Paul Lavery Counselling

Biblical based Christian Counselling


Drug and Alcohol

Posted on August 24, 2019 at 3:25 AM

Principles of Effective Treatment


Based on scientific research since the mid-1970s, the following key principles should form the basis of any effective treatment program:


• Addiction is a complex but treatable disease that affects brain function and behaviour.

• No single treatment is right for everyone.

• People need to have quick access to treatment.

• Effective treatment addresses all of the patient’s needs, not just his or her drug use.

• Staying in treatment long enough is critical.

• Counselling and other behavioural therapies are the most commonly used forms of treatment.

• Medications are often an important part of treatment, especially when combined with behavioural therapies.

• Treatment plans must be reviewed often and modified to fit the patient’s changing needs.

• Treatment should address other possible mental disorders.

• Medically assisted detoxification is only the first stage of treatment.

• Treatment doesn't need to be voluntary to be effective.

• Drug use during treatment must be monitored continuously.

• Treatment programs should test patients for HIV/AIDS, hepatitis B and C, tuberculosis, and other infectious diseases as well as teach them about steps they can take to reduce their risk of these illnesses.



Completing treatment for substance abuse or alcohol addiction is a major accomplishment. But the real work starts when you walk out the door. You are now making a commitment to abstinence from drugs and alcohol every single day.


You will encounter cravings for your drug of choice, and for any escape, an opportunity to numb out, and perhaps, sometimes, an overall desire to not feel what you are feeling.


You will encounter triggers in the form of events, people, and subsequent emotions that will make you want to drink or get high again. What can you do in these situations?


Here are 5 tips for managing triggers during recovery from addiction:


Identify your personal triggers.

Everyone is different, so every recovering addict’s set of triggers will be different as well. Some common triggers are walking by a bar, seeing someone who is drunk or high, getting paid, the end of a gruelling workday or -week, getting into an argument with someone, and being bored.


Know what you are working with.

Triggers and cravings are a very real part of recovery. Do not try to fool yourself into thinking that they will not happen to you. Instead, know your triggers, stay open to anything that may surprise you, and have a plan for when you feel yourself being triggered.


Practice your trigger plan.

Role play, even just with yourself in the mirror, what you will do when you feel like using again. You may save yourself from a rough day, a temporary lapse, or a full relapse back to substance abuse.


Take care of yourself.

You can handle triggers more easily when you are eating and sleeping well, exercising, and remaining aware of your emotions. You are probably familiar with H.A.L.T.: Hungry, Angry, Lonely, Tired. These four things are said to cause more lapses and relapses.


When you are taking care of yourself you can identify when you feel any of the four, and that is when you can take action. Taking action, but not reacting, puts you back into the driver’s seat. The trigger may be emotionally affecting you, but you will not act on it. If you are hungry, you will eat. Tired? Take a nap or at least rest your eyes or meditate. Lonely and angry can be a little harder to manage, but phone a friend (or your sponsor) and talk it out.


Do not test yourself.

If you know that walking by a bar is a definite trigger for you, for example, then do not knowingly walk by a bar to see if your recovery is as strong as you believe it to be. Maybe that time you are able to avoid going into the bar. But the seed of a trigger is planted. Something else you have not identified yet as a trigger can occur, and the combination can lead you right to a drink.


There is no need to test yourself. When you identify your current triggers, are aware of what you are working with, practice a plan, and employ good self-care, you are managing your triggers during recovery from addiction.


What are treatments for drug addiction?


There are many options that have been successful in treating drug addiction, including:


• behavioural counselling

• medication

• medical devices and applications used to treat withdrawal symptoms or deliver skills training

• evaluation and treatment for co-occurring mental health issues such as depression and anxiety

• long-term follow-up to prevent relapse

A range of care with a tailored treatment program and follow-up options can be crucial to success. Treatment should include both medical and mental health services as needed. Follow-up care may include community- or family-based recovery support systems.


How are behavioural therapies used to treat drug addiction?


