Maj Saeeda Aziz MCC Session April 2012

with biological, sociological and psychological components

 Addiction 3

= Substance Dependence

Cs:

Compulsive use Inability to Control use Continued use despite Consequences

Addiction

is not just physiological dependence

Some drugs of abuse can release 2 to 10 times the amount of dopamine as natural rewards In some cases, this occurs almost immediately (as when drugs are smoked or injected), and the effects can last much longer than those produced by natural rewards This creates a much stronger effect on the brain's pleasure circuit than those produced naturally (e.g., food, sex) The effect of such a powerful reward strongly motivates people to take drugs again and again

It never wants to let go. It bugs you until it gets what you want. It never forgets when/where it is used to getting its bone. It thinks its going to get a bone anytime I do anything that reminds it of the bone.

 Unemployment

Multiple

criminal justice contacts Difficulty coping with stress or anger Highly influenced by social peer group Difficulty handling high-risk relapse situations

 Emotional

and psychological immaturity Difficulty relating to family Difficulty sustaining long-term relationships Educational and vocational deficits

Alcohol
Class of Drug:

Sedatives-Hypnotics Related Issues: Suicide/Homicide Detoxification DWI/DUI Concerns Fetal Alcohol Syndrome (FAS) Poly-drug Use Loss of Judgment Legality Issues

Marijuana
Class of Drug:
Hallucinogens

Related Issues: Long Detection Time A-motivational Arrested Development Legalization Medical Use Issues Memory/Learning Health Issues Problems

Cocaine/Crack
Class of Drug:
Stimulants

High-relapse Potential High Reward Euphoria Agitation Paranoia Crash Sleeping Craving

Related Issues:

Obsessive Rituals Risk of Permanent

Paranoia No Medications Currently Available

Heroin
Class of Drug:
Opiates

Related Issues:

Detoxification Medications Available Euphoria

Craving Intense Withdrawal Physical Pain

 Addiction

is a brain disease Chronic, cancerous disorders require multiple strategies and multiple episodes of intervention Treatment works in the long run Treatment is cost-effective

 No single treatment is appropriate for all individuals Effective treatment attends to multiple needs of the individual, not just his/her drug use Treatment must address medical, psychological, social, vocational, and legal problems

Socio-economic Single parent Ethnic Gender Religion

Treatment Co-dependency Employment Domestic violence Living situation Extended family

Counseling and Other Behavioral Therapies

Drug Resistance Skills Problemsolving skills

Replace Replace Drug Using Drug Using Activities Activities Interpersonal Relationships Motivation

 Strictly

speaking, abstinence is developed, not recovered is an abnormal condition, signifying an internal defect (disease) want to be normal, that is, using drugs in control

It

Addicts

 Addicts

seek control, not abstinence

If I can have just one, then I will be normal, just like my friends

 Abstinence
Sense Range

of Responsibility of Emotions

Intimacy

HOW PEOPLE CHANGE

 NOT

CONVINCED OF THE PROBLEM OR THE NEED FOR CHANGE UNMOTIVATED NOT COMMITTED TO MAKING A CHANGE UNWILLING ACTUAL OR PERCEIVED ABILITY TO MAKE A CHANGE UNABLE DIFFERENT PARTS OF A PROCESS

People change voluntarily only when They become interested and concerned about the need for change
They become convinced the change is in

their best interest or will benefit them more than cost them
They organize a plan of action that they

are committed to implementing

They take the actions necessary to make

the change and sustain the change

PROCESS OF INTENTIONAL BEHAVIOR CHANGE

CLIENT

TREATMENT

THERAPIST

Any questions?