Overview of Behavioral Addictions: Part 1 of 3

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 Addiction and Mental Health Counselors can earn continuing education credits (CEs) for this course at: www.allceus.com/member/cart/i...
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Objectives
Define behavioral addictions
Examine some of the most common behavioral addictions
Explore similarities and differences between behavioral and chemical addictions
Discuss similarities and differences in treatment between chemical and behavioral addictions
What is an Addiction
A substance, person or activity
Outside of ones self
Used to escape from emotional or physical pain
Continued despite negative consequences
Paradigm Shift
Addiction serves a survival purpose.
Addiction represents the best way a person had to cope until now
The addiction can become the person’s best friend
Everyone’s ability to deal with life on life’s terms differs
Patients can address the ways issues from the past are impacting them today
How does it start
Lack of early bonding (Trust/Mistrust)
Lack of confidence (Industry/Inferiority)
Lack of self-esteem (Identity or Intimacy)
Recreational or Prescribed Use
Mental Health Issues
Jellenik Curve
Recreational Use
Occasional Use for Relief
Increasing craving
Increased triggers (stimulus generalization)
Unable to discuss the problem
Efforts to control fail (increased time and energy)
Continued use despite negative consequences
Stop using see the original problems plus the addiction-created problems
Use again
Addiction Characteristics
Inability to consistently Abstain
Impairment in Behavioral control
Craving; increased “hunger” for drugs or rewarding experiences;
Diminished recognition of significant problems with one’s behaviors and interpersonal relationships
A dysfunctional Emotional response
www.asam.org/for-the-public/de...
Chemical Addictions
Chemical Addictions
Substances directly impact the brain and/or nervous system
Behavioral Addictions
Activities that impact the pleasure centers
Adrenaline rush
Dopamine rush
Endorphin rush
Oxytocin
Similarities Between Behavioral And Chemical Addictions
Cause chemical reactions in the brain
Are a tool to escape or avoid pain
Produce a tolerance
Have psychological withdrawal symptoms
Can have devastating biopsychosocial consequences
Differences Between Behavioral And Chemical Addictions
Abstinence is not possible or ideal for some behavioral addictions (i.e. sex, food, shopping, exercise)
Many treatment centers ignore the substitution of a behavioral addiction for a chemical addiction
Apply It
Think about behaviors that your patients engage in when they are deprived of their addiction of choice. What behavioral substitutions appear?
Behavioral Addictions
Food
Sex/Pornography
Gambling
Shopping
Exercise
Internet
Relationships
Chaos/Drama
Basic Behavioral Principles
When faced with two choices, the tendency is to choose the more rewarding option
To increase motivation for change the less rewarding choice must become more rewarding
The alternate behaviors need to be equally rewarding as the “addiction.”
Assessment
When assessing a person for mental health issues, always ask about how they cope and apply a modified CAGE questionnaire
Have you ever felt you needed to Cut down?
Have people Annoyed you by criticizing your behavior?
Have you ever felt Guilty about your behavior?
Have you Eliminated or reduced important roles, tasks or relationships because of your behavior

[@maggie2617]

Your channel is a goldmine! Thank you for all that you do here.

[@DocSnipes]

Thanks for watching!

[@jessicavelez2492]

Thank you for this!! 🙂

[@foziaali6306]

Very helpful and I do appreciate your help.

[@DocSnipes]

Thanks for watching!

[@shripujasiddamsetty]

Very very good. Thank u Loved it

[@DocSnipes]

You are welcome. Thanks for watching.

[@Angel-ni2yn]

I've discovered my addiction is people, I guess it would be categorized into relationship addiction? possibly love addiction too? but I think it's because of unmet needs in childhood and low self esteem that drives it, I can't stand being on my own and I'm always lonely. I don't know what to do at this point, I don't want to live, I'm tired of myself and that I always live for other ppl n don't make decisions for myself, I can't even enjoy things by myself, it's just gotten so bad. I literally have no life of my own or sense of identity either. I've always had anxiety disorders, then depression came along later n in between that is the addictive/compulsive behaviors. It's all too overwhelming, I can't see any way to passed it all. Yeah, check all of that, mistrust/lack of early bonding, credit goes to my dad. Now that I'm older, recent years since late high school I've been learning more about mental health and discovered narcissistic parenting... wow, makes so much sense now.

[@DocSnipes]

Thanks for sharing and watching.

[@calebfalcon9424]

awesome

[@DocSnipes]

Thanks for watching!

[@mozzieconman]

That's good but where's the behaviour part?

[@user-be5wn7nx7v]

Bingo!

[@DocSnipes]

Thanks for watching

[@Angel-ni2yn]

At the end, I think u mean doing things that give pleasure because happiness and pleasure aren't the same thing and addictions are to obtain pleasure, but I doubt people would say they're happy from their addictions.

[@DocSnipes]

Thanks for watching and commenting.

[@Alphacentauri819]

Addictions aren't even to always obtain pleasure, but to escape from, avoid, mitigate pain. It is seeking a poor short term solution for ongoing, unresolved pain. Pain which that person feels incapable of dealing with.

[@tictoc5443]

Oh dear

[@DocSnipes]

Thank you for watching the video. What did you find most helpful from it?

[@tictoc5443]

@@DocSnipes i found theories on root cause of addiction interesting

[@michaelterechow1859]

Im married to a horse addict who is intent on financially ruining the family. Those god dam horses eat better than our kids and i. And here is the kicker she doesn't even work to pay for them and lies about how much they actually cost. Help me.

[@battags22]

Make an app. It's like uber but you get picked up on a horse. Call it Pegasus.

[@Alphacentauri819]

Sounds like you have a toxic relationship....and that she's not the only cause. Your communication and blaming here, shows profound unawareness and that you likely don't have the conflict resolution skills, interpersonal skills, ability to clearly and calmly communicate boundaries and needs AND hear another person's. I'm willing to bet there's been massive invalidation that she's felt and is acting out... not that it should cause problems within the whole household, but it's much bigger and you are just as responsible for this as she is.

[@ohmygod8553]

25:51

[@DocSnipes]

Thanks for watching.