Psychology & Therapy of Addictions | Elmira Strange | Skillshare

Playback Speed

  • 0.5x
  • 1x (Normal)
  • 1.25x
  • 1.5x
  • 2x

Psychology & Therapy of Addictions

teacher avatar Elmira Strange, Psychologist, Coach

Watch this class and thousands more

Get unlimited access to every class
Taught by industry leaders & working professionals
Topics include illustration, design, photography, and more

Watch this class and thousands more

Get unlimited access to every class
Taught by industry leaders & working professionals
Topics include illustration, design, photography, and more

Lessons in This Class

23 Lessons (1h 58m)
    • 1. 0.1. Promo Video

    • 2. 0.2. About the Course and Instructor

    • 3. 1. Theories: The Moral Model of Addiction

    • 4. 2. Theories: The Psychological Model of Addiction

    • 5. 3. Theories: The Medical / Disease Model

    • 6. 4. Theories: The Socio-Cultural Model

    • 7. 5. Treatments: Pharmacotherapy

    • 8. 6. Treatments: The Minnesota Model

    • 9. 7. Treatments: Counselling and Therapy

    • 10. 8. Treatments: Harm Reduction Model

    • 11. 9. Addiction Treatments in Practice

    • 12. 10. Society: Drug Policies, Legislation & Decriminalisation

    • 13. 11. Society: Community Change, Outreach, Harm Reduction or Abstinence

    • 14. 12. Society: Alcohol and Drug Education

    • 15. 13. Society: Alcohol and Drug-Related Issues in the Workplace

    • 16. 14. Co-dependency, Children of Alcoholic Families, Parenting Styles & Family Factors

    • 17. 15. Relapse for Families, 'Letting go', Dependent Attitudes & Dependent Behaviours

    • 18. 16. Addiction & Families: Al-Anon

    • 19. 17. The Intervention Approach

    • 20. 18. Working with Addiction: Why be a Helper

    • 21. 19. Working with Addiction: Helper Qualities & Attitudes

    • 22. 20. Working with Addiction: The Art of Accepting

    • 23. 21. Working with Addiction: Counselling / Helping Skills

  • --
  • Beginner level
  • Intermediate level
  • Advanced level
  • All levels
  • Beg/Int level
  • Int/Adv level

Community Generated

The level is determined by a majority opinion of students who have reviewed this class. The teacher's recommendation is shown until at least 5 student responses are collected.





About This Class

This course 'Psychology & Therapy of Addictions Certificate' is for you if you are a person who is genuinely like to help others and particularly interested in working with people with addictions. 

This course includes:

  • Counselling and therapy for people with addictions
  • Alcoholic parents and their children
  • How to become a 'substance misuse worker'
  • Treatments for drug addiction 
  • Co-dependency and relapse 
  • and much more!

Easy-to-follow lessons, 3-5 min each. You can take them on the way to work on your smartphone or listen to them at home in your spare time. 

Receive Udemy certificate of completion and start working with people who want to recover from addiction. Help them to transform their living!

Work from home, as self-employed, or start your professional career with this course: your new career starts here.


Meet Your Teacher

Teacher Profile Image

Elmira Strange

Psychologist, Coach


Hey, my name is Elmira Strange, and I am Research Psychologist (MPhil), Cognitive Behavioural Therapist (Dip), and Certified Life Coach (Dip). I love combining my passion for Psychology with Coaching.

The unusual bit: I was born in Northern Kazakhstan (where it's freezing cold in winter -40C), then moved to Russia, then to the United Kingdom.

The interesting bit: I had a life-saving surgery and near-death experience in 2012. The near-death experience made me realise that we are here to share our knowledge, help each other, and enjoy this life.

My interests: Psychology, Online Entrepreneurship, Spirituality, and Paranormal phenomena (no wonder after my near-death experience!)

My previous experience: Whilst I was working at University (Wales, UK) as a Senior R... See full profile

Related Skills

Health & Wellness Lifestyle

Class Ratings

Expectations Met?
  • Exceeded!
  • Yes
  • Somewhat
  • Not really
Reviews Archive

In October 2018, we updated our review system to improve the way we collect feedback. Below are the reviews written before that update.

Why Join Skillshare?

Take award-winning Skillshare Original Classes

Each class has short lessons, hands-on projects

Your membership supports Skillshare teachers

Learn From Anywhere

Take classes on the go with the Skillshare app. Stream or download to watch on the plane, the subway, or wherever you learn best.


