By Christos Kouimtsidis, Paul Davis, Martine Reynolds, Colin Drummond, Nicholas Tarrier
Treating people with a substance misuse challenge might be hard, specially if consumers current with a number of difficulties concerning the most dependancy. Clinicians can think at a loss as to the place to start, or revert to an try and deal with underlying difficulties - ignoring harmful facets of the substance misuse itself. from time to time referral to experts could seem the one dependable manner ahead. Written via a group of medical lecturers within the box of addictions, Cognitive-Behavioural remedy within the therapy of Addictions is a prepared reference for clinicians that provides a quick, evidence-based, collaborative procedure that begins right here and now. shopper and therapist embark jointly on a trip to take on the matter in a pragmatic approach. The ebook contains consultation instruments, worksheets and day-by-day concept documents.
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Additional resources for Cognitive-Behavioural Therapy in the Treatment of Addiction: A Treatment Planner for Clinicians
For example, the pharmacological effects of drugs are internal cues for use (either to maintain the good mood after using cocaine, or the day after to recover from low mood). Beck acknowledges that individuals are not always aware of this process, and in particular long-term use (for reasons such as avoidance of unpleasant withdrawal symptoms) can lead to automatized repetitive behaviour (facilitating beliefs, or even action to get drug can follow directly internal or external cues, bypassing the cognitive process).
However, they may experience and urges some problems in the early stages of stabilization. The experience of craving may be related to an elaborative sequence of drug-related, as well as automatic thoughts, which is the cognitive element of craving, for example imagining the sequence of buying heroin and using it; thoughts about self-efficacy. g. ‘a hit right now would make me feel good’, or ‘I need alcohol to relax’). Dissonance is associated with the experience of anxiety and ambivalence which the individual wants to exit/resolve.
Emphasis on enhancing motivation and engaging clients in the early days of treatment is crucial. Mental health complications of stimulant use are common and include depression, self-harm and psychosis, therefore the relevant elective topics would be very helpful. The presence of withdrawal symptoms and their effect on the user are not so prominent as with alcohol or heroin users. Therefore stimulant users may believe that they are not dependent. Exploration of issues of control and uncovering the decision-making process may be more compatible with the user’s understanding of the problem.
Cognitive-Behavioural Therapy in the Treatment of Addiction: A Treatment Planner for Clinicians by Christos Kouimtsidis, Paul Davis, Martine Reynolds, Colin Drummond, Nicholas Tarrier