D-Client arrived on time for his scheduled appt. with this writer. The client was alert and engaging throughout the session. During the course of the one hour session, he was aware about completing his first initial tx plan, at which he was open to discuss and complete. The client reported that he participated at HOI prior – 15 years ago for heroin. He relapses in 2009 due to his liver transplant surgery in December of 2008. When asked by this writer about happen during his relapse. According to the client, he relapses on RX medication-oxycodone. He’s been abusing his Rx medication for 6 years. This writer asked the client about how his relapse affects his livelihood. According to the client, he affected him greatly financially whereas he spent his entire $150,000 inheritance on RX medication on the street. The client further mentioned that he spend $5,000 a week on daily Rx medication of 30 capsules of oxycodone. The client expressed his disappointment in himself because he was doing well, but since his surgery, at which the client recognized as a blessing, caused his addiction to pain killers. The client continues to say, “I cannot blame anyone, but me.” The client had a desire to open up his own Bar/Restaurant…
Dopamine can also play a role in addictive behaviors, and cocaine is a severe drug in addiction (Depue& Collins, 1999). Cocaine inhibits the natural order of dopamine. Once the dopamine is set free, it is reused into a dopamine transmitting neuron. Cocaine binds to the dopamine, and does not allow it to be reused. This causes an increase of dopamine and overflows specific neural areas, the overflow stops after a half hour, and the person is feeling the way he or she did before, and this is how the addiction begins (Stocker, 1999).…
Pt. currently regain his Phase 3 take home privileges after submitting a positive UDS, which came back positive for opiates. Pt. has relapsed after having 8 months clean, but he demonstrated a desire to learn from the relapse and regain previous take home privileges. Pt. has experienced a recurrence of symptoms but he learned how to cope with the consequences of his current use and decided what to do next. Pt. dealt with these issues by finding and using his sources of support and AMS staff. Pt discussed his relapse was caused by speeding time with negative friends who are actively using. Pt. reported that the he has not responded as expected to his prescribed methadone medication. Pt. has maintained his financial responsibilities as evidenced by paying all his treatment services fees in advance over the last…
Counselor met with Pt. to discuss his updated treatment plan dealing with Relapse Prevention Strategies. Pt. agreed to sign the record of services sheet. Pt. indicated that his current prescribed medication is “doing fine”. Pt. is taking 60 mg of methadone as instructed by AMS Doctor. Counselor asked him whether he has used any illicit drugs since the last session which he replied yes. Pt. read and answered few questions on his treatment plan without objections. Per treatment assignment, Pt. will develop a relapse prevention plan consistent with recovery while identifying social, emotional, and physical pressures that pose risks for relapse. Pt. is currently in the Level 0 + 1 because he continues to use heroin. Counselor prompted Pt. to identify justifications he told himself to make poor decisions and lead to an unhealthy path that eventually led to using heroin recently as evidenced by his previous UDS. Pt. reported that he decided to use opiates recently because he was bored and “I fall back to my old self.” The next step in the session, Counselor encouraged Pt. to recommit to his recovery program by reinstituting some positive behaviors. Counselor tried to…
Counselor met with Pt. for a short tx intervention. Counselor flagged pt. in the computer to meet this writer before dosing. Counselor greeted Pt. and told him that this writer tried to reach him but his phone wasn’t accepting calls. Pt. explained how his phone was disconnected because he did not receive his veteran check. Counselor and Pt. discussed his recent positive UDS result, the events that led to the relapse and how he is going to lose of his take home privileges. Pt. verbalized that he has infection in a tooth and he used cocaine toothpaste to remove it. Pt. stated, “I wasn’t thinking about it at the moment, but after the incident, I was expecting.” Counselor asked Pt. why and how he removed his tooth. Pt. informed this writer that…
I would like to answer your question: [What would be a realistic strategy to prevent cessation of physical activity or lapse?] According to Stetson et al. (2005) on average, physically active people outlive those who are inactive. It is estimated that only about 11% of healthy adults engage in moderate-to-vigorous, purposeful activity 3 or more days per week. Lapses or “drop out” in exercise routines are quite common. For the purpose of being specific, I will equate physical activity with exercise.…
