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Dawn Farm Education Series May 15, 2012 Charles F. Gehrke MD, FACP, FASAM
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Objectives
Learn what we do that supports addiction. Learn how we have to change. Learn what we can do to support recovery.
Definitions
Addiction - is a primary, chronic, progressive, relapsing disease which may be (often is) fatal. Recovery - is a process of overcoming both physical and psychological dependence on a psychoactive drug and is a commitment to abstinence based sobriety. (ASAM Textbook of Addiction Medicine ,4th edition) Disease - is a state of ill health characterized by the abnormal function of one or more organs, a definable set of signs and symptoms, a predictable course and outcome with or without a known cause.
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Definitions
Addiction - is a primary, chronic, progressive, relapsing disease which may be (often is) fatal. Recovery - is a process of overcoming both physical and psychological dependence on a psychoactive drug and is a commitment to abstinence based sobriety. (ASAM Textbook of Addiction Medicine ,4th edition) Disease - is a state of ill health characterized by the abnormal function of one or more organs, a definable set of signs and symptoms, a predictable course and outcome with or without a known cause.
Middle
beginning to have impact on daily life
Late
Codependents Progression
no visible effects beginning to feel responsible for the addict - feels compelled to help - feelings of guilt feels compelled to help feels scared, insecure overwhelmed, desperate
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Family Recovery
Blues Intolerance Suspicion Problems multiply Worry Irritability Seeps help Avoiding reference Arguments Extravagance Distrust Self-defense Unhappiness Depression Religious needs Irrational behavior Denial (fantasy) Self-neglect Threats made but not fulfilled Alibi Takes responsibility Dishonesty Loss of interest Infidelity Imaginary illnesses Isolation Faade Blames others Uses prescribed drugs Escape Loss of self respect Jealousy Remorse Social withdrawal Patent medicine use Indefinable fears Drug abuser Bankruptcy of alibis Admits defeat Chronic depression Suicide attempts Joy Courage Love Makes amends Peace of mind Service New friends
At ease with life Return of respect Appreciates spiritual values Return of confidence Release New interests develop Trust, openness Guilt is gone Return of self-esteem Honesty Diminishing fears Daily living pattern improves Develops optimism Begins to relax Cover-up ceases Becomes willing to change Shares with others Need to control lessens Recognition of role Seeks help Acceptance Recognizes disease BOTTOM Sincere desire for help Spiritual examination
W IT H
HE LP
IT W
UT HO
L HE
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Prepared by
Support Addiction
Lack of knowledge about addiction
*Using is a choice *Responding to the behaviors *Enabling * Taking care of it myself
Support Recovery
I wish he would. Why doesnt she. He should If only she would.. Why cant he.. Doesnt she see .
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(cont)
Currently our understanding of addiction indicates two factors play a major role in the development of addiction.
genetics and environmental factors Nature (genetics) loads the gun Environment pulls the trigger However: there are addicts who have no apparent genetic predisposition nor significant environmental risks.
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Believing that doing something to correct these conditions will fix (end) the addiction and the behaviors.
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Education: Get help/assistance which supports recovery and responds to the disease.
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Conclusions
Remember:
1. You didnt cause it, cant control it, and cant cure it. 2. Taking care of yourself is one the best ways to help someone else. 3. Supporting recovery is like planting seeds - it takes time to see results, you have to sow lots of seeds to get results and there could be a crop failure. 4. Get an education about addiction. 5. Ask for and accept help. 6. Set boundaries/limits - that you can and will enforce -be firm and specific. 7. Be certain the addict/alcoholic knows help and support is available. 8. Ask the addict/alcoholic How can I help you to support your recovery?
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*Therapy: individual or family - therapist with experience addressing addiction and codependency *Mutual Support Groups: Al-Anon, Nar-Anon,
Alateen, Families Anonymous, others *
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Interventionist:
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