Presentation on theme: "Biological Basis of Addiction Christine Foster, LMSW Children’s Therapist."— Presentation transcript:
Biological Basis of Addiction Christine Foster, LMSW Children’s Therapist
Effects of Substance Abuse: Conception – Age 11
Photo courtesy of Sterling Clarren, MD – Brain at 6 wks
Faces in Fetal Alcohol Syndrome
What we seeWhat we think What may be really going on What we can do ► Doesn’t follow rules ▪Noncompliance ▪Attention Seeking ▪Stubborn ▪Purposeful ●Difficulty translating verbal directions into action ●Cognitive deficit ♦ Check for understanding ♦ Repeat instructions ♦ Simplify tasks ► Repeatedly makes the same mistakes ▪Manipulative ▪Doing it on purpose ▪Willful ●Not able to link cause and effect ●Difficulty generalizing ♦ Provide assistance with organization ♦ Structure choices ► Poor social judgment ▪Attention Seeking ▪Poorly parented ▪Impulsive ●Not able to interpret social cues ●Desire to be liked ♦ Role play ♦ Identify safe external support/s ♦ Safety planning ► Easily agitated ▪Poor self control ▪Deviant ●Frustrated ●Disappointed ●Mental health issue ♦ Teach self advocacy ♦ Identify and practice coping techniques Texas Office for Prevention of Developmental Disabilities
Don’t Talk Don’t Trust Don’t Deal Don’t Feel
How do people get better from alcohol and drugs?
Effects of Substance Abuse: Ages Apoptosis = Pruning 200 billion to 100 billion
HYPOFRONTALITY: when Dopamine spikes the cortex actually shuts off
How do drugs & alcohol effect the brain during the pruning process?
Limbic System Fight or Flight Pleasurable Experiences: Dopamine
100% 150% 350% 1100% Dopamine Release
If you arrest here but stop using here Age 12
Arrested Development Effects Stuck in psychosocial stage of development 10% Decrease in Hippocampus functioning (converts information to memory) Increased social disinhibition Risky, impulsive behavior Poor planning & judgment Little ability to weigh consequences
Developmental Age of Parents Parents with Fetal Alcohol SyndromeTeen ParentsParents with Arrested Development
Practical Applications Connect Client to Appropriate Service – Parent Coaching, Individual Therapy, In or Outpatient Treatment,12-step, ACA, Alanon Connect Child to Appropriate Service – Play Therapy, High Risk Classes, Individual or Family Therapy Teach Parents Executive Functioning Skills Teach Parents To Teach Executive Functioning Skills
Tools for Working with Families Play: A child’s work Patterned, Repetitive, Predictable & Rhythmic Praise Executive Functioning in Parents Teach Parents What To Say During Family Dinners Behavior Modification Contracts
References Califano Jr., Joseph (2009),How to Raise a Drug-Free Kid, The Straight Dope for Parents. Giedd. J. N. (2004).Structural magnetic resonance imaging of the adolescent brain. Annals of the New York Academy of Sciences, 1021, Spear, L. P. (2002). Alcohol’s effects on adolescents. Alcohol Health and Research World, 26 (4), Suggested Reading Dahl, R.E. & Spear, L.P. (Eds.) (2004). Adolescent brain development: vulnerabilities and opportunities. New York: Annals of the New York Academy of Sciences, Volume Dubuc, B. (n.d.).The brain from top to bottom. McGill University web site: Landreth, G. (2002). Play Therapy: The Art of the Relationship. Brunner Routledge. Nestler, E. J., & Malenka, R. C. (2004, March). The addicted brain. Scientific American, 290 (3), Underwood, N. (2009). The teenage brain: Why adolescents sleep in, take risks, and won’t listen to reason. The Walrus Magazine. Wallis, C. (2004, May 10). What makes teens tick? Time, 163, Walsh, D. (2004). Why do they act that way? A survival guide to the adolescent brain for you and your teen. New York: Free Press.