Addiction Counselor Exam Review

By Dr. Dawn-Elise Snipes

Podcast review for persons preparing for the Addiction Counselor Certification Exam. To include: IC&RC, NCAC, MCAP, LADC, LADAC, CADC, LAC, CADAC exam reviews, exam preparation, addiction counselo... more

4.7

2626 ratings

FAQs about Addiction Counselor Exam Review:

How many episodes does Addiction Counselor Exam Review have?

The podcast currently has 200 episodes available.

Addiction Counselor Exam Review episodes:

November 19, 2017 190 -Communicating with the Cognitively Impaired
Communicating with the Cognitively Impaired
Instructor: Dr. Dawn-Elise Snipes, PhD
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery

Objectives
~ Define cognitive impairment
~ Explore symptoms of cognitive impairment in
~ Alzheimer’s
~ Dementias
~ Fetal Alcohol Spectrum Disorders
~ Review APA Treatment Guidelines for counselors working with persons with Alzheimer’s
~ Identify methods for effective communication
~ Learn how to handle difficult behaviors
~ Identify specific issues and interventions for a person with a FASD
Symptoms of Cognitive Impairment
~ The development of multiple cognitive deficits manifested by both
~ (1) memory impairment (impaired ability to learn new information or to recall previously learned information)
~ (2) one (or more) of the following cognitive disturbances:
~ (a) aphasia (language disturbance)
~ (b) apraxia (impaired ability to carry out motor activities despite intact motor function)
~ (c) agnosia (failure to recognize or identify objects despite intact sensory function)
~ (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting)
Symptoms of Cognitive Impairment
~ Other Symptoms
~ Attention
~ Perception
~ Insight and judgment
~ Organization
~ Orientation
~ Processing speed
~ Problem solving
~ Reasoning
~ Metacognition
Causes of Cognitive Impairment
~ Wernike-Korsakoff’s Syndrome
~ Vascular Dementia
~ Stroke
~ Impeded blood flow to brain
~ Alzheimers
~ Fetal Alcohol Spectrum Disorders
~ Brain Injury (Car accident, football, fall, boxing)
~ (Temporarily) Hyper or Hypo-glycemia
Screening for Cognitive Impairment
~ The AD8 (PDF, 1.2M) and Mini-Cog(PDF, 86K) are among many possible tools.
~ Patients should be screened for cognitive impairment if:
~ The person, family members, or others express concerns about changes in his or her memory or thinking
~ You observe problems/changes in the patient’s memory or thinking
~ The patient is age 80 or older(12)
~ Low education (IQ, FASD, stroke…)
~ History of type 2 diabetes
~ Stroke
~ Depression
~ Trouble managing money or medications
~ Episodes of delirium (confusion/disorientation)
Important Aspects of Management
~ Important aspects of psychiatric management include
~ Educating patients and families about
~ the illness
~ treatment
~ sources of additional care and support (e.g.,support groups, respite care, nursing homes, and other long-term-care facilities)
~ the need for financial and legal planning due to the patient’s eventual incapacity (e.g., power of attorney for medical and financial decisions, an up-to-date will, and the cost of long-term care)
Important Aspects of Management
~ Behavior oriented treatments
~ Identify the antecedents and consequences of problem behaviors
~ Reduce the frequency of behaviors by changing the environment to alter these antecedents and consequences.
~ Stimulation-oriented treatments
~ recreational activity, art therapy, music therapy, and pet therapy, along with other formal and informal means of maximizing pleasurable activities for patients
~ Emotion-oriented treatments
~ supportive psychotherapy can be employed to address issues of loss in the early stages of dementia
~ Reminiscence therapy has some modest research support for improvement of mood and behavior
~ Tolerate, Anticipate, Don’t Agitate
Communication
~ Written, oral, body language/signs
~ Let the client write, draw or speak to communicate
~ Use real objects when possible. (i.e. an ap
...more
1h 2min
November 18, 2017 189 -Using Research to Enhance Your Practice
Using Research to Enhance Your Practice
Instructor: Dr. Dawn-Elise Snipes, PhD
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery

