Why Therapy Is Essential in Treating Addiction #addiction, #counseling, #therapy, #maintenance, #cbt, #motivational #interviewing, #support

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Counseling and Addiction

Kicking the prescription drug abuse habit — or any other addiction — is a major accomplishment. But for most people with opioid addiction, detox is only the beginning of a long-term battle against craving and relapse.

Counseling is an essential part of drug abuse treatment for many people. Cognitive behavioral therapy, family counseling, and other therapy approaches can help people recovering from opioid addiction stay clean. Psychotherapy can also treat the other mental health conditions that often contribute to prescription drug abuse .

Why Counseling Is Important in Addiction Treatment

Opioid addiction is more than a physical dependence on drugs. Even after detox, when physical dependence has resolved, addicts are at high risk for relapse. Psychological and social factors are often powerful stimuli for prescription drug abuse relapse:

  • Stress, especially sudden life stresses
  • Cues in the environment, like visiting a neighborhood
  • Social networks, like spending time with friends who continue to use drugs

These factors can create ongoing, nearly irresistible urges to use drugs. Prescription drug abuse counseling helps addicts escape craving and learn to cope with life, without using drugs.

Several counseling therapies are available for prescription drug abuse, and no one established method is known to be better than another. Likewise, no one approach is appropriate for everyone with opiate addiction. The right drug abuse treatment plan is tailored to a person’s addiction and his or her individual needs.

Individual vs. Group Therapy

While any counseling therapy for drug abuse treatment is better than none, group therapy is generally preferred over individual therapy. In group therapy, a person is more likely to be both challenged and supported by peers who are also going through drug rehab. Twelve-step programs such as Narcotics Anonymous are peer support groups (not led by a trained psychotherapist and, thus, not the same as group therapy) that can be a useful part of a recovery program.

Individual therapy can be helpful in the case of a dual diagnosis: coexisting depression. bipolar disorder. or other significant mental health condition that requires treatment in its own right, separate from the opioid addiction.


Outpatient vs. Residential Treatment

Residential therapy separates the addicted person from the environment that allowed him or her to use drugs, and teaches new habits or skills for sober living. A person goes away to a specialized facility for a period of weeks to months. While highly effective in the short term, there is debate as to whether residential programs lead to longer abstinence from prescription drug abuse than outpatient programs. Relapse is often higher if someone then goes back to a home environment where opportunities to resume drug use are in easy reach. Residential drug abuse treatment programs are expensive, usually costing tens of thousands of dollars and are not always covered by commercial insurance plans .

Outpatient treatment programs are the usual setting for ongoing prescription drug abuse treatment.

Cognitive Behavioral Therapy

Cognitive behavioral therapy — or CBT — teaches a person how to recognize moods, thoughts, and situations that stimulate drug craving. A therapist helps the person avoid these triggers, and replace negative thoughts and feelings with healthier ones that are more consistent with sobriety.

The skills learned in cognitive behavioral therapy can last a lifetime, making it a potentially powerful method of drug abuse treatment. However, not all therapists are trained in cognitive behavioral therapy techniques, which can be complex.

Contingency Management Therapy

In contingency management therapy, a person in drug abuse treatment receives positive incentives for staying clean. Vouchers for goods and services, or privileges in a more rigid treatment setting are common incentives. Contingency management therapy is effective in drug rehab studies. But skeptics point out its high costs, and that when incentives stop, its positive effects decline.

Motivational Interviewing

Traditional therapies for drug abuse treatment involved confrontation. Addicts are masters of denial, the thinking went, and therapy should break down walls to force them to accept the reality of their addiction.

While confrontation may still have a role, many therapists instead promote motivational interviewing, a newer counseling method. In motivational interviewing, a therapist seeks to understand and enhance an addicted person’s natural motivation for change. For example, if the person reveals he is motivated by love of his family, or returning to work, these may become the focus of therapy.


Couples and Family Therapy

Prescription drug abuse and opioid addiction don’t only affect the user’s life; the whole family is transformed. Strong relationships with family and friends are essential for successful drug abuse treatment. Various counseling methods include the spouse and other family members of the addicted person.

