Neurobiology
The central nervous system is half of the complete nervous system. It contains the_________________
brain and spinal cord
When a group is nearing ____(stage of group counseling), members may
Resort to old, unproductive behavior with original symptoms
Review significant events of the group
Termination
According to ________ theory: an alcoholic's recovery will upset the homeostatic balance of the family
family systems
Which of the following affect the brain stem by inducing sleep and depressing the muscular system:
a. amphetamines
b. barbiturates
c. hallucinogens
d. opiates
B- Barbiturates
The decision to terminate a counseling relationship is ideally made by
the counselor and the client
Name the 4 lobes of the brain
Frontal Lobe, Parietal Lobe, Occipital Lobe, and Temporal Lobe.
During _____ stage of group counseling- Each member is concerned about
Acceptance
Identity
Power
Intimacy
Initial
What is step 3 of AA?
Step three is defined as "(to make) a decision to turn our will and our lives over to the care of God as we understood Him."
___________suggested that alcoholism comes from a combination of an obsession of the mind coupled with an allergy/illness of the body.
Dr. William Silkworth
Sally is a 16 year old female who has been admitted to a program for chemical dependency. She has a history of running away from home, erratic performance in school and has been arrested twice for petty theft. In assessing Sally, the counselor should first consider
Sally's familial relationships and social mileu
The _____________ protects the central nervous system; it is walls of capillaries that consist of tightly sealed epithelial cells that allow only certain substances to penetrate
blood-brain barrier
Functions of the leader= One is Emotional stimulation – to provide: (Name them)
Challenge
Confrontation
Self-disclosure
Caring
Support
Acceptance
Praise
Name the 5 Family Roles of Sharon Wegscheider-Cruse
- Enabler
- Hero
- Scapegoat
- Lost child
- Mascot
Why is it dangerous to combine an opioid with a downer like alcohol, barbiturates, or benzodiazepines?
• It increases the effects of both depressants which could lead to death
• Combination use of downers results in additive and synergistic depressant effects
Bruce is a college student who comes from a dysfunctional family. The counselor at the student health center has referred Bruce to Al-Anon. If this is an appropriate referral, what assumptions can we make about Bruce
at least one of his family members was an alcoholic
What is Serotonin
Serotonin: a brain neurotransmitter associated with the regulation of sensory perception, sleep and body temperature. The alterations of the serotonin functioning have been found to be related to mental illness and certain drug-induced hallucinations.
The Role of the Individual – There are three necessary processes an individual must go through in order to allow the group to be helpful (name them)
- Compliance
- Identification
- Internalization
An Alcohol and drug Counselor gives a talk to a local chapter of a group to which the counselor belongs. The counselor knows that members of the group hold different beliefs about alcoholism than those of most substance abuse professionals. In his talk, to avoid upsetting the group, he states that alcoholism is not a disease and that people become alcoholics by choice because they want to sponge off the welfare system. The counselor has acted: (explain)
unethically, because he is misrepresenting current knowledge about alcoholism
When large amounts of alcohol are consumed more rapidly than the body can process and metabolize it, which of the following may occur?
Severe alcohol poisoning occurs causing depression of the central nervous system(CNS) leading to unconsciousness, respiratory and cardiac failure, then coma and death.
Joe is a 27 year old addict who has begun counseling. During one sessions, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should:
assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors
Stimulants affects the ____________ and the __________ by increasing the heart rate and blood pressure causing the user to feel energized.
Stimulants affects the Autonomic Nervous System and the medulla oblongata by increasing the heart rate and blood pressure causing the user to feel energized.
According to the works of Yalom, there are 11 factors that help group members change – these are all factors that need to be part of a group to help group members grow (Name at least 5)
Instillation of hope – the person must feel there is hope to solve his/her problems
Universality – the person must feel he/she has a problem common to others
Imparting information – an informed person is better able to cope and think through new problems
Altruism – caring about others decreases an unhealthy self-absorption
Corrective recapitulation of one’s family-members behave the way they did while growing up in their families – through group process, they learn healthier ways to behave
Development of socializing techniques – the person learns how to interact with people
Imitative behavior – the leaders and senior group members act as role models of healthy behavior for newer members
Interpersonal learning
Group cohesiveness – when members feel a sense of togetherness, they are more willing to attend, participate, help other members, and defend group rules
Catharsis – after a person has a release of intense emotions, he/she may be freer to use information and new experience to grow
Existential factors (self-responsibility) – the person owns responsibility for his/her own thoughts, feelings, and behaviors
An Alcohol and Drug Counselor is seeing a client who claims to be sober. One day, the client shows up obviously drunk. He begins to talk in an agitated fashion and is clearly upset, but soon calms down. The Counselor is able to talk with him until he begins to sober up. Realizing that their sessions were based on the misconception the client was no longer drinking, the counselor should: (explain)
reassess the clients needs, and make any needed changes in treatment
A key enzyme involved in the metabolism of alcohol is ______ and is located in the ______ and the ______.
Alcohol dehydrogenase, stomach, liver
William is a 35 year old accountant. His wife, Anna, works part-time. Before their marriage, Anna had a problem with cocaine addiction, and Williams helped her through a recovery program. William considers it as a time when he was "needed and loved." Lately, Anna has been showing signs of relapse. She has begun socializing with old drug friends. William expresses his concern, but says "don't worry, I will help you get through this." Williams's behavior can be described as:
Co-Dependent