Mag lives in a rustic cabin in the Canadian wilds, far from neighbours and further from her past. It's an unremarkable life, save for the enormous bear carcass on the kitchen table. But when her estranged daughter Beth turns up on the doorstep having been freshly released from prison, the past becomes terrifyingly present - and the bear isn't the only thing with a dangerous bite.

In this age of increasing headlines about drug addiction and prescription drug abuse, this book is a timely revelation of how the nursing profession is also impacted by substance abuse. It allows nurses, who are the most trusted profession in society, who have been hidden within their profession and living with substance use disorders, to openly voice their personal experiences with addiction. Seven nurses detail their journey through family dynamics, early use as nursing students and later career nurses as they traveled deeper and deeper into their addiction. They discuss their shame, humiliation and dejection under the throes of the compelling forces of drugs and alcohol. They also describe how their family, other nurses, the healthcare system, and society assisted them in perpetuating their deception and denial about their disease. They explain how they lied, stole and cheated those around them to maintain their addiction. Each explains in detail the confrontations and the "jolt" and "wake up call" it took for them to awaken, become sober and truly enter recovery. They are all candid and forthright in order to help others that are impacted by this horrific and complex disease. They each share how recovery is possible when appropriate attitudes and tools are put in place to support nurses suffering from the devastation of addiction. Their stories bring attention to the importance of intervention, treatment, and recovery communities within the nursing profession. Recovery is emphasized as a "gift" by each of these nurses. The nurses and the researcher provide suggestions and recommendations to assist the healthcare community in addressing addiction in nursing. This book reveals how recovery for nurses is a major public health benefit.

In Treating Addiction: Beyond the Pain, Edward Khantzian offers a collection of his recent works on the study and treatment of substance abuse and addiction. Based on his five decades of experience in working with substance dependent individuals, this volume builds upon Khantzian's theory of addiction as self-medication and provides insights into how addiction is rooted in human psychological suffering, and not pleasure seeking or self-destruction. Almost without exception, life histories of human discomfort, disconnection, and unhappiness leave those so burdened to be vulnerable to the appeal of addictive drugs, including alcohol. Khantzian's sensitive teaching voice weaves together an annotated collection of previously published papers into a powerful and engaging volume of effective practice-based treatments. A timely complement to his earlier collection Treating Addiction as a Human Process, this book provides an inclusive and accessible resource for mental health professionals from any background as well as graduate students and those in training.

Learn how to make real, lasting changes in your life We all have bad habits - whether it's a weakness for junk food, a smartphone addiction or a lack of exercise. But change is hard. Forty percent of dieters quit within a week. Eighty percent of New Year's resolutions don't last beyond January. How can we kick bad habits - and stick with it? According to psychologist and behaviour researcher Dr Sean Young, the answer is to stop trying to change the person, and instead change the process. In Stick With It, Dr Young draws on his own research and that of other leading experts to explain how the mind often interferes with breaking bad habits, and how we can outsmart it, increasing the likelihood of lasting change by 200%. Packed with practical exercises and real-life case studies, Stick With It shows that it is possible to control spending, stick to a diet, exercise regularly and overcome problem behaviours - forever. 'Scientifically grounded and personally implementable. It's a winner' - Robert Cialdini, author of Influence and Pre-Suasion 'A must-read for anyone who's been unable to keep a New Year's resolution or failed at making a lasting change in any other area of their life or work. - Jonah Berger, author of Contagious Dr Sean Young is one of the world's leading experts in the field of habit-forming. He is an acclaiedpsychologist and the founder and Executive Director of the UCLA Center for Digital Behavior. His research involves the study of cutting-edge ways of using social media and mobile technologies to change and predict human behaviour.

Critics of narcology-as addiction medicine is called in Russia-decry it as being "backward," hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years. Raikhel's book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the postSoviet world, particularly in Putin's Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.

