RehabFAQs

what people experience at a substance abuse rehab counseling session first time

by Don Rutherford Published 2 years ago Updated 1 year ago

When a person first enters into addiction therapy, the first session will likely be a “get to know you” kind of format. Therapists will work to determine what kinds of things the person may need or want to talk about most, and what method of treatment or course of therapy may be the most beneficial.

Full Answer

What happens in an addiction therapy session?

Substance Abuse Counseling. Counseling, in the form of both individual and group sessions, will make up the foundation for treatment of a substance use disorder such as alcoholism or drug addiction. The complexity of addiction, characterized by intense, uncontrollable cravings, persistent consequences and a nagging desire to quit, affects every ...

What happens in a drug counseling session?

Dual disorders recovery counseling (DDRC) is an integrated approach to treatment of patients with drug use disorders and comorbid psychiatric disorders. The DDRC model, which integrates individual and group addiction counseling approaches with psychiatric interventions, attempts to balance the focus of treatment so that

What topics are covered in a drug and alcohol counseling session?

Dec 13, 2021 · The middle of the day provides the most intensive treatment. After a healthy lunch, it is typical to begin a series of therapeutic sessions. These often include: Individual Behavioral Therapy. Cognitive Behavioral Therapy (CBT) is one of the most effective methods used in addiction treatment centers. CBT hones in on your behavioral responses to ...

Do all counselors encounter clients with substance abuse?

May 26, 2021 · Take your sessions one at a time, and assess how you feel about the value of therapy after each one. There are a wide variety of therapeutic options available — and countless therapists who work ...

What is the first step in treating a drug abuse problem?

While addiction treatment can vary according to the specific drug, a successful program often includes different elements, such as: Detoxification. Usually the first step is to purge your body of drugs and manage withdrawal symptoms. Behavioral counseling.

What type of therapy is used for substance abuse?

Behavioral therapy is perhaps the most commonly utilized types of treatment for addiction that is frequently used during substance rehabilitation. A general behavioral therapeutic approach has been adapted into a variety of effective techniques.Feb 21, 2022

What is the most effective intervention for substance abuse?

CBT is often rated as the most effective approach to treatment with a drug and alcohol population.

What are some goals of a substance abuse counselor?

What does a substance abuse counselor do?Meeting with clients to evaluate their health and substance problem.Identifying issues and create goals and treatment plans.Teaching clients coping mechanisms.Helping clients find jobs or reestablish their career.Leading group therapy sessions.More items...

What is therapy session?

Therapy, also called psychotherapy or counseling, is the process of meeting with a therapist to resolve problematic behaviors, beliefs, feelings, relationship issues, and/or somatic responses (sensations in the body).Aug 7, 2015

What do some recovery support services provide?

Such programs provide a community setting where fellow recovering persons can share their experiences, provide mutual support to each other's struggles with drug or alcohol problems, and in other ways support a substance-free lifestyle. Note that recovery support services are not substitutes for treatment.Jan 14, 2014

What are some evidence based interventions for substance abuse?

Pharmacotherapies for other drug use disorders. ... Behavioral or psychological therapies. ... Behavioral couples therapy. ... Brief interventions. ... Brief strategic family therapy. ... Cognitive–behavioral therapy. ... Contingency management. ... Drug counseling (individual and group)More items...

What are the priority nursing interventions for substance abuse?

Nursing interventions for a client with substance abuse include:Providing health teaching for client and family. Clients and family members need facts about the substance, its effects, and recovery.Addressing family issues. ... Promoting coping skills.Feb 11, 2021

What is an example of intervention?

The definition of an intervention is something that comes between two things or something that changes the course of something. An example of intervention is a group of friends confronting a friend about their drug use and asking the friend to seek treatment.

How do you write a good treatment plan for substance abuse?

Here are the main elements of a treatment plan.Diagnostic Summary. Your provider will review your substance use patterns, medical history, and mental health conditions. ... Problem List. ... Goals. ... Objectives. ... Interventions. ... Tracking and Evaluating Progress. ... Planning Long-Term Care.

What are the essential skills characteristics and knowledge of a substance use disorder counselor?

Here are a few characteristics that make a good substance abuse counselor:Good listener.Strong desire to help others.Confidence.Motivation.Inspiration.Excellent communication skills.Respect privacy.

What are the pros and cons of being a substance abuse counselor?

Pros: It is very satisfying to see clients gain skills and beliefs that enable them to live drug or alcohol free lives, with relationships restored and hope regained. Cons: There is a lot of emotional drama as clients come off their drug of choice and begin to learn to live and work with other women.

What is substance abuse counseling?

Substance abuse counseling is a method of community outreach in which those who are suffering from addiction speak with certified addiction professionals about their past and present substance use problems, about the problems that may have led up to substance use and about the underlying elements that are responsible for their current state.

