Addiction or recovery? Enabling change. Dr Clare Fleming GP, Compass Health

Size: px
Start display at page:

Download "Addiction or recovery? Enabling change. Dr Clare Fleming GP, Compass Health"

Transcription

1 Addiction or recovery? Enabling change Dr Clare Fleming GP, Compass Health

2 Cycle of Change

3 Stages of change Not ready (pre-contemplation) Unsure (contemplation) Ready (preparation) Change in awareness Change in attitude Change in behaviour Relapse Changed (maintenance) Changing (action)

4 Why do people? Smoke Take drugs Drink alcohol Eat too much Have promiscuous sex Gamble machines or money markets

5 Why do people? Work excessive hours Go on spending sprees Take compulsive exercise Have co-dependent relationships

6 Reasons to drink 1. I like it; it makes me feel good 2. It helps me stop feeling bad 3. If I don t drink I feel ill 4. Dependence is the shift from: I want it I need it

7 B M S

8 B M S

9 Biopsychosocial Body genetics, neurochemistry, nutrition, organ damage Mind brain damage / thought patterns / habits Spirit Relationships: with self & others / culture / meaning of life IDENTITY Context external environment

10 Relationship Don t jump in Listen Build relationship Develop trust

11 Model of change Prochaska & DiClemente

12 PC Pre-contemplation Not even thinking about it

13

14 Denial The truth will set you free How do you find the truth that pierces through denial?

15 Reality check No. 1 feature of alcohol dependence is denial The underlying emotions are guilt & shame Is there a safe person with whom to look at the truth?

16 Take home key It s not what you do but who you are AUTHENTICITY

17 Motivational Style Empathy Am I different to you? Avoiding arguments I want a detox NO Rolling with resistance eg Toddlers Highlighting ambivalence: where their undesired behaviour contradicts their ambitions and self-image You said x and y Bolstering confidence that they can change for the better You have already

18 Consequences: Costs and benefits What good things happen when drink? What bad things can I avoid by drinking? What bad things happen when I drink? What good things do I miss out on if I drink?

19 Contemplation The thinking about it stage C

20 Frustration of the drinker I don t like this I think there is a problem I try to stop I can t What next?

21 Step 1: We admitted that we were powerless over alcohol, that our lives had become unmanageable

22 Step 2: We came to believe that a Power greater than ourselves could restore us to sanity.

23 Is there any hope? Able to accept help?

24

25 Attitude + - Authentic Kind Hopeful Expecting the best Consequence: Empowers the best Positive feedback loop Critical, hypocritical Rejecting Stigmatising Expecting the worst Outcome: Empowers the worst Negative feedback loop

26 Barriers to relationship?

27 Drug & alcohol Malnutrition Biochemical

28 Communication skills Education Illiteracy Reading glasses Memory poor

29 Mental health Personality disorders Attention Deficit and Hyperactivity Disorder Aspergers, autism Psychosis eg foot washing Depression & anxiety Examination issues (h/o abuse?)

30 Dual Diagnosis

31 Past experience - tinted spectacles Trauma: 80% homeless people had childhood trauma

32 Past experience Prejudice or abuse from people in authority (eg Pete s story) Medical experiences (eg A&E)

33 Self worth Rejection eg ball in park story Prioritising own needs Hygiene - waiting room / examination

34 Self worth

35 Environment - stability

36 Isolation & loneliness Lack of family / friend / support / advocate

37 Coping strategies Anger / aggression Short fuse Fear /avoidance / denial eg PR bleeding story upload.wikimedia.org/wikipedia/commons/thumb/0/0e/anger_controlls_him.jpg/640px-anger_controlls_him.jpg

38 Coping strategies Disconnection / emotional numbness

39 What do you do to mood alter? Have you ever thought about changing this habit? Have you ever tried to change it? How did you get on?

40 What makes change harder? H ungry? A ngry? L onely? T ired?

41 Ready for change? Is drink a friend or foe? What have you lost? Which is harder to carry on as you are or to change? What are the barriers to change?

42 Tipping point for change Pain of the status quo > pain of change

43 Preparation I know I want to, but I m not ready yet P

44 Increasing motivation for change Drinking Stop drinking + -

45 Bristol ROADS BSDAS =Secondary care BDP = Primary care DHI = carers and peers Also: Colston Fort =Secondary care alcohol

46 Bristol Specialist Drug & Alcohol Service Refer to ROADS Colston Fort Stokes Croft 6 Hub practices Acer Unit = in-patient DHI (Blackberry Centre) = South Glos DHI = BANES ARA = NS

47 Think wider Housing? Support? Food / fluids? Vitamins? What first? start simple make plans

48 Build on success What have you done before that went well? What skills enabled you to do that?

49 Action Doing it A

50 Maintenance Keeping to it, reinforcing change M

51 Relapse Going backwards R

52 Relapse Relapse is part of recovery What went well? Reinforce the positives What went wrong? Be specific What did you learn? What will you do differently next time? When to try again?

