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Glossary of Terms

Sunspire Health Network


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GLOSSARY OF TERMS

12-Step Treatment

At Sunspire Health, we value the tremendous inspiration and support provided by the 12-step movement, which began with Alcoholics Anonymous and Al-Anon, and later inspired groups such as Narcotics Anonymous and Gamblers Anonymous. At Recovery Road, you will participate in discussions about the teaching of the twelve steps. If you choose, you can attend local meetings of 12-step groups. Because these groups are active across the country, you will be able to gain strength and hope from them for years to come, wherever you live or work.

Addiction

Addiction is a primary, chronic disease of brain reward, motivation, memory and related circuitry. Dysfunction in these circuits leads to characteristic biological, psychological, social and spiritual manifestations. This is reflected in an individual pathologically pursuing reward and/or relief by substance use and/or other behaviors.

Anger Management (SAMSHA Model)

This treatment model is a combined CBT approach that employs relaxation, cognitive, and communication skills interventions. It presents group participants with options that draw on these different interventions and then encourages them to develop individualized anger control plans using as many of the techniques as possible.

Art and Music Therapy

Sometimes, emotions simply can't be communicated verbally. But picking up a paintbrush, drawing in a sketch pad or molding a piece of clay may bring feelings and thoughts to the surface that you’ve been unable to express in the past. We offer art therapy for this very purpose; to help you deal with unexpressed feelings in a positive way that does not involve relying on alcohol, chemicals, or other addictive behaviors.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors. By exploring patterns of thinking that lead to self-destructive actions and the beliefs that direct these thoughts, people with mental illness can modify their patterns of thinking to improve coping. CBT is problem-focused, and goal-directed in addressing the challenging symptoms that patients bring to treatment.

Cognitive Processing Therapy (CPT)

Trauma often causes people to struggle with their memories and thoughts about the event. You may have a hard time making sense of what happened. You may find yourself getting "stuck" in your thoughts about the trauma and how it affects your life. This feeling of being unable to make sense of the trauma can make you want to avoid thinking about or dealing with your memories.

Cognitive Processing Therapy (CPT) helps you by giving you a new way to handle these distressing thoughts and to gain an understanding of these events. By using the skills learned in this therapy, you can learn why recovery from traumatic events has been hard for you. CPT helps you learn how going through a trauma changed the way you look at the world, yourself, and others. The way we think and look at things directly affects how we feel and act.

The four main parts of CPT:

  • Learning About Your PTSD Symptoms.
  • CPT begins with education about your specific PTSD symptoms and how the treatment can help. The therapy plan will be reviewed and the reasons for each part of the therapy will be explained. You will be able to ask questions and to know exactly what you are going to be doing in this therapy. You will also learn why these skills may help.
  • Becoming Aware of Thoughts and Feelings.
  • Next, CPT focuses on helping you become more aware of your thoughts and feelings. When bad things happen, we want to make sense of why they happened. An example would be a Veteran who thinks to himself or herself, "I should have known that this would happen." Sometimes we get stuck on these thoughts. In CPT you will learn how to pay attention to your thoughts about the trauma and how they make you feel. You'll then be asked to step back and think about how your trauma is affecting you now. This will help you think about your trauma in a different way than you did before. It can be done either by writing or by talking to your therapist about it.
  • Learning Skills.
  • After you become more aware of your thoughts and feelings, you will learn skills to help you question or challenge your thoughts. You will do this with the help of worksheets. You will be able to use these skills to decide the way YOU want to think and feel about your trauma. These skills can also help you deal with other problems in your day-to-day life.
  • Understanding Changes in Beliefs.
  • Finally, you will learn about the common changes in beliefs that occur after going through trauma. Many people have problems understanding how to live in the world after trauma. Your beliefs about safety, trust, control, self-esteem, other people, and relationships can change after trauma. In CPT you will get to talk about your beliefs in these different areas. You will learn to find a better balance between the beliefs you had before and after your trauma.
Community Activity

Once a week, our residents have the opportunity to go on an outing of their choice. These supervised excursions give each woman time to get away and have fun outside of the recovery program. Community activities allow our clients to explore the local area, and make their experience at Hyde Park a more enriching and rewarding one.

Community Reinforcement and Family Training (CRAFT)

Community Reinforcement and Family Training (CRAFT) teaches family and friends effective strategies for helping their loved one to change and for feeling better themselves. CRAFT is a skills-based program that impacts families in multiple areas of their lives, including self-care, pleasurable activities, problem solving, and goal setting. At the same time, CRAFT addresses their loved one's resistance to change. CRAFT teaches families behavioral and motivational strategies for interacting with their loved one.

Dialectical behavior therapy (DBT)

DBT is a therapy designed to help people change patterns of behavior by learning about the triggers that lead to reactive states and helping to assess which coping skills to apply in the sequence of events, thoughts, feelings, and behaviors to help avoid undesired reactions. DBT assumes that people are doing the best they can but are either lacking the skills or influenced by positive or negative reinforcement that interfere with their ability to function appropriately.

Group Therapy

Dealing with substance abuse, eating disorders and trauma can be a lonely and isolating experience. Through group therapy, our clients discover that they’re not alone. During these sessions, patients have the chance to explore the issues that brought them to Hyde Park, guided by a trained therapist and supported by a group of their peers who are all working toward the same goals.

Illness Management and Recovery (IMR)

Illness Management and Recovery is an evidence-based program designed to help patients with mental illness develop the skills and resources they need to cope effectively with symptoms and to maintain independence. The model teaches patient-specific coping tools and to help patients to be more independent. It teaches patients to better cope with problems and symptoms, to cope with stress, medication effectiveness, and reducing relapses.