Objectives
~ Review statistical terms and concepts
~ Explore the reasons to use research
~ Identify places to review research
Reasons to Use Research
~ Identify new treatments that can benefit your clients
~ Evaluate the veracity of claims about treatment effectiveness
~ Example 1
~ Ensure existing treatment approaches are effective with your client population
~ Use research methods to enhance the effectiveness and efficiency of your practice
Terms
~ Validity
~ Reliability
~ Population
~ Sample size
~ Blind and double blind studies
~ A/B/A Design
~ Regression analysis
~ Strength of relationship between two or more variables
~ Meta Analyses
Evaluating Programs and Instruments
~ Confidence Interval
~ “The confidence interval represents values for the population for which the difference between the parameter and the observed estimate is not statistically significant at the 5% level”.
~ Effect size
~ an effect size of 0.44 means that the score of the average person in the experimental group is 0.44 standard deviations above the average person in the control group, and hence exceeds the scores of 66% of the control group
Where to Find Research
~ PubMed
~ Search
~ Filter
~ Directory of Open Source Journals
~ Buros Mental Measurements Yearbook
~ Tests In Print
~ Evidence Based and Promising Practices
~ Google Scholar (depression treatment)
~ Example 1
Where to Find Research
~ SAMHSA
~ Toolkits
~ RNAO
~ APA Practice Guidelines
~ [Approach] research review or meta analysis

Increasing the effectiveness and efficiency of your practice
Conducting Your Own Research
~ Sample size (n=30+)
~ Defining your variables
~ Group vs. Individual
~ Self-help vs. Counseling
~ Medication vs. No-Medication
~ Match client profile with therapist
~ Eliminating confounds
~ Concurrent diagnoses
~ Additional significant bio-psycho-social variables
~ Age, Culture
Conducting Your Own Research
~ Design your study
~ Who are your participants
~ How will you implement it
~ What instruments will you use
~ Consider the age/attention of the participants
~ How will you maintain participation
~ Consider having study design reviewed by an independent reviewer/review board
~ Ensure patients provide informed consent to participate
Conducting Your Own Research
~ Measuring Variables
~ Objective tests
~ Urinalysis
~ Instruments
~ Likert scales / client self-report
~ Focus on symptom goals
~ Use anchors
~ Avoid odd numbers (“I feel energetic/happy…”)
1= lousy/rarely/20%/1 day/<3 hours per day
2= okay/sometimes/50%/3 days/3-8 hours per day
3=good/often/80%/5 days/8-12 hours per day
4=awesome/frequently/>80%/ More than 5 days /12-16 hours per day
Conducting Your Own Research
~ Conduct the research
~ Gather the data
~ Analyze the data
~ http://statpages.info/
~ http://www.quantitativeskills.com/sisa/
~ SPSS
Creating Your Own Instruments
~ Write the instrument
~ Test for:
~ Internal reliability
~ Test-retest reliability
~ Concurrent validity
Summary
~ Research can be used to
~ Identify new treatments that can benefit your clients
~ Evaluate the veracity of claims about treatment effectiveness
~ Ensure existing treatment approaches are effective with you
...more
56min
November 15, 2017 188 -Role of the Family and Community in Prevention and Treatment | Addiction Counselor Training Series
Role of the Family & Community
in Prevention & Treatment
Opiate Commission Interim Report Recommendation #10
Instructor: Dr. Dawn-Elise Snipes, PhD
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
Objectives
~ Define family and community
~ Explore skills and strengths to help prevent medical, emotional and behavioral disorders
Committee Recommendations
~ Evidence-based prevention programs for schools, and tools for teachers and parents to enhance youth knowledge of the dangers of drug use, as well as early intervention strategies for children with environmental and individual risk factors
~ Trauma
~ Foster care
~ Adverse childhood experiences (ACEs)
~ Developmental disorders
What are Family and Community
~ Community
~ Neighborhood
~ School
~ Social service organizations
~ Business
~ Local media
~ National media
~ Internet
~ Politicians
~ Family
~ Biological mother
~ Biological family
~ Significant-others non-blood related
Pregnancy, Infancy and Early Development
~ Preconception: Preventing High-Risk Pregnancies
~ Poor maternal nutrition and anemia
~ Maternal smoking and alcohol and drug use
~ Exposure to neurotoxic substances
~ Maternal depression (PPD correlated with lower child IQ)
~ Adrenal fatigue
~ Low birth weight
~ Low maternal weight
~ Multiple previous preterm deliveries
~ Periodontal diseases
~ Physical and emotional stress
Pregnancy, Infancy and Early Development
~ Fetal Development and Infancy
~ Preterm births have increased from 8-12.5%
~ Improved nutrition
~ Prevention of exhaustion
~ Identify and control bacterial vaginosis (29.2% of women)
~ Natural lack of lactobacilli bacteria or using antibacterial soaps
Pregnancy, Infancy and Early Development
~ Peri- and Post-partum Depression
~ Changes in sleep, appetite, weight, energy level, and physical comfort in women during pregnancy and postpartum can cause significant emotional strain.
Pregnancy, Infancy and Early Development
~ Trust-Mistrust
~ Maternal Sensitivity and Infant Attachment
~ Mother–infant attachment is a well-established influence on infants’ successful development
~ Home Visiting
~ Home visiting is an intensive intervention that targets successful pregnancies and infant development.
~ Overview of Early Intervention
~ Florida Early Steps

