WSU PSYCH 265 - Guest Lecturer (6 pages)

Previewing pages 1, 2 of 6 page document View the full content.
View Full Document

Guest Lecturer



Previewing pages 1, 2 of actual document.

View the full content.
View Full Document
View Full Document

Guest Lecturer

211 views

Guest lecturer talking about the treatments used for people with substance abuse


Lecture number:
31
Pages:
6
Type:
Lecture Note
School:
Washington State University
Course:
Psych 265 - biopsychological effect
Edition:
1
Unformatted text preview:

PSYCH 265 1st Edition Lecture 31 Outline of Last Lecture I Prescription drug abuse a Dangers II Pain relievers III Stimulants IV Anabolic steroids V OTC VI DXM VII Pseudoephedrine VIII Motion sickness IX Inhalants X Sudden sniffing death XI Caffeine XII Diet pills XIII Herbal ecstasy XIV Other herbals Outline of Current Lecture I Addiction II Change w o formal treatment These notes represent a detailed interpretation of the professor s lecture GradeBuddy is best used as a supplement to your own notes not as a substitute III Motivational concepts IV Motivation to change V Biopsychosocial model VI Treatment approaches VII Professional treatment VIII Treatment of substance use disorders IX Alcohol drug treatment X Special topics populations XI Alcohol drug treatment XII AA Current Lecture Addiction o Chronic often relapsing brain disease that causes compulsive drug seeking despite the harmful obvious negative consequences o People who are addicted to substance is unable to resist the impulse to use thanks to the complexity of cravings and the compulsive use is triggered by the over stimulation of the brain s reward circuit o Drugs alcohol re wire brains natural chem and compel addicted person to use more and more of substance despite negative consequences Change without formal treatment o Spontaneous remission Prevalence is unknown o Maturing out is common Graduating college entering into workforce becoming parents religion or spiritually influence o Many do not mature out or enter into remission Motivational concepts o Denial What ever the problem IS it is not me Blaming Rationalization Justification o Acceptance Surface level Bad things are happening Realization that drugs and alcohol are the problem Deeper level acceptance requiring new attitude Program of recovery Disease concept Self help or 12 step program Daily maintenance Motivation to change o 5 stages of change Pre contemplation Contemplation Preparation Action Maintenance o Relapse Main purpose of motivational interviewing strategy is behavior change is self governed o Biopsychosocial model o Moral model Crimj punishment o American disease model Jellinek curve Progressive irreversible disease o Biological model Genetic population Physiological processes o Social learning Learning based on environ interaction w peers Sociocultural Governing bodies enacting laws which limit consumption or limit damage to society as a whole DUI laws need exchange and court ordered Tx Treatment approaches o Motivational enhancement Based on stages of change self directed changes o Classical conditioning Based on pavlovian response Cravings urges a product of learned behavior o Conjoint treatment Family wrap around type care Inclusion of significant others into care program o Social learning based treatment Relapse prevention Social skills training Coping with interpersonal problems in a socially acceptable manner Professional treatment o Assessment Structured interview method Use history age of onset frequency duration Criminal history DUI s assaults MIPs Family history Past treatment attempts Mental health issues Goals Client driven Based on specific areas of life improvement Wrap around services Abstinence or moderation Harm reduction Needle sharing flop houses extacy testing at raves Treatment of substance use disorders o Formal treatment structure Assessment intake Treatment in recommended level of care Inpatient level III 5 Outpatient level II 1 Relapse prevention level I 0 Weekly level I 0 ADIS level 5 Aftercare and soberliving houses Alcohol Drug treatment o Pharmacotherapy Antabuse disulfiram o Naltrexone Bupinophrin suboxone Methadone o Non pharmacotherapy treatment Group sessions Education sharing and support One on one sessions Goal setting Big picture life story Random urinalysis o Effectiveness About 7 treatment effectiveness Most go through treatment an average of 4 times Special topics populations o Dual diagnosis or co occurring patients Person who has substance use disorder and a co occurring mental health disorder severe Severe mood disorder Depression Anxiety PTSD Personality disorder Borderline personality disorder Antisocial personality disorder Often requires treatment w potential drugs of abuse o Polydrug users Most addicts are this Use revolves around drug of choice Few users stick with one specific drug Alcohol drug treatment o Why Progressive illness i e diabetes heart disease High mortality rate Never gets better only worse Society does a disservice stigma aftercare follow up o Costs About 10 000 for 30 day inpatient Tx bed About 6 000 for 6 months outpatient Tx Compare to 35 000 to 50 000 for a person to be house for 1 year in state prison o Remember back to stages of change model Denial Acceptance No way to predict when a person will reach the critical level of acceptance Alcoholics Anonymous o Oldest self help program of recovery o o o o o o o Based on the 12 steps Not a religious program Begain in 1935 by Dr Bob Bill Wilson Core of AA is identification One alcoholic helping another to stay sober is key to both remaining sober Millions of recovering alcoholics AA is in every city and town in USA Principle of 12 steps have been adapted for other substances too Narcotics Anonymous Cocaine Anonymous Celebrate recovery Al Anon


View Full Document

Access the best Study Guides, Lecture Notes and Practice Exams

Loading Unlocking...
Login

Join to view Guest Lecturer and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Guest Lecturer and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?