Lifestyle
diseases and addictions are the leading cause of preventable morbidity
and mortality taking more than one million (1,000,000) U.S. lives a
year, yet brief preventive behavioral assessments and counseling
interventions are under-utilized in health care settings (Whitlock,
2002). The U.S. Preventive Services Task Force concluded that effective
behavioral counseling interventions that address personal health
practices hold greater promise for improving overall health than many
secondary preventive measures, such as routine screening for early
disease (USPSTF, 1996). Common health-promoting behaviors include
healthy diet, regular physical exercise, smoking cessation, appropriate
alcohol/ medication use, and responsible sexual practices to include use
of condoms and contraceptives.
Multiple Addictions and Poor Prognosis
Since
it is impossible to expect treatment for one addiction to be beneficial
when other addictions co-exist, the initial therapeutic intervention
for any addiction needs to include an assessment for other addictions.
National surveys revealed that a very high correlation exists between
substance abuse and behavioral addictions. Repeated failures abound with
all of the addictions, even with utilizing the most effective treatment
strategies. But why do 47% of patients treated in private addiction
treatment programs (for example) relapse within the first year following
treatment (Gorski, T., 2001)? Have addiction specialists become
conditioned to accept failure as the norm? There are many reasons for
this poor prognosis.Some would proclaim that addictions are
psychologically induced. Others would say that failures are due simply
to a lack of self-motivation or will power. Others argue for genetic and
biochemical causes. Most agree, however, that lifestyle behavioral
addictions are serious health risks that deserve our attention, but
could it possibly be that patients with multiple addictions are being
under diagnosed (with a single dependence) simply due to a lack of
diagnostic tools and resources that are incapable of resolving the
complexity of assessing and treating a patient with multiple addictions?In
2010 the U.S. Department of Health and Human Services launched the
“Healthy People 2010” program. This national initiative recommends that
primary care clinicians utilize clinical preventive assessments and
brief behavioral counseling for early detection, prevention, and
treatment of lifestyle addiction indicators for all patients’ upon every
healthcare visit. The Addiction Recovery Measurement System (ARMS)
proposes a new diagnosis. Lifestyle or behavioral addiction is the
synergistically integrated chronic dependence on multiple addictive
substances and behaviors (e.g., using/ abusing substances - nicotine,
alcohol, & drugs, and/or acting impulsively or obsessively
compulsive in regards to gambling, food binging, sex, and/ or religion,
etc.) simultaneously (Slobodzien, J., 2005).
Accurate diagnosis is dependent on a thorough multidimensional assessment process along with the possible help of a multidisciplinary treatment team approach. Behavioral Medicine practitioners have come to realize that although a disorder may be primarily physical or primarily psychological in nature, it is always a disorder of the whole person – not just of the body or the mind. The ARMS approach examines the broad bio-psychosocial context of the individual (e.g., biomedical, behavioral, interpersonal, social, cultural, spiritual, and self-regulative factors, etc.), when assessing an individual to determine the presence of a lifestyle addiction. It is concerned with the health choices individuals make as well as modifying and altering unhealthy lifestyles to directly reduce illness and illness behavior that predisposes them to other physical illnesses.
At Mental Health Resources in Memphis, TN, we recognize the many faces of addiction. In addition to substance abuse treatment, our intensive outpatient treats lifestyle addictions, including nicotine, alcohol, & drugs, gambling, food, sex, religion, and/or acting impulsively or obsessively compulsive in other ways. If you need help with compulsive lifestyle behaviors, call us for an assessment as the next step in your recovery.
Source: http://www.alcoholismdrugabuse.com
Accurate diagnosis is dependent on a thorough multidimensional assessment process along with the possible help of a multidisciplinary treatment team approach. Behavioral Medicine practitioners have come to realize that although a disorder may be primarily physical or primarily psychological in nature, it is always a disorder of the whole person – not just of the body or the mind. The ARMS approach examines the broad bio-psychosocial context of the individual (e.g., biomedical, behavioral, interpersonal, social, cultural, spiritual, and self-regulative factors, etc.), when assessing an individual to determine the presence of a lifestyle addiction. It is concerned with the health choices individuals make as well as modifying and altering unhealthy lifestyles to directly reduce illness and illness behavior that predisposes them to other physical illnesses.
At Mental Health Resources in Memphis, TN, we recognize the many faces of addiction. In addition to substance abuse treatment, our intensive outpatient treats lifestyle addictions, including nicotine, alcohol, & drugs, gambling, food, sex, religion, and/or acting impulsively or obsessively compulsive in other ways. If you need help with compulsive lifestyle behaviors, call us for an assessment as the next step in your recovery.
Source: http://www.alcoholismdrugabuse.com
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