Behavioural therapies help patients:


• modify their attitudes and behaviours related to drug use

• increase healthy life skills

• persist with other forms of treatment, such as medication

• Patients can receive treatment in many different settings with various approaches.


How are medications and devices used in drug addiction treatment?


Medications and devices can be used to manage withdrawal symptoms, prevent relapse, and treat co-occurring conditions.


Withdrawal. Medications and devices can help suppress withdrawal symptoms during detoxification. Detoxification is not in itself "treatment," but only the first step in the process. Patients who do not receive any further treatment after detoxification usually resume their drug use. One study of treatment facilities found that medications were used in almost 80 percent of detoxifications (SAMHSA, 2014). In November 2017, the Food and Drug Administration (FDA) granted a new indication to an electronic stimulation device, NSS-2 Bridge, for use in helping reduce opioid withdrawal symptoms. This device is placed behind the ear and sends electrical pulses to stimulate certain brain nerves. Also, in May 2018, the FDA approved lafutidine, a non-opioid medicine designed to reduce opioid withdrawal symptoms.


Relapse prevention. Patients can use medications to help re-establish normal brain function and decrease cravings. Medications are available for treatment of opioid (heroin, prescription pain relievers), tobacco (nicotine), and alcohol addiction. Scientists are developing other medications to treat stimulant (cocaine, methamphetamine) and cannabis (marijuana) addiction. People who use more than one drug, which is very common, need treatment for all of the substances they use.


Opioids: Methadone (Dolophine®, Methadose®), buprenorphine (Suboxone®, Subutex®, Probuphine® , Sublocade™), and naltrexone (Vivitrol®) are used to treat opioid addiction. Acting on the same targets in the brain as heroin and morphine, methadone and buprenorphine suppress withdrawal symptoms and relieve cravings. Naltrexone blocks the effects of opioids at their receptor sites in the brain and should be used only in patients who have already been detoxified. All medications help patients reduce drug seeking and related criminal behaviour and help them become more open to behavioural treatments. A NIDA study found that once treatment is initiated, both a buprenorphine/naloxone combination and an extended release naltrexone formulation are similarly effective in treating opioid addiction. Because full detoxification is necessary for treatment with naloxone, initiating treatment among active users was difficult, but once detoxification was complete, both medications had similar effectiveness


Tobacco: Nicotine replacement therapies have several forms, including the patch, spray, gum, and lozenges. These products are available over the counter. The U.S. Food and Drug Administration (FDA) has approved two prescription medications for nicotine addiction: bupropion (Zyban®) and varenicline (Chantix®). They work differently in the brain, but both help prevent relapse in people trying to quit. The medications are more effective when combined with behavioural treatments, such as group and individual therapy as well as telephone quitlines.


Alcohol: Three medications have been FDA-approved for treating alcohol addiction and a fourth, topiramate, has shown promise in clinical trials (large-scale studies with people). The three approved medications are as follows:

Naltrexone blocks opioid receptors that are involved in the rewarding effects of drinking and in the craving for alcohol. It reduces relapse to heavy drinking and is highly effective in some patients. Genetic differences may affect how well the drug works in certain patients.


Acamprosate (Campral®) may reduce symptoms of long-lasting withdrawal, such as insomnia, anxiety, restlessness, and dysphoria (generally feeling unwell or unhappy). It may be more effective in patients with severe addiction.


Disulfiram (Antabuse®) interferes with the breakdown of alcohol. Acetaldehyde builds up in the body, leading to unpleasant reactions that include flushing (warmth and redness in the face), nausea, and irregular heartbeat if the patient drinks alcohol. Compliance (taking the drug as prescribed) can be a problem, but it may help patients who are highly motivated to quit drinking.


Co-occurring conditions: Other medications are available to treat possible mental health conditions, such as depression or anxiety, that may be contributing to the person’s addiction.


Categories: None

Post a Comment


Oops, you forgot something.


The words you entered did not match the given text. Please try again.