53 The way ahead: Recovery community People who live with a recovery mindset have a great capacity to inspire change in others. Social Networks Crabs in the bucket

54 The way ahead: Recovery community Are we a healthy community? Are we addicted to trying to make others better and ignoring our own needs? Recovery begins with Step 1: We admitted we were powerless over that our lives had become unmanageable.

55 Additional resources 12 step fellowship: AA 94 per week CBT model: SMART recovery 7 per week 12 step Dual diagnosis

56 Carer support Alcohol famanon.org.uk Drugs National Association for Children of Alcoholics Bristol S Bristol

57 Information resources Services throughout the region BME, crack use Sexual violence Bristol Against Violence & Abuse

58 Take home key It s not what you do but who you are

59 Take home keys Attitude: mutual respect Relentless kindness Firm boundaries Hope Listen for the story Think whole person/family Be realistic

60 Pro / con chart Body/mind/spirit Pictures Take home tools Drinking Stop drinking + -

Addiction or recovery? Enabling change. Dr Clare Fleming GP, Compass Health

Addiction or recovery? Enabling change. Dr Clare Fleming GP, Compass Health Addiction or recovery? Enabling change Dr Clare Fleming GP, Compass Health clare.fleming2@nhs.net What would you like to know about? How do you feel when you are dealing with an alcoholic who doesn t want

More information

Understanding the Stages of Change in the Recovery Process

Understanding the Stages of Change in the Recovery Process Understanding the s of Change in the Recovery Process STAGES OF CHANGE Pre- Contemplation Contemplation PERSON WHO HAS DEVELOPED AN EATING DISORDER The person does not believe they have a problem. Refusal

More information

BASIC VOLUME. Elements of Drug Dependence Treatment

BASIC VOLUME. Elements of Drug Dependence Treatment BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when

More information

Helping Patients Make Healthy Fistula Choices Craig R. Fisher, Ph.D., L.C.S.W. Slide 1. Slide 2. Slide 3. 1 of 19

Helping Patients Make Healthy Fistula Choices Craig R. Fisher, Ph.D., L.C.S.W. Slide 1. Slide 2. Slide 3. 1 of 19 1 Helping Patients Make Healthy Choices When the patient does not have a clue about the reasons they should or any desire to do so.. A training Module developed by the Patient Leadership Committee of Renal

More information

Inspiring and Supporting Behavior Change

Inspiring and Supporting Behavior Change Inspiring and Supporting Behavior Change A Food, Nutrition, and Health Professional s Counseling Guide Second Edition Cecilia Sauter, MS, RD, CDE, FAADE Ann Constance, MA, RD, CDE, FAADE Contents Foreword...vii

More information

What recovery means: Independent living. Control of symptoms. Active remission of substance use. Competitive employment

What recovery means: Independent living. Control of symptoms. Active remission of substance use. Competitive employment What recovery means: Independent living Control of symptoms Active remission of substance use Competitive employment Socialization with peers who do not use Satisfaction with life Getting finances in order

More information

VOLUME B. Elements of Psychological Treatment

VOLUME B. Elements of Psychological Treatment VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills

More information

Living with Kidney Cancer: Managing the Psychological Challenges

Living with Kidney Cancer: Managing the Psychological Challenges Living with Kidney Cancer: Managing the Psychological Challenges Dr Chris Hewitt Consultant Clinical Psychologist Beatson West of Scotland Cancer Centre What influences how we cope with cancer? Treatment

More information

13 Things Mentally Strong People Don t Do.

13 Things Mentally Strong People Don t Do. SUPPORTING SERVING AND FORMER MEMBERS OF THE ARMED FORCES, EMERGENCY 13 Things Mentally Strong People Don t Do. Mental strength isn't often reflected in what you do. It's usually seen in what you don't

More information

Motivating Behavior Change What Really Works?

Motivating Behavior Change What Really Works? Motivating Behavior Change What Really Works? Pre-Test Practice of Medicine 1 Christine M. Peterson, M.D. David Waters, Ph.D. Do You Know? Half of all deaths in the US are attributable to personal behavior,

More information

9/17/15. Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Case Western Reserve University

9/17/15. Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Case Western Reserve University Patrick Boyle, mssa, lisw-s, licdc-cs director, implementation services Center for Evidence-Based Practices @ Case Western Reserve University 1 What changes are residents you serve considering? What changes

More information

Quick Start Guide for Video Chapter 2: What Is Addiction?