1. 0.1. Promo Video: are you interested in working with people who are addicted to alcohol and drugs? You want to help them to achieve their full recovery and be able to trust form their lives and their personal relationships with others? Then I would like to welcome you to the scores. Hey, my name is Samir a strange and I am research psychologist on I've taking studies in Master Degree in Counseling, Psychology on have been working as a lecturer in psychology and counseling related topics previously to these job. In this course, I would like to teach you the most interesting and important theories and models off working with people who are addicted to alcohol and drugs. For example, you will know what this intervention for people with addictions or tile to provide counseling therapy for people who are addicted to uncle tour drugs. You will take 22 informative lectures which you can listen to at home or on the way to work . You will be guided with a step by step approach in becoming a professional helper who specializes in working with people with both alcohol and drug addiction. You will learn about drug policies and legislations, addictions that affect the whole family co dependency on relapse. You will also learn how to help a person. So accept the current condition and how to move forward to the full recovery. How far market therapy can be combined with a cold. Your prediction. What treatments are currently used in practice and so much more? Are you interested in learning how to become a professional misuse substance worker? Opie hops. You want to know how you can help your family member with addiction to help so much so that they can tear the life around? If you're ready for that, then what are you waiting for? Enroll now and I will see in my class. 2. 0.2. About the Course and Instructor: Hello. My name is Amir, a strange and I'm research psychologist and your tutto in these course, first of all, I would like to welcome you to this course and congratulations for taking this step towards helping to someone you know all, perhaps a helper or even a professional substance misuse worker that help hundreds, if not thousands, of people around the world. Alcohol and drug addiction is riel, and it's becoming more and more global problem for many people. Nobody argues that it's harder to leave these days. The economic stability. Well, it's not stable at all, and that is observable in every country. More and more people trying to cope with their personal life, circumstances with negative life experiences through the addiction. But at the same time, a lot of people want to quit that habit. They know how destructive it ease, how damaging the addiction east to they health the family, they life really on. This is where you come into play either as a volunteer or as a helper or a professional misuse worker. So if you would like to become any of this, then you in the right place. In this course, you will learn quite a few different things that can help you to attain those skills that you need to become either professional helper or a volunteer or a helper to someone you know, for example, you will find out what its intervention, how they do or what is 12 step program. And what is the Minnesota model, which is based on 12 step program that is also important today in treatment off, particularly alcohol addiction and what sort of drugs and medications they used today for treating drug and alcohol dependency all days and so much more you learned in this course. So once again, congratulations for taking this course. Welcome to this license. Participating them. Take notes as you go along. Try to reflect on each lesson on what we've been discussed after every session or after every lecture total and complete old Alexis and receive your certificate of completion as well. She, you know, feels lecture 3. 1. Theories: The Moral Model of Addiction : Hello and welcome to our first lecture, which is called the Moral Mortal. In this section, we will learn or and we will discuss a several theories and models that today's therapy is based on how they deal, how the work with addicts, what sort of mortal? Because everywhere there is some sort of mortal or theory will be based on your work. And then you work from that. This is how your knowledge will be based on anyway. We will discuss several theories, and models on today will discuss the moral model, which is not the model that is constructed by today's psychologists or used even by them. Well, anyway, you will see what I mean. Animated. Okay, well, first, a full let's have a look a key items that you will be meeting throughout these course the 1st 1 is addictive personality. It's a concept that was formerly used to explain addiction as the result of pre existent character defects in individuals. The reason. Process addiction, which means addiction to certain mood altering behaviors such as eating disorders, gambling, sexual activity over work and shopping. There is a tolerance notion, which means a condition in region addict needs higher doses off a substance to achieve the same effect previously achieved will with a lower does and the reason withdrawal. The unpleasant, sometimes life threatening physiological changes that the Curia, due to the discontinuation off use of some drugs after prolonged regular, used the moral model off addiction developed naturally as a result of religious and social aspects. Off alcohol consumption in the colonial America from the 16 twenties until 17 seventies aren't the whole drinking was prevalent like no other time before alcohol was consumed as a medicine for reducing pain, managing fever, fighting fatigue, Alcohol was used to quench thirst and to energize the body. People were drinking heavily with wine for breakfast, beers and ciders for lunch and other various drinks at dinner. Where is water? Drinking was compared to something poor people drink, which wasn't that safe anyway, so are cold. Drinking was an essential part of social active life. Then, however, over indulgence, off alcohol was seen us something sinful. Something can pay to gluttony. At that time, people viewed alcohol as a God's given gift. On over indulgence was something like an abuse of such privilege, the refines and various forms of punishment for alcohol over indulgence and even today, strictly moral model. It's not based on science, but rather than on the holistic view off the person on the society, with some added spiritual or religious beliefs in some cases strictly moral mortal of use alcohol addiction in the same way as drug abuse, overeating, gambling, pornography and so on. So the moral model Presuppose that addiction is not a result off some type of illness or anything like that. But rather it is a weakness and some default of personality. Those who use these model to view or even treat alcohol addiction see no biological causes . For that, they see only a lock in human wheel, a locking strength off the character that left the person an alcoholic. You might know people who see alcohol and drug addicts through that moral mortal prism, but this mortal is believed to have no therapeutic value for the suffer. So if you're thinking in the beginning of this lecture that the moral model belongs to the Dark Ages and religious groups off the past, now you can see that it is still used today, but more in a social or sometime political contacts. I personally have met many people. He use this model to see other people, and sometimes that involves the family members who became alcohol or substance addicts and who shamed them, given them more Alexis and not believing that there might be a biological or deeply psychological problems that our route off the cause Wow, this is what you need to know about the moral mortal off addiction. So in the natural, it is a model that is not proposed by a scientist or a doctor. It was born as a cause of social and religious views when alcohol became a prevalent substance on an essential part of people's lives. And finally, the moral mortal is still used today, but only in a social or a political talk context and never as a therapeutic approach. Well, I hope you enjoy the fist lecture. Thank you for watching, and I will see in our next video, where we will talk about another interesting model, the psychological mortal off addiction. See there 4. 2. Theories: The Psychological Model of Addiction : hello and welcome to our next election. The psychological model off addiction. We already discussed a moral model, and you know what it is now on that it's not used today by psychologists or therapists. We will also will have a look at the models that represent something like biological views . So medical disease mortal. So we'll have a look at the addiction from various standpoints and in this lecture will have a look at it for only psychological point of view. The psychological mortal off addiction implies that the person uses alcohol or drug substance to cope with negative experiences in their life, which could have originated recently all long time ago in the childhood or other lessons. Some people jokingly called drinking alcohol for those reasons US self medication and the one before off. So what are they trying to self medicate? Firstly, off course, it's the expression off the own emotions, whether they prefer to block the emotions that are connected to the traumatic experiences through alcohol or drugs, or whether they cannot express the current emotions for various reasons. This one of the reason for the alcohol over consumption or drug addiction. Secondly, it is related to difficulty in self care. Many people become DeRocco hulk, alcohol dependent because they don't know how to calm or soothe themselves in any other way . Instead, they used alcohol drugs to make themselves feeling better, less stressed, less anxious, less worrying or even less excited. Food Lee. It's about the person. Self esteem. Many individuals have low self esteem and poor sense of self worth. They feel they're not confident enough. They don't believe that they're strong enough to cope with difficulties. They might not believe that they can achieve anything in life and so on drinking alcohol or using certain substances give them that feeling off enhanced self esteem and self confidence. And, fourthly, they self medicate to cope with troubled relationships, whether it is about past the current relationship shelter a long term, if they caused any negative experiences to us, we have to cope with them somehow and in some cases to rebuild them, too. Interestingly, the theory proposes that the relationship that the Arctic is forming with a substance, whether it is an alcohol, a drug, this relationship is replacing or representing the troubled relationship that the half or they've had with someone else, particularly someone close like the parent of a child. Many people with addiction have broken relationships with their families, so the addiction often represents those relationships. So what else do you need to know about the psychological model of addiction? This model suggests that the person's addiction is usually a secondary factor. The 1st 1 is the person's psychological issue is past traumas, relationship problems and so on? So the fills and most important factor here is the person's psychological well being, which would be addressed first and foremost in this mortal. The therapist would view the addiction as a coping mechanism, or rather than a maladaptive or even shameful behavior. This mortal also suggests that addictive personality is riel, and not everyone has that the genetic and social factors would be important to consider when thinking off addictive personality off course as any other model. The psychological model off addiction has its own advantages and disadvantages. For example, this mortal did not make the person with addiction as someone who should be shamed because of the lack of wheel power as in the moral model. Instead, it addresses underlying reasons for the substance abuse, which makes recovery something more achievable on this model is used successfully in the therapeutic treatments off addictions. On the other hand, when using this mortal in therapy, it is important to understand that the person with addiction is also responsible for the behavior, too. It's not about blaming our this and the trouble childhood us this mortal suggests on. Another disadvantage of this model is that this model is not considered to be a holistic model. It doesn't view the person from various points that your social genetic, family oriented spiritual and so on it's on. Lee sees the potential psychological problems that are connected to a person's addiction, which can be seen us to narrow approach. For some, some psychological theories also view the addiction through the reinforcement theory. These theory implies that a person can engage into a behavior on a more regular basis when they're receiving pleasure or some reward from it. On the other hand, people tend to minimize that the behavior that results in some sort of punishment. So when you look at the addiction through the lens of the reinforcement theory, then you would see that the person with addiction started the excessive use off stimulants because the begetting rewarded in some way or another. What is the reward here? While a simple us, the sense of pleasure from the drug on enhanced self esteem, a feeling off, coping with any other problem. And as a result of this happening, the person tends to repeat the behavior more and more often, which eventually leads to the addiction. Well, this is it for the psychological model off addiction on next rule. Discuss the medical disease. Mortal in our next lecture, see there. 5. 