8/23/2021

Addictiondialectical Behavioral Training

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Dialectical Behavior Therapy and Substance Dependency

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Addictiondialectical Behavioral TrainingYou have many options when it comes to treating substance dependency. One of these options is Dialectical Behavior Therapy (DBT). DBT falls under the broader category of Cognitive Behavioral Therapy (CBT). This category of therapy focuses on changing how we act and feel by changing how we think. It helps us change our perspective and therefore our beliefs about ourselves and the world around us. Dialectical Behavior Theory uses certain theories and practices to help people become more aware and react more appropriately.Addictiondialectical Behavioral Training

Dialectical Behavior Therapy can treat substance dependency and addiction. As with all treatment options, its effectiveness depends on your unique situation and personal recovery needs. DBT is evidence-based and supported by studies and statistics. Versatility of DBT Dialectical Behavior Therapy (DBT) is an evidenced-based treatment approach most commonly utilized among patients with a diagnosis of Borderline Personality Disorder (BPD). DBT consists of a year-long commitment consisting of weekly individual and skills-based group sessions, telephone consultations as needed, and weekly team meetings for treating clinicians to better refine.

DBT began as a treatment option for bipolar disorder. According to Psych Central[1], “Some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people’s arousal levels in such situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels.” DBT helped, and continues to help, many people with bipolar disorder find greater balance. As DBT found success in study and practice, therapists began to apply this treatment approach in more settings. These settings include substance dependency and addiction treatment.

Does DBT Work for Substance Dependency?

Dialectical Behavior Therapy can treat substance dependency and addiction. As with all treatment options, its effectiveness depends on your unique situation and personal recovery needs. DBT is evidence-based and supported by studies and statistics. Facing Addiction in America[2] considers it particularly effective and appropriate for both white and racial minority groups needing recovery support. DBT is a culturally sensitive treatment option, and cultural awareness is essential for effective treatment. Facing Addiction explains, “Cultural factors, including discrimination, acculturation, ethnic pride, and cultural mistrust, were associated with the pre-intervention levels of alcohol and drug use…Accounting for these factors when tailoring a substance use disorder intervention is critical to meeting the needs of the community it is aiming to serve.”

DBT is rooted in Buddhist practices but uniquely able to serve a broad range of cultures and perspectives. Facing Addiction, the Surgeon General’s report on alcohol and drug abuse, explains: “A study examining patients in a substance use disorder residential treatment center that incorporated DBT with specific cultural, traditional, and spiritual practices for American Indian or Alaska Native adolescents found that 96 percent of the adolescents in their sample either recovered or improved.” DBT is an effective treatment option. Your unique personal strengths and recovery challenges may be rooted in race, socioeconomic status, environment and more. DBT takes these factors into account to provide a holistic, appropriate approach to substance abuse treatment for anyone.

Addictiondialectical behavioral training classes

How Does DBT Work?

Addictiondialectical Behavioral Training Jobs

DBT focuses on managing emotions through meditative and culturally sensitive practices. Psychiatry[3]explains that DBT differs from other forms of CBT in that it is based in, “the biosocial theory and focusing on emotions in treatment, a consistent dialectical philosophy, and mindfulness and acceptance-oriented interventions.” DBT also serves “the five functions of treatment.” These functions of treatment are the goal of any comprehensive treatment approach.

The first function involves enhancing life skills. These skills may include the following:

  • Emotional regulation
  • Mindful awareness of the present moment
  • Interpersonal effectiveness
  • Distress tolerance

These skills let you balance your thoughts and feelings and see your circumstances and situation accurately. Life skills help you build healthy relationships and navigate interactions with others. They help you react to negative situations in healthy ways and to move forward rather than backward.

The next function of treatment involves teaching you how to apply these skills in real life, outside of a treatment setting. It involves practical application rather than just learning theory. It is closely tied to the third function. This function involves creating and maintaining motivation for change. Treatment can teach you the skills you need to find and maintain recovery, but if you do not have the motivation to learn or apply these skills, sobriety will be a challenge. No one can do the work of recovery for you, but therapies like DBT help you find the reasons, energy and confidence to do the work yourself.