Critics of narcology-as addiction medicine is called in Russia-decry it as being "backward," hopelessly behind contemporary global medical practices in relation to addiction and substance abuse, and assume that its practitioners lack both professionalism and expertise. On the basis of his research in a range of clinical institutions managing substance abuse in St. Petersburg, Eugene Raikhel increasingly came to understand that these assumptions and critiques obscured more than they revealed. Governing Habits is an ethnography of extraordinary sensitivity and awareness that shows how therapeutic practice and expertise is expressed in the highly specific, yet rapidly transforming milieu of hospitals, clinics, and rehabilitation centers in post Soviet Russia. Rather than interpreting narcology as a Soviet survival or a local clinical world on the wane in the face of globalizing evidence-based medicine, Raikhel examines the transformation of the medical management of alcoholism in Russia over the past twenty years. Raikhel's book is more than a story about the treatment of alcoholism. It is also a gripping analysis of the many cultural, institutional, political, and social transformations taking place in the postSoviet world, particularly in Putin's Russia. Governing Habits will appeal to a wide range of readers, from medical anthropologists, clinicians, to scholars of post-Soviet Russia, to students of institutions and organizational change, to those interested in therapies and treatments of substance abuse, addiction, and alcoholism.

This state-of-the-science reference and text has given thousands of practitioners and students a strong foundation in understanding and treating addictive disorders. Leading experts address the neurobiology of addictions and review best practices in assessment and diagnosis. Specific substances of abuse are examined in detail, with attention to real-world clinical considerations. Issues in working with particular populations--including polysubstance abusers, culturally diverse patients, older adults, chronic pain sufferers, and others--are explored. Chapters summarize the theoretical and empirical underpinnings of widely used psychosocial and pharmacological treatments and clearly describe clinical techniques. New to This Edition *Incorporates a decade's worth of major advances in research and clinical practice. *Updated for DSM-5. *Many new authors; extensively revised with the latest information on specific biological mechanisms, substances, populations, and treatments. *Chapter on motivational interviewing.

In this book, based on profound clinical experiences in supervising and educating practitioners to work with clients with substance abuse and mental illness, the writer suggests an integrated dynamic recovery model in helping clients with substance abuse. In doing so, a multi-dimensional model in the re-anchoring of various humanistic dimensions for persons with substance abuse and mental problems is articulated. Instead of focusing merely on detoxification of persons with substance abuse, the individual's meaning of life, self-system, emotion, body and stress and coping are re-engaged. By means of case vignettes and extracts of clients' self-narration, the whole book provides a humanistic, practical and reflective, working guideline for related professionals, family members and other parties to understand and implement effective, multi-dimensional interventions for people with drug addiction and substance abuse.

An estimated 6.5 million individuals currently abuse prescription drugs in the United States. Unlike policy on street drugs, federal policy on prescription drug abuse is complicated by the need to maintain access to prescription controlled substances (PCS) for legitimate medical use. Prescription drug abuse is not limited to addiction; it includes, for example, taking a medication for the purpose of getting high or taking a medication that was prescribed for someone else. This book discusses reduction efforts and the federal role in prescription drug abuse.

The clinical course of nicotine dependence, nicotine withdrawal and smoking cessation varies significantly between men and women smokers. Recent research has also suggested that certain personality traits and experiences predict and help maintain smoking behavior, thus leading to dependence and negative health consequences. The chapters in this book include research on the correlation between people's early engagement in smoking behavior and later problematic levels of use, the role of hormone therapy (HT) to treat smoking / nicotine dependence; the association between active and passive water pipe tobacco smoking and health issues that might develop later on (as well as the similarities and differences between tobacco smoking and cigarette smoking). Worldwide tobacco use, production and consumption are continuing. Of approximately 1.2 billion smokers in the world, about half of them will die from diseases caused by smoking. The authors' describe the extent of nicotine dependence, the neurobiology of nicotine dependence, which is important for understanding tobacco addiction and its treatment, and describe the pharmacological and non-pharmacological treatments of nicotine dependence, including electronic cigarettes. The final two chapters detail the chemical composition and health risks associated with secondhand smoke (SHS) exposure. These chapters address the impact of SHS on children in particular, as well as the deleterious effect on workers' health that often takes place in indoor environments, and finally, recent global public policies that have been implemented on tobacco control are addressed.

