Sponsored by: 2013 NAMI Maryland Conference Baltimore, Maryland; Friday, October 18 th, 2013

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1 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 Neurochemistry Based Disorders of the Brain Symptom Identification Symptoms Management Best Practices Curriculum Psychoeducational Topics, i.e. Neurochemistry, Nutrition, Stress Management, Cognitive Behavioral, and more 1

2 Similarities Far Outweigh the Differences Depression Confusion Anxiety Irritability or Agitation Appetite Disturbances Physical Discomfort Thinking Distortions Poor Concentration Impaired Insight Emotional Discomfort Feeling Different Sleep Disturbances Isolating Behaviors Behavior Disturbances Impaired Control 2

3 Functioning Neurochemistry Acetycholine: thinking, memory, alertness, mental acuity Dopamine: pleasure, reward, emotional stability Norepinephrine: energy, motivation, pleasure, confidence, drive Serotonin: mood stability, self-esteem GABA: (Gamma amino butyric acid) tranquilizer, stress management Endorphins and Enkephalins: physical and emotional pain control, reward mechanism, stress control Disrupted Neurotransmission Acetycholine: confusion, unable to concentrate & remember Dopamine: depression, anhedonia, (unable to experience pleasure), lack of remorse Norepinephrine: depression, lack of ambition, energy & drive Serotonin: lack of rational emotion, irritable, tearfulness GABA: free-floating anxiety, fearfulness, insecurity, claustrophobia, panic attacks, anxiety Endorphins and Enkephalins: inadequate pain management, feelings of incompleteness, inferiority, inadequacy, unfulfilled 3

4 The Differences In the Brain = Completely Difference Experiences Brain Chemistry A Folks Brain Chemistry B Folks Neurochemistry of Dual Disorders NEURO- TRANSMISSION Acetycholine Dopamine Norepinephrine Serotonin GABA Endorphins & Enkephalin ADDICTIVE DISORDERS Cocaine, Nicotine, Amphetamine, Caffeine, Marijuana, LSD, Alcohol, Opiates, PCP, Ecstasy, Barbiturates, Benzos, Heroin, Steroids PSYCHIATRIC DISORDERS Schizophrenia Depression Anxiety Bipolar 4

5 Disorder Recovery N eu r o tr an sm itter Reuptake R e ce p t o r electrical im pulse MAO electrical im pulse N e u r o n N e u r o n Cortisol Synapse Sy n a p se ACE, DA, NE, GABA, ENK, END, SE memory, Acetycholine confusion thinking pleasure Dopamine depression drive, motivation moodstability stress management pain control Neurotransmission Norepinephrine Serotonin GABA Endorphins and Enkephalins lack of energy tearful irrational fearfulness panic Inadequacy inferiority 5

6 The Void The Void A/D Disorder Spiritual Values 6

7 Symptomatic Toxicity Acute Withdrawal Post Acute Withdrawal Augmentation Cravings 7

8 Physical Anxiety Paranoia Confusion Depression Nervous System Panic Cravings Instability 1 Won t be so intense 2 Won t happen as often 3 Won t last as long Cravings and Urges Brain Chemistry Conditioned Response Identifying Specific Clues De-conditioning in Time 8

9 Cravings 9

10 Channel is okay but the volume is too high!!! Nutrition Relaxation Exercise Talk Therapy Balance in All Areas Expressing Emotions Active & Positive Life Support Groups Stress Management Rest or Relaxation or Quiet Time Work or Productive Time Play or Fun Time or Entertainment 10

11 Benefits of Eating Properly Heals the Body: rebuilds cellular damage; provides essential nutrients to repair injured cells; generates new cells Heals the Brain: restores neurotransmitter activity; reduces mood swings; reduces depression and anxiety Promotes Recovery: controls blood sugar; helps heal the brain and body; reduces cravings to use substances; reduces fatigue and irritability; strengthens defense against relapse Dual Disorders & Nutrition 11

12 Hypoglycemic Tendencies Purpose of Eating Right 12

13 Clients rated the alliance as the best predictor of engagement and outcome 13

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