Recovery Options

Maia Szalavitz, Joseph Volpicelli

Description

A clear and compassionate guide to overcoming substance problems

"A no-nonsense, state-of-the-art guide."--Laurie Garrett, Pulitzer Prize-winning author of The Coming Plague

"Comprehensive, illuminating, easy to read."--William Cope Moyers, Vice President of Public Affairs, Hazelden Foundation

In Recovery Options: The Complete Guide, Joseph Volpicelli, M.D., Ph.D., an award-winning addiction research pioneer, and Maia Szalavitz, a Pulitzer Prize-nominated journalist and former addict, provide frank and impartial appraisals of all the major treatment options, including:
* Alcoholics Anonymous
* Moderate drinking programs
* Alternative treatments
* Therapeutic communities
* Cognitive therapies
* Other 12-step programs
* Medications
* Methadone
* Harm reduction
* How families can help


In Recovery Options: The Complete Guide, you will learn what addictionis--and what it isn't. You will examine both the mechanism of addiction and how you can make the best treatment choices . . . why some people are particularly prone to substance problems . . . and the genetic and learning mechanisms that help create these conditions. You'll explore the various types of treatment and the ideas on which they are based, and find out how effective each treatment is--and which ones are not effective. Finally, you'll find supportive information on staying clean and sober, preventing relapse, and minimizing damage caused by slips that may occur. Featuring the dramatic real-life stories of patients' experiences (both good and bad) with various methods of recovery, this warm, sympathetic, and accessible guide to overcoming alcohol and other drug problems will help you and your loved ones begin the journey away from substance misuse toward a better life.
THE PROBLEM AND THE SEARCH FOR SOLUTIONS.

Understanding Problems with Alcohol and Other Drugs.

Drugs 101.

What Causes Addiction?

Addiction Treatment Philosophies.

What Works, What Doesn't.

For Families: Stages of Change and Ways to Make a Difference.

Overcoming Barriers to Recovery.

How to Choose Treatment.

THE OPTIONS.

BRENDA: The Penn Paradigm.

Getting Off: Medications to Help You Quit.

Medications to Reduce Craving and Relapse.

Twelve-Step Programs.

Other Self-help Groups.

The Minnesota Model.

Therapeutic Communities.

Moderate-Drinking Approaches.

Harm Reduction.

Methadone.

Alternative Treatments.

Teen Treatment.

LIFE AFTER TREATMENT.

Relapse and Relapse Prevention.

Emotional and Psychological Problems in Recovery.

A New Life: Maintaining Recovery in the Long Run.

Appendix.

Notes.

Index.

Sujets

• Santé et bien-être
• Santé mentale & traumatisme
• Santé mentale
• Santé mentale
• Depression
• Self-help
• Mood Disorders

Informations

• Publié par: Turner Publishing Company
• Date de parution: 02 mai 2008
• Nombre de lectures: 0
• EAN13: 9780470348529
• Langue: English

Extrait

Praise for Recovery Options: The Complete Guide

Finally! A no-nonsense, state-of-the-art guide that one can hand to anybody who is having trouble with drugs, alcohol, tobacco, or foods of various kinds. What a gift Volpicelli and Szalavitz have given us: A stupendous, practical way to help the colleagues and loved ones in our lives who are struggling with chemical dependency.
-Laurie Garrett, author of The Coming Plague: Newly Emerging Diseases in a World Out of Balance

Comprehensive, illuminating, easy to read . . . this book points out the diverse paths to the ultimate goal-recovery from alcohol and other drug abuse.
-William Cope Moyers, Vice President of Public Affairs, Hazelden Foundation

At last a sensible, clear guide for consumers who are facing the tough choice of seeking treatment for addictive behaviors. In a field long driven by emotion and minimal scientific evidence, Volpicelli and Szalavitz impartially review the options and explain them in clear language. In addition, they take some of the hysteria out of the issues facing substance users and their loved ones by providing a coherent summary of what we really know about alcohol and other drugs. A must read. Bravo!
- Fred Rotgers, Assistant Chief Psychologist, Smithers Addiction Treatment and Training Center

