Promising Treatments for Dual Diagnosis and Relapse Prevention

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Last Updated on May 24, 2021 by

This guide will help you understand relapse prevention and the best treatment options available for you against your addiction treatment. In recent years, a study was given by the National Institutes of Substance Abuse has documented several successful treatment mechanisms for drug addiction (NIDA, 1999). Several of these methods can be used to treat people with co-occurring illnesses in a variety of environments. This article aims to provide a quick overview of four treatment methods that NIDA has described as effective:

Four methods to treating dual diagnosis are relapse prevention, motivational enhancement counseling, behavioral interventions, and the crisis intervention method. According to NIDA (1999), these approaches should be used to supplement or improve existing rehabilitation programs rather than replace them. Some of the bombing campaigns have been shown to operate for individuals who have co-occurring problems, but not all of them.

For co-happening disorders is an incorporated methodology, where both the constituent abuse challenge and the mental ailment are treated at the same time. Whether your intellectual health or ingredient abuse trouble arrived first, long-term improvement varies on getting conduct for both disorders by a similar treatment provider or team. Reliant on your issues. It may comprise medication, personal or collective counselling, self-help actions, lifestyle changes, and fellow encouragement that can be done for mental health problem treatment. Treatment of substance abuse is very necessary for the promising treatment of dual diagnosis in which detoxification, controlling of abandonment symptoms, behavioural treatment, and assistance groups to assist you in relapse prevention.

Contingency Management

Control of contingencies is a behaviorally focused, social-psychological system that strengthens moderation by a variety of reasons, or probabilities. So it refers to a form of behavioural therapy in which people are praised or reinforced for exhibiting signs of positive behaviour change. Usually, a planned pillar is given thus that the worth of the probability improves with the quantity of continuous clean trials. Contingency management has the advantage of being compatible with pharmacotherapy and other types of care. Incident therapy is suitable for clients who have stress thinking about the long-term benefits of reducing alcohol use since it uses reinforcement of the positive relapse prevention right away. Contingency planning takes a different approach, focusing on more rewarding choices. Drug addicts, whether as a cause or as a result of addiction, appear to overvalue immediate reinforces, such as the drug experience, while discounting delayed rewards, according to the theory. Children with conduct problems and developmental difficulties have also benefitted from the use of contingency management.

Contingency management has also been described to be beneficial in promoting activities that are not linked to a substance like a drug, and it has been used in a wide range of peoples. Moreover, contingency management is useful in decreasing the use of people who have co-occurring disorders and others who have a poor prediction for reducing opioid use because they use multiple drugs. Anthony, & Higgins, 2000). In the field of drug abuse, CM has been used successfully and widely. Although most research has focused on cocaine addiction, CM has also been used to treat heroin and other drugs, smokes, marijuana, alcohol, and methamphetamines.CM can improve the quality of life for drug abusers by promoting relapse prevention. One of the most appealing aspects of CM is the ability to help people in difficult situations, such as drug abuse and mental conditions. For example, in alcoholics with co-occurring conditions, CM increased treatment attendance.

Better Appreciated Therapy MET

It is a form of therapy that helps people inspirational. This therapy enhancement counselling is a cognitive-behavioural technique that focuses on addressing a client’s ambivalence about substance use and the significant deviations that come with transitioning from using habits to relapse prevention.  So a form of therapy that helps people overcome their apprehension about entering treatment and avoiding their drug use. So this approach has an aim to treat internally emotionally rather than stepwise treatment. The initial assessment therapy session is followed by two to four individual recovery sessions with a therapist in this therapy.

It is logically based on the Transtheoretical Model, which states that real change occurs as a result of an internal mechanism in which an individual starts to show the benefits of changing behaviour outweighs the advantages of maintaining the action. An individual comes to believe that they will be responsible for changing problematic behaviour due to this process. The professional’s job is to support the user through the development process stages and facilitate them in making the necessary changes.

Therapeutic counselling is an essential part of motivational reinforcement therapy. Even when recognizing such feelings of ambivalence, the professional works as a promoter for the user’s right to make choices about their transition, rather than as an advocate for relapse prevention. Professionals who foster feelings of self-efficacy in their clients by using a clear empathetic approach. Good results are related to professionals who use a clear compassionate approach to substitute spirits of self-efficacy about the patient capacity to effectively modification unhealthy behaviours.

 Motivational enhancement techniques for relapse prevention are successful in inpatient community settings for people with dual conditions as a standalone therapy or as part of a broader treatment plan. Furthermore, for people with schizophrenia and other co-occurring diagnoses, the effort on exploring contradiction and using interior resources to create self-determined changes may be a particularly stimulating and complementary feature of traditional mental health treatment.

Therapy to Relapse Prevention

Relapse Prevention is a cognitive-behavioural intervention that teaches patients and clinicians how to identify circumstances that place them at risk for relapse in both emotional states (e.g., optimistic thoughts about substance use or destructive emotions about relapse prevention that arise without effort, referred to as “automatic thoughts”) and social indications.  

Relapse Prevention Therapy (RPT) is another perceptual technique that either forces patients to relapse prevention for substance use or assists patients experiencing relapse prevention. The therapy “seeks to recognise high-risk circumstances under which a person is susceptible to relapse and to use both psychological – behavioral coping mechanisms to make relapse preventions in similar situations,” according to a foundational report on Relapse Prevention (RP). Personal mood swings and environmental triggers are two things that may trigger a relapse.

