Addiction Counselling for beginners

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addiction counseling for beginners I was

thinking of becoming a counselor think

again sorry

it's tough

but the 30 counselors I trained only

eight are still working in a profession

response Angela counselors have to have

emotional stem as well as physical and

mental state al counseling's by far the

most demanding job I've ever done and

I've done some tough jobs right when I

did two years in the Army what happened

to the counselors who dropped out some

relapse back to their former addiction

even though I've always made a rule with

castle trainees are at least two years

clean from alcohol the drugs and all

Middleton prescription drugs before they

begin their training so why did they


perhaps they imagined that breaking on

the 12 steps weren't a with patience

meant that they didn't pay to work them

for themselves anymore as it is I

wouldn't have taken them on if they

hadn't been both intellectually bright

and emotionally stable I hope I am will

soon find out other casters further work

to tough addicts of all kinds from very

challenging as patients they wallow in

blame self-pity they're full of

expectations and demands

they know all the answers to everything

do you really want to do this work yes

yes I do I want to share my own benefits

of recovery if you're on a crusade save

the world forget it

I want professionals on my staff not

bleeding hearts that's very tough I have

to be tough this isn't our job my

addictions of relapsing condition some

addicts die former patients may know and

light but you didn't follow our

suggestions but many more of our pals

and patients would have died if they'd

not been through area it must be

wonderful to save lives

I have to keep my feet on the ground my

job as I see it is to generate the ideas

and activities that the most life is

indeed to long-term recovery surely the

12-step program does that yes it does

but the purpose of a rehab is to get a

larger number of people into recovery

than would be the case if they simply

attended the anomaly's fellowships so

how many people do you get better

the recovery rate of rehabs on their own

without continuing regular attendance at

the Fellowship's afterwards is zero as I

said patients have to follow our

suggestions about what to do after they

leave me but it must be very difficult

to you and the other staff when former

patients die if you can't take the heat

in this particular profession you

shouldn't be in this kitchen

I just don't know yet that's fair enough

but perhaps you will understand if I do

everything I can to discourage you from

working in this field I don't want you

or the patients to be damaged nor do I

but as an addict myself I thought my

experience would be valuable if you

weren't an addict I wouldn't even have

interviews our patients wouldn't trust

anyone other than other addicts surely

they have to trust doctors nurses

psychologists so that's different

I've had many of those professionals of

my staff but they played no part in the

group work that's the essential therapy

their function was tended to do their

primary work can provide information our

patients would have run rings around in

group or in individual counseling


to help to establish the first MSC

training course in addiction psychology

yes I did but that gives only a paper

qualification like my medical degrees

he doesn't guarantee the only thing that

really matters

what's that talent a natural skill how'd

you get that you have to be born with

this training horses can improve it but

they can't give it to whoever Gossage in

the first place do you think I've got it

tell me what you've done in a creative

particle time

have you written a book played a musical

instrument find a mountain or composite

Olli I played the drums in a pop band

wonderful that's just with anything you

have something to say in life the edits

we have a specialist will respect that

why because addicts tend to be highly

creative people often imagine that's it

creative people become edits it's the

other way around when you're born into

an addicted family the world doesn't

make sense say it's to counter-attack

learn whatever survival skills you can

and that makes you highly creative my

family's totally nuts dad's all of this

mum takes her little helpers and my

sisters bulimic that's exactly the

background configuration I'm looking for

you'll have the instinctive

understanding needed for this work but I

shall not be getting you to work with

families why not surely with my family

background I can tell other families

what to do or not to do that's exactly

what we're wearing

families need to be given basic

information about a dig disease recovery

but most of all they need to be

understood and supported little what

they're trying to do I can do that you

are not old enough to affect a personal

experience of disaster and despair that

you need what we have helped families

other Haddie's will listen to you and

this would not forget about so what

should I do

for the first three months sitting and

say nothing at all and don't know if you

can observe him here should be easy


wait and see after each group I should

ask you what you saw I need to hear from

you what it didn't tap as well as one

