- mood disorder
- major depression
- bipolar disorder
- anxiety disorder
- panic disorder
- GAD
- PTSD
- phobias
Screening
several tools may be used to detect loss of control of alcohol and drug use.
These tools are mostly self-reports in questionnaire form
Another common theme is a score or tally that sums up the general severity of alcohol use
CAGE questionnaire
A tool used to assess individuals for potential alcohol problems including: dependence
- 4 simple questions (2 positive answer indicates the individuals to be possible alcohol dependent)
AUDIT
Alcohol Use Disorder Identification Test
a screening questionnaire developed by The Who.
Structural interview
- Reson of asking for help
- method and circumstances of drug use
- Previous use, present use, multiple use
- presence of physical dependence
- presence of health problems
- personal data, life circumstances
- family background, job and financial circumstances
- hobbies, legal problems
- psychiatric disturbances
Steps of screening and brief intervention
- step: questions about alcohol use
- structural intervie
- CAGE - step: evaluation of alcohol-problem
- Risky drinking
- problem driking
- dependence - Step: recommendation to appropriate process
- alcohol dependence
- risky- or problem- drinking - step: follow the development of the patient
Brief intervention
Decrease drinking at risky drinkers
motivation for therapy at addicts
Strategies for changing behavior
Feedback: feedback of state of health, family problems, etc.
Responsibility: emphasize that in change the responsibility of patient plays an important role
Advice: advice to stop drinking or drug use
Menu: recommended different porribilities for help
Empathy: to express that we understand that change is difficult
Self-efficacy: express that we are sure that the client is able to make change.
Why addict brain is not able to stop?
NOT-ADDICTED BRAIN
- control exist
- deliberation of stimuli and response
- inhibitory power functions
ADDICTED BRAIN
- control doesn’t exist
- no deliberation
- inhibitory power doesn’t function
This is why addicts can’t just quit and why treatment is essential.
