Pharmacotherapy?
I believe Many practitioners and counselors in addiction treatment see pharmacotherapies as the answer alone for addiction treatment because it fits into the medical model in the U.S. of prescribe to take care of symptoms. It also takes less time & effort, and is does not need to be as specific to the needs of the individual in a person centered treatment plan. (It can be more standardized) Obviously for detox and ambulatory or out-patient medical treatment for addictions the new medications are helping address the problems far better than ever before.
There are also those involved in addiction treatment like myself that although realizing there are benefits in many cases to use pharmacotherapy as part of the treatment plan (especially with co-occuring conditions), have come to believe that to get at the heart of the underlying causes not just the symptoms a combination of medication, behavioral, and even other complimentary treatments will get not only the best results short term, but will address healing the chronic and progressive nature of addiction long term. Hopefully customizing the treatment plan to the individual and allowing them to be more proactive in their treatment choices will lower re-lapse rates and bring about deeper and more persistent change.
When a client is ambivalent towards treatment options, especially when medications are involved the time needs to be invested to educate them to the objectives and benefits of the medications, allowing the client/patient to personally choose pharmacotherapy as part of their treatment plan and truly “buy in” to the plan, so they will remain compliant with the use of the medication and achieve the progress and recovery they desire. If they are not using the medications properly they can become part of the addiction cycle and may reinforce the addicts thinking that they always need to reach for something to feel better. The best strategy long term is for the client to develop inner coping methods to work through their pain, only then will they develop self regulation and coping skills.
‘The Square’ and the streets, 3 years on: Jehane Noujaim at TED2014
Beautiful
BE Grateful, FEEL Better
Using Gestalt Therapy, NLP, with CBT
Using Gestalt Therapy & NLP with CBT for Deep Change
Fritz and Laura Perls started the first Gestalt Institute in their Manhattan apartment, and Fritz Perls began traveling throughout the United States in order to conduct Gestalt workshops and training.
In 1960 Fritz Perls left New York and moved to Los Angeles, where he started to offer workshops at Esalen Institute in Big Sur, California, in 1963. Perls became interested in Zen during this period, and incorporated the idea of brief awakenings into his practice. He also traveled to Japan, where he stayed in a Zen monastery. Eventually, he settled at Esalen and even built a house on the grounds.
- The core of the Gestalt Therapy process is enhanced awareness of sensation, perception, physiological feelings, emotion and behavior, in the present moment.
- Relationships are emphasized, along with contact between ones true self, the environment you are presently in, and the connections with others in our lives.
THE GESTALT PRAYER
I do my thing and you do your thing.
I am not in this world to live up to your expectations,
And you are not in this world to live up to mine.
You are you, and I am I,
and if by chance we find each other, it’s beautiful.
If not, it can’t be helped.
(Fritz Perls, “Gestalt Therapy”, 1969)
Richard Bandler, John Grinder, Robert Dilts and others studied with Fritz Perls for several years in the late 60’s and early 70’s. As Richard Bandler and John Grinder developed Neuro Linguistic Programing (NLP) in the early 70’s they modeled many of their systems upon Perls work as well as the therapeutic work of Virginia Satir and Milton Ericksen (The father of Hypnotherapy). Bandler and Grinder also drew upon the theories of Dilt’s, Gregory Bateson, Alfred Korzybski and Noam Chomsky, particularly transformational grammar, as well as ideas and techniques from the teachings of Carlos Castaneda.
Combining the Transformational Skills & Tools from NLP, the Awareness achieved through Gestalt Therapy, and the “will to meaning” gained through Victor Frankl’s Logo-Therapy and other Humanistic & Existential approaches to therapy with Cognitive Behavioral Therapy (CBT) that has proven to be so effective with changing behavior and overcoming addiction, one can bring about huge shifts in awareness and mental processes that support deep and lasting changes in behavior and life.
http://www.balancehealthsystems.com
Related articles
- Gestalt Prayer (mindbeatz.wordpress.com)
- The Esalen Connection: Fifty Years of Re-Visioning Madness and Trying to Transform the World (madinamerica.com)
RIGHT AND WRONG ~ vs ~ WORKING AND NONWORKING
RIGHT AND WRONG ~ vs ~ WORKING AND NONWORKING
We as human beings have a tendency to default to wrong and right thinking when it comes to problem solving. That may work on a carburetor; it does not work on hearts and minds of men and women.