Accelerated Ecological Psychotherapy: ETT Applications for Sleep Disorders, Pain, and Addiction describes a number of therapeutic breakthroughs for a diverse array of conditions. The means for accomplishing these advances are specific attachment-based interpersonal processes that are radically amplified by using precise elements of the client's visual ecology. Forms of visually initiated brain stimulation include (1) an innovative form of eye movement, (2) a specialized type of peripheral eye stimulation, (3) Spectral Resonance Technique that uses intense color, and (4) a tunable light device from which hundreds of precise wavelengths of light can be selected to emit into the client's eyes. The method is called Emotional Transformation Therapy (R) (ETT (R)). This approach consistently relieves disturbing emotions in seconds, alleviates physical pain in minutes, and frequently evokes states of extreme wellbeing. This book offers a new process theory of emotion focused on the nature and progression patterns of emotions. The book describes an entirely different treatment for seasonal affective disorder (SAD) that offers a radical new level of treatment outcome. Since external light controls the brain's biological clock that dictates sleep and waking patterns, ETT (R) can be used to treat a variety of sleep disorders. One of the most stunning applications of ETT (R) concerns its use for chronic physical pain. Migraines, lower back pain, arthritis, fibromyalgia, and many other forms of pain are usually alleviated in the first session and extinguished long-term after a brief series of sessions. One of the most unique discoveries of the ETT (R) method concerns the rapid, long-term elimination of substance addictive craving. Revolutionary treatment outcomes for sex addiction and other behavioral addictions offers a new advance. ETT (R) can be applied to couple psychotherapy in such a way that it facilitates radical changes in emotional dysfunctions in couple relationships. Impasses in conflict and alleviation of severely distressed couples can be resolved surprisingly fast. Of all of the breakthroughs brought forth by ETT (R), its impact on spiritual phenomena may be the most dramatic. ETT (R) includes processes to either alleviate a religious/spiritual block or to facilitate states of extreme wellbeing verified by brain scans.

In 2011 the Grand Challenges in Global Mental Health initiative identified priorities that have the potential to make a significant impact on the lives of people with mental, neurological, and substance use disorders. Reduction of the cost and improvement of the supply of effective medicines was highlighted as one of the top five challenges. For low- and middle-income countries, improving access to appropriate essential medicines can be a tremendous challenge and a critical barrier to scaling up quality care for mental, neurological, and substance use disorders. Reduction of cost and improvement of the supply of effective medicines has the potential to significantly impact the lives of patients with these disorders. Improving Access to Essential Medicines for Mental, Neurological, and Substance Use Disorders in Sub-Saharan Africa is the summary of a workshop convened by the Institute of Medicine Neuroscience Forum in January 2014 in Addis Ababa, Ethiopia to discuss opportunities for achieving long-term affordable access to medicines for these disorders. This report examines challenges and opportunities for improving access to essential medicines in four critical areas: demand, selection, supply chains, and financing and pricing. The report also discusses successful activities that increase access to essential medicines both within Sub-Saharan Africa and in other developing countries, and considers the role of governments, nongovernmental organizations, and private groups in procurement of essential medicines for mental, neurological, and substance use disorders. Table of Contents Front Matter 1 Introduction and Overview 2 Challenge: Insufficient Demand 3 Challenge: Inappropriate Selection 4 Challenge: Ineffective Supply Chains 5 Challenge: High Pricing and Poor Financing 6 Perspectives on Next Steps Appendix A: Access to Essential Medicines: Program Examples Appendix B: References Appendix C: Workshop Agenda Appendix D: Registered Attendees

In 2004, over 23 million Americans age 12 and older needed speciality treatment for alcohol or illicit drug problems. Of those in need, only 10 percent received treatment at a speciality facility. There are a number of factors that contribute to low treatment participation rates. One of the most fundamental is the lack of an adequate human infrastructure to support current and future demands for treatment. The addictions treatment field is facing a workforce crisis. Worker shortages, inadequate compensation and stigma currently challenge the field. Increasingly, treatment and recovery support providers also struggle with issues related to recruitment, retention and professional development of staff. The ability to provide quality addictions treatment and recovery support services is severely hampered by these conditions. Without investment in human infrastructure, this critical public health function will not be equipped to respond effectively to the overwhelming need for services. This book includes a discussion of both long-term and emergent issues impacting the addictions treatment workforce and provides a context for understanding the challenges facing the addictions treatment workforce and a background for the recommendations that follow.