Category Archives: Addiction Courses

addiction

2016 American Presidential Hopefuls Are All Talking About Addiction.

Years ago, politicians would not dare discussing addiction; Admitting that politicians relatives suffered from addiction would have been frowned upon.  Now in 2016 everybody from Donald Trump to Jeb Bush is addressing Addiction with personal tales of drug-addicted family members. 

Addiction in AmericaThe attention addiction has received has suddenly risen to the top of the list with almost all of the presidential candidates recalling and sharing their experiences. This is not about parties now because every candidate in both parties has had to speak about addiction one way or the other. What Americans are saying, however is, why is this happening now? Years ago, politicians would not even spend a minute talking about addiction let alone having them talk about how it has affected their relatives. It would have been frowned upon. All of a sudden in 2016, the song is now about it.

It first started with Jeb Bush who spoke about how his daughter recovered from addiction. Her name is Carly Fiorina and he recalled having to beg a judge not to send her daughter back to jail. Then Carly Fiorina had to recount her own struggles with families that had gone through addiction. Then it was New Jersey Governor Chris Christie who also spoke about how a close friend had an overdose of drugs and died. All these stories, as they come out, tend to strike chords that are powerful on drug abuse which had caused policy reviews and influx of proposals on how to combat the subtle but deadly epidemic.

Now that addiction has received the attention of the lawmakers and the powerful, what is going to be done about it? Stories will be fine but that’s not going to change anything. As a matter of fact, there will be more stories to tell if nothing concrete is done. Patrick Kennedy, a former US representative blurted out to the politicians “you are running to be storyteller-in-chief”. That is to say, it’s not about the stories, it’s about how we change the way addiction is treated in the health care system.

Governor Christie was firm enough to let everyone realize that addiction is a disease and should be seen as such. It is an epidemic and it is spreading. Advocates are of the opinion that more money needs to be put into combating addiction and this should also include monies for treatment and research on what best can be done to reduce the rate at which people get exposed to addiction.

The Democrats don’t really seem to have plans or maybe their plans are too weak. Last year December, in a debate in Manchester, New Hampshire, Senator Sanders iterated that addiction should be treated as a disease and not a criminal activity. But despite the outcry, he was not able to tell how he is going to combat the disease of addiction. So, talk is cheap.

Presidential candidate Hilary Clinton is the only one who seem to have a plan that comes with a price. She was at New Hampshire Union Leader in September and proposed a $10 billion plan to combat addiction. Even though she is the only one who seems to have a plan, some advocates don’t seem to take her 5-point agenda as very serious. Governor Christie is known for her infrequent visits to New Hampshire recovery centers when she was campaigning. One of her manifestos if she becomes president is that she will create drug courts in all 93 federal court districts. These courts will grant treatment instead of imprisonment to non-violent offenders. She said something that made a lot of sense. She said the money that would be saved by keeping more people out of prison can be diverted into researching into better addiction treatment plans. Her statement was however not without criticism as some of her critics say Christie has not been effective so far in treating addiction since she was a governor. Reports said since she took over office in 2010, there has been less investment in treatments in the state of New Jersey. Further, the reports said about three-quarters of drug addiction who needed help never got treatment in 2013 because the treatment centers were either full or shut down.

All these tends to point to one thing, these politicians don’t really know exactly what is to be done to really combat addiction. Yes, they now agree that it’s a problem that needs to be tackled but how they are going to tackle it is the issue. As for any result to come out of this, I believe they will have to work together. The past is past; the future has to be faced. It is not time to be witch-hunting one another. If a candidate has a good idea, let’s use it rather than tarnish their image like some are doing to Christie. Whether its Hilary’s plan, lets follow it and if it’s Christie’s, as long as it yields the required results. The most important thing is, addiction has destroyed too many lives in the US, and it’s time to put a stop to it.

 

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Hospital Outpatient Entrance Sign

Counselor training using CBT approach

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

Counselor training

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

The addiction vice is wreaking havoc in our societies and no one is off the hook of addiction. Families are being broken, children are becoming rebellious to everyone and instances of stealing and vandalism are on the rise and the root cause of all this is substance abuse. The low enforcement agencies are complaining of the stretched accommodation in our recreational facilities thanks to the growing number of petty offenders under the influence of drugs and misuse of alcohol. With that overview, it is evident that we are living in a morally decaying society and unless corrective measures are taken immediately we are most likely sinking into destruction in the near future. To help in containing this vice, experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury are giving their contribution by offering counselor training using cognitive behavioral treatment approach to all health workers so that we are having well equipped personnel to handle the magnitude of the problem.

