Counselor Toolbox Podcast with DocSnipes

Objectives ~ Learn what PAWS is ~ Explore why PAWS happens ~ Identify steps to take to reduce and cope with PAWS What is PAWS ~ PAWS affects people who have engaged in addictive behaviors ~ The effects are based on factors ~ Age ~ Gender ~ Length and amount of use ~ Physical health ~ PAWS begins after acute withdrawal and lasts for up to a year Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Long-term pharmacotherapy is available and effective for several addictions - Medication + counseling = recovery - Smoking cessation - Nicotine replacement is available over-the-counter - Bupropion and varenicline are available by prescription for smoking cessation - Multiple medications are available by prescription for alcohol dependence - Methadone/buprenorphine maintenance proven to reduce mortality, crime, & spread of infection - Substitution therapy to eliminate withdrawal, cravings, & heroin effects - Individualized dose Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Identify purpose, sources of information and areas of concern for screening - Explore the pitfalls of diagnosis in the CJ system - Identify preferred screening and assessment instruments and what they measure - Examine placement strategies based on criminality, mental health and addiction issues - Discuss general treatment issues in CJ Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Explore the prevalence of homelessness for children and people with mental illness - Discuss causes of homelessness - Explore the relationship between homelessness and ACEs - Discuss how homelessness impacts the HPA Axis - Review areas to be screened - Identify creative interventions - Identify resources to help people access needed services Learn more about your ad choices. Visit megaphone.fm/adchoices

~ Review some of the unique triggers for co-occurring disorders in adolescents and college students ~ Identify current best practices for preventing those ~ Explore ways to enhance college student engagement in prevention and health promotion activities Learn more about your ad choices. Visit megaphone.fm/adchoices

Explore psychopharmacology and the role and effect of psychotropic medications in mental health Define the problem Identify and discuss differential diagnosis for various pain conditions Examine the similarities between CNCP and addiction Identify the impact of CNCP on patients Discuss effective interventions for CNCP Identify what counselors can do Learn more about your ad choices. Visit megaphone.fm/adchoices

•Recognize and address homelessness as a special dynamic that affects your clients. •Help prevent potential crises that result from becoming homeless. •Provide preventive services for individuals and families who are homeless, •Be more aware of the effects of psychological trauma and co-occurring disorders (CODs) among people who are homeless. •Provide integrated, more effective services to people who are homeless. •Understand and know how to utilize resources for homelessness in your community. •Influence the understanding of others in your community regarding the interrelationship of homelessness, substance abuse, and mental illness. Learn more about your ad choices. Visit megaphone.fm/adchoices

Define Autoimmune Issues Examine the relationship between autoimmune issues and depression Explore the relationship between inflammation and autoimmune disorders and mood disorders Identify interventions needed by people with autoimmune and mood disorders. Learn more about your ad choices. Visit megaphone.fm/adchoices

- Define the socio-ecological model - Apply the socioecological model to addiction - Explore different variables in the socio-ecological model - Discuss how this framework can be used in prevention and treatment of Co-Occurring Disorders Prevention - Prevention can take the form of: - Preventing the problem - Preventing worsening of the problem - Preventing associated fall out Learn more about your ad choices. Visit megaphone.fm/adchoices