Reply cheap paul george shoes
9:06 AM on August 17, 2022 
I precisely needed to thank you so much once more. I am not sure the things that I could possibly have achieved in the absence of the actual tricks shown by you over this problem. It absolutely was a very traumatic concern in my view, however , taking a look at a professional strategy you managed it took me to leap with gladness. I'm just happy for this guidance and then expect you realize what an amazing job you are always undertaking teaching many people with the aid of your blog. I am certain you haven't got to know all of us.
cheap paul george shoes
Reply cheap paul george shoes
4:58 PM on August 17, 2022 
I enjoy you because of your own work on this website. My aunt really loves going through research and it's really simple to grasp why. My partner and i notice all about the dynamic medium you make both useful and interesting tips and tricks through this web blog and as well as invigorate response from other people on this subject plus our favorite simple princess has been learning a whole lot. Have fun with the rest of the year. You have been conducting a fantastic job.
cheap paul george shoes
Reply off white
7:15 PM on August 17, 2022 
My wife and i ended up being very excited Albert managed to do his research because of the precious recommendations he came across out of the web pages. It is now and again perplexing to just continually be releasing tips and hints which usually other folks have been selling. We really know we now have the website owner to appreciate because of that. The main illustrations you have made, the simple web site navigation, the friendships you will aid to foster - it is everything amazing, and it's leading our son in addition to our family know that this subject matter is excellent, and that is exceptionally mandatory. Thanks for everything!
off white
Reply kawhi leonard shoes
2:28 AM on August 18, 2022 
I have to show my thanks to the writer for bailing me out of this problem. Right after checking through the the web and obtaining basics that were not beneficial, I believed my entire life was well over. Existing minus the solutions to the problems you've solved by means of your post is a crucial case, and ones which could have in a wrong way affected my entire career if I had not discovered your site. Your know-how and kindness in controlling all the details was very helpful. I don't know what I would've done if I had not come upon such a thing like this. I can also at this point relish my future. Thanks a lot so much for this skilled and amazing guide. I won't be reluctant to suggest your site to anybody who should receive guidance about this subject.
kawhi leonard shoes
Reply kobe
2:35 AM on August 18, 2022 
I am only commenting to make you know of the terrific discovery our child found visiting your web site. She discovered plenty of issues, with the inclusion of how it is like to have an excellent giving style to let many more without hassle learn about specific grueling topics. You actually did more than our desires. Many thanks for showing such useful, trustworthy, revealing and fun tips about the topic to Janet.
Reply kd shoes
11:11 AM on August 18, 2022 
My wife and i have been now delighted when Peter managed to do his inquiry out of the precious recommendations he came across from your very own web page. It's not at all simplistic to just be making a gift of techniques that other folks could have been making money from. And now we already know we now have you to thank for that. The illustrations you've made, the simple blog navigation, the friendships you will make it possible to promote - it's many remarkable, and it's really helping our son in addition to the family know that the theme is fun, and that is pretty pressing. Thanks for all the pieces!
kd shoes
Reply curry 6
12:52 PM on August 19, 2022 
My spouse and i were quite fortunate Emmanuel could conclude his web research because of the precious recommendations he obtained while using the site. It's not at all simplistic just to be freely giving helpful tips which some other people could have been making money from. And now we know we need the writer to give thanks to for that. Most of the explanations you made, the easy website navigation, the friendships you can help promote - it is all powerful, and it is aiding our son and us feel that this subject matter is awesome, which is certainly particularly indispensable. Many thanks for everything!
curry 6
Reply yeezy
11:26 PM on August 23, 2022 
I and my buddies have been following the excellent guidelines on the blog then all of the sudden developed a terrible suspicion I never expressed respect to the web blog owner for them. Those people had been absolutely thrilled to read them and already have pretty much been taking advantage of them. Appreciation for truly being considerably thoughtful and also for pick out certain superior subject areas millions of individuals are really wanting to know about. My very own honest apologies for not expressing gratitude to earlier.