Investing in substance abuse counselor training using cognitive behavioral approach among other training modes is the way to go and the good news is that if you want to make a difference then you are at the right place because all these are available at this facility (AWAREmed Health and Wellness Resource Center) to help you give your contribution in the fight of the scourge of addiction. It is also important for the qualified experts to appreciate that the integrating cognitive behavioral treatment (CBT) and medication are very essential primarily because they are highly compatible with pharmacotherapy. Doctor Akoury reiterates that when applied alongside the medication, the range of CBT interventions expands to include a focus on enhancing medication compliance. Generally, medication response and compliance are monitored during the early part of each session and that is to say that the first third of each hour of the training session. Now even as we progress into the discussion, for a better understanding of these facts, the following strategies can be very useful:

Counselor training using cognitive behavioral treatment approach: Find out about the patients’ history with medication

History in all dimensions offers an opportunity for the physicians to make very appropriate medical opinion in addressing the present situation. Therefore means that when attending to a patient, it is important to make enquiries about this patient past with medication so that commencement of treatment can take place from a very informed position. The following are some of the questions that a physician or the therapist can ask:

  • Did they take the medication as prescribed faithfully to the last dose?
  • Therapists can also ask the patients about their prior history with pharmacotherapy for any psychiatric disorder or condition.
  • Under what conditions was it terminated?
  • Was it helpful?
  • Why was it prescribed?

Depending on the responses accruing from such interrogation, the therapist will be able to professionally point out areas of noncompliance and this will be very helpful in establishing the patients’ view as to why they did not comply previously and also to attempt to address those issues proactively.

Counselor training using cognitive behavioral treatment approach: Listen and address patients’ concerns about medication

Listening is very paramount in the treatment process. It is therefore important that therapist take time to listen to their clients carefully for any concerns, including any misunderstandings, or prejudices about taking medication and find ways of addressing them timely and assertively. These may include misconceptions about expected medication effects, time needed to experience the effect, side effects, dosing, and interactions with cocaine and other substances. It is important that therapists provide clarification in clear, familiar terms and frequently check back with patients to be sure that they have understood. Without counselor training, achieving this may not be practical because of the strong sense of denial that always comes with addiction. That is why counselor training is very important as it gives them the techniques and expertise of unlocking the stalemates that are always characterized with substance abuse.

Besides that, sometimes the effects of medication may not come immediately apparent, it is important to inform patients that it may take several weeks before therapeutic effects emerge; thus, patients should be encouraged to expect gradual rather than all-or-nothing change. Explaining the gradual emergence of medication effects provides an opportunity for the therapist to emphasize that patients should not expect to benefit from an entirely passive stance regarding CBT treatment simply because they are taking medication. Mastery and implementation of coping skills remain an essential and important part of treatment; medication may be an additional, useful adjunct or tool.

Assess medication compliance since last session

Close, consistent, and careful monitoring is one of the most effective strategies for enhancing compliance with medications. Thus, a portion of each session should be devoted to evaluating medication compliance and working through any difficulties that might arise. In general, until the patients’ compliance pattern is clearly established, therapists should, in every meeting, inquire about medication compliance, day by day, since the last session. This should include asking when patients take the medication, how they take the medication, and a thorough discussion of any deviation from the prescribed dose and schedule.

In her many years of service in this discipline, doctor Akoury has noted that compliance and retention are most difficult to achieve early and late in treatment – early if the patient is not receiving obvious benefit, and later if the patient, after obtaining a partial or full therapeutic response, does not appreciate the need to continue treatment. Thus, therapists should be particularly attentive to compliance and motivation issues during early and late sessions.

Counselor training using cognitive behavioral treatment approach: Appreciate medication compliance

Therapists should also convey confidence in the medication and inform patients of the likely benefits. Therapists should be strong on the side of compliance and praise patients’ compliance enthusiastically and genuinely. Like for instance you could appreciate your patient by saying that “I have seen you take your medication diligently since our last meeting and that’s really great. I know you may have had some doubts about whether the medication would work for you, and I’m glad you were willing to give it a try. And by the way have you noticed any positive changes you think might be related to the medication?” For a better assessment, doctor Akoury suggest that the patient improvement should be related to compliance and lack of improvement and luck of it to noncompliance.