3. Theories: The Medical / Disease Model : how and welcome to our next lecture, the medical disease. Mortal. What do you think addiction is? Do you see there's something shameful? Do you see something as a lack of power off the individual that they can't manage the addiction by themselves? Do we seed through the psychological models? Do you think that the person half something that they have to deal with, or maybe something related to the child who had some sort of problem, some psychological issue? Or do you think it's a disease that can be treated and can be seen through the lens off medical mortal, where the doctors would treat it somehow through some sort of medication? This is water will be discussing in this lecture. So is addiction a disease? What do you think? Well, Gino, that the American Medical Association and the American Society of Addiction Medicine I define addiction as a primary chronic disease of brain reward, motivation, memory and related circuitry dysfunction in the circuits leader characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically issuing the rewards and or relief by substance use and other behaviors, though if you carefully reflecting those words, you can see that psychological reasons play a big role in the manifestation of such behavior rewards, motivation and memory dysfunction that can be received by substance use. According to the American Medical Association, addiction is a chronic disease that characterized by inability to consistently abstain in payments in behavioral control, craving diminished recognition, off significant problems with wants, behavior on interpersonal relationships and a dysfunctional emotional response. Like other chronic disease, addiction often involves cycles off relapse and remission without treatment or engagement in the recovery activities. Addiction is progressive and can result in disability or premature death. So what makes it chronic? It's it's ability to manifest and relapse its ability to affect individuals, behaviour and the relationships with others and its function to result in disability or premature death, if untreated. So like any other disease such as cancer or heart disease, addiction is caused not only by one factor but several a combination of environmental, social, biological and behavioral factors and, of course, individual differences as well. Drug or alcohol addiction severely affect the functioning off the brain all the time on affect major boldly processes to. So how does addiction affects the brain? Well, when a person eats something nice. He or she derives pleasure from it. When he arrests, he relaxes. When he goes for a walk, his mind becomes engaged. But such US fight in some way. While most addictive substances give those feelings to the person at instant, the person who consumed certain drugs or alcohol simply wants to achieve that state off pleasure or relaxation, satisfaction or euphoria without engaging in into any other behavior such a sleeping or walking in nature as people with no addiction do. But over time, the those of the substance has to increase in order to give the person the same or similar feelings. Moreover, over time, the person experiences less reward from the substances or taking substances and instead feels compelled to take the substance in order to feel normal. The individual might have very intense desire to ingest the substance, despite it can cause dangers or very unpleasant consequences for the person. For example, another fight with a family member, a risk of divorce or losing custody over kids stealing from a shop and risking to be imprisoned. So it seems these outcomes they they don't feel frightened to the substance user. With time the person can lose interest to any other healthy activity and to prefer the addictive substance toe other pleasurable phase. In more severe cases, the person with addiction may stop caring about their own physical or mental health behaviour, appearance and so on. Even if the personal stops using the addictive substance, the changes in the body and appearance can be present for many years after. These changes can also leave the person vulnerable to the triggers that can start the addiction once again. What else do you need to know about addiction from the disease? Medical standpoint, Addiction is believed to be a chronic and long lasting condition that cannot be treated occurred. Instead, it can be controlled over the lifespan off the person. So when you think of a person with addiction, Or perhaps you know, someone personally realize that this person, as any other person with addiction, will never stop wanting the substance, no matter what treatment they undergo, instead they would have to learn to control the addiction at all times. It can be compared, for example, to an overweight person with a food addiction. He also cannot stop the addiction. Despite all the health warnings and even if they lose weight and start 18 less amounts of foods and so on, there would be always certain foods that would have that addictive quality for that person . So the new behavior would have to be also controlled through abstaining from those addictive substances. But on a positive site, you might want to know that even more severe chronic cases of addiction can be managed through long term interventions monitoring and continue support. So why some people don't think that addiction is a disease? Instead, they would call it a weak willpower or a lack of desire to abstain from it. Well, in the beginning of addiction, this may be the case. The person is still in control on their able to stop the initial stages off addiction if they realize that, for example, there have an addictive personality and the best action for them would be to stay away from certain drugs or alcohol. But if the person didn't come to any of these realizations and continues to use the substance over time, the experience certain changes in the newer pathways that would make the addiction of something the person cannot control any longer us the Center on Addiction States. Choice does no determine whether something is a disease, heart disease, diabetes and some forms of cancer in both personal choices, like died, exercise, sun exposure, etcetera, a disease is what happens in the body as a result off those choices, so do people get better without any treatment? If a person has an initial stage of addiction or a mild addiction, then the chances are they can get better or recover without any treatment. However, if a person suffers with a severe or more chronic form off addiction, then an intense treatment and a lifelong support would be required. In some cases, people with chronic addiction experience a certain crisis that is related to the family occupation or social factors. Other times the experience a spiritual crisis on that can be not for the person to seek help through sources such as 12 Steps in Alcoholic Anonymous meetings. In any case, a chronic form of addiction can never be left to get resolved on its own, with a hope that the person can recover well, this is it for the medical disease model on, and now we will proceed to our next lecture, which is called the so so cultural mortal 6. 4. Theories: The Socio-Cultural Model: hello and welcome to our next lecture, the socio cultural mortal off addiction. So by now we review in quite a few theories and models, and now hopefully you're getting a grip on how today's therapists and psychologists view the addiction, how they look at it, whether it's a disease or a psychological problem, or issue that the ghost in front, off the disease or the addiction. But does this problem belong only to one person or doesn't belong to the whole society? This is what we're going to discuss in this lecture. The so So cultural Model describes an addiction that is not an individual matter but the matter off the whole society in which the person believes in this mortal became popular in the last 15 years or so and stresses the importance off looking into the problems off society in order to address addictions. For example, low socioeconomic status, inequality, discrimination and prejudice, ethnic minorities, social and financial disadvantage is all these factors play a role in today's addictions, whether it's an alcohol or drug addiction. So through this mortal, their parents solution is not in the treating a single individual, but addressing the problem off society instead, for example, through improving housing problems, dealing with discrimination, addressing poverty, minimizing the number of advertisements off alcoholic beverages. And so one. Also the soul so cultural mortal suggest to look at what alcoholism means in different countries because that would impact directly on what individual feels about the own drinking habits. For example, in France, it is common to drink wine with a meal on including an alcohol onto a family table starts at a lier H. Dunning many other countries, Moreover, drinking in France is widely accepted social norm, and the French person can become an alcoholic without obvious signs. Toe office. However, in the UK or US, a person with addiction is usually the one who steadily over consume alcohol as a result of some psychological problem. Another thing you need to know that the so so cultural mortal do not focus on the individual psychological problems, such as low self esteem or a childhood abuse. Instead, it sees addiction is something that is connected to cultural attitudes on purposes. For example, a research in 1986 Bice ago where there was a comparison between the Soviet heavy drinking culture and the American heavy drinking subculture found several common social and psychological causes of excessive drinking. In both cases, the drinkers often held expectations that were greater than the available opportunities, and they were often disillusioned with ideologies, old moral values on bureaucracies. Alcohol abuse was also related to the individual feelings off loneliness, boredom, narcissism and the loss off a sense of belonging. So in conclusion, we can say that social, cultural, moral off addiction emphasises cultural attitudes, purposes, motivations and norms, which affect alcohol and drug use in various countries, across the globe and in various societies. In individual countries, they saw. So cultural model does not a recognize addiction as a result of low self esteem or self value off, often individual, but instead sees the problem that belonged to the whole society instead. Well, this is the end of your first mortal that covers here is of addiction. Now you know that the main theoretical models are the moral model, which acute as a result of moral and the religious values where a person with addiction cannot be treated but can be shamed by those who do not suffer from addiction. The psychological moto where the person's psychological problems are the main factor that needs to be addressed before looking at the addiction as a secondary problem. The medical disease mortal which abuse addiction as a chronic long term condition that needs to be treated morning toward and supported life long. And the social, cultural moral which had races, the problems of society that are linked. Toothy addictions. Well, this is it for this lecture on Next will be looking at the various addiction treatments that are used in practice today, whether they dance for taking medicine, counselling and so on. Thank you for watching, and I will see, you know, next lecture. 7. 5. Treatments: Pharmacotherapy: hello and welcome to our next section off the course where we will be discussing some treatments that they used in practice today, with its A counseling and therapy or a medical medical model as medications on, we'll talk about some rehab centers on what they use, how they treat patients today. So first of all, let's have a look. A farm worker therapy Farmworker therapy is the re mediation off a disorder by the delivery of drugs. In contrast to such methods of psychotherapy, surgery or complementary and alternative techniques, it's commonly referred to US drug therapy. So, in other words, farmworker therapy is a medical treatment by means off drugs. Formica therapy as a treatment for addiction, includes several highly effective medications that has been proved as effective by numerous studies. What do they do? For example, they can block the effects of alcohol or drug on the brain, such as euphoria or that high effect from certain drugs. They can decrees the effect of withdrawal. When the person stops consuming drugs or alcohol. They can also decrease the intensity of cravings for the addictive substances. For example, there is a medicine called dissolve for him, Aunt Abuse which is Orel medication that the person needs to take regularly what it does. It changes the taste of alcohol in the person's mouth, making it very unpleasant, even with a small amount of drink. Another widely used medication is cold. Ah, come proces will come peral. It's a normal medication that reduces feelings, off cravings and even overall desire to drink alcohol. The next medicine is no tricks zone. Vivitrol Aurilia is a medicine that has to be injected on, which lost for 30 days. What it does. It reduces cravings by up to 90% and it prevents the individual from getting drunk or from feeling euphoria from alcohol. It can also be effective as a daily management for alcohol or drug addiction because it blocks the opiate receptors in the brain off course. Giving out drugs left and right might not solve the problem. But prescribing the correct drug, which is included as a part off individualized treatment plan, is a safe and effective way towards a full recovery. Research shows that using psychotherapy alone can be effective, but only shorter. As many as 70% of fuses can relapse afterwards. Long term psychotherapy is a treatment that is effective for those who are not heavy drinkers or severely affected by the addiction. However, if combining both psychotherapy with Farago therapy together, particularly when the person is highly motivated to reduce the alcohol intake, these combined methods of treatment can be highly effective for long term. 8. 