Intervention

Women who are struggling with chemical dependency or an eating disorder need to get help right away. Yet they may not realize they have a problem, or may not want to change their behaviors. Intervention is a process through which concerned family members and friends can guide their loved one into treatment. Our trained therapists will facilitate the intervention, helping women who are at risk move past the denial and fear so they can get the care they need to overcome their addiction or eating disorder.

Learning new ways to deal with your trauma

You and your therapist will work together to help you learn a new way of dealing with your trauma. In CPT you will work closely with your therapist to reach your goals. You will be meeting with him or her on a regular basis for 12 sessions. During your therapy you will also have the chance to practice your new skills outside of your therapy meetings. The more you practice your new skills, the sooner they will begin working for you. By choosing to approach your experiences in a new and different way, you will be able to decide how your past affects your future. CPT has been shown to be one of the most effective treatments for PTSD. For this reason, the VA's Office of Mental Health Services has rolled out a national therapist training program. VA therapists throughout the country will be trained in how to use CPT treatment. These therapists will also consult with CPT experts to learn how to best provide this therapy. Then they will be asked to use CPT in their routine clinical care.

Medication Assisted Therapy (MAT)

is the use of medications, in combination with counseling and behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders. Research shows that when treating substance-use disorders, a combination of medication and behavioral therapies is most successful. Medication assisted treatment (MAT) is clinically driven with a focus on individualized patient care.

Mindfulness

Mindfulness is a state of active, open attention on the present. When you're mindful, you observe your thoughts and feelings from a distance, without judging them good or bad. Instead of letting your life pass you by, mindfulness means living in the moment and awakening to experience.

The practice of mindfulness promotes resilience, psychological flexibility or psychological hardiness, manages stress, and increases emotional intelligence which is linked to many support factors. Some techniques we may use:

  • Hallowed Observer (exploring thoughts without resistance)
  • Check in's (Emotional, Physical, Mental, Spiritual)
  • Breathing exercises
  • Guided meditations
  • Nature-focused meditations
  • Loving-kindness mediations
  • Traditional mediations
  • Walking meditations
  • Mindful eating
  • Relaxation training
Motivational Enhancement Therapy (MET)

is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and stopping their drug use. This approach aims to evoke rapid and internally motivated change, rather than guide the patient stepwise through the recovery process. This therapy consists of an initial assessment battery session, followed by two to four individual treatment sessions with a therapist. In the first treatment session, the therapist provides feedback to the initial assessment, stimulating discussion about personal substance use and eliciting self-motivational statements. Motivational interviewing principles are used to strengthen motivation and build a plan for change. Coping strategies for high-risk situations are suggested and discussed with the patient. In subsequent sessions, the therapist monitors change, reviews cessation strategies being used, and continues to encourage commitment to change or sustained abstinence.

This approach has been used successfully with people addicted to alcohol to both improve their engagement in treatment and reduce their problem drinking. MET has also been used successfully with marijuana-dependent adults when combined with cognitive-behavioral therapy, constituting a more comprehensive treatment approach. The results of MET are mixed for people abusing other drugs (e.g., heroin, cocaine, nicotine) and for adolescents who tend to use multiple drugs. In general, MET seems to be more effective for engaging drug abusers in treatment than for producing changes in drug use.

Narrative Therapy

is a form of psychotherapy that seeks to help people identify their values and the skills and knowledge they have to live these values, so they can effectively confront whatever problems they face.

Physical Fitness and Leisure Activities

Exercise improves your mood, reduces worry and anxiety, boosts self-esteem and provides you with more physical and emotional energy. Whether you have always enjoyed working out in the past or not, we invite you to join us at a local gym several days a week for cardiovascular exercise (running, biking, swimming or weight training) or other activities such as stretching, sit-ups, push-ups and pull-ups. Staying physically fit will help you succeed in your lifelong journey of sobriety.

Psychodrama

Psychodrama is a creative form of therapy that uses guided dramatic activities to help women explore their problems or unresolved issues. Through role-playing and other experiential techniques, clients gain a clearer perspective on conflicts, and learn how to express feelings they may have found difficult to release in the past.

Rational Emotive Behavior Therapy (REBT)

Psychodrama is a creative form of therapy that uses guided dramatic activities to help women explore their problems or unresolved issues. Through role-playing and other experiential techniques, clients gain a clearer perspective on conflicts, and learn how to express feelings they may have found difficult to release in the past.

Seeking Safety

Seeking Safety is a present-focused treatment for clients with a history of trauma and substance abuse. Seeking Safety focuses on coping skills and psychoeducation and has three key principles: (1) safety as the overarching goal (helping clients attain safety in their relationships, thinking, behavior, and emotions); (2) integrated treatment (working on both posttraumatic stress disorder (PTSD) and substance abuse at the same time); (3) a focus on ideals to counteract the loss of ideals in both PTSD and substance abuse.

Solution-Focused Therapy

a goal-directed collaborative approach to psychotherapeutic change that is conducted through direct observation of patients' responses to a series of precisely constructed questions.

Spiritual Support

Spirituality and religion are very personal matters that, for some, are a source of great strength. You may want to integrate your spiritual or religious tradition into your life at Recovery Road, and we will support you in making this a natural part of your routine. However, if you are not religious or focused on a particular spirituality, you are under no pressure to practice a spiritual discipline or attend religious services or discussions.




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