The Relationship between Disordered Eating and Substance Use Problems among Women

Size: px
Start display at page:

Download "The Relationship between Disordered Eating and Substance Use Problems among Women"

Transcription

1 The Relationship between Disordered Eating and Substance Use Problems among Women A Critical Review sherry h. stewart and catrina g. brown Although the precise rates of substance use problems among people with disordered eating have varied across studies, one consistent finding is elevated rates of alcohol problems (Wilson, 1993). Up to 55 per cent of women presenting for treatment of bulimia nervosa have met the diagnostic criteria for alcohol abuse (Wilson, 1993). Although most research has focused on the co-prevalence of eating disorders and alcohol problems, women with eating disorders also appear to be at increased risk for abusing a variety of substances other than alcohol, including amphetamines, barbiturates, marijuana, tranquilizers and cocaine (Holderness et al., 1994). Across studies, about one-quarter of women with bulimia report a past or current history of using drugs other than alcohol (Frank et al., 1991; Weiss & Ebert, 1983). Typically, the greatest association between substance use problems and eating disorders has been found among women with bulimia nervosa or the binge-eating/purging subtype of anorexia nervosa, rather than women with the restricting subtype of anorexia (Garfinkel et al., 1980; Garner et al., 1985). Not only have high rates of substance use problems been observed in samples of women with eating disorders, but the converse is also true: high rates of disordered eating have been reported among groups of women with substance use disorders 157

2 Section 3 Interconnections (Holderness et al., 1994; Wilson, 1993). For example, Taylor et al. (1993) found that women with alcohol problems are more likely to experience eating disorders than women in the population at large. About 30 to 40 per cent of women being treated for an alcohol problem report a history of disordered eating. There are advantages to conceptualizing both drinking and eating problems as part of a continuous as opposed to categorical framework. Drinking has been posited to lie on a continuum, with non-drinkers at one end and people with severe alcohol dependence at the other (Sobell & Sobell., 1993a, b). Similarly, Garner and his colleagues (1983) have characterized eating problems as occurring on a continuum, with anorexia and bulimia representing the extreme end of the spectrum of preoccupation with weight that is ubiquitous among women in our culture (see also Brown, 1993). Adopting this perspective acknowledges that most women who struggle with problem eating and alcohol use fall outside clinical definitions of these problems and are therefore usually excluded from research on the topics. Their subsequent invisibility in co-prevalence research means that evidence-based health service planning does not respond to the needs of women at all levels of risk. Similarly, research would benefit substantially by changing the focus from scrutinizing rates of co-occurring diagnoses to examining the mechanisms that account for the overlap of eating problems and substance use problems at all levels of severity. Common Explanations for Co-prevalence Attempts to understand the co-existence of binge eating and heavy drinking or other drug use are grounded in the observation that disordered eating and substance use problems share some important characteristics (Singer et al., 1993): Both involve an intermittent loss of control and a feeling of compulsion. Both involve engaging in a behaviour to excess (i.e., eating beyond satiation or using substances to the point of intoxication). Both involve feelings of powerlessness, anger, self-loathing, guilt and/or depression following the binge episode. Several theories have been advanced to explain how both eating problems and substance-related problems in women may be different expressions of the same underlying cause; however, none has yet proved to be fully adequate. These theories are explored in the remainder of this chapter. symptom substitution A body of literature suggests that bulimia and problem substance use can be forms of symptom substitution for one another (Cepik et al., 1995). Some studies show that substance-related problems may develop after a person no longer has an eating problem, and vice versa. Beary et al. (1986), for instance, found that 35 per cent of alcoholics 158

3 The Relationship between Disordered Eating and Substance Use Problems among Women had previously experienced an eating disorder, and 50 per cent of those with bulimia had had a previous drinking problem. However, the symptom substitution hypothesis fails to clarify the common motivational functions of the two problem behaviours. Moreover, this hypothesis suggests that a cessation of bulimia should result in an increase in the substance use. This prediction has not been supported in the treatment outcome literature (Mitchell et al., 1990). dyscontrol of inhibitory responses Clinicians have long noted that key characteristics of both people with bulimia and those with substance use problems are impulsivity and difficulty regulating behaviour (Garfinkel et al., 1980). Research supports the clinical observation that women with bulimia and those with alcoholism both tend to have elevated impulsivity (Hatsukami et al., 1982). More recent research shows that difficulties with behavioural regulation help explain the co-occurrence of these problems in women (Battaglia et al., 1996).The difficulties with inhibitory control displayed by women with bulimia contrast sharply with the personality styles of women with anorexia, who have a great focus on selfcontrol and restraint. Thus, the common feature of behavioural-regulation difficulties (as opposed to excessive self-control) may help explain why the co-occurrence of eating disorders and substance use problems is largely attributable to overlap of substance use with bulimia rather than with anorexia. family history Familial alcoholism has been found to be significant in the background of those who later develop eating problems (Coniglio, 1993), raising a further possible explanation for the co-prevalence. Coniglio has pointed out that the environment in families where alcohol is a problem is often chaotic, unpredictable, and inconsistent (1993, p. 236; cf. MacPherson et al., 2001). As a result, the needs of children in such families may not be adequately met or even recognized, leaving them vulnerable to alternative efforts to meet their emotional needs later in life. Not only might a chaotic family background make a woman more susceptible to both eating and drinking problems, it might make recovery from such problems more difficult. In fact, in a 10-year longitudinal study of women with bulimia, Collings & King (1994) found that a family history of alcohol abuse was a predictor of poorer long-term recovery from bulimia. the restraint/reward cycle A good deal of research shows that women with eating disorders show a propensity toward excessive use of weight-control strategies, including chronic dieting (see review 159