D: Today’s topic was focused on Dim 3 and 5. Group members learned different types of triggers; the steps that lead from trigger to relapse; and ways to interrupt the relapse process.…
HOLDEN, C. (2001, May 11). Zapping Memory Center Triggers Drug Craving.(Brief Article). Science, 1039-1039. http://eds.b.ebscohost.com/eds/pdfviewer/pdfviewer?vid=24&sid=9c6b200b-1bf9-44be-9fe6-32bfa66a4498%40sessionmgr111&hid=114…
The article critique examines the treatment modalities and the criminal justice system (Witkiewitz et al., 2014). The aim of this study is to compare mindfulness behavioral relapse prevention (MBRP) and Relapse Prevention (RP) conducted in residential programs (Witkiewitz et al., 2014). Four self reported assessments was used to determine whether treatment was effective. The results concluded that (MBRP) was more effective in some instances than (RP) and further results suggested to increase generalization the sample and length of study should be evaluated(Witkiewitz et al., 2014).…
Neuroadaptation, however, is a two-way process. An individual who is not addicted to drugs and substances, but let us say alcohol. The Neuroadaptation process will work towards retaining the normal sober position of the body. However, the case is not similar to those individuals who are totally into taking drugs, more so talk of victims of drug addiction. In any case, one is to total abuse of drugs of any kind in the case of alcohol. The neuroadaptation is likely to adopt a change in its process, and the change will lead to the dependence and lenience of the alcohol, which the victim is making use of. Therefore with the constant use of alcohol, the body slowly by slowly adapts and gets used to the availability of the substance. (Breese, et al, 2011 ,p149-171) With the adaptation, a change in the occurrence of neuroadaptation is likely to occur. Once addiction levels get to such a point, the neuroadaptation tends to operate in a reverse manner, once…
In the article The Addiction Paradox: Drug Dependence Has Two Faces - As A Chronic Disease And A Temporary Failure To Cope, the author talks about research that shows addiction as a disease or a temporary failure to cope. In the article Neurobiology Of Addiction Versus Drug Use Driven By Lack Of Choice, the authors talk about the study of neurobiology of addiction and how addiction and the different choices drug users can make. In the article New Medications For Drug Addiction Hiding In Glutamatergic Neuroplasticity, the authors talk about how addiction is needing more attention and they also talk about new treatment for addiction. In the article The Army Disease: Drug Addiction And The Civil War, the author talks about how addiction was a big problem during the civil war but in that time drug addiction was not fully understood.…
Butelman, B., Leveron, O., Kreek, M., Schulessman, S., Yan, Y., (Oct., 2012). Opiate Addiction and Cocaine Addiction: Underlying Molecular Neurobiology and Genetics. The Journal of Clinical Investigation, 122(10), 3387-3389…
It is an enormous achievement to successfully go through drug rehabilitation. It takes a lot of dedication and a willingness to change. However, people do find themselves at the precipice of returning to old habits. They are tempted to relapse back into a lifestyle that they had spent so much time and energy to leave behind. There are, thankfully, a few great techniques to prevent these relapses.…
Drug addiction is considered a progressive disease that if left untreated can result in death. When we become addicted we have lost control of the desire and need for the substance. This loss of control causes us to become consumed by the desire and the need for the substance. Addiction produces changes in the brain that cause our behavior to change. This change in behavior is what leads to the loss of control. “This is not something that develops overnight for any individual. Generally there is a series of steps that individuals go through from experimentation and occasional use to the actual loss of control.” (HBO). The progression of this disease has no specific time frame. It differs from person to person. Regardless of time, addiction follows the same path. We become addicted, our disease progresses, and either we get help and recover or we take one of the following options: jail, institution, or death.…
When a client returns home from treatment and/or is faced with an unchanged surroundings and people who either indulged with them in the negative behaviors; relapse is more likely than not, going to occur. This is the point where the relapse preventions steps in and the various techniques of therapeutic methods used to overcome addictive behaviors are applied. Prevention, as mentioned with relapse, can be modified to different degrees for different…