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Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-t... Live Webinars $5/hour https://www.allceus.com/live-interact... Patreon: / counselortoolbox Help us keep the videos free for everyone to learn by becoming a patron. Pinterest: drsnipes Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at: https://www.allceus.com/member/cart/i... AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals. Understanding Triggers and Cravings. Brain Changes: Prefrontal Cortex The prefrontal cortex (PFC) allows the individual to plan and execute goal-directed behaviors as a function of changing internal needs Imaging studies implicated disruption in multiple regions of the PFC This may underlie the inflexible behavior when faced with conditioned cues disruption in inhibitory control that results in impulsivity and poor control over behavior in addicts, impaired decision making impairment in internal awareness and error detection Neuroplastic changes triggered by repeated drug use Definition of AddictionAmerican Society of Addiction Medicine The Addictive Process Introductory phase Maintenance phase Disenchantment phase Disaster phase Conditioning Cognitive ProcessBeginning Stages of Addiction Cognitive ProcessDisenchantment Stimuli/Triggers and Generalization Engaging in a behavior that produces dopamine release produces a reward, so you are likely to do it again. Generalization occurs when a reminder (stimulus) for the behavior occurs in different settings Drink with friends euphoria At a social event want to relax drink Feeling stressed drink to relax With friends who drink drink Gators Win --Gators Lose -- Gators Off Progressive Phases of Addiction Introductory Maintenance Disenchantment Disaster Stages of Recovery Withdrawal Lasts 1 to 2 weeks Craving Depression Low energy Difficulty sleeping Increased appetite Difficulty concentrating Anxiety Irritability Honeymoon (Pink Cloud) Lasts about 4 weeks Increased energy, enthusiasm, and optimism People often feel they are "cured" when they reach this stage Family members often view this as the beginning of a relapse Often coincides with discharge from residential The Wall Lasts about 12 to 16 weeks Hardest stage of recovery (Reconditioning) Depression Irritability Low energy Loss of enthusiasm Anxiety Easily overwhelmed Body and brain still recovering from effects of substances High risk of relapse Readjustment 8 weeks or longer The person in recovery and the family begin returning to more normal lifestyle After extended abstinence, the person in recovery and family members begin working on marital, emotional, and psychological issues that will strengthen the family Relapse Issues for People in Recovery People Places Things Times Activities Feelings Lack of self care CTRL-ALT-Delete Summary Addiction causes changes in the brain Using produces feelings of escape or euphoria which become associated with people, places and things. When exposed to those people, places or things, people may begin to have cravings When faced with unpleasant emotions or situations, people may also have cravings Recovery involves creating new associations and developing new ways to feel good and deal with stress.