Treating Addictions With EMDR Therapy and the Stages of Change / Edition 1

by Nancy Abel LCSW, LADC, John O'Brien PhD

Overview

Mental health practitioners must be prepared to treat addiction-related issuesóaffecting up to 50% of mental health clientsówhether or not clients present with addiction as a primary concern. This practical roadmap to the treatment of addictions advocates an underutilizedóyet highly effectiveómethod of intervention: eye movement desensitization and reprocessing (EMDR) therapy. It is the first book to integrate the Stages of Change Model with EMDR's phases for successful treatment outcome. The book addresses the scope of problems relating to addiction, including relevant statistics and descriptions of substance and process addictions, and considers the connection between addiction and trauma. While focusing on the use of EMDR therapy in treating addictions, the book also considers traditional models for each stage of treatment so interventions can be individualized according to the needs of each client.

The authors describe in detail the Transtheoretical Model, tracing its development and theoretical foundations. They discuss each of its stages in depth, presenting and integrating EMDR interventions used by therapists in each stage. The interventions are useful for helping clients at any motivational level. Case vignettes in each chapter illustrate how EMDR techniques are used, and several detailed cases are provided at the end of the book. The appendix features additional resources and EMDR prools. The text will be useful for therapists currently using EMDR for addiction treatment as well as those using other modalities who are seeking an effective alternative.

Key Features:

•Provides a practical roadmap to using the Stages of Change Model and EMDR therapy for effectively treating addictions
• Addresses substance and process addictions in depth
• Focuses on the trauma√±addiction connection and treatment options
• Describes each Stage of Change and EMDR prools and interventions for each stage
• Includes case vignettes and detailed case examples

Product Details

ISBN-13:	9780826198563
Publisher:	Springer Publishing Company
Publication date:	06/26/2014
Edition description:	New Edition
Pages:	358
Product dimensions:	6.90(w) x 9.90(h) x 0.70(d)

About the Author

Nancy J. Abel, LCSW, LADC, is a licensed clinical social worker and a licensed substance abuse counselor with over 38 years of experience. She is in private practice in South Portland, Maine where she specializes in working with addictions, dual diagnosis, trauma and EMDR. Ms. Abel is an EMDRIA Approved Consultant.

John M. O’Brien, PhD, is in private practice in Portland, Maine since 1998. He specializes in the treatment of substance abuse, grief, trauma and gay/lesbian issues. Dr. O’Brien is Adjunct faculty member at the University of Maine, Augusta and is an EMDRIA-Approved Consultant who provides consultation on EMDR, CBT, DBT, and addictions treatment.

Table of Contents

Preface ix

Acknowledgments xiii

Introduction xv

1 Research Foundations and Theory

Introduction to Part 1 1

1 Eye Movement Desensitization and Reprocessing Therapy 3

2 Addictions 21

3 The Stages of Change 43

4 Trauma 61

5 Assessment of Addictions and Trauma 71

2 Clinical Implications and Practical Interventions

Introduction to Part II 89

6 The Stage of Precontemplation 95

7 The Stage of Contemplation 103

8 The Stage of Preparation/Determination 113

9 The Stage of Action 127

10 The Stage of Maintenance and Relapse Prevention 135

11 Relapse and Recycling 145

12 Treating Comorbid Trauma and Addiction With EMDR Therapy 151

Afterword 159

III Case Studies

Introduction to Part III 161

1 Dana: Consecutive Day EMDR 163

2 Joanner: A Traditional Case Involving Trauma and Alcoholism 171

3 Tina: Theraphy in Stages With a Traumatized Adolescent Marijuana Addict 177

4 Jack: the Sex Addict Who Wanted to Quit Smoking Cigarettes and Marijuana 181

5 Aidan: the Case of Addiction and Complex PTSD 185

6 Margo: the Client With Comorbid Alcoholism and PTSD 193

Conclusion 199

Appendix A Screening Tools 201

Appendix B Protocols 243

Appendix C Resources 309

Refernces 311

Index 335