Quick Start Guide for Video Chapter 2: What Is Addiction? Quick Start Guide for Video Chapter 2: What Is Addiction? Materials and Preparation Needed * Prepare to show the video on a TV or monitor. * Print the chapter 2 fact sheet, Addiction, for each client.

More information

Alcohol and mental health

Alcohol and mental health Alcohol and mental health Alcohol and mental health For many people, having an alcoholic drink is one of life s pleasures. For most of them that s not a problem, but some people have a troubled relationship

More information

Leadership Beyond Reason

Leadership Beyond Reason 1-Values... 2 2-Thoughts... 2 Cognitive Style... 2 Orientation to Reality... 2 Holding Opposing Thoughts... 2 Adapting to New Realities... 2 Intuition... 2 Creativity... 3 Cognitive Distortions... 3 Observe

More information

Conquering Chemical Dependency Step 1 Admitting My Powerlessness

Conquering Chemical Dependency Step 1 Admitting My Powerlessness Conquering Chemical Dependency Step 1 Admitting My Powerlessness We admit that by ourselves we are powerless over chemical substances, that our lives have become unmanageable Memory verse: Proverbs 14:12

More information

MOTIVATIONAL INTERVIEWING

MOTIVATIONAL INTERVIEWING MOTIVATIONAL INTERVIEWING Facilitating Behaviour Change Dr Kate Hall MCCLP MAPS Senior Lecturer in Addiction and Mental Health School of Psychology, Faculty of Health, Deakin University. Lead, Treatment

More information

Therapeutic Conversations:

Therapeutic Conversations: Therapeutic Conversations: Promoting Self-Management for Clients with Chronic Conditions Using CBT and Motivational Interviewing Concepts Kyle Schalk, Ph.D, RPsych Kimberly Price, BScOT Listening and Letting

More information

COURSE GUIDE

COURSE GUIDE 2018-2019 COURSE GUIDE WELCOME TO THRIVE LEARNING CENTRE! 2018-2019 COURSES & WORKSHOPS We believe that through the power of relationships and safe learning environments, people are empowered to take steps

More information

It s Mental Health Week!

It s Mental Health Week! It s Mental Health Week! This year, the Canadian Mental Health Association (CMHA) presents Mental Health Week from May 5 th to May 11 th. CMHA is launching a Be Mind Full initiative asking Canadians if

More information

Trauma and Transformation: A 12-Step Guide. Rivka A. Edery, M.S.W., L.C.S.W. Psychotherapist, New York City, U.S.A.

Trauma and Transformation: A 12-Step Guide. Rivka A. Edery, M.S.W., L.C.S.W. Psychotherapist, New York City, U.S.A. Trauma and Transformation: A 12-Step Guide Rivka A. Edery, M.S.W., L.C.S.W. Psychotherapist, New York City, U.S.A. www.rivkaedery.com The Twelve Steps of Alcoholics Anonymous as an adjunct for traumarecovery.

More information

Understanding Complex Trauma

Understanding Complex Trauma Understanding Complex Trauma Frightening events can have lasting effects Trauma and Homelessness Team Carswell House Dennistoun Glasgow G31 2HX Tel: 0141 232 0114 Fax: 0141 232 0131 General enquiries email:

More information

YOU ARE NOT ALONE Health and Treatment for HIV Positive Young Men of Color

YOU ARE NOT ALONE Health and Treatment for HIV Positive Young Men of Color Model YOU ARE NOT ALONE Health and Treatment for HIV Positive Young Men of Color FOREWORD HIV is a common risk for young men of color. In 2006, young men of color accounted for about 70% of new HIV infections

More information

How DBT Skills Training Enhances Individual Counseling. Susan Marcus LCSW

How DBT Skills Training Enhances Individual Counseling. Susan Marcus LCSW How DBT Skills Training Enhances Individual Counseling Susan Marcus LCSW susanrosemarcus@gmail.com 980-475-1441 I Was in Hell I honestly didn t realize at the time that I was dealing with myself, Marsha

More information

The Power of Feedback

The Power of Feedback The Power of Feedback 35 Principles for Turning Feedback from Others into Personal and Professional Change By Joseph R. Folkman The Big Idea The process of review and feedback is common in most organizations.

