Crises Related to

1
Chapter 10

• Crises Related to
• Substance Abuse

2
Types of Crisis

• 1. Medical
• 2. Legal
• 3. Psychological
• 4. Spiritual

3
The Alcoholic

• In the DSM IV, the APA refers to either
• Alcohol Abusedrinking leads to impairment in
  functioning
• Or
• Alcohol Dependence physiological addiction,
  medical condition as a result, usually suffers
  from withdrawal without

4
Defense Mechanisms

• Denial
• Displacement
• Fantasy
• Projection
• Rationalization
• Minimizing
• repression

5
Interventions

• 1. 12 step groups Alcoholics Anonymous
• 2. 12 step facilitation
• 3. Family therapy
• 4. Medical intervention detoxification, anabuse
• 5. Aversion therapy
• 6. Synanon
• 7. Biopsychosocial Model
• 8. Brief Intervention

6
The Co-Dependent

• Strong need to be in control
• Enable the drinking to continue
• Denial
• Joining the alcoholic by drinking
• Justifying the use
• Keeping feelings inside

7

• keeping the peace
• Minimizing
• Protecting the image of the user
• Numbing feelings
• Blaming
• Take over responsibilities
• Feeling superior
• Controlling
• Enduring
• waiting

8
Interventions

• 12 step groups Al-anon
• Co-Dependents Anonymous
• ACA Adult Children of Alcoholics
• If depression is severe, may need hospitalization

9
Cocaine, Crack, Crystal Meth

• Stimulants
• Snort, smoke, inject
• Crystal Methamphetamine has increased in
  popularity due to its low cost. When smoked,
  its called ice
• Extreme addictions lead to severe consequences
• Often need intense treatment, daily, inpatient
• 12 step groups

10
Marijuana

• Often consider a soft drug
• It does affect physical health and psychological
  health
• 12 step groups may help
• Need to develop a social network of nonusing
  people to have fun with and interact socially
• Denial is very strong

11
LSD and Ectasy

• Hallucinagens
• Taken orally
• May have extreme effects on the body.
• May destroy brain cells
• the bad trip may be a concern
• Panic
• Regrettable behaviors

12
Heroin

• Highly addicting
• Usually injected
• May snort
• Very difficult to maintain sobriety
• Withdrawal is very uncomfortable
• Methodone may be useful for permanently quitting

13
Drugs Their Effects