6. Treatments: The Minnesota Model: okay and in this lecture will have a look at the meanest, sorta mortal, which used as a treatment as well. The Minnesota mortal is also known as the abstinence mortal. It's a treatment off addiction that was created in a state mental hospital in the 19 fifties by two young men who later became psychologist and psychiatrist, respectively. Neither of them had prior experience treating addicts or alcoholics. The key element of this approach to addiction treatment was the blending off professional and trained, known, professional or recovering stuff around the principles Off Alcoholic Anonymous. There was an individualized treatment plan with active family involvement in a 28 day inpatient setting and participation in Alcoholic Anonymous both during and after the treatment. The education of patients on family about the disease of addiction made the's a busy programme from morning to night, seven days a week. This was the beginning off the hustled and phone, the foundation, a retreat and addictions treatment center. This foundation works on the following principle, such as alcoholism exists. This condition is not a merrily symptoms off some on the line disorder. It deserves to be treated as a primary condition. Alcoholism is a disease attempt to chide shame or schooled an alcoholic into abstinence essentially useless. Instead, we can view alcoholism as an involuntary disability, a disease and treated as such. Our call is, um, is a multiphasic illness. The statement equals an idea from A that alcoholics suffer from a disease affecting them physically, mentally and spiritually. Therefore, treatment for alcoholism will be more effective when it takes all three aspects into account. These principles have been used worldwide in very centers and influenced the work of many professionals such a addiction counselors, social workers, general practitioners, Arthur therapist and so on. The main interesting principle is that this approach is focused on the person in a holistic way, treating not only the brain but the mind, the body and the spirit. The Minnesota model recognizes that the person with addiction is often in denial on the times. Don't even realize that the half a major problem denial is a personality deficiency. A defense mechanism that allows the addict to keep using drugs even though they behavior damages himself. A grieves his family on a flicks society, so the treatment, based on Minnesota model, is targeted at breaking through denial. Where the person with addiction has to confront the own behaviors. This can also be done through involvements off the whole family, telling the person with addiction how they addict hurt them. In the past, the Minnesota model was constructed around a mortal, and this is why there are many similarities between them. For example, the a model say's that they a group will care for the person with addiction until the addict will be able to take care of himself, though they presume that the 1st 5 years off abstinence is still on a early stage of recovery similar in the Minnesota model, the persons with addiction are welcome to use the facilities even when they follow it. Abstinence for for a few years, does this model is the best model for the addiction treatment? It depends. It depends on the individual differences off the person. Of course, for some, this program works, and for others on the combination of psychotherapy and pharmacology, would do wonders. Well, thank you for watching and also, you know, next lecture where we'll discuss counseling and therapy 9. 7. Treatments: Counselling and Therapy: hello and welcome to our next election, where we'll discuss it. Another treatment, too. Addictions, which is called counseling or therapy. Because therapy doesn't mean counseling, he can be some other former therapy. Could could be psychotherapy could be cognitive behavioral therapy or any alternative treatment that turns your therapy on often when when people think about how dude people treat addictions this what comes to their mind it's counseling or therapy on. This is what will be discussing in today's lecture the pros and cons off that. So therapy is typically a main method that many people would consider worries for market therapy or, in other words, medicine goes as a secondary option. Or so we think. But we know by now that the combination of various treatments such as medicine counseling or psychotherapy, and 12 steps approach can give the best and most effective outcome for the suffer. However, counseling and other forms of therapy are very important in addiction treatments because addiction off drugs Arkle, it's not purely physical. If physical cravings are minimized and the person goes through the detox, the chances that he or she will relapse by very high steel. Indeed, the reason for that is, the person with addiction has many psychological and social factors that would prompt them to start using the habit once again. Anything like a stressful situation of war course home invite a social evening with France or neighbors who also drink alcohol, spending time with friends who use drugs. All these can create irresistible desire to start using the destructive habit. Once again, counseling and other forms of therapy helped the person with addiction to learn to cope with a personal life situation and to minimize the cravings. As a result, typically, several counseling sessions would be needed on an individual approach would be always created by the therapist. Counseling and therapy can offer the person with addiction either individual or a group therapy to participating. Any counseling therapy is beneficial for the user, but most users prefer a group therapy to the individual one. In a group therapy, the person can be challenged but at the same time supported by other group members. This is why 12 step programs such as our colleagues or Narcotics Anonymous are so popular. However, if the person also suffers from depression, bipolar disorder or any other mental health condition, then the person would benefit from an individual therapy as well. Counseling or therapy can be done on the regular basis, for example, when a person visits the therapist once a week. Or it can be done in a in a residential setting where person can stay for a certain length of time, separated from his or her normal environment. Residential therapies. Highly effective. But there is always a debate whether the person can benefit from it long term. The question is, when the person goes back home to his normal leaving environments, would they be able to continue to stay away from habit? Would they be able to cope with a personal life situation? Can they prevent relapse? And so one? This is why the person who spent time in the residential settings will greatly benefit from ongoing outpatient counseling afterwards, what type of therapy is often use and addiction treatment? Well, apart from individual counselling sessions, the person may be offered cognitive behavioral therapy, or CBT for short. That can teach the person to become aware off the thinking part Lawrence emotions and moods , the country ger cravings and to replace the unhelpful thought patterns with those that are helpful in avoiding the triggers. The methods that the client can learn enduring CBT sessions can be remembered and used a long term, if not for a lifetime, off the user. This is why CBT can be very helpful method off drug and alcohol treatment. However, not all therapists are trained in thes type of techniques, which makes this approach less accessible. Another therapies called contingency met management therapy, in which a person with addiction receive certain rewards for abstaining efforts. This can include a certain vultures, prizes, pre religious and so one. But the problem with that approach is that it can involve high costs on with time when nobody offers any incentive to the person with addiction, the risk of relapsing is very high. Addiction therapy can also involve are the family members to participating, and in these cases, this would be called couples or family therapy? Well, if you think about it, the person with addiction is not only damaging, he's a her own health, health and life. Instead, they affect the life off all family members. Family members can give a strong, solid support in times of treatment, but the essential factor he is that the relationship and most the family members have to be strong enough to endure this old. The family members can also benefit from the family therapy in a way that they would start healing their own wounds and that resulted from the addiction off the last one. Research shows that family therapies can result in a longer term abstinence and stronger and more satisfying relationships within the family. While to conclude this lecture, we can say the therapy can be powerful factor in treating any addiction as no. One. Addiction is purely physical one. However, therapeutic approach with individualized program that can include something like Formica therapy or 12 steps is still the most effective approach. Thank you for washing, and I will see you in our next lecture, where we'll discuss another mortal of treatment, which is called harm reduction model. Thank you for watching Ana will see in our next lecture 10. 8. Treatments: Harm Reduction Model: welcome to our next lecture own harm reduction. Mortal according to Harm Reduction. International Harm reduction refers to policies, programs and practices that aimed reduce the harms associated with the use of psychoactive drugs and people unable or unwilling to stop. The defining features are the focus on the prevention of harm or rather than on prevention of drug use itself. On the focus on people who continue to use drugs while harm reduction model is used only weak drives but with alcohol addiction as well as we will see throughout this lecture. So as you can see, it's an overall approach that involves many agencies from individuals themselves to the families, practitioners, organizations and even political spheres. The approach involves the research that provides evidence the what works on what doesn't, what is cost effective and what isn't. The research finds of the means off treatments, advertisements and publications that are accessible toe all, which can give high impact on the user and the society as a whole on at the same time are inexpensive. Harm reduction is used as a therapeutic approach to harm reduction. Petitioners are similar to councillors in the way that they're known judgmental and accepting, compassionate and respectful. They main focus East on the person who's doing harm to themselves and to all this. The therapist may not even ask the person to stop using the substance in the process. Instead, it is used as a set of collaborative clients therapy sessions during which the personal addiction receives both psychotherapy and certain treatments, such as pharmacology orgy talks, harm reduction therapies based on four principles. While absolute abstinence may be preferable from many or most substance users, very few will achieve it on. Even that small group will take time to do so and may relapse periodically. Secondly, ordinary medical treatment are readily accept and practices ameliorated therapies which preserve health and well being. Even when people fail to observe all recommended health behaviors. 30 therapies should present accurate information to clients and may even express their own beliefs. But they cannot make judgments for clients on the fourth Prince police. There are many shades of improvement in every kind of therapy. This improvement may be all that people are capable off and should be encouraged and nurtured. The main principles of such centres is toe work, with a person on the holistic, a level and address the emotional, social, spiritual and health related aspects harm reduction, approach or period on the basis that most, if not all individuals with addiction would never be able to achieve. Total abstinence from the addictive substances. This approach accept this fact as Assad fact off life, and this is why it aims to find solutions that can help the addicts to reduce harm to themselves and to other surround them. At the same time, it helps the society to reduce the cost of such harm through, for example, centres that offer new needles in exchange of the old ones for hearing addicts in order to minimize spread of HIV and hepatitis in society, or in offer off nicotine replacement products on prescription to people who want to give up Smoking Harm reduction model is a universal model that values human rights that apply to everyone. People with addiction also have rights to the highest attainable standard of health to social services, toe work to benefit from scientific progress to freedom from arbitrary detention and freedom from cruel, inhumane and degrading treatment, and finally harm reduction of welcomes and open approach and communication that involves both individuals who are affected directly or indirectly, and very state agencies that can help to address this issue from a higher than individual perspective. This is pretty much all that what you need to know about harm reduction therapy. Thank you for listening, and I will see you in our next election on treatments that I used in today's practice. 11. 