There are several potential benefits of family or couples therapy:

  • Family members can act as a powerful force for change in the addicted person’s life.
  • Including family members can increase the likelihood a person will stay in therapy.
  • Each family member can begin to heal the damage their loved one’s addiction has caused in their own life.

Studies show family therapy results in lower relapse rates, increased happiness in the family, and better functioning in children of addicted parents.

Maintenance Therapy

Most experts today consider opioid addiction to be a chronic, relapsing illness. Just like other chronic illnesses such as diabetes or high blood pressure. opioid addiction treatment in some form must be lifelong.

Many people with opioid addiction will continue to take maintenance therapy. A form of buprenorphine (Probuphine ) is now available as an implant under the skin for preventing a relapse of opioid dependence. It provides a constant dose of buprenorphine for six months and can be used by people who have completed acute detoxification and are already maintained on a stable dose of oral buprenorphine. Other medications include methadone. naltrexone (which blocks opiate receptors and prevents opiates from causing a high) or Suboxone (buprenorphine/naloxone ) — medications that are sometimes taken for many years in order to minimize relapse risk. By the same token, experts say, they should also continue some form of counseling.

The idea of long-term, open-ended treatment runs counter to the one-time view that a person was likely “cured” in a relatively short time after attending a drug rehab program. However, evidence is mounting that lifelong treatment with maintenance medication along with counseling or therapy should be standard drug abuse treatment for most people with relapsing opioid addiction.

WebMD Medical Reference Reviewed by Joseph Goldberg, MD on July 16, 2016


Carroll, K.M. American Journal of Psychiatry, 2005.
Dennis, M. Addiction Science Clinical Practice. December 2007.
FDA. “FDA approves first buprenorphine implant for treatment of opioid dependence.”
Harvard Mental Health Letter, “Treating opiate addiction, part II: Alternatives to maintenance,” January 2005.
Medline Plus: “Opiate withdrawal.”
Narcotics Anonymous web site.
National Institute on Drug Abuse, “Treatment Approaches for Drug Addiction.”
National Library of Medicine, “Estimating the Client Costs of Addiction Treatment: First Findings from the Client DATCAP.”
O’Brien, C. The Journal of the American Medical Association. 2008.
Van den Brink, W. Canadian Journal of Psychiatry, 2006.

© 2016 WebMD, LLC. All rights reserved.

National Association of Special Education Teachers: Computer Hardware and Software for Special Education #computer #software,

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IEP Goals, Objective and Activities

NASET has created a simple, and easy to use application for the iPad and iPhone. The IEP Goals, Objectives Activities App provides a convenient tool to easily choose and build a student’s list of IEP Annual Goals, Short Term Objectives, and Behavioral Objectives.

In order to do this, you will be able to choose from:

  • Numerous Annual Goal areas;
  • Over 100 Short Term Objectives
  • Almost 5,000 Behavioral Objectives

Plus, this app allows you to:

  • Plan each student’s educational curriculum
  • Develop, from a list of over 2,700 Suggested Activities, enrichment experiences to enhance student development
  • Export the assembled annual goals, short term objectives and behavioral objectives for each student via email

Failure Free Reading’s materials include a unique combination of print, talking software, and teacher directed lessons. Classroom kits include teacher’s manual, reinforcement activities, student workbooks, independent reading booklets, instructional readers, flashcards, parent communication letters, certificate of accomplishments, and more. Software includes spelling, listening comprehension, story books, language development, reading comprehension activities and more. The software also has Spanish resources for teaching English to Spanish speaking students.

Failure Free Reading uses a model of repetition, control, and feedback – integrating teacher, text, and technology. The program is integrated and coordinated to provide multiple exposures in multiple contexts. Students read material that is designed to be of interest to students in their grade/age level; the logic of the program is that at each and every level, repetition, semantic support in the form of word meaning and word pronunciations, and the “additive” principle of sentence complexity (which is relaxed in grade 3 and above) provide the scaffolding that helps students cope with the texts.

