CEU Webinars with Karen Allen CCH and Alex Zaphiris MD. Adjuncts In Constitutional Care Opiate Addiction: Recognition and Recovery
|
|
- Andra Henry
- 8 years ago
- Views:
Transcription
1 CEU Webinars with Karen Allen CCH and Alex Zaphiris MD Adjuncts In Constitutional Care Opiate Addiction: Recognition and Recovery
2 Roadmap for Our Training Session Today Opiate Prescriptions An Epidemic Recognition of Opiate Addiction in Clients Elements of Addiction Recovery What Are Our Options Presentation by Josie Briggs, MD (NIH/NCCAM) We Got Issues, Getting Worse Appropriate Referrals for Addiction Support (in/after) Considering Homeopathic Options Advocacy for Homeopathy in Chronic Pain Questions?
3 Josie Briggs MD NIH / NCCAM Presentation September 2014
4 Josie Briggs MD NIH / NCCAM Presentation September 2014
5 We Got Issues... Let's own our societal biases drug addicts are losers and it is their own fault... your biases? Just Say No = drug users are morally flawed, weak, and if they just wanted to, they could get over it Despite adequate research to the contrary, this view is still widely held, at least unspoken in law enforcement, punitive legislation, media, societal views Family members of addicts experience great disruption how can he/she do this to me??? if he/she really loves me then why doesn't he/she stop using??? Attitude supports a TREATMENT GAP (8.4% of population in need and < 1% receives)
6 Let's Define It? To get rid of our biases, we need to REALLY UNDERSTAND THE PROCESS OF ADDICTION IN THE BRAIN Chronic, often relapsing brain disease that causes compulsive drug seeking and use Drug use continues despite harmful consequences to self and loved ones Drug use causes brain changes that disrupt self control, decision making, reward mechanisms Drug use often overlaps with other mental health issues
7 Normal Brains and Human Pleasures Normal brain chemistry includes healthy regulation of pleasure stimulation All pleasures register the same way (food, touch, sex, money, smile, drug) pleasure is a biological incentive to assure survival! Pleasure releases dopamine in the nucleus accumbens Healthy people seek pleasurable experiences in balance with all experience; they have regulation over desire and motivation Normal mechanisms of appetite / satiety Managed by the limbic system
8 Say Hello to Your Limbic System Latin Limbus meaning border or edge, sitting on the edge of the cortex where it meets the subcortical structures... maybe outmoded concept? but useful for us Collection of structures including hypothalamus, which sits atop the neuro-endocrine chain Functions include emotion, behavior, motivation, long term memory and olfaction Primary responsibility for emotional life, formation of memories Functional influence of endocrine system and autonomic nervous system
9 Say Hello to Your Limbic System All drugs of abuse cause a surge of dopamine (2-10x) through some mechanism (different for each drug) The likelihood of addiction from a substance or activity is directly linked to how fast, how intense, and how reliable the dopamine release generated Methods of use that create a larger, more reliable surge of dopamine are addictive Once the pleasure / reward mechanism in the brain has experienced this, other mechanisms record memory of rapid satisfaction and conditioned response to stimuli
10 Say Hello to Your Limbic System It's not just about pleasure Dopamine facilitates learning and memory Drug use hijacks the 'reward' mechanism in the brain and then remembers how GREAT it was, and motivates repetition The separate experiences of taking pleasure in something and seeking it out become intertwined, and the mechanisms of motivation center on seeking out pleasure The DRUG TEACHES THE PERSON TO REPEAT THE REWARDING BEHAVIOR OF DRUG ABUSE Opioid peptides act on pain and emotional centers some analgesic and some that induce pleasure or euphoria
11 Your Limbic System on Drugs Way too much dopamine overwhelms brain receptors Brain produces less dopamine or eliminates dopamine receptors Addict must take more of the drug to get the same response (developing drug tolerance / habituation) Compulsion begins Pleasure associated with the substance or activity wanes The memory of the pleasure, and the motivation to recreate it continues / conditioned response drives intense craving Conditioned responses respond to environmental cues that still trigger after many years of abstinence
12 Limbic System Drives Behavior Addiction criteria answer yes to any of these? Do you use MORE of the substance or engage in the activity MORE OFTEN than in the past? Do you have withdrawal symptoms if you omit the substance or activity? Have you ever lied to anyone about your use of the substance or participation in the activity?
