Addictions

 “Dr. Ray presented a great deal of information in a very organized manner and was gracious in answering questions. I look forward to attending more seminars with her! I learned more about the prescriptions used to treat addictions, such as naltrexone.”-Linnea T., Colorado

In this program I will review the conceptualization of addiction, including the biological bases for how alcohol and drugs alter the brain. I will then discuss evidence-based treatments for addiction, including pharmacological and psychosocial treatment options. I will review their evidence-based as well as provide practice advice on their implementation. Then, I will discuss the latest developments in substance use disorders, including vaping, cannabis use legalization, and the opioid epidemic. I will conclude by reviewing a host of free resources for evidence-based practices in addiction, primarily those offered by the National Institutes of Health. I will conduct this seminar by combining lecturing, question & answer periods, videos, and polling tools to engage the audience.

Motivational interviewing (MI), as a counseling style, has been shown to be effective with a wide variety of problem behaviors such as substance abuse, adopting healthy behaviors (eating, exercise),treatment adherence and compliance, and other psychological problems. Because of this MI in increasing in popularity. Many practitioners from diverse backgrounds are integrating MI into their clinical repertoire.

This webinar will build on the “Fundamentals of Motivational Interviewing” by introducing participants to the specific application of MI to clinical challenges encountered when clients are less ready to change. After a brief review of the foundational concepts, principles and processes of MI, participants will be introduced to MI consistent strategies to address these common clinical challenges. Each challenge will be briefly discussed followed by proposed MI consistent strategies. The webinar will conclude with a brief overview of the evidence base for MI. Participants are encouraged to have completed the Fundamentals of Motivational Interviewing webinar prior to this one.

In this program I will teach clinicians about the foundations of Cognitive behavioral therapy for alcohol use disorder. I will then teach how these principles are applied to session by following an established (and publicly available) CBT manual for alcohol use disorder. I will review the treatment goals and techniques required to implement the CBT protocol with the highest fidelity. I will discuss each of the seven core sessions (including handouts) in the CBT program:
 

Session 1: Introduction to Coping Skills Training
Session 2: Coping with Cravings & Urges to Drink
Session 3: Managing Thoughts About Alcohol & Drinking
Session 4: Problem Solving
Session 5: Drink Refusal Skills
Session 6: Planning for Emergencies & Coping With a Lapse
Session 7: Seemingly Irrelevant Decisions
 

I will then review the optional sessions and I will conclude by reviewing a host of free resources for evidence-based practices in addiction, primarily those offered by the National Institutes of Health. I will conduct this seminar by combining lecturing, question & answer periods, videos, and polling tools to engage the audience.

“Excellent, the Professor is an expert in the field and answered my many questions. Could not be improved..”-Eric B., Licensed Professional Counselor, New York

It is estimated that roughly 80% of clients who enter treatment are ambivalent about changing their behavior. Motivational interviewing (MI) is an intentional, client centered approach for facilitating increases in motivation for behavior change by assisting clients in exploring and resolving ambivalence. MI, as a counseling style, has been shown to be effective with a wide variety of problem behaviors such as substance abuse, adopting healthy behaviors (eating, exercise), treatment adherence and compliance, and other psychological problems. Thus, mental health workers from various backgrounds practicing in a variety of settings are beginning to integrate MI into their clinical repertoire. 

This introduction to MI will acquaint the audience with basic concepts and methods of MI. As such participants will be exposed to the foundational concepts including the “spirit,” principles and processes of MI that can be integrated with one’s approach to counseling and psychotherapy. Building on this foundation the foundational philosophy and active principles will be discussed with emphasis on MI’s unique focus on increasing change talk and reducing talk maintaining the status quo. The webinar will conclude with a brief overview of the evidence base for MI. 

The relationship between trauma and addiction is becoming increasingly well established in the literature. This is no surprise, as clinicians working “in the trenches” know all too well that people with unresolved trauma and emotional wounds often turn to substances as a way to “numb out,” forget, or otherwise self-medicate to regulate their emotions. Conversely, people with addictive behavior disorders may drive while impaired, gravitate towards toxic relationships, go to dangerous places to get their substance of choice, or engage in many other behaviours that increase their risk of being traumatized and their vulnerability factors for developing PTSD or other trauma and stress related disorders.  It is also known that when cooccurrence is involved, this presents clinicians with a more complicated course of treatment and less favorable treatment outcomes that when clients present with only one or the other.
 

The good news is, there is hope! While neuroscience has taught us much about this phenomenon in recent years, evidence-based Cognitively based treatments are still being shown to  be at least as effective as many “newer” approaches, and in some circles seem to have almost gotten lost in the shuffle. 

Recent protocols have attempted to incorporate PE (prolonged exposure) and other cognitive behavioral treatments with substance use disorder treatments. While further research is needed in this area, the mandate for integration of treatments when dealing with this population seems integral to obtain more favorable outcomes for individuals with these complex conceptualizations.
 

Leave this full-day online training let by international CBT expert Jeff Riggenbach, PhD, with an improved understanding of the neuroscience of trauma, a integrated approach to treating PTSD and addictions, and armed with a plethora of evidence-based, yet practical new tools to equip and empower this group to find levels of recovery that have previously been eluding them!

"I really enjoyed Dr. McDuff's presentation style and was impressed with the clarity of his explanations."-Larry D., Psychologist, New Mexico 

Substance abuse is one of the most common clinical problems of patients who present for treatment.  These patients struggle with a life threatening, clinically complex problem that is subject to a variety of physiological and psychological factors.  This webinar will focus on treating people plagued by complex additions issues.  You will learn about the risk and protective factors related to addiction.  There will also be useful suggestions for assessing and treating addicted patients.  Adolescent addiction will be discussed.  There will also be material on motivational interviewing and effective stress control.

"I really enjoyed Dr. McDuff's presentation style and was impressed with the clarity of his explanations."-Larry D., Psychologist, New Mexico 

Substance abuse is one of the most common clinical problems of patients who present for treatment.  These patients struggle with a life threatening, clinically complex problem that is subject to a variety of physiological and psychological factors.  This webinar will focus on treating people plagued by complex additions issues.  You will learn about the risk and protective factors related to addiction.  There will also be useful suggestions for assessing and treating addicted patients.  Adolescent addiction will be discussed.  There will also be material on motivational interviewing and effective stress control.

"I really enjoyed Dr. McDuff's presentation style and was impressed with the clarity of his explanations."-Larry D., Psychologist, New Mexico 

Substance abuse is one of the most common clinical problems of patients who present for treatment.  These patients struggle with a life threatening, clinically complex problem that is subject to a variety of physiological and psychological factors.  This webinar will focus on treating people plagued by complex additions issues.  You will learn about the risk and protective factors related to addiction.  There will also be useful suggestions for assessing and treating addicted patients.  Adolescent addiction will be discussed.  There will also be material on motivational interviewing and effective stress control.