Presentation is loading. Please wait.

Presentation is loading. Please wait.

Selskab for misbrugspsykologi årsmøde Odense 01.10. – 02.10.2009 Hypnosis Cue Exposure and Addiction Jörg Albers, clinical psychologist Augustenborg, Denmark.

Similar presentations


Presentation on theme: "Selskab for misbrugspsykologi årsmøde Odense 01.10. – 02.10.2009 Hypnosis Cue Exposure and Addiction Jörg Albers, clinical psychologist Augustenborg, Denmark."— Presentation transcript:

1 Selskab for misbrugspsykologi årsmøde Odense 01.10. – 02.10.2009 Hypnosis Cue Exposure and Addiction Jörg Albers, clinical psychologist Augustenborg, Denmark Jorg.Albers@pcm.regionsyddanmark.dk

2 Psychotherapy can be beautiful and colourful ….

3 … and simple

4 “Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius -- and a lot of courage -- to move in the opposite direction.” (Albert Einstein)

5 Activating inner Resource (AiR)

6 R DRR DR D = State of Distress R = State of Ressource Beginning of Treatment

7 SuccesfulTreatment D = State of Distress R = State of Resource

8 ”At galopere afsted” ”At gå i stå” Problemtilstand Ressourcetilstand Problemtilstand Angst Depression

9 ”At galopere afsted” ”At gå i stå”

10 Problemtilstand Ressourcetilstand Problemtilstand Angst at tænke kreativt/ at føle fornuftigt Depression ”At galopere af sted” ”At gå i stå”

11 Hypnosis,Cue Exposure and Addiction Six Themes forActivating inner Resource (AiR)

12 Hypnosis,Cue Exposure and Addiction Six sessions 1. Session: Positive results of sobriety Activation of inner Resource concerning all positive effects that will occur if patients were to refrain from drinking when tempted 2. Session: Acknowledgement of significant others Activation of inner Resource concerning the improvement of relationship to significant others who unconditionally appreciate their sobriety

13 Hypnosis,Cue Exposure and Addiction Six sessions (cont.) 3. Session: Confirming the decision of sobriety Activation of inner Resource concerning their decision for sobriety by powerful cognitions combined with a guided imagery of a “wonderful day” 4. Session: Negative consequences of drinking Activation of inner awareness concerning the negative results that will occur in future in case of relapse

14 Hypnosis,Cue Exposure and Addiction Six sessions (cont.) 5. Session: Symptom management by biofeedback Reducing disturbing symptoms by using biofeedback device which indicates the level of heart rate synchronization (emWave) 6. Session: Waiting out Reframing self –limiting expectation concerning the urge to drink by waiting out the urge without using a strategy

15 Hypnosis,Cue Exposure and Addiction six steps in the course of each session

16 Preparation Double-blAiR Rapid-blAiR Reduction of tension

17 Hypnosis,Cue Exposure and Addiction Step one single - blAiR: bilateral Activating of internal Resources (tactile) Single – means only tactile right- left stimulations. I)Most pleasant rhythm between the slowest and fastest tactile input (Tac/AudioScan) - meanwhile the eyes resting in the center of the visual field II)Install resource (e.g. 3. session: “Decision of sobriety”) III) Check “Validity of Ressource” (VoR; 1= false, 7 = correct) Continue when VoR > 5 Rapid-blAiR

18 Hypnosis,Cue Exposure and Addiction Step one (cont.) rapid - blAiR: Recall Cue-Words in an infinite loop until patient's resource is installed The first three Cue-Words are consistent (“The rituals”) “Chair” – “Ground” – ”Breathe” The last four Cue-Words are individually determined (“The indiviuals”) “Title” – “Cueword I” - ”Cueword II” – “Cueword III” Continue, when VoR > 5 Rapid-blAiR

19 1. single-blAiR

20 Hypnosis,Cue Exposure and Addiction Step two Exposure The patient anticipates being exposed. The patient visualizes a high-risk situation Check the “Level of Urge” (LoU) 0 = no urge10 = extreme urge Rapid-blAiR

21 Hypnosis,Cue Exposure and Addiction The range of cues that may serve as triggers is potentially countless including external cues (the sight, smell and taste of alcohol) internal cues (physical effects, moods and cognitions) withdrawal related cues

22 Hypnosis,Cue Exposure and Addiction Step two (cont.) Exposure - Incitement “The Level of Urge” (LoU) increases rapidly, the patient experiences already loss of control. Appearance of annoying memories, self limiting beliefs, troublesome feelings and body tension Rapid-blAiR

23 Hypnosis,Cue Exposure and Addiction Step two (cont.) Avoidance point The Level of Urge (LoU) increases to the point, where the patient habitually starts drinking or uses distraction strategies obtaining a short phase of relief Rapid-blAiR

