Addiction & Recovery For Dummies

ISBN-13: 9781119886990 / Angielski / Miękka / 2023 / 320 str.

Ritvo

Spis treści

Introduction 1About This Book 2Foolish Assumptions 3Icons Used in This Book 3Beyond the Book 4Where to Go from Here 4Part 1: the Hole in the Heart: Detecting Addiction 5Chapter 1: Addiction: What Is It? 7Defining Substance Use, Abuse, and Addiction 8Understanding what addiction is 8The difference between abuse and dependence 9Your personal definition of addiction 11The Role of Experimentation 13Assessing Your Addiction Risk 13Warning signs of addiction 14A comment for families and friends of the addicted person 14Exploring Methods and Models of Treatment 15Treatment centers and professional help 15Things to consider when deciding on your treatment 16The twelve-step program and other self-help approaches 16The Ins and Outs of Recovery 17Overcoming fears and obstacles to recovery 17What to do if you slip 17How to relate to family, friends, and colleagues 18What family and friends can do 18Chapter 2: Substance Use, Substance Abuse, and Addiction 19The Basics of How Substances of Abuse Work 19The Drug Lineup 20Marijuana (THC) 21Sedatives and tranquilizers 22Stimulants 23Psychedelics 24Opiates and narcotics 26Dissociative anesthetics 27Anti-anxiety and antidepressant drugs 27Volatile hydrocarbons (inhalants) 28Steroids 30Chapter 3: Behavioral Addictions: Addictions Without Substances 31Some General Advice 32Compulsive Gambling 32Three phases of compulsive gambling 33The impact of compulsive gambling 34Sex and Pornography 36Pornography addiction 37Sex addiction 37Love addiction 38Computer Games and the Internet 39Food Addiction 41Eating too much 41Eating too little 41Work Addiction 42Do I have a problem? 42How work addiction starts 43Kicking the habit when everyone is asking for more 44Chapter 4: Dancing with the Tiger: The Risks of Experimenting 47Going with the Flow: Peer Pressure and Other Influences 48Partying and club drugs 49Hooking up 49"I didn't know what I was doing" 50Rebellion and experimentation 50The Risks of Experimentation and Addiction 51Drinking, drugging, and driving 51Unsafe sexual behavior 51The sex trade 52Crime 52Anger and aggression 53Child abuse and neglect 54Health risks 55The Costs of Addiction to Families 56The blame game 56The consequences to you and your family 57Part 2: Taking Those First Steps 59Chapter 5: Recognizing Addiction in Yourself and Others 61Am I at Risk? 62Genetics: Addiction Across Generations 63Determining who's susceptible 64Applying your family history 64How a Body Gets Addicted 65From the mind out 65From the body in 66What drugs are the most addictive? 67Waking Up to Your Own Addiction 68Starting with self-observation 69Taking a quick self-assessment 69Breaking down the types of addictions 71Perceiving Addiction in a Loved One 76Case study: Jack and his daughter 76Recognizing the warning signs 77Chapter 6: Assessing Your Readiness: Do You Need Help Now? 81Understanding Your Role as the Client 82Assessing the Options 82Avoiding hopelessness 83Choosing what's right for you 84Matching Your Characteristics to Treatment Options 84Client characteristics 84Treatment characteristics 89Making a treatment choice 90Deciding When to Start 91Cost-benefit analysis of seeking help 91Self-assessing your readiness for change now 92Chapter 7: Quitting: Easy to Say, Hard to Do 95Successful Quitting 95Becoming Aware of Your Triggers 96External triggers 97Internal triggers 97Combination triggers 97Time as a trigger 98Your identity as a trigger 98The ease of availability as a trigger 99Magical thinking 99Increasing Your Motivation to Change 100Factors That Affect Your Ability to Find Addiction Freedom 101Geographical change 101A change of job 102New relationships 102Codependency with a partner 103A recovering partner 104Part 3: Examining Treatment Approaches 105Chapter 8: Treatment Choices 107Different Viewpoints on Addiction 107The moral dimension 108The disease perspective 108The pharmacological perspective 109Thinking your way free: The cognitive-behavioral perspective 110Addictions as a bad habit: The learning models 110The psychodynamic perspective 111The biopsychosocial perspective 112Combination Treatments 113The twelve-step treatments and other variants of the AA model 114Treatments based on cognitive behavioral, psychodynamic, and learning methods 115Chapter 9: Reviewing Inpatient and Outpatient Treatment Options 119Interventions: Breaking Through Denial and Fear 120How an intervention works 122Intervention principles 124Choosing an interventionist 125Residential Versus Outpatient Care: Deciding What's Best for You 125Outpatient Treatment 126Psychotherapy 126Controlled drinking 127Risk reduction 128Tips on seeking outpatient professional help 129Residential or Inpatient Treatment 130The stages of inpatient treatment 130It's voluntary 131The rules of rehab 131How long is long enough? 132Aftercare 132The Minnesota Model 133Relapse Prevention 134Therapeutic Communities and Sober Living 135How therapeutic communities work 135A focus on rehabilitation 136How effective are therapeutic communities? 136Who obtains treatment from a therapeutic community? 136How long should you stay in treatment in a therapeutic community? 137Andrew's Choice: A True Story of Getting into Treatment and Achieving Success 138How things began 138One day in rehab 139Chapter 10: Treating Physical Dependence 141Understanding Your Body's Reactions to Drugs 142Detoxification: What Is It, and How Does It Work? 143The goals of detox 144The process: In the body 146The process: In the mind 146Knowing What to Expect with Detoxification Treatments 147Detox from alcohol and other sedatives/hypnotics 148Detox from stimulants such as cocaine and amphetamines 150Detox from opiates 150Detox from marijuana 151Detox from inhalants/solvents 151Medications That May Help 151Medications for alcohol problems 151Medications for treating benzodiazepine withdrawal 152Medications for treating opiate addiction 153Medications for stimulant abuse 153Maintenance medications and craving reducers 153Methadone Treatment 155What is methadone? 