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How to support recovery and not addiction - Slides

How to support recovery and not addiction - Slides

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Published by Dawn Farm

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Published by: Dawn Farm on Jun 26, 2012
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09/14/2013

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How to Support RecoveryandNot AddictionHow to Support RecoveryandNot Addiction
Dawn Farm Education SeriesMay 15, 2012Charles F. Gehrke MD, FACP, FASAMDawn Farm Education SeriesMay 15, 2012Charles F. Gehrke MD, FACP, FASAM
 
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For the next 75-90 minutes:For the next 75-90 minutes:
1.
Remember the title of the presentationis: “Support Recovery” -not create orcause it.2. Put aside any preconceived notions andideas about addiction and recovery.3. Put aside your rational thinking for ashort time.
1.
Remember the title of the presentationis: “Support Recovery” -not create orcause it.2. Put aside any preconceived notions andideas about addiction and recovery.3. Put aside your rational thinking for ashort time.
 
5/11/123
ObjectivesObjectives
Learn what we do that supports addiction.
Learn how we have to change.
Learn what we can do to support recovery.
Learn what we do that supports addiction.
Learn how we have to change.
Learn what we can do to support recovery.
5/11/124
DefinitionsDefinitions
 Addiction -is a primary, chronic, progressive,relapsing disease which may be (often is) fatal.
Recovery -is a process of overcoming both physicaland psychological dependence on a psychoactivedrug and is a commitment to abstinence basedsobriety.
(ASAM Textbook of Addiction Medicine ,4th edition)
Disease -is a state of ill health characterized by theabnormal function of one or more organs, a definableset of signs and symptoms, a predictable course andoutcome with or without a known cause.
 Addiction -is a primary, chronic, progressive,relapsing disease which may be (often is) fatal.
Recovery -is a process of overcoming both physicaland psychological dependence on a psychoactivedrug and is a commitment to abstinence basedsobriety.
(ASAM Textbook of Addiction Medicine ,4th edition)
Disease -is a state of ill health characterized by theabnormal function of one or more organs, a definableset of signs and symptoms, a predictable course andoutcome with or without a known cause.
5/11/125
DefinitionsDefinitions
 Addiction -is a primary, chronic, progressive,relapsing disease which may be (often is) fatal.
Recovery -is a process of overcoming both physicaland psychological dependence on a psychoactivedrug and is a commitment to abstinence basedsobriety.
(ASAM Textbook of Addiction Medicine ,4th edition)
Disease -is a state of ill health characterized by theabnormal function of one or more organs, a definableset of signs and symptoms, a predictable course andoutcome with or without a known cause.
 Addiction -is a primary, chronic, progressive,relapsing disease which may be (often is) fatal.
Recovery -is a process of overcoming both physicaland psychological dependence on a psychoactivedrug and is a commitment to abstinence basedsobriety.
(ASAM Textbook of Addiction Medicine ,4th edition)
Disease -is a state of ill health characterized by theabnormal function of one or more organs, a definableset of signs and symptoms, a predictable course andoutcome with or without a known cause.
 
5/11/126
Progression of Addiction and CodependencyProgression of Addiction and Codependency
 Addict
Early Middle Late
no detectable effects beginning to have uses to preventimpact on daily life withdrawalwithout treatmentconsequences increase _____________________________________________________________ 
Codependent’s Progression
no visible effects beginning to feel responsible feels compelled to helpfor the addict -feels compelled feels scared, insecureto help -feelings of guilt overwhelmed, desperate
 Addict
Early Middle Late
no detectable effects beginning to have uses to preventimpact on daily life withdrawalwithout treatmentconsequences increase _____________________________________________________________ 
Codependent’s Progression
no visible effects beginning to feel responsible feels compelled to helpfor the addict -feels compelled feels scared, insecureto help -feelings of guilt overwhelmed, desperate
 
2
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5/11/128
 
Family Recovery Family Recovery Family Recovery Family Recovery 
W    I    T    H    O   U    T     H    E   L   P   
    W    I    T    H     H    E    L    P
BOTTOM
ArgumentsDistrustUnhappinessReligiousneedsDenial (fantasy)Threats made but not fulfilledTakes responsibilityLoss of interestImaginaryillnessesFaçadeUses prescribed drugsLoss of self respectRemorseSocial withdrawalPatent medicine useIndefinable fearsDrugabuser Bankruptcyof alibisAdmits defeatChronic depressionSuicide attemptsBluesIntoleranceSuspicionProblems multiplyWorryIrritabilitySeeps helpAvoidingreferenceExtravaganceSelf-defenseDepressionIrrational behavior Self-neglectAlibiDishonestyInfidelityIsolationBlames othersEscapeJealousyAt ease with lifeReturn of respectAppreciates spiritual valuesReturn of confidence New interests developGuilt isgoneReturn of self-esteemDiminishing fearsDailyliving pattern improvesDevelops optimismBegins to relaxCover-up ceasesBecomes willing to changeShares with others Need tocontrol lessensRecognition of roleSeeks helpAcceptanceRecognizes diseaseSincere desire for helpJoyCourageLoveMakes amendsPeace of mindService New friendsSpiritual examinationReleaseTrust, opennessHonesty
 Prepared by
5/11/129
Support Addiction Support RecoverySupport Addiction Support Recovery
Lack of knowledgeabout addiction
*Using is a choice*Responding to thebehaviors*Enabling* Taking care of it myself 
Lack of knowledgeabout addiction
*Using is a choice*Responding to thebehaviors*Enabling* Taking care of it myself 
Education about addiction*
 Addiction is a disease*Responding to thedisease* Detachment*Ask for help
Education about addiction*
 Addiction is a disease*Responding to thedisease* Detachment*Ask for help
5/11/1210
Education:
Believing the behaviors we see area choice supports the disease.
Education:
Believing the behaviors we see area choice supports the disease.
 “I wish he would…….” 
 “Why doesn’t she………. “
 “He should……
 “If only she would…..” 
 “Why can’t he…..” 
 “Doesn’t she see ….” 
 “I wish he would…….” 
 “Why doesn’t she………. “
 “He should……
 “If only she would…..” 
 “Why can’t he…..” 
 “Doesn’t she see ….” 
5/11/1211
Education:
Understanding addiction is adisease supports recovery.
Education:
Understanding addiction is adisease supports recovery.
Definition of disease
 A disease is:a state of ill health with theabnormal function of oneor more organsdefinable set of Si/Sxpredictable course andoutcomeknown or unknown cause
Definition of disease
 A disease is:a state of ill health with theabnormal function of oneor more organsdefinable set of Si/Sxpredictable course andoutcomeknown or unknown cause
5/11/1212
Defined set of Predictable course Si’s/Sx’s outcomeDefined set of Predictable course Si’s/Sx’s outcome
Craving
Loss of control
Compulsion to use
Continued use inspite of badconsequences
Craving
Loss of control
Compulsion to use
Continued use inspite of badconsequences
 