Dean N Nixon
Seminar Director, Life Coach
Brief Motivational Interventions are Effective
Statistics show that there is a far higher than average rate of drinking among college students, especially binge drinking. Using the Stages of Change to assess how ready a college student with a problem drinking pattern is to changing their behavior, but more importantly using motivational interviewing techniques as a brief intervention method to interrupt and change unhealthy drinking patterns was the focus in a recent study at Syracuse University (Carey, Henson, Carey, & Maisto, 2007). The efficacy of Brief Motivational Interventions (BMI) was investigated and evidence indicated that (BMI’s) reduce risky alcohol use (Carey, Henson, Carey, & Maisto, 2007).
In this study the authors hypothesized that Brief Motivational Interventions would be more effective when: 1) They were ready, according to Prochaska’s (Stages of Change) stages. 2) They had better self-regulation skills. 3)They had more awareness in social comparison. 4) They had lower present time perspective and higher future time perspective. 5) That women would be more effected by (BMI’s) (Carey, Henson, Carey, & Maisto, 2007).
The study proved that readiness for change and better self-regulation had a great effect on one’s ability to reduce the number of drinks and reduce blood alcohol content but there was no direct correlation to the use of (BMI’s) as the intervention, it was just simply that they were better at self-regulating and they were ready to change (Carey, Henson, Carey, & Maisto, 2007).
The students that were more aware of social comparison were not affected by (BMI’s), that over time their social awareness would most likely reduce consumption but not due to the intervention (Carey, Henson, Carey, & Maisto, 2007). What I found most interesting is the student’s that did not have good future time perspective were affected more by (BMI’s) than those that did. Like the intervention caused them to think of future negative consequences they had never thought of before (Carey, Henson, Carey, & Maisto, 2007). The last hypothesis that women would be more affected by the interventions was found to not be true (Carey, Henson, Carey, & Maisto, 2007).
The most important finding is that Brief Motivational Interventions will promote the reduction of drinking regardless of the student’s readiness for change (Carey, Henson, Carey, & Maisto, 2007).
In the second study reviewed the authors were exploring if (BMI’s) would have a similar effectiveness in lowering college problem gambling as it did in lowering risky drinking patterns (Petry, Weinstock, Morasco, & Ledgerwood, 2008). The study showed high rates of almost pathological gambling in college students and that 23% gamble weekly or more, and that gambling levels may be effected by Motivational Enhancement Therapy (MET) and Cognative Behavioral Therapy (CBT) interventions (Petry, Weinstock, Morasco, & Ledgerwood, 2008).
The study like the Syracuse University study on problem drinking showed that if problem gamblers where to be identified and if (BMI’s) were used it would significantly lower gambling for up to 9 months in as high as two thirds of the population (Petry, Weinstock, Morasco, & Ledgerwood, 2008).
Based on the findings of these two studies colleges need to explore the use of regular (BMI’s) for these two problem populations. The students would be more effective in school and many negative side effects from problem drinking and gambling would be reduced. As was mentioned in the study the first thing would be to identify the students currently experiencing these problems (Petry, Weinstock, Morasco, & Ledgerwood, 2008). Using the stages of change to identify those that are ready for change, and finding the student’s that already have better self-regulation skills would by the process of elimination help in identifying the remaining students with these problems that may be most affected by (BAC’s) (Carey, Henson, Carey, & Maisto, 2007).
References
Carey, K. B., Henson, J. M., Carey, M. P., & Maisto, S. A. (2007). Which Heavy Drinking College Students Benefit From a Brief Motivational Intervention? Journal of Consulting and Clinical Psychology, 75(4), 663-669. doi:10.1037/0022-006X.75.4.663
Petry, N. M., Weinstock, J., Morasco, B. J., & Ledgerwood, D. M. (2009). Brief motivational interventions for college student problem gamblers. Addiction. doi:10.1111/j.1360-0443.2009.02652.x
Understanding Shame
A train of thoughts — a recovering addict.
Is it about just life there is to it? Or, more than that? One may definitely wonder about the known and not-so-known things to life, but not the unseen aspect; just the other side of life where some of the addicts tread to. No longer content with their lives they go to unimaginable lengths to fulfill their basic need: to escape!
But, there is a different angle to it! A more positive line of thought where the feeling of need vanishes and the feeling of giving back dominates our train of thoughts. It’s no more just about me; It’s about those around me too. How can I come to truce, where you are no longer gonna do it just for yourself but for others around you too.
There is a line, it’s still finite. Once you fall of it, it’s going to be the end of it. That…
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