155Methadone myths 156Who should choose methadone treatment? 157Does it work? 157Chapter 11: Twelve-Step Programs 159Types of Twelve-Step Programs 160The Actual Twelve Steps 161Working Your Program 162Hitting bottom and working toward recovery -- one day at a time 163Discovering spirituality 164Using affirmations 164Deciding Whether a Twelve-Step Program Is Right for You 165Problems with Twelve-Step Programs 166What the critics say 166Is a twelve-step program enough? 167Chapter 12: Joining Self-Help and Support Groups 169Secular Organizations for Sobriety and Save Our Selves (SOS) 170The SOS approach 170Joining an SOS group 171Self-Management and Recovery Training: SMART 171The SMART approach 171Joining SMART 172Women for Sobriety (WFS) 173The WFS approach 173Joining WFS 173Religious Organizations 175Chapter 13: Psychedelic Therapies and Other Alternative Treatments 177Psychedelics 178Acupuncture 181Correlational research 182Clinical trials 182Ibogaine 183How ibogaine may work 183Ibogaine research 184Ketamine 185Nutritional Therapy 186Addictions and poor nutrition 186What is good nutrition? 187Macrobiotic diets 187Meditation 189Harm-Reduction Approaches 191Chapter 14: Teen Treatment 193Why Alcohol and Drugs Are More Destructive When You're Young 194It's easier to damage a growing brain 194Teens have a tougher time these days 194What to Do When You Suspect Substance Abuse in a Loved One 195Advice for parents 196Advice for good friends 197A word about denial 197Be prepared for a long haul to a healthy recovery 199Making the investment in teen treatment 199Getting Treatment as a Teen 200Asking for help: Any time is a good time 200Finding a counselor 201Relating to your counselor 202Counseling in group programs 204Residential treatment: Group and individual treatments 205Harm reduction programs for youth 206Remembering That Slips Aren't Freefalls 207Part 4: Life in Recovery 209Chapter 15: Overcoming Barriers to Recovery 211Be Prepared: The First Step 212Building Your Skills for Recovery 212Pacing: Taking Things One Step at a Time 214If you're going too fast, slow down 214If you're bogged down, pick up the pace 215Pacing with time 215Pacing with activities 215Building Resilience 216Maintain personal hygiene 216Explore your senses 216Exercise 217Handling Your Everyday Fears 218The work of worry 218Death and dying 219Abandonment 220Handling Your Fears about Recovery 220Short-term fears: Withdrawal problems 220Long-term fears 221Avoiding Self-Anger: A Slippery Slope to Relapse 222Putting judgments on hold 223Recognizing negative moods 223Recognizing stressful situations 224Taking Action: Storming the Barricades 225Taking action to commit to change 225Taking action against triggers that increase cravings 226Taking action to build self-confidence 226Taking action against negative moods 227Chapter 16: Handling Slips and Relapse 229Slips Versus Relapse: What's the Difference? 229Why Relapse Happens 230You can almost count on it 230Triggers for relapse and what to do about them 231High-risk situations and their remedies 232The good news: Relapse is preventable 233Learning from Relapse 233Examining your relapse 233Doing things differently next time 234Getting Your Balance Back 235Medications may help 236Getting back on track 236Deciding whether you need some extra help 236Chapter 17: Handling Work and Family During Recovery 237Dealing with Relationships During Recovery 238Dealing with positive changes 238Dealing with negative changes 239Dealing with Family Problems 240Do the right thing: Be a good role model 240How families are affected by addiction 241Making positive changes in family relationships 242Solving family problems by changing norms 242Making long-term plans for positive change 243Dealing with Work Problems 244Scenario one: You were hardworking to begin with 244Scenario two: You lose your job due to your addiction 245Dealing with Financial Problems 246Relapses, Restarts, and How They Affect Your Family 247Coming to terms with a relapse 248Restarting with the help of your family 249Chapter 18: For Families and Friends: Ways to Make a Difference 251Breaking Through Denial and Codependency 252Overcoming denial 254Dealing with resistance 254Preparing for Change 256Helping Your Loved One Follow Through 257Recognizing negative emotions 258Empathizing: "I feel your pain" 258Supporting Change over the Long-Term 259The six weeks of helping 259Expecting and getting through relapse 260The Ups and Downs of Change 261Dropping expectations and falsely positive images 261Turning downs into ups 262Sustaining Optimism and Support in Your Family 263Leaving fantasy-land to find realistic optimism 264Being deserving of victory and success 264Part 5: the Part of Tens 265Chapter 19: Ten Ways to Help a Friend or Loved One 267Talk Things Over Truthfully While You Listen Attentively 267Recognize the Telltale Signs of Addiction 268Confront Denial 268Help Get Treatment 269Let Go of Your Need to Control the Situation 270Hold Criticism at Bay 270Offer Balanced Support 271Understand What You're Fighting 271Remain Optimistic 272Know What to Do When Treatment Efforts Fail 272Chapter 20: More Than Ten Self-Help Resources 273Self-Help Books for Problems Related to Addictions 273Self-Help Websites for Managing Addictions 275Websites for Treatment Models 275Websites for Families and Teens 277Websites for Problems Related to Addictions 278Online Lectures on Addiction-Related Topics 278Treatment Centers 279Index 281

O autorze

Paul Ritvo, PhD, is a professor at York University in Ontario, Canada. He's also a Research Scientist at Cancer Care Ontario and a psychologist with over 25 years' experience in the development and evaluation of evidence-based cognitive behavioral programming for healthy lifestyle behavior change.