4 Section 3 Interconnections by Polivy & Herman, 1985). Mitchell et al. (1985) argue that chronic dieting may accentuate any existing predisposition a woman has not only to binge eating, but also to alcohol misuse. Food deprivation, it is theorized, often leads to desire for high-calorie, sweet substances, including alcohol. Krahn (1991) advances a related theory that deprivation of one substance makes the use of another substance even more reinforcing. One symptom of eating disorders that may be relevant to this mechanism is dietary restraint the tendency to chronically restrict dietary intake in attempts to control body weight and shape, and to feel more in control (Polivy & Herman, 1993). Several researchers have found a positive relationship between dietary restraint and alcohol consumption levels (e.g., Stewart et al., 2000; Lavik et al., 1991; Xinaris & Boland, 1990). However, increased rates of alcohol misuse have not been observed among women with restricting anorexia, which is characterized by high levels of dietary restraint (see review by Wilson, 1993). So it is clear that other factors must also contribute to the overlap between eating disorders and alcohol problems. It has also been postulated that heavy drinking or other drug use may serve a similar function as binge eating in allowing a woman to capitulate to the reward or temptation represented by the forbidden object of desire (food or drugs, respectively) (see Francis et al., [1997] and Israeli & Stewart [2001] for reviews of the concept of forbidden foods for chronic dieters). The idea that both binge eating and substance use can serve reward functions is consistent with theories that both bulimia and chemical dependency are mediated by the nucleus accumbens, the primary pleasure centre in the brain (see Gianni et al., 1998). As binge eating is likely to be a more useful focus than dietary restraint in relation to substance use problems among women, researchers have suggested that it is important to study bulimic behaviour with respect to women s excessive use of alcohol and other drugs (Krahn et al., 1992). emotional relief Above we noted that both disordered eating and substance use problems may emerge from a common mechanism of the cycle of restraint and capitulation to desire. In addition, eating problems and substance use problems have both been described as ways of providing relief from negative emotions. In the case of concurrent binge eating and heavy drinking or other drug use, both may be efforts at dealing with depression (see review in Stice et al., 2004). This notion is supported by the fact that antidepressant medications are effective in the treatment of eating disorders, particularly bulimia (Kennedy & Goldbloom, 1991). Both behaviours may also provide relief from anxiety. The tension-reduction theory of alcohol misuse focuses on the anxiety-reducing effects of alcohol as a mechanism to account for the development of problem alcohol use (Stewart et al., 1999). This is an example of negative reinforcement, which occurs when a particular behaviour (in this case, drinking) reduces an unpleasant state (anxiety), thus strengthening the behaviour. Similarly, binge eating can be negatively reinforced because it is usually preceded by negative emotional states which bingeing temporarily alleviates (Baker, 1998). 160

5 The Relationship between Disordered Eating and Substance Use Problems among Women Further, a common contributor to the co-occurrence of binge eating and heavy substance use in women may be symptoms of posttraumatic stress disorder (ptsd) or depression subsequent to trauma. Reports suggest that violence in women s lives contributes strongly to subsequent mental health problems, including ptsd, depression, eating problems and substance use problems (Allen et al., 1998; Rorty & Yager,1996; Stewart, 1996; Stewart & Israeli, 2002). Thus, trauma studies may help us better understand how both binge eating and heavy drinking may be used to cope with significant psychological distress. Conclusion We have presented a number of possible common mechanisms that may underlie the concurrent experiences of binge eating and heavy drinking or other drug use in women. They include symptom substitution, family background, impulsivity, the cycle of restraint and capitulation to reward, and emotional relief. Several recent studies, including our own work (Stewart et al., 2006), have further investigated the possibility that binge eating and substance use problems may be so highly co-prevalent because they reflect a common mechanism or mechanisms involving emotional regulation: namely, that both behaviours might involve common mechanisms of providing emotional rewards (e.g., fulfilling needs and desires) and/or emotional relief from psychological distress (e.g., reduction of anxiety or depression). Studies are now beginning to emerge that explore the underlying mechanisms contributing to the co-prevalence of eating and drinking problems in women from a women-centred perspective. The experiences of women with these dual problems deserve continued investigation to enhance our understanding of their interconnections. In Chapter 29 of this book, we consider the challenges of responding to these interconnected problems with integrated treatment services. References Allen,J.,Coyne,L.& Huntoon,J.(1998). Complex post-traumatic stress disorder in women from a psychometric perspective. Journal of Personality Assessement, 70 (2), Baker, J.M. (1998). Binge Eating and Binge Drinking among University Women. Unpublished master s thesis, Department of Psychology, Queen s University, Kingston, ON. Battaglia, M., Pryzbeck, T.R., Bellodi, L. & Cloninger, C.R. (1996). Temperament dimensions explain the comorbidity of psychiatric disorders. Comprehensive Psychiatry, 37, Beary,M.,Lacey,J.& Merry,J.(1986). Alcoholism and eating disorders in women of fertile age. British Journal of Addiction, 81, Brown, C.G. (1993). The continuum: Anorexia, bulimia, and weight preoccupation. In C. Brown & K. Jasper (Eds.), Consuming Passions: Feminist Approaches to Weight Preoccupation and Eating Disorders (pp ). Toronto: Second Story Press. 161

