Addiction Treatment
Addiction treatment refers to the interventions and therapies designed to help individuals overcome substance abuse or behavioral addictions. It typically involves a combination of medical, psychological, and social support to address the physical, emotional, and social aspects of addiction. Treatment approaches may include detoxification, counseling, support groups, medication, and lifestyle changes to promote recovery and prevent relapse.
7 Key excerpts on "Addiction Treatment"
eBook - ePubAddiction
A biopsychosocial perspective
- Chris Chandler, Anita Andrews(Authors)
- 2018(Publication Date)
- SAGE Publications Ltd(Publisher)
...7 Psychological Treatments Chapter Overview Ideally, treating addiction requires an individualised approach, reflecting the multi-faceted nature of the problem and its variability between and within individuals. Psychological treatments can also be combined with pharmacological treatments, where this is appropriate. The psychological treatments covered in this chapter are illustrative examples, and there are other approaches not covered here. All successful psychological treatments incorporate many common elements, as illustrated by the treatment approaches which are discussed in this chapter. This chapter will: Outline some psychological methods for treating addictive behaviour Describe different treatment approaches and the common elements that they share Learning Aims of the Chapter To have an awareness of different psychological approaches to Addiction Treatment and the contexts for their use To understand the rationale behind different treatment approaches and how they can be effectively combined To have an awareness of the common factors shared by successful treatment approaches To have an awareness of the limitations of different approaches Introduction Since behaviour change is fundamental to recovery from addiction, a general framework for understanding an individual’s readiness, or motivation to change, is presented at the beginning of this chapter. This model, the transtheoretical model (TTM) of change, has been influential in guiding clinical practice, although it has also generated criticism. The psychological treatments considered in this chapter recognise the importance of learning, cognition, context and interpersonal interaction, in addiction development, maintenance, relapse and recovery. The first treatment approach to be considered is Motivational Interviewing (MI). MI evolved from clinical observation and research in the field of addiction, but has now become more broadly applicable to other types of behaviour change...
eBook - ePub- Antony C. Moss, Kyle R. Dyer(Authors)
- 2010(Publication Date)
- Bloomsbury Academic(Publisher)
...Many treatment programmes will combine elements from the different approaches, while others adopt a single approach. The essential key to achieving success in treatment is to find the best match for the individual. It may be necessary to try a variety of different approaches before the approach that best suits is found. This chapter will provide a brief overview of some of the more important pharmacological (that is, medical) and psychosocial treatment approaches that are in current use. Each of these different approaches is built upon the basic elements of addictive behaviour that we have discussed in this book. The focus of this chapter will be upon the treatment of alcohol and other drug dependence; however, many of the elements covered can also be applied to other addictive behaviours. An overview of the process of drug dependence treatment Before describing some of the treatment approaches available, let’s start by describing the broad categories of treatment and the general process of providing treatment. Many drug users will be reluctant to enter treatment, especially if they are in the precontemplation stage of change (see Chapter 1). There are significant health and psychosocial harms associated with drug dependence, indeed with any addictive behaviour. For some people it is frequently a crisis, such as financial or legal problems, that triggers a desire to receive treatment. As such, it is important to be able to engage with these people quickly, to take advantage of this increased motivation. No matter what stage of change the person is in, the first step in reducing the harms to the individual and to the broader society associated with drug dependence is to make contact with the individual...
eBook - ePub- Brian F. Shaw, Paul Ritvo, Jane Irvine(Authors)
- 2011(Publication Date)
- For Dummies(Publisher)
...Both of these methods combine in the magical attempt to minimize conflict, wherever and whenever possible. Regardless of the explanations, a key issue in the psychodynamic treatment of addictions is how treatment proceeds and how the treatment process can lead to recovery. Psychodynamic treatment can take place in both individual and group therapy formats where, for the most part, addiction is seen as a result of ego problems, not as the cause of them. Resolving ego problems involves tracing them back to core events and issues, many of which initially surfaced during childhood and adolescence. Overall, the therapist takes a compassionate position — that your tendency to use substances to escape results from emotional victimizations during childhood. These boil down to situations that were inescapable and emotionally injuring and have since echoed in the development of defenses designed to avoid reinjury. However, this avoidance actually leads to addictive behaviors, and these addictive behaviors cause injury to you in the current time frame, as well as to your intimates and family members. If you have a distinct feeling that you use or abuse substances because of traumatic past experiences or emotional injuries, and are willing to honestly explore and relive your past in order to heal yourself, psychodynamic treatment may just be the best match for you. The biopsychosocial perspective The biopsychosocial perspective combines all of the other perspectives, emphasizing the important impact of social support and contact...
eBook - ePub- Bruce Carruth, Bruce Carruth(Authors)
- 2013(Publication Date)
- Routledge(Publisher)
...Psychological Trauma and Addiction Treatment Bruce Carruth, PhD, LCSW Patricia A. Burke, MSW SUMMARY. The interaction of psychological trauma and addiction has been noted for years, but only in the last decade has significant attention been focused on treating the two disorders concurrently. This chapter provides an overarching conceptual framework for understanding the nature of psychological trauma and its relationship to chemical dependency disorders and an introduction to the best thinking and practice in meeting the treatment needs of psychologically traumatized, chemically addicted people. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: <[email protected]> Website: < http://www.HaworthPress.com > © 2006 by The Haworth Press, Inc. All rights reserved.] KEYWORDS. Psychological trauma, Addiction Treatment, co-occurring disorders Introduction Psychological trauma, in its broadest sense, is a wound to one’s self, one’s personhood. Trauma impacts how people perceive their worlds, their thoughts, judgments and intuition, what feelings they allow them selves to have and what feelings they can’t stop themselves from having. Perhaps most importantly, trauma impacts people’s sense of who they are as unique individuals and their sense of soul–one’s connection to something greater than the self. Trauma simultaneously causes hyperarousal and emotional constriction. The strategies people develop to contain and manage these trauma reactions can ultimately develop into a disorder of control–being out of control and trying to be in control. The interaction of psychological trauma and addiction has been noted for years, but only in the last decade has significant attention been focused on treating the two disorders concurrently...
