Simply Suboxone
How long has Suboxone been available for individuals in recovery?
2003
What does trust look like?
- honesty
- commitment
- good communication
- never second guessing someone's actions
- responsibility
- accountability
- openness
- reconciliation, not being alone
- body language (eye contact)
- non-argumentative
- not defensive
- keeping promises
What are the 3 most common types of communication?
Passive, Aggressive, and Assertive.
What is a family?
Traditional- two parents and children under the same roof.
Extended- families including grandparents, uncles, aunts, cousins, and other relatives.
Blended- remarriage, step kids, non-blood relative, etc.
Foster/adoptive families
Etc, all families look different.
You can be on suboxone for the rest of your life (T/F)?
False- it is meant for short term use only (1.5-2 years).
What are the two components of Suboxone?
Buprenorphine and Naloxone.
How does substance use affect trust?
People often conceal certain behaviors from family, lying, stealing, violating others privacy, and losing loved ones.
How do you resolve family problems?
- Let go of pride.
- Make aim to reconcile not win.
- Figure out the exact issue.
- Be the bigger person.
-Apologize
- Assertive, say what is on your mind without being aggressive.
- Be honest
- Talk
- Prevent
You can overdose on Suboxone (T/F)?
False- unless you are misusing your medication by mixing suboxone with Benzodiazepines, alcohol, other opioids, or if never been dependent on opioids.
Name 2 long term side effects of Suboxone?
Hair loss
Loss of libido
Poor stress management
Addiction
Loss of control over emotions
Failing relationships
Trouble with responsibilities (e.g. parenting, work, school)
Financial strain
Legal problems associated use such as stealing or driving intoxicated
How can you repair lost or damaged relationships?
- Time
- Recognizing your own problems and needing to change
- Continued progress
-Treatment
- Recovery
- Not living in the past, and changing the future
-Apologizing
- Love
- Taking care of ourselves
- Prove change
Explain a time when felt you gained trust back.
What are the different family roles?
**Think of the different characters in the show shameless.**
Hero- does not speak of family issues, and distracts from focusing on family problems.
Enabler- Usually an older child takes on the the responsibility of taking care of the family and making sure they have what they need.
Clown- Uses humor to deflect what they are really feeling, and tries to bring the family spirits up.
Scapegoat- the person that always takes the fall or the blame for everything because of their behavior of being defiant and misbehaving. They have trouble with authority figures.
Lost Child- this person is isolated and forgotten. They have a hard time developing relationships and are often times not good in social settings. They are fictional to distract themselves from negative family environments.
Suboxone does not give the same high as heroin (T/F)?
True- suboxone is a partial agonist and heroin is a full agonist.
Suboxone allows the individual to be able to participate in daily adult responsibilties without the euphoric effect that leaves the individual needing more and more.
Partial agonist
What are the 5 stages of change a person goes through?
**Think about how you attitude changes throughout treatment/recovery.**
Precontemplation- Denial, not ready to make a change because nothing is wrong.
Contemplation- You can recognize you need to work on an issue, but not quite sure where to start.
Preparation- You know you need to work on something and are beginning to make steps towards where to go and who to ask for help.
Action- You are in therapy, treatment, or doing things that are changing you into the person you want to be.
Maintanence- Sticking with a routine that exhibits and continues reinforcing that change you want.
What can lack of communication lead too?
-anger
-frustration
-shame
-sadness
-defeat
-loss of comfort
-loss of voice and being reserved
Who is your greatest support? Why is support important?
- Do not feel alone.
- Motivation
- Someone that understands
- Someone to talk to.
- Having a reason to keep moving forward.
- Reason to be sober and alive
- To laugh
- To get your mind off of things
- To relax
- To reduce stress
My $65 I pay at the office is ONLY for my suboxone prescription (T/F)?
False- the amount is for group therapy, seeing a counselor 4 times a month, seeing a doctor once a month, and providing UDS screens.
Once you have paid, provided a UDS, and attended group your script can officially be released to pick up.
Explain how Methadone attaches to the recepter, suboxone attaches to the receptor, and how naltroxone attaches to the receptor.
Methadone--> fully attaches and you get full effects.
Suboxone--> partially attaches, gives some effect, but also blocks.
Naltroxone--> purely blocks.
What are the 7 steps to regaining trust in recovery?
1. Focus on Yourself
2. Avoid victim mentality
3. Build a routine and stick to it
4. Just do the right thing
5. Do not ask for praise or expect a reward
6. Be impeccable with your word
7. Be consistent
Utilize an "I feel" statement
I feel _____ when (situation causing) ______ because (reasons for the feeling at the moment) _____ I would like to (change we desire) ______
Point for providing an example that fits the I feel statement!!!!!!!
How can Groups help you?
Groups can be a place for you to build sober support, to build self-esteem, to get ideas, to erase guilt and shame, to understand that others experience similiar situations, to witness that treatment can work, to see how people change, reliability, accountability, structure, and hope.
All recovery programs are the same (T/F)?
False- Inpatient, outpatient, detox, 12-step, individual therapy, and group therapy.
It depends on the individual, where you are at in your life, and what you are ready to do/change.