Counselor training using cognitive behavioral treatment approach: Solutions for cocaine addiction

http://regenerativepotential.com/integrativeaddictionconference/

 

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SUDs

Nutritional Intervention For Substance Use Disorder (SUDs)

Evidence-based nutritional treatment interventions should be initiated for all patients referred to specialty care treatment of SUDs

SUDsSubstance Use Disorders (SUDs) alternatively called drug addiction has long kept the focus of scientists and other medical practitioners. Once a person has been become an addict, quitting addiction become s are really difficult decision to make. Surprisingly many of the drug addicts for once in their life time do gather the courage and will power to quit substance abuse. Once a decision is undertaken, choosing the right addiction option is really important. These individuals have mostly got only one shot at recovery because there is no guarantee that they will be able to have such high motivation to quit again ever in their life. Unfortunately it has been seen that people have tried quitting but they ended up with a treatment option that wasn’t suitable for their needs. That’s where Evidence based treatments come into play.

The foremost requirement for people in order to make the best choice for addiction treatment is their access to reliable information. Specifically they should be provided with some evidence that how a treatment performs, and how it had helped people having similar symptoms and severity of addiction. They also need to know if the treatment had worked for people who were addicted to one type of substance or multiple drugs. This is exactly what evidence based substance abuse treatment refers to. Every addict is different so are their treatment requirements, in evidence based treatment an addiction specialist tailors a treatment option to make sure that his client gets the best available resources present at their disposal. Despite noteworthy advancement in improving the evidence base for SUDs treatments, only a portion of the spectrum of care for SUDs is validated by the most thorough evidence in the current scientific literature.

Evidence for substance use treatment (SUD) can be divided into different levels which include:

  • Level 1: The evidence that is gained through true experimental design such as clinical trials that includes some randomization.
  • Level 2: This evidence comes from a quasi experimental design that does not include randomization.
  • Level 3: This level indicates those treatments that have been decided on the basis of consensus between most of the professional community.
  • Level 4: Evidence gained through literature reviews and publications.
  • Level 5: The last level of evidence based treatment includes personal experiences by other addicts related to a certain treatment option.

Evidence based treatment is an integrative approach; it does not only rely on medication or only behavioral counseling. This integrates multiple aspects of medication, psychotherapy and even nutrition. It is a great misconception that medication and psychotherapy is enough of a treatment combination for substance use disorders neglecting the fact that how important a role nutrition plays in over all wellbeing of an individual. It is now stressed upon at most forums that evidence-based nutritional treatment interventions should be initiated for all patients referred to specialty care treatment of SUDs. It is important to get a nutritionist on the panel while treating SUDs and the role played by dietician in treating substance abuse is very important but often had been eliminated from the patient’s long term recovery process. Nutrition therapy is a complex procedure as the risks vary considering the substance of choice and some negative overall conditions such as poor support from the family, other co occurring mental disorders and sometimes financial instability.

Proper balanced diet and hydration are tantamount to the substance abuse healing process because they help in restoring physical and mental health and improve the chance of recovery. While a person is suffering from SUDs, their eating habits are usually disturbed, they often eat a lot or too less and even if they eat well enough, their diet lack certain nutrients that are required for proper functionality of human body. Another explanation for lack of these nutrients is that they are depleted from the body due to drug abuse. These macro- and micronutrient deficiencies can directly lead to symptoms of depression, anxiety, and low energy, all of which can force someone who already has a tendency for addiction to start using drugs or alcohol or trigger a relapse.

There are multiple programs and courses that aim at substance abuse prevention and concentrate on nutrition as well because a healthful lifestyle can promote mental health and that too for people who have been involved in substance abuse over a number of years prior to treatment. For those who are fighting substance abuse, diet tends to play the same important role in sustaining recovery while also improving the resulting health conditions and deficiencies.

Nutrition can help an addict in many ways. Substance abuse leads to vitamin and other essential mineral deficiencies that damage physical and mental health, vital organs, nervous system, and also been known to decrease immunity. Drugs and other psychoactive substances have been found to have detrimental and toxic effects on brain’s chemistry; this toxicity could lead to psychiatric problems. Balanced diet having enough carbohydrates can greatly remediate the damage that has been done to the reward and survival pathway of the patient. A stable blood sugar can also help avoid craving and irritability.