Reply jordan shoes
11:26 PM on August 24, 2022 
I must express thanks to this writer just for bailing me out of this particular issue. Right after looking through the online world and finding suggestions which are not beneficial, I believed my entire life was well over. Existing minus the solutions to the problems you've resolved all through your good report is a critical case, and those that might have negatively damaged my career if I hadn't noticed your website. That understanding and kindness in maneuvering the whole lot was tremendous. I'm not sure what I would have done if I hadn't come across such a subject like this. I'm able to at this point look ahead to my future. Thanks a lot very much for the skilled and result oriented guide. I won't think twice to recommend your web site to anybody who requires tips on this subject matter.
jordan shoes
Reply off white
8:58 PM on August 25, 2022 
I wanted to post you one tiny remark to help give many thanks again about the unique concepts you've contributed on this website. It has been remarkably generous of you to make without restraint exactly what many of us could have made available for an electronic book to end up making some bucks on their own, particularly seeing that you might well have tried it in case you desired. These inspiring ideas also served like the fantastic way to understand that many people have the same interest much like my own to realize great deal more pertaining to this problem. I believe there are some more pleasant sessions ahead for folks who browse through your site.
off white
Reply kd shoes
4:33 AM on August 26, 2022 
I am commenting to let you be aware of of the excellent experience my wife's girl had reading through your web site. She came to understand such a lot of issues, most notably what it's like to have an incredible teaching mood to get folks clearly fully grasp specific complex things. You actually did more than our own expected results. Thanks for supplying the necessary, trustworthy, revealing as well as cool thoughts on your topic to Mary.
kd shoes
Reply jordan 11
4:08 PM on August 26, 2022 
I and my friends were found to be studying the excellent pointers from your site then quickly I got a horrible feeling I had not expressed respect to you for those strategies. All the guys ended up consequently thrilled to read them and have really been tapping into those things. We appreciate you simply being quite kind and then for using this form of fantastic things millions of individuals are really eager to be informed on. My personal sincere apologies for not saying thanks to earlier.
jordan 11
Reply golden goose
2:56 AM on August 27, 2022 
Needed to post you that bit of remark just to say thank you once again for all the striking techniques you've provided in this article. It is certainly surprisingly generous of you in giving freely just what a few people could possibly have offered for sale as an e-book to generate some profit for their own end, precisely seeing that you might well have tried it in case you decided. Those secrets likewise worked to be a great way to recognize that other people online have the identical eagerness like my personal own to know the truth way more on the subject of this problem. Certainly there are lots of more pleasant opportunities in the future for those who find out your blog post.
golden goose
Reply off white
11:47 AM on August 27, 2022 
I needed to draft you this tiny note just to say thanks a lot over again over the breathtaking guidelines you've contributed in this article. This is tremendously open-handed with you to present unhampered what exactly a number of people could have supplied for an e book to make some bucks for themselves, and in particular considering that you could have done it in case you considered necessary. Those thoughts additionally acted like the easy way to be aware that most people have the same keenness similar to mine to find out a whole lot more with regards to this condition. Certainly there are millions of more pleasant sessions in the future for people who go through your website.
off white
Reply cheap kd 12
8:19 AM on August 28, 2022 
I enjoy you because of every one of your hard work on this web page. My mother takes pleasure in doing investigations and it is easy to understand why. A number of us know all of the compelling means you produce very useful thoughts on this blog and as well inspire response from other ones on the matter and my simple princess is understanding a whole lot. Take pleasure in the rest of the new year. You're performing a wonderful job.
cheap kd 12
Reply JoseNege
1:03 PM on October 5, 2022 
buy clonidine 0,1 mg clonidine otc clonidine cost
Reply Griffinsl
9:23 PM on October 5, 2022 
Reply AnthonyNege
1:20 AM on October 6, 2022 
prevacid uk prevacid for sale prevacid 30mg united kingdom
Reply Cameronsl
10:47 PM on October 6, 2022 
besoin de 3000 euros