Showing posts with label Treatment. Show all posts
Showing posts with label Treatment. Show all posts

Saturday, August 15, 2009

Dual Recovery Anonymous

Dual Recovery Anonymous is an independent, nonprofessional, twelve step, self-help fellowship organization for people with a dual diagnosis. Our goal is to help men and women who experience a dual illness. We are chemically dependent (alcoholic / addict) and we are also affected by an emotional or psychiatric illness. Both illnesses affect us in all areas of our lives; physically, psychologically, socially, and spiritually.

The many terms of dual disorders

The term dual diagnosis is often used interchangeably with the terms co-morbidity, co-occurring illnesses, concurrent disorders, comorbid disorders, co-occurring disorder, dual disorder, and, double trouble. Professional literature has used a confusing array of terms and acronyms to describe co-occurring disorders or a dual diagnosis.

Many problems

Individuals who experience a dual diagnosis often face a wide range of psychosocial issues and may experience multiple interacting illnesses (more than two). The term "co-occurring disorders" is becoming a common term used to refer to dual diagnosis, or co-occurring substance abuse disorders and psychiatric or emotional illnesses.

Dual Recovery Anonymous defines "dual diagnosis" as meaning that an individual has two separate but very interrelated diagnoses:

  1. A psychiatric diagnosis
  2. A substance abuse diagnosis which may include both drugs and alcohol

An individual is in dual recovery when they are actively following a program that focuses on their recovery needs for both their chemical dependency and their psychiatric illness.

Our Second Tradition states that: "D.R.A. has two requirements for membership;

  1. a desire to stop using alcohol and other intoxicating drugs, and
  2. a desire to manage our emotional or psychiatric illness in a healthy and constructive way."

More at; Dual Recovery Anonymous

See also;

The Dual Disorders Recovery Book by Anonymous Anonymous
The Twelve Steps And Dual Disorders: A Framework Of Recovery For Those Of Us With Addiction & An Emotional Or Psychiatric Illness by Pat Samples

Monday, March 16, 2009

Kids of Addiction

Documentary gives children of addicts a voice

Children in homes in which parents use illegal drugs live in the shadows. They often are abused, neglected or become users themselves. A documentary by local filmmaker Susan Reetz is bringing their lives into the light.

Reetz released "Living in Shadows: The Innocent Victims of Meth" in September, hoping to raise awareness of the issues children face living in a home where illegal drugs are used. That life was brought into focus last week when three children were removed from a home in Schofield where drugs reportedly were present.

Reetz interviewed children, parents and grandparents who have been affected by drug use. They talk about emotional and physical neglect, sexual abuse, violence and living with drugs.

"A lot of people don't realize what kids go through when their parents are using, making and selling meth," Reetz said. "It's so prevalent in our community, and we want to sweep it under the rug. The only way we can make a difference is if our community is better informed."

Full story at The Daily Herald

See also;

Sunday, March 8, 2009

When Alcoholism Takes Over

I can never drink again. I am an alcoholic. Alcohol temporarily fills a hole inside me when I am feeling incomplete or unhappy. I have been sober for a few months, but could very easily get lost into it again if I were to re-indulge in that escape. Alcohol doesn’t fix my problems, but just temporarily numbs my conscious mind of acknowledging them. They will stay there. A fifth of vodka will only offer temporary relief.

Full story at Daily Nexus

See also;

Sunday, June 22, 2008

Spouses of Alcoholics

Partner’s Criticism Linked to Relapse

A new study published in Behavior Therapy apparently confirms that Al-Anon’s purpose of offering "understanding and encouragement" to those with drinking problems is best approach family members can take in dealing with the situation.

The study, conducted by William Fals-Stewart of the State University of New York at Buffalo, found that men recovering from substance abuse are less successful if they believe their spouse or partner is critical of them, rather than supportive.

The study found that of 106 married men studied, those who reported greater criticism from their partners were more likely to have relapsed, regardless of the severity of their drug problem, age or race.

Al-Anon is a support groups for those who are affected by someone else’s drinking. In the "preamble" which is read at most Al-Anon meetings, it says:

  • Al-Anon has but one purpose to help families of alcoholics. We do this by practicing the Twelve Steps, by welcoming and giving comfort to families of alcoholics, and by giving understanding and encouragement to the alcoholic.

"Compared to treatments for substance abuse that do not involve spouses, individuals who get couples treatment have much better outcomes -- less drug use, fewer arrests, greater likelihood to remain abstinent from drugs," Fals-Stewart told Reuters.

Other findings of the study include:

  • Of the 106 men in the study, half had relapsed after a year of treatment.
  • Most of the men perceived their partner to be moderately critical of them, with only 2 percent saying they were not critical at all, and 29 percent saying they were "very critical."
  • Older men were more likely to perceive criticism, as were those involved in more distressed relationships.
  • The study noted the men’s perceived criticism, rather than how much and how often their partners actually criticized them.

Fals-Stewart said relapses themselves may increase criticism from a spouse, who may be especially disappointed by the failure of treatment.

See also;


The Wellness-Recovery Connection: Charting Your Pathway to Optimal Health While Recovering from Alcoholism and Drug Addiction

Monday, June 16, 2008

AA Works for Alcoholism

The Alcoholics Anonymous (AA) program for beating alcohol addiction has a long history and has helped millions of people around the world back to health.

It works as a 12-step program - the Steps being the program of the system which guide the user away from their dysfunctional relationship with drink. The 12-steps involve belief in and surrender to a ’higher’ power which the AA people always stress need not be a formal ’God’. So does the 12-step approach work for those who are not religious?

Researchers at the Massachusetts General Hospital/Harvard Addiction Program studied a group of 227 alcoholics. Those enrolled in a 12-step program like Alcoholics Anonymous did better than those who did not. It is the camaraderie and support you get in the 12-step program that likely provides the benefit, the researchers say.