13 Your Limbic System on Drugs Long term abuse impairs cognitive function Dopamine interacts with another neuro-transmitter, glutamate which is involved in ability to learn and rewards Disturbance of dopamine dysregulates glutamate When glutamate levels are not normal, then critical thinking, decision making, behavioral control, learning and memory are impacted In addiction, the healthy ability to perceive consequences and make choices in response is BROKEN The drive for the drug / activity REPLACES all other survival drives in the brain function
14 Introducing Alex Zaphiris MD SF Bay area physician Integrative Fellowship / University AZ New England School of Homeopathy Working with addiction Author of a self guided program to support patients with addiction recovery Free training for practitioners and clients January 21, 2016 at noon PT
15 Stats about Addiction In 2010, 1 in 20 people in the US (12 or older) reported using prescription painkillers for non-medical reasons in the past year 32 million Americans report having used an opiate for a non-medical reason at least once in their lives Nearly 2 million Americans are opiate dependent (1:150) YOU KNOW SOMEONE WITH THIS PROBLEM 25% of people on chronic rx opiates become addicted
16 Recognition of Addiction in Clients Addiction is the chief complaint Not admitted suspect when Physical or Emotional pain (addiction comes out of coping with the pain...) History of trauma (emo or phys) PTSD symptoms (Flashbacks, numb, hyperarousal) Depression Anxiety Family history of addiction (including alcohol) Reported pain medication use
17 Discussing Addiction with Clients Shame and guilt Approach most effective: Compassionate (NOT judgmental) Pain as a bridge Keeping yourself grounded in presence of pain Client may talk about the pain, not the drug use How to elicit drug use: Normalizing: Many people in your situation... Benefits: How do the drugs help... Downsides: Some people have trouble Motivational Interviewing (collaborating / curious / respecting autonomy)
18 Standard Recovery Approach and What is Missing?? Standard of Treatment: Therapy / 12 step / meds Methadone, suboxone, naltrexone What does this NOT include: Integrative approach, repair limbic system / dopamine How to repair neurochemistry, not just treat symptoms Food / diet / nutrients / neuro-nutrients Mind / body Case Stories of Success David and James
19 What Are Our Options: Appropriate Referrals Appropriate Referrals for Addiction Support American Society of Addiction Medicine American Academy of Pain Management Narcotics Anonymous Local therapist with addiction specialty Nutritional support similar to adrenal collapse / malnourish Acupuncturists trained in NADA protocol (withdrawal) Read David Sheff, author of Clean
20 Recovery Superstar
21 What Are Our Options: Homeopathic Remedies Look at the stage of addiction with the client Still robust (early in the process of addiction) Nux vomica 200c or OP 200c daily 5 days, re-evaluate Op or Morphinum or Heroinum 12c daily, re-evaluate 10 days Depleted / Long duration Valerianicum 12c in oral spray as needed for distress Apomorphia 3x 2-3 times daily for transitional support Constitutional Care adjust posology Consider daily dose with weekly intercurrent for drug support Gemmotherapy Linden (Lime Tree) / Fig 30 drops 3 times daily
22 What Are Our Options: Advocacy for Homeopathy in Chronic Pain Conditions Speak Up when there is opportunity Integrative Health Policy Consortium discussion with professional Pain Management organizations NH State Joint Task Force On Opioid Abuse Suzanne Smith CCH is a NH State Representative 4 homeopaths testified in support of inclusion of homeopathy request to include homeopathy in NH Opioids Emergency treatment bill amendment, allowing all drug treatment programs to allow CCH homeopaths to provide homeopathic care as an adjunct to traditional drug treatment
23 SO... are you ready to begin? Get Informed and Create Resource Materials Deal with your attitudes / judgements about addiction Put indicators for opioid addiction into your clinic ref notebook Check out RecoverySuperstar website Identify local practitioners for referral / make a list Gather your tools Some of the therapeutics we discussed are not available locally and unlikely to be in your office. Get them on site so you will be ready. Read the reference materials and become familiar with likely remedies so that you will recognize them when they are indicated Your Questions?
