I have started interning as a clinical psychologist at my state hospital and during this corona virus lockdown there has been an influx of Heroin addicts with severe withdrawal strokes due to unavailability of the drug during this lockdown. Dealt with 15 patients today and this video is almost similar to what most patients told me about ..
I can only speak as a heroin addict that found CBT/DBT to be life-changingly helpful. Detox only removes drugs from your system, he needs actual treatment. So many people fail after detox because they go back to the triggers, stressors, and environment that causes them to use in the first place. You can't just avoid everything that makes you want to use, you have to learn how to deal with triggers and cravings as they come. The stakes are way too high without a real support system, that's why suboxone and methadone work for people, if you relapse you have a support system to help you stay sober and build up better coping skills. This guy should be going to meetings at least. Also I would hope the therapist tells the family that you can't bully or threaten someone into staying clean, if anything the pressure they're putting on him could backfire and trigger him
Family Interventions are often themed in a threatening way where the family tells the user how they're going to throw them out or cut them off if they don't stop using. In many ways it's good to let them know what the boundaries are, but I think the personality type of the user has to be taken into account. Some people will simply push back against ultimatums no matter what, so the intervention approach really needs to be individually tailored to mitigate that.
When he relapses, make sure he knows not to break off more than the FIRST time he ever did heroin. Then do half of that. Because although your body hasn't had any in a while, it knows what it is now. There is no intimidations', when our body isn't used to something it offsets it a bit with adrenals....ect. Tell him this. Not because you don't believe in him, but because it happens, and "detox" (don't get me started) and rehab and lack of a public FACT based dialog about DOING drugs are the reasons why our young people are dying. If a client has to go to rehab to quit make that a deal, if you DO relapse it's OK, just promise me half of that first amount. And then get him into a maintenance program, there is nothing wrong with opioid replacement therapy. Your channel is very thought provoking!! Thank you!!
If I hear "I don't want to stop, but I have to".. sorry but that sobriety wouldn't stick.. you gotta hit that rock bottom and WANT sobriety sooooo bad for yourself and nobody else... not just because you feel like you should.. any addict I know only shoots up so they can feel normal.. once ur hooked you don't get high.. you get normal... and you can't discount the absolute physical hell withdrawal is.. it's not just a mental game.. I wanted to quit shooting up for years.. I absolutely couldn't do it without opiate withdrawal management.. as soon as I got on that program I was on my way.. I wanted to be sober.. I just couldn't deal with the vomiting, diarrhea, shaking and seizures.. diagnosed with PTSD from being in jail dope sick.. absolutely the worst experiences of my life
So the behavioral aspects he changed: going around the drug dealers house so as not to run into it, or telling his girlfriend to come meet him at his house. And the cognitive aspects he will use: when he is bored (which usually triggers his heroine use) to remind himself of the consequences of heroine use (since consequences really motivate him) and to then call his girlfriend or drive to a comic book store, for the short term anyway until cravings decrease. Is this right?
If this dude has so much free time on his hands that he wants to use drugs, maybe he should try getting another job and moving out of his parents' place.
This is so cheesy and unrealistic..if only treating addiction were so simple, but more importantly the addict is way too insightful for someone fixated on their next fix.
I hear you, but I think the client isn't yet addicted. He's using but hasn't developed robust addictive behaviors that would qualify him as an addict. I struggled with this video when the clinician didn't recommend a recovery program as part of the treatment plan... but that's because there isn't a need yet for a treatment plan.
I mean it's a role play not acting but yeah this is so far off from real. Like if someone had asked me how do you feel about being homeless and I'm a heroin addict I would have been like "whatever." I really could pick it all apart but like you said this just is so not realistic it's not helpful this conversation wouldn't happen and if it did the therapist would be jamming inpatient down your throat and wouldn't care about whether you want to quit..idk wow
is there not an issue of snorting drugs here as well. There seems to be a process of sniffing and clearing his throat which is either discomfort or a sign of something else. No commenting on that process within the session.
If it was real, he definitely would have addressed it, but they're acting, so the actor is doing that either out of anxiety-binding behavior or his own personal issues.
I have started interning as a clinical psychologist at my state hospital and during this corona virus lockdown there has been an influx of Heroin addicts with severe withdrawal strokes due to unavailability of the drug during this lockdown. Dealt with 15 patients today and this video is almost similar to what most patients told me about ..
Almost similar or almost identical?
I feel for people that are addicts!!!! I’m so thankful I’m not!!!! It’s hard watching someone go through detox!!!! Amazing job!!!!!