6 Section 3 Interconnections Cepik, A., Arikan, Z., Boratav, C. & Isik, E. (1995). Bulimia in a male alcoholic: A symptom substitution in alcoholism. International Journal of Eating Disorders, 17, Collings,S.& King,M.(1994). Ten-year follow-up of 50 patients with bulimia nervosa. British Journal of Psychiatry, 164, Coniglio, C. (1993). Making connections: Family alcoholism and the development of eating problems. In C. Brown and K. Jasper (Eds.), Consuming Passions: Feminist Approaches to Weight Preoccupation and Eating Disorders (pp ). Toronto: Second Story Press. Francis, J., Stewart, S.H. & Hounsell, S. (1997). Dietary restraint and the selective processing of forbidden and nonforbidden food words. Cognitive Therapy and Research, 21, Frank, R.E., Serdula, M.K. & Adame, D. (1991). Weight loss and bulimic eating behavior: Changing patterns within a population of young adult women. Southern Medical Journal, 84, Garfinkel, P.E., Moldofsky, H. & Garner, D.M. (1980). The heterogeneity of anorexia nervosa: Bulimia as a distinct subgroup. Archives of General Psychiatry, 37, Garner, D.M., Garfinkel, P.E. & O Shaughnessy, M. (1985). The validity of the distinction between bulimia with and without anorexia nervosa. American Journal of Psychiatry, 142, Garner,D.M.,Olmstead,M.& Garfinkel,P.E.(1983). Does anorexia nervosa occur on a continuum? International Journal of Eating Disorders, 2, Gianni, A.J., Keller, M., Colapietro, G., Melemis, S.M., Leskovac, N. & Timcisko, T. (1998). Comparison of alternative treatment techniques in bulimia: The chemical dependency approach. Psychological Reports, 82, Hatsukami, D., Owen, P., Pyle, R.L. & Mitchell, J.E. (1982). Similarities and differences on the mmpi between women with bulimia and women with alcohol abuse problems. Addictive Disorders, 7, Holderness, G.C., Brooks-Gunn, J. & Warren, M.P. (1994). Co-morbidity of eating disorders and substance abuse: Review of the literature. International Journal of Eating Disorders, 16, Israeli, A.L. & Stewart, S.H. (2001). Memory bias for forbidden food cues in restrained eaters. Cognitive Therapy and Research, 25, Kennedy, S.H. & Goldbloom, D.S. (1991). Current perspectives on drug therapies for anorexia nervosa and bulimia nervosa. Drugs, 41, Krahn, D. (1991). The relationship between eating disorders and substance abuse. Journal of Substance Abuse, 3, Krahn, D.D., Kurth, C., Demitrack, M.A. & Drewnowski, A. (1992). The relationship of dieting severity and bulimic behaviors to alcohol and other drug use in young women. Journal of Substance Abuse, 4, Lavik, N.J., Clausen, S.E. & Pedersen, W. (1991). Eating behavior, drug use, psychopathology and parental bonding in adolescents in Norway. Acta Psychiatrica Scandinavia, 84, MacPherson, P.S.R., Stewart, S.H. & McWilliams, L.A. (2001). Parental problem drinking and anxiety disorder symptoms in adult offspring: Examining the mediating role of anxiety sensitivity components. Addictive Behaviors, 26, Mitchell, J., Hatsukami, D., Eckert, E. & Pyle, R. (1985). Characteristics of 275 patients with bulimia. American Journal of Psychiatry, 142, Mitchell, J.E., Pyle, R.L., Eckert, E.D. & Hatsukami, D. (1990). The influence of prior alcohol and drug abuse problems on bulimia nervosa treatment outcome. Addictive Behaviors, 15, Polivy, J. & Herman, C.P. (1985). Dieting and binging: A causal analysis. American Psychologist, 40, Polivy, J. & Herman, C.P. (1993). Etiology of binge eating: Psychological mechanisms. In C.G. Fairburn & G.T. Wilson (Eds.), Binge Eating: Nature, Assessment, and Treatment (pp ). New York: Guilford. 162

7 The Relationship between Disordered Eating and Substance Use Problems among Women Rorty, M. & Yager, J. (1996). Histories of childhood trauma and complex post-traumatic sequelae in women with eating disorders. The Psychiatric Clinics of North America, 19, Singer, M., Nutter, L., White, W. & Song, L. (1993). Problem behaviors, substance abuse, and sexual abuse in psychiatrically hospitalized adolescents with bulimia nervosa. Child and Adolescent Social Work Journal, 10, Sobell,M.B.& Sobell,L.C.(1993a). Treatment for problem drinkers: A public health priority. In J.S. Baer, G.A. Marlatt & R.J. McMahon (Eds.), Addictive Behaviors across the Lifespan: Prevention, Treatment, and Policy Issues. Beverly Hills, CA: Sage. Sobell,M.B.& Sobell,L.C.(1993b). Problem Drinkers: Guided Self-Change Treatment. New York: Guilford. Stewart, S.H. (1996). Alcohol abuse in individuals exposed to trauma: A critical review. Psychological Bulletin, 120, Stewart, S.H., Angelopoulos, M., Baker, J.M. & Boland, F. (2000). Relations between dietary restraint and patterns of alcohol use in young adult women. Psychology of Addictive Behaviors, 14, Stewart, S.H., Brown, C.G., Devoulyte, K., Theakston, J. & Larsen, S.E. (2006). Why do women with alcohol problems binge eat? Exploring connections between binge eating and heavy drinking in women receiving treatment for alcohol problems. Journal of Health Psychology, 11 (3), Stewart, S.H. & Israeli, A.L. (2002). Substance abuse and co-occurring psychiatric disorders in victims of intimate violence. In C. Wekerle & A.-M. Wall (Eds.), The Violence and Addiction Equation: Theoretical and Clinical Issues in Substance Abuse and Relationship Violence (pp ). New York: Brunner-Routledge. Stewart, S.H., Samoluk, S.B. & MacDonald, A.B. (1999). Anxiety sensitivity and substance use and abuse. In S. Taylor (Ed.), Anxiety Sensitivity: Theory, Research, and Treatment of the Fear of Anxiety (pp ).Mahwah,NJ: Erlbaum. Stice, E., Burton, E.M. & Shaw, H. (2004). Prospective relations between bulimic pathology, depression, and substance abuse: Unpacking co-morbidity in adolescent girls. Journal of Consulting and Clinical Psychology, 72, Taylor,A.V.,Peveler,R.C.,Hibbert,G.A.& Fairburn,C.G.(1993). Eating disorders among women receiving treatment for an alcohol problem. International Journal of Eating Disorders, 14, Weiss, S.R., & Ebert, M.H. (1983). Psychological and behavioral characteristics of normal-weight bulimics and normal-weight controls. Psychosomatic Medicine, 45, Wilson, G.T. (1993). Binge eating and addictive disorders. In C.G. Fairburn & G.T. Wilson (Eds.), Binge Eating: Nature, Assessment, and Treatment (pp ). New York: Guilford. Xinaris, S. & Boland, F. J. (1990). Disordered eating in relation to tobacco use, alcohol consumption, self-control, and sex-role ideology. International Journal of Eating Disorders, 9,

Why Do Women with Alcohol Problems Binge Eat?