• Review current information about the prevention, transmission and treatment of HIV, Hepatitis and Blood Borne Pathogens • Review current information about hepatitis transmission, symptoms and treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ There are many similarities between Pain, mood and addictive disorders ~ Integrated, concurrent, biopsychosocial treatment is vital ~ Mood impacts pain which impacts life satisfaction ~ Recovery supports realistic beliefs and identifies controllable factors Eenhanced outcomes ~ Patients with current addictions or mental health issues need concurrent treatment Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Counseling should focus on where the person is (testing/treatment) and their level of readiness for change. - Counseling goals should be to - Reduce risk of infection/complications or infecting others - Improve health literacy regarding hepatitis - Encourage social support - Assist the person in connecting with needed biopsychosocial resources Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Explored the culture, values and traditions of African Americans to include communalism and the importance of spirituality for many clients - Identify issues and barriers which need to be considered to provide culturally responsive treatment including ineffective assessment tools, lack of insurance or transportation and lack of awareness of the types and benefits of counseling services - Learn about how to provide culturally responsive group psychoeducation including how to teach to the collective culture in a multicultural group and how to be an effective group facilitator. - Learned about a variety of evidence based practices demonstrated to be effective with African Americans. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary/Advice to Counselors - Provide bilingual services. - Use family therapy as a primary method of treatment. - Assess cultural identity and acculturation level for each family member. - Determine the family's level of belief in traditional and complementary healing practices; integrate these as appropriate. - Discuss the family's beliefs, history, and experiences with standard American behavioral health services. - Explore migration and immigration experiences, if appropriate. - Provide additional respect to the father or father figure in the family. Summary/Advice to Counselors - Interview family members or groups of family members (e.g., children) separately to allow them to voice concerns. - Generate solutions with the family. Do not force changes in family relationships. - Provide specific, concrete suggestions for change that can be quickly implemented. - Focus on engaging the family in the first session using warmth and personalismo - Group leaders should allow members to learn from each other and resist functioning as a content expert or a representative of the rules of the system. Otherwise, members could see group therapy as oppressive Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Academic success - Impacts student’s self-esteem by providing frequent small successes - Empowers them and reduces depression and hopelessness and helplessness by teaching them how to solve problems and opens up a world of possibilities - Reduces anxiety by helping them develop an “I can” mantra and learn how to embrace failure as a learning opportunity - Each child has their own unique learning needs based on their learning style and temperament. - Once children know how they learn best they can be empowered to modify lessons and study habits to accommodate their unique needs. Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Explore the impact of homeschooling on the family - Identify issues that may come up during homeschooling - Explore creative ways to help families effectively homeschool Impact of Homeschooling - Physical - It is easy for the child’s schedule to get out of synch when they don’t have to get up to meet a bus - Maintain a schedule - There is a risk of greater weight gain related physical problems due to a lack of enforced PE and 24/7 availability of food - Mindful eating, cooking, fun activities, nutrition literacy - Some children may rely on free and reduced breakfast and lunch and will no longer be able to access that. - Work with food pantries and volunteers to disperse care packages - Increased risk for unnoticed child abuse or neglect when children are home all day - Conversely, children could get more sleep, be exposed to fewer germs, encouraged to be active in meaningful ways, learn how to eat mindfully as well as develop culinary skills. Learn more about your ad choices. Visit megaphone.fm/adchoices

- Learn about Asian cultures, traditions and values as they relate to mental health - Learn about communication styles to help the counselor more effectively communicate with culturally different clients - Explore health disparities - Explore appropriate approaches to counseling General Information - Asian Americans have a 17.30 percent overall lifetime rate of any psychiatric disorder and a 9.19 percent 12-month rate, yet Asian Americans are three times less likely to seek mental health services than Whites - Cultural factors, such as language, age, gender, and others, can influence the mental health of Asians, particularly immigrants - Asians place great value on the family as a unit. Each individual has a clearly defined role and position in the family hierarchy and is expected to function within that role, submitting to the larger needs of the family. - Social stigma, shame, and saving face often prevent Asians from seeking behavioral health care - Asian patients are likely to express psychological distress as physical complaints Learn more about your ad choices. Visit megaphone.fm/adchoices

- Learn what juvenile and rheumatoid arthritis are - Identify the prevalence of JA/RA - Explore the relationship of JA/RA and affiliated medications to mental health - Identify interventions to assist people with JA/RA achieve their highest quality of life Autoimmune Issues and Children - Autoimmune disorders that occur in childhood include: - Juvenile arthritis, which affects about 1 in 1,000 children - Type 1 (juvenile) diabetes, which affects 1 to 2 of every 400 children - Celiac disease which impacts 1-3% of the population Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - There is no one right way. Providing direction on how something should be done is not a comfortable or customary practice for American Indians and Alaska Natives. For them, healing is interconnected with others and comes from within, from ancestry, from stories, and from the environment. RESPECT - Respect communication styles and how respect is shown in the culture - Explanatory model: Understand how clients perceive/understand their presenting issues - Sociocultural context affect treatment - Participation expectations for treatment may be different than mainstream. (family, community, faith healers etc.) - Empathy - Concerns and fears should be elicited (at the beginning and at points of resistance) - Trust is based on who you are not what you accomplished. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - CBD is showing promise as an alternative or adjunctive treatment for a variety of ailments ranging from Alzheimer’s and Addiction to Parkinson’s and Schizophrenia. - CBD does not have the psychogenic effects that THC does, however, THC has been found to be more effective at addressing some issues - OTC CBD is nonstandardized so dosages, even from the same manufacturer, but in different lots may have different potencies - CBD interacts with most medications, so it is vital to consult a physician prior to using it. - Dosages of CBD in the literature varied widely. - Currently there are a couple CBD based medications for the treatment of seizure disorder - CBD oils also may have a trace of THC in them—again, in OTC formulations, it may be variable, but supposed to be less than 0.3% Learn more about your ad choices. Visit megaphone.fm/adchoices