More information

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders Presented by: Rick Krueger, MA, LPCC, LADC, CBIS Clinical Director Objectives 1. Learn definitions of resiliency

More information

29/05/2014. Motivational Approaches: Supporting Individuals With Complex Needs. Triangle Community Resources. Diverse and Complex Characteristics

29/05/2014. Motivational Approaches: Supporting Individuals With Complex Needs. Triangle Community Resources. Diverse and Complex Characteristics Motivational Approaches: Supporting Individuals With Complex Needs Triangle Community Resources Long history of delivering services specifically for Multi barriered individuals Extensive experience assisting

More information

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders

Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders Building Resiliency for Clients with Mental Health, Cognitive and Substance Use Disorders Presented by: Rick Krueger, MA, LPCC, LADC, CBIS Clinical Director 1 Webinar Objectives 1. Learn definitions of

More information

Motivating Behavior Change What Really Works? Pre-Test

Motivating Behavior Change What Really Works? Pre-Test Motivating Behavior Change What Really Works? Practice of Medicine I Christine M. Peterson, M.D. Terry Saunders, Ph.D. Pre-Test Among deaths in the U.S. that occur prematurely, the per cent attributable

More information

MATCP When the Severity of Symptoms Interferes with Progress

MATCP When the Severity of Symptoms Interferes with Progress MATCP 2017 When the Severity of Symptoms Interferes with Progress 1 Overview Stages of Change, or Readiness for Change Changing Behavior Medication Adherence Disruptive Behaviors Level of Care Tools including

More information

Suggested topics to review with your students

Suggested topics to review with your students Working with Students: Building Blocks for Motivational Interviewing and Brief Intervention Strategies Jason R. Kilmer, Ph.D. University of Washington Associate Professor Psychiatry & Behavioral Sciences

More information

Fundamentals of Brief Cessation Counseling Approaches

Fundamentals of Brief Cessation Counseling Approaches Fundamentals of Brief Cessation Counseling Approaches Jamie S. Ostroff Ph.D. Director, Smoking Cessation Program Memorial Sloan Kettering Cancer Center Co-Project Leader Queens Quits! Cessation Center

More information

7/7/2016 Journal of the American Medical Association,

7/7/2016 Journal of the American Medical Association, 1 2 Journal of the American Medical Association, 2008 3 The Clinical Trial 152 Adolescents and Young Adults (Age 15 to 21) randomly assigned to either; 1. 2 weeks of Buprenorphine detox 2. 12 weeks of

More information

Introduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018

Introduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018 Introduction to Stages of Change and Change Talk in Motivational Interviewing Lisa Kugler, PsyD. March 29, 2018 Workshop Objectives Participants will be able to identify 3 key elements of motivational

More information

Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training

Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Motivational Interviewing Maureen P. Scahill, NP, MS Center for Health & Behavioral Training Infectious Disease Division, Department of Medicine, University of Rochester Medical Center STD/HIV Program,

More information

What Stimulates Change? Translating Motivational Interviewing Theory into Practice

What Stimulates Change? Translating Motivational Interviewing Theory into Practice Influential Person Exercise What Stimulates Change? Translating Motivational Interviewing Theory into Practice! Bring to mind someone in your life who isn t particularly helpful! What are their qualities?!

More information

The Counselor s Role in Medication-Assisted Recovery. Challenges, Tools and Tips. Gary Blanchard, MA, LADC1. Workshop Objectives

The Counselor s Role in Medication-Assisted Recovery. Challenges, Tools and Tips. Gary Blanchard, MA, LADC1. Workshop Objectives Workshop Objectives The Counselor s Role in Medication-Assisted Recovery Challenges, Tools and Tips Gary Blanchard, MA, LADC1 Recognize the challenges related to medicationassisted recovery. Identify how

More information

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR

Motivational Interviewing in Healthcare. Presented by: Christy Dauner, OTR Motivational Interviewing in Healthcare Presented by: Christy Dauner, OTR The Spirit of MI Create an atmosphere of acceptance, trust, compassion and respect Find something you like or respect about every

More information

Effective treatment strategies for individuals with Substance Use Disorder and Brain Injury.

Effective treatment strategies for individuals with Substance Use Disorder and Brain Injury. Annette Pearson MS, LADC, CBIS Mind Matters Conference 2018 Effective treatment strategies for individuals with Substance Use Disorder and Brain Injury. The presentation will discuss how the brain changes

More information

VOLUME B. Elements of Psychological Treatment

VOLUME B. Elements of Psychological Treatment VOLUME B Elements of Psychological Treatment VOLUME B MODULE 1 Drug dependence and basic counselling skills Biology of drug dependence Principles of drug dependence treatment Basic counselling skills for

More information

Mental Health in Youth: Symptoms, Treatment, Resources, and Hope. Town Hall Meeting Presentation Dr. June Restrepo January 24, 2019

Mental Health in Youth: Symptoms, Treatment, Resources, and Hope. Town Hall Meeting Presentation Dr. June Restrepo January 24, 2019 Mental Health in Youth: Symptoms, Treatment, Resources, and Hope Town Hall Meeting Presentation Dr. June Restrepo January 24, 2019 Our ultimate focus is on Jesus Christ, not on the fallen world 2 Corinthians

More information

Is there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change?

