Addictions Overview Stephen Lape, LCSW

Overview 1 - Types of Addiction/Substances 2 - Symptoms of Addiction 3 - Addiction Cycle 4 - Stages of Change 5 - Individual Cycle - Recovery 6 - Overview of treatment & 7 - Self-Help 8 - Q&A

Disease Concept of Alcoholism and Drug Addiction Chronic = It lasts a long time Chronic = It lasts a long time Progressive = It gets worse over time Progressive = It gets worse over time Incurable = A person can’t return to normal drinking/drug use Incurable = A person can’t return to normal drinking/drug use It is manifested by: Loss of control = A person cannot predict when they can stop Loss of control = A person cannot predict when they can stop Tolerance = The need to use more to get the same feeling or high Tolerance = The need to use more to get the same feeling or high Consequences = A person continues to use in spite of problems directly related to their use Consequences = A person continues to use in spite of problems directly related to their use

Types of Addiction Alcohol, tobacco and other drugs including prescription drugs Pornography, “Cybersex,” etc. Gambling Shopping, spending money Eating

Types of Substances Alcohol- Tobacco - Cocaine - Crack, powder Opiates - pills/heroin THC - Marijuana, Hash, Synthetic Uppers - Meth, MDMA Downers - Benzo Designer - Ruffies, Special K Hallucinogens - LSD, PCP Inhalants

Symptoms of Addiction Behavioral SignsChange in attitude/personality Avoiding contact with family Change in friends; new hangouts Change in activities, hobbies or sports Drop in grades or work performance Isolation and secretive behavior Moodiness, irritability, nervousness, giddiness Stealing Wearing long sleeved shirts out of season

Addiction cycle Belief System Unmanageability Impaired Thinking Addiction Cycle

Stages of Change Stage 1. Precontemplation Stage 1. Precontemplation Stage 2. Contemplation Stage 2. Contemplation Stage 3: Preparation/Determination Stage 3: Preparation/Determination Stage 4: Action Stage 4: Action Stage 5: Maintenance Stage 5: Maintenance Stage 6: Relapse Stage 6: Relapse

Individual cycle Preoccupation (Thoughts) Despair (Feelings) Ritual (Behaviors) Compulsivity (Actual Use)

Levels of Care Residential: Residential: 1. Detoxification 2. Inpatient Rehabilitation 3. Long-Term Residential 4. Community Residence 5. Supportive Living

Levels of Care Outpatient Outpatient 1) Day Rehabilitation 2) Intensive Outpatient Program 3) Clinic

Self-Help Increase sober supports to the client outside of treatment Increase sober supports to the client outside of treatment Facilitate a connection to the “larger community” Facilitate a connection to the “larger community” Structured safe environment which encourages on-going, long-term change Structured safe environment which encourages on-going, long-term change Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, Al-ateen, Nicotine Anonymous Alcoholics Anonymous, Narcotics Anonymous, Al-Anon, Al-ateen, Nicotine Anonymous

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