From a survival standpoint, the symptoms of Post Traumatic Stress make a lot of sense. We will explore the possible reasons for these symptoms and interventions that can be used to assist clients in creating a resilient recovery narrative. Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives Review multiple ways of writing treatment plans including using the integrative summary, FARS, CANS, ASAM and LOCUS Review pitfalls in writing effective treatment plans and how to avoid them Review the purpose of the reassessment and best practices for documentation Identify time-effective methods for completing treatment plans and reassessments Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives ~ Review the characteristics of BPD ~ Compare and contrast BPD with addictive behaviors ~ Examine ways to implement the activities presented in the book in a group format Characteristics of BPD ~ Poorly developed, or unstable self-image, often associated with excessive self-criticism ~ Difficulty recognizing the feelings & needs of others ~ Interpersonal hypersensitivity (i.e., prone to feel slighted or insulted) ~ Perceptions of others tend to focus on negative attributes or vulnerabilities. Learn more about your ad choices. Visit megaphone.fm/adchoices

- Review common life skills Communication Skills - Types - Written - Nonverbal - Oral Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives ~ Review the function of mindfulness and a variety of mindfulness techniques ~ Explore the concept of relaxation ~ Identify different methods of relaxation Learn more about your ad choices. Visit megaphone.fm/adchoices

-Post-traumatic stress disorder: the neurobiological impact of psychological trauma Dialogues Clin Neurosci. 2011 Sep; 13(3): 263-278. https: //www.ncbi.nlm.nih.gov/pmc/articles/PMC3182008/ -This article lays out the many changes and/or conditions seen in the brain of people with PTSD. -As clinicians, awareness of these changes can help us educate patients about their symptoms and find ways of adapting to improve quality of life. Learn more about your ad choices. Visit megaphone.fm/adchoices

» Define grief » Conceptualize grief in terms of any loss » Identify how failure to deal with grief can impact a person » Explore the stages of grief » Review activities and interventions to help people grieve Learn more about your ad choices. Visit megaphone.fm/adchoices

» Review the symptoms of anxiety in adults and children » Explore the impacts of anxiety » Identify strategies for prevention and intervention Learn more about your ad choices. Visit megaphone.fm/adchoices

- Explore the function and impact of anger - Identify the types of threats that may prompt anger - ldentify different types of anger to include - Run of the mill anger - Irritation - Resentment - Envy/Jealousy - Guilt/Regret Learn more about your ad choices. Visit megaphone.fm/adchoices

-Identify signs of relationship insecurities -Explore how past relationships impact present relationships -Identify at least 5 interventions to address relationship insecurities Learn more about your ad choices. Visit megaphone.fm/adchoices

- Identify the characteristics of each dimension of temperament and how awareness of temperament can improve relationships. - Learn about love languages and how those can be used to enhance relationships. Learn more about your ad choices. Visit megaphone.fm/adchoices

» Learn about boundaries signs of violations and how to maintain them » Summarize the characteristics of healthy relationships Learn more about your ad choices. Visit megaphone.fm/adchoices

> Identify the function of negative self talk > Explain the benefits of positive self talk > Describe 15 methods for teaching positive self talk to people of all ages Learn more about your ad choices. Visit megaphone.fm/adchoices

» Define psychological flexibility » Explore how to apply psychological flexibility » Identify the shortcut question Learn more about your ad choices. Visit megaphone.fm/adchoices