Is there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change? This material has been prepared by the Massachusetts Smoker's Quitline, a program of the American Cancer Society. STAGES OF CHANGE Research on addiction and behavior change done by Prochaska and DiClemente,

More information

Caring for Someone with an Eating Disorder. nedc.com.au

Caring for Someone with an Eating Disorder. nedc.com.au Caring for Someone with an Eating Disorder nedc.com.au 2015 This work is copyright. You may download, display, print and reproduce this material in unaltered form only (retaining this notice) for your

More information

An introduction to providing trauma informed services

An introduction to providing trauma informed services An introduction to providing trauma informed services TIC - for volunteers 1. Why this presentation 2. Trauma, neglect and attachment 3. Working in a trauma informed way as a volunteer 4. Looking after

More information

The Co-Occurring Disorders Treatment Program

The Co-Occurring Disorders Treatment Program G R O U P D E S C R I P T I O N S The Co-Occurring Disorders Treatment Program is designed to provide a continuum of services to the substance abusing and dually diagnosed populations. These services include

More information

Motivating Behavior Change What Really Works?

Motivating Behavior Change What Really Works? Motivating Behavior Change What Really Works? Practice of Medicine Christine M. Peterson, M.D. Pre-Test Do You Know? Half of all deaths in the US are attributable to personal behavior, including: Tobacco

More information

Treatment Approaches for Individuals with Brain Injury. Welcome!

Treatment Approaches for Individuals with Brain Injury. Welcome! 5/10/16 Treatment Approaches for Individuals with Brain Injury www.ndbin.org 855-866-1884 Help for Today, Hope for Tomorrow. Welcome! Todays training is the last in a four part series on brain injury.

More information

Treatment and the Recovery Process. Treatment Options. Treatment Options. Hagedorn MHS

Treatment and the Recovery Process. Treatment Options. Treatment Options. Hagedorn MHS Treatment and the Recovery Process W. Bryce Hagedorn, PhD, LMHC, NCC, MAC Treatment Options Settings Inpatient Hospitalization Short term ( days) used for detox, stabilization, & safety Inpatient Residential

More information

SBIRT for Adolescents. Win Turner PhD & Jody Kamon PhD Vermont SBIRT Program

SBIRT for Adolescents. Win Turner PhD & Jody Kamon PhD Vermont SBIRT Program SBIRT for Adolescents Win Turner PhD & Jody Kamon PhD Vermont SBIRT Program Many slides have been adopted from Sharon Levy MD, 2015 Disclosures We have no relevant financial relationships to disclose or

More information

LIFE INTEGRATION THERAPIES, PC., INC. KAY WHITEHEAD, MSW., LCSW., FT. 23 E.39 th St. INDIANAPOLIS, IN CLIENT HISTORY FORM

LIFE INTEGRATION THERAPIES, PC., INC. KAY WHITEHEAD, MSW., LCSW., FT. 23 E.39 th St. INDIANAPOLIS, IN CLIENT HISTORY FORM LIFE INTEGRATION THERAPIES, PC., INC. KAY WHITEHEAD, MSW., LCSW., FT. 23 E.39 th St. INDIANAPOLIS, IN 46205 317-626-3626 CLIENT HISTORY FORM Name Date Address City St Zip Home Phone Work Cell Email (if

More information

Motivational Enhancement Therapy & Stages of Change

Motivational Enhancement Therapy & Stages of Change Motivational Enhancement Therapy & Stages of Change Learning Objectives Participants will be able to: 1) Identify the stages of change and how they can be implemented 2) Describe the principles of MET

More information

KAP KEYS Based on TIP 34 Brief Interventions and Brief Therapies for Substance Abuse. Knowledge Application Program. KAP Keys.

KAP KEYS Based on TIP 34 Brief Interventions and Brief Therapies for Substance Abuse. Knowledge Application Program. KAP Keys. KAP KEYS Based on TIP 34 Knowledge Application Program KAP Keys For Clinicians Based on TIP 34 Brief Interventions and Brief Therapies for Substance Abuse KAP KEYS Based on TIP 34 2 Introduction These

More information

Psychological reaction to real or probable risk of HIV infection

Psychological reaction to real or probable risk of HIV infection Psychological reaction to real or probable risk of HIV infection Dorota Merecz HIV/AIDS, well-being and mental health problems 1 Critical events in HIV positives diagnosis Disclose HIV diagnosis to family

More information

HELPING PEOPLE STOP SMOKING

HELPING PEOPLE STOP SMOKING HELPING PEOPLE STOP SMOKING Using motivational interviewing skills JENNIFER PERCIVAL RGN. RM.RHV. FETC Counselling Dip RCN TOBACCO POLICY ADVISOR TOBACCO IS A SERIOUS PROBLEM In the year 2000 1 in every

More information

A PROCESS FOR DEVELOPING EMOTIONAL RESOURCES: How much of yourself do you own?