Early Childhood and Childhood
~ Autonomy, Initiative
~ Aggressive social behavior,
~ Typically begins to emerge during childhood
~ A key risk factor for progression of externalizing disorders
~ Harsh and inconsistent parenting practices contribute to it
~ Positive involvement with children and positive reinforcement of desirable behavior contribute to cooperative and prosocial behavior
~ Child Maltreatment
~ Programs that target child maltreatment have the potential to prevent multiple MEB disorders and promote healthy development across several domains of functioning
Early Childhood and Childhood
~ Family Poverty and Material Hardship
~ Family poverty is associated with
~ Increased parental depression
~ Increased spousal and parent–child conflict
~ Ineffective parenting
Early Adolescence
~ Industry and Identity
~ Developmental period during which the prevalence of substance use, delinquency, and depression begins to rise
~ Psychological and behavioral problems tend to be interrelated
~ Risk Factors
~ Family conflict and poverty
~ Increase in the rates of teasing and harassment in middle school.
~ Significant physical changes
...more
1h
November 12, 2017 187 -Models of Treatment
Models of Treatment
Instructor: Dr. Dawn-Elise Snipes
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
Objectives
~ Define the principles of effective treatment
~ Explore current trends and practices
~ Identify common approaches to treatment
~ Identify the main components of each approach
~ Compare and contrast each approach
Principles of Effective Treatment
~ Addiction and mental health issues are complex but treatable conditions that affect:
~ Brain
~ Body
~ Behavior
~ No single treatment is appropriate for everyone
~ Treatment needs to be available to be effective
~ Effective treatment attends to multiple needs of the individual
Current Trends and Practices
~ Focus on client competencies and strengths
~ Individualized, client-centered treatment
~ Shift away from labeling
~ Acceptance of new treatment goals (other than just abstinence)
~ Adoption of a recovery paradigm and away from the problem-focused, acute care model
~ Achieve a rich and meaningful life vs. eliminate depression
Current Trends and Practices
~ Integration of addiction treatment in multiple disciplines esp. primary care, mental health and addiction
~ Use of evidence based practices
~ Use of medications
~ Telehealth technologies
~ Support groups (in the rooms, daily virtual support groups)
~ Chat support
~ Forums
~ Online video psychoeducation
Question
~ How can we make treatment more available?
Principles of Effective Treatment
~ Duration in treatment for at least 3 months is critical
~ Treatment plans must be assessed continually and modified to ensure that it meets the person’s changing needs
~ Treatment does not need to be voluntary to be effective
Models of Treatment
~ Medical model
~ Chronic progressive disease
~ Often hospital or doctor office based
~ Uses a biopsychosocial approach with emphasis placed on:
~ Physical causes
~ Pharmacotherapy
~ Detoxification
~ Symptom reduction
~ Aversion
~ Medical maintenance
Models of Treatment
~ Spiritual Model
~ Mood issues and addiction may be caused by spiritual emptiness which leads to character defects such as pride, resentment, anger
~ Less weight to causation and more emphasis on a spiritual path to recovery, development of values and a sense of meaning and purpose.
~ 12-Step Models (Mutual Help)
~ Emphasize that one cannot help oneself, and recovery requires surrender of one’s will to a higher power.
~ NA, AA, EA
Question
~ How can you use a spiritual model with clients who do not believe in a higher power?
Models of Treatment
~ Psychological (self-medication) Model
~ Addiction and mental health issues result from deficits in learning, thinking or emotion regulation
~ Treatments
~ Behavioral self-control
~ Individual and group counseling (Multiple EBPs)
~ Pharmacotherapy for mental health issues
Psychological: Behavioral Self Control
~ Goals
~ Strengthen internal mechanisms (self-awareness)
~ Establish external controls
~ Coping skills
~ Goal setting
~ Behavioral contracting (What would you contract for?)