-Review the cognitive triad -Identify ways to teach the following cognitive behavioral skills in group -ABC-DEs, Cognitive Restructuring, Unhooking, Psychological Flexibility Matrix Learn more about your ad choices. Visit megaphone.fm/adchoices

Overcoming hoarding, a mental disorder recognized by the American Psychiatric Association, requires more than pop psychology and a 30-gallon garbage bag. In the new book Conquer the Clutter, social worker Elaine Birchall, founder of the Canadian National Hoarding Coalition, and co-author Suzanne Cronkwright, provide practical strategies for regaining control. You can find Elaine at https://www.hoarding.ca to learn more and to buy her book. Learn more about your ad choices. Visit megaphone.fm/adchoices

~ Review the basics of psychodynamics ~ Phenomenological reality (autobiography) ~ Transference ~ Compare and contrast (are you safe now?) ~ Creating PACER safety and Mindfulness of the Present Learn more about your ad choices. Visit megaphone.fm/adchoices

Explore why it is important to envision a rich and meaningful life Identify how to envision a rich and meaningful life Learn how to set goals to achieve that rich and meaningful life Learn more about your ad choices. Visit megaphone.fm/adchoices

• Define vulnerabilities • Identify some of the most common vulnerabilities • Their effects • Ways to prevent them - Note: Each of the vulnerabilities has its own presentation. This section is designed to give you an overview and get you thinking about possible small changes that might have a big impact. Learn more about your ad choices. Visit megaphone.fm/adchoices

Mindfulness Overview - Differentiate between mindLESSness and mindFULness - Understand where mindLESSness came from - Define mindFULness - Explore ways mindFULness can help - Reduce emotional and physical distress and pain - Improve sleep - Improve Relationships - Explore activities that will help you - Become truly aware of your feelings, wants and needs - Develop skills that will help you observe, describe and participate Learn more about your ad choices. Visit megaphone.fm/adchoices

Review how tolerance develops Discuss the impact of addictive substances and behaviors on the brain and body Learn more about your ad choices. Visit megaphone.fm/adchoices

Review how tolerance develops Discuss the impact of addictive substances and behaviors on the brain and body Learn more about your ad choices. Visit megaphone.fm/adchoices

Types of Motivation * Motivation is essential for change * Motivation helps you identify why it is worth the effort to make a change * Motivation helps you keep going when the going gets tough * Change can be hard and uncomfortable * Motivation is different for different goals » Changing people, places and things « Motivation may decrease over time unless you actively maintain it * Going to meetings or counseling * Placing a priority on adequate quality sleep and stress management Learn more about your ad choices. Visit megaphone.fm/adchoices

Explore physical, affective, cognitive, environmental and relational triggers for both distress and happiness and discuss ways of mitigating the negative and enhancing the positive. Learn more about your ad choices. Visit megaphone.fm/adchoices

Enhancing Hardiness and Resilience Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Trauma can enhance feelings of disconnectedness, helplessness and anxiety. - Trauma impacts people emotionally, mentally, physically, interpersonally, occupationally - By helping people develop trauma resiliency we can assist them in preventing PTSD after a trauma and breaking the cycle of intergenerational trauma Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Anger is a natural emotion. It is designed to alert people that there MIGHT be a problem. ~ When people are vulnerable or learned maladaptive ways of dealing with anger or simply never learned healthy coping skills they can experience anger management problems ~ Excessive anger negatively impacts people emotionally, mentally, physically, socially, occupationally, legally and spiritually. ~ Effective anger management involves preventing vulnerabilities, being aware of and working on “sensitive areas” or “threat areas,” preventing anger whenever possible and developing immediate coping responses to deal with it when it occurs. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Supportive interventions are necessary to help people radically accept their feelings and situation and get into their wise mind. ~ Solution-focused interventions will help them address the situation and start moving forward to break the distress cycle. Learn more about your ad choices. Visit megaphone.fm/adchoices

Interview with Dr. Lindsay Weisner. Author of "Ten Steps To Finding Happy: A Guide to Permanent Satisfaction." The book is available for pre-order at: https://amzn.to/2wmCTcU Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Schema are lenses through which we predict and interpret situations - They are only as good as the knowledge and understanding of the situation - Schema often need to be altered as we gain new information Learn more about your ad choices. Visit megaphone.fm/adchoices