A fourth function of treatment involves the relationship between therapist and patient. You need education, support and motivation. Professionals do as well. Psychiatry explains, “Another important function of DBT involves maintaining the motivation and skills of the therapists…One essential ingredient of an effective treatment for BPD patients is a system of providing support, validation, continued training and skill-building, feedback, and encouragement to therapists.”3 DBT emphasizes continued education and community support for treatment providers. This helps therapists continue to provide the most empathetic, up-to-date care.

The final function of DBT involves modifying your environment. This may involve helping you create a new social circle that does not support or enable drug use. Your home or work environment may have to change. Your therapist will help you identify triggering places, relationships, and situations. You will work together to create a healthy environment outside of treatment. A positive environment supports rather than challenges continuing, life-long sobriety.

Training

Finding DBT and Substance Dependency Treatment

When choosing substance dependency treatment, choose a comprehensive treatment option. Consider Michael’s House. We offer Dialectical Behavior Therapy and other integrated treatment options. We want you to find freedom from addiction, a healthy mind and a happy home. We are here for you from your earliest questions about treatment to aftercare and alumni resources years after treatment ends. Call and learn more about what we offer and what options can work for you.

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Sources

Dialectical Behavioral Therapy Pdf

[1]https://psychcentral.com/lib/an-overview-of-dialectical-behavior-therapy/. “An Overview of Dialectical Behavior Therapy.” Psych Central. 17 Jul 2016. Web. 2 May 2017.

[2]https://addiction.surgeongeneral.gov/surgeon-generals-report.pdf. Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Surgeongeneral.gov. Nov 2016. Web. 2 May 2017.

[3]https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2963469/. “Dialectical Behavior Therapy.” Psychiatry (Edgemont). Sep 2006. Web. 2 May 2017.

Dialectical Behavioral Therapy Training

In addition to therapeutic services, Ms. Greiner has provided educational seminars/trainings on a variety of subjects. She has taught extensively throughout the Commonwealth of Virginia. Venues have included: Virginia Summer Institute for Addiction Studies, Virginia Institute for Professional Addictions Counselor Training, Radford University, Department of Mental Health, Mental Retardation and Substance Abuse Services, Alcohol Safety Action Program Super Conference, multiple Community Services Boards, multiple probation offices, Germanna Community College, etc.

Dialectical Behavioral Therapy Certification

Below is a listing of current/recent seminars taught by Ms. Greiner. All seminar content is tailored to meet the needs of each audience and is presented in a highly interactive manner. To schedule a seminar, you may contact Lighthouse Counseling either by telephone 540-907-0121 or email atcgreiner @lighthousefredericksburg.com

  • Ethics
  • Introduction to Treatment with Transgender and Gender Nonconforming Persons
  • Update on LGBT treatment (2017)
  • Substance Abuse 101
  • Substance Abuse 102
  • Psychopharmacology of Drugs of Abuse
  • Substance Abuse Treatment for Lesbian, Gay, Bisexual and
    Transgender Individuals


  • Overview of Co-Occurring Disorders: The State of the Art
  • Mental Health 101
  • Differential Diagnosis-
    Determining if Symptom Presentation is due to Mental Illness or Substance Use

  • Introduction to Opioid Addiction and Treatment for Community Members
  • Introduction to Opioid Addiction and Treatment for Clinicians

Ethics related to working with LGBT clients

Brief Description:
This session will present several ethical challenges in an interactive format. Group discussion will follow and then the presenter will discuss the state of the art regarding the ethical dilemma. Topics include: Ward v. Wilbanks, adolescent confidentiality, working with HIV+ clients, reparative therapy, etc.

Length: Half day (3 hours)

Objectives:

  • Participants will be able to discuss the relevant issues related to Ward v. Wilbanks and how this dilemma impacts their work.
  • Participants will discuss how to address confidentiality issues with minors.
  • Participants will learn about the current laws and ethical requirements related to working with HIV + clients.

Introduction to Treatment with Transgender and Gender Nonconforming Persons

Brief Description:
This training starts at the beginning with interactive conversations regarding terminology and “what is gender?” The standards of care will be reviewed along with the “informed consent” approach. We will review transition issues related to children, adults, elders, substance users, and those with mental health issues.