Why Do Women with Alcohol Problems Binge Eat? Why Do Women with Alcohol Problems Binge Eat? Exploring Connections between Binge Eating and Heavy Drinking in Women Receiving Treatment for Alcohol Problems SHERRY H. STEWART, CATRINA G. BROWN, & KRISTINA

More information

Traumatic Stress. and Substance Use Problems

Traumatic Stress. and Substance Use Problems Traumatic Stress and Substance Use Problems The relation between substance use and trauma Research demonstrates a strong link between exposure to traumatic events and substance use problems. Many people

More information

Co-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 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 information

TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma

TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma TIP Prospectus for Concept Clearance Substance Abuse Treatment and Trauma Introduction The events of September 11, 2001, have reminded Americans that they are vulnerable to international terrorism and

More information

Eating Disorder Policy

Eating Disorder Policy Eating Disorder Policy Safeguarding and Child Protection Information Date of publication: April 2015 Date of review: April 2016 Principal: Gillian May Senior Designated Safeguarding Person: (SDSP) Anne

More information

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa:

Eating Disorders. Symptoms and Warning Signs. Anorexia nervosa: Eating Disorders Eating disorders are serious conditions that can have life threatening effects on youth. A person with an eating disorder tends to have extreme emotions toward food and behaviors surrounding

More information

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center

Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center Karla Ramirez, LCSW Director, Outpatient Services Laurel Ridge Treatment Center 1 in 4 Americans will have an alcohol or drug problems at some point in their lives. The number of alcohol abusers and addicts

More information

Anxiety Sensitivity 1

Anxiety Sensitivity 1 Anxiety Sensitivity 1 ANXIETY SENSITIVITY What You Should Know About Anxiety Sensitivity Margo C. Watt a,b & Sherry H. Stewart c,b Submitted to Strides August 2009 a Department of Psychology, Saint Francis

More information

Psychology & Psychophysiology of Disordered Eating & Eating Disorders Claus Vögele Institute for Health and Behaviour University of Luxembourg

Psychology & Psychophysiology of Disordered Eating & Eating Disorders Claus Vögele Institute for Health and Behaviour University of Luxembourg Psychology & Psychophysiology of Disordered Eating & Eating Claus Vögele Institute for Health and Behaviour University of Luxembourg 1 Don t worry, eat happy! Eating as emotion-regulation strategy but

More information

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment

CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment CHAPTER 6 Diagnosing and Identifying the Need for Trauma Treatment This chapter offers mental health professionals: information on diagnosing and identifying the need for trauma treatment guidance in determining

More information

GAIN and DSM. Presentation Objectives. Using the GAIN Diagnostically

GAIN and DSM. Presentation Objectives. Using the GAIN Diagnostically GAIN and DSM GAIN National Clinical Training Team 2011 Version 2 Materials Presentation Objectives Understand which DSM diagnoses are generated by GAIN ABS for the GAIN reports and which ones must be added

More information

Martha Brewer, MS, LPC,LADC. Substance Abuse and Treatment

Martha 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 information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

Identifying 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 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 information

Let s talk about Eating Disorders

Let s talk about Eating Disorders Let s talk about Eating Disorders Dr. Jane McKay Dr. Ric Arseneau Dr. Debbie Rosenbaum Dr. Samantha Kelleher Dr. Julia Raudzus Role of the Psychiatrist Assessment and diagnosis of patients with eating

More information

Body Image, Eating Disorders and Psychiatric Comorbidity:

Body Image, Eating Disorders and Psychiatric Comorbidity: Body Image, Eating Disorders and Psychiatric Comorbidity: The interplay of body image and psychiatry Amy Funkenstein, MD Definitions Hilda Bruch (1962)-credited as first to identify body image disturbance

More information

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member

2) Recurrent emotional abuse. 3) Contact sexual abuse. 4) An alcohol and/or drug abuser in the household. 5) An incarcerated household member Co Occurring Disorders and the on Children: Effectively Working with Families Affected by Substance Abuse and Mental Illness Definition (Co-Occurring also called Dual Dx) A professional diagnosis of addictive/substance

More information

Diagnosis: Appropriate diagnosis is made according to diagnostic criteria in the current Diagnostic and Statistical Manual of Mental Disorders.

Diagnosis: Appropriate diagnosis is made according to diagnostic criteria in the current Diagnostic and Statistical Manual of Mental Disorders. Page 1 of 6 Approved: Mary Engrav, MD Date: 05/27/2015 Description: Eating disorders are illnesses having to do with disturbances in eating behaviors, especially the consuming of food in inappropriate

More information

At-Risk Health Behaviors of Collegiate Athletes

At-Risk Health Behaviors of Collegiate Athletes At-Risk Health Behaviors of Collegiate Athletes It is perhaps a common perception that collegiate athletes are automatically healthier and more attentive to their overall well being. Indeed, Nattiv and

More information

Co-Occurring Disorders: A Basic Overview

Co-Occurring Disorders: A Basic Overview Co-Occurring Disorders: A Basic Overview What is meant by Co-Occurring Disorders (COD)? Co-Occurring Disorders (COD) refers to two diagnosable problems that are inter-related and occur simultaneously in

More information

Unit 4: Personality, Psychological Disorders, and Treatment

Unit 4: Personality, Psychological Disorders, and Treatment Unit 4: Personality, Psychological Disorders, and Treatment Learning Objective 1 (pp. 131-132): Personality, The Trait Approach 1. How do psychologists generally view personality? 2. What is the focus

More information

Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness. Oleg D. Tarkovsky, MA, LCPC

Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness. Oleg D. Tarkovsky, MA, LCPC Clinical Perspective on Continuum of Care in Co-Occurring Addiction and Severe Mental Illness Oleg D. Tarkovsky, MA, LCPC SAMHSA Definition Co-occurring disorders may include any combination of two or

More information

If we had no winter, the spring would not be so pleasant; if we did not sometimes taste of adversity, prosperity would not be so welcome.

