Addiction and Recovery For Dummies E-Book

Brian F. Shaw

• Herausgeber: John Wiley & Sons
• Kategorie: Ratgeber
• Sprache: Englisch

Seitenzahl: 478

Veröffentlichungsjahr: 2011

Beschreibung

Evaluate medications and treatment programs Break free from addictive substances or behaviors and get a fresh start Think you have an addiction? This compassionate guide helps you identify the problem and work towards a healthy, realistic approach to recovery, explaining the latest clinical and self-help treatments for both adults and teens. This book also offers tips on reducing cravings, handling your relationships, and staying well for the long run. Discover how to * Identify the reasons for addiction * Choose the best treatment plan * Handle slips and relapses * Detect addictions in a loved one * Find help and support

Leseprobe

Addiction and Recovery For Dummies

by Brian F. Shaw PhD, Paul Ritvo PhD, and Jane Irvine, DPhil

Foreword by M. David Lewis, MD, FASAM

ASAP Family Programs, Malibu, California Addiction & Recovery For Dummies®

Published by Wiley Publishing, Inc.111 River St. Hoboken, NJ 07030-5774 www.wiley.com

Copyright © 2005 by Wiley Publishing, Inc., Indianapolis, Indiana

Published by Wiley Publishing, Inc., Indianapolis, Indiana

Published simultaneously in Canada

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About the Authors

Dr. Brian F. Shaw is one of the originators of applied cognitive-behavioral psychology for clinical practice, the performance of elite athletes, health promotion, and coping with significant illness.

As one of the developers of Cognitive-Behavior Therapy (CBT), a psychological treatment for the depression, anxiety, and substance abuse, Dr. Shaw adapted this technology to help people learn to recover and refocus their lives.

In sports, Dr. Shaw is well known for his work with the NHL/NHLPA Substance Abuse and Behavioral Health Program, Major League Soccer in the U.S., and Major League Baseball’s Toronto Blue Jays.

Dr. Shaw is an expert on how the mind works, how it gets derailed, and how to get it back on track. More importantly, he understands how people refresh their thinking to gain new perspectives on their life, their world, and their future.

Dr. Shaw is a Professor in the Departments of Public Health Sciences and Psychiatry at the University of Toronto, Toronto, Canada.

Dr. Paul Ritvo is an innovator in the application of cognitive- behavioral psychology, particularly in telephone-based counseling with corporate executives, elite athletes, and individuals confronting life-threatening illness.

A researcher who studies cancer and AIDS prevention, Dr. Ritvo is a Career Scientist at Cancer Care Ontario and Associate Professor in the School of Kinesiology and Health Sciences, York University, and in the Department of Public Health Sciences at the University of Toronto.

Dr. Ritvo is active in innovative projects in North America and Africa, where his research addresses AIDS prevention and vaccine testing. He is an active developer and disseminator of health-promotion software and compact discs through Interactive-Health.Com, Inc.

Dr. Jane Irvine has devoted her research program and clinical practice to helping individuals with complex medical conditions live productive and satisfying lives. She has pioneered the development of cognitive-behavioral interventions for smoking cessation, health behavior change, medication adherence, and personal adjustment to chronic illnesses. Dr. Irvine has authored more than fifty publications on health behavior change, cardiovascular health, and cancer prevention.

Dr. Irvine is a clinical psychologist with Interactive-Health.Com, Inc., and an Associate Professor in the Department of Psychology, York University, and the Departments of Psychiatry and Public Health Sciences at the University of Toronto, Toronto, Canada.

Drs. Shaw, Ritvo, and Irvine are available for speaking engagements and workshops. They also offer individual counseling as well as a Web-based cognitive-behavioral therapy program for relapse prevention and recovery from addictions. You can visit their Web site at www.interactive-health.com. You can also call their toll-free number: 1-877-577-2778.

Dedication

This book is dedicated to our families and friends, particularly those who have struggled or are currently struggling with addiction.

Authors’ Acknowledgments

We would like to thank our families for supporting us during the intense and challenging work sessions when this book was first taking form. We especially want to thank Nicolai Geilich for his insightful edits to earlier drafts of the chapters and Marnie Shaw for her constructive reviews. Thanks also to Dan Cronin for his expert consultation regarding interventions and treatment facilities and to Sabine Johnson for her research.