Source; Alcoholism: Clinical and Experimental Research August 2006

See also;

Saturday, June 14, 2008

Stress Affects Recovery

Alcoholics should avoid excessive physical and emotional stress during early abstinence.

Researchers have found that an important system (The HPA axis) of the body that regulates stress, hunger and illness is “stunned” during alcoholic drinking.

The researchers tested alcoholics in early recovery (less than 12 months) and found that the HPA axis recovers after about 8 weeks.

Any stress can trigger an abnormal response but moderate to extreme stress can be dangerous to abstinence and may trigger a relapse.

Reference; May 2007 issue of Alcoholism: Clinical & Experimental Research.

Recovery Blogger's comments;

  • The most dangerous time for recovery from alcoholism is the first 3 months. Many do not stay sober in the first 3 months.

  • Some alcoholics have been known to exercise to extreme attempting to restore physical prowess and then wondered why.

  • Others have been known to attempt to restore money and work related problems by working long hours or several jobs. They too have found difficulty staying sober.

  • Still others have been known to try restoring family or marriage relationships too early and have found it very stressful or a threat to sobriety.

This research may explain why.

Alcoholics Anonymous advises;

’Easy Does It’

The slogan "Easy Does It" is one way we A.A.’s remind each other that many of us have tendencies at times to overdo things, to rush heedlessly along, impatient with anything that slows us down. We find it hard to relax and savor life.

When one of us is in a dither to get something done or get somewhere in a hurry, a friend may gently remonstrate, "’Easy Does It,’ remember?" Then there’s often a flash of annoyance at the adviser. And that indicates the advice must have hit home, wouldn’t you say?

Page 44 of Living Sober, AA Inc (1975)

See also;


Living Sober (#2150)

Sunday, June 8, 2008

The acronym FRAMES

FRAMES

The acronym FRAMES captures the essence of the interventions commonly tested under the terms brief intervention and motivational interviewing.

Feedback: about personal risk or impairment (e.g., results from the AUDIT, the BriefTSF alcohol history and consequences inventory and/or from blood tests).

Responsibility: emphasis on personal responsibility for change.

Advice: giving clear advice may involve promoting total abstinence, advice to reduce drinking to safe levels or advice to seek further treatment such as BriefTSF.

Menu: of alternative options for changing drinking pattern and, jointly with the patient, setting a target; intermediate goals of reduction can be a start. Keeping a drinkers diary often helps.

Empathic interviewing: listening reflectively without cajoling or confronting; exploring with patients the reasons for change as they see their situation. Empathy is a potent determinant and motivator for change.

Self efficacy: the practitioner’s belief in the patient’s ability to change can also influence recovery. Continuing to address the problem in follow-up visits helps ensure a positive outcome. See also MET an interviewing style which enhances peoples’ belief in their ability to change (See Principles of Motivational Interviewing).

AA saying: I’m not responsible for my disease, but I am responsible for my behavior

From the BriefTSF training manuals.

See also;

Wednesday, May 28, 2008

Troubled Drinking of a Friend

Millions of people are affected by the excessive drinking of someone close. The following twenty questions are designed to help you decide whether or not you need Al-Anon:

  1. Do you worry about how much someone else drinks?

  2. Do you have money problems because of someone else’s drinking?

  3. Do you tell lies to cover up for someone else’s drinking?

  4. Do you feel that if the drinker loved you, he or she would stop drinking, to please you?

  5. Do you blame the drinker’s behavior on his or her companions?

  6. Are plans frequently upset, or cancelled, or meals delayed because of the drinker?

  7. Do you make threats, such as, "If you don’t stop drinking, I’ll leave you"?

  8. Do you secretly try to smell the drinker’s breath?

  9. Are you afraid to upset someone for fear it will set off a drinking bout?

  10. Have you been hurt or embarrassed by a drinker’s behavior?

  11. Are holidays and gatherings spoiled because of drinking?

  12. Have you considered calling the police for help in fear of abuse?

  13. Do you search for hidden alcohol?

  14. Do you often ride in a car with a driver who has been drinking?

  15. Have you refused social invitations out of fear or anxiety?

  16. Do you sometimes feel like a failure when you think of the lengths you have gone to control the drinker?

  17. Do you think that, if the drinker stopped drinking, your other problems would be solved?

  18. Do you ever threaten to hurt yourself to scare the drinker?

  19. Do you feel angry, confused or depressed most of the time?

  20. Do you feel there is no one who understands your problems?

If you have answered ’yes’ to three or more of these questions, Al-Anon or Alateen may help. You can contact Al-Anon or Alateen by looking in your local telephone directory or by searching the web for Al-Anon Family Groups.

See also;


Facing Addiction: Three true stories (The Townsend Library)

Monday, April 14, 2008

Top Posts for March 2008

Sunday, March 23, 2008

Alcoholism 12 Steps Most Effective

Researchers from Stanford University found that a 12-step oriented treatment program that included attending Alcoholics Anonymous meetings boosted two-year sobriety rates by 30 percent compared to cognitive-behavioral (CB) programs, the BBC reported Jan. 29.

Twelve-step oriented programs also cost 30 percent less than CB-based treatment for addiction, the researchers said.

Lead study author Keith Humphreys said the spiritual dimension of AA may explain why recovering alcoholics in such programs are better able to resist the temptation to return to drinking.

Reference: Humphreys, K., Moos, R.H. (2007) Encouraging Posttreatment Self-Help Group Involvement to Reduce Demand for Continuing Care Services: Two-Year Clinical and Utilization Outcomes. Alcoholism: Clinical and Experimental Research, 31(1): 64–68.

See also;


12 Steps: A Spiritual Journey (Tools for Recovery)