9. Addiction Treatments in Practice: hello and welcome to our next lecture, where we will be discussing treatments in practice that I used in the therapy today, not only therapy but in rehabilitation centers, for example, in the General Britishness offices and so on. So now you have a really good idea about various treatments that we've discussed already. Different models, different theories. So we we read through quite quite a lot. I do urge you to read a little bit more about the topics that are particularly interesting to you. Just use the library. Use the Internet for research papers or for books, e books and for different articles on the topics that you find most appealing to you. Because then you become more specialized in those approaches that you can use in therapy. Or you can use in your work whether you will be a helper or a professional therapist. So okay, let's get down to the today's lecture on treatments in therapy. So far, we've discussed several treatments that can be used in practice. It's a therapy such as counseling psychotherapy according to be hero therapy and contingency management. It's a pharmacology which involves prescribing education, and it's a residential drug and alcohol addiction treatments that combine several approaches in the methodology that gives even higher chance off recovery for the users. But choosing the right addiction treatment option ease importance. What works for one might not be working for another wants the person but addiction. Try some treatment and it doesn't work, especially if it doesn't work. Then the person can feel disheartened and may never be able to find motivation for another girl or for another treatment approach. This is why evidence based treatments are important. It's the treatments that went through many clinical trials on give the highest chance for recovery. It can also be the treatments that operate on a multi level approach, where a combination of various treatments and approaches used. For example, it residential group work and individual counselling plan a prescribed medication and 12 step type of program, according to the New York Times. Off the 23 a half 1,000,000 teenagers and adults addicted to alcohol or drugs, Onley about wanting 10 gets treatment, which too often fails to keep them drug free. According to recent examinations off treatment programs, most I rooted in outdated methods rather than new approaches shown in scientific studies to be more effective in helping people achieve and maintain addiction free lives. People typically do more research when shopping for a new car than when seeking treatment for addiction. So it seems that an evidence based, comprehensive plan to the addiction treatment is needed for those who are serious about giving up the habit for good and for turning their lives around. But is it really the case well on Fletcher, an author off the Inside Rehab book, recalls many accounts of treated addicts and the suggestions on the best treatments available on this is what you found. Low cost, publicly funded clinics have better qualified therapists and better outcomes than the high end residential centers typically used by celebrities like Britney Spears and Lindsay Lohan . The truth is that most people recover completely on their own by tending self help groups and all by seeing a counselor or therapist individually, she wrote. Most typical impatient or help centers require uses to stay for 30 days. As we were saying in one of our previous lectures, what happens when the person goes back home afterwards? The chance of relapsing is very high indeed. This is why short term fix mentality never works. Instead, people with addiction require professional support for months or even years. Same us with any other chronic disease. The person needs to visit hospital and do certain tests from time to time. They need to be morning toward for months or years. Same approach is needed with treating an addiction off any kind on, particularly when it involves heavy or long term use. Finally, it is important to add the personal preferences off. The user should always be taken into account if the 12 step program doesn't appeal much to the user because of the principles or believes than a different program or treatment and needs to be found instead. 12. 10. Society: Drug Policies, Legislation & Decriminalisation: hello and welcome to our next section. Where room discussing legislation and addiction in society, or what society does for people with addiction and for the society to leave with people with addiction, for example, in terms of rules regulations, the loss legislation, what is being suggested on how to deal with draw a drug and alcohol related problems in the workplace. What sort off treatments, treatments or approaches that communities might use as well will briefly discuss various countries as well, how they view addiction and what they do in terms of legislation. So let's proceed to our first lecture off this section. So what is a drug policy? First? Awful. A drug policy is a set of principles that typically comes from government aimed at regulating the use, consumption and other activities related to addictive or dangerous substances. Politics, then a regulated the way certain punishment for the offenses, such as fines or imprisonment. In the UK, for example, the main example of drug related legislation is the Misuse of Drugs Act 1971 which is aimed at prevention off usage off certain non medical drugs and drugs that they used for non medical purposes. The law defines a Siris of offenses including unlawful supply, intent to supply, import or expert. All these are collectively known as trafficking offenses and unlawful production. The main difference from the medicines art is that the Misuse of Drugs Act also prohibits unlawful possession. To enforce this law, the police have special powers to stop, detain and search people on a reasonable suspicion that they in possession off a controlled drug. The Misuse of Drugs Act divides draws into three classes. Class A, which includes drugs such as cocaine, ecstasy, heroin, magic mushrooms and so on. Cloth be includes amphetamines, cannabis, etcetera and Class C anabolic steroids. A minor tranquilize is etcetera. Class A drugs typically seen us the most dangerous by law and therefore involves a the heaviest punishment for the offence, such as possession off a drug intent to supply, import or expert in the form of fines and imprisonment. So what about alcohol? It is not illegal to drink alcohol for anyone over age of five, but it is illegal to know only sell alcohol to anyone under 18. However, a 16 year old can buy and consume beer in a pub, though not spirits. If he's having a beer with his meal in the pub. So what are the penalties that are proposed for the offense in the UK? Maximum penalties under the misuse of Drugs Act off. For example, classy drug possession can result in two years of imprisonment, plus fine but supply 14 years plus fine clause B for example, drugs for the possession these five years, plus a fine for the supply. It's a 14 years of imprisonment, plus fine. And for the Class A drugs that would be seven years for the possession. Plus they shouldn't find. And for the supply the person can receive a life imprisonment plus fine off course. Individual cases can be treated differently as they may be. More factors involved such a supplying, in which quantities to what age was mainly for personal use or only for supply, and so on. And as you can see, a Class A has the more severe penalties seven years and or unlimited fined for possession, life and or fine for production or trafficking. This class includes the more important off the opiate painkillers, hallucinogens such as LSD and ecstasy and cocaine. What about drug laws in other countries, as you might be aware some countries will be very relaxed about usage of some drugs in their countries. Think about Holland, for example, and the car phase where customers can purchase cannabis related products on a legal basis and now think about Saudi Arabia, where even consuming alcohol can result in imprisonment. Czech Republic, for example, a position of drugs is still illegal, but possession in small quantities can result in fine as it is seen as an administrative for fence in never once the use and selling of cannabis is not an illegal offense, and this reported that Netherlands has the smallest percentage of death related to drugs in comparison to the arrest off Europe. The important and exporting off any classified drugs is a serious offense and can result in several years of imprisonments again. Ofcourse, it would depend on various factors. Japan has the toughest drug laws in the developed world. It's pharmaceutical, a phase. A law bans the production and sale of 68 types of drugs and has a zero tolerance policy. Some products that are available over the counter as cold and flu remedies are banned on possession off even small amount of drugs is punishable by lengthy imprisonment. What about the U. S. Legislation? The US is a large country, so the laws can be different in very states. In 2012 states in the US, Washington state and Colorado have legalized the recreational use of cannabis is putting them in direct conflict with President Obama's national drug policy. 18 states and the District of Columbia allow the use of medical marijuana on prescription. However, in Colorado, aged over 21 are to be allowed to buy and possess up to an ounce from which is 28 grams of cannabis and grow six plants in the private secure area. The 1st 25 million raced through taxes on the sales will go towards the building of schools in Washington. Licenses to sell marijuana are issued, the state alcohol control boards and the number of outlets are limited. The combi within 1000 feet off a school playground or a library, which is fair enough. And finally, what's happening some way. Like Sweden, Sweden is seen as the toughest zero tolerance state with regards to drugs in Western Europe . Both use and possession of illegal even minor use can lead to a prison sentence. Six months, although more generally leads to a fine. The United Nations off Office on Drugs and Crime reports that Sweden has one of the lowest drug usage rates in the Western world and attributes these two drug policy that invests heavily in prevention and treatment as well. A strict law enforcement drug treatment is free of charge and provided through the health care system and the municipal social services. So, as you can see in some countries, there is a strict laws on possession and sell off. Cantor, cannabis and other drugs on in other countries is very relaxed approach. And funny enough, you can see the bulls works the most relaxed approach to result in lower usage of drugs in that country and these countries way, it's very, very strict. It also works on. They also have low usage off drugs. Interesting to reflect, isn't it? Okay, this is it for this lecture on will proceed to all the next life lecture on community change outreach on what approaches better harm reduction or abstinence 13. 11. Society: Community Change, Outreach, Harm Reduction or Abstinence: hello and welcome to our next lecture community to change outreach, harm reduction or obstinance. Preventing mental and or substance use disorders and related problems in Children, adolescents and young adults is critical to the individuals with addictions, their families and the society as a whole. Research shows that people with mental health issues are more likely to use are called drugs than those not affected by a mental illness. But many people who suffers from alcohol drug addiction often have negative experiences with health care and social service professionals, for example, in relation to where they allocated or on what they saw hours that opened for the public access. However, many government on healthcare based agencies try to remedy the situation, but proposing outreach programs for both prevention and treatment for addictions outreach programmes take the needed information, services and resources and bring them into various locations where people with addiction leave where they hung out or use drugs. Community coalitions. He's another method that is used as a vehicle for improving health of the society and particularly for preventing and treating drug related behavior. The coalition is typically defined as a group of individuals presenting diverse organizations who agreed to work together to achieve a common goal. Community coalitions are different from other types of coalitions in that they include professional members as well, who are committed to work together to influence long term health and welfare practices in the community. These coalitions can be called differently for example, a center for substance abuse prevention or center for support for individuals with addictions and so on. The main two goals that they usually half are those. The 1st 1 is to establish collaboration between the community, the users of the agency, the professionals and local government agencies in order to prevent and reduce substance use in local residential areas. And secondly, to reduce substance use among youth and adults by addressing the factors that increase the risk off substance abuse and promoting the factors that minimize the risk off. Substance abuse research shows that outreach programs and community coalitions are very important because they tend to attract and keep program participants interested and involved, especially when dealing with hard to reach populations. At times, it can be costly too. But as research shows that extra effort in providing incentives, flexible schedules, personal contact and the public support off important community leaders help attract and retain program participants, which is a major step forward in the right direction, as we were discussing earlier. Harm reduction Model is a set of practical strategies and ideas which are aimed at reducing negative consequences related to the drug and alcohol use. This mortal is often used in various community collections, though, as we were saying, it focuses more on reducing harm to the user and to the society without making the user to stop the habit. So would harm reduction be better than promoting abstinence to some people? Harm reduction without the abstinence seem to be a problem that doesn't go away, but instead of supported by government and more expenses. Obstinance, on the other hand, also have a downside. Such a psychological burden that is difficult to cope and even to contemplate to the user even when they want to become free of the habit. So the harm reduction approach can offer a more gentle way off, reducing and eventually eliminating the habit. Obstinance and recovery is not the same thing, even though promoting abstinence is less courses of society. For the Arctic, this may not be the best approach to reaching the full recovery. Here's some statistics for from previous studies into the how effective the abstinence or harm reduction are. A 2000 and six Scottish study trucked 695 recovering alcoholics for 33 months following treatment. The results showed that just 5.9% of females and 9% of males had remained completely abstinent for it least 90 days during the near three year stretch, 34% of individuals who remain obstinate for want of three years will end up relapsing. That number plummets to 14% when individuals remain obstinate for five years, approximately 30% of moderation management members move onto abstinence only problems in 2012. 