There are innumerous other benefits an evidence based nutritional intervention can offer to a substance abuser. It is safe to say that excluding nutrition therapy from treatment options can greatly reduce the treatment efficiency. There are multiple other aspects of this integrative approach that require further discussion. We are proud to announce that we have tried to bring health professionals, psychologists, and other stake holder in this area over one platform through our “Integrative Addiction Conference”. If you are somehow affected by any of the consequences of the above mentioned addictions or you are an expert on evidence based treatments of addiction, we warmly invite you to register with us on the link below and share your valuable views with us thus helping us build an integrative approach towards addiction treatments. The link is as follows: http://integrativeaddictionconference.com/

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Natural weight loss

Low carbs challenge getting started tips

Low carbs challenge getting started tips and recipes: There is greater joy in low carbs

Low carbs challenge

Low carbs challenge and getting started tips are very essential in propelling the wheels of good health and so what do you drink or eat?

From the series of articles we have been posting it is evident that low carbs diets is a power when it comes to natural weight loss remedy. There is no doubt that we have highlighted point after point about the good health that comes with low carb diet and by now you must be well informed of the benefits that come with this practice (low carbs challenge). A lot of diseases are put at bay, the body is well composed, stigma and bullying are eliminated and many more advantages that has been outlined. These benefits need to be actualized in your life practically and not just theoretically. In other words you need to put into practice all that you have read so that the purpose of this article and your desire is adequately met. That is why in this last section we want to introduce you into the world of low carb diet challenge and get you started for greater prosperity not just for you but for many generations to come. Doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center is going to take us through the discussion, giving us her professional touch in the whole process. And as you get started, it is important to appreciate that people normally go for low carbs diet for two main reasons. The first is for health issues like control of high blood pressure and diabetes and the second one is to keep and maintain a good and desired body weight. Depending on your choice low carbs challenge will still work well for you.

It may interest you to note that with the application of low card alone you can lose up to 15 pounds in just two weeks. That can make you jump off your feet, nonetheless it is not just a myth but it has been proven to be working. We also appreciate that what happen to you may not happen to another but the bottom line is that most people taking this rout often experience a great kick-start and a fantastic weight loss within the first few weeks. Unlike most diets or methods of losing weight, the joy we have with low carbs challenge is that there is instant gratification which is a serious motivating factor for many to keep on the highway to losing weight and finally improving on your health not just in the short while but over long term. A low carbs diet is therefore very easy to start, and easy to maintain. Most people often choose it as a lifestyle change, or as a way of eating and when they realize the health benefits and start seeing amazing results they keep the journey and pass it to the next generation. Now as we progress into the discussion about low carbs challenge and also how to help you get started, here are some helpful tips for any success on a low carbs diet:

Low carbs challenge getting started tips and recipes: Feed on lots of fiber and lots of fat

Feeding on fat and fiber together produces a high degree of satisfaction. In many instances foods containing flax seeds are highly recommended because they are high in both fiber and healthy omega-3 fatty acids.

Always keep hunger at bay

With this kind of diet a lot will be at stake and for sure it is not like any other diets you have been used to before. If you were skipping some meals before, then that has to stop because with this you can’t afford to go hungry for a long period of time. Some people find it’s helpful, especially for the first two weeks, to plan not to go more than 3 hours between meals or snacks.

Low carbs challenge getting started tips and recipes: Plan delicious things to eat

Take note that you are not being put to captivity. Nothing will make you feel more deprived than going on an austerity program when you are trying to make a big change in your eating habits. Investigate the yummiest foods your plan allows.

Take time to enjoy yourself

You are making a big change and you deserve to be happy along the way. Avoid any stressful activities as much as you can instead take a bubble bath, take a walk along the park and cuddle up by the fire with a trashy novel whatever makes you feel good go for it.

Low carbs challenge getting started tips and recipes: Get Support

Find people who are of like mind and are willing to be on your side. Many may not understand what your targets are but only look for the few who are rich in lots of experienced on low carbs challenge and will be willing to answer your questions, give support, and share their experiences with you.

Drink lots of water

Water is very important for health and not just because of low carb diet but in all dimension.

Finally with this the journey has just begun and success that knows no limit is what awaits you along the way. Your life will never be the same again with all these instructions followed. Take your time and be the change that you want to see tomorrow by embracing low carbs challenge, but just in case you are struggling with any problem that is weight management related, then you can schedule for an appointment with doctor Dalal Akoury today for further professional guidance.

Low carbs challenge getting started tips and recipes: There is greater joy in low carbs

 

 

 

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sexuality

When Does Sexuality Begin?