A PROCESS FOR DEVELOPING EMOTIONAL RESOURCES: How much of yourself do you own? A PROCESS FOR DEVELOPING EMOTIONAL RESOURCES: How much of yourself do you own? Ruby K. Payne, PhD Handouts www.ahaprocess.com Handouts for A Process for Developing Emotional Resources 2013 by aha! Process,

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,

More information

Client Care Counseling Critique Assignment Osteoporosis

Client Care Counseling Critique Assignment Osteoporosis Client Care Counseling Critique Assignment Osteoporosis 1. Describe the counselling approach or aspects of different approaches used by the counsellor. Would a different approach have been more appropriate

More information

Step One. We admitted we were powerless over our addictions and compulsions --that our lives had become unmanageable.

Step One. We admitted we were powerless over our addictions and compulsions --that our lives had become unmanageable. Step One We admitted we were powerless over our addictions and compulsions --that our lives had become unmanageable. I know that nothing good lives in me, that is, in my sinful nature. For I have the desire

More information

Transition Stabilization Early Recovery Middle Recovery Late Recovery Maintenance 1. Resolving the for help. 2. Recovery from

Transition Stabilization Early Recovery Middle Recovery Late Recovery Maintenance 1. Resolving the for help. 2. Recovery from Transition Stabilization Early Recovery Middle Recovery Late Recovery Maintenance 1. Recognition of the need 1. Full conscious 1. Resolving the 1. Recognizing the 1. Maintain a recovery for help. recognition

More information

This Handbook starts by helping you understand some new ideas, which may help reduce some of the fears and anxiety you may have about recovery.

This Handbook starts by helping you understand some new ideas, which may help reduce some of the fears and anxiety you may have about recovery. Getting Started Where do I start? When you decide to change your life, especially after years of unhealthy behaviors, it can seem intimidating and overwhelming. We know most of us involved in writing this

More information

Soul of leadership workshop. Patricia E. Molina, MD, PhD What I learned

Soul of leadership workshop. Patricia E. Molina, MD, PhD What I learned Soul of leadership workshop Patricia E. Molina, MD, PhD What I learned Minds Our minds grow in relationships with other minds. We can t grow without relationships. We are only potential Concepts Listening:

More information

Chapter 3 Self-Esteem and Mental Health

Chapter 3 Self-Esteem and Mental Health Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.

More information

The ABC s of Trauma- Informed Care

The ABC s of Trauma- Informed Care The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding

More information

How to Choose a Counsellor

How to Choose a Counsellor How to Choose a Counsellor Many survivors of sexual assault, sexual abuse, or other forms of violence find counselling to be a helpful part of their recovery process. Counselling can accelerate the relief

More information

Working with Individuals with Mental Health Issues

Working with Individuals with Mental Health Issues Working with Individuals with Mental Health Issues HPOG Grantee Meeting Washington D.C. August 1, 2018 Kath Schilling M.Ed., CAS, LADC I Institute for Health and Recovery www.healthrecovery.org 2 What

More information

IOM Conceptualization and Problem Gambling Public Health Interventions

IOM Conceptualization and Problem Gambling Public Health Interventions Evidence of high risk of gambling problems among individuals diagnosed with substance use and mental health disorders. Not addressing gambling issues decreases treatment effectiveness and adds to treatment

More information

Trigger. Myths About the Use of Medication in Recovery BUPRENORPHINE TREATMENT: A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS

Trigger. Myths About the Use of Medication in Recovery BUPRENORPHINE TREATMENT: A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS BUPRENORPHINE TREATMENT: A TRAINING FOR MULTIDISCIPLINARY ADDICTION PROFESSIONALS Module VI Counseling Buprenorphine Patients Myths About the Use of Medication in Recovery! Patients are still addicted!

More information

Introduction to Motivational Interviewing in NAS Interventions

Introduction to Motivational Interviewing in NAS Interventions Introduction to Motivational Interviewing in NAS Interventions Daniel Raymond Tanagra M. Melgarejo Workshop Overview 1 Training Objectives By the end of this session you will be able to: Describe the fundamental

More information

The Utilization of Motivational Interviewing Techniques with Consumers of Color

The Utilization of Motivational Interviewing Techniques with Consumers of Color The Utilization of Motivational Interviewing Techniques with Consumers of Color By Dr. Allen E. Lipscomb, PsyD, LCSW What is MI? a collaborative, person-centered form of guiding to elicit and strengthen

More information

Chrysalis Girls Program. Evaluation Report 2010

Chrysalis Girls Program. Evaluation Report 2010 1 Chrysalis Girls Program Evaluation Report 2010 2 Background The Chrysalis Girls Program is a prevention based youth development and support program conceived by young women for young women. Chrysalis

More information

Perfectionism: what it is and how to combat its negative effects

Perfectionism: what it is and how to combat its negative effects Perfectionism: what it is and how to combat its negative effects Alan Percy and Dr Sarah Leung Student Welfare and Support Services Wednesday 1 October 2014 WHAT IS PERFECTIONISM? My bias is that perfection

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Barbara M. Miller, RN, CEC Robin Seabury, MS WVU School of Nursing And Finally What Do You Want To Leave With Today? Change Remember, change is much larger than behavior.