Teens that are in a depressive emotional condition are more likely to break down the cycle of relapse prevention, according to studies. Relapse has been linked to feelings of loneliness, depression, rage, and stress, according to research. The setting can also be a source of relapse causes. For a recovering addict, watching friends use drugs, seeing a syringe or an ad for alcohol, or walking by a location that reminds them of substance use may all be triggering. To prepare for these situations, the patient and therapist devise Relapse Prevention Plans ahead of time.RP is also an important aspect of recovery for youth who are dealing with mental health problems, regardless of their level of care. 

Conferring to the model, gaps or distinct instances of reverting to avoided patterns are necessary and anticipated aspects of the behaviour change process. Novel response trends in high-risk circumstances are progressively acquired, corrected, and improved through trial and error.RPT focuses on dealing with “high-risk 7” conditions (situations that test a person’s sense of control and raise the risk of relapse), tracking “melancholic restoration” (the impression of re-feeling the favourable feelings rates of substance use), and ensuring the demand of socially learned social mechanisms, all of which are based on social learning. RPT teaches clients coping strategies and behavioural therapy. 

These help them recognize relapse prevention as a guide, consider and effectively cope with high-risk circumstances, deal with cravings, and mitigate the repercussions of a lapse. It continues to participate in therapy following a relapse and makes long-term lifestyle changes. The aim of this relapse prevention plan is for the person to become more aware of their condition.

RPT is effective in relapse prevention in several studies. Although long-term relapse prevention rates with relapse prevention are similar to those with other approaches, at one-year follow-up, relapse prevention was associated with fewer lapses. This technique’s situational effects have shown that it helps sustain the improvements carried about by substance dependency rehabilitation, both in terms of minimizing addiction and the frequency of each slip.

Approach to Community Enhancement

Clinicians and patients participate in the Group Encouragement Process to identify individual desires and perform a “systematic study” of drug use (i.e., a comparative evaluation of the role played by substance use) and a “data genomics” of pro-social activities (CRA). Like the previous two treatment approaches, the Group Reinforcement Approach (CRA) is focused on subjective theory. 

Its goal is to make relapse prevention from alcohol more enjoyable than consuming. It is predicted that environmental factors affect not whether people take drugs, and these factors must be tackled. During his or her treatment, the patient acquires functional skills. The primary skills that are learned to accomplish his or her goals include communication, concern, and proactive alcohol and drug rejection. The Group Reinforcement Technique (CRA) may also include employment and social or therapeutic counselling to understand sober behaviours.

The Following Are the Treatment’s Two Goals:

To keep patients serially monogamous lengthy sufficient for them to develop new life knowledge that will assist them in relapse prevention and allowing people whose drinking is related to substance use to consume less alcohol.CRA examines four main areas of functioning in the environment: maternal, educational, recreational, and occupational. To determine what benefits the individual is getting from these areas by continuing their behaviours, tests in all four areas are required. If these advantages are found, improvements to the environment may be made to make it more conducive to relapse prevention. Training of vocational skills, the development of coping skills in difficult relationships, and the substitution of leisure behaviours that promote substance or alcohol misuse with other activities are examples of such improvements. It’s important to improve customer satisfaction in these four fields. CRA may also be used by concerned friends and family members who want to help a reluctant loved one start care. This approach emphasizes the need for environmental improvements to aid behaviour change and provides worried family members with a non-argumentative way to bring an individual to care.

When opposed to individuals seeking to engage without CRA therapy, data shows that resistant users who had their friends and family receive CRA counselling had a higher rate of treatment admission. Patients undergo one to two individual therapy sessions a week, during which they concentrate on strengthening family relationships, learning a range of skills to reduce substance use, receiving career counselling, and establishing new leisure habits and social networks. RPT is effective in relapse prevention in several studies. Although long-term relapse prevention rates with relapse prevention are similar to those with other approaches, at one-year follow-up, relapse prevention was associated with fewer lapses. This technique’s situational effects have shown that it helps sustain the improvements carried about by substance dependency rehabilitation, both in terms of minimizing addiction and the frequency of each slip.

Conclusion

A study in support of new and innovative approaches to drug abuse care is making substantial progress. It’s important to remain on top of these developments because several may have direct consequences for the care given to people with dual disorders. RPT is effective in relapse prevention in several studies. Although long-term relapse prevention rates with relapse prevention are similar to those with other approaches, at one-year follow-up, relapse prevention was associated with fewer lapses. This technique’s situational effects have shown that it helps sustain the improvements carried about by substance dependency rehabilitation, both in terms of minimizing addiction and the frequency of each slip.

 The strategies outlined in this object are readily flexible. It can be used to complement or expand current treatment plans. Furthermore, these methods can be combined to resolve various aspects of a client’s treatment needs. Although this article focuses on appropriate recovery methods for drug abuse, they can also be extended to other troubling habits, such as non-compliance with prescription regimens. Some of the interventions mentioned above have already shown to be successful in dual-diagnosed populations, but more research is required to decide what circumstances will maximize their effectiveness and thus more research is needed to be done to know about the causes of relapse and relapse prevention too.