Celebrating Small Victories: A Counselor's Manual for Treating Chronic Mental Illness and Substance Abuse

206 Pages·1995·0.91 MB·English

by  Kenneth A. Montrose

Celebrating Small Victories : A Primer of
title: Approaches & Attitudes for Helping Clients
With Dual Disorders
author: Montrose, Ken.; Daley, Dennis C.
publisher: Hazelden Publishing
isbn10 | asin: 1568380925
print isbn13: 9781568380926
ebook isbn13: 9780585150079
language: English
subject Dual diagnosis.
publication date: 1995
lcc: RC564.68.M66 1995eb
ddc: 616.89/1
subject: Dual diagnosis.
Page iii
Celebrating Small Victories
A Primer of Approaches & Attitudes for Helping Clients with
Dual Disorders
Ken Montrose, M.A.
Dennis Daley, M.S.W.
HAZELDEN
®
Page iv
Hazelden
Center City, Minnesota 55012-0176
1995 by Hazelden Foundation
All rights reserved. Published 1995
Printed in the United States of America
No portion of this publication may be
reproduced in any manner without the
written permission of the publisher
Library of Congress Cataloging-in-Publication Data
Montrose, Ken.
Celebrating small victories : a primer of approaches and attitudes
for helping clients with dual disorders / Ken Montrose, Dennis Daley.
p. cm.
Includes bibliographical references and index.
ISBN 1-56838-092-5
1. Dual diagnosis. I. Daley, Dennis C. II. Title.
RC564.68.M66 1995
616.89'1dc20 95-18958
CIP
Editor's note
Hazelden offers a variety of information on chemical dependency and related
areas. Our publications do not necessarily represent Hazelden's programs, nor
do they officially speak for any Twelve Step organization. The personal
stories in this book are composites of many individuals. Any resemblance to
any one person, living or dead, is strictly coincidental. The Twelve Steps of
AA and Twelve Traditions of AA are reprinted and adapted with permission
of Alcoholics Anonymous World Services, Inc. The excerpt from The A. A.
MemberMedications and Other Drugs is reprinted with permission of
Alcoholics Anonymous World Services, Inc. Permission to reprint and adapt
this material does not mean that AA has reviewed or approved the contents of
this publication, nor that AA agrees with the views expressed herein. AA is a
program of recovery from alcoholismuse of the Twelve Steps and Twelve
Traditions in connection with programs and activities which are patterned
after AA, but which address other problems, does not imply otherwise.
Page v
CONTENTS
Preface ix
Introduction 1
Part I: Mental Illness and Substance Abuse: A Different 3
View
1. Treatment Dilemmas 5
What Is the Diagnosis? 6
Mental Illness: A Predisposition to Use? 9
Alcohol and Other Drugs 14
Recovery 15
2. Selling Recovery 17
Selling Street Drugs vs. "Selling" Recovery 17
What Does She Want? 19
What Does He Hope to Avoid? 20
What If She Likes Her Drugs Better? 22
Intervening with Consumers and Families 24
Celebrating Small Victories 24
Becoming a Treatment Team Player 28
Quality Assurance: How Well Are Professionals "Selling" 30
Recovery?
3. Assessment 32
A Day in the Life 32
Trust Me, I'm Wearing White 35
It Never Ends, But It Always Changes 37
Who Would Lie to Someone Wearing White? 39
Who's Kidding Who? 42
The Myth of a Primary Diagnosis 44
Page vi
4. Attitudes of Professionals 48
Selling Long- Term Solutions 48
Giving Up 49
Enabling 50
Confronting 52
Being Needed 54
Doing It Yourself 56
Poor Me, Poor Me, Pour Me Another 58
Knowing Enough 59
Wearing Out 61
Seeing Things Differently 62
5. Coping with Symptoms: A Consumer's Eye View 66
The Paradox 66
Small Is a Relative Term 67
Living in the Chemical Culture 71
Developmental Delay 73
What Will People Think? 74
Part II: Treatment Strategies 79
6. Fundamentals of Dual Disorders Treatment 81
Relationships Between Dual Disorders 81
Assessment 82
Integrated Treatment 82
Motivation of Consumers 82
Therapeutic Alliance 83
Education 84
Recovery Skills 84
Self-Disclosure 84
Identification of Goals 85
Medication 85
Support 85
Community Resources 86
Family 86
Page vii
Self-Help Groups 86
Phases of Treatment 86
Persistent Symptoms 87
Setbacks 87
7. Nuts and Bolts Issues in Daily Recovery 89
Coping with Cravings 89
Coping with People, Places, and Things 91
Structuring Free Time 92
Coping with Psychiatric Symptoms 94
Coping with Remission 94
Being Real 96
Dealing with Relapse 96
Staying Safe 100
Experiencing Withdrawal 101
8. Recovery Slogans 103
Don't Pick Up the First Drink or Drug 104
One Day at a Time 106
Hungry, Angry, Lonely, or Tired (HALT) and Other 108
Slogans
9. Timelines and Denial 111
10. Contingency Cards 122
11. Twelve Step Programs 126
Not Getting Lost on the Road to Recovery 126
A Better Way 127
The Recovery Network 131
12. Group Treatment Approaches 132
Interventions of Group Leaders 132
Psychoeducational Groups 135
Possible Structure of Psychoeducational Group Sessions 137
Problem-Solving Groups 139