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Index
Cover Title Page Copyright Dedication Author’s Note Table of Contents Introduction: I Know Your Pain Because I Am One of You Part One: Knowledge: Understanding Substance Abuse and Addiction, Treatment, and Recovery
1 Addiction Is a Disease, Not a Matter of Choice: “Why Can’t She Just Stop?”
Evolution of the Science of Addiction Drugs of Abuse Change the Reward Pathways of the Brain The Symptoms of Withdrawal Promote Continued Drug Use Psychoactive Drugs Impact Cognitive Function and Decision Making Gambling Changes the Reward Pathways of the Brain and Impairs Brain Function Why It Matters: The Significance of the Disease Model of Addiction
2 Drugs of Abuse and Their Effects on the Body: “He Must Be on Something, but What Is It?”
How Drugs Enter the System Has an Impact on Their Effects Classification of Drugs of Abuse Stimulants (Uppers)
Cocaine Amphetamines Including Methamphetamine Synthetic Cathinones, Including Bath Salts Attention Medications
Depressants (Downers)
Alcohol Opioids
Heroin Prescription Pain Relievers Fentanyl Methadone
Sedative-Hypnotics
Barbiturates Benzodiazepines GHB
Hallucinogens
LSD Psychedelic Mushrooms Peyote (Mescaline) DMT MDMA (Ecstasy) PCP Ketamine DXM Salvia
Inhalants
3 Debunking the Myths: The Facts about Marijuana: “It’s Just Pot.”
The Basics: The Plant, the Drug, and Its Uses Synthetic Cannabinoids Increased Potency Effects, Symptoms of Intoxication, and Immediate Health Risks Tolerance, Withdrawal, and Addiction Potential Adolescent Vulnerability to Marijuana and Other Drugs Serious Long-Term Risks Linked to Heavy Use That Begins in Adolescence
Effects of Marijuana on the Adolescent Brain Learning and Lifetime Achievement Anxiety, Depression, and Mental Health Cardiovascular and Respiratory Impairments
Prevalence of Use Legalization Contributes to the Perception That Marijuana Is Not Harmful, Resulting in Increased Use
4 The Criteria for Diagnosis of Addictive Disorders: “But I’m Not an Addict!”
Substance Use Disorders under the DSM-5 Gambling Disorders under the DSM-5
5 Understanding Risk Factors and Accepting That Causation Is “No Fault”: “How Could This Have Happened to Us?”
Genetic and Biological Factors Early Onset of Use and Developmental Factors Environmental Factors Experiential Factors: Neglect, Trauma, Grief, and Loss Co-occurring Disorders
6 Treatment: How and Why It Works: “Doesn’t He Have to Want to Get Better?”
Screening and Brief Intervention Clinical Assessment and Diagnosis The Continuum of Care A Difference in Philosophy: Abstinence-Based and Harm Reduction Programs Detoxification Time in Treatment: The Therapeutic Benefits of Abstinence Getting Past Denial: The Stages of Change The Treatment Plan Medication-Assisted Treatment Therapy Models Group Counseling Skill Training Recovery Support Systems Treatment in the Context of Co-occurring Disorders and for Specific Populations
Co-occurring Disorders Trauma-Informed Care (TIC) Women Veterans Adolescents The LGBTQ Community Older Adults
Treatment of Gambling Disorders
7 What Recovery Means and How It Can Be Sustained: “What Is Going to Happen after She Leaves Treatment?”
Recovery Goes Far Beyond Abstinence Planning for Supported Recovery after Discharge The Twelve-Step Recovery Fellowships There Are Many Different Paths to Wellness
8 Obstacles to Recovery, and Relapse: “He Can’t Wait to See His Old Friends.”
The Reality of Relapse Risk Factors for Relapse Relapse Prevention Strategies Response to Relapse
Part Two: Acceptance: Understanding the Impact That Another’s Disease Has on You and the Need for Your Own Recovery
9 The Parallel Roads to Recovery for the Addicted and Those Who Love Them: “We Aren’t the Problem, They Are.” 10 How to Facilitate Your Own Recovery: “Will I Ever Be Happy Again?”
Defense Mechanisms Stress Management in Crisis Health, Family, Purpose, and Community Processing the Past to Clear the Way for the Future Fostering Resilience Mindfulness and Meditation Finding Purpose Building Your Personal Recovery Program A Checklist: 50 Recovery Tools
Part Three: Informed Action: Bringing It All Together to Support Recovery for Yourself and Your Loved One
11 Making Reasoned Decisions to Facilitate Treatment: “How Do We Get Her in a Program?”
Action Without Enabling; Letting Go Without Giving Up The Initial Investigation
Adolescents Adults
How to Choose Appropriate Treatment Providers Resistance to Entering Treatment
12 Taking Action to Live Comfortably with the Recovering Addict: “We’re Walking on Eggshells.”
Preparation: What to Do while Your Loved One Is in Treatment Traversing the Minefield of Early Recovery
Work Your Own Program Maintaining Healthy Boundaries The Money Chase Financial Considerations in the Presence of Disordered Gambling A Community of Support Healthy Patterns of Communication Rebuilding Trust
Conclusion: The Search for Peace and Serenity: “Practicing These Principles in All of Our Affairs” Acknowledgments Table Summarizing Drugs of Abuse: Drug Types (Classifications), Street Names, Methods of Administration, Effects on the Body, Imminent Risks Presented, Symptoms of Intoxication, and Symptoms of Withdrawal Glossary Bibliography
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