Exam Review

Episode 19

Therapeutic Approaches

Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC

Executive Director: AllCEUs Counselor Education

Podcast Host: Addiction Counselor exam review, Counselor Toolbox and Happiness Isn’t Brain Surgery

Objectives

~ Review different therapeutic approaches including CBT, MET, Contingency Management and Trauma Informed

~ Types of treatment (individual, group, family) and benefits and drawbacks of each

~ Culturally appropriate strategies

~ Family Engagement

~ Overview of Crisis Intervention

~ Relapse Prevention

Therapeutic Approaches

~ Behavioral and cognitive behavioral approaches are grounded in social learning theories and principles of operant conditioning

~ Emphasis is on

~ Functional analysis of behaviors to understand them within the context of their antecedents and consequences

~ Skills training through which people recognize the situations or states in which they are most vulnerable and how to avoid high-risk situations

~ Using a range of behavioral and cognitive strategies to cope effectively with those situations if they cannot be avoided

~ Cognitive behavior therapy is based on the idea that feelings and behaviors are caused by a person’s thoughts

~ People may not be able to change their circumstances but they can change how they think about them and therefore change how they feel and behave

~ The goal of cognitive behavioral therapies to teach the person to recognize situations with their most likely to use, avoid these circumstances if possible, and cope with other problems and behaviors which may be to use

Therapeutic approaches continued

~ Contingency management therapy uses motivational incentives to facilitate behavior change and has improved treatment retention and abstinence rates

~ Motivational enhancement therapy is a client centered counseling approach for initiating behavior change and has successfully been used with people with alcohol and marijuana use disorders

Therapeutic approaches continued

~ Trauma Specific

~ Trauma Specific Models are an essential part of treatment as misidentified or misdiagnosed trauma related symptoms interfere with help seeking and hamper engagement in treatment, lead to early drop out, and make a relapse more likely

~ Trauma-Informed and Trauma specific approaches take into account knowledge about the trauma, its impact, interpersonal dynamics, and relation to recovery.

~ The primary goals of trauma specific services are focused to address directly the impact of trauma on people’s lives and to facilitate trauma recovery and healing

~ The Addictions and Trauma Recovery Integration Model or ATRIUM, seeking safety, and trauma recovery and empowerment model are all examples

Therapeutic approaches continued

~ Couples and family approaches

~ The defining feature couples and families treatments is that they’re treating substance using individuals in the context of the family and social systems in which the substance use may develop or be maintained

~ Prevailing models:

~ Brief strategic family therapy

~ Structural or strategic family therapy

~ Multidimensional family therapy

~ Multi systemic therapy

~ Behavioral and cognitive behavioral family therapy

~ Solution focused brief therapy

Culturally appropriate strategies

~ Two areas of concern with regard to cultural competence in addiction counseling are

~ the competence of the individual practitioner

~ the cultural appropriateness of specific intervention strategies

~ Culture includes much more than race and ethnicity

~ Culturally appropriate treatment can include the language used, the format of the program, the goals set for produce events, and specific program activities

~ Additionally, risk in