Alcoholism; Substance misuse; Behavioural addictions.
“In alcohol, drugs or addictive behaviour we are often seeking peace of mind but end up instead with our mind in pieces. The fact that addiction very nearly works but ultimately doesn’t is one of its greatest traps” ~ Mandy Donnison.
Motivation for change is a “key” component in addressing substance misuse.
Motivation is a dynamic process, and not a static client trait. Motivation relates to the probability that a person will enter into, and continue, and adhere to a specific change strategy. Although much progress has been made in identifying people who misuse alcohol and other substances and who have substance use disorders (SUDs) as well as in using science-informed interventions such as motivational counselling approaches and other such interventions in their treatment.
Motivation is “key” to substance use behaviour change.
Counsellors can support their clients’ movement toward positive changes in their alcohol/substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centred counselling. Especially the counsellors’ use of empathy is “key” to enhancing their clients’ motivation to change. Clients are experts in their own recovery from SUDs. The counsellor’s role should be to engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a person’s trait or characteristic. Confrontational approaches increase client resistance and discord in the counselling relationship. Motivational approaches explore ambivalence in a non-judgemental and compassionate way.
Motivational counselling strategies can be tailored to a clients’ level of motivation to change their substance use behaviours; at each of the five stages of change:
Effective motivational counselling approaches can be brief. A growing body of evidence indicates that early and brief interventions demonstrate positive treatment outcomes in a wide variety of settings.
Addiction refers to the situation where a person is sequentially incongruent (ambivalent) about their use of a substance or their particularly unhelpful lifestyle.
A sequential incongruity occurs when a conflict between two or more “parts” or states within a person are expressed over a period of time.
The Language of Recovery.
Alcoholics Anonymous is neither the first nor the fastest growing addiction recovery mutual aid society, although those distinctions belong respectively to the Native American recovery “circles” of the mid-eighteenth century and the Washingtonian Society of the 1840s. Taking that into consideration A.A. is the standard by which all other such societies are evaluated due to its longevity, its size and its worldwide dispersion, it has never claimed to be the only framework for the achievement of sobriety. A.A. co-founder Bill Wilson stated this plainly when he declared in a 1944 A.A. Grapevine article that “the roads to recovery are many.” At the time this statement was made, Bill Wilson could not have foreseen the growing diversity of A.A. groups and A.A. experience, the unending adaptation of the A.A. program to other drug addictions and to other problems, and the rise of mutual aid alternatives to A.A.
The near-universal incorporation of the A.A. program into modern alcoholism treatment created a subsequent backlash in which “A.A is not the only way” became something of a professional mantra. Similarly, a modern restatement (“There are many paths to recovery.”)
Words, Ideas and Recovery; Addiction is as much a cognitive as physiological process. It entails a rewiring of thinking—a fundamental reconstruction of one’s core beliefs and values and one’s perception of self and the world. Recovery entails a similar transformation in thinking. There are key words, ideas and metaphors that can unfreeze old ways of thinking/behaving and serve as powerful catalysts for change. What is remarkable about this process is the variability one finds in these instruments of transformation. Words, ideas and metaphors that incite change in one person leave another unmoved. As a result, the growing diversification of recovery experience within and outside A.A.
What is Therapy?
It can be physical, like medicine.
It can be mental, psychological.
Emotional or Spiritual.
There are many daily activities that we can practice which are therapeutic.
Although there is a difference between therapeutic which makes us feel good, versus Therapy, which is a formal process with the purpose of healing.
A holistic approach to recovery.
Holistic Approaches to Recovery. Bio Psycho Social Spiritual, Addiction Recovery.
Recovering from alcohol or drug addiction requires many different approaches for a successful, well-rounded treatment.
Dual diagnosis addiction.
Finding the person behind the illness through dual diagnosis.
Understanding the chemical side of addiction neurotransmitters and such.
The pathways of addiction.
Therapy, Counselling, CBT, REBT, DBT, ACT, Motivational Interviewing, 12 Step Facilitation or Smart Recovery Facilitation, and integrated dual disorder treatment models.
Evidence-based Clinical Hypnotherapy treatment for addiction, which can also be used in the treatment of a variety of other psychological difficulties.
Hypnotherapy Helps With Addiction.
While in a hypnotic trance, working with a qualified clinical hypnotherapist, the person is more open to suggestion by the hypnotherapist than they usually are. Thus they generally become more compliant and more imaginative, more open to possible positive outcomes, the person undergoing hypnotherapy in a session with their therapist often get in touch with their feelings of personal self-mastery and feel more able to “unlock” themselves from long-term behaviour patterns that were previously not helpful, inflexible and rigid and destructive and unsustainable in there nature.
Addiction is a primary chronic disease of brain reward motivation, memory and related circuitry, which manifest in an individual by chronic substance use it’s a Bio Psycho Social Spiritual disorder. ~ American Society of Addiction Medicine.
Therefore I am an Advocate of the Bio Psycho Social Spiritual, Approach to Addiction Recovery.
