work in progress last update 3/20/2026

Intensive Addictions program (IAP)
Relapse Prevention: Problem solving	Society is not good at problem solving.
	1. identify the problem: key word “exactly”. Negative consequence of it. Example: Pot smoking is causing me trouble.
	2. Clarify the problem: Who, what, when, Where, How, and Why of the problem.
	3. Identify alternatives: Can it be solved? Do nothing? Move/expand? Resechedule?
	4. Examine alternatives: Whe it is best thing that can happen? What is the worst thing that can happen? What is most likely to happen?
	5. Decision: commit or cancel.
	6. Action: Do it. “Easy does it, but do it”.
	7. Evaluation: Did it work? (solution)
Relapse Process	Relapse is a return to old behaviors, process of return back to use. Event- Thought- Behavior.
Symptoms of beginning to Relapse	1. Triggers: internal or External. Internal: emotions, Fear, self-pity. External: smells, commercials, people, places, and things.
	2. High Risk Situations: Red Zone, Bars, Family, Friends, Clubs, Dates, holidays.
Peronality Traits that lead to relapse	1. compulsiveness. Perfectionism
	2. Dependency- indecidive, clinging, then go back to drugs when people abandon them.
	3. Passive Aggressive- resistive, procrastination, blaming.
	4. Self-Centeredness: egotistically, pushy, not admitting they are or have a problem.
	5. Rebelliousness: impulsive, anti-social, resentful, resistive to help.
Relapse Prevention	1. Define relapse: return to thoughts, feelings, and behaviors.
	2. Define Prevention: measure you take not to start.
	3. Relapse warning signs: attitude, denial, overconfidence, bored.
	4. Recognition High risk situations: bars, reminders, weddings, concerts, clubs, parties.
	5. Triggers: internal and external events, these bring back memories and times.
	6. Preparing for relpase in Advance: Plan, Awereness/mindfulness, have a good daily schedule, role play. Get treatment, rehearse.
	Maintain a balanced lifestyle, walk, work, talk, rest, recreation.
Definitions:
Peer Group:	A group of residents assigned to some primary conselor, with the purpose of establishing truth and honesty.
Personalizing:	A tendency to be incorrectly think the actions or statements of others are personal attacks.
Education: recovery is an inside job. Drug use and HIV	Substance Use and Abuse, HIV/AIDS
early 2000.	Handle one disease at a time: first substance abuse, then HIV.
	Handle the stress, anxiety, depression, remove drugs and alcohol to boost immunity and lessen HIV.
	Laughter is also helpful for the immune response.
	Anticipation of the virus causing health problems is worse than HIV itself.
	Immune response is higher in homosexuals than it is in IV drug users like heroin addicts.
	AZT- RNA to DNA anti-transcript HIV in the DNA. T4 cell macrophages to fight HIV.
	Asymptomatic: no sign of the disease
Today:	We have anti-virals that can kill the virus, or make undetetable.
Marijuana:
THC (Tetro hydro Cannabol)	Active ingrediant that is Fat soluble. Can hang out in fatty tissues like brain, adipose, reproductive organs.
	Smoking it is immediate effect can last 45 to 1 hour peak and then taper off for 3 to 4 hours.
	Ingesting: takes about 30-40 minutes for effect. 1.5 hour peak, 5-6 hour lowered effect.
	Changes how you feel: euphoria, “high”, with an altered sense of time and space.
	Effects: red eyes, dry mouth, sweating, coordination problems, paranoia, drowsy, strong appetite, palpatations.
	Addictive: physical addiction: Withdrawl: headaches, irritable, sleep disorders, appetite changes, cravings.
	Tolerance: heavey users have higher tolerance.
	Fat Soluble: Brain is 1/3 fat and our reporductive organs, it can stay in placenta and sperm. Infertility can occur.
	Cancers: Head, neck, and lungs most common.
	Psychological: can cause emotional bubbles, addictive behavior within self, not care of others and society barriers.
	Health: cause sinus and respiratory/pulmonary issues.
Alcohol	Alcohol is a depressant
Factors that influence a persons reaction to alcohol:	1. Body Weight
	2. Age
	3. Gender. Females have less enzymes
	4. Food in Stomach or not.
	5. Guzzling
	6. Tolerance
	Alcohol is a protoplasmic poison, it is one of the oldest substance that is pre-biblical.
	Effects the muscles, respiratory, nervous, and digestive systems strongly
	Alcoholism is a progressive to chronic to a potentially fatal disease.
	Fetal Alcohol Syndrome (FAS): baby has low birth weight, facial features, arrested brain growth.
	Effects to society is car accidents, fights, theft, death.
	Liver and Brain and the organs strongly affected.
	Alcohol lowers your inhibitions: things you wouldn’t do sober, you would do when you are drunk.
	Alcohol irritates the lining of the stomach mucin.
	Medications and Alcohol often have a synergism and can make medicine stronger and dangerious. With a CNS depressant is very harmful.
	Malabsorption syndrome in alcoholics, non-absorption of vitamins and minerals for the body.
	Othe rhealth problems: Hepatitis, pancreatitis, gastritis, ulcers, Insulin resistance, diabetes, Bile, Jaundice, Cirrosis,
	including Albumin (maintain health cells), globulin (protect from infections), Fatty acids/Trigylcerides, fatty liver, Hyper/hypo-glycemia, Gout, Thrombosis,
	more: heart conditions like myocarditis, heart beat irregularities, high blood pressure, Kidney disease, bladder, prostate issues.
Narcotic Medications
	O.T.C. (Over the counter)
	Analgesic: pain killers with or without a loss of consciousness
	Narcotics: need a prescription. Habit forming, drug that dulls the senses, relieves pain, induces sleep.
	Medicine: substances used for treatment or prevention of deisease
	Opium Poppy: Demerol, morphine, codeine, Delauded, Percocet.
	Syntheitc: methadone
	Opiates have been around since 3rd centry: Galen, Paracles “laudnum”, Opium.
	Somatic: for bones, muscles, pain.
	Visceral: pain from organs, tissues of the body
	Introvert/extrovert: degree where the pain occurs.
	Nociecrpters: receptors to pain
	Thalamus: brain pain terminal
	Anxiolytics: anxiety drugs
Tobacco use:	It takes 7 to 8 attempts to quit smoking
	tobacco is a 5.2 billion dollar industry (2003)
	50 million people in the USA smoke
	Diseases: COPD, Lung Cancer, Heart Disease
Hallucinogens and PCP	LSD: thought process distorted, potent. Take in micrograms, lasts 8 to 12 hours.
	Ecstacy: stimulant effect, neurotoxin.
	PCP- distorted thoughts, anasthesia
	Mushrooms/Mescaline: change in perceptiopns, sensory overload, increase heart rate, BP, sweating, dry mouth, dilated pupils,
	senses heightened, switching of senses. “Trails and Flashbacks”.
Stimulants	Speed, Uppers, Cocaine, Amphttamines, crystal meth.
	Stimulate the CNS, spine, brain, peripheral and autonomic nervous system.
	Fetus: spontaneous abortion, fetal death, premature labor, still born
	Stimulants associated with weightloss suppress the appetite, burn calories, energy.
	Physical effects: hunger, fatigue, chemical dependency, loss of sleep.
	Psychological effect: dopamine, the pleasure neurotransmitter is weakend for the fake drug dopamine
	adrenaline: adrenal burn-out, fake energy over real adrenaline energy
	Serotonin” lack of emotional stability from normal serotonin.
	TX: SSRI: serotonin reuptake inhibitor usually prescribled.