24 Webinar Opioid Addiction: Recognition and Recovery January 7, 2016 This document serves as verification that : has completed 1 hour of training with Karen Allen CCH and Alex Zaphiris, MD in client assessment and homeopathic therapeutics. These hours can be used to meet the pre-requisite formal training or continuing education criteria for the Council for Homeopathic Certification. Please print and keep as your record of attendance.
The Addicted Brain. And what you can do
The Addicted Brain And what you can do How does addiction happen? Addiction can happen as soon as someone uses a substance The brain releases a neurotransmitter called Dopamine into the system that makes
More informationBrain Damage & Recovery: The Resilience of the Brain, Addiction Impact & Therapeutic Repair. Michael Fishman, MD Director of Young Adult Program
Brain Damage & Recovery: The Resilience of the Brain, Addiction Impact & Therapeutic Repair Michael Fishman, MD Director of Young Adult Program How Addiction Takes Hold Large & rapid upsurges in dopamine
More informationFrequently asked questions
Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently asked questions What is Naltrexone? Naltrexone is a prescription drug that completely blocks the effects of all opioid drugs
More informationAddictions: Why Don t They Just Quit?
Counseling Center of New Smyrna Beach 265 N. Causeway New Smyrna Beach FL 32169 Ph: 386-423-9161 Fax: 386-423-3094 Addictions: Why Don t They Just Quit? By Shane Porter One of the most frustrating issues
More informationNaltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction. Frequently Asked Questions
Naltrexone Pellet Treatment for Opiate, Heroin, and Alcohol Addiction Frequently Asked Questions What is Naltrexone? Naltrexone is a prescription drug that effectively blocks the effects of heroin, alcohol,
More informationSubstance Addiction. A Chronic Brain Disease
Substance Addiction A Chronic Brain Disease What you will Learn Addiction is a Brain Disease Understand the Structure and Pathways Associated with changes in the brain. Addiction is a Chronic Condition
More informationDrugFacts: Treatment Approaches for Drug Addiction
DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please
More informationProduced and Published by The Cabin Chiang Mai, Alcohol and Drug Rehab Centre. Copyright 2013. and How is it Treated?
and How is it Treated? 1 About this book This E-book has been produced as a guide to help explain some of the fundamental things you need to understand about addiction and its treatment, starting with
More informationNaltrexone and Alcoholism Treatment Test
Naltrexone and Alcoholism Treatment Test Following your reading of the course material found in TIP No. 28. Please read the following statements and indicate the correct answer on the answer sheet. A score
More informationThe Cranium Connection
Your Brain! The brain is the command center of your body. It controls just about everything you do, even when you are sleeping. Weighing about 3 pounds, the brain is made up of many parts that all work
More informationMartha Brewer, MS, LPC,LADC. Substance Abuse and Treatment
Martha Brewer, MS, LPC,LADC Substance Abuse and Treatment What is a substance use disorder? Long-term and chronic illness Can affect anyone: rich or poor, male or female, employed or unemployed, young
More informationPrevention & Recovery Conference November 28, 29 & 30 Norman, Ok
Prevention & Recovery Conference November 28, 29 & 30 Norman, Ok What is Addiction? The American Society of Addiction Medicine (ASAM) released on August 15, 2011 their latest definition of addiction:
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call the
More informationSEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK
National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal
More informationUpdate and Review of Medication Assisted Treatments
Update and Review of Medication Assisted Treatments for Opiate and Alcohol Use Disorders Richard N. Whitney, MD Medical Director Addiction Services Shepherd Hill Newark, Ohio Medication Assisted Treatment
More informationOVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy
OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated
More informationPrescription Drug Abuse
Prescription Drug Abuse Introduction Most people take medicines only for the reasons their health care providers prescribe them. But millions of people around the world have used prescription drugs for
More informationOpiate Treatment for Aboriginal High School Students in Ontario
Opiate Treatment for Aboriginal High School Students in Ontario January 2014 1 CHALLENGE About 40% of the students at an Aboriginal high school in Thunder Bay Ontario (Canada) are known to be addicted
More informationIdentifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC
Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use
More informationEPIDEMIC 4.6 % OF INDIVIDUALS 18 25 USED PAIN RELIEVERS FOR NON-MEDICAL REASONS. 1.5 MILLION YOUNG ADULTS USED PAIN RELIEVERS IN THE PAST MONTH.
