When the Servant Becomes the Master A Comprehensive Addiction Guide for Those Who Suffer from the Disease, the Loved Ones Affected by It, and the Professionals Who Assist Them

ISBN-10: 1936290731
ISBN-13: 9781936290734
Edition: 2012
List price: $18.95
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Description: Even though he was a physician, Dr. Jason Powers knew little about addiction until he became a patient in rehab himself. While he had many ideas about addiction, few were accurate. His initial judgment was that he ended up in addiction treatment  More...

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Book details

List price: $18.95
Copyright year: 2012
Publisher: Central Recovery Press
Publication date: 4/20/2012
Binding: Paperback
Pages: 376
Size: 6.25" wide x 9.25" long x 1.00" tall
Weight: 0.990
Language: English

Even though he was a physician, Dr. Jason Powers knew little about addiction until he became a patient in rehab himself. While he had many ideas about addiction, few were accurate. His initial judgment was that he ended up in addiction treatment because he was broken; a moral failure. In rehab, he was informed that his addiction was actually a disease. Initially, he was skeptical—classifying addiction as a disease conflicted with his preconceived notions. In his search for understanding, Dr. Powers dove into gathering all available information about addiction and making sense of it. This book is the fruit of that labor; it is the result of a doctor's journey to answer the question, 'What exactly is addiction?'This is an inclusive volume that dispels misconceptions and covers a wide range of topics from: what addiction is, its dynamics, and neurochemistry, to drugs of abuse, treatment approaches, medications, and interventions, to relapse prevention, and process addictions, such as gambling, food, and sex. It provides an in-depth understanding of addiction as a progressive and chronic disease with striking similarities to many other illnesses such as heart disease and type 2 diabetes.Dr. Powers describes active addiction, treatment, and recovery in detail, from the scientific state-of-the art to the level of the individuals and families affected. His compelling analysis uses information derived from diverse sources to engage in a practical discussion of what works and what does not work. Enormous strides are occurring in how addiction is understood and treated. Medications that at one time had nothing to do with addiction are proving to have promising treatment applications. Behavioral disorders previously believed to be mere compulsions have been found to exhibit brain chemistry changes and other features remarkably similar to drug addiction.Professionals working closely with addicts have known for decades that addiction is a disease process, not a moral failing or character flaw. However, what has been observed in the addiction treatment community for many years has only recently been substantiated by science. Advancements in scientific imaging, brain research, and other medical breakthroughs have provided objective proof that, like many other chronic conditions, addiction is in fact a disease. The outdated and prejudicial view that addicts are people of weak character who chose to indulge themselves too much continues to be perpetuated. When the Servant Becomes the Master is an important step in the direction of correcting such misperceptions.

Jason Z. W. Powers is a board-certified Addictionologist and a board-certified Family Medicine physician. He is a Fellow of the American Society of Addiction Medicine and a Diplomat of the American Board of Family Practice. Dr. Powers is the Chief Medical Officer of TRS Behavioral, Inc., a company that includes The Right Step and Spirit Lodge chemical dependency treatment centers located throughout Texas and New Mexico. He is an interventionist and manages an outpatient addiction medicine practice as well. In 2007, 2008, and 2009, Dr. Powers was recognized by H Texas Magazine as one of the best addiction medicine doctors in Houston. In June 2010, he was named to the National Basketball Association's Network of Addiction Professionals. Since entering the field of addiction medicine, he has embraced nearly every aspect of the field and has readily been in demand as a national circuit speaker and expert for various local and national media outlets.

Acknowledgments
Foreword
ntroduction
The Disease of Addiction
Three Blind Men and the Elephant
Alcoholism Is an Addiction; Addiction Is Addiction
Addiction Defined
Recognizing Addiction
The Jury Is Still Out, or The Swinging Pendulum
Is It a Choice?
Genetic Factors in Addiction
All Diseases Have a Progression
The Progression of Addiction
Bad Behavior
Identifying the Sick Organ
Miseducation, Misinformation, Misunderstanding
Addiction Is Misunderstood by Healthcare Professionals
First Use Is Not to Blame
Are Addicts Less Compliant?
Treatment Effectiveness
Dispelling Myths
The Nervous System and Neurons
The Connection Between Drugs and Our Nervous System
Functional Divisions of the Cerebral Cortex
Neuroplasticity
The Brain
The Brain Disease
The Mesolimbic Dopamine System (MDS)
Drugs of Abuse
Alcohol
Barbiturates
Benzodiazepines
Amphetamines
Cocaine
Ecstasy
Caffeine
Opioids/Opiates
Inhalants
Hallucinogens
LSD
Peyote
Psilocybin
PCP
Ketamine
Dextromethorphan
Marijuana (Cannabis)
Nicotine
Gamma Hydroxybutyrate (GHB)
Anabolic Steroids
The Addiction Cycle
What Addicts Tell Themselves within the Cycle
Forming a Habit
One Thing Leads to Another
The Development of Addiction
1Finally Feeling "Normal" and Other Contributing Factors
Agent + Host + Environment = Recipe for Addiction
Co-occurring Disorders
Addiction Treatment Works
Psychosocial Treatments
Medical Treatments
What Are We Treating?
Not an Acute Illness
Why Are We Treating Addiction?
Treatment IS Effective
Treatment, Recovery, and Success
Treatment 101
Insurance Issues
A Variety of Options for Treatment
When to Start?
Medication Management Is One Piece
Too Much of a Good Thing?
A Higher Level of Complexity
Detoxification
Psychosocial Treatment Options
Residential Treatment
Partial Hospitalization/Day Treatment
Outpatient Treatment
Aftercare
Minnesota Model
Matrix Model
Brief Interventions
General Psychotherapy
Cognitive Behavioral Therapy
Motivational Interviewing
Contingency Management
Aversion Therapy
Twelve-Step Programs
Honesty
Hope
Faith
Courage
Integrity
Willingness
Humility
Reflection
Forgiveness
Acceptance
Spirituality
Service
The Development of the Twelve Steps
Celebrate Recovery
Smart Recovery
New and Existing Medical Treatments
Medications for the Treatment of Alcohol Addiction
Campral (Acamprosate)
Topamax (Topiramate)
Lioresal (Baclofen)
Zofran (Ondansetron)
Antabuse (Disulfiram)
Revia and Vivitrol (Naltrexone)
Combine Study
Medications for Opiate/Opioid Maintenance, Harm Reduction, and Treatment
Methadone
Suboxone and Subutex (Buprenorphine)
Naltrexone/Vivitrol
Ultrarapid Opioid Detoxification
Medications for Stimulant Addiction Treatment
Cocaine Vaccine
Chantix (Varenicline)
Summary
Intervention
The Intervention Process
On a Personal Note
Family Roles
Summary
Relapse Prevention
Defining Recovery and Relapse
Red Flags
Stress
Cues
The One Thing
Gambling, Food, and Sex: A Word on Process Addictions
Gambling
Food
Sex
Summary
Resources
Index

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