If we had no winter, the spring would not be so pleasant; if we did not sometimes taste of adversity, prosperity would not be so welcome. CHAPTER VII CO-OCCURRING DISORDERS If we had no winter, the spring would not be so pleasant; if we did not sometimes taste of adversity, prosperity would not be so welcome. ANNE BRADSTREET TAY Resource

More information

Abnormal Psychology PSY-350-TE

Abnormal Psychology PSY-350-TE Abnormal Psychology PSY-350-TE This TECEP tests the material usually taught in a one-semester course in abnormal psychology. It focuses on the causes of abnormality, the different forms of abnormal behavior,

More information

Link Between ADHD and Addiction

Link Between ADHD and Addiction Link Between ADHD and Addiction People with ADHD commonly attempt to soothe their restless brains and bodies with addictive substances such as alcohol, marijuana, heroin, prescription tranquilizers and

More information

Domestic violence in women with PTSD and substance abuse

Domestic violence in women with PTSD and substance abuse Addictive Behaviors 29 (2004) 707 715 Short communication Domestic violence in women with PTSD and substance abuse Lisa M. Najavits a,b, *, Johanna Sonn c, Marybeth Walsh d, Roger D. Weiss a,b a McLean

More information

information for families Schizophrenia & Substance Use

information for families Schizophrenia & Substance Use information for families Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 3 5 6 7 8 9 10 Why do people with schizophrenia use drugs and alcohol? What is the impact of using substances

More information

Weight Restoration in Anorexia Nervosa

Weight Restoration in Anorexia Nervosa The Bella Vita Residential & Partial Hospitalization & Programs Outcome Report: May 212-September 214 The body mass indexes (BMI) of The Bella Vita clients diagnosed with anorexia nervosa were compared

More information

Acquired Brain Injury & Substance Misuse

Acquired Brain Injury & Substance Misuse Acquired Brain Injury & Substance Misuse A Need for a Paradigm Shift? Dr Oliver Aldridge MBBCh, DRCOG, MRCGP Certificant of the International Society of Addiction Medicine Challenges Integration of services

More information

What is Addiction? DSM-IV-TR Substance Abuse Criteria

What is Addiction? DSM-IV-TR Substance Abuse Criteria Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.

More information

TEEN MARIJUANA USE WORSENS DEPRESSION

TEEN MARIJUANA USE WORSENS DEPRESSION TEEN MARIJUANA USE WORSENS DEPRESSION An Analysis of Recent Data Shows Self-Medicating Could Actually Make Things Worse Millions of American teens* report experiencing weeks of hopelessness and loss of

More information

Applied Psychology. Course Descriptions

Applied Psychology. Course Descriptions Applied Psychology s AP 6001 PRACTICUM SEMINAR I 1 CREDIT AP 6002 PRACTICUM SEMINAR II 3 CREDITS Prerequisites: AP 6001: Successful completion of core courses. Approval of practicum site by program coordinator.

More information

DSM-5: A Comprehensive Overview

DSM-5: A Comprehensive Overview 1) The original DSM was published in a) 1942 b) 1952 c) 1962 d) 1972 DSM-5: A Comprehensive Overview 2) The DSM provides all the following EXCEPT a) Guidelines for the treatment of identified disorders

More information

The Comorbidity of Eating Disorders and Substance Abuse in Adolescents and Young Adults Eleanor Trilling

The Comorbidity of Eating Disorders and Substance Abuse in Adolescents and Young Adults Eleanor Trilling The Comorbidity of Eating Disorders and Substance Abuse in Adolescents and Young Adults Eleanor Trilling Introduction Eating disorders and substance abuse are both predominant issues that the United States

More information

Risk Factors in the Development of Anxiety Disorders: Negative Affectivity. Peter J. Norton, Ph.D.

Risk Factors in the Development of Anxiety Disorders: Negative Affectivity. Peter J. Norton, Ph.D. Negative Affectivity 1 Running Head: NEGATIVE AFFECTIVITY Risk Factors in the Development of Anxiety Disorders: Negative Affectivity Peter J. Norton, Ph.D. University of Houston and UH Anxiety Disorder

More information

MARK PRANGE 205 S. Hoover Blvd., Suite 204 Tampa, Florida 33609 (813)961-7727

MARK PRANGE 205 S. Hoover Blvd., Suite 204 Tampa, Florida 33609 (813)961-7727 MARK PRANGE 205 S. Hoover Blvd., Suite 204 33609 (813)961-7727 EDUCATION PH.D. THE COLLEGE OF ARTS AND SCIENCES Clinical Psychology Program, American Psychological Association (APA) Accredited 1987 M.A.

More information

Resick, P.A., & Schnicke, M.K. (1996). Cognitive Processing Therapy for Rape Victims: A Treatment Manual. Newbury Park. Sage Publications.

