Final for ADS 105 Chapter 9 & 10

Eating Disorders

Are often found in conjunction with Post Traumatic Stress Disorder.

Bipolar Affective Disorder

Also called "Manic Depression" is characterized by alternating periods of depression, normalcy and mania

Substance Abuse

* Substance Abuse is the most prevalent disorder of the mind * Each year substance abuse cost society more than any other medical condition. *Treating people with addictive cost substantially less than incarcerating them for the same length of time. *Even after a person has gone through alcohol or other drug detoxification, it can take months for the brain and body chemistry to gain balance. *Evidence-based treatments is supported by research and data that demonstrate that it has high potential for positive treatment outcomes.

Substance Use and Mental Health Disorders

*The majority of people wit substance use disorder also have mental health problems. *Many people with mental health problems use alcohol and other drugs to manage and self-medicate their psychiatric symptoms. *About 75% of those with anxiety disorders experience their first episode by age 21.5

Comprehensive Addiction Treatment System best suited for treating people with multiple Diagnoses

1. Treatment campuses offering a variety of integrated services 2. Use of "Rule-out diagnosis" in the initial assessment of someone with a dual diagnosis. 3. Substance-abuse treatment access based on the "any door or wrong door" Philosophy

Principles of Effective Treatment

1. Treatment need to be readily available. 2. No single treatment is appropriate for all individuals. 3. An individual's treatment and services plan must be continually assessed and modified when necessary.

New Addiction Counselors Common Error in Group Treatments

1. Unrealistic and preconceived notion of how the group will progress. 2. An inability to recognize the stages of therapy and stages of change 3. Failure to drop the professionalism "mask" 4. Failure to plan and establish group rules and not adequately integrating new members into the group.

Adolescent Conduct Disorder & Oppositional Defiant

Both are strong predictors of alcohol and drug problems.

Post- Traumatic Stress Disorder (PTSD)

Is prevalent among combat veterans

Substance-Induced Mental Disorders and Impulse Control Problems

People who abuse alcohol often demonstrate impulsive-control problem as violence, unsafe sex & suicide

Post-acute Withdrawl Symptoms

Physical coordination difficulties (dizziness, balance problems) Anxiety and hypersensitivity to stress Inability to think clearly and problems with short-term memory inappropriate emotional reactions and mood swings

The sequence for stages of change (in order)

Pre-contemplation, contemplation, preparation,determination, action, maintenance

sobriety vs. Recovery

Sobriety means abstinence from drug(s) of abuse,whereas recovery means restructuring one's life to engage in activities that provide relaxation,satisfaction, and natural highs instead of articial alcohol and other drug highs.

Genetics and heredity

There is evidence that both a linked to each other. 1. Anxiety 2. Schizophrenia 3. Bipolar Disorder 4. Depression

Panic Attacks

They are experienced both physically & psychologically.

Acronyms to recognize triggers that lead to relapse.

Three common acronyms which are used to help addicts be aware of the triggers that lead to replase: 1. Restless, Irritable, Discontent (RID) 2. Bored, Anxious, Angry, Depressed (BAAD) 3. Hungry, Angry, Lonely, Tired (HALT)

Psychiatric Medications

Treatment of anxiety, depression, and other mental problems with psychiatric medications can relieve many of the underlying causes of drug abuse and behavior addiction.

The treatment needs regarding polydrug abuse or co-occurring addictions:

Treatment programs must identify the total drug profile of each client. In addition to a client's drug problems, behavioral addictions such as gambling, compulsive eating, or Internet addiction must be addressed. For treatment to be successful, each addiction should be addressed separately. Addiction must be addressed as a chemical dependency rather than a drug-specific problem.

60% of treatment of American Indians are for

alcohol abuse

Chronic, high-dose marijuana use can cause true addiction with

both physical and emotional dependence.

Codependency can be described as when an

individual depends on the addict to fulfill some need of his or her own.

Motivational Interviewing includes:

involving clients so that they become their own advocates for recovery, rather than the therapist or program before the stimulus for change matching motivational task to each client's stage of change helping clients change ambivalence about drug use into motivation for abstinence and recovery. It does not include: confronting clients in an effort to help them get beyond their denial.

Early Steps of Treatment

overcoming denial recognition and acceptance of the addiction by the addict an intervention and detoxification resolution of whatever past emotional trauma initially caused the addiction is NOT involved in the early steps of treatment

Harm Reduction Strategies

1. Clean needle exchange programs 2. Testing illegal drugs for users 3. Decriminalization marijuana

Medically Assisted Treatment

1. Detoxification 2. Control withdrawal symptoms 3. Reduce craving 4. Promote long-term abstinence

Mental Illness

1. Environmental influences such as extreme stress, can unbalance neurochemistry and increase a person's susceptibility to mental illness. 2. drug use can trigger a mental illness when the user is predisposed to depression or schizophrenia. 3. Physical and sexual abuse in childhood is common among people who are psychotic.

Difference Between Mental Health (MH) & Substance Abuse Treatment (SA)

1. MH uses case management, shepherding clients from one service to another, whereas SA programs traditionally emphasized self-reliance and personal responsibility. 2. MH treatment providers believe "control the underlying psychiatric problems and the drug abuse will disappear." 3.SA treatment providers believe "get the patient clean-and-sober, and the mental health problems will resolve themselves"

Cue Extinction

Desensitization, also known as Cue Extinction in relapse prevention, can be described when the addict is exposed to drug-using situations and other triggers to induce a craving and then desensitizing them through education, biofeedback, or talk-down.

Schizophrenia

1. Strikes both men & women equally 2. Usually appears in men later teens or early twenties. 3. Usually appears in women in their twenties or early thirties 4. It is difficult to determine if schizophrenia was pre-existing condition or it it was substance induced.

Substance Dependence Characters

1. development of tolerance 2. Significant amounts of time energy spent pursuing, using & recovering from use. 3. Continued use despite consequences

3 Phases of Psychotherapeutic Approach of Dual Diagnosis Treatment are

1. Maintain Abstinence 2. Continuing psychotheraphy along with psychiatric medication. 3. Achieving Abstinence

Computer-related Addiction

1. Nearly 14% of teenagers in China have been identified as compulsive Internet Users. 2. Computer-related addiction include cyber sexual addiction, online gambling, and compulsive use of the Internet. 3. Similar to other Addictions Computer-related additions include loss of control and development of tolerance.

Self Medicating Symptoms

A person who has a clearly defined mental illness and becomes involved with drugs assessment profile would be considered an individual who uses drugs to self-medicate mental health symptoms.

Homeostasis after initial detoxification

After the initial detoxification, it takes anywhere from one to ten months for the body chemistry to "settle down" and return to a state of homeostasis.