Addiction Counseling Study Guide/ NAADAC

Principles of the Behavioral Modification theory
There are three principles, Causes, Maintenance and change of behavior. Classical conditioning, Operant conditioning, Modeling is the most effective.
Principle of CT/RT. Control Theory/ Reality Therapy
is based on the principle that four elements guide human functions: Doing, Thinking, Feeling, and Physiology. People choose negative reactions to events, Is responsible for one’s own life. Cant change how the body feels or functions but can control how he reacts and thinks.
Principles of person centered therapy.
Centered around the idea that it is the patient’s responsibility to find ways to deal with reality. Three principles/ Positive regard, Empathy, Congruence, demonstrate being real and genuine.
Principles of Freudian or Psychonalytical
Human being are influenced by powerful inner and unconscious drives. id, ego, superego. People go through 5 stages of life. oral, anal, phallic, latency, and genital.
How substance abuse and domestic violence programs may be in conflict.
Terms such as denial, codependency, and powerlessness are seen as stigmatizing and self defeating in helping people who are in violence abuse situations.
Rational Emotive Behavioral Theory.
It is not the actual event that disturbs a person but how he sees the event. Negative life events, negative beliefs, and negative consequences. ABC model.
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Deductive reasoning
The ability to solve problems by working from a given situation to a conclusion.
Inductive reasoning
The ability to solve problems by working from a specific experience to a conclusion.
Adolescent egocentrism
Self -centeredness based on the concern about what others think
Identity formation
Process that a person goes through in becoming a distinctive individual.
Identity achievement
Occurs when a person sets a goal based on his values.
Pharmacotherapies in treatment of substance abuse
Means using prescription drugs along with some form of therapy to treat substance abuse. Benzodiazepines and anti-seizure medicines are aids for this, and methadone for treatment of heroin.
Family Systems and addiction counseling
When a person uses drugs the whole family is affected.
Solution focused therapy
Focused on things that work rather than the problem. The successes of a patient should be dealt with rather than his disabilities or deficits.
Gestalt Therapy
Based on the idea that people must accept responsibility for what happens to them and find their own way in life. Help the patient be what he wants to be rather than try to be something that he is not.
Adlerian Individual Therapy
Believed that social urges were what influenced people. Based on people are always striving to do better. Therapist try to see the world from the viewpoint of the patient.
id, ego, and Super Ego
The unconscious drives, The internalized outside world and, Takes the forces of conflict results in creating a defense mechanisms such as denial.
Characteristics of physical, mental and personality, Social development of young adulthood and late adulthood
Physical health issues, Mental health issues, personality and social disorders.
Motivational Enhancement Therapy – (MET)
It is Motivational Psychology. Belief that the patient has the capability as well as the responsibility to change. 5 Stages of change.
pharmacotherapies is based on.
Prescription drugs can be used to detox, stabilize and maintain people with substance abuse addictions.
Behavior Modification Theory
The idea that all behavior is learned, and what is learned can be unlearned.
Classical conditioning
Substituting a stimulus which brings about the same result
Operant Conditioning
Increase or decrease of certain behaviors through the use of reinforcement. Negative reinforcement can decrease a behavior.
NAADAC regarding the addiction of alcohol to the National Drug Control Strategy
Alcohol is a drug even though it is legal. Alcoholisim is the primary chronic disease among many groups of U.S. Citizens.
Difference between medical malpractice and negligence.
a patient filing a law suit for compensation, and a breach of duty.
Safety Sensitive
refers to an employee’s job description.
Reasonable cause
is conducted when a supervisor suspects that an employee is engaging in alcohol or drug misuse.
DOT Drug testing policy
Marijuana, cocaine, opiates, narcotics, amphetamines, PCP and Alcohol are required to be apart of a drug screen.
Professional issues and Self Referral Process
When a professional is using substances, use the process to get help for their behavior.
NAADAC Peer assistance committee
Help other professional that have relapsed or are using illicit drugs or are impaired and cannot perform their counseling duties.
Professional Ethical decision making
Is it based off of what I believe, or professional codes of conduct? Which principle of ethical conduct is involved. Is the conflict based on intellect, emotion, or needs?
Client Relationship Principle of Ethical standards
Make sure the client has access to effective treatment, and that the integrity of the treatment relationship is safeguarded. Do not use the Client/Counselor relationship for personal gain or sexual behavior etc.
Competence principle of ethical standards
The counselor need to continue their education so that they can provide the very best professional competency. Counselor should be able to treat several types of disorders.