Resick, P.A., & Schnicke, M.K. (1996). Cognitive Processing Therapy for Rape Victims: A Treatment Manual. Newbury Park. Sage Publications. Major Depressive Disorder: A Condition That Frequently Co-Occurs with PTSD Janice L. Krupnick, Ph.D. Professor of Psychiatry Georgetown University School of Medicine An important consideration in understanding

More information

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development

Drugs and Teens: Current Facts and Recent Trends. Agenda. Adolescent development Drugs and Teens: Current Facts and Recent Trends Cheryl Houtekamer Youth Addiction Services Calgary Agenda Adolescent Development Brain Development Adolescent Substance Use - Prevalence How does addiction

More information

A quick glance around the recent research articles and resources that we have found interesting.

A quick glance around the recent research articles and resources that we have found interesting. Research Round-up A quick glance around the recent research articles and resources that we have found interesting. Alcohol and tobacco are used as coping mechanisms, while cannabis is used for pleasure.

More information

seeking the certification education requirements as an Addiction Counselor through either the

seeking the certification education requirements as an Addiction Counselor through either the 180-Hour Training Series: Addiction Counselor Program The Addiction Certification Program is designed to provide the coursework necessary for those Evidence-Based & Best Practices seeking the certification

More information

Mental Health Needs Assessment Personality Disorder Prevalence and models of care

Mental Health Needs Assessment Personality Disorder Prevalence and models of care Mental Health Needs Assessment Personality Disorder Prevalence and models of care Introduction and definitions Personality disorders are a complex group of conditions identified through how an individual

More information

SUBSTANCE ABUSE & DEPRESSION: WHAT YOU SHOULD KNOW

SUBSTANCE 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 information

Assessment and Diagnosis of DSM-5 Substance-Related Disorders

Assessment and Diagnosis of DSM-5 Substance-Related Disorders Assessment and Diagnosis of DSM-5 Substance-Related Disorders Jason H. King, PhD (listed on p. 914 of DSM-5 as a Collaborative Investigator) j.king@lecutah.com or 801-404-8733 www.lecutah.com D I S C L

More information

Prevention of an Eating Disorder and Ways to Spread Awareness

Prevention of an Eating Disorder and Ways to Spread Awareness of an Eating Disorder and Ways to Spread Awareness A Presentation by: Sara Mahan (Bird) and Kathleen Verba Both individuals do not have any conflicts of interest in presenting at the 2014 Zarrow Symposium.

More information

2-year postgraduate training: CBT for children and adolescents.

2-year postgraduate training: CBT for children and adolescents. Copenhagen Child Anxiety Project Department of Psychology University of Copenhagen Øster Farimagsgade 2A 1353 Copenhagen K Heidi.riiber@psy.ku.dk or 0045 35 32 49 00 2-year postgraduate training: CBT for

More information

Minnesota Co-occurring Mental Health & Substance Disorders Competencies:

Minnesota Co-occurring Mental Health & Substance Disorders Competencies: Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held

More information

Working Definitions APPRECIATION OF THE ROLE OF EARLY TRAUMA IN SEVERE PERSONALITY DISORDERS

Working Definitions APPRECIATION OF THE ROLE OF EARLY TRAUMA IN SEVERE PERSONALITY DISORDERS Working Definitions PERSONALITY TRAIT a stable, recurring pattern of human behavior - e.g. a tendency to joke in serious situations, hypersensitivity to criticism, talkativeness in groups. PERSONALITY

More information

TREATING ADOLESCENTS

TREATING ADOLESCENTS TREATING ADOLESCENTS A focus on adolescent substance abuse and addiction Center for Youth, Family, and Community Partnerships Presentation developed by: Christopher Townsend MA, LPC, LCAS,CCS, NCC Learning

More information

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment

FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse

More information

Alcohol and Drug Counseling

Alcohol and Drug Counseling 108 Alcohol and Drug Counseling Alcohol and Drug Counseling Degrees, Certificates and Awards Associate in Arts: Alcohol and Drug Counseling Certificate of Achievement: Alcohol and Drug Counseling Certificate

More information

What is an eating disorder?

What is an eating disorder? What is an eating disorder? What is an eating disorder? People with an eating disorder experience extreme disturbances in their eating behaviours and related thoughts and feelings. Eating disorders are

More information

Substance Abuse and Sexual Violence:

Substance Abuse and Sexual Violence: Substance Abuse and Sexual Violence: The Need for Integration When Treating Survivors Kelli Hood, M.A. Objective To understand the necessity for therapeutic strategies in clients with cooccurring Substance

More information

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI

Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Pragmatic Evidence Based Review Substance Abuse in moderate to severe TBI Reviewer Emma Scheib Date Report Completed November 2011 Important Note: This report is not intended to replace clinical judgement,

More information

Women in Drug Treatment Courts: Sexual Assault as the Underlying Trauma. Women, Trauma and Substance Abuse

Women in Drug Treatment Courts: Sexual Assault as the Underlying Trauma. Women, Trauma and Substance Abuse Women in Drug Treatment Courts: Sexual Assault as the Underlying Trauma National Judicial Education Program* *A Project of Legal Momentum in cooperation with the National Association of Women Judges Women,

More information

Preventing & Treating Substance Abuse Based Trauma in Families. National Council on Alcoholism and Drug Dependence, Sacramento

Preventing & Treating Substance Abuse Based Trauma in Families. National Council on Alcoholism and Drug Dependence, Sacramento Preventing & Treating Substance Abuse Based Trauma in Families WHY FACING THE TIGER EMPOWERS INDIVIDUALS, FAMILIES AND THE COMMUNITIES THEY LIVE IN The Nature of Trauma Traumatic experience defined Points

More information

Binge Eating Disorder

Binge Eating Disorder Binge Eating Disorder U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES WIN Weight-control Information Network How do I know if I have binge eating disorder? Most of us overeat from time to time, and some of

More information

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK

Psychological outcomes for women following abortion. Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Psychological outcomes for women following abortion Dr Sharon Cameron Royal Infirmary of Edinburgh and Dean Terrace Centre, Edinburgh, UK Abortion Difficult decision Different reasons for abortion Different

More information

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011

SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 SOMERSET DUAL DIAGNOSIS PROTOCOL OCTOBER 2011 This document is intended to be used with the Somerset Dual Diagnosis Operational Working guide. This document provides principles governing joint working

More information

Anxiety and depression appropriate terms for cancer survivorship research?