Drug Court EPIDEMIC In the 10 years (1997 2007) the per capita retail purchases of Methadone, Hydrocodone and Oxycodone in the United States increased 13-fold, 4-fold and 9-fold, respectively. 4.6 % OF
More informationThe Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction
The Results of a Pilot of Vivitrol: A Medication Assisted Treatment for Alcohol and Opioid Addiction James H. Barger, MD SAPC Medical Director and Science Officer Desiree A. Crevecoeur-MacPhail, Ph.D.
More informationOpioid overdose can occur when a patient misunderstands the directions
Facts About Opioid Overdose How Does an Overdose Occur? Opioid overdose can occur when a patient misunderstands the directions for use, accidentally takes an extra dose, or deliberately misuses a prescription
More informationTolerance and Dependence
Tolerance and Dependence Drug Tolerance is a decrease in the effect of a drug as a consequence of repeated exposure. Change over repeated exposures. Different effects may show different tolerance. Tolerance
More informationH-SOAP STUDY. Hospital-based Services for Opioid- and Alcohol-addicted Patients
H-SOAP STUDY Hospital-based Services for Opioid- and Alcohol-addicted Patients Meldon Kahan, Anita Srivastava, Kate Hardy, Sarah Clarke Canadian Society of Addiction Medicine 2014 October 17, 2014 1 Few
More informationSEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK
National Institute on Drug Abuse SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK U.S. Department of Health and Human National Institutes of Health SEEKING DRUG ABUSE TREATMENT: KNOW WHAT TO ASK The goal
More informationAddiction Medicine for FP / GP. Dr. Francisco Ward, DABPMR/PM SetonPainRehab.com setonpr@gmail.com
Addiction Medicine for FP / GP Dr. Francisco Ward, DABPMR/PM SetonPainRehab.com setonpr@gmail.com S Disease of Chemical Addiction Short Definition of Addiction (ASAM): Addiction is a primary, chronic disease
More informationPRESCRIPTION DRUG ABUSE prevention
PRESCRIPTION DRUG ABUSE prevention Understanding Drug Addiction Many people do not understand how someone could abuse drugs even when their life seems to be falling apart. It is often assumed that those
More information12 Steps to Changing Neuropathways. Julie Denton
12 Steps to Changing Neuropathways Julie Denton Review the neurobiology of the brain Understand the basics of neurological damage to the brain from addiction Understand how medications and psychotherapy
More informationOhio Legislative Service Commission
Ohio Legislative Service Commission Bill Analysis Brian D. Malachowsky H.B. 378 130th General Assembly () Reps. Smith and Sprague BILL SUMMARY Prohibits a physician from prescribing or personally furnishing
More informationThese changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level.
Substance-Related Disorders DSM-V Many people use words like alcoholism, drug dependence and addiction as general descriptive terms without a clear understanding of their meaning. What does it really mean
More informationEssentials about Substance Use, Abuse, Addictions, Divorce, and Divorce Attorneys
Essentials about Substance Use, Abuse, Addictions, Divorce, and Divorce Attorneys Use, Abuse and Addiction Social use once in a while, take it or leave it, truly no big deal Abuse: Beginning to become
More informationAddiction and the Brain's Pleasure Pathway: Beyond Willpower
Addiction and the Brain's Pleasure Pathway: Beyond Willpower The human brain is an extraordinarily complex and fine-tuned communications network containing billions of specialized cells (neurons) that
More informationPatients are still addicted Buprenorphine is simply a substitute for heroin or
BUPRENORPHINE TREATMENT: A Training For Multidisciplinary Addiction Professionals Module VI: Myths About the Use of Medication in Recovery Patients are still addicted Buprenorphine is simply a substitute
More informationADDICTIONS. BEHAVIOURAL Internet Shopping Work Sex Gambling Food. SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco
ADDICTIONS BEHAVIOURAL Internet Shopping Work Sex Gambling Food SUBSTANCE - RELATED Alcohol Drugs Medicine Tobacco Addiction is a chronic, relapsing disease affecting the brains's reward, motivation and
More informationUsing Drugs to Treat Drug Addiction How it works and why it makes sense
Using Drugs to Treat Drug Addiction How it works and why it makes sense Jeff Baxter, MD University of Massachusetts Medical School May 17, 2011 Objectives Biological basis of addiction Is addiction a chronic