~ Trigger management (What are MH triggers)
~ Functional Analysis (of behaviors NOT diagnosis)
~ Relapse prevention (What are relapse prevention strategies for MH? Addiction?)
Psychological: Psychotherapeutic
~ Dialectical Behavior Therapy
~ Why
~ Clients unintentionally rewarded ineffective treatment while punishing their therapists for effective therapy.
~ The sheer volume and severity of problems presented by clients made it impossible
...more
59min
November 11, 2017 186 -Mental Disorders Caused by Substance Abuse | FASD and Alcoholic Dementia
Mental Disorders
Caused by Addiction
Instructor: Dr. Dawn-Elise Snipes
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
Objectives
~ Define Alcohol Related Brain Damage
~ Explore how an awareness of ARBD is vital for mental health as well as addiction counselors
~ Learn about the symptoms of ARBDs including alcoholic dementia and vascular dementia
~ Learn about Fetal Alcohol Spectrum Disorders
Alcohol Related Brain Damage
~ Damage directly caused to the person by exposure to alcohol or other drugs
~ Alcohol Related Dementia (Wernicke-Korsakoff’s syndrome)
~ Vascular Dementia
~ Fetal Alcohol Spectrum Disorders
~ According to the CDC
~ Most excessive drinkers do not meet the criteria for dependence (meaning they may present in mental health clinics for treatment of mood disorder)
~ About 17% of the adult population reported binge drinking, and 6% reported heavy drinking
Alcohol Related Brain Disorders
~ Caused by regularly drinking too much alcohol over several years.
~ Covers several different conditions which are similar to, but not actually dementia, including:
~ Wernicke-Korsakoff syndrome
~ alcoholic dementia.
~ In contrast to dementia (i.e.Alzheimer's disease), most people with ARBD who receive good support and remain alcohol-free
~ Make a full or partial recovery
~ Will not experience a worsening of their condition
Alcohol Related Brain Disorders
~ ARBD is greatly undiagnosed.
~ Post-mortem findings indicate it affects about 1 in 200 of the general adult population.
~ Among those with alcoholism, this figure rises to as high as one in three
~ People with ARBD tend to in their 40s or 50s
~ Alcohol-related brain damage is thought to cause more than 10% of ‘dementia' in people under 65.
Alcohol Related Brain Disorders
~ Drinking more than the recommended limit for alcohol increases a person's risk of developing common types of dementia such as Alzheimer's disease and vascular dementia.
~ Recommended limits are now a maximum of 14 drinks each week, with a maximum of 2 per day
~ Repeated binge drinking – heavy drinking in one session is particularly harmful
~ Increased risk of dementia is greatest at higher levels of alcohol consumption
~ But you do not need to be an alcoholic or get drunk often to be at increased risk of developing dementia.
~ Regularly drinking even a little above recommended levels increases your risk
ARBD
~ Alcohol-related brain damage causes a range of conditions
~ Alcoholic dementia/alcohol-related dementia
~ Korsakoff's syndrome/ Korsakoff's psychosis.
~ ARBD is defined as long-term decline in memory or thinking caused by excessive alcohol use and a lack of vitamin B1 (thiamine)
~ Regular heavy (>14/week) drinking over time can cause:
~ Damages nerve cells because alcohol
~ Causes chemical changes in the brain
~ Shrinkage of brain tissue
~ Intestinal damage  poor nutrient absorption
~ Poor handling of thiamine
~ Damaged blood vessels
~ High blood pressure
~ Increased risk of heart attacks and strokes
Alcohol Related Dementia
~ Symptoms largely reflect the areas in the person's brain that are damaged.
~ Poor planning and organizational skills, and problems with decision-making, judgement and risk assessment
~ Problems with impulsivity (eg rash financial decisions) and difficulty controlling emotions (eg irritability or outbursts)
~ Problems with attention and slower reasoning
~ Lack of sensitivity to the feelings of other people
~ Behavior which is socially inappropriate.
~ Unlike Korsakoff's syndrome, however, not everyone with alcoholic dementi
...more
1h
November 08, 2017 185 -Common Co-Occurring Issues
