DUAL DIAGNOSIS Lecture notes; Terry Gorski Nov 2007

-name heroin came from term HEROINE which was the drug that saved folks from pain

-ADLER= we are programmed to be goal directed

-advanced addiction therapy =looking at family of origin issues and how it makes you miserable in early years of sobriety

-biology affects psychology affects social part of brain

-primary damage of addiction occurs in the brain

-ALCOHOL is a deadly nerve toxin that damages the brain

-drugs shut down the prefrontal cortex function of brain

-HIGH= increased pleasure chemicals and decreased warning chemicals\

-there is a survival hierarchy

-fight flight freeze

-to the addict to medicate is the 4th strategy

-it takes intense training to overcome this

-Survival response kicks in before thinking response kicks in

-behavior with urges and actions

– Impulse control is putting space between urge and action

-immediate stress response training is essential

-addicts have personality disorganization

-normal brain response= you feel what the drug was designed to make you feel

-addictive brain response= you feel a euphoric version of what the drug was designed to make you feel plus you experience tolerance

-if you have never had an addictive response you have no idea what an addict feels anymore than a man can understand what it is like to give birth