Anxiety and depression appropriate terms for cancer survivorship research? Anxiety and depression appropriate terms for cancer survivorship research? Jon Håvard Loge Regional Centre for Excellence in Palliative Care, Dept. of Oncol., Oslo University Hospital/ Dept. of Behavioural

More information

These changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level.

These 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 information

CAMS-UA 203 Advanced Seminar Eating Disorders Course Description

CAMS-UA 203 Advanced Seminar Eating Disorders Course Description CAMS-UA 203 Advanced Seminar Eating Disorders Sara S. Weekly, MD, Clinical Instructor of Child and Adolescent Psychiatry, NYU Child Study Center, Department of Child and Adolescent Psychiatry Course Aims:

More information

A Review of Conduct Disorder. William U Borst. Troy State University at Phenix City

A Review of Conduct Disorder. William U Borst. Troy State University at Phenix City A Review of 1 Running head: A REVIEW OF CONDUCT DISORDER A Review of Conduct Disorder William U Borst Troy State University at Phenix City A Review of 2 Abstract Conduct disorders are a complicated set

More information

Chapter 14 Eating Disorders In Adolescents

Chapter 14 Eating Disorders In Adolescents Chapter 14 Eating Disorders In Adolescents Anorexia Nervosa (AN) Bulimia Nervosa (BN) Refusal to maintain normal body weight (< 85%) Recurrent episodes of binge eating, marked by loss of control Intense

More information

Postgraduate Clinical Psychology Program. Psychological Sciences >

Postgraduate Clinical Psychology Program. Psychological Sciences > Postgraduate Clinical Psychology Program Psychology Postgraduate Professional Programs Clinical Psychology Master of Psychology 2 years full-time Master of Psychology /PhD 4 years full-time AIMS OF COURSES

More information

Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling

Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling Co-occurring Disorder Treatment for Substance Abuse and Compulsive Gambling Midwest Conference on Problem Gambling and Substance Abuse 2006 Problem Gambling and Co-occurrence: Improving Practice and Managing

More information

The relationship among alcohol use, related problems, and symptoms of psychological distress: Gender as a moderator in a college sample

The relationship among alcohol use, related problems, and symptoms of psychological distress: Gender as a moderator in a college sample Addictive Behaviors 29 (2004) 843 848 The relationship among alcohol use, related problems, and symptoms of psychological distress: Gender as a moderator in a college sample Irene Markman Geisner*, Mary

More information

Substance Abuse and Mental Health Services Administration Reauthorization

Substance Abuse and Mental Health Services Administration Reauthorization Substance Abuse and Mental Health Services Administration Reauthorization 111 th Congress Introduction The American Psychological Association (APA) is the largest scientific and professional organization

More information

Substance Abuse, Violence, Mental Health, and Academic Success

Substance Abuse, Violence, Mental Health, and Academic Success Substance Abuse, Violence, Mental Health, and Academic Success July 2009 The mission of the American school has expanded considerably over the last thirty years. We expect our schools to teach the traditional

More information

PhD. IN (Psychological and Educational Counseling)

PhD. IN (Psychological and Educational Counseling) PhD. IN (Psychological and Educational Counseling) I. GENERAL RULES CONDITIONS: Plan Number 2012 1. This plan conforms to the regulations of the general frame of the programs of graduate studies. 2. Areas

More information

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness

More information

Lone Star College-Tomball Community Library 30555 Tomball Parkway Tomball, TX 77375 http://www.lonestar.edu/library.

Lone Star College-Tomball Community Library 30555 Tomball Parkway Tomball, TX 77375 http://www.lonestar.edu/library. Lone Star College-Tomball Community Library 30555 Tomball Parkway Tomball, TX 77375 http://www.lonestar.edu/library.htm 832-559-4211 PSYCHOLOGY Scholarly ELECTRONIC Electronic JOURNAL Journals LIST The

More information

Conceptual Models of Substance Use

Conceptual Models of Substance Use Conceptual Models of Substance Use Different causal factors emphasized Different interventions based on conceptual models 1 Developing a Conceptual Model What is the nature of the disorder? Why causes

More information

Alcohol Addiction. Introduction. Overview and Facts. Symptoms

Alcohol Addiction. Introduction. Overview and Facts. Symptoms Alcohol Addiction Alcohol Addiction Introduction Alcohol is a drug. It is classed as a depressant, meaning that it slows down vital functions -resulting in slurred speech, unsteady movement, disturbed

More information

Personality disorder. Caring for a person who has a. Case study. What is a personality disorder?

Personality disorder. Caring for a person who has a. Case study. What is a personality disorder? Caring for a person who has a Personality disorder Case study Kiara is a 23 year old woman who has been brought to the emergency department by her sister after taking an overdose of her antidepressant

More information

8.2 COMPUTERISED COGNITIVE BEHAVIOURAL THERAPY WITH ONLINE DISCUSSION GROUP

8.2 COMPUTERISED COGNITIVE BEHAVIOURAL THERAPY WITH ONLINE DISCUSSION GROUP 8 EATING DISORDERS 8.1 INTRODUCTION The eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder as well as variants of these states. With the exception of binge eating disorder,

More information

UNDERSTANDING 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 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 information

OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy

OVERVIEW 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 information

Antisocial personality disorder

Antisocial personality disorder Page 1 of 7 Diseases and Conditions Antisocial personality disorder By Mayo Clinic Staff Antisocial personality disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving

