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Methadone
the only long-acting full opioid agonist approved for treatment, at this time. It
provides a range of effects similar to those of short-acting opiates like Heroin and
Morphine, suppressing withdrawal symptoms and avoiding cravings as the opioid
is eliminated from the body. Dose needed for cross-tolerance depends on client's
level of tolerance for the drug(s).
Trauma-informed treatments
This treatment approach should minimize the risk of re-traumatization or
replicating prior trauma dynamics. Ex: Clients may express feelings of
powerlessness or being trapped if they are not active involved in treatment
decisions or if providers mirror specific behaviors/dynamics from client's past
traumatic experiences.
Screening
,The first two steps in in this process are to determine whether the client as a
history of trauma and whether he/she has trauma related symptoms.
Screening
Often the first contact between client and treatment providers, this interaction
can set the tone of treatment and being the relationship with the client.
Assessment
When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment
This process should reoccur throughout treatment, to provide valuable
information and details as client's trust in staff members grow and progress occurs.
CBT
Most PTSD and SA models involve ________________ that integrates cognitive
and behavioral theories by incorporation two ideas: that thoughts mediate
between situational demands and one's attempts to effective respond and that
behavioral change influences acceptance of altered cognition about oneself or a
situation and establishment of newly learned patterns
, Cognitive Processing Therapy
a manualized 12-session treatment approach which can be administered in group
or individual practice, which involves Exposure Therapy.
Exposure Therapy
This type of therapy asks clients to directly describe and explore trauma-related
memories, objects, emotions, or places. Intense emotions are evoked, but
decrease, desensitizing clients through repeated encounters with traumatic
material.
Experimental and Social Use of Drugs and Alcohol (stage 1)
occasional - perhaps a few times monthly, usually on weekends or at parties with
friends. May use when alone. Little to no behavioral changes, occasional,
moderate hangover.
Abuse of Drugs and Alcohol (stage 2)
regular use - up to several times a week. may begin use during the day. may be
using along rather than with friends. There are behavioral indicators in this phase
of addiction, such as a decrease in activities, declined in school or work
performance, and greater interest in use. May use to manipulate emotions in this
phase. May sell drugs or keep supply for personal use.