Co-occuring disorders and Behavioral Therapies

A person has MDD and OUD, it’s better to treat both diseases

simultaneously

A person with a long history of illicit drug use has just started OUD treatment 7 days ago. He appears with depressed mood and stated that he had lost life motivation and had blunt feelings. Base on this observation, it’s best that we:
A. Start antidepressants because the patient is likely to experience depression

B. Stop OUD treatment because the patient is experiencing medication adverse side effect

C. Observe and monitor patient’s symptoms, initiate antidepressants if symptoms still persists 1 month after discontinuing medications.

Observe and monitor patient’s symptoms, initiate antidepressants if symptoms still persists 1 month after discontinuing medications

A person with a long history of illicit drug use has just started OUD treatment 7 days ago. He appears with severe anxiety that is triggered by participating in crowded social events. Patient also stated that he had anxiety that caused him having difficulty sleeping. Base on this observation, it’s best that we:
A. Start antidepressants because the patient is likely to experience depression

B. Stop OUD treatment because the patient is experiencing medication adverse side effect

C. Observe and monitor patient’s symptoms, initiate antidepressants if symptoms still persists 1 month after discontinuing medications.

D. Adjust treatment plan according to address symptoms that patients are experiencing

Adjust treatment plan according to address symptoms that patients are experiencing

True or False:
The mesolimbic pathway is congested with substance-related thoughts and behaviors. Therefore, it is impossible to retrain the brain to promote recovery. Hence, behavioral therapy has a very high failure rate in patients with SUD.

False

This therapy is usually started early in treatment, mainly for AUD and TUD. It targets ambivalence towards changing behavior and aims to move toward preparation and action.

Motivational Enhancing Therapy

This therapy is started early in treatment and often involve a very brief 4 sessions

Motivational Enhancing Therapy

This therapy is started early in treatment for SUD. It involves organizations of self-help group led by participants, and often engage with spirituality.

12 step facilitation therapy

This therapy is started early in treatment for SUD. Its principle is inclusive, non-spiritual, and discourages the use of labels. This therapy regards SUD as a behavioral challenge that can be resolved, and that SUD does not define the person.

SMART

This therapy could be utilized for multiple diseases like Anxiety, Depression, and SUD. It often involved in a 12-week manual-based treatment protocol

CBT

This therapy seeks to replace rewarding effects of a substance with possibility of a different reward like money or goods.

Contingency management

This therapy is started in the maintenance treatment. It restructures a patient’s relationship to their thoughts to prevent a full recurrence of use.

Mindfulness-Based Relapse Prevention

This therapy is started after stabilization. It helps patients to identify recurrent themes and patterns of past experiences and interpersonal relationship.

psychodynamic psychotherapy

This therapy is typically involved in intensive outpatient settings for stimulant use disorder treatment. It involves a 16-week structured program that focus on training individuals and their relatives on early recovery skills, recurrence of use prevention, self-help participation, while providing social support.

matrix model