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SA 100 Week 5 Lecture

by: Andolina Ziolkowski

SA 100 Week 5 Lecture SA 100

Andolina Ziolkowski
Erie Community College

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Covered this week, we continued an overview of inpatient tx from last week's lecture. Defense mechanisms and dual-diagnosis patients were the major topic of this week's discussion. The lecture went...
Chemical Dependency Treatment Systems
Jerome Puma
Class Notes
dual-diagnosis, Substance Abuse, mental-health, Defense Mechanisms, COUNSELORS
25 ?




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This 4 page Class Notes was uploaded by Andolina Ziolkowski on Thursday September 29, 2016. The Class Notes belongs to SA 100 at Erie Community College taught by Jerome Puma in Fall 2016. Since its upload, it has received 3 views. For similar materials see Chemical Dependency Treatment Systems in Mental Health Substance Abuse Counseling at Erie Community College.

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Date Created: 09/29/16
9/28/16 SA 100 Why Do You Use? And The Dual­Diagnosis  Patient Lecture Notes – Week 5 ____________________________________________________________________________ _ Continuation from Week 4 Lecture – Inpatient Tx ­ A.k.a. bedded programs or residential facilities ­ Used when outpatient isn't effective ­ More expensive ­ Main factors insurance used was the fail first method – now  illegal ­ Some are hospital based, others are community based ­ Community residences (long/longer term) ­ aka halfway houses ­ Inpatient care usually begins with detox ­ Structured daily activity, incl classes, group, & 1:1 counseling, recreational  activity, assignments, etc. ____________________________________________________________________________ _ W5 – "Why do you use?" ­ The use of substances allows the addict to avoid life's problems & gain  comfort & relief from the drug rather than working on resolving their problems ­ It is often "easier" to treat diseases of the body vs the mind. 9/28/16 ­ The general population very often fails to understand the nature of  addiction ­ In a lot of those cases the person doesn't want to understand  or doesn't care ­ Mind of the addict classifies people as either those who can help their  addiction continue or those who stand in their way ­ The person with SUD centers their life around their use ____________________________________________________________ Defense Mechanisms ­ "operate unconsciously & serve to protect us (defend)  from the conscious awareness of anxiety" ­ Allow addiction to continue ­ Key Mechanisms: ­ Denial ­ "a disregard for a disturbing reality" ­ Projection ­ "a process through which what is emotionally  unacceptable in one's self is unconsciously rejected & attributed to others" ­ Rationalization ­ "an individual attempts to justify feelings,  motives, or behavior that otherwise would be unreasonable, illogical, or  intolerable" ­ Minimization ­ "lessens the severity of the problem" (lessens  the amount used in the mind of the addict) 9/28/16 ____________________________________________________________ Dual­Diagnosis ­ Someone who has SUD along with a mental health disorder ­ Aka MICA patient (mentally ill chemical abuser) ­ Co­occuring/co­existing disorder ­ PATIENTS MUST BE TREATED AS COEXISTING VS  PRIMARY/SECONDARY. ­ The psychiatric unit/MH (inpatient) may not be ideal for the DD patient. ____________________________________________________________ Challenges to SUD Counselor  Difficult to diagnose  Some drugs can mimic psychotic behavior  Psychotomimetic  We need to wait for time to pass for the drugs to leave the system.  Mentally ill population often deny drug use ____________________________________________________________ Characteristics of DD Patient ­ Exhibit more suicidal, homicidal, impulsive behaviors than other  psychiatric patients ­ Less psychotic & more intelligent ­ Have more trouble staying sober 9/28/16 ­ Ten to be binge users ­ More manipulative than other psychiatric patients ____________________________________________________________ Problems working with DD Patients ­ Counselors need to be accepting of the use of psychotropic medications ­ MAT – Medication Assisted Tx ­ Denial is more apparent than in non­dd patients ­ Tend to be more crisis­oriented/are crisis­users ­ Not often a major life crisis


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