Length: Full day

Objectives:

  • Participants will be able to define gender and discuss how this is changing
  • Participants will understand the difference between the informed consent model and the standards of care as well as their requirements under the standards of care.
  • Participants will gain an understanding of the differences in treatment between adults and children.

Update on LGBT treatment (2017)

Brief Description: Many of us were trained to work with this population many years ago but are unaware of the many advances in the field. This training will discuss those advances including couples work, people of color, LGBT parents, youths and elders, etc. We will discuss minority stress and microaggressions. Advances when working with straight spouses of those who “come out”. The ACA and APA standards of care with this population will be woven in throughout the training.

Length: Full day

Objectives:

  • Participants will be able to define minority stress and microaggressions.
  • Participants will be able to state 2 issues for subpopulations of LGBT parents, children of LGBT parents, elders, people of color and couples.
  • Participants will gain a better understanding of the struggles of bisexual persons and the difference between MSM and being gay.

Substance Abuse 101

Brief Description: This session will discuss the basics of addiction. Specifically investigating how others have defined addiction including the medical model, disease model, cognitive behavioral model, and the National Institute on Drug Abuse’s “Science of Addiction” brain model. The “moral theory” and “Twelve Step” approaches will also be discussed. Risk factors for developing addiction and the role of denial in addiction identification and treatment will be reviewed.

Length: Provided in a half day or one full day format

Objectives:

  • Participants will be able to explain at least two different models of the causes of addiction.
  • Participants will be able to identify at least four different risk factors for developing addiction.
  • Participants will be able to define the role that denial plays in the identification and treatment of addiction.

Substance Abuse 102

Brief Description:This session will present the basics of the psychopharmacology of drugs of abuse. Specifically, drugs of abuse will be divided into three categories: Uppers, Downers and All Arounders. A discussion of the initial effects, long term consequences and treatment issues will be addressed for most of the “popular” drugs of abuse including cocaine, methamphetamine, prescription opiates, prescription benzodiazepines, alcohol, marijuana, etc.

Length: Provided in a half day or one full day format

Objectives:

  • Participants will be able to divide most drugs of abuse into their proper category.
  • Participants will be able to determine which drugs of abuse require referral for medical treatment for overdose and/or withdrawal (detoxification).
  • Participants will be able to identify at least one symptom of intoxication and/or withdrawal for each major drug discussed.

Psychopharmacology of
Drugs of Abuse

Brief Description: This session discusses the primary drugs of abuse including alcohol, cocaine, methamphetamine, prescription medications, etc. Specifically, each drug will be examined in light of the following: signs of use, signs of withdrawal, long term and short term health effects, and treatment issues. The depth of the discussion will be based on the amount of time available.

Length: One, Two or Three day trainings

Objectives:

  • Participants will be able to determine which drugs of abuse require referral for medical treatment for overdose and/or withdrawal (detoxification).
  • Participants will be able to identify at least two symptoms of intoxication and/or withdrawal for each major drug discussed.
  • Participants will be able to discuss treatment issues regarding alcohol, cocaine, methamphetamine, ecstasy, etc.
  • Participants will be able to describe the reward pathway and its implications for treatment

Substance Abuse Treatment for Lesbian, Gay, Bisexual and Transgender Individuals

This educational seminar is based on the curriculum created by the Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment (CSAT). The text of this curriculum is available through www.samhsa.gov titled “A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual and Transgender Individuals”.

Brief Description : This training will provide a cultural competency introduction to the treatment of Lesbian, Gay, Bisexual and Transgender individuals. Specifically, an overview of the culture and language will be provided along with legal issues and an introduction to specific treatment approaches. Depending on the length of the training, other topics will be covered including family of origin, health issues and administrative issues such as policies and procedures, training and education, quality improvement and networking.

Length : One, Two, Three or Four day trainings.

Objectives:

  • Participants will be able to describe how the pattern of substance abuse in the LGBT community is different.
  • Participants will be able to describe three aspects of LGBT culture and its relevance to treatment.
  • Participants will gain an improved understanding of the legal issues facing LGBT clients including the impact of HIV/AIDS.
  • Participants will be able to state at least two clinical issues specific to each group (lesbians, gay men, etc.).

