1 1 1 PsychoEducation for Patients and Family Members Changes in the Brain 1 2 The mechanism of addiction is biological phenomena Prefrontal Cortex Limbic System Conditioning 1 3 Question ID: 1030260
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1. Session 1:Triggers and Cravings (1)1-1Psycho-Education for Patients and Family Members
2. Changes in the Brain1-2The mechanism of addiction is biological phenomena.Prefrontal CortexLimbic System
3. Conditioning1-3
4. Question:Please give an example of “conditioning”.1-4
5. I.P. Pavlov (1849–1936)1-5
6. Pavlov’s Dog1-6
7. Questions:What is “addiction”? How do you define it?Is “addiction” a disease?What are some of the behaviors characterized by drug addiction?1-7
8. A Definition of AddictionA primary, chronic, neuro-biologic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. Addiction is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.Graham, A.W.; Schultz, T.K.; Mayo-Smith, M.F.; Ries, R.K.; and Wilford, B.B. eds. Principles of Addiction Medicine, Third Edition. Chevy Chase, MD: American Society of Addiction Medicine, Inc., 2003.1-8
9. The Addictive ProcessIntroductory phaseMaintenance phaseDisenchantment phaseDisaster phase1-9
10. Question:What are positives and negatives of Shabu use?When you start using?After a long-term continuous use?1-10
11. Addictive Process - Introductory PhasePositives and Negatives of Shabu UseRelief fromDepressionAnxietyLonelinessInsomniaEuphoriaIncreased statusIncreased energyIncreased sexual/social confidenceIncreased work outputIncreased thinking abilityIllegalMay be expensiveMay cause missing work1-11PositivesNegatives
12. Strength of Conditioned Connection: MildTriggersPartiesSpecial occasionsOther eventsResponsesPleasant thoughts about ShabuUse but not frequent1-12Addictive Process - Introductory PhaseConditioning Process During Addiction
13. Development of Obsessive Thinking1-13FoodSchoolTVSportsHobbiesJobGirlfriendFamilyExercisePartiesShabuAddictive Process - Introductory Phase
14. Development of Craving Response1-14Entering Using SiteUse of ShabuShabu EffectsHeart/pulse rateRespirationAdrenalineEnergyShabu tasteAddictive Process - Introductory Phase
15. Employment/school disruptionsRelationship concernsFinancial problemsBeginnings of physiological dependence1-15Addictive Process - Maintenance PhaseDepression reliefConfidence boostBoredom reliefSexual enhancementSocial lubricantPositives and Negatives of Shabu UsePositivesNegatives
16. TriggersPartiesFriday nightsFriendsAlcohol“Good times”Sexual situationsResponsesThoughts of ShabuEager anticipation of Shabu useMild physiological arousalCravings occur as use approachesOccasional use1-16Addictive Process - Maintenance PhaseStrength of Conditioned Connection: ModerateConditioning Process During Addiction
17. 1-17FoodSchoolTVHobbiesJobGirlfriendFamilyExercisePartiesShabuShabuAddictive Process - Maintenance PhaseDevelopment of Obsessive Thinking
18. 1-18Entering Using SitePhysiological ResponseUse of ShabuShabu EffectsHeartBreathingAdrenaline effectsEnergyShabu tasteHeartBlood pressureEnergyAddictive Process - Maintenance PhaseDevelopment of Craving Response
19. The Addictive ProcessIntroductory phaseMaintenance phaseDisenchantment phaseDisaster phase1-19To be covered in the next session