What is counseling for addiction?

Counseling helps people understand and overcome their addiction. According to the Bureau of Labor Statistics, “substance abuse and behavioral disorders counselors advise people who suffer from alcoholism, drug addiction, eating disorders, or other behavioral problems.”. These counselors provide treatment and supportive care to those who suffer ...

What is marriage therapy?

Marital therapy provides education, support and counseling to assist in the overall healing of the marriage following substance abuse and addiction. Talk Therapy – this method of therapy is a very broad term used to describe the open discussion that takes place between a counselor or therapist and the recovering addict.

How does addiction affect the user?

As with any disease or condition, addiction affects various elements of the user’s thought processes and behaviors. It’s these very thought processes and behaviors which may also be responsible for the onset of the drug or alcohol use. Substance abuse counseling is a method of community outreach in which those who are suffering from addiction speak ...

What is the treatment of mental health problems?

Psychotherapy – Defined by the Mayo Clinic as, “a general term for treating mental health problems by talking with a psychiatrist, psychologist or other mental health provider,” psychotherapy is often used in substance abuse counseling as a foundation upon which other methods of treatment and therapy are devised.

What is the treatment for substance abuse?

Various methods of treatment and counseling are provided when an individual enters a rehabilitation program that is focused on helping him or her heal from the trauma and pain caused by substance abuse. Not only is there substance abuse counseling for the addict, there are also a number of treatment methods available to assist the loved ones and family members with the challenges that they face when someone they care about is suffering from a substance abuse disorder.

What is exposure response prevention?

Exposure Response Prevention – a method of therapy which helps people to overcome classic anxiety associated with obsessions and compulsive drug seeking or drug use behavior, this treatment focuses on helping the user to develop a tolerance to the elements which elicit negative behaviors and in helping him or her to avoid negative responses.

How long does it take to get sober in rehab?

With just 30 days at a rehab center, you can get clean and sober, start therapy, join a support group, and learn ways to manage your cravings. Learn More. Specialized Sessions. Some treatment centers provide specialized therapy sessions.

What do rehabs do?

In addition to therapy, rehabs may also host speakers who share their own stories, offering residents a sense of hope about their own future. Sometimes the speakers delve into practical issues like rebuilding careers post-treatment, or simply offer inspirational speeches to help lift spirits.

What is the best treatment for addiction?

Cognitive Behavioral Therapy (CBT) is one of the most effective methods used in addiction treatment centers. CBT hones in on your behavioral responses to specific triggers. Once those are identified, the therapist will guide you toward new, healthier responses to those triggers.

Why is family support important in drug treatment?

Family support can be a crucial treatment element, which is why most drug treatment centers include it in their programs. Addiction affects the entire family, often culminating in destructive codependency, enabling behaviors or intense anger and resentment.

What is Jeffrey Juergens's degree?

Jeffrey Juergens earned his Bachelor’s and Juris Doctor from the University of Florida. Jeffrey’s desire to help others led him to focus on economic and social development and policy making. After graduation, he decided to pursue his passion of writing and editing. Jeffrey’s mission is to educate and inform the public on addiction issues and help those in need of treatment find the best option for them.

What is the most intensive therapy for addiction?

After a healthy lunch, it is typical to begin a series of therapeutic sessions. Cognitive Behavioral Therapy (CBT) is one of the most effective methods used in addiction treatment centers.

What is the 12-step program?

Typically, a 12-step program is available in the evenings, which is highly recommended. The meetings provide a safe, respectful and anonymous environment in which fellowship can be fostered — which serves as an intrinsic element for long-term sobriety.

What to expect from a first therapy session?

What to expect from yourself. Your first session will probably involve your therapist asking you a lot of questions about you, how you cope, and your symptoms (it’s basically an interview). You may also chat about goals for therapy, expectations, and more. Your first therapy session can be emotionally draining, ...

What to expect from a therapist?

Despite some misconceptions, a therapist’s job isn’t to solve your problems for you. They aren’t there to tell you what to do, or to tell the people who’ve hurt you just how wrong they were. In fact, most therapists won’t bother touching on the rights and wrongs of people in your life.

What are the different types of therapy?

According to the American Psychological Association (APA), the five main categories of therapy include: 1 Psychoanalysis and psychodynamic therapies. Based on the teachings of Sigmund Freud, this type of therapy aims to explore unconscious meanings and motivations in order to change negative behaviors, thoughts, and feelings. 2 Behavior therapy: This approach aims to help a patient change certain behaviors by using a variety of tools, including desensitization. 3 Cognitive therapy: This therapy is focused on helping patients modify actions and reactions by first changing one’s thoughts. 4 Humanistic therapy. These therapies typically center around the patient and avoid framing therapists as authorities, instead presenting them as empathetic and concerned listeners. 5 Integrative or holistic therapy. An integrative approach means that therapists don’t embrace any one discipline, and instead blend various approaches together in order to meet the needs of individuals. Integrative therapy follows the principle of acceptance.