Wise, accurate, responsible, accessible, well written. I m assigning it for my course in drug policy.
-Mark Kleiman, Professor of Policy Studies at UCLA and author of Against Excess: Drug Policy for Results

Joe Volpicelli is one of the most creative research scientists and clinicians in the addiction field. With Maia Szalavitz, he has put together a highly practical and effective book describing a modern approach to the treatment of alcoholism and other addictive disorders. This approach is steeped in pragmatism and soundly based on science. It utilizes techniques that work and that have been adapted to the needs of individual patients. The writing is clear, succinct, and understandable. It should be a very useful guide for patients, their families, and professionals in addressing this terrible disease.
-Charles P. O Brien, M.D., Ph.D., Kenneth Appel Professor, Department of Psychiatry, VA Medical Center; President, American College of Neuropsychopharmacology
Recovery Options: The Complete Guide
Joseph Volpicelli, M.D., Ph.D. Maia Szalavitz
Copyright 2000 by Joseph Volpicelli and Maia Szalavitz. All rights reserved.
Published by John Wiley Sons, Inc.
Published simultaneously in Canada.
No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, [phone], fax [phone]. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley Sons, Inc., 605 Third Avenue, New York, NY 10158-0012, [phone], fax [phone], E-Mail: [e-mail].
The information contained in this book is not intended to serve as a replacement for professional medical advice. Any use of the information in this book is at the reader s discretion. The author and the publisher specifically disclaim any and all liability arising directly or indirectly from the use or application of any information contained in this book. A health-care professional should be consulted regarding your specific situation.
Library of Congress Cataloging-in-Publication Data
Volpicelli, Joseph.
Recovery options: the complete guide / Joseph Volpicelli, Maia Szalavitz.
p. cm.
Published simultaneously in Canada.
Includes index.
ISBN 0-471-34575-X (paper)
1. Alcoholism. 2. Alcoholism-Treatment. I. Szalavitz, Maia. II. Title.
RC565.V63 2000
616.86 1-dc21 99-054733
Printed in the United States of America
10 9 8 7 6
To my patients -Joe

