Chemical dependency

1. Chemical dependency Belinda Hill

2. Chemical dependency • Treatment Goals • Treatment Protocol • Accepting Responsibility

3. Treatment Goals • Eliminating the Intake • A. The body exhibits a change when the substance is withheld one should - • B. Engage in nondrug conversation with family and friends. • C. Engage in a minimum of two social activities (in the absence of alcohol) with his family during 6 months of aftercare.

4. Treatment Protocol • A. Individual Therapy • B. Group Counseling and Group Education • C. Family Counseling

5. Accepting Responsibilty • A. Learning Relationship Skills • B. Getting Past Denial • 1. Expressing feelings and choosing positive coping behavior. • 2. Setting the stage for group members to develop trust and cohesiveness. • 3. Try to lessen the denial and encourage increased self-awareness and disclosure while at the same time keeping anxiety at minimal levels.

6. Getting Past Denial • . The present and magnitude of the problem • . Blaming others • . Learning to cope/ with addiction

7. Individual Therapy Goals • . Cognitive Behavioral • . Target the irrational thoughts • . Trigging Urges • . Cravings

8. Confrontation • . Careful consideration • . Purpose of Confrontation

9. Limit Testing • . Enforcement of rules • . Dependability and Consistency

10. Avoid Treament Secrets • . Client can blackmail • . Conflict of Guilt

11. Disrupting Irrational Mental sets • . Look for insane feelings • . Insane thoughts

12. Overcoming what lead to drinking • . Coping skills • . Role play to help recognize and manipulate enviroments.

13. Treating the Family • . Attitudes • . Structure • . Function

14. Therapy for Children • . Providing emotional support for the children • . Providing accurate, nonjudgmental information. • . Helping the children to focus on their own behavior.

15. Aftercare and Relapse Prevention • . Warning signals begin flashing when recovering dependents starts to rational thoughts. • A. Feelings • B. And Behavior

16. Finally Watch for Denial • . Denial is a defense that is usually associated with psychotic disorders and addiction. • . When heavy denial and its defensive consorts are encountered, which is the case for most addicts, confrontation is probably the most potent and dangerous weapon the worker has. • . Confrontation is simply a matter of pointing out that there is a discrepancy between what the client says and how he or she acts.

17. Reference • Crisis Intervention Strategies/seventh edition • Richard k. James & Burl E. Gilliland. 2013, 2008 Brooks/Cole, Cengage Learning