{"title":"Motivation and Stages of Change","authors":"D. Daley, A. Douaihy","doi":"10.1093/med-psych/9780190926670.003.0005","DOIUrl":"https://doi.org/10.1093/med-psych/9780190926670.003.0005","url":null,"abstract":"Research has identified different stages that clients may go through as they change a substance use problem. These stages include precontemplation, contemplation, preparation, action, and maintenance (relapse prevention). The goals of this chapter are to learn these different stages, to identify the immediate and long-term consequences of either quitting or continuing to use substances, and to learn strategies to increase the client’s motivation for change.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"3309 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127492857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relapse Prevention","authors":"D. Daley, A. Douaihy","doi":"10.1093/med-psych/9780190926670.003.0016","DOIUrl":"https://doi.org/10.1093/med-psych/9780190926670.003.0016","url":null,"abstract":"A lapse refers to an initial episode of substance use following a period of abstinence. A lapse may or may not lead to more substance use. Clients always run the risk that a lapse will turn into a relapse, in which they continue to use alcohol or other drugs. A lapse or relapse is the last link in a chain of decisions, and how one responds to an initial lapse has a big impact on whether or not one has a full-blown relapse. The goals of this chapter are to understand the difference between lapse and relapse, to learn about relapse prevention strategies, and to learn to identify and manage relapse warning signs and high-risk factors.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123478007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction and Plan for This Workbook","authors":"D. Daley, A. Douaihy","doi":"10.1093/med-psych/9780190926670.003.0001","DOIUrl":"https://doi.org/10.1093/med-psych/9780190926670.003.0001","url":null,"abstract":"In this workbook, the authors provide information about substance use problems, recovery, relapse, professional treatments available, and mutual support programs. Substance use problems are problems with alcohol, tobacco, or any other type of drug. Problems may show in binge drinking, drug misuse (using illicit drugs, using other people’s prescription drugs with addiction potential, mixing drugs or drugs and alcohol in ways that are risky) or a substance use disorder (SUD). Although there are differences among the various substance use problems, there are also many similarities. The goals of this chapter are to become aware of current trends in substance use, misuse, and substance use disorders; to learn the multiple factors contributing to a substance use problem; to identify the different paths and benefits to recovery; to understand the benefits of using this workbook in therapy or counseling; and to learn the importance of keeping records and completing recovery worksheets.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129768284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to Use Therapy or Counseling","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307740.003.0006","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307740.003.0006","url":null,"abstract":"There are many different types of therapy and counseling approaches for alcohol, tobacco, and other drug problems. Treatment is most effective when it helps clients develop and improve skills for dealing with the challenges and demands of recovery and the problems associated with substance use. Involving family in the treatment process can also increase the chances of successful treatment; so can active participation in mutual support programs such as Alcoholics Anonymous or Narcotics Anonymous. The goals of this chapter are for clients to learn how to get the most out of their treatment and to familiarize themselves with behaviors that may have a negative impact on their therapy.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128617167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognizing Your Substance Use Problem","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307740.003.0002","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307740.003.0002","url":null,"abstract":"The American Psychiatric Association classifies substance-related disorders into several categories. These include intoxication, withdrawal, substance use disorder, and substance-induced disorder. The goals of this chapter are to understand the different categories and symptoms of substance use disorders and to rate the overall severity of the client’s substance use problem.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127679224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing Cravings and Urges to Use Substances","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307733.003.0009","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307733.003.0009","url":null,"abstract":"Cravings can be overt, so that we are aware of them, or they can be covert and show up in indirect ways such as irritability. Cravings tend to be more frequent and stronger in the early phases of recovery. Cravings for substances are triggered by something external (people, places, events, experiences, or objects) or internal (feelings, thoughts, or memories). Cravings vary in intensity from low to severe, and also in how they show in thoughts or how they make one feel physically. The goals of this chapter are to learn strategies that will help clients prevent or manage their cravings, to begin tracking cravings daily over the next few months, and to identify the things that trigger client cravings in order to plan coping strategies.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129975282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment Settings for Substance Use Problems","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307733.003.0004","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307733.003.0004","url":null,"abstract":"The American Society of Addiction Medicine (ASAM) outlines levels of care for alcohol or other drug problems in a stepped care approach. The ASAM levels, from least to most restrictive, are Level 1: outpatient treatment; Level 2: intensive outpatient treatment and partial hospitalization; Level 3: medically monitored intensive inpatient treatment (residential); and Level 4: medically managed intensive inpatient treatment (hospital). Clients should use the least restrictive level of professional treatment possible unless they have serious medical complications, such as liver disease or gastritis, or serious psychiatric complications, such as feeling suicidal, persistently depressed, or paranoid. The goals of this chapter are to learn about the different types of professional treatments for substance use problems and for clients to work closely with their therapist or counselor to figure out their specific goals and what steps they can take to reach them.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124442131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strategies for Balanced Living","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307733.003.0020","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307733.003.0020","url":null,"abstract":"Balance refers to the ability to reasonably manage the different aspects of our lives. Balanced living is not only healthy but also serves as a protection against relapse. Balance can lead to happiness and provide opportunities for personal growth. Although some areas of life may get temporarily out of balance due to demands of work or family, the goal is to strive for a balance that works for the client and that can accommodate periods of imbalance. The goals of this chapter are to understand the benefits of living a balanced lifestyle, to determine the overall balance in one’s life, to learn how to keep a daily inventory to catch problems and relapse warning signs early, to develop a weekly schedule of activities to add structure to our lives, and to create a list of pleasant activities.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133971278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recognizing Consequences of Your Substance Use","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307740.003.0003","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307740.003.0003","url":null,"abstract":"Substance use can contribute directly and indirectly to problems in any area of life. Substance use disorders raise the risk of medical, spiritual, psychological, psychiatric, family, and economic problems. Problems may range in severity from mild to life-threatening. Sometimes the effects are subtle or hidden. The goals of this chapter are for the client to understand the consequences of their substance use and its effect on the people closest to them and to identify problems caused by the client’s substance use disorder.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126678794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring Your Progress","authors":"D. Daley, A. Douaihy","doi":"10.1093/MED:PSYCH/9780195307740.003.0019","DOIUrl":"https://doi.org/10.1093/MED:PSYCH/9780195307740.003.0019","url":null,"abstract":"Clients can measure their progress by comparing their current status to the goals they set at the beginning of their change program. These goals may relate to their substance use; to other areas of their lives such as physical, mental, or spiritual well-being, or relationships with family or friends; or to any other problem or issue that clients are working on changing. Progress is improvement or positive movement toward identified goals. Sometimes progress is significant and happens quickly. Other times progress is less significant and happens slowly. The goals of this chapter are to learn to define and measure the progress the client has made this far and to recognize that progress shows in many aspects of one’s life, just not substance use.","PeriodicalId":162922,"journal":{"name":"Managing Your Substance Use Disorder","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126260120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}