More informationHow To Treat Anorexic Addiction With Medication Assisted Treatment
Medication Assisted Treatment for Opioid Addiction Tanya Hiser, MS, LPC Premier Care of Wisconsin, LLC October 21, 2015 How Did We Get Here? Civil War veterans and women 19th Century physicians cautious
More informationOpiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1
Opiate Addiction, Pharmacological Treatment Approaches CO-OCCURRING MENTAL HEALTH DISORDERS JOSEPH A. BEBO MA, CAGS, LADC1 Disclosure Statement Prevalence of Opioid Addiction 100 Individuals Die Every
More informationCalifornia WIC Program Presents. Substance Use: Alcohol & Drug Abuse Trainee Workbook
California WIC Program Presents Substance Use: Alcohol & Drug Abuse Trainee Workbook June 2013 Notes 2 Agenda 1. Welcome, Introductions, Agenda and Objectives 2. Warm-Up Activity 3. Stages of Addiction
More informationJoel Millard, DSW, LCSW Dave Felt, LCSW
Joel Millard, DSW, LCSW Dave Felt, LCSW 1. Provide an overview of the effectiveness of medication assisted treatment, to include a discussion of the different types of medications and how they are used
More informationTreatment for Alcohol Problems: Finding and Getting Help
Treatment for Alcohol Problems: Finding and Getting Help This guide is written for individuals, and their family and friends, who are looking for options to address alcohol problems. It is intended as
More informationOpiate Abuse and Mental Illness
visited on Page 1 of 5 LEARN MORE (HTTP://WWW.NAMI.ORG/LEARN-MORE) FIND SUPPORT (HTTP://WWW.NAMI.ORG/FIND-SUPPORT) GET INVOLVED (HTTP://WWW.NAMI.ORG/GET-INVOLVED) DONATE (HTTPS://NAMI360.NAMI.ORG/EWEB/DYNAMICPAGE.ASPX?
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)
More informationCocaine. Like heroin, cocaine is a drug that is illegal in some areas of the world. Cocaine is a commonly abused drug.
Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call
More informationWendy Richardson, MA, MFT, CAS. AddandAddiction.com (831) 479-4742 3121 Park Ave. Suit F Soquel, CA. 95073
Wendy Richardson, MA, MFT, CAS AddandAddiction.com (831) 479-4742 3121 Park Ave. Suit F Soquel, CA. 95073 Adolescents ADHD and Addiction Looking Down at the Problem AD/HD symptoms! Problems focusing attention!
More informationDrug Abuse and Addiction
Drug Abuse and Addiction Introduction A drug is a chemical substance that can change how your body and mind work. People may abuse drugs to get high or change how they feel. Addiction is when a drug user
More informationopiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380
opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100
More informationCo-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs
Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and
More informationHarm Reduction Strategies to Address Anxiety and Trauma. Presented by Jodi K. Brightheart, MSW
Harm Reduction Strategies to Address Anxiety and Trauma Presented by Jodi K. Brightheart, MSW What would you diagnose a client with the following symptoms? Frantic efforts to avoid being abandoned by friends
More informationLESSON 5.7 WORKBOOK Is addiction a chronic disease?
DEFINITIONS OF TERMS Addiction is a disease idea that states drug addiction is no different from other chronic diseases, like diabetes and heart disease, and thus needs to be treated as a distinct medical
More informationAlcohol and Chemical Dependency Inpatient Treatment Programs
Alcohol and Chemical Dependency Inpatient Treatment Programs Road to Recovery For the treatment of alcohol or chemical dependency, Marworth s specialized programs incorporate a person s unique lifestyle,
More informationSteps To Addiction Recovery Treatment
Make the S.T.A.R.T. Steps To Addiction Recovery Treatment A Guide to Start the Conversation about Substance Use Disorder, Treatment Options, & Referral to Quality Treatment Programs in Your Local Area
More informationUnderstanding Addiction: Squirrel Logic
Understanding Addiction: Squirrel Logic Brad Lander PhD, LICDC Clinical Director / Psychologist Talbot Hall Addiction Medicine at The Ohio State University Wexner Medical Center Addiction Lack of ability
More informationEPIDEMIOLOGY OF OPIATE USE
Opiate Dependence EPIDEMIOLOGY OF OPIATE USE Difficult to estimate true extent of opiate dependence Based on National Survey of Health and Mental Well Being: 1.2% sample used opiates in last 12 months
More informationAlcoholism In The Office SCOTT PAIST, III, M. D.