- Subhash C. Bhatia, Frederick Petty, Teri Gabel(Authors)
- 2017(Publication Date)
- Bentham Science Publishers(Publisher)
...Cognitive-Behavioral Therapy and Other Psychosocial Interventions for Substance Use Disorders Aly Hassan 1, *, Shashi K. Bhatia 2, Subhash C. Bhatia 3, 4 1 Phoenix VA Health Care System, Department of Psychiatry, University of Arizona, Phoenix College of Medicine, Gilbert VA Clinic, 3285 S Val Vista Drive, Gilbert AZ 85925, USA 2 Departments of Psychiatry and Pediatrics, Division of Child and Adolescent Psychiatry, Creighton University, 3528 Dodge Omaha, NE 68131, USA 3 Department of Psychiatry, Mental Health and Behavioral Sciences, Creighton University 4 Department VA Nebraska- Western Iowa Health Care System 4101 Woolworth Ave Omaha, NE 68105, USA Abstract The effectiveness of psychosocial evidenced-based behavioral interventions for substance and non-substance related disorders are comparable to their effectiveness for other psychiatric disorders. Cognitive behavioral therapy addresses the negative and dysfunctional thoughts and emotions related to these disorders and their reinforcing effects. This also helps develop cognitive skills to deal with cue driven craving leading to reengagement in addictive behaviors. Contingency management uses tangible rewards to support addiction free life style evidenced by negative drug screen participation in individual and group therapy. Behavioral self-control promotes goal setting and self-monitoring for harm reduction. Self-help 12-step programs promote acceptance, surrender to a higher power and self-governance through utilization of support from AA fellowship community. Motivational enhancement therapy is to help individuals to move higher on stages of change and to promote self-efficacy. Solution-based therapy helps patients find solutions while reinforcing their successes in solving those problems...
eBook - ePub- Mary McMurran(Author)
- 2003(Publication Date)
- Routledge(Publisher)
...In psychological approaches, biological, psychological and social factors are incorporated to explain individual variations in engagement in addictive behaviours. Clearly, one aspect that must be explained is the degree of a person’s involvement in the addictive behaviour. That is a person may be an abstainer, a moderate drinker or drug user, or an excessive user. Over a person’s life span, there may well be fluctuations in the degree of involvement: from abstinence to moderate use; from moderate use to excessive use; from excessive use to abstinence or moderate use. Psychological theories attempt to explain how these fluctuations occur. The point to note here is that addiction is not necessarily progressive, as the disease model would have us believe. There is a continuum of levels of involvement and the individual will slide up and down that continuum depending upon the current situation and his or her skills for coping with that situation. For example, many people will drift in and out of problematic substance use consequent upon finding or losing jobs, being in a stable relationship or breaking up from their partner, and having good living accommodation or finding themselves without a home. There Is No Cut-off Point for Addiction The theories presented here do not present us with a cut-off point for addiction. It is acknowledged that people may have problems at any level of consumption, and that these problems may be interpersonal, legal, financial, scholastic, work-related, psychological or physical. There is no absolute cut-off point for addiction at which we may place our level of concern, as the disease model seems to suggest. That is, anyone who is experiencing problems in relation to substance use may be a candidate for help, and we need not label this person an ‘alcoholic’ or an ‘addict’ in order to make him or her eligible for our attention. Addiction Is Not Irreversible None of the processes suggested by these psychological theories is irreversible...
eBook - ePubDrugs and Crime
Theories and Practices
- Richard Hammersley(Author)
- 2015(Publication Date)
- Polity(Publisher)
...If addiction were a brain disease, then logically it would be acceptable to redress it chemically. However, more on methadone below. This is not the place to review general treatments for substance dependence, but a number of key points should be noted. Substance dependence is very treatable compared with some other mental health problems. In well-conducted and objective followups, about 20 per cent to 30 per cent of people treated remain improved – using less or not at all – twelve months later (Orford, 2001). That 70 per cent or more of people do not improve is only considered failure if it is based on unrealistic expectations. Furthermore, the majority of people who begin to show signs of dependence manage their problem, usually unaided, and return to controlled substance use of some kind (Biernacki, 1986; Webb et al., 2007; Granfield and Cloud, 1999). People may exhibit many different patterns of use and be more controlled at some times than at others. There are trajectories other than a lifetime of moderation or abstinence or a gradual downwards path into addiction (Ditton and Hammersley, 1996; Mullen and Hammersley, 2006). This means that treatment centres (and the self-help movements) see a residue of people who for various reasons have found it impossible to control their use unaided. When different treatments for dependence have been compared, then the quality of the therapeutic relationship between counsellor and client seems to matter more than the philosophy or methodology of treatment (Jarvis et al., 2005). There do not appear to be marked differences between treatments depending upon what outcomes are specified. The same treatments lead to abstinence, improvement and other benefits, whether or not the philosophy of the intervention approves of outcomes other than abstinence (Allen et al., 1999). What does appear to matter is the length of treatment...