We also want to thank all of the editors at Wiley, especially Natasha Graf for her very helpful guidance during the early days of writing this book and Tim Gallan and Jennifer Bingham for their outstanding editorial assistance.

Finally, our special thanks and appreciation go to those of our friends, family members, and clients who have taught us at firsthand about the various forms of addiction and shown us the real possibility of overcoming addiction and maintaining recovery.

Publisher’s Acknowledgments

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Contents

Title

Foreword: Addiction in Our Times

Introduction

About This Book

Conventions Used in This Book

Foolish Assumptions

How This Book Is Organized

Icons Used in This Book

Where to Go from Here

Part I : The Hole in the Heart: Detecting Addiction

Chapter 1: Addiction: What Is It?

Substance Use, Abuse, and Addiction

Assessing Your Addiction Risk

Exploring Methods and Models of Treatment

The Ins and Outs of Recovery

Chapter 2: Substance Use, Substance Abuse, and Addiction

The Basics of How Substances of Abuse Work

The Drug Lineup

Chapter 3: Behavioral Addictions: Addictions Without Substances

Some General Advice

Compulsive Gambling

Sex and Pornography

Computer Games and the Internet

Food Addiction

Work Addiction

Chapter 4: Dancing with the Tiger: The Risks of Experimenting

Going with the Flow: Peer Pressure and Other Influences

The Risks of Experimentation and Addiction

The Costs of Addiction to Families

Part II : Taking Those First Steps

Chapter 5: Recognizing Addiction in Yourself and Others

Am I at Risk?

Genetics: Addiction Across Generations

How a Body Gets Addicted

Waking Up to Your Own Addiction

Perceiving Addiction in a Loved One

Chapter 6: Assessing Your Readiness: Do You Need Help Now?

Understanding Your Role as the Client

Assessing the Options

Matching Your Characteristics to Treatment Options

Deciding When to Start

Chapter 7: Quitting: Easy to Say, Hard to Do

Successful Quitting

Becoming Aware of Your Triggers

Increasing Your Motivation to Change

Factors That Affect Your Ability to Quit

Part III : Examining Treatment Approaches

Chapter 8: Treatment Choices

Different Viewpoints on Addiction

Combination Treatments

Chapter 9: Reviewing Inpatient and Outpatient Treatment Options

Interventions: Breaking Through Denial and Fear

Residential Versus Outpatient Care: Deciding What’s Best for Your Needs

Outpatient Treatment

Residential or Inpatient Treatment

Relapse Prevention

Andrew’s Choice: A True Story of Getting into Treatment and Achieving Success

Chapter 10: Treating Physical Dependence

Understanding Your Body’s Reactions to Drugs

Detoxification: What Is It, and How Does It Work?

Knowing What to Expect with Detoxification Treatments

Medications That May Help

Methadone Treatment

Chapter 11: Twelve-Step Programs

Types of Twelve-Step Programs

The Actual Twelve Steps

Working Your Program

Deciding Whether a Twelve-Step Program Is Right for You

Problems with Twelve-Step Programs

Chapter 12: Joining Self-Help and Support Groups

Secular Organizations for Sobriety and Save Our Selves (SOS)

Rational Recovery

Self-Management and Recovery Training: SMART

Women for Sobriety (WFS)

Religious Organizations

Chapter 13: Alternative Treatments

Acupuncture in the Treatment of Drug Abuse and Addiction

Ibogaine Treatment

Nutritional Therapy

Meditation

Harm Reduction Approaches

Chapter 14: Teen Treatment

Why Alcohol and Drugs Are More Destructive When You’re Young

What to Do When You Suspect Substance Abuse in a Loved One

Getting Treatment as a Teen

Remembering That Slips Aren’t Freefalls

Part IV : Life in Recovery

Chapter 15: Overcoming Barriers to Recovery

Be Prepared: The First Step That’s Too Often Forgotten

Building Your Skills for Recovery

Pacing: Taking Things One Step at a Time

Building Resilience

Handling Your Everyday Fears

Handling Your Fears about Recovery

Avoiding Self-Hate: A Slippery Slope to Relapse

Taking Action: Storming the Barricades

Chapter 16: Handling Slips and Relapse

Slips Versus Relapse: What’s the Difference?