Common Co-Occurring Issues: Exploring the interaction between mental health, physical health and addiction
Instructor: Dr. Dawn-Elise Snipes
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
Objectives
~ Review what a healthy person needs
~ Review how different addictions may cause or be caused by
~ Mood disorders
~ Physical health issues
What Does a Healthy Person Need
~ Nutrition
~ Sleep
~ Pain control
~ Access to regular medical care
~ Prevention
~ Early intervention
~ Social Support
~ Safe housing
Why do I care about co-occurring issues?
~ 35% of people with anxiety disorders have abused opiates
~ Of opiate or alcohol dependent patients, 20% have major depressive disorder
~ Depression in opioid dependent patients (including pain management) has been associated with poorer physical health, decreased quality of life, increased risk-taking behaviors and suicidality
~ Prevalence and severity of depression tend to decline within the first few weeks after treatment initiation
~ Withdrawal from depressants (including alcohol), opioids, and stimulants invariably includes potent anxiety symptoms.
~ Many people with substance use disorders may exhibit symptoms of depression that fade over time and that are related to acute withdrawal.
Mental Health: Chicken or Egg
~ Depression & Anxiety
~ Associated with addiction because…
~ Stimulant withdrawal/recovery / depression
~ Stimulant use
~ “Medicate” depression
~ Causes anxiety
~ Alcohol/opiate use
~ Numb/forget: Deal with physical pain
~ Detox from opiates /depression
~ Detox from alcohol /anxiety
~ Life circumstances as the result of addiction
Mental Health: Chicken or Egg
~ Bipolar disorder
~ Triggered by drug use
~ More common for people with bipolar to use:
~ Stimulants when depressed
~ Anything when manic
~ ADHD
~ Self medication
~ Disrupted neurotransmitters after use
Mental Health: Chicken or Egg
~ Borderline Personality
~ More likely to use addictions to cope with lack of a sense of self and emotional lability
~ Antisocial Personality
~ May use addictions for the high or stimulation
Alcoholism
~ Eating disorders (especially bulimia and binge eating disorder)
~ Nutritional deficiencies which can cause mood issues
~ Physical exhaustion which can disrupt sleep
~ Depression as a result of use
~ Depressant effects
~ Neurochemical imbalances
~ Sleep disruption
~ Anxiety
~ As a result of use
~ Neurochemical imbalances
Nicotine
~ Mental Health
~ Anxiety and Depression
~ 70% more likely in smokers
~ Nicotine triggers dopamine release
~ Blood vessel changes can mimic depression related fatigue/confusion
~ SPMI 2-3 times more likely than the general population to use nicotine
~ ADHD (increases in concentration and attention—short lived)
~ Physical Health
~ COPD /Emphysema
~ Lung cancer
~ Stroke (smoking narrows blood vessels increasing BP and reducing circulation)
Opiate Abuse
~ Physical
~ Blood and injection site infections
~ Collapsed veins (stroke, dementia)
~ Endocarditis
~ Hepatitis (pain, disability)
~ HIV (depression, anxiety, medication side effects)
~ Liver damage from acetaminophen
~ Decreased pain tolerance (depression, disrupted sleep)
~ Mental Health
~ Depression & Anxiety
~ Used in some trials to treat depression
~ Can cause depressive symptoms due to pharmacological properties
~ Serves to reduce anxiety and increase energy in some
Eating Disorders
~ Co
...more
1h
November 06, 2017 Special Episode Opiate Commission Report
Opiate Commission Preliminary Report Dr. Dawn-Elise Snipes Executive Director: AllCEUs Counseling Education https://www.whitehouse.gov/sites/whitehouse.gov/files/ondcp/commission-interim-report.pdf Training on basic addiction counselor competencies or Addiction Counselor Certification Training Intro ~ In 2015, 27 million people reported current use of illegal drugs or abuse of prescription drugs. ~ Only 10 percent of the nearly 21 million citizens with a substance use disorder (SUD) receive any type of specialty treatment ~ With approximately 142 Americans dying every day, America is enduring a death toll equal to September 11th every three weeks. Recommendations ~ Rapidly increase treatment capacity.