Alcoholism In The Office SCOTT PAIST, III, M. D. The Dopaminergic Mesolimbic System PFC= Prefrontal Cortex NA=Nucleus Accumbens VTA= Ventral Tegemntal Area A = Amygdala C = Caudate Nucleus The Limbic System
More informationMANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY
MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY Presented by: William L. Mock, Ph.D., LISW,LICDC, SAP Professional Training Associates Inc North Ridgeville, Ohio 1 (216) 299-9506
More informationWOMEN AND ADDICTION RECOVERY & HORMONAL SHIFTS
WOMEN AND ADDICTION RECOVERY & HORMONAL SHIFTS HANLEY CENTER, INC. CENTER FOR WOMEN S RECOVERY Presented by: Jeannie Provost Program Manager 561-841-1000 jprovost@hanleycenter.org OBJECTIVES OBJECTIVES
More informationTreating Addiction in Chronic Pain Patients A Clinical Journey. Brad Anderson, MD Chief, Department of Addiction Medicine Kaiser Permanente Northwest
Treating Addiction in Chronic Pain Patients A Clinical Journey Brad Anderson, MD Chief, Department of Addiction Medicine Kaiser Permanente Northwest Pain Addiction Kaiser Permanente Northwest 480,000 members
More informationIt is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the
1 2 It is a common beginning with many addicts and alcoholics. For many addicts that begin using in the early years, using tobacco fits in with the rebellious behavior pattern or process that is often
More informationTreatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone )
Treatment of Opioid Dependence with Buprenorphine/Naloxone (Suboxone ) Elinore F. McCance-Katz, M.D., Ph.D. Professor and Chair, Addiction Psychiatry Virginia Commonwealth University Neurobiology of Opiate
More informationSuboxone Programs: Treating Opioid Dependence in CHCs Andrew Putney, MD Medical Director SSTAR ATS and CHC, Fall River, Massachusetts
Suboxone Programs: Treating Opioid Dependence in CHCs Andrew Putney, MD Medical Director SSTAR ATS and CHC, Fall River, Massachusetts Educational Objectives: Review epidemiology of opioid addiction in
More informationHealing the Invisible Wound. Recovery and Rehabilitation from a Post Traumatic. Stress Injury. By Dr. Amy Menna
Healing the Invisible Wound Recovery and Rehabilitation from a Post Traumatic Stress Injury By Dr. Amy Menna Post Traumatic Stress Disorder can affect anyone. It is a term used to describe a reaction to
More informationPastoral Care for Young Adults Struggling with Addiction
Pastoral Care for Young Adults Struggling with Addiction UUA Ministries and Faith Development, Compiled by Rev. Dr. Monica L. Cummings All Rights Reserved P.C for Young Adults Struggling with Addiction
More informationOverview. Unit 5: How do our choices change our brains?