24 Hypnosis,Cue Exposure and Addiction Step two (cont.) The therapist increases actively the “Level of urge”; LoU (>8) by exposing the patient to the favorite beverage by challenging to open the bottle by filling the glass by encouraging to smell alcohol Rapid-blAiR

25 Hypnosis,Cue Exposure and Addiction Step two (cont.) Turning point: The discomfort reaches its peak more appearance of annoying memories, self limiting beliefs, troublesome feelings and body tension Level of Urge (LoU) > 8 Rapid-blAiR

26 1. Exposure 3 min

27 Hypnosis,Cue Exposure and Addiction Step three rapid- blAiR: Depending on the title of the session the therapist invokes the resource by applying rapid – blAiR ( “repeating the 7 cue words” ) Rapid-blAiR

28 Hypnosis,Cue Exposure and Addiction Step three (cont.) rapid - blAiR: The resource counteracts the Level of Urge resulting in Reduction of tension Continue when the “Level of Urge” (LoU) decreases to < 3 Rapid-blAiR Reduction of tension

29 2. single-blAiR5 min

30 Hypnosis,Cue Exposure and Addiction Step four Second Exposure The patient anticipates exposure for the second time Rapid-blAiR Reduction of tension

31 Hypnosis,Cue Exposure and Addiction Step four (cont.) The therapist increases actively the Level of urge by exposing the patient to the favorite beverage by challenging to open the bottle by filling the glass by encouraging to smell alcohol Rapid-blAiR Reduction of tension

32 2. Exposure2 min

33 Hypnosis,Cue Exposure and Addiction Step five Second rapid- blAiR: Defined by the title of the session the therapist invokes the resource by applying rapid – blAiR ( “repeating the 7 cue words “) Rapid-blAiR Reduction of tension

34 Hypnosis,Cue Exposure and Addiction Step five (cont.) Second rapid - blAiR: The resource counteracts the Level of Urge resulting in Reduction of tension Continue when the Level of Urge decreases to < 3 Rapid-blAiR Reduction of tension

35 3. single- blAiR 3 min

36 Hypnosis,Cue Exposure and Addiction Step six Treating the trauma Preparation: Worst picture of trauma Current self limiting belief Current troublesome feeling Current body sensation Preparation Rapid-blAiR Reduction of tension

37 Hypnosis,Cue Exposure and Addiction Step six Treating the trauma: Increasing the subjective distress Preparation Rapid-blAiR Reduction of tension

38 Exposure and EMDR – Assessment 3,30 min

39 Hypnosis,Cue Exposure and Addiction Double -blAiR bilateral Activating of internal Resources double– means right- left stimulation (tactile and visual). Most pleasant rhythm between the slowest and fastest tactile input (Tac/AudioScan) - meanwhile the eyes are following the tactile rhytm

40 Hypnosis,Cue Exposure and Addiction Step six (cont.) Desensitisation by double-blAiR Rapid-blAiR Preparation Double-blAiR Reduction of tension

41 Hypnosis,Cue Exposure and Addiction Step six (cont.) Double-blAiR Single- blAiR Preparation Reduction of tension

42 Desensitization 4 min

43 Hypnosis,Cue Exposure and Addiction Step six (cont.) 5 x15 sec. “double-blAiR” Then close the session with “single—blAiR” Preparation Double-blAiR Rapid-blAiR Single-blAiR Reduction of tension

44 Rest of the movie

45 Psycho-Sensory Therapy Hypnosis, Cue Exposure and Addiction

46

47 Case -study Uwe, 59 years, Substance abuser for 45 years Psychiatric inpatient and outpatient client without remarkable results by medical treatment Has stayed sober for 3 months at inpatient treatment, though constantly distracted by severe craving symptoms often intensified spontaneously

48 Case –study (cont.) After 4 sessions Psycho-Sensory Treatment craving was significantly diminished over time. Has now been clean and sober for 10 months returned to work, engaged in charital activities

49 Psycho-Sensory Therapy Affect-ActivationSensory-Stimulation Time usage Treatment of craving rapid-blAiR3,30 min 1. Exposure3 min 1. rapid-blAiR5 min 2. Exposure2 min 2. rapid- blAiR3 min

50 Psycho-Sensory Therapy HypnosisCue Exposure and Addiction Time usage (cont.) Treatment of trauma Assessment3,30 min Desensitization (double-blAiR)4 min Installation2 min Body-scan3 min Future installation3 min Closure1 min

51 Psycho-Sensory Therapy Affect-ActivationSensory-Stimulation Jörg Albers, Denmark www.jorgalbers.com Jorg.Albers@pcm.regionsyddanmark.dk www.jorgalbers.com Jorg.Albers@pcm.regionsyddanmark.dk


Download ppt "Selskab for misbrugspsykologi årsmøde Odense 01.10. – 02.10.2009 Hypnosis Cue Exposure and Addiction Jörg Albers, clinical psychologist Augustenborg, Denmark."

Similar presentations


Ads by Google