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Addictions Overview Stephen Lape, LCSW
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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
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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
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Types of Addiction Alcohol, tobacco and other drugs including prescription drugs Pornography, “Cybersex,” etc. Gambling Shopping, spending money Eating
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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
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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
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Addiction cycle Belief System Unmanageability Impaired Thinking Addiction Cycle
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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
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Individual cycle Preoccupation (Thoughts) Despair (Feelings) Ritual (Behaviors) Compulsivity (Actual Use)
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Levels of Care Residential: Residential: 1. Detoxification 2. Inpatient Rehabilitation 3. Long-Term Residential 4. Community Residence 5. Supportive Living
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Levels of Care Outpatient Outpatient 1) Day Rehabilitation 2) Intensive Outpatient Program 3) Clinic
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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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Questions???? Feel free to contact me at: (518) 429-6190 deaconstephenlape@gmail.com
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