Non-Discrimination, responsibility, Competence, legal and moral standards for alcohol and drug abuse counselors
Not to discriminate against clients or members of the profession because of race, religion, age, gender, disability, ancestry, sexual orientation, or economic condition. Protect the rights of the client.
Transportation services provided by DOT.
Known as SAP services SAP is to provide a drug free work place. Professional services for substance abuse is set up by DOT.
Ethical principles of interpersonal relationships, remuneration, and societal obligations.
Members should be treated with courtesy, respect, fairness and good faith. Never counsel someone who already has a counselor. Co-operation with other professionals ethics committees is require unless confidentiality will be broken.
Publication Credit -Ethical Principles
Give every one credit who contributes to published material
Client walfare-Ethical Principles
Inform all client of the code of ethics, professional loyalties, and responsibilities
Confidentiality -Ethical Principles
Keep client confidentiality the first obligation.
Client Relationship-Ethical Principles
Must be safe guarded so that the moral soundness of the counseling relationship is preserved.
HIV infection and AIDs for chemically dependent individuals
Many people have fear of HIV and AIDS: Therefore counselors must learn ways to deal with this fear.
Laws and regulations regarding reports and record keeping
Accurate reports and record keeping is the responsibility of counselors. Federal, State and licensing require that appropriate records are kept by healthcare professionals
Quality Assurance (Q.A.)
A means of evaluating the quality of treatment services by a facility. A written plan and documentation that problems are addressed after they are identified.
Referral, consultation and client welfare
Knowing the responsibility of counseling as well as client, Competence, legal and moral standards, client welfare, confidentiality, consult with other professionals.
Federal Controlled Substance Act
Record keeping for Programs. Documentation monitoring, All mandatory information on forms, Dosage. Maintain records for two years and kept confidential.
Alcohol health disorders
Gastrointestinal disorder, Cardiovascular disorder,Skin disorder, Neurologic and psychiatric disorders
Confidentiality laws and regulations
Signed Consent forms must be completed before any information can be shared.
Confidentiality exceptions by Law.
imminent harm or danger, Legal attorney consultations.
Drug testing
Is a means of getting help for someone and not a form of punishment.
Dibenzoxazepine, Selective Serotonin, Prozac, Zoloft, Luvox, Selective Norepinephine, Effexor, Tetracyclic and Trazodone.
Psychotropic,Mood Stabilizer and Antipsychotic family
Chlorpromazine, Triflupromazine Resperidone, resperadol, Clozapine,
Opiates, codine, oxycodone, morphine, perocet, percodan, vicodin,
Benzodiazepine depressants
Xanax, Clonazepam, Diazepam, Short term effects include anti-anxiety and sedative effects.
Barbiturate Depressant -taken oral, Intravenous, or smoke.
Phentobarbital, short term effects are induced sleep, relax muscles,and calm anxiety. Long term, vomiting, constipation, high blood pressure, insomnia, confusion.
An opiate blocker, has been found to be effective in treatment of heroin addicts.
Withdrawal from Stimulants
depression, increased appetite, irritability, weakness and energy loss. Increased need for sleep and loss of concertration
Pharmacotherapies available for alcohol use disorder are
Disuliram and Naltrexone. Also groups for coping skills, relapse prevention, and the use of other support groups.
Central Nervous System Depressants
Alcohol, Barbiturates, Benzodiazepines, Klonopin,
Cross Dependence
Similar drugs substituting for each other within the body and preventing withdrawal or two drugs preserving the state of physical dependence.
Major class of psychoactive chemicals
CNS Depressants,CNS Stimulants, Narcotics, Hallucinogens, Cannabis, Solvents/Inhalants,Steroids, Psychotropics.
Central Nervous System is made up of three parts.
Brain & Spinal Cord, pheripheral nervous system, and The Autonomic nervous system.
Dependent delusional system is a way a person protects the inner person from the realization of his dependency on drugs.
Memory and recall are one part, Denial is the second part of the system.
Stages of withdrawals from CNS depressants
The Shakes, Hallucinations, Seizures, Delirium Tremens [DT]
Controlled substance
Any drug that has an abuse liability and is placed on restricted use by the DEA.
Poly-chemical abuse
When more than one psychoactive chemical is used at a time.
Anabolic-Androgenic Steroids
Are drugs related to male hormones.
Are chemically made stimulants/ Speed, Chalk , Ice, crystal, glass.
Vapors that are inhaled in order to produce mind altering effects.
Cannabis long term effects
Lung damage just as cigarettes, slow mental process