Progressive Academic Learning Systems (PALS)

ABA/Discrete Trial Educational CD

  • Educational software for school and home
  • 168 lessons
  • 44,000+ tasks
  • Supports school curriculum standards
  • Spanish version available

SofDesign International, Inc.
701 E. Plano Pkwy
Suite 500
Plano, Texas 75074
Phone 972.644.0098
Fax 214.722.1500

Parrot Software
P.O. Box 250755
West Bloomfield, MI 48325
Phone: 1-800-727-7681
FAX: 248-788-3224
International: 1-248-788-3223

Computer software and more at special

teacher only prices. Proof of employment as

a teacher required to purchase products at their

LEAPS – Online Resources for Behavior Remediation

Provenio’s flagship product, LEAPS, (Life Excelerator/Assessment of Personal Skills) consists of a research-based interactive library covering 109 coping, adapting and functioning life skills. LEAPS’ assessment tool allows instructors to assess each individual student’s instructional needs and prescribes a personalized instructional program for the behavior component of the IEP process.


2006/2007 National Association of Special Education Teachers. All rights reserved

Trauma Recovery Center provides multidisciplinary treatment programs tailored to specific needs by licensed, certified experts

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Trauma Recovery Center, which consists of licensed and/or board certified mental health care professionals, specializes in the treatment of trauma-related disorders.

Trauma Recovery Consultants is dedicated to research, training, and education in the field of trauma-related experiences.

Programs incorporate current research and clinical knowledge. We provide training seminars and consultation for mental health professionals, physicians, and high exposure populations.

2015 Professional Development Seminars

Treatment of Attachment Traumas and the Dissociative Sequelae in Clients of All Ages: Case Conceptualization with Eye Movement Desensitization and Reprocessing (EMDR)
October 23, 24, 2015
Ypsilanti, Michigan

Trauma Recovery Consultants
415 South West Street, Suite 150
Royal Oak, Michigan 48067
Phone: 248.546.6432 x2
Fax: 248.546.8070


Welcome to the Trauma Recovery Center/Trauma Recovery Consultants website. Trauma can involve psychological or physical experiences, or a combination of both. It refers to an event in which a person witnessed, experienced, or was confronted with a profound situation that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others; and in which a person’s response involved intense fear, helplessness, or horror.

There are several types of physical and/or psychological trauma, most of which fall into one of three categories, and may occur at any time in an individual’s life. The traumatic experience may involve a single, intense event such as: a serious automobile or industrial accident; a serious threat to one’s life or the life of a loved one; abduction; rape; robbery, mugging or other acts of personal violence; natural disasters such as hurricanes, earthquakes, tsunamis, fire, etc; and the all too frequent acts of terrorism. In the second category, the traumatic experience may involve repetitive and ongoing events such as: sexual or physical abuse of the self; witnessing violence and/or sexual or physical abuse of others; profound physical or psychological neglect; military combat; prisoners of war, kidnapping, or other captivity; torture; prolonged illness and extensive medical procedures; etc. The third category involves the many combinations of those events listed above and may occur simultaneously or separated by long periods of time.

Because the intense stress of traumatic events demands coping strategies which usually exceed the individual’s abilities, extreme but protective psychological mechanisms are developed. Unfortunately psychological trauma refuses to be ignored, and these same adaptations cease to be helpful and become dysfunctional after the actual trauma is past and can interfere dramatically with normal functioning.

In many cases, the individual is unable to recover his/her previous level of functioning without professional help, because the very nature of the trauma leads to avoidance of its psychological effects and becomes an obstacle to recovery. The evaluation and assistance of a trauma specialist can help the individual understand how different types of trauma can manifest in very different symptoms and patterns of behavior, emotional response, physiological functioning and sensation, and how one thinks and perceives the world around them. These differences in the traumatic response cannot, therefore, be treated by a single method or approach, but require the opportunity to be provided with an individualized, specialized, and comprehensive approach to trauma recovery care.

If you or someone you love has experienced profound physical or psychological trauma, there is hope and help available. The Trauma Recovery Center provides a wide range of therapeutic interventions from assessment to treatment for trauma-related disorders.

Please take a few minutes to browse through our website. There is hope and help available to go beyond the devastation of traumatic events, form healthier coping skills, and reclaim your life.