Learn more about your ad choices. Visit megaphone.fm/adchoices
...more
37min
November 05, 2017 184 -Differential Diagnosis: Exploring the Framing Bias
Differential Diagnosis
Exploring the Framing Bias
Instructor: Dr. Dawn-Elise Snipes
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
Counseling CEUs are available at https://www.allceus.com/member/cart/index/search?q=framing+bias
Objectives
~ Define the framing bias
~ Explore medial, substance and mood symptoms which may overlap
~ Identify how many “problem” behaviors are semi-functional adaptations to help the person survive
~ Develop an understanding for how a positive change in any one area can lead to positive changes throughout the system

Framing Bias
~ Tendency to react to a particular set of symptoms in different ways depending on how or where it is presented
~ Medical practitioners: Depression, Anxiety, Physical
~ May miss bipolar, substance intoxication or withdrawal, normal reactions to psychosocial stressors
~ Mental health clinicians: Mental health, normal reactions to psychosocial stressors
~ May miss medical, substance
~ Substance abuse clinicians: Substance, normal reactions
~ May miss mental health and medical
Framing Bias
~ Problem (Finding the cause of the symptoms)
~ If it is caused by medical, psychosocial issues, psychotropics will (likely) not help much
~ If it is caused by substances, psychotropics may help “bridge the gap”
~ If symptoms are caused by a mental health issue which exists independently of substance use, recovery needs to address both
Framing Bias
~ Find the cause of low water pressure
~ Leaks:
~ Water pressure coming into the house is fine, but doesn’t make it to where it needs to be
~ Dripping faucets, running toilet, poor fittings
~ Crack in the line
~ Pressure reducing valve malfunctioning
Anxiety: Generalized
~ Symptoms
~ At least 6 months of “excessive anxiety and worry” about a variety of events and situations.
~ The presence for most days over the previous six months of 3 or more (only 1 for children) of the following symptoms:
~ Feeling wound-up, tense, or restless
~ Easily becoming fatigued or worn-out
~ Concentration problems
~ Irritability
~ Significant muscle tension
~ Difficulty with sleep

