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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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