50% of counsels interviewed in the study say that he told her key for alcoholic abuses to have an occasional drink. So as we can see the debate on what's better harm reduction obstinance can be drawn to one conclusion. It depends on individual needs because, to be honest, the T six are pretty similar in both cases and newly diagnosed alcoholic, a heavy drinker will have different needs and perhaps harm reduction would suit MAWR to the person with many years of abuse experience. Where is the person who is newly diagnosed? Can go straight for obstinance. In any case, every injury door with a substance or alcohol abuse requires individual treatment. Plan on support from the family and the society as a whole. And the outreach program alongside community collections have to take individual differences into account well before they propose the plants of faction. Thank you for watching this. A lecture on I will see you know, next video where we'll discuss alcohol and drug education. 14. 12. Society: Alcohol and Drug Education: Hello and welcome to our next lecture, where we will discuss alcohol and drug education. What is being done in today's society in terms of education? Where do you get the education? Where'd you learn about the effects of drugs and alcohol? Did you learn it in school? Did you learn it outside of school with friends? Where did you learn? Personally, I didn't learn that in school. Actually learned it more from the observation from others. Unfortunately, where I live, there was a big problem off drug and alcohol related addictions all over the city. It reading so you probably couldn't avoid it anyway. He gave me a good education, I would say, but I would rather to learn about it in school. A big previously to that. Anyway, we'll talk about it. Ward. It's being done today. So where does alcohol and drug education starts? When do we learn about the consequences off alcohol consumption? Off a drug abuse uncle, A Drug education is a plant. Provision off information resources and skills are relevant to living in a world where psychoactive substances are widely available and commonly used for a variety of both medical and non medical purposes. some of which may lead to harm, such as overdoes, injury infected disease such as HIV or hepatitis C or addiction. Structured sessions off a school based alcohol and drug education can provide the students with the information and knowledge that can help to prevent drug and alcohol abuse or later on in life. The Australian government, for example, has implemented a range of drug education programs through the National Drug Education Strategy, which provides a well structured and effective alcohol and drug education. If we look at the statistics in Australia, we will see that the Australian Department of Health and Aging identified that alcohol 80 to 90% and tobacco 30 to 60% very the most widely utilized substances, among other license. In addition to these, cannabis was another commonly used, at least a substance that accounted for 33% usage amongst by the lessons aged 14 to 17 years. It is clear the drug and education simply essential to provide. In the UK, the picture is very similar to the statistics show that nine million adults drink at levels that increase the risk of harm to themselves, though I would add here and to the risk of harm to others around them because the family has always affected when one drinks heavily 1.6 million. The finals show some signs off uncle Dependency, and it is reported that Uncle is the third biggest risk factor for illness and death in relation to drug misuse. The figures operated high to 2.7 million adults used in the legal drug in the past year. 294,000 hearing and crock uses. In England, 40% of prisoners half used. Hearing on more than Mylan affected by driving addiction in their families, mostly in poor communities. It is also known that this from alcohol related liver disease have doubled since 1980 and 1/4 off. All this amongst young people, 16 to 24 are directly related to alcohol consumption. The impact on families off the addicts and on the society as a whole is enormous. Violent assaults, domestic violence, marital breakdown, physical, psychological and behavioral problems of Children off alcoholic parents on the number of fatalities on the road can be attributed to alcohol and drug abuse. The public health off England to get over the National Health Service in the key target prevention and reduction in alcohol and drug addiction through the services, information resources and so on. Some interventions that the National Health Service provides our brief interventions, which are aimed at distributing information to the patients who are interested in knowing what damage they're doing through the consumption on and how and how to minimize the risk and use. There are also various prevention programs that the aimed at reducing young people, alcohol consumption and drug use through, for example, education in schools. Discussions take place in youth club clubs on with the primary health providers and, of course, the public health off. England, together with the National Health Service, have a range of services that provide special treatments, for example, residential and community rehabilitation on exist that all patients should have available support for behavior change and regularly reviewed Cape on all Colin Drug education doesn't just stop there to summarize research health services in various countries. It would be right to say that partnership with other agencies is very important in providing effective education. For example, education should go through not only national health services, but varies health and well being organizations, local authority partnerships, police and prison services, hospitals, housing and social services, mental health providers and various volunteer organizations. 15. 13. Society: Alcohol and Drug-Related Issues in the Workplace: Arkle and drug related issues in the workplace in part not only the employer, but the whole organization. In terms of time and money, it costs to the company. Think about the days lost because of someone's addiction or alcohol related accidents or incidents. Health problems and lost productivity, injuries, fatalities and theft. Extra sick leave and tiredness or even sleeping on the job. And all the additional practices. Just potential arguments with coworkers, disciplinary procedures, poor decision making and so one. In addition to that, family members leaving with someone who is an alcoholic or drug addict can also impact the the employers with a absenteeism tired US on health problems. The two main factors that contribute to the alcohol related issues at work drinking the night before going to work on drinking a right before drinking the night before can cause hangover, lack of focus and potential health problems. Where is drinking before work or during lunch hours can result in injuries, poor performance and poor decision making. Research shows that, for example, in the US, 70% of people with drug and alcohol addiction I employed and wanting three workers is aware off someone who's setting drugs at the workplace. It is also known that substance abuse is about 3.5 times more likely to be involved in accidents on the job and five times more likely to hurt themselves at work. In addition to that, substance abuse is also responsible for 40% off all industrial fatalities. The Occupational Safety and Health Administration reports that 10 to 20% of the nation's workers who diet work also test positive for drugs or alcohol. Now consider the lost productivity numbers. The company might be function on the less than effective level because of the employees drinking or drug habits. But another problems thes the person who had two or three disciplinary warnings eventually will be dismissed by the company. Employing a new person involves extra finances. The new person has to be trained at the workplace. They have to be insured than perhaps supplied with a new new uniforms and tools. This all induce even more financial cost for the employer. So what the organizations can do in order to deal with a global problem fills up all. Any company can adopt an alcohol or drug screening policy, which means they test the employees for any amount of alcohol, drugs or substances in their body. Off course screening is a sensitive subject, however famous in the procedure is achieved through random testing, for example, and certain disciplinary actions that are regulated within the workplace. Secondly, an organization can offer counselling and support to the employees as a supportive rather than discipline measure. Counseling services can be solved through the referral to either the general practitioner or by providing professional counseling services at the workplace. This measure can prevent, or at least minimize, the number of days lost and the financial cost that is related to alcohol and drug issues. Thirdly, collaborative design of alcohol and drug related procedures can also be implemented, meaning that both an employer on the employees can create a policy that outlines the provision for disciplinary actions. Provision for Assistant Chronic substance abuse is an outline and how to deal with workers in time when they affected by the substance the arrangements for the employees education and so on. This pre planning east of the best way to avoid confusion and frustration in times that they're already difficult for the employer and the employee. Finally, managers and supervisors should be educated on how to recognize and deal with the substance abuse issues on employees should be offered educational programs. Well, leases it for this lecture and for the section really on now will proceed to the next new section. Own addiction and families, where we'll be talking about how families get it. Get affected by someone with addiction problem. We'll talk about Children off alcoholic families and how they suffer. We'll talk about parenting styles, core dependency and family factors. Thank you for watching the and I will see you know next video. 16. 14. Co-dependency, Children of Alcoholic Families, Parenting Styles & Family Factors: Hello and welcome to our next section, a new section on core dependency in the family's well addiction in the family's really Anyway, let's get down to our first lecture, where we will talk about Children off, alcoholic families for and dysfunctional families, core dependency and so on. Core dependency is one of the form off dysfunctional family leaving, which starting childhood and can continue throughout the person's life, affecting their personal relationships with Alice late in life. Dr Berger, from the psychologist anywhere, anytime, say's core dependence can be seen as a set of maladaptive compulsive behavior learned by a person in order to survive in a family which is experiencing great emotional pain and stress caused, for example, by family members alcoholism. Or are the addiction, sexual or other abuse within the family or a family member's chronic illness? The National Mental Health Association states that core dependency is a learned behavior can be passed down from one generation to another. This behavior characterized by certain emotional states and specific behaviours which affect the person's ability to form healthy and such as find relationships with Alice, as described in the psychologist anywhere, any time. Core dependency can also be described as relationship addiction because people with the core dependency often form or maintain relationships that are one side, it emotionally destructive and or abusive. Core dependent person is more likely to seek relationships where another person can be described us emotionally needy or emotionally distant. Once it's been found that the core dependent tries to control the relationship without address and he's of her needs or desires. So the core dependent sacrifices themselves to the needs of other person. It is not done maliciously. Quite the contrary. The core dependent have the best interests in the heart to help the other person. But as a result, the behavior becomes compulsive and self defeating. You might see core dependency and, for example, of mothers who overly protect the Children on who continuously making excuses for the destructive behavior. Or the wife off abusive husband who's covering up his aggressive behavior towards her in childhood core dependence against thought of the parents who is an alcoholic or an abusive or both. Now who demands the child to look after the he's or her siblings, The child learns to be a servant off other people's needs and to ignore. He's on her own needs and wants by serving our this, that also learned to gain satisfaction and fulfillment from the use to others. When the child grows up, he or she is more likely to seek a relationship where they will continue to be servants or victims. And willingly. These Children, when they become adults, tend to be attracted to similar patterns and friendships and love relationships. They will not seek for healthy bars people for their relationships because they will not gain the so called status off Marty in them. So this is how they unhealthy pattern off co dependency, which starts in the childhood, continues all the way throughout the adulthood. In many instances, a core dependent person suffers from what is called attachment disorder, which describes the ability to form relationships with others and let go when the time is right. This behavior starts form at the age of 0 to 3 years old. On will depend on the formation off the first relationship of the child with he's a her K giver. Usually a mother, either parents and particularly a mother was an alcoholic. She might display in a writing behavior, which is not constant. The feelings of love would suddenly change by the lack of interest in the child, which adds to the child's confusion about foreman and