Treatments for Substance Use Disorders--Kohlenberg Flashcards
What is AA/other 12 step traditions?
Community, spirituality, self-acceptance, honesty, examination of values, willingness to make amends, compassion toward others, and action in the service of others.
What are the principles of effective treatment?
Addiction is treatable (even with relapse).
No single treatment is appropriate for everyone.
Treatment must be readily available.
Treatment must address multiple needs (medical, social, job, legal).
Treatment may need to last at least 3 months, and best outcomes occur with long term treatments.
What are other helpful treatments for addiction?
behavioral therapies–focused on motivation, family, relationships
Medications–methadone, nicotine replacement
medically-assisted detox
relapse rates for addiction resemble those of what other chronic conditions?
asthma
diabetes
HTN
What are the stages of change in motivational interviewing?
Stages of Change (SOC) Precontemplation Contemplation Preparation Action Maintenance
What are some relapse prevention strategies?
identify triggers
address irrational thoughts–one lapse doesn’t mean a total failure
What is abstinence violation syndrome?
when a person slips & uses & becomes discouraged & decides to just keep using.
What is a lapse?
minor setback
no real analysis
What is a relapse?
a complete reversion to a previous pattern of behavior, spiral downward
WHat is a prolapse?
work it over
send you forward in your recovery
What is the job of the MD w/ respect to lapses?
normalize lapses
so that relapses are prevented
when relapses happen–>promote prolapses
What is mindfulness, acceptance, and commitment therapy?
can help w/ substance use disorder focused on emotional acceptance v. avoidance
T/F Combined therapy w/ behavioral coping strategies + medication is better than meds alone for treating addictions.
True.