I can only speak as a heroin addict that found CBT/DBT to be life-changingly helpful. Detox only removes drugs from your system, he needs actual treatment. So many people fail after detox because they go back to the triggers, stressors, and environment that causes them to use in the first place. You can't just avoid everything that makes you want to use, you have to learn how to deal with triggers and cravings as they come. The stakes are way too high without a real support system, that's why suboxone and methadone work for people, if you relapse you have a support system to help you stay sober and build up better coping skills. This guy should be going to meetings at least. Also I would hope the therapist tells the family that you can't bully or threaten someone into staying clean, if anything the pressure they're putting on him could backfire and trigger him
Family Interventions are often themed in a threatening way where the family tells the user how they're going to throw them out or cut them off if they don't stop using. In many ways it's good to let them know what the boundaries are, but I think the personality type of the user has to be taken into account. Some people will simply push back against ultimatums no matter what, so the intervention approach really needs to be individually tailored to mitigate that.
@@TheChallenger1000For real
When he relapses, make sure he knows not to break off more than the FIRST time he ever did heroin. Then do half of that. Because although your body hasn't had any in a while, it knows what it is now.
There is no intimidations', when our body isn't used to something it offsets it a bit with adrenals....ect.
Tell him this. Not because you don't believe in him, but because it happens, and "detox" (don't get me started) and rehab and lack of a public FACT based dialog about DOING drugs are the reasons why our young people are dying.
If a client has to go to rehab to quit make that a deal, if you DO relapse it's OK, just promise me half of that first amount.
And then get him into a maintenance program, there is nothing wrong with opioid replacement therapy.
Your channel is very thought provoking!!
Thank you!!
I love this one, Dr. G. As an AOD counselor, your videos have really helped me improve my skills.
If I hear "I don't want to stop, but I have to".. sorry but that sobriety wouldn't stick.. you gotta hit that rock bottom and WANT sobriety sooooo bad for yourself and nobody else... not just because you feel like you should.. any addict I know only shoots up so they can feel normal.. once ur hooked you don't get high.. you get normal... and you can't discount the absolute physical hell withdrawal is.. it's not just a mental game.. I wanted to quit shooting up for years.. I absolutely couldn't do it without opiate withdrawal management.. as soon as I got on that program I was on my way.. I wanted to be sober.. I just couldn't deal with the vomiting, diarrhea, shaking and seizures.. diagnosed with PTSD from being in jail dope sick.. absolutely the worst experiences of my life
So the behavioral aspects he changed: going around the drug dealers house so as not to run into it, or telling his girlfriend to come meet him at his house. And the cognitive aspects he will use: when he is bored (which usually triggers his heroine use) to remind himself of the consequences of heroine use (since consequences really motivate him) and to then call his girlfriend or drive to a comic book store, for the short term anyway until cravings decrease. Is this right?
yes. believe trust jesux. lsmorg
He’s using Motivational Interviewing
Thank you for the video
Great video!
Sometimes I role play with my therapist
is that a real mustache?
This is not the cbt role play I was looking for
What were you looking for
😂
If this dude has so much free time on his hands that he wants to use drugs, maybe he should try getting another job and moving out of his parents' place.
This is so cheesy and unrealistic..if only treating addiction were so simple, but more importantly the addict is way too insightful for someone fixated on their next fix.
I hear you, but I think the client isn't yet addicted. He's using but hasn't developed robust addictive behaviors that would qualify him as an addict. I struggled with this video when the clinician didn't recommend a recovery program as part of the treatment plan... but that's because there isn't a need yet for a treatment plan.
The focus was on the Cognitive Techniques and as a student, it was helpful watching this video@@BigChutes
..........this actor is the WORST depiction of heroin addict... so far off from reality there's nothing helpful because of it
I mean it's a role play not acting but yeah this is so far off from real. Like if someone had asked me how do you feel about being homeless and I'm a heroin addict I would have been like "whatever." I really could pick it all apart but like you said this just is so not realistic it's not helpful this conversation wouldn't happen and if it did the therapist would be jamming inpatient down your throat and wouldn't care about whether you want to quit..idk wow
You are most likely not a student of CBT or you will know that this therapy focused more on his distorted thoughts and not his behaviour.
is there not an issue of snorting drugs here as well. There seems to be a process of sniffing and clearing his throat which is either discomfort or a sign of something else. No commenting on that process within the session.
His ROA is completely irrelevant; He's playing the role of a stereotyped addict. It's the conversation that holds substance, not the shit acting.
Heroin makes your nose run if you are getting ill.
If it was real, he definitely would have addressed it, but they're acting, so the actor is doing that either out of anxiety-binding behavior or his own personal issues.
Justin Denson Or it could be part of the acting.
There is usually a disclaimer at the beginning of his videos in these settings that the clients are actors.