The 12 Steps:
A twelve-step program is a set of guiding principles (sometimes accepted by members as being ‘spiritual principles’) outlining a course of action for tackling problems including alcoholism, drug addiction, family issues arising from addiction, and compulsion.
12-step substance abuse recovery programs are designed to help individuals create a new life that does not involve substance abuse. These programs also encourage individuals to be as happy as possible. Because 12-step recovery programs generally include people in various stages of their recovery, individuals who have maintained sobriety for a long period of time support newcomers who are still going through the detoxification and withdrawal process. The program is also designed to encourage individuals to take an honest look at themselves and serves as a model for self-change. Mary is able to recommend appropriate 12-step programs, including treatment centre referrals, and assist clients with implementing this model of treatment or “design for living” into their daily lives.
Motivational interviewing is a gently directive, patient-centred counselling style that aims to help patients explore and resolve their ambivalence about behaviour change, including compulsive use of alcohol or drugs. It combines an empathic approach with specific techniques focused on client readiness to shift behaviours. A core tenet of Motivational Interviewing is that the patient’s motivation to change is enhanced if