Stage of Change
Counselor Issues
Abbreviations
Medications
Specific Topics in Substance Use
100

"Smoking is a bad habit. I've been reading about different ways to quit, and even though I haven't totally quit yet, I'm smoking less than I did before". 

What is Preparation?

100

It refers to a person transferring their feelings about someone else onto their therapist. 

What is transference?

100

MAT

What is medication-assisted treatment?

100

This medication is a long-acting full opioid agonist and a schedule II controlled medication. It reduces cravings and withdrawal and blunts or blocks the effects of opioids. It is available in liquid, power, and diskettes forms. 

What is Methadone

100

Oral, smoking, inhalation, injection

What is route of administration

200

"I know I have a problem, and I think I should do something about it". 

What is Contemplation?

200

These provide the framework for the therapeutic relationships. They enable clients to feel safe and promote trust by showing clearly the purpose of the relationship and what the client can expect. 

What are boundaries?

200

PWID

What is Persons Who Inject Drugs?

200

This medication is an opioid partial agonist. It produces effects such as euphoria or respiratory depression at low to moderate doses, however these effects are weaker than full opioid agonists. 

What is buprenorphine?

200

To have a diagnosis of Opioid Use Disorder Severe, this is the minimum number of DSM 5 criteria that must be met.

What is 6?

300

"It's easy to say you'll quit smoking, but I'm doing something about it. I haven't smoked in four months". 

What is Action?

300

This occurs when the therapist projects their own unresolved conflicts onto the client.

What is countertransference?

300

COWS

What is clinical opiate withdrawal scale?

300

This medication in an FDA approved opioid antagonist used to treat alcohol use disorder and opioid dependence. It blocks the effect of opioids and prevents opioid intoxication and physiologic dependence on opioid users. 

What is Naltrexone?

300

Loss of consciousness, limp body, slowing breathing, small "pinpoint" pupils, pale, blue or cold skin, slowed heart rate.

What are signs and symptoms of an opioid overdose?

400

 "I don't see a problem with what I'm doing, so there's no reason to change anything". 

What is Precontemplation?

400

These are assumptions made about a person, group, situation, or thing. They can be positive or negative, but often are not fair or accurate.

What are biases?

400

PAWS

What is post acute withdrawal syndrome.

400

This is an opioid antagonist used to reverse or reduce the effects of opioids. This medication blocks the effects of opioids for 30 - 90 minutes. 

What is naloxone?

400

These substances are responsible for most overdose deaths associated with methadone and buprenorphine.

What are sedatives?

500

The focus of this stage is continuing the new behavior change. As people progress in this stage, they become more confident in their ability to sustain positive lifestyle changes. 

What is Maintenance?

500

This is a term used to describe how a therapist interacts with their clients in order to facilitate change. 

What is counseling style?

500

OORM

What is opioid overdose reversal medications.

500

This medication is the first once-monthly injectable buprenorphine product.

What is Sublocade?

500

DAILY DOUBLE!! 

This is where to find the Florida Clinical and Operational Standards for Medication-Assisted Treatment for Opioid Use Disorders.

What is 65D-30?

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