More information

Assessment of depression in adults in primary care

Assessment of depression in adults in primary care Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and

More information

Traumatic Stress with Alcohol and/or Drug Addiction

Traumatic Stress with Alcohol and/or Drug Addiction Traumatic Stress with Alcohol and/or Drug Addiction information for individuals and families Eastern Trauma Advisory Panel What is Post Traumatic Stress Disorder (PTSD)? How people react to a traumatic

More information

Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com

Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com Beth Merriam, M.A., OATR, ATR-BC, CCC Email: bmerriam@rogers.com EDUCATION 1992: M.A in, Art Therapy, Norwich University, Vermont, U.S.A, 1990: B.F.A., with major in art education, Concordia University,

More information

Program of Study: Bachelor of Science in Counseling with an Emphasis in Addiction, Chemical Dependency, and Substance Abuse

Program of Study: Bachelor of Science in Counseling with an Emphasis in Addiction, Chemical Dependency, and Substance Abuse Program of Study: Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance Abuse Program Description The Bachelor of Science in with an Emphasis in Addiction, Dependency, and Substance

More information

FRN Research Report August 2011 Patient Outcomes and Relapse Prevention Up to One Year Post- Treatment at La Paloma Treatment Center

FRN Research Report August 2011 Patient Outcomes and Relapse Prevention Up to One Year Post- Treatment at La Paloma Treatment Center Page 1 FRN Research Report August 2011 Patient Outcomes and Relapse Prevention Up to One Year Post- Treatment at La Paloma Treatment Center Background La Paloma Treatment Center offers state-of-the art

More information

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS

C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS C HAPTER 9 T RAUMA AND P OST-TRAUMATIC S TRESS D ISORDER IN P ATIENTS W ITH HIV/AIDS Exposure to a traumatic event is normally accompanied by distress. For most individuals such distress resolves spontaneously

More information

SCREENING FOR CO-OCCURRING DISORDERS USING THE MODIFIED MINI SCREEN (MMS) USER S GUIDE. (Rev. 6/05)

SCREENING FOR CO-OCCURRING DISORDERS USING THE MODIFIED MINI SCREEN (MMS) USER S GUIDE. (Rev. 6/05) SCREENING FOR CO-OCCURRING DISORDERS USING THE MODIFIED MINI SCREEN (MMS) USER S GUIDE (Rev. 6/05) ACKNOWLEDGEMENTS This user guide was developed by the NYS Practice Improvement Collaborative (PIC) under

More information

EATING DISORDERS PROGRAM

EATING DISORDERS PROGRAM EATING DISORDERS PROGRAM Exceptional Care in an Exceptional Setting Silver Hill Hospital is an academic affiliate of Yale University School of Medicine, Department of Psychiatry. SILVER HILL HOSPITAL HIGHLIGHTS

More information

Co-Occurring Disorders: When Eating Disorders and Substance Abuse Collide

Co-Occurring Disorders: When Eating Disorders and Substance Abuse Collide Co-Occurring Disorders: When Eating Disorders and Substance Abuse Collide Kim Dennis, MD CEO/Medical Director Timberline Knolls, Lemont, IL www.timberlineknolls.com A residential treatment center located

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the

More information

Phoenix House. Assessment. Treatment Planning. Integration of Evidence Based Treatment Approaches Dr. Frank Sanchez. Initial Assessment:

Phoenix House. Assessment. Treatment Planning. Integration of Evidence Based Treatment Approaches Dr. Frank Sanchez. Initial Assessment: Phoenix House Integration of Evidence Based Treatment Approaches Dr. Frank Sanchez Assessment Initial Assessment: American Society of Addiction Medicine (ASAM) Level of Care Intake Screen Adolescent Drug

More information

THE 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 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 information

Cognitive Behavioral Therapy and Bulimia Nervosa: Is It Better than other Treatments and Who Does It Work for?

Cognitive Behavioral Therapy and Bulimia Nervosa: Is It Better than other Treatments and Who Does It Work for? The New School Psychology Bulletin Volume 4, No. 1, 2006 Cognitive Behavioral Therapy and Bulimia Nervosa: Is It Better than other Treatments and Who Does It Work for? Julie Trompeter, M.A. 1 Evidence

More information

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS

VENTURA COUNTY ALCOHOL & DRUG PROGRAMS VENTURA COUNTY ALCOHOL & DRUG PROGRAMS women s services Helping women recover (805) 981-9200 1911 Williams Drive, Oxnard, CA 93036 www.venturacountylimits.org recovery VCBH ALCOHOL & DRUG PROGRAMS WOMEN

More information

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD)

Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Delivery of Tobacco Dependence Treatment for Tobacco Users with Mental Illness and Substance Use Disorders (MISUD) Learning Objectives Upon completion of this module, you should be able to: Describe how

More information

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS

FACT SHEET. What is Trauma? TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS FACT SHEET TRAUMA-INFORMED CARE FOR WORKING WITH HOMELESS VETERANS According to SAMHSA 1, trauma-informed care includes having a basic understanding of how trauma affects the life of individuals seeking

More information

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team

Conduct Disorder: Treatment Recommendations. For Vermont Youth. From the. State Interagency Team Conduct Disorder: Treatment Recommendations For Vermont Youth From the State Interagency Team By Bill McMains, Medical Director, Vermont DDMHS Alice Maynard, Mental Health Quality Management Chief, Vermont

More information

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12 CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12 Activity Chemical Health? Mental Health? Video- What is Addiction HBO Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual

More information

TRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS

TRAUMA & ADDICTION. written for. American Academy of Health Care Providers in the Addictive Disorders. Sandra H. Colen, LCSW, Dip-CFC, CAS TRAUMA & ADDICTION written for American Academy of Health Care Providers in the Addictive Disorders by Sandra H. Colen, LCSW, Dip-CFC, CAS December 22, 2014 Purpose The purpose of this paper is to present

More information