Why Relapse Happens

Learning from Relapse

Getting Your Balance Back

Chapter 17: Handling Work and Family During Recovery

Dealing with Relationships During Recovery

Dealing with Family Problems

Dealing with Work Problems

Dealing with Financial Problems

Relapses, Restarts, and How They Affect Your Family

Chapter 18: For Families and Friends: Ways to Make a Difference

Breaking Through Denial and Codependency

Preparing for Change

Helping Your Loved One Follow Through

Supporting Change over the Long-Term

The Ups and Downs of Change

Sustaining Optimism and Support in Your Family

Part V : The Part of Tens

Chapter 19: Ten Ways to Help a Friend or Loved One

Talk Things Over Truthfully

Recognize the Telltale Signs of an Addiction

Confront Denial

Help Get Treatment

Let Go of Your Need to Control the Situation

Hold Criticism at Bay

Offer Balanced Support

Understand What You’re Fighting

Remain Optimistic

Know What to Do When Treatment Efforts Fail

Chapter 20: More Than Ten Self-Help Resources

Self-Help Books

Self-Help Books for Problems Related to Addictions

Self-Help Web Sites for Managing Addictions

Web Sites for Treatment Models

Web Sites for Families

Web Sites for Teens

Web Sites for Problems Related to Addictions

Web Sites for Related Health Resources

Web Sites for Legal Issues

Treatment Centers

Foreword

Addiction in Our Times

by M. David Lewis, MD, FASAM ASAP Family Programs, Malibu, California

Addiction is a chronic and dangerous disease. It strikes in many forms, feeding on our obsessions — everything from drugs, to gambling, to sex, to money. It is responsible for the devastation of families, the destruction of livelihoods, and countless deaths.

There is no cure for addiction. Nonetheless, there is hope for managing it.

The basis for this hope, as the authors of this book tell us, comes to us through knowledge. When we are knowledgeable about the traits and treatments for the disease, we can see it for what it is, take action, and control it. We can help those we love — and ourselves — to live freely rather than as slaves to addiction.

Becoming knowledgeable is not easy. Addiction is a disease of lies and disguises, difficult to understand because of the press it receives and the prejudices we have about it. It is both a glamorous byproduct of fame and an affliction of the destitute. It is a psychological disorder, a family dysfunction, a physiological need.

This book helps to strip the mask off addiction so we can stand face-to-face with it. In the following pages, Doctors Shaw, Ritvo, and Irvine address the important questions from a clear, straight-forward perspective. By reading this book, you will understand the origins of addictions, the risks of addiction, and the most effective treatments.

But books alone can’t do the job of alerting our society to the range of addictions problem, which have no simple solutions. As parents, teachers, citizens, and health professionals, we must engage in a vigorous campaign of communicating openly and non-judgmentally about addiction within our homes, our schools and the halls of government.

We need to arm ourselves with important information about addiction expressed as clearly and simply as it is in this book. We need to be open to talking with youth about their addictive and non-addictive difficulties. We need to have more effective teen treatments.

I commend the authors for opening the door for more people to put their prejudices aside, understand addiction, and be able effectively and openly confront it wherever it lies in their lives. I believe this book and our own efforts to care for people with addiction can make a major difference.

Even though there is no cure, there is healing. And it all begins with knowledge.

Introduction

Some of our friends, family members, and clients have overcome addiction. These folks are in recovery and live interesting, useful, and compassionate lives.

Some of our friends, family members, and clients are still struggling with addiction. We care for them and worry about what will happen to them. We know we can’t control their lives or decisions — we want to help, but know that sometimes we must watch and wait. We’ve learned that wishes and hopes don’t necessarily resolve addictive problems.

Our experiences of successful recovery and continuing struggle have convinced us of the great need to destigmatize addiction. As technology progresses, newly developed substances powerfully target pleasure centers in the brain, mostly to ease the pain of severely ill people. As a result, addictive substances have become even more accessible, tempting, and common.

We believe that addictive behavior will increase during the 21st century. But so will knowledge of how addiction problems develop and how professionals can help people recover from them. We, as scientists and caregivers, will use our collective understandings to neutralize the powerful effects of society, technology, marketing, and the very human drive to consume.

You may often hear people say that they’re battling an illness or an addiction. This analogy of a battle helps them focus energies on overcoming troubling and life-threatening addictions.