then announce look for the nonverbal

communications how do I do that

by learning not to look at the speaker

here and see all the psychological games

the patient's playing pay attention to

the quiet ones as well as the noisy

looks be aware of what's happening

beside you as Webb's on the other side

of the group the whole purpose of a

group is to get the patients to talk to

each other

you can learn how to achieve that with a

simple hand gesture if not rather put

the counselors job is to guide the

traffic get everyone involved the

imaginative and watch the clock the

whole art of run your group is to keep

it moving and make sure that everyone is

involved and has the opportunity to say

something otherwise it is a group

therapy at all is a series of one-to-one

sessions and a group setting that's

totally an effective

and it said to learn to work with each

other as preparation for long-term

attendance at meetings and enormous

fellowships but do you do one two ones

at all yes I don't know it is but I

learned everything in group counselors

who don't have group skills really don't

know what they're doing in one to ones

patience a very complex features that

sounds scary in unskilled hands

group therapy psycho drama or any other

practical therapeutic processes such as

the stroke therapy EMDR can be dangerous

I don't know if I can do that that's why

I want you to get special training in

those therapeutic approaches and also in

choice theory transactional analysis

mindfulness and positive psychology and

we can discuss any other therapeutic

approach that particularly interests you

a huge amount to learn thanks Lee is a

profession not a game now you know why I

wanted to find out what natural skills

you have what about cognitive behavioral

therapy that everyone

the doctors love it because it enables

them to show patients how clever they

are as far as patients are concerned CBT

is a wonderful therapy and it's think

perfectly well and do well at times our

problem has a days is enough feeling

brains we therefore need feeling

treatments but you don't like

pharmaceutical drugs I certainly don't

they stop feeling stone-dead I think the

human brain functions perfectly well

without them particularly in an

emotionally supportive environment but

my rehab you stuck with people on

antidepressants and mood stabilizers as

well sometimes because they have dual

diagnosis medical insurance companies

usually cover depression but not

addiction so patients may be given a

dual diagnosis instead of the rehab

Gafsa color also doctors will often

prescribe drugs so that they can't be

blamed if something does go terribly

wrong for doing nothing that's their job

to prescribe drugs isn't it that's not

the way I would look at it in my

clinical experience pharmaceutical drug

addiction is the most challenging

addiction of all because the patient has

the cast iron rationalization my doctor

gave them to me

detoxification from pharmaceutical drugs

is fiendishly difficult physically and

emotionally and the ultimate designer

drugs other pharmaceutical drugs are

difficult to come off tranquilizers

sleeping tablets methadone bangles

antidepressants which are sometimes used

in the treatment of eating disorders or

in involution or melancholia are also

highly addictive to addicts on earth is

involution or melancholia

it's what other people might call

depression I use the term evolutional

melancholia when I am turning in on

itself and misery to make people stop to

think before automatically giving or

taking pharmaceutical drugs

I'd heard you don't like drugs at all

I like drugs for physical problems they

save lives and I like psychiatric drugs

initially for acute psychosis but I

certainly don't like tranquilizers

antidepressants or sleeping tablets

there are better ways of treating

emotional problems or by using drugs

that are highly addictive to people like

us who have addictive natures

what about addictive behaviors such as

gambling or exercise or shopping and

spending or sex and love addiction

alcoholism or Internet addiction I

created the first rehab in the UK

impossibly anyway the treat all those

addictive behaviors as well as the first

in the UK to treat eating disorders

alongside alcohol and drug problems

patients usually have a range of

addictive behaviors

I thought anorexia was the most

challenging compulsive behavior anorexia

certainly is challenging because of the

double negative how do you get someone

not to not do something and I gather

you're anti smoking by certain ear

addicts who smoke and double the relapse

rate of non-smokers but many rehabs

treat only drug addicts and alcoholics

real houses say they don't treat eating

disorders and other addictive behaviors

are simply neglecting those brands and

the patient's in front of them my

sponsor naa told me not to give up

smoking straight away and not bother

about other addictions don't drink and

go to meetings with the mad regime

recited every day

that's an excellent beginning but

there's no point in giving up one

addiction and then picking up another we

need to be absolutely right across the

board if we're to reduce relapse rate

and achieve full spiritual recovery no

wonder they call you a maverick huh I

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