More information

FASD Prevention and Health Promotion Resources

FASD Prevention and Health Promotion Resources FASD PREVENTION AND HEALTH PROMOTION RESOURCES FASD Prevention and Health Promotion Resources Module 2 Brief Intervention and Motivational Interviewing September 2017 Review Module 1: What is FASD? Module

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing April Wiechmann, PhD Assistant Professor Associate Director of the Memory Disorders Clinic Department of Geriatrics Adapted with permission from Dr. Susan Franks and Dr. James

More information

Motivational Interviewing Enhancing Motivation to Change Strategies

Motivational Interviewing Enhancing Motivation to Change Strategies Motivational Interviewing Enhancing Motivation to Change Strategies Learning Objectives At the end of the session, you will be able to 1. Describe the stages of change. 2. Demonstrate at least two methods

More information

Motivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017

Motivational Interviewing in Chronic Diseases. Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Janelle W. Coughlin, Ph.D. Megan Lavery, Psy.D.. April 21, 2017 Motivational Interviewing in Chronic Diseases Presenter Names: Janelle W. Coughlin, Ph.D. &

More information

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims

Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Neurobiology of Sexual Assault Trauma: Supportive Conversations with Victims Jim Hopper, Ph.D. November 2017 Handout 1: Using Neurobiology of Trauma Concepts to Validate, Reassure, and Support Note: In

More information

Helping Patients Make Healthy Choices

Helping Patients Make Healthy Choices Helping Patients Make Healthy Choices When the patient does not have a clue about the reasons they should or any desire to do so.. A training Module developed by the Patient Leadership Committee of Renal

More information

The FASTER Scale FLESH SERIES. FACTS ABOUT THE FASTER SCALE (From Living Free 1 )

The FASTER Scale FLESH SERIES. FACTS ABOUT THE FASTER SCALE (From Living Free 1 ) The FASTER Scale FLESH SERIES Forgetting Priorities Anxiety Speeding Up Ticked Off Exhausted Relapse Look at the FASTER Scale on the following pages as you read this description or check out the online

More information

Removing Barriers to Engaging the Client Support System

Removing Barriers to Engaging the Client Support System Removing Barriers to Engaging the Client Support System BIRGITTE EPPEL MA LADC LAMFT Assessing client needs Barriers-provider and client Methods of engaging the client s support system Psychoeducational

More information

How to be a great autistic individual employer

How to be a great autistic individual employer How to be a great autistic individual employer How to be a great autistic individual employer Published by Skills for Care, West Gate, 6 Grace Street, Leeds LS1 2RP www.skillsforcare.org.uk and Skills

More information

SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT

SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT SECTION 8 SURVIVOR HEALING MAINE COALITION AGAINST SEXUAL ASSAULT SECTION 8: SURVIVOR HEALING SURVIVOR HEALING INTRODUCTION Healing from any type of sexual violence is a personal journey and will vary

More information

Parent and Carer Workshop

Parent and Carer Workshop Parent and Carer Workshop Gemma Fieldsend cwmt.org.uk Our Vision Our Vision Our vision is of a world where people understand and talk openly about depression, where young people know how to maintain wellbeing,

More information

Creating Opportunities for Success: Working with Trauma Survivors in the Shelter Setting

Creating Opportunities for Success: Working with Trauma Survivors in the Shelter Setting University of Massachusetts Medical School escholarship@umms Systems and Psychosocial Advances Research Center Publications and Presentations Psychiatry 11-2010 Creating Opportunities for Success: Working

More information

Changing People s Behavior. Larry Wissow Professor Health, Behavior and Society Johns Hopkins School of Public Health

Changing People s Behavior. Larry Wissow Professor Health, Behavior and Society Johns Hopkins School of Public Health This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this

More information

STAGE OF CHANGE & TX PLANNING-11/19 1

STAGE OF CHANGE & TX PLANNING-11/19 1 1 PROCHASKA AND DICLEMENTE: STAGE of CHANGE MODEL 2 3 STAGE OF CHANGE & TX PLANNING-11/19 1 Is there anything about your alcohol or drug use you would like to change? Pre-contemplation I don t have a problem

More information

Building Resilience through Authentic Relationships Maggie Hartzler, LISW CTP School Based Therapist

Building Resilience through Authentic Relationships Maggie Hartzler, LISW CTP School Based Therapist Building Resilience through Authentic Relationships Maggie Hartzler, LISW CTP School Based Therapist mhartzler@tanagerplace.org Sometimes the bravest and most important thing you can do is just show up.