Anxiety: Panic Disorder
~ Symptoms
~ Palpitations, pounding heart, or accelerated heart rate
~ Sweating
~ Trembling or shaking
~ Sensations of shortness of breath or smothering
~ Feeling of choking
~ Nausea or abdominal distress
~ Feeling dizzy, unsteady, lightheaded, or faint
~ Derealization (feelings of unreality) or depersonalization (being detached from oneself)
~ Fear of losing control or going crazy or dying
~ Paresthesias (numbness or tingling sensations)
~ Chills or hot flushes

Depression and Dysthymia
~ Major Depressive Episode
~ A. Five (or more) of the following have been present nearly every day during the same 2-week period
~ depressed mood most of the day
~ markedly diminished interest or pleasure in all, or almost all, activities
~ significant changes in eating patterns.
~ insomnia or hypersomnia
~ psychomotor agitation or retardation nearly every day
~ fatigue or loss of energy
~ feelings of worthlessness or excessive or inappropriate guilt
~ diminished ability to think or concentrate, or indecisiveness,
~ recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation
Mania/Hypomania
~ Symptoms
~ A distinct period of abnormally and persistently elevated, or irritable mood, lasting at least 1 week
~ Inflated self-esteem or grandios
...more
57min
November 04, 2017 183 -Neuropsychobiology: Dopamine, Serotonin, GABA | Addiction Counselor Certification Training
Neurobiology: Dopamine, GABA, Serotonin, Acetylcholine
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director, AllCEUs.com
Counseling CEUs for this podcast can be found at https://www.allceus.com/member/cart/index/product/id/752/c/
Objectives
~ Define Neurobiology
~ For the following neurotransmitters, Dopamine, GABA, Serotonin, Acetylcholine, identify
~ Their mechanism of action/purpose
~ Where they are found
~ Symptoms of excess & insufficiency
~ Nutritional building blocks
~ Medications
~ Neurological changes over the lifespan
What is Neurobiology
~ Neurobiology is the study of the brain and nervous system which generate sensation, perception, movement, learning, emotion, and many of the functions that make us human
Dopamine
~ Mechanism of action/purpose
~ Movement
~ Memory
~ Pleasurable reward
~ Behavior and cognition
~ Attention
~ Sleep
~ Mood
~ Learning
Dopamine
~ Mechanisms of Action
~ Precursor, L-DOPA is synthesized in brain and kidneys
~ Dopamine functions in several parts of the peripheral nervous system
~ In blood vessels, it inhibits norepinephrine release and acts as a vasodilator (relaxation)
~ In the pancreas, it reduces insulin production
~ In the digestive system, it reduces gastrointestinal motility and protects intestinal mucosa
~ In the immune system, it reduces lymphocyte activity.
Dopamine
~ Symptoms of excess
~ Unnecessary movements, repetitive tics
~ Psychosis
~ Hypersexuality
~ Nausea
~ Most antipsychotic drugs are dopamine antagonists
~ Dopamine antagonist drugs are also some of the most effective anti-nausea agents
Dopamine
~ Symptoms of insufficiency
~ Insufficient dopamine
~ Negative symptoms of schizophrenia
~ Pain
~ Parkinson’s Disease
~ Restless legs syndrome
~ Attention deficit hyperactivity disorder (ADHD)
~ Neurological symptoms that increase in frequency with age, such as decreased arm swing and increased rigidity.
~ Changes in dopamine levels may also cause age-related changes in cognitive flexibility.
Dopamine
~ Symptoms of excess & insufficiency
~ Insufficient dopamine
~ Lack of motivation
~ Fatigue
~ Apathy, Inability to feel pleasure
~ Procrastination
~ Low libido
~ Sleep problems
~ Mood swings
~ Hopelessness
~ Memory loss
~ Inability to concentrate
Dopamine: Age Related Changes
~ Dopamine levels decline by around 10% per decade from early adulthood and have been associated with declines in cognitive and motor performance
~ Dopamine levels are also impacted by availability of estrogen
Dopamine
~ Nutritional building blocks
~ Eating a diet high in magnesium and tyrosine rich foods will ensure you’ve got the basic building blocks needed for dopamine production.
~ Here’s a list of foods known to increase dopamine:
Dopamine
~ Medications
~ Most common dopamine antagonists (positive symptoms)
~ Risperdone, Haldol, Zyprexa
~ Metoclopramide (Reglan) is an antiemetic and antipsychotic
~ Most common dopamine AGONISTs (Parkinson’s, Restless Legs) (negative symptoms)
~ Mirapex & Requip
Glutamate
~ Is an amino acid (present in most high protein foods)
~ Most prevalent excitatory neurotransmitter
~ Used to make GABA (teeter-totter)
~ Facilitates learning and memory
~ Excess glutamate is associated with
~ Panic attacks / anxiety
~ Impulsivity
~ OCD
~ Depression
Glutamate
~ Availability declines with age
~ Affected by serotonin availability
~ Insufficient
~ Agi
...more
58min
November 01, 2017 182 -Human Development and Mental Health: Adulthood Thorough Old Age | Addiction Counselor Certification Series
Human Development Part 2 Adulthood through Old Age
Instructor: Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC
Executive Director: AllCEUs Counseling CEUs and Specialty Certificates
Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery
Counseling CEUs can be found at AllCEUs Counseling Continuing Education
Objectives
~ Review stages of Adult Development (Erickson, Valliant, Levinson)
~ Identify biological, psychological and social issues which must be dealt with at each stage
~ Explore where stuck-points can occur and how to help people successfully resolve those issues to prevent/address depression, anxiety and/or addiction
Early Adulthood Ages 20-40
~ Physical functioning peaks at age 30, but can be maintained
~ Body shape changes with increases in fat and loss of muscle mass
~ Bodily systems begin to diminish in functioning at about 1% per year
~ Thinking becomes more practical and dialectical to adapt to inconsistencies and complexities of daily experience
~ Short term memory peaks
~ Knowledge continues to grow
~ Issues of identity and intimacy peak around age 30
~ Continued need for affiliation
~ Friendships take on more importance for those who are single
Early Adulthood Psychosocial Tasks
~ Early Adult Transition (Age 17-22).
~ Developing an Identity that allows a separation from parents
~ Choosing to go to college or enter the workforce
~ Family not supportive
~ Lack of direction
~ Difficulty with chosen task
~ Choosing to leave home
~ Difficulty with self-regulation
~ No idea how to fend for self
Early Adulthood Psychosocial Tasks
~ Early Adult Transition (Age 17-22) Passion
~ Development of Intimacy
~ Choosing to develop reciprocal relationships with another person.
~ Developing and embracing sexual identity
~ Develop effective interpersonal skills to develop healthy relationships
~ Expanding one's sense of self to include another person
~ Develop a solid identity
~ Develop healthy both/and boundaries
Early Adulthood Psychosocial Tasks
~ Entering the Adult World (Age 22-28) Enterprise
~ May start having children
~ Graduate from college / complete training
~ More concrete decisions regarding occupation, friendships, values, and lifestyles.
~ Career Consolidation. A job turns into a career once one has contentment, compensation, competence, and commitment (Valliant).
~ Includes stay at home parent or spouse (stay-at-home dad)

