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Session 1: Triggers and Cravings

Session 1: Triggers and Cravings. Changes in the Brain. Conditioning. I.P. Pavlov (1849 – 1936). Pavlov’s Dog. A Definition of Addiction American Society of Addiction Medicine.

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Session 1: Triggers and Cravings

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  1. Session 1:Triggers and Cravings

  2. Changes in the Brain Matrix IOP

  3. Conditioning Matrix IOP

  4. I.P. Pavlov (1849–1936) Matrix IOP

  5. Pavlov’s Dog Matrix IOP

  6. A Definition of AddictionAmerican Society of Addiction Medicine A primary, chronic, neurobiologic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. Addiction is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving. Graham, A.W.; Schultz, T.K.; Mayo-Smith, M.F.; Ries, R.K.; and Wilford, B.B. eds. Principles of Addiction Medicine, Third Edition. Chevy Chase, MD: American Society of Addiction Medicine, Inc., 2003. Matrix IOP

  7. The Addictive Process • Introductory phase • Maintenance phase • Disenchantment phase • Disaster phase Matrix IOP

  8. Addictive ProcessIntroductory Phase METHAMPHETAMINE (METH) Negatives May be illegal May be expensive May cause missing work Positives Relief from Depression Anxiety Loneliness Insomnia Euphoria Increased status Increased energy Increased sexual/social confidence Increased work output Increased thinking ability Matrix IOP

  9. Conditioning Process During AddictionIntroductory PhaseStrength of Conditioned Connection: Mild Triggers • Parties • Special occasions • Other events Responses • Pleasant thoughts about meth • Infrequent use Matrix IOP

  10. Development of Obsessive ThinkingIntroductory Phase Matrix IOP

  11. Development of Craving ResponseIntroductory Phase Matrix IOP

  12. Addictive ProcessMaintenance Phase Negatives Employment/school disruptions Relationship concerns Financial problems Beginnings of physiological dependence Positives Depression relief Confidence boost Boredom relief Sexual enhancement Social lubricant Matrix IOP

  13. Conditioning Process During AddictionMaintenance PhaseStrength of Conditioned Connection: Moderate Triggers • Parties • Friday nights • Friends • Alcohol • “Good times” • Sexual situations Responses • Thoughts of meth • Eager anticipation of meth use • Mild physiological arousal • Cravings occur as use approaches • Occasional use Matrix IOP

  14. Development of Obsessive ThinkingMaintenance Phase Matrix IOP

  15. Development of Craving ResponseMaintenance Phase Matrix IOP

  16. Addictive ProcessDisenchantment Phase Positives • Sociability • Occasional euphoria • Relief from fatigue • Relief from stress Negatives • Withdrawal depression • Paranoia • Tweaking • Relationship disruptions • Family distress • Impending job loss Matrix IOP

  17. Conditioning Process During AddictionDisenchantment PhaseStrength of Conditioned Connection: Strong Triggers • Fatigue • All friends • Stress • Boredom • Anxiety • Free time • Sexual arousal • Loneliness Responses • Continual thoughts of meth • Strong physiological arousal • Psychological dependency • Strong cravings • Frequent use Matrix IOP

  18. Development of Obsessive ThinkingDisenchantment Phase Matrix IOP

  19. Development of Craving ResponseDisenchantment Phase Matrix IOP

  20. Addictive Process Disaster Phase Positives • Relief from fatigue • Relief from stress • Relief from depression Negatives • Weight loss • Paranoia • Loss of family • Seizures • Severe depression • Unemployment • Bankruptcy Matrix IOP

  21. Conditioning Process During AddictionDisaster PhaseStrength of Conditioned Connection: OVERPOWERING Triggers • Any emotion • Day • Night • Work • Free time Responses • Obsessive thoughts about meth • Powerful autonomic response • Powerful physiological dependence • Automatic use • Persistent paranoia Matrix IOP

  22. Development of Obsessive ThinkingDisaster Phase Matrix IOP

  23. Development of Craving ResponseDisaster Phase Matrix IOP

  24. All Downhill Matrix IOP

  25. All Downhill, but with Interruption Matrix IOP

  26. Thought Stopping • Visualization • Rubberband snap • Relaxation • Calling someone Matrix IOP

  27. Thought Stopping Visualization Matrix IOP

  28. Thought StoppingRubberbandSnap Matrix IOP

  29. Thought Stopping Relaxation Matrix IOP

  30. Thought StoppingCalling Someone Matrix IOP

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