relationships. This is why a child of alcoholic parents can have relationship issues such as being overly needy or in extremely avoidant person in the future. In the future, adult relationships, families where parents are our colleagues can be called dysfunctional families. What is healthy, functioning family? In a typical healthy family? All family members may not be perfect, either. They can be care and argue they can experience misunderstandings on get hurt because of each other and towards each other. But often the difference between the unhealthy how we function family is that in the healthy function family, all family members feel free to share the opinion and where the emotional expression is, allow it the rules and such family a pretty consistent and explicit but can flexible to suit individual needs. But also each individual is encouraged to pursue he's or her own interest. Nevertheless, in a healthy functioning family, all Children feel safe and secure. They know that they can rely on their parents who will take care of their needs and who can help them to solve any problems. Children in such families are not afraid of any emotional, physical or verbal abuse. They are respected, encouraged to be independent, and they're not afraid of making any mistakes. Where does dysfunctionality in the families come from? Dysfunctionality abuse In the families where parenting runs on an unhealthy level of control and appropriate behavior, parents can either under functional over function when it comes to their role as a parent. When the under function. This happens because, for example, one of the parents are both parents have mental health problems or low intelligence quarters and place many off the parental responsibilities onto the child. Children do not experience normal childhood instead. Instead, they learned to ignore the true wishes and their feelings. Because Children cannot take care off the parents percent, they can often feel guilty even when they become annals. The main example off under function and parents is when one above parents are drug, local addicts, alcoholic families and, as related to drug abuse as well, tend to run on a very disorganized way where promises are not kept on. The rules can be broken or bent as it suits parents. Parents might be really strict towards the Children one day and then uncaring on indeed or indifferent. Other days in the families with parents alcoholics Children are not allowed to express the emotions and or share their feelings, particularly if they're related to the alcohol problem. Later, in the adult hood, these Children can have mistrust issues, problems with expressing the emotions. They might feel frustrated or angry with the parents. They're also more likely to become alcohol dependent themselves. To conclude this lecture. We can just say that Children off alcoholic parents tend to have similar traits when they grow up. For example, a lack of trust in others issues with for many relationships feeling that they need to be in control, off the behavior, emotions and the lives off all this around them. These Children tend to have certain emotional problems that can be dealt with it. Professional counseling help later on in the idle hood. In any case of the problem off the parents, alcoholic soundly doesn't belong on Lee to them, and I mean parents instead of effects the Children for the rest of their lives, 17. 15. Relapse for Families, 'Letting go', Dependent Attitudes & Dependent Behaviours: in the previous lecture, we talked about core dependency and dysfunction, and families on this lecture will continue talking about this topic and in particular about relapse without affect the whole family. How to let go. Let go to the addiction or let the person with addiction go or what? What what does it mean? The latent go and what I dependent attitudes independent behaviors in the family where someone is with addiction. Relapse is when the person goes back to consuming the substance after being clean for some time. When a person with addiction is experiencing a relapse, this effect not only him or her, but the whole family that leave with him or who are close to him East relapse a normal part of recovery. Many people with addiction will sleep a number of times before they achieve a full recovery . So on one hand, yes, it is a normal part of recovery, but equally when the person feels even stronger and more commit it afterwards. But in some cases, that sleep means that the person lost faith in the abilities to succeed. They lost hope that full recovery is achievable. On they sleep can lead to the previous lifestyle off alcohol or drug consumption. How can family gets affected when their loved one relapse? Once again? Physical Other family members tend to lose hope as well, feeling that hopeless, that a family member with addiction ever recovers from this habit hopeless that the family will function in a normal, healthy way. Hopeless that they family problems that they're connected to drink, you know, drug taking ever go away. Secondly, if all hope is not lost, then the family continues to attempt to control the Alex behavior. But given him or her encouragements pleading or making them feel guilty. So the feelings of worry, sadness or even obsession with this addicts, mental and physical health can become a norm in such family. This how the core dependency develops even greater alongside the severity off the person's addiction. When is the right time to let go off these feelings on let a person to deal with addiction or to even leave with addiction instead of continuing the fight? Listen, Goal can be easily associated with giving up on the last one, giving up on the problems, the feelings and emotions. It can be felt strongly by the addict and by the family. This is why latent goal is a very Courreges thing to do, which require confidence and lots of love, acceptance and understanding through the late in goal approach. The person with addiction can actually feel encouraged to deal with the issue on their own , to seek help and to rely on themselves. This is a good strategy for Empower in the Addicts recovery and forget a read of unwanted, addictive behavior. How does latent go works? The family is not just during in away from the person on do not seize all the communication . Instead, the addict is encouraged to six solutions for themselves. The family clearly states that they will not attempt to fix problems or any issues related to our cold drugs. From now on, the person with addiction can be asked to move out, though with the explanation that the family is still supportive. When the person is ready to get clean, the family becomes assertive in a way that they learn to say no WAAS Remembering the live in feelings towards the person with addiction, the family can help to provide at least up helpful resource is for the person with addiction such as 12 steps program local or help sentence counseling addresses and so on. But the family does not take the person by hand to those places. It's like late in your child to become independent and not supporting core dependency any longer. Finally, the family needs to remember to take care of themselves, for example, by making healthy meals for themselves, spending family days together or find in the new activity or hobby where they can participate all together as a family. This doesn't mean that the family is dismissing the problem. Instead, they approach. They've been dependent behaviour with fully assertive behaviour. 18. 16. Addiction & Families: Al-Anon: I'll unknown Palatine Allah. Non family groups and I'll unknown are different names for a worldwide fellowship that offers a programme off recovery for the families and friends of alcoholics. Whether or not the alcoholic recognizes the existence off a drinking problem or six help. So Allah known is actually an independent fellowship whose aim is to help and support the families off those with alcohol addiction. All of the members of people who have been affected by someone else's drinking their parents, Children, spouses, partners, brothers, sisters, other family members, France, employers, employees and co workers off alcoholics. Every person has their own story, and the experiences might be very different. However all unknown believes that they all share a common bond. Every member feels that their lives have been affected, but someone else's Drinking Alan is a sort of spin off from 12 step program, which recognizes that alcoholism is not an individual problem or disease. It's a problem off the whole family. Under the family, members can be severely affected by the problem in the Alan or support groups. Family members get together where they can share the experiences with each other. They can receive support from each other encouragement and hope to solve the problems. Most people come toe all in on because they want to find out how they can stop drinking problem off someone else in the family. Instead, they received much more in terms of support and emotional healing in the group. They encouraged to focus on themselves rather than on the person with addiction. Recognize that addiction is a disease to forgive themselves and to accept that they affected by the disease off someone in the family. Allah non offers a whole program rather than come whenever you wish sessions. The person signed the signs up to attend the meeting over a period of time. Allah known also offers a literature that supplements the program that cover topics such as path to recovery, changing one day at the time, achieving, hoping, transformation and so on. One of the basic principles of these groups is the confidentiality and anonymity. All the members are asked her not to reveal day identities or the story. So far, the members outside of the group these groups are usually free, though they ask for donation to support their work for renting premises for publishing literature and so one. These groups are not based on religion off some kind. Instead, there, if you're themselves a spiritual fellowship fellowship, What is alcoholism from the standpoint of Alan on Alcoholism is widely recognized as a disease of compulsive drinking, which can be arrested but not Kurt. It is progressive illness, which will get only wars as long as the person continues to drink. Total abstinence from drinking is the only way to arrest the disease. Alcoholism affects the entire family. Indeed, everyone who has contact with the alcoholic is affected. Unfortunately, the only person who gets stopped the alcoholic from drinking east, the alcoholic himself or herself who are alcoholics. They could be anyone from all backgrounds and walks of life. Over 95% of alcoholics have families, friends and jobs the main function fairly well. But some part of the life is suffering. The drinking causes a continuing and growing problem in their lives, and they lives the touch. How do alcoholics affect families and friends? Alcoholism is a family disease. The disease effects all those who have a relationship with a problem drinking those of us closest to the alcoholic suffer the most, and those who care the most can easily get caught up in the behavior off. Another person read a reactor that alcoholics behavior. We focus on them, what they do, where they are, how much they drink. We try to control the drinking for them. We take on the blame, guilt and shame that the really belongs to the drinker. We can become addicted to the alcoholic as the alcoholic is to alcohol, we too can become ill. 19. 17. The Intervention Approach: hello and welcome to our next lecture. The intervention approach Intervention is a professionally directed education process, resulting in the face to face meeting off family members, friends and or employer with a person in trouble with alcohol or drugs. The person with addiction often doesn't recognize the impact of the addictive behavior on the friends family co workers, employers in so one. In many cases, that would be in denial or even unaware off this fact. The intervention approaches used when the person with addiction needs to be confronted with a behaviour because it is damaging to people organization they're working for intervention process is a structured session in which the person is offered an opportunity to get a professional help and to make changes before the situation becomes worse for themselves and for everyone involved. The intervention process often includes information and education for the friends and family as well who can provide the intervention session? This can be any professional. Such a substance misuse counselor, social worker are Cohen, addictions, counselor, psychiatrists or interventionist. This professional will take into consideration all the personal details related to alcohol or substance misuse and will develop the most suitable plan for the addict, which would involve both the treatment and the full. Our plan and the Russians do take place without, especially, is being present, for example, at the employer's office with a general manager at the war. Please. However, if the person with addiction has a history of mental illness of violence, attempted to commit suicide previously or taking very substances and all Arkle chronically then a presence of a specialist is valuable and needed with the presence of a specialist. Around 90% of people make a commitment to get help in most developed countries. There are agencies that we're providing convention free of charge because they're sponsoring by the government and National Health Service related bodies. Anyone can make a telephone call to any of these agencies and to request an interventionist for the family crisis or workplace incident related to alcohol, a substance abuse. During the intervention session, the professional will given objective feedback on the behavior off the addict on the situation that can be called a crisis point. It's a nonjudgmental and non critical by systematic process where the person with addiction is confronted with impact off the alcoholism, the purpose of an uncle intervention is for the alcoholic to accept the reality off the addiction and to understand that very little is going to change without professional help. Previously, it was believed that an alcoholic has to hit the rock bottom before they will be motivated for reaching for the recovery. Today's thinking is that a skilled professional is able to moderate the person with addiction, to get better and to recover fully from the addiction. The only downside here is that if a person with addiction refuses to see the interventionist and to receive any help, then he or she cannot be forced to do that unless they've been involved in a situation where police emergency services half being called Well, this is the end off this section. We re discussing how addiction effects families on what they do in about dysfunctional families and the interventions approaches. And now you know what is co dependency? You know what this relapse that affect the whole family? You know what I'll unknown thus as the organization that provides help to the families that were affected by someone's addiction, and now we'll proceed to the lost section off the course, which is called working With addiction where we will discuss why to become a helper. Why would you want to become a helper? Were they to in a professional level or volunteer or as a volunteer? Or you want to help to someone in your family, for example, on what sort of qualities are Tages and skills you would have in order to become one? All this will discuss in few seconds. If you will proceed to our proposition though if not, then tomorrow See you in our next video. 