Early Adulthood Psychosocial Tasks
~ Age 30 Transitions (Age 28-33).
~ Significant lifestyle changes i.e. marriage or having children, promotions, “adulting”
~ Deal with grief/loss issues
~ All your friends are married
~ You are married with kids and can’t live the single life anymore (time and money ain’t yours)
~ Deal with anxiety/anticipation
~ What if I can’t do it?
~ What if I am alone forever?

Early Adulthood Psychosocial Tasks
~ Settling Down (Age 33-40) Contemplation
~ Establish a routine (can feel oppressive to some)
~ Makes progress on goals for the future
~ Reflect on a deeper meaning and purpose for their lives
Middle Adulthood 40-65
~ Bodily changes continue (wrinkles, gray hair and menopause)
~ Many people need reading glasses
~ Increased vulnerability to health and disease
~ Fluid intelligence may decline
~ Reaction time and mental processing speed slow
~ Short and long term memory remain stable
~ Cognitive abilities
~ Dependent on speed and adapting to novelty decrease
~ About the world increase and related to experience flourish (expertise)
~ Marital satisfaction
...more
58min

FAQs about Addiction Counselor Exam Review:

How many episodes does Addiction Counselor Exam Review have?

The podcast currently has 200 episodes available.

More shows like Addiction Counselor Exam Review

My Favorite Murder with Karen Kilgariff and Georgia Hardstark

171,769 Listeners

Maintenance Phase

16,495 Listeners

Share Addiction Counselor Exam Review

Sign up to save your podcasts

Addiction Counselor Exam Review

FAQs about Addiction Counselor Exam Review:

How many episodes does Addiction Counselor Exam Review have?

Addiction Counselor Exam Review episodes:

FAQs about Addiction Counselor Exam Review:

How many episodes does Addiction Counselor Exam Review have?

More shows like Addiction Counselor Exam Review

My Favorite Murder with Karen Kilgariff and Georgia Hardstark

Maintenance Phase