Stages of Change
In this stage, the person is beginning to think about changing their behavior and has likely experienced some negative consequences of their substance use
Contemplation
This chemical is associated with reward and the pleasure center of the brain
Dopamine
What is dual diagnosis?
A person with a mental health and substance use disorder diagnosis
The stage of treatment that you are in now - where goals are education and stabilization
Options: DTX, RTC, PHP, IOP, Aftercare
Residential
Symptoms of this diagnosis include excessive worrying, restlessness, irritability, and difficulty sleeping
Generalized Anxiety Disorder
The person is taking significant steps to end their using behavior such as seeking treatment, using coping skills, and building support
Action
This is the part of the brain where emotions are processed
Prefrontal Cortex
What are the 3 styles of communication?
Passive, assertive, aggressive
In this stage of treatment, the goal is to medically assist you in physically removing chemicals from your body
Options: DTX, RTC, PHP, IOP, Aftercare
Detox
Symptoms include sadness throughout most of the day, decreased interest in most activities, difficulty sleeping, fatigue, weight changes, difficulty concentrating, worthlessness, and possible suicidal thoughts
Major Depressive Disorder
This person has decided they want to change their using behavior and are beginning to think about how they will do so, but they have not completely stopped.
Preparation
The technical name for "animal brain," "squirrel brain," or "lizard brain"
A personality trait often associated with addiction where people act without thinking and conscious judgment
Impulsivity
Goals of this stage of treatment include processing through underlying causes of addiction in a secure and supportive setting
Options: DTX, RTC, PHP, IOP, Aftercare
PHP
Posttraumatic Stress Disorder
This person has been taking action to maintain sobriety for a prolonged period of time
Maintenance
Two chemicals most often associated with stress
Adrenaline and cortisol
What is the primary goal of your therapist here in RTC?
A) Help you process past trauma
B) Help discover underlying causes of addiction
C) Help mend relationships in your life
D) File for unemployment
B - discover underlying causes of addiction
Goals of this stage of treatment are to allow you to face triggers in your outside life and process through them, work towards independent living, and continue identifying short/long term goals
Options: DTX, RTC, PHP, IOP, Aftercare
IOP
Symptoms include elevated mood over 1 week including decreased sleep, inflated self esteem, excessive talking, difficulty concentrating, and possible psychotic features
Bipolar 1 Disorder
This person has not realized the need to change their behavior and could appear like they are in denial
Precontemplation
Explain how trauma is processed in the brain
*Up to therapist discretion*
A triggering stimulus enters the brain and is processed in the midbrain, leading to fight/flight/freeze response. Amygdala contributes to fear response. Not processed in prefrontal cortex where typical emotions are processed.
Known as the MacDonald Triad, 3 behaviors in childhood that some say contribute to psychopathic behavior in adults
Late-stage bedwetting, setting fires, animal cruelty
This stage of treatment could involve 12-step meetings, individual counseling, and medication management, but is not a true level of care. No timeframe associated with this level
Options: DTX, RTC, PHP, IOP, Aftercare
Aftercare
These disorders differ from mood disorders in that they are not chemically based and include a pattern of behaviors that cause distress or impairment
Personality Disorders