3
5/11/1213
Education: Addiction is a disease Why?
(con’t)
Education: Addiction is a disease Why?
(con’t)
*
Cause may or may not be known.Currently our understanding of addictionindicates two factors play a major role in thedevelopment of addiction.
genetics and environmental factors
Nature (genetics) loads the gun
Environment pulls the trigger 
However:
there are addicts who have no apparentgenetic predisposition nor significant environmentalrisks.
*
Cause may or may not be known.Currently our understanding of addictionindicates two factors play a major role in thedevelopment of addiction.
genetics and environmental factors
Nature (genetics) loads the gun
Environment pulls the trigger 
However:
there are addicts who have no apparentgenetic predisposition nor significant environmentalrisks.
 
5/11/1214
Education:
responding to the behaviors andnot the disease supports the disease.
Education:
responding to the behaviors andnot the disease supports the disease.
Everyone/everything revolves around the addict -what they do and do not do.
We work to connect with the addict -to maintain arelationship -by exaggerating our response to abehavioranger rageconcern panicfrustration retaliationauthority dominancepersuasion manipulationdisagreement hostility*All these responses are motivated by: Fear
Everyone/everything revolves around the addict -what they do and do not do.
We work to connect with the addict -to maintain arelationship -by exaggerating our response to abehavioranger rageconcern panicfrustration retaliationauthority dominancepersuasion manipulationdisagreement hostility*All these responses are motivated by: Fear
 
5/11/1215
Education:
responding to behaviors andnot the disease supports the disease.
Education:
responding to behaviors andnot the disease supports the disease.
 Anger:
(often results from: fear, guilt, hurt)
T
hree purposes:
instruct the addict
protect the addict
make emotional connections
Two kinds:
protest against unkind or inconsiderate treatment
hurts of the past and fear of the futureThe second is very nonproductive and harmful.
 Anger:
(often results from: fear, guilt, hurt)
T
hree purposes:
instruct the addict
protect the addict
make emotional connections
Two kinds:
protest against unkind or inconsiderate treatment
hurts of the past and fear of the futureThe second is very nonproductive and harmful.
5/11/1216
Education:
responding to behaviors and notthe diseasesupports the disease.
Education:
responding to behaviors and notthe diseasesupports the disease.
Perfectionism: unable to control the addict so keepeverything else under control.
Procrastination: sees disaster in everything they mightdo or try -so why even try.
Caretaking: they take care of everything -pay therent, make excuses, lend the car, buy the beer!!, cleanup all the messes.
Blaming: transfers responsibility to someone else -soI can wait until they get their act together.
Perfectionism: unable to control the addict so keepeverything else under control.
Procrastination: sees disaster in everything they mightdo or try -so why even try.
Caretaking: they take care of everything -pay therent, make excuses, lend the car, buy the beer!!, cleanup all the messes.
Blaming: transfers responsibility to someone else -soI can wait until they get their act together.
5/11/1217
Education: definition of enabling:Education: definition of enabling:
 Anything we do or donot do that getsbetween the addictand theconsequences of his/her use of drugsand/or alcohol.
 Anything we do or donot do that getsbetween the addictand theconsequences of his/her use of drugsand/or alcohol.
 
5/11/1218
Education: Enabling -why do we do it?Education: Enabling -why do we do it?
Believe using is a choice. (remember the part of thebrain involved)
Believe using is a response to circumstances.
Believe using is a lack of will power.
Believe using continues because of a lack understanding of the consequences.
Believe using is a moral short coming.
Believing that doing something to correct theseconditions will fix (end) the addiction and thebehaviors.
Believe using is a choice. (remember the part of thebrain involved)
Believe using is a response to circumstances.
Believe using is a lack of will power.
Believe using continues because of a lack understanding of the consequences.
Believe using is a moral short coming.
Believing that doing something to correct theseconditions will fix (end) the addiction and thebehaviors.

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