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  • Treating psychiatric and addiction comorbidity with a cognitive-behavioral (non-12-step) approach

    Posted on July 24, 2013
    As more addiction treatment programs treat comorbidity it seems likely that client confusion about treatment approach will increase.  Comorbidity is here defined as having both a mental health disorder (such anxiety or depression) as well as an addictive disorder.  Client confusion might arise because CBT (cognitive behavior therapy) has become the treatment of choice for many mental health disorders, but 12-step based treatment remains the most widely available treatment for addictive disorders.  Clients receiving CBT for their mental disorders can be confused when they compare the self-empowering strategies of CBT with the emphasis on powerlessness in a 12-step approach.  Although 12-step treatment now often incorporates relapse prevention and other CBT components, there remains a fun...
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  • How personality disorders might affect drug rehab and addiction recovery

    Posted on July 23, 2013
    Cluster B personality disorders (e.g., borderline personality disorder) and substance use disorders (SUD) are both marked by impulsivity and poor behavioral control. Previous studies (e.g., Taylor, 2005) have found evidence that symptoms of cluster B personality disorder and SUD are significantly and positively correlated. Because of accumulating evidence which suggests that personality disorders are prevalent in opioid dependent populations, along with evidence linking cluster B personality disorder characteristics and SUD severity, Murray et. al. hypothesized that opioid dependent patients with cluster B personality characteristics would have elevated methadone dose prescriptions (2008). Such a finding would have immediate implications for the doses of methadone, and possibly other me...
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  • Antisocial behavior syndrome in drug treatment for cannabis and cocaine

    Posted on July 23, 2013
    Many studies present evidence that antisocial personality disorder (ASPD) is highly associated with substance use disorders (SUD). The DSM-IV defines ASPD as “a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood.” Characteristics of individuals with ASPD may include persistent lying, superficial charm, lack of remorse, impulsivity, poor behavioral controls, and disregard for social norms and rules. Mariani et. al. examined the rates of different antisocial syndromes among cocaine-dependent and cannabis-dependent individuals seeking drug treatment (2008). Conduct Disorder A true diagnosis of ASPD must include the childhood component of antisocial behavior known as conduct disorder (CD...
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  • Exploring personality disorders in alcohol recovery

    Posted on July 23, 2013
    In Spain, alcohol dependence affects up to 10 percent of the population and a major public health problem. Previous studies have suggested that personality disorders affect from 2.8 and 11 percent of the population, and studies of personality disorders among alcoholics suggest that the prevalence of personality disorders ranges from 24 to 78 percent among alcohol dependent individuals. There have been discrepancies in studies of personality disorders among alcohol dependent individuals, but the literature nevertheless suggests that personality disorders are more prevalent in this group than in the general population. Thus, the possibility of personality disorders should be explored in alcohol treatment and alcohol recovery. A team of researchers in Spain set out to discover the most fre...
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