Overview of Co-Occurring Disorders: The State of the Art

Brief Description: This training reviews the basics of integrated co-occurring disorder treatment. Differences in assessment, referral, treatment, case management and psychiatric services for clients with co-occurring disorders will be explained.

Length: This presentation is offered in a half or full day training.

Objectives:

  • Participants will be able to use the quadrant model to provide appropriate referral
  • Participants will be able to describe three basic tenants of integrated treatment
  • Participants will be able to state two different approaches for differentiating between mental health and substance use given the same symptom presentation.

Mental Health 101

Brief Description: This session reviews the basics of mental illness identification including a description of the five axis diagnosis and specifics on illnesses such as Schizophrenia, Bipolar I, Bipolar II, Major Depression, Posttraumatic Stress Disorder, Panic Disorder, Personality Disorders, etc.

Length: Generally this training is provided as one half or one full day, though it could be expanded to meet the needs of the audience.

Objectives:

  • Participants will understand the basic diagnoses under anxiety disorders, mood disorders and schizophrenia spectrum disorders.
  • Participants will be able to describe terms such as hallucination, mania, and panic attack.
  • Participants will understand the difference between a personality disorder and other diagnoses.

Differential Diagnosis-
Determining if Symptom Presentation is due to Mental Illness or Substance Use?

Brief Description: This training teaches participants to differentiate between symptoms of mental illness and symptoms of substance use and/or withdrawal. Specifically signs of intoxication and withdrawal will be differentiated from symptoms of mental illness. Further, diagnosis of cognitive disorders related to substance use will also be discussed.

Length: This presentation is offered in a half day training

Objectives:

  • Participants will be able to define the substances for which withdrawal is a concern.
  • Participants will be able to differentiate between delirium, psychosis and dementia.
  • Participants will be able to state at least three different approaches to differentiate symptoms of substance use from mental illness.

Introduction to Opioid Addiction and Treatment for Community Members

Brief Description: This is a basic introduction into identifying addiction, basic treatments for opioid addiction and what you can do as a community member to help with this epidemic.

Length: 2 hours

Objectives:

Razorlight were honored to support Queen & Paul Rogers, Oasis, and The Rolling Stones. In spring 2005, the new edition of Up All Night was produced to feature the unreleased song Somewhere Else, running second in the UK Single Chart. In July 2006, Razorlight delivered the sophomore album, named after the. About File Formats. MP3 is a digital audio format without digital rights management (DRM) technology. Because our MP3s have no DRM, you can play it on any device that supports MP3, even on your iPod! Download View credits, reviews, tracks and shop for the 2004 CD release of Up All Night on Discogs. Label: Vertigo - 9866804. Format: CD Album. Country: Europe. Genre: Rock. Style: Indie Rock Razorlight - Up All Night (2004, CD) Discogs.

  • Participants will be able to define two symptoms of addiction
  • Participants will be able to identify two medications used in the treatment of opioid addiction including methadone.
  • Participants will identify at least one way they can help with the spread of opioid overdose deaths.

Introduction to Opioid Addiction and Treatment for Clinicians

Brief Description: The purpose of this training is to provide guidance to behavioral health practitioners in assessment, protocol for referral process, and utilizing brief interventions for clients using or addicted to opioids. All clinicians would benefit from this training despite lack of specialization in addictions.

Length: 4 hours

Objectives:

  • Clinicians will learn how to assess for addiction (mild, moderate and severe substance use disorders)
  • Clinicians will be able to discuss Medication Assisted Therapies for opioid use disorder including methadone and suboxone
  • Clinicians will be able to identify the standard of care for opioid use disorder treatment.

Other educational opportunities include the following topics:

  • Substance Abuse Treatment and Chronic Pain Management
  • Co-Occurring Disorders in the Lesbian, Gay, Bisexual and Transgender Population
  • Are they using? How to recognize substance abuse in your patients. (geared towards health professionals such as primary care physicians)
  • Are they using? How to recognize substance abuse in your employees. (geared towards Human Resources professionals and Administrators)
  • Ethics – LGBT, private practice
  • Introduction to Treatment with Transgender and Gender Nonconforming Persons
  • Update on LGBT treatment