Learning The Language Of Addiction Counseling – Flashcards

Territorial issues Different origins, language, and frameworks of the two fields Separate training of mental health and substance abuse counselors. Extensive teamwork required between mental health and substance abuse professionals.

Dual diagnosis MICAA MICA

psychiatric and substance abuse

to be difficult to treat

the client is always recovering, needs to abstain from alcohol/drug use, needs to develop various coping skills, and typically needs to attend self-help meetings, obtain a sponsor, and work the steps of recovery

physiological problems, developing systems that reinforce certain behaviors, and developing coping skills in the client, which includes an awareness in the client of his or her thoughts, feelings, and behaviors.

Expect COD in all behavioral health settings. b. Have an integrated system to serve the best interest of all individuals and systems involved. c. Be accessible from multiple entry points and be caring and accepting. d. Avoid being limited to one approach. e. Reflect the connection between science and service and the use of evidence-based and consensus-based practices. Collaborate with other professionals in the best interest of the client. g. Expect these issues in the evaluation of all clients. h. Consider both issues primary. i. Have empathy and respect for the client, and belief in the ability to change. j. Individualize treatment to fit client needs, goals, and culture in terms of their level of stage of change. k. Recognize the needs of children and adolescents. l. Integrate community contributions to the recovery process and the individual contributions to the community

Five areas that a counselor can be aware of that may indicate a client struggling with a co-occurring disorder can be: a. Flexible diagnosing b. Sobriety time c. Client history d. Typical population behavior e. Treatment setting

Indicators a counselor may watch for to find a co-occurring disorder in a client in addiction recovery are: Unable to stay sober, psychological test results, responses to psychiatric medication.

Depression anxiety PTSD eating violence gambling personality

Approximately 25% to 30% of those with a major depressive disorder also have a substance use disorder. According to SANSHA(2011),16.2% of adults(18 or older) with a major depressive episode(MDE in the past year) were abusing or dependent on substances in the past year. The same survey also found that 21.4% of adolescents(12-17 years old)who had MDE in the past year were abusing or dependent on substances Assessment Symptoms of depression are common both in clients who are intoxicated with and in withdrawal from substances. DD induced by substances needs to be diagnosed when the symptoms are severe enough to draw independent clinical attention. The symptoms are beyond what is typically seen related to substance use

In a behavioral addiction there is: An increased need to be involved in the activity The activity being used to numb emotions Evidence of increased vulnerability in the person due to emotional problems (depression, anxiety, etc.), social factors (family dynamics, peer pressure), and lack of alternative activities. Behavioral addictions are used to numb emotions Sexual addiction has also been called hypersexual disorder. If a counselor finds extremes in thoughts, feelings, and behaviors in an addicted client, the client may have a co-occurring disorder.

Craving, loss of control, continued use despite adverse consequences

Provide an example of how behavioral addictions are impacted by availability and how they can occur simultaneously and trigger each other.

The struggles between the Mental Health and Substance Abuse Fields

The recovery model is one where the client is always recovering, needs to abstain from alcohol/drug use, needs to develop various coping skills, and typically needs to attend self-help meetings, obtain a sponsor, and work the steps of recovery. The mental health model for recovery looks more at physiological problems, developing systems that reinforce certain behaviors, and developing coping skills in the client, which includes an awareness in the client of his or her thoughts, feelings, and behaviors

Multiple Entries - Different issues. • Twelve principles to guide systems in addressing the needs for this population: a. Expect COD in all behavioral health settings. b. Have an integrated system to serve the best interest of all individuals and systems involved. c. Be accessible from multiple entry points and be caring and accepting.

• Five areas that a counselor can be aware of that may indicate a client struggling with a co-occurring disorder can be: a. Flexible diagnosing b. Sobriety time c. Client history d. Typical population behavior e. treatment setting

Indicators a counselor may watch for to find a co-occurring disorder in a client in addiction recovery are: 1. Unable to stay sober, 2. psychological test results, 3. Responses to psychiatric medication

i. Depression ii. anxiety iii. PTSD iv. eating v. violence vi. gambling vii. personality