Stages of the beginning of sexuality

beginning of sexualityThere had been times when sex and sexuality were one of the least discussed topics, they were more like taboos. But nowadays it’s perfectly normal to discuss them; these are still fairly personal but no more considered as forbidden knowledge. The terms Sexuality and sexual orientation are sometimes alternatively used for each other and to a great extant its well justified. Sexuality is about understanding your personal sexual feelings and attractions towards others while sexual orientation is exploring your sexuality and placing yourself in pre-defined categories such as heterosexuality, homosexuality, bisexuality and asexuality. There is no definite age at which sexuality begins as there are multiple environmental and social factors that are responsible for it. Biological and socially the age of beginning depends upon Gender, hormonal balance, ethnicity, family values, substance and drug use, socioeconomic makeup, religious beliefs, cultural views about sex, women liberation etc.

It’s not justified to say that sexuality only begins when a child starts understanding its environment because we all are sexual beings, even  an infant have a different overall body structure and organs distinctly a male or a female or sometimes both, these factors through some extant can predict a child’s sexual orientation. On the other hand young children are usually curious about their bodies, between ages zero to five, it is considered normal for them to touch their own body parts and also ask questions about related topics.

Gender plays a very important role in the onset of sexuality. It refers to the socially constructed roles, behaviors, activities, and attributes that are assigned to men and women in any given society There are defined gender roles and expectation in every society that how men and women should behave. There are cultures where it is alright for men to talk about sex whether women are expected to stay silent on these matters. They cannot be assertive about their sexual preference and orientation; simply they are not given enough liberation to express their sexual desires.

The hormonal theory of sexuality and gender identity explains in detail that, exposure to certain hormones  at early stages of development plays a very important role in fetal sex differentiation, such exposure also has a strong influence on the sexual orientation and or gender identity that emerges later in the adult. Differences in brain structure that come about from chemical messengers and genes interacting on developing brain cells are believed to be the basis of sex differences in countless behaviors, including sexual orientation. Prenatal factors that affect or interfere with the interaction of these hormones on the developing brain can influence later sex-typed behavior in children. On the other hand hormonal production and balance biologically determines the increased awareness of sexual behaviors in children. Usually children start facing hormonal changes after the age of ten that greatly impacts their attitude towards sex and sexuality.

Socioeconomic and environmental issues have long been discussed as key role players in the onset of sexuality in children. Within sound socio economic settings, children are more exposed to facilities such as internet, magazines, sex educations guides and most importantly social media at an early age. Also in cultural settings where public show of affection is culturally accepted, children possess early beginning of sexuality. They have more references to real life so they could understand their own desires in a much better way as compared to those children who do not have access to our basic information systems and facilities. The trends of proper sex education in a culture can enhance the rates of children getting involved in sexual habits at an early age. On the other hand educated families tend to be more open about sex and sex education with their children. The question “what is the appropriate age?” for discussing such personal and sensitive topics with children has haunted parents and psychologists for a long time, but now it’s an established fact that healthy sex education can greatly reduce the risk of children developing aberrant sexual habits due to wrong information from wrong sources.

In societies where children can have easy access to drugs and other similar substances, it has been seen that sexual behavioral abnormalities and early understanding of sexual practices occur as one of the many side effects of these drugs. The concept of normal and abnormal habits is totally relevant to the age of a child. There are practices that are considered for a child five years of age but the same practices are normal for a child around ten years of age.

One more important parameter in determining the commencement of sexuality is religious practices. Religious practices often forbid extra marital sex, and private habits like masturbation. From a psychological perspective it is perfectly normal a child to have inappropriate thoughts and touching their own body parts but these same practices are at time forbidden, when these practices are strictly followed, children are kept socially isolated from being getting indulged in such activities that can delay social inception of sexuality.

In conclusion, the commencement of sexuality can not only be based one or few factors, it’s a complex process which has equal involvement of biological processes and social and environmental practices around the individuals. Sexuality cannot be generalized, every individual is unique and so are their experiences towards life, there are multiple encounters that shape the sexual orientation of a child. Even once decided and sorted out, there are significant chances that a person’s sexuality can change over the period of time. These intricate matters still need a lot of discussion to answer more complex questions related to this basic knowledge. For this purpose we have arranged Integrative Addiction Conference which focuses on more sensitive issues of human sexuality and addiction. It is a great opportunity for health professionals. Students, psychologists, policy makers and every related field experts to join this platform and help build an integrated system for the solution of current problems related to above mentioned issues.

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