Quote:
Originally Posted by Leah Stevens
I think what underlies any addiction, whether its shopping, hair pulling, sex or alcohol etc. is anxiety. Counselling to raise self awareness of the anxiety and the underlying belief systems is a good process. I used CBT techniques to reduce smoking cigarettes from 7 per day to 2 per month.
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Like Leah, I've worked in the addictions field for quite a few years, including managing a drug rehabilitation unit in a women's prison. I would agree with Leah's assessment that anxiety is a major component of addictive behaviour, though I also believe that addiction tends to mask some unfulfilled need - which can be the need for safety (which directly links to anxiety), but for many people I have also seen, as a significant contributing factor to their addiction (usually on an unconsious level), the unmet need for human connection/companionship, freedom, comfort, sense of control, "sweetness" in life (the latter often linked with addiction to sugar/chocolate etc).
In terms of addiction counselling, it is quite a wide-ranging term which could mean different things; a significant proportion of drug & alcohol counselling in the UK is based on CBT and Motivational Interviewing, and of course there is the popular 12 step model (AA, NA etc). In my understanding and experience, it is likely that all types of counselling and therapy have value, but it is the practitioner him/herself which is the most important factor in the work with addicted clients - the ability to establish rapport and connection with the person, being non-judgemental, sensory acuity to notice non-verbal signals, tuning into what's really going on for the individual, and the ability to b ewith other person's pain and distress.
I use NLPt, CBT and many other approaches in my practice, but my favourite is probably EFT (Emotional Freedom Techniques) - it can be applied to literally every aspect of addiction - to reduce cravings and withdrawal symptoms, to help de-sensitise the individual to triggers in their environment, for day-to-day emotional management, for relief from the effects of past trauma, for modifying unhelpful beliefs; and invaluably, it can be used by the individual for self-help independently from any therapy or counselling. I was actually interviewed the other day by Inexcess TV (a Liverpool based TV company which specialises in addiction stories) on the benefits of EFT in drug & alcohol treatment and recovery. It is still not as widely available in the addictions treatment field as I would like it to be, but I am hopeful for the future, as this is truly an invaluable tool for therapy and as self-help.
Masha
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