Person Centered Approach
Treating everyone with dignity and respect.
Content Behavior therapy is focused on helping an individual understand how changing their behavior can lead to changes in how they are feeling. The goal of behavior therapy is usually focused on increasing the person’s engagement in positive or socially reinforcing activities. Behavior therapy is a structured approach that carefully measures what the person is doing and then seeks to increase chances for positive experience.
NOTE: Obtained from PsychCentral on April 9, 2012, from the website located HERE
We use Emotional Intelligence (EQ) to help us manage the way we think about emotions accurately and clearly, so we are better able to anticipate, cope with, and effectively manage change and relationships.
To explain our definition, it helps to begin with the two terms that make it up. The terms-emotion and intelligence have specific, generally agreed upon scientific meanings that indicate the possible ways they can be used together. Emotions such as happiness, sadness, anger, and fear refer to feelings that signal information about relationships. For example, happiness signals harmonious relationships, whereas fear signals being threatened. Intelligence refers to the capacity to carry out abstract reasoning, recognize patterns, and compare and contrast. Emotional intelligence, then, refers to the capacity to understand and explain emotions, on the one hand, and of emotions to enhance thought, on the other.
The bottom line is, we use EQ so you can better manage your own emotions to help you successfully navigate relationships with positive results in which all individuals are heard, listened to, validated, and are in a position to be in charge of your own emotional welfare.
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy (CBT) is a here and now approach focusing on the relationship between thoughts, feelings and behaviors. It involves a practical skills approach that enables clients to tackle their problems by harnessing their own resources. The main goal of CBT is the development and utilization of skills in the context of effectiveness in the treatment of common mental health problems such as anxiety, Post Traumatic Stress Disorder, panic, phobias, depression, etc. (Beck, A. 1997.)
Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. When compared to nondirective counseling, Motivational Interviewing is more focused and goal-directed. The examination and resolution of ambivalence is the central purpose of Motivational Interviewing and the counselor is intentionally directive in pursuing this goal. For more information on Motivational Interviewing, please see Miller & Rollnick, 2002 & 2007.
Stages of Change
Five stages of change have been conceptualized for a variety of problem behaviors. The five stages of change are pre-contemplation, contemplation, preparation/decision, action, and maintenance. Pre-contemplation is the stage at which there is no intention to change behavior in the foreseeable future. Many individuals in this stage are unaware or under-aware of their problems. Contemplation is the stage in which people are aware that a problem exists and are seriously thinking about overcoming it but have not yet made a commitment to take action. Preparation/decision is a stage that combines intention and behavioral criteria. Individuals in this stage are intending to take action in the next month and have unsuccessfully taken action in the past year. Action is the stage in which individuals modify their behavior, experiences, or environment in order to overcome their problems. Action involves the most overt behavioral changes and requires considerable commitment of time and energy. Maintenance is the stage in which people work to prevent relapse and consolidate the gains attained during action. For addictive behaviors this stage extends from six months to an indeterminate period past the initial action.
NOTE: Obtained from the Cancer Prevention Research Center on April 9, 2012, from the website located HERE
Dialectical Behavioral Therapy (DBT)
DBT, utilized in both the male and female residential programs, focuses on needs specific to the profile of the clients in this program. This theory and approach to treatment was developed by Marsha Linehan in 1991. The goals of treatment include reducing self injuring and life threatening behaviors, therapy interfering and quality of life interfering behaviors while increasing behavioral skills. DBT is an approach found effective in treating those with complex, difficult to treat mental disorders. Therapeutic targets include increasing interpersonal skills, developing more effective self regulation, and improving distress tolerance. Included in DBT is the concept of mindfulness practices which moves a client towards control of their thinking and use of the “wise mind.” The fundamental dialect in DBT is between validation and acceptance of the client as they are within the context of helping them change. DBT is a method of teaching skills that can help. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT helps those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that reinforce dysfunctional behaviors.
NOTE: Obtained from Turning Point (Denver), April 9, 2012, from the website located HERE
American Society of Addiction Medicine (ASAM)
We look at and address the 6 dimensions addressed within the ASAM criteria: Dimension
1: Acute Intoxication and/or Withdrawal Potential. What risk is associated with the patient’s current level of acute intoxication? Is there significant risk of severe withdrawal symptoms or seizures, based on the patient’s previous withdrawal history, amount, frequency, and recency of discontinuation or significant reduction of alcohol or other drug use? Are there current signs of withdrawal? Does the patient have supports to assist in ambulatory detoxification, if medically safe? Has the patient been using multiple substances in the same drug class? Is there a withdrawal scale score available? Dimension
2: Biomedical Conditions and Complications. Are there current physical illnesses, other than withdrawal, that need to be addressed because they are exacerbated by withdrawal, create risk or may complicate treatment? Are there chronic conditions that affect treatment? Is there need for medical services that might interfere with treatment? Dimension
3: Emotional, Behavioral or Cognitive Conditions and Complications (diagnosable mental disorders or mental health problems that do not present sufficient signs and symptoms to reach the diagnostic threshold). Are there current psychiatric illnesses or psychological, behavioral, emotional or cognitive problems that need to be addressed because they create or complicate treatment? Are there chronic conditions that affect treatment? Do any emotional, behavioral or cognitive problems appear to be an expected part of the addictive disorder, or do they appear to be autonomous? Even if connected to the addiction, are they severe enough to warrant specific mental health treatment? Is the patient suicidal, and if so, what is the lethality? Is the patient able to manage the activities of daily living? Can he or she cope with any emotional, behavioral or cognitive problems? If the patient has been prescribed psychotropic medications, is he or she compliant? Dimension
4: Readiness to Change. Is the patient actively resisting treatment? Does the patient feel coerced into treatment? How ready is the patient to change? If he or she is willing to accept treatment, how strongly does the patient disagree with others’ perception that she or he has an addictive or mental disorder? Does the patient appear to be compliant only to avoid a negative consequence, or does he or she appear to be internally distressed in a self-motivated way about his or her alcohol or other drug use or mental health problem? At what point is the patient in the stages of change? Is there leverage for change available? Dimension
5: Relapse, Continued Use or Continued Problem Potential. Is the patient in immediate danger of continued severe mental health distress and/or alcohol or drug use? Does the patient have any recognition or understanding of, or skills in, coping with his or her addictive or mental disorder in order to prevent relapse, continued use or continued problems such as suicidal behavior? How severe are the problems and further distress that may continue or reappear if the patient is not successfully engaged in treatment at this time? How aware is the patient of relapse triggers, ways to cope with cravings to use, and skills to control impulses to use or impulses to harm self or others? What is the patient’s ability to remain abstinent or psychiatrically stable, based on history? What is the patient’s current level of craving and how successfully can he or she resist using? If on psychotropic medications, is the patient compliant? If the patient has another chronic disorder (e.g., diabetes), what is the history of compliance with treatment for that disorder? Dimension
6: Recovery Environment. Do any family members, significant others, living situations, or school or work situations pose a threat to the patient’s safety or engagement in treatment? Does the patient have supportive friendships, financial resources, or educational or vocational resources that can increase the likelihood of successful treatment? Are there legal, vocational, social service agency or criminal justice mandates that may enhance the patient’s motivation for engagement in treatment? Are there transportation, child care, housing, or employment issues that need to be clarified and addressed?
Note: Information obtained from the personal website of Paul H. Earley, M.D., FASAM
DSM IV Axis' Diagnosis
Grief and Loss