Ask the LifeQuake Doctor
Dear Dr. Toni
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What about Grandma and Grandpa?
“I always looked forward to being a grandmother. I pictured myself holding a new baby, reading the books my children enjoyed to this child, and having a new life to love. I never imagined I would be so scared for a grandchild because his father is an addict” (Abbott, 2013).
The Role of Abstinence
Since the beginning of addiction treatment, abstinence has been heralded as the goal for substance use disorder (SUD) treatment. Yet, while abstinence as the goal, this is inconsistent with the reality that for many programs, abstinence appears to be the requirement for continued treatment rather than the goal.
Parents with a substance use disorder (SUD) are at a higher risk for parenting practices that result in adverse outcomes in children (Harris-McKoy, Meyer, McWey, & Henderson, 2014).
Motivational interviewing (MI) is a well-known, evidence-based, brief counseling approach for substance use disorders (SUDs) that combines person-centered principles with strategies for enhancing motivation for change (Miller & Rollnick, 2012). Counselors using MI help their clients talk themselves into change by exploring and developing their motivations for change and lessening and resolving their arguments against it.
Drug use during pregnancy has potentially serious medical consequences for mothers and their infants. Drug exposure during pregnancy is estimated through drug tests and interviews with the mother. Per the 2013 National Survey on Drug Use and Health, 5.4 percent of pregnant women aged fifteen to forty-four used illicit drugs.
The story of the American Society of Addiction Medicine (ASAM) is one that includes a signer of the Declaration of Independence (not Hamilton), a politician fighting a death-bed promise, an alcoholic billionaire, Freedom Riders, and the Summer of Love. Interested? Read on!
Addiction is a disease, end of discussion . . . right? As practitioners within the field of behavioral health and wellness, we have all heard the message, loud and clear. Many of us subscribe to the concept without question, confident in our convictions that addicts are sick people, not bad people. Some of us have built our careers upon this assertion, while others espouse it personally, within our own lives and family relationships.
The Hoffman Test for Organicity (HTO; Hoffman, 1975) has continued to be refined and redeveloped. Continued testing of clinical patients resulted in the establishment of the original HTO. It was believed that “A dysfunction in any of the bodily rhythmic activities (i.e., breathing, walking, talking, etc.) may lead to disability in one’s daily lifestyle.
Dr. Sen is the author of the book A Doctor’s Diary and serves in advisory capacities in many leadership committees for the American College of Physicians and the Alzheimer’s Association, among others. His newest book, Why Buddha Never Had Alzheimer’s: A Holistic Treatment Approach through Meditation, Yoga, and the Arts, bridges the gaps between ancient healing arts and novel scientific paradigms to teach readers how to strengthen their minds and their bodies.
When you write articles, as I have been doing for many years for Counselor magazine, the thought occasionally enters my mind: Is anyone reading this column? Now I do realize that there are many articles in each magazine and the reader is hardly expected to be glued to “From Leo’s Desk,” but it is rare that I ever get a response from anyone.
With fierce body slams and an Atomic Leg Drop, Terry Gene Bollea (aka Hulk Hogan) wrestled his way to the top ranks of celebrity stardom and Hulkamania.
Having worked in addiction health care for nearly four decades, I have found the stigma behind substance-related disorders to be one of the most crippling hindrances to widespread recovery. This stigma, exacerbated among pregnant women or women with children, forces many afflicted women to avoid seeking essential health care services.
U.S. Journal Training
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