Unit 5: How do our choices change our brains? Overview In the previous units, we learned about the neuron, synaptic transmission, and neuronal circuits. In this key culminating unit, we ll bring all of
More informationSponsored by: 2013 NAMI Maryland Conference Baltimore, Maryland; Friday, October 18 th, 2013
Integrated System of Care Universal Dual Diagnosis Capabilities Principles of Empathy and Hope Motivational Interviewing Approach Stages of Change Model Design Solution Focused Strength Based Skill Building
More informationUNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015
UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING
More informationTHE CAUSES OF DRUG ADDICTION
1 Statistical facts associated with addiction and substance abuse are concerning, but many men and women choose to ignore the dangers. By understanding the main causes of addiction to drugs, it is possible
More informationNeurobiology and Treatment of Opioid Dependence. Nebraska MAT Training September 29, 2011
Neurobiology and Treatment of Opioid Dependence Nebraska MAT Training September 29, 2011 Top 5 primary illegal drugs for persons age 18 29 entering treatment, % 30 25 20 15 10 Heroin or Prescription Opioids
More informationIdentification, treatment and support for individuals with Alcohol & Drug Addiction in the Community
Identification, treatment and support for individuals with Alcohol & Drug Addiction in the Community Dr David Jackson Clinic Medical Officer The Hobart Clinic Association Drugs In tonight s context, drugs
More informationAmphetamines Addiction
Introduction Amphetamines, which are classified as stimulants, work by using the dopamine reward system of the brain. When these drugs are used, the user s central nervous system is simulated which causes
More informationIf the only tool you have is a hammer, you tend to see every problem as a nail.
How do we approach addiction? ADDICTION 101 A basic primer on addiction If the only tool you have is a hammer, you tend to see every problem as a nail. (Abraham Maslow) Definition of addiction Alcoholism
More informationThe Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the
Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration
More informationMEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION
MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION Sidarth Wakhlu,M.D. Addiction Team Leader North Texas VA Health Care System Addiction Psychiatry Fellowship Director Associate Professor Of Psychiatry
More informationNeurobiology and Treatment of Alcohol Dependence. Nebraska MAT Training September 29, 2011
Neurobiology and Treatment of Alcohol Dependence Nebraska MAT Training September 29, 2011 Prior treatment episodes for persons starting treatment for alcohol dependence, 2009 Percent 50 45 40 35 30 25
More informationWHEN YOUR LOVED ONE HAS AN OPIATE ADDICTION
WHEN YOUR LOVED ONE HAS AN OPIATE ADDICTION 1 Table of Contents Introduction 3 Addiction and Dependence Are Not the Same Thing 5 Addiction is a Family Disease, and Everyone Needs Help Recovering 10 The
More informationDomestic Violence, Mental Health and Substance Abuse
Domestic Violence, Mental Health and Substance Abuse Sue Parry, PhD NYS Office for the Prevention of Domestic Violence Why does domestic violence (DV) have so many mental health effects? Put yourself in
More informationTreatment for substance abuse and dependence at HC Marbella
Detox Unit Treatment for substance abuse and dependence at HC Marbella The disease Addiction is a disease that is becoming a common problem in our society today. In actual fact, addiction is a chemical
More informationTHE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES
THE OFFICE OF SUBSTANCE ABUSE SERVICES REQUIREMENTS FOR THE PROVISION OF RESIDENTIAL DETOXIFICATION SERVICES BY PROVIDERS FUNDED WITH DBHDS RESOURCES PURPOSE: The goal of this document is to describe the
More informationA Free Resource for Friends, Family and You
Copyright Recovery Connection 9/3/2011 How to Choose the Right Drug & Alcohol Addiction Treatment Program A Free Resource for Friends, Family and You Welcome. We are glad you decided to look through this
More informationSUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW
SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW TABLE OF CONTENTS What is Depression? 4 Symptoms of Depression 6 Substance Abuse as a Coping Mechanism 8 Which Occurs First? 10 Substance Abuse and the
More informationCalifornia Society of Addiction Medicine (CSAM) Consumer Q&As
C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is
More informationReintegration. Recovery. Medication-Assisted Treatment for Alcohol Dependence. Reintegration. Resilience
Reintegration Recovery Medication-Assisted Treatment for Alcohol Dependence Reintegration Resilience 02 How do you free yourself from the stress and risks of alcohol dependence? Most people cannot do it
More informationST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;03/13;06/14;07/15
ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;/13;06/14;07/15 WRITTEN BY Jim Johnson Page 1 REVISED BY AUTHORIZED BY Jessica Moeller Debra Johnson I. APPLICATION: THUMB
More informationA Lawyer s Antidote to Self- Destructive Habits: Substances and Other Abuses
A Lawyer s Antidote to Self- Destructive Habits: Substances and Other Abuses Mark s Relevant Background Trial lawyer for 25+ years Teaching at UT Law for 11 years JD, UT; MA in Counseling Psychology Formerly
More informationThe latest in addiction medicine: What every nurse needs to know
CNA Webinar Series: Progress in Practice The latest in addiction medicine: What every nurse needs to know Monica Gregory Nurse Practitioner, Crosstown Clinic December 4, 2014 Canadian Nurses Association,
More informationPrescription Drug Abuse. Katherine E. Schmidt. IHEC Intern - Fall 2010
Disclaimer: The views of the author do not necessarily reflect the views and beliefs of the Illinois Higher Education Center, Eastern Illinois University, and The Department of Human Services. Prescription
More informationIntegrating Co-Occurring Disorders Treatment for Clients Who Do Not Have a History of Substance Abuse / Dependence Treatment
Integrating Co-Occurring Disorders Treatment for Clients Who Do Not Have a History of Substance Abuse / Dependence Treatment Clients may have negative stereotypes about the words substance abuse, addiction,
More informationNorth Bay Regional Health Centre
Addictions and Mental Health Division Programs Central Intake Referral Form The Central Intake Referral Form is used in the District of Nipissing by the North Bay Regional Health Centre s Addictions and
More informationWHAT HAPPENS TO OUR BRAIN?