What type of therapy do counselors use?

Most therapists and counselors will use some combination of therapy types and tools, though some might mainly use common therapies like CBT or DBT. Though therapy isn’t like a menu where you can make specific requests, you can ask about ones you’re interested in as you call around and vet a potential therapist.

What is integrative therapy?

An integrative approach means that therapists don’t embrace any one discipline, and instead blend various approaches together in order to meet the needs of individuals. Integrative therapy follows the principle of acceptance.

What is the difference between cognitive and humanistic therapy?

Cognitive therapy: This therapy is focused on helping patients modify actions and reactions by first changing one’s thoughts. Humanistic therapy. These therapies typically center around the patient and avoid framing therapists as authorities, instead presenting them as empathetic and concerned listeners.

What is the difference between cognitive behavioral therapy and dialectical behavioral therapy?

Cognitive behavioral therapy (CBT) Generally has a set, short-term timeline with a specific goal in mind. For instance, CBT might be used to help a patient overcome a fear of public speaking. Dialectical behavioral therapy (DBT) Aims to help patients process and cope with difficult emotions.

How does in depth counseling help with substance abuse?

In-depth counseling allows the person who is experiencing substance abuse to learn more about themselves. This insight can go a long way toward establishing positive changes that encourage healing.

What is drug abuse counseling?

Drug abuse counseling often provides unique ways of involving family members in the healing process. It’s essential that the family members of those facing substance abuse come to learn about the condition and the effects it can create.

What is the best treatment for drug abuse?

Cognitive Behavioral Therapy is a highly effective form of psychotherapy. CBT has proven to be very useful in helping those facing drug abuse to implement positive changes to their self-destructive thoughts and actions.

Can you abuse prescription drugs?

Presently, the abuse of both illicit and prescription medications is a common occurrence. Seeking treatment from a quality rehab center can set your loved one on the right path to healing and recovery. For example, opiate addiction treatment can provide helpful ways to manage pain without the abuse of opioid pain-relieving drugs. Additionally, alcohol drug education can enlighten those who experience issues with alcohol abuse.

How does a family therapy session work?

During the first session, the therapist will typically have family members fill out paperwork. Then, the therapist will interview the family as a group, and the members of the family who will be involved in the treatment will typically outline the general problems . The therapist will often have the family members together for at least part ...

How can family help with substance abuse?

Sessions often include homework, such as having family members sit down and discuss the events of their day together, engaging in activities together, or eating a meal together.

What is initial therapy?

Initial sessions are typically used by the therapist to assess the problem, get a feel for the individuals in treatment, and define the rules and limitations of the treatment. The therapist will continue to assess the situation throughout treatment and adjust care accordingly. The next two or three sessions will continue to build on ...

How long is a family therapy session?

The sessions will typically last 60-90 minutes, and most often take place at the therapist’s office or at a treatment center. In some rare cases, therapists may have sessions at the family’s home. Sessions can vary in their intensity from being quite relaxed and low key to very emotional and demanding, depending on the situation.

Why is therapy a dynamic process?

This is because therapy is a dynamic process that adjusts based on the particular session and needs of the participants. There are, however, some general principles regarding the content of the sessions that can help one to understand how the treatment works.

What are the different types of family therapy?

A number of different types of family therapy treatment interventions exist, including cognitive behavioral techniques, psychoanalytic techniques, interpersonal techniques, etc. Some therapists who have received training in several different paradigms may use an approach that combines the techniques from these paradigms.

How does family therapy differ from social support groups?

Therapy differs from social support groups like 12-Step groups in that these groups are not administered by trained and licensed therapists for the most part. Family therapy is a subtype of group therapy where the members in the therapeutic group are all related. There is no one form of treatment intervention that is used in family therapy.

Who is rehab counselor?

Rehab counseling at some centers is often practiced by “veteran counselors” who overcame substance abuse problems of their own. These counselors may fervently believe in their methodology, even as state governments (like Oregon) have started to cast a skeptical eye on some in the industry.

What is spontaneous recovery?

The Spontaneous Recovery Studies suffer from differences in the definitions of important terms such as “addiction,” “treatment” and “recovery.”. The use of reports of past behavior and relatively short follow-up periods are problematic as well.

Why are alumni programs important?

Alumni programs provide accountability and allow individuals to remain actively involved in a supportive recovery community. A good rehab will help the individual to cultivate or connect with this type of community during treatment because that gives the individual the best chance for continuity upon leaving rehab.

What is CARF accreditation?