The Holistic, Bio Psycho Social Spiritual, Approach to Addiction Recovery; as recovering from alcohol or drug addiction requires many different approaches for a successful, well-rounded treatment.
There are the many different things that people can become addicted to, not only substances like alcohol, and the various drugs ranging from nicotine to higher risk substances such as cocaine and heroin, and not to forget food addictions, for example BED (Binge Eating Disorder) often recognized or known as comfort eating.
And the many different behavioural addictions that can be encompassed within the many possible ways that a person can become addicted to something, whether it be a substance or a behaviour.
Behavioural addiction refers to several mental health conditions in which a person engages in a particular behaviour repeatedly; even if the behaviour causes them harm—it may seem as if they simply cannot resist engaging in it. Common behavioural addictions—also known as process addictions—include gambling addiction, shopping addiction, hoarding, and kleptomania (impulsive stealing). While the compulsivity associated with behavioural addictions may seem uncontrollable, treatment options are available to those who suffer from them.
Similarities between behavioural addictions and substances addictions.
Research has shown that urge-driven disorders, such as gambling addiction and kleptomania, trigger the release of extra dopamine, which causes feelings of pleasure. Therefore, every time the person engages in that particular behaviour, their brain receives a pleasurable jolt of dopamine. This is the unfortunate thing; the brain becomes reliant on the behaviour in order to feel that heightened sense of reward. A relative decline in these dopamine surges can leave the person with feelings that resemble depression, which might further compel them to engage in the addictive behaviour once again to feel good, further reinforcing the cycle of addiction.
Therefore these behavioural addictions have effects on brain chemistry similar to substances, effects upon the neurotransmitters, and the necessary stability a person needs in their brain chemistry to obtain the feeling of contentment, a state of happiness and satisfaction.
Why people get addicted in the first place, people first start being experimental, or to feel good, or to feel better, or to do better, and in dual diagnosis people have a pre-existing condition that can lead to addiction, also there are genetic factors that can contribute.
Hypnosis – Using the Power of the Mind
Hypnotherapy is a form of psychotherapy utilized to create unconscious change in the patient in the form of new responses, thoughts, attitudes, behaviors and/or feelings. A person who is hypnotized displays certain unusual characteristics and propensities, compared with a non-hypnotized subject, most notably heightened suggestibility and responsiveness.
What is Clinical Hypnotherapy?
During Clinical Hypnotherapy we bypass that portion of the mind that doesn’t think you can do something or do things that you must to do, we bypass the conscious mind and we basically address the unconscious or the subconscious and we can in fact, make very big changes or help you achieve huge changes that would not be possible otherwise.
So hypnosis or the definition of hypnosis is the bypass of the critical faculty which allows us to get in touch with the subconscious portions of the mind which allows us to change behaviours that otherwise wouldn’t change. It allows us to change feelings emotions habits. In essence any aspect of our experience as a human being can be changed because it does have to do with the unconscious portion of the mind.
Hypnosis is actually a naturally occurring state of consciousness.
It’s a deep state of relaxation focus and concentration in which the subconscious or unconscious mind occupies the person’s awareness and the conscious mind.
Like the thinking mind is quieted and disengaged.
Hypnosis also refers to the process used to attain this state of mind.
A Clinical Hypnotherapist uses hypnosis for therapeutic purposes hypnotherapy is the process of guiding someone into this psychological state where the Hypnotherapist can then conduct conversations with the person’s unconscious mind without the limitation of the conscious mind. In this process the Hypnotherapist can assist the person with a variety of things such as retrieving deeper level beliefs or memories as well as using gentle suggestions to influence the person’s beliefs at the subconscious level.
All of this is done in accordance with the person’s full consent and request and the person remains fully in control of themselves.
Only a fully trained Clinical Hypnotherapist should be using hypnosis to address a person’s past trauma, and also Hypnotherapists often also use hypnosis to search for psychological sources to physical pain or illness. And they also help people relieve stress or even manage anxiety or depression.
However ethically, Therapists who address psychological conditions that are more advanced really must have advanced training to ensure that they do no harm.
The Therapeutic Alliance.
There are many advantages of a more eclectic or integrative approach in therapy, there are many differing methods, models and techniques and theories that come under the umbrella term hypnotherapy, counselling and psychotherapy.
Ideally, we want to be building therapeutic alliances and work collaboratively with our clients.
The ‘therapeutic alliance’, also called the ‘therapeutic relationship’, is how a client and a therapist connect, behave, and engage with each other.
The therapeutic alliance is the ‘bond’ that develops in the therapy room.
The therapeutic alliance is seen by most forms of counselling and psychotherapy as one of the main tools for achieving positive change in the lives of clients.
The therapeutic alliance is the collaborative relationship between a therapist and patient. It focuses on creating a strong bond between the patient and healthcare practitioner by connecting in a genuine manner. At the heart of the therapeutic alliance is language and communication.
Proper language at the right time can reduce a patient’s fears and automatically ameliorate the sensitivity in the body’s alarm system to foster an environment of healing.