WORK DYNAMIC The final result of this session is the formulation of the questions that, within the activity of the Let s talk about drugs programme of the la Caixa Welfare Project, you will ask Dr. Rafael
More informationCauses of Alcohol Abuse and Alcoholism: Biological/Biochemical Perspectives
Causes of Alcohol Abuse and Alcoholism: Biological/Biochemical Perspectives Neurobehavioral Aspects of Alcohol Consumption Source: Eighth Special Report to the U.S. Congress on Alcohol and Health Secretary
More informationDual-Diagnosis Treatment Program
State Licensed & Certified Since 2001 Joint Commission Approved S OVEREIGN HEALTH Dual-Diagnosis Treatment Program Designed for Men and Women Seeking Help with Chemical Dependency Eating Disorders and
More informationDepression Overview. Symptoms
1 of 6 6/3/2014 10:15 AM Return to Web version Depression Overview What is depression? When doctors talk about depression, they mean the medical illness called major depression. Someone who has major depression
More informationADVANCED BEHAVIORAL HEALTH, INC. Clinical Level of Care Guidelines - 2015
The Clinical Level of Care Guidelines contained on the following pages have been developed as a guide to assist care managers, physicians and providers in making medical necessity decisions about the least
More informationDr. Joseph Frascella
Dr. Joseph Frascella WHY YOU CAN T JUST SAY NO : Combatting Drug Addiction is Harder Than You Might Think The frontal areas of the young brain develop last. Those do the more executive function the inhibitory
More informationDevelopment of Chemical Dependency in Adolescents & Young Adults. How to recognize the symptoms, the impact on families, and early recovery
Development of Chemical Dependency in Adolescents & Young Adults How to recognize the symptoms, the impact on families, and early recovery Tim Portinga, PsyD, LP, Mental Health Clinic Supervisor Tim Portinga
More informationMedication is not a part of treatment.
Medication is not a part of treatment. Medication can be an effective part of treatment. Medication is used in the treatment of many diseases, including addiction. Medical decisions must be made by trained
More informationConceptualizing and Integrating Medication Assistant Treatment into your Court s Armamentarium
Conceptualizing and Integrating Medication Assistant Treatment into your Court s Armamentarium Ted Parran JR. M.D. FACP Carter and Isabel Wang Professor of Medical Education CWRU School of Medicine tvp@case.edu
More informationUse of Pharmacotherapies by Substance Abuse Treatment Facilities
Use of Pharmacotherapies by Substance Abuse Treatment Facilities Cathie E. Alderks, PhD Substance Abuse and Mental Health Services Administration Department of Health and Human Services November 2007 1
More informationHow To Treat A Drug Addiction
1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside
More informationBeyond SBIRT: Integrating Addiction Medicine into Primary Care
Beyond SBIRT: Integrating Addiction Medicine into Primary Care Community Clinic Association of Los Angeles County 14 th Annual Health Care Symposium March 6, 2015 Keith Heinzerling MD, Karen Lamp MD; Allison
More information