More information

Reflections on Motivational Interviewing

Reflections on Motivational Interviewing Reflections on Motivational Interviewing Cardiff September 27, 2011 1983 1991 MI-1 2002 MI-2 2008 2012 MI-3 2022 MI-4 X Generalized Principles of MI 1. Express Empathy 2. Develop Discrepancy 3. Avoid

More information

Developing Resilience. Hugh Russell.

Developing Resilience. Hugh Russell. Developing Resilience Hugh Russell Email: hugh@thinking.ie www.thinking.ie Objectives By the end of the workshop you will be able to - define resilience and explain it's link with emotional intelligence

More information

7 STEPS TO INNER CONNECTION

7 STEPS TO INNER CONNECTION 7 STEPS TO INNER CONNECTION A practice that brings more joy, peace and harmony within you Welcome to Inner Connection. Inner Connection is a process that helps turn separation into connection. Our mission

More information

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational

Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational Welcome to Motivational Interviewing Enhancing Motivation to Change Strategies. This is the third module that you ll be taking about motivational interviewing. 1 The goals for this session are listed on

More information

Priory Hospital Glasgow

Priory Hospital Glasgow www.priorygroup.com GLASGOW Priory Hospital Glasgow Addiction Treatment Programme Take the first step to recovery A real and lasting difference for everyone we support We believe that anyone who is struggling

More information

handouts for women 1. Self-test for depression symptoms in pregnancy and postpartum Edinburgh postnatal depression scale (epds) 2

handouts for women 1. Self-test for depression symptoms in pregnancy and postpartum Edinburgh postnatal depression scale (epds) 2 handouts for women 1. Self-test for depression symptoms in pregnancy and postpartum Edinburgh postnatal depression scale (epds) 2 2. The Cognitive-Behaviour Therapy model of depression 4 3. Goal setting

More information

Living with frailty : older people s experiences and the role of the voluntary sector

Living with frailty : older people s experiences and the role of the voluntary sector Living with frailty : older people s experiences and the role of the voluntary sector Tom Gentry Joint Head of Health Influencing 28 September 2017 1. What have we learnt about older people s experience

More information

Stage Based Interventions for Tobacco Cessation

Stage Based Interventions for Tobacco Cessation Precontemplation Stage Based Interventions for Tobacco Cessation Relapse Contemplation Preparation Action Maintenance Theoretical and practical considerations related to Movement through the Stages of

More information

Cognitive Behavioral and Motivational Approaches to Chronic Pain. Joseph Merrill MD, MPH University of Washington October 14, 2017

Cognitive Behavioral and Motivational Approaches to Chronic Pain. Joseph Merrill MD, MPH University of Washington October 14, 2017 Cognitive Behavioral and Motivational Approaches to Chronic Pain Joseph Merrill MD, MPH University of Washington October 14, 2017 Motivational and Cognitive Behavioral Approaches Assessment basics Components

More information

Newcomer Asks. This is A.A. General Service Conference-approved literature.

Newcomer Asks. This is A.A. General Service Conference-approved literature. A Newcomer Asks This is A.A. General Service Conference-approved literature. Alcoholics Anonymous is a fellowship of men and women who share their experience, strength and hope with each other that they

More information

The only thing constant in life is change.

The only thing constant in life is change. Mentally Preparing for Life s Transitions AKA: The Psychology of Transition Presented by: Robynn Moraites Executive Director NC Lawyer Assistance Program It has become cliché The only thing constant in

More information

UNDERSTANDING THE PSYCHOLOGICAL IMPACT OF A COLORECTAL CANCER DIAGNOSIS

UNDERSTANDING THE PSYCHOLOGICAL IMPACT OF A COLORECTAL CANCER DIAGNOSIS UNDERSTANDING THE PSYCHOLOGICAL IMPACT OF A COLORECTAL CANCER DIAGNOSIS Dr Claire Delduca, Macmillan Clinical Psychologist Velindre Cancer Centre, Cardiff Aims Understanding the impact of a diagnosis of

More information

Alcohol and older people: learning for practice

Alcohol and older people: learning for practice Alcohol and older people: learning for practice About this guide This practice guide is for all health and social care practitioners who work with older people aged 50 years and above. It is a brief aid

More information

RELAPSE PREVENTION THERAPY

RELAPSE PREVENTION THERAPY RELAPSE PREVENTION THERAPY Stages of Change Model (Prochaska & Diclemente, 1992) Relapse Prevention Abstinence Lapse- first episode of drug intake after a period of abstinance Relapse- episode of backsliding

More information