What is an effective way to share DBT tools & strategies with adults with PTSD and substance abus...

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What is an effective way to share DBT tools & strategies with adults with PTSD and substance abuse disorder? 저자: Mind Map: What is an effective way to share DBT tools & strategies with adults with PTSD and substance abuse disorder?

1. Problems

1.1. Crisis intervention for self-harm, suicidal behaviours and homicidal behaviours

1.1.1. Develop safety plan

1.1.2. Contact 911

1.1.3. Contact crisis hotline

1.1.4. Go to your local hospital Psychiatric inpatient care

1.2. Continued abuse of substances

1.2.1. Detoxification

1.2.2. Residential treatment centre

1.2.3. Harm-reduction strategies Abstinence only for a specified amount of time Controlling use of substances Using less harmful substances, such as marijuana and not cocaine or heroin

1.2.4. Methadone alternative

1.3. Scheduled productive time

1.3.1. Day treatment

1.3.2. Volunteer

1.3.3. School

1.3.4. Volunteer Work

1.3.5. Leisure activities

1.3.6. Employment

1.3.7. Day program, like psychiatric survivors

1.4. Medical issues

1.4.1. HIV testing

1.4.2. Medical care General health Vision Dentistry Gynecology Birth control Sexual health Prevention of STIs

2. Ideas

2.1. Individual psychotherapy

2.1.1. Substance abuse counselling

2.1.2. PTSD counselling

2.1.3. Concurrent disorder counselling

2.1.4. HIV counselling

2.2. Psychiatric medication

2.2.1. Helpful for psychiatric symptoms, like sleep difficulties

2.2.2. Helpful for stopping substances, i.e. naltrexone

2.3. Group work

2.3.1. Self-help groups, like AA Encourage seeking out a sponsor

2.3.2. Group Therapy Locate "Seeking Safety" treatment group Urine/breathalyzer testing

2.4. Self-help books and materials

2.5. Alternative treatments

2.5.1. Acupuncture

2.5.2. Meditation

2.5.3. Massage therapy

3. Action Points

3.1. Participate in safe coping skills

3.1.1. Learn to cope with triggers

3.1.2. Heal from anger

3.2. Go through the stages of healing

3.2.1. Safety

3.2.2. Mourning

3.2.3. Reconnection

3.3. Psycho-education about PTSD and substance abuse

3.3.1. Recognize the link

3.4. Use compassion toward yourself

3.4.1. Take good care of yourself Respect your time Self-nurthuring

3.5. Detach from Emotional Pain

3.6. Ask for help

3.6.1. Get others to support your recovery

3.7. Recognize red and green flags

3.8. Be honest with yourself and others

3.8.1. Take responsibility and follow-through with promises

3.9. Recovery thinking

3.9.1. Create meaning

3.9.2. Discovery

3.10. Participate in healthy relationships

3.10.1. Set boundaries in relationships

3.10.2. Substance-free partner

3.10.3. Avoid co-dependent partners

4. Goals

4.1. Abstinent from substances.

4.2. Symptom free from PTSD.

4.3. To be able to function in society, in regards to employment, housing, parenting, leisure and relationships.

4.3.1. Stable, safe and affordable housing

4.3.2. Freedom from domestic violence and abusive relationships

4.3.3. Parenting skills / resources for children

4.3.4. Ontario Works, food banks