20. 18. Working with Addiction: Why be a Helper: hello and welcome to the last section off the course, which is called Working with Addiction and and this election particularly wear talking about how to become a help and why to become a help in the first place. So why be a helper? Well, first awful. You can become a paid helper, which has a different title for different countries. For example, in the UK, it's usually called a drug rehab worker or drug and alcohol worker or a substance abuse counselor. If you're interested in taking a counseling study in the future, or you can work as a volunteer who's always in the month in those centers what, typically a drug and alcohol worker do the help the clients to access services such as counseling, health care and education Off course. Your work can depend on several factors, such as the organization you're working for, and they specialty your own previous qualifications that might be suitable for this job, your previous experiences and even your particular interests in these job. But generally speaking, you might be doing, for example, an outreach work where you visit people with heavy addiction in the homes, on helping them with the immediate needs. You might be working in a dropping center where you might be talking to clients and helping them to receive they needed for the recovery support. You might be involved in education and training, where you could be helping the clients to access the services or the needle exchange program, where you could be providing clean needles and giving advice on how to use the substances safely. And, of course, if you study for qualifications, you might be working in a counselling and rehabilitation center where you would give support and how to deal with the cause is off substance misuse. As an addiction worker, you could be also providing individual or group sessions off course. That's again would depend on your previous qualifications or even, perhaps you might be working with their family members off the person. With addiction, you might be creating individual charts and plans for recovery, keeping records in order or consulting on the professionals. So being a substance walker or help, it is a rewarding but also really challenging work. They responsibilities can vary, and you might be doing all sort of jobs. But each of these jobs has the same goal, helping declines to achieve the recovery on to stop the addiction, either through abstinence maintenance or reduction 21. 19. Working with Addiction: Helper Qualities & Attitudes: So now you know that you can either study for to become a professional support worker or misuse worker or misuse counselor. Or you can become a volunteer and work in any of the rehab centers. They always require volunteers a sparse I know. Or perhaps you're here because you really want to help your friend or a family member with addiction. So what sort of skills and qualities you would need to develop if you want to become a helper? As we were saying in the previous lecture, working with people who are addicted to drugs or alcohol or both is rewarding but also very challenging. You might see people who promise you that from now on they get clean and change their life for the better. Inside, you will be feeling proud for the person, and then two months later you see them again, coming back to the rehab center to get clean on. That can be very frustrating for you as well, because in the end of the day we are all humans, and we feel certain emotions, too. Also, people who are trying to stop the addictive behavior and habits can suffer from mood swings , depression or aggression, and you might see that behavior displayed in front of you so helping such patients can be mentally exhausting on this is why you need to consider carefully before entering this profession. Helping people with addiction can be similar to a council and work in some cases on this is why counselling skills are often the base for the skills that you would need to have in this work. For example, an ability to be empathic, nonjudgmental, call and caring is essential, and therefore you need to consider these. Are you patient enough to deal with complex issues? Are you nonjudgmental and empathic because it will come across clearly? For example, through a subtle body language, gestures and signs, you would need to have a good understanding off what substances that cause addiction can do to the person in terms of physical and mental health, how they wouldn't park them and their family, how the addiction affects the mind, emotions and behavior. To be a helper, you would also need excellent communication and listening skills, because no matter what you will be doing at this job, this will be the basis off you're helping work. Also, you will benefit from foster and skills and knowledge, such as an ability to work closely with a range of different organizations, collaborations with other professionals, good telephone speaking mothers and a good idea of how to put it clearly a written email when you write it to a professional organization. Finally, you need to understand how to leave work at work and not to bring Intell home. The problems off the service users bring home your work. Problems in the profession can be done easily after you met with several people with various addictions and listen to the numerous stories. But if you truly want to work as a helper, you need to learn to draw the line as soon as you exited the war off your workplace. It is very important in order to keep a good work life balance and to have a good mental health at this type of work. 22. 20. Working with Addiction: The Art of Accepting: hello and welcome to our next lecture, the art off accepting What do you think? Acceptance. He's is it? Accepting somebody's feedback or criticism is accepting your own folds, but at the same time, also, skills and talents isn't accepting someone as what they are with the weaknesses and strengths. In this lecture, we'll talk about accepting someone with addiction how you can do it in order to help them. When you work as a helper in alcohol and drug addiction, this is one of the most important skill. You can force them in yourself, acceptance off another person as who they are, with all the views and beliefs, with a personal journey to recovery, with their mood swings and dealing with their own issues that you might face as well. But another important thing here is to teach other people, and particularly people with addictions, to learn to accept themselves to Onley. When a person is truly able to accept him or herself with all the weaknesses and personal journey Onley, then they will start moving rapidly towards the full recovery. Accepted oneself can be challenging task. Imagine a person with a drug local addiction, except in themselves, means They have to say I'm a drug addict or I'm an alcoholic. I have a problem which is overwhelming and I cannot deal with it on my own. It can be very hard or knowledge that because saying that can be felt as if person the week and is not able to start up to he's for her problems but a no religion it. That means the person is ready to accept help and support and move on towards the recovery . So it is essential for the person with addiction to fully realize that acceptance is not a form of weakness. It's an understanding off the current situation with all its good and bad points. So it is right to say that known acceptance can be simply dangerous to one's health and well being. Non acceptance off self leads one to be highly self critical, denying off the emotional needs, inability to learn from past mistakes, inability to set realistic goals, isolating and unable to form positive relationships, and being unaware and or unappreciated off the strands and positive qualities it keeps a person in a negative space could lead to depression and social anxiety and colors. Everything we do non acceptance is addictions tool that serves to numb the feelings associated with negative feelings about self and behavior. Accepting oneself or accepting other people with a destructive behaviors might not be achieved at instant. Instead, it can be a long process, and for different people it will take a different length of time. It can be challenging to be fully self accepting, and sometimes the person needs to accept those parts that the challenging and see them as they are. Carl Jeung and well known psychotherapist of the previous century a knowledge is that part of self that is struggling to accept the change, and he called it the shadow side. But in his work, he also explained that working with the shadow side, realising water teas and embracing fully leaks to our personal growth. 23. 21. Working with Addiction: Counselling / Helping Skills: in our previous legis. We've already discussed some key points on this topic off counseling a helping skills, for example, the help it needs to be nonjudgmental and have a compassion for other people, especially those who come to you for help with the addictions and related problems. We also say that you need to learn the art of self acceptance and to teach that skill to all this as it leads to personal growth and recovery on. We've also say that the helper needs to have excellent communication skills as it is the basis off helping work. What else can we add to the topic on counselling and helping skills? First of all, it's an awareness off a helper that no two people are alike. They might have the same addictions, problems and even stories, but the chances are they would be seen the world differently and therefore my need to use a different language with them. For example, one would require a lengthy explanations. Where's another? One would just need short answers, and that would be enough for the primary support they seeking. Secondly, active listening and communication skills, as we've mentioned briefly before active listening is not an easy skill as it might sound. Active listening involves a full concentration on what's being said, and not just possibly listening to the message in actively surname. Both verbal and non verbal messages are used, such as eye contact, appropriate body language noting but also making silent pauses for reflection. Thirdly, it's a reflective skill. What is reflecting reflecting is a process off, paraphrasing or restating off what's being saved. It can be done in different wars or in the same way. As the client sees. Reflecting is conveying back the feelings and emotions so that the client realized what he or she just said fully. It's about hearing they own voice from someone else's mouth. Reflecting can also be used to encourage the client talking. Finally, it's a problem solving skills which do not imply that you will be sold solving problems for a client. Instead, it's assistant the clients to understand what the current issues or problems the half, helping them to generate strategies to achieve certain steps in order to resolve the problem, reviewing with each strategy with them with all the pros and cons, and helping to realize what obstacles and challenges may arise on the way to achieving the goal and how off course and how to overcome them. And eventually you would help them to decide on the blonde faction. Well, this is it for this course Well done. For completing the whole course. I'm really proud of you on. I can see that you have serious intentions off working, perhaps becoming a professional help or professional specialists in substance misuse or again, perhaps you completed because he wanted to help someone. Someone you know. In any case, I am really proud of you. Well done. For completing the course. If you still have to do a final crease which are often put after the completing the course , then please do it. In any case, you are rated to become a professional worker. If that's what you actually choosing to the If you have any questions or comments, I would love to hear from you. You can find me here in their online school. You can find me on social media as well. I'll be delighted to hear from you. And of course, don't forget to check all my other courses, which I'm creating constantly. If you're interested in this course, then you might be interested in my other courses, for example, how to work as an online coach on the ride, different variations of it. I also have a course on counselling, Children and adolescence. If you would be interesting because, well, please do check my courses. And I'm sure you can find something that will take, even feel that as a professional. Good luck with your career, and I'm looking forward to see you in my other courses.