To Peter -Maia
Contents
Preface
Acknowledgments
Introduction
Part One: The Problem and the Search for Solutions
1 Understanding Problems with Alcohol and Other Drugs
Am I an Alcoholic or an Addict?
When Is It a Problem?
Addiction
2 Drugs 101
How Drugs Work
The Brain s Complex Cells
Uppers: Stimulant Drugs
Opiates
Downers: Depressant Drugs
Nicotine
Controversial Cannabis
Trip Drugs: Psychedelics
Inhalants: Gasoline, Glue, and Other Household Products
3 What Causes Addiction?
How Is Alcoholism Passed from Generation to Generation?
Beyond Genetics: Emotional Learning
The Two Paths to Recovery: Fear and Hope
4 Addiction Treatment Philosophies
The Moral Perspective
The Drug Made Me Do It! Pharmacological Determinism
The Twelve-Step/Disease View
Addiction as a Bad Habit: Learning Models
The Biopsychosocial Perspective
5 What Works, What Doesn t
The Chronic Problem
Alcohol Treatment
Addiction Treatment
6 For Families: Stages of Change and Ways to Make a Difference
Precontemplation
Contemplation Phase
Preparation Stage
Action Stage
Maintenance Stage
Relapse
Codependence No More
7 Overcoming Barriers to Recovery
Be Prepared: The Forgotten Step
Pace Yourself
Fear of Withdrawal Pain
The Long-term Fears: Boredom, Discomfort, and Uselessness
Self-hate: The Ally of Addiction
Now, Take Action
8 How to Choose Treatment
First, Do No Harm
Step 1 for All Treatment Seekers: Complete Assessment
Choose What s Right for Your Stage of Change
Criteria for Selecting Treatment
Selecting a Counselor
Part Two: The Options
9 BRENDA: The Penn Paradigm
Biopsychosocial Assessment
Report
Empathetic Understanding
Needs
Direct Advice
Assessment of Reaction to Advice
Slips and Relapses
10 Getting Off: Medications to Help You Quit
Treating Physical Dependence
Detox from Alcohol and Other Sedatives
Detox from Cocaine and Other Stimulants
Detox from Opiates
Detox from Marijuana
Maintenance Drugs and Craving Fighters
11 Medications to Reduce Craving and Relapse
Medications for Alcohol Problems
The Naltrexone Story
Drugs for Treating Opiate Addiction
Drugs for Cocaine Abuse
12 Twelve-Step Programs
What Is Twelve-Step Membership Like?
The Steps
The Slogans
A Classic AA Recovery
From Tragedy to Triumph
Research on AA
Problems with Twelve-Step Programs
13 Other Self-help Groups
SOS
Rational Recovery
SMART
Choice and Empowerment
Women for Sobriety
Religious Organizations
Research on Other Self-help Groups
14 The Minnesota Model
Rehab and Relapse
Minnesota Model on the Cheap: Halfway Houses and Oxford Houses
Intensive Outpatient Treatment
Research on Minnesota Model Treatment
Choosing the Best Minnesota Model Treatment
15 Therapeutic Communities
What Is a TC?
Who Should and Shouldn t Attend a TC
Research on TCs
How to Choose a TC
16 Moderate-Drinking Approaches
Who Can Be Helped by Moderate-Drinking Programs?
How Do Moderate-Drinking Programs Work?
Research on Moderate-Drinking Programs
How to Choose a Moderate-Drinking Program
17 Harm Reduction
What Is Harm Reduction?
Research on Harm Reduction
Choosing a Harm-Reduction Program
Harm-Reduction Strategies
18 Methadone
How Methadone Works
The American Methadone-Clinic System
Common Myths about Methadone
Who Should Try Methadone? Who Shouldn t?
Research on Methadone Maintenance
How to Choose Methadone Treatment
19 Alternative Treatments
Acupuncture
Nutrition
Ibogaine
20 Teen Treatment
Recognizing the Problem
How to Choose Treatment for Teenagers
Dealing with Suspected Drug Use
Choosing a Counselor
Intensive Outpatient Treatment
A Note on Self-help Groups
Harm Reduction for Teens
Dealing with the Police
Research on Teen Treatment
Part Three: Life after Treatment
21 Relapse and Relapse Prevention
Dealing with Stress
Family or Marital Conflict
Peer Pressures
Cues, Urges, Cravings
Relapse Processes and Awful Acronyms
Testing Yourself
Back to Work
Let s Talk about Sex
Chronic Pain
22 Emotional and Psychological Problems in Recovery
Addiction and Psychopathology
Psychological Distress and Recovery
Feelings and Symptoms
Treatment of Dual Diagnoses
A Guiding Principle for Dealing with Stress and Trauma
23 A New Life: Maintaining Recovery in the Long Run
Stages of Recovery
Final Thoughts
Appendix: Treatment and Self-help Resources
Suggested Reading
Other Resources
General Information
Notes
Index
Preface
My (Maia s) road to addiction is my own. There are countless routes to this destination, and, often, how you get in has a bearing on the best way out. Because there are so many ways to get hooked, there need to be many ways to get free. I hope that this book will give people with alcohol and other drug problems - and their loved ones -a sense of what addiction is and how best to treat it. I hope also to show how it s crucial to recognize the differences among people with substance problems, as well as the similarities. When I attended treatment, the one-size-fits-all philosophy guided care, and I was lucky to get what I needed. Many other people aren t-but this book can help you increase the odds.
I also hope this book can decrease your fears about treatment. I avoided treatment for years because I had heard about how humiliating some types of addiction care are. I didn t want to be broken down-feeling broken was why I d used drugs in the first place. I didn t know there were choices. I didn t know what to expect. If I had, I probably would have sought help sooner. This book can demystify the various treatment experiences so that you can find the type that will be most helpful.
I wasn t supposed to become a cocaine and heroin addict. My eighth-grad