The Commission on Accreditation of Rehabilitation Facilities, known as CARF, is a nonprofit organization that offers accreditation of rehabilitation and behavioral health centers. In order to receive a CARF accreditation, facilities must meet a variety of requirements.

What is the treatment for Sheff's son?

For Sheff, who spent years searching for the right rehab facility for his son, successful recovery involves ongoing sessions with a psychiatrist who treats his son for all conditions – his bipolar disorder, addiction, and depression.

How many questions are asked in the substance use evaluation?

The evaluation consists of 11 yes or no questions that are intended to be used as an informational tool to assess the severity and probability of a substance use disorder. The test is free, confidential, and no personal information is needed to receive the result.

Is addiction a problem in rehab?

The insidious nature of addiction adds to the problem of defining success in rehab. Some patients simply go through the motions of treatment, doing and saying anything just to graduate from their program, if it means getting back into the outside world where they can resume their drug consumption.

What are the conclusions of counseling individuals with substance abuse problems?

1. All counselors, no matter what work setting or clientele, will counsel individuals with presenting or related problems of substance abuse. 2.

What is substance abuse counseling?

ERIC Digest. Substance abuse is a critical problem in the United States across allsegments of the population and impacts in some way all members ofour society. It is the most prevalent mind disorder, the number onecontinuing health problem, and the number one prison problem in theUnited States (Inaba, ...

What is the emphasis of a counselor?

The counselor emphasis is on the person not the substance abuse problem. Additional knowledge and skill on the part of the counselor relates to being able to assess the extent and impact of a client's substance abuse problem and the client's need to change.

What is substance abuse?

Substance abuse is defined as the categories classified in the Diagnostic and Statistical Manual IV (DSM-IV) (American Psychiatric Association, 1994) as Substance-Related Disorders and Substance-Induced Disorders. These disorders include the active use and/or dependency on any mood-altering substance.

How long does it take to get out of substance abuse treatment?

These include short-term, inpatient care lasting three to seven days for withdrawal from substance abuse, or intensive, outpatient programs lasting eight to twelve weeks wherein clients maintain vocational and family responsibilities while participating in treatment.

Is counseling a process?

1. Counseling is a process beneficial to most clients of skilled counselors. However, it is not always so. A significant number of clients get worse. 2. Counseling models (e.g., cognitive, experiential, behavioral, dynamic) are effective and, when compared, seem equivalent in their effect on counseling outcome. 3.

What is motivational interviewing for substance abuse?

Motivational Interviewing for Substance Abuse. People addicted to alcohol or other drugs don’t always recognize the need to stop drinking or using. Some may not realize that they’re addicted. Others may not want to change, or they may not think recovery is possible.

What is the rule of treatment for substance use disorders?

RULE is based on the same principles as motivational interviewing for patients with substance use disorders. Doctors and nurses should avoid telling patients about the “right” path to wellness without ensuring that patients are motivated to change.

What is motivational enhancement therapy?

Motivational enhancement therapy is a specific type of motivational interviewing that involves structured feedback and future planning. Motivational enhancement therapy begins with an extensive assessment of the client’s history of substance abuse and co-occurring mental health issues.

Why is motivational interviewing important?

Motivational interviewing is an important complement to traditional therapies for substance abuse and addiction. Without motivation for change, clients may be resistant to the lessons that rehab tries to teach. Motivated clients are more likely to buy into the rehab process and benefit from other therapies.

What is Ambivalence in psychology?

Ambivalence refers to conflicting emotions about substance abuse. People with addiction usually know that alcohol and other drugs are hurting them. A part of them may want to quit, and another part may simultaneously want them to keep using. Motivational interviewing is based on four assumptions:

What is the relationship between a therapist and client?

The relationship between a therapist and client is a collaborative partnership. An empathetic, supportive and directive approach to counseling can establish conditions for change to occur. Many people who begin treatment with motivational interviewing sessions are in the early stages of change.

Who developed the motivational interviewing approach to counseling?

Psychologists William R. Miller and Stephen Rollnick helped develop the motivational interviewing approach to counseling. In their book “Motivational Interviewing: Preparing People to Change Addictive Behavior,” they outlined five principles that therapists should adhere to.

Group Therapy Sessions

The Individual Therapy Session

  • Individual therapy sessions provide a forum where clients can feel safe, understood, and heard. Personal issues can be fully identified, explored, and managed during individual therapy sessions, as the therapist can build a strong report with the client, offering security and confidentiality. When a person first enters into addiction therapy, the f...
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Differences in Therapy Models

  • There are many different types of therapy modalities used during addiction treatment. Typically, behavioral therapies are likely the most common. These therapies address a person’s thoughts and emotions in an effort to modify behaviors. NAMI publishes that about half of all individuals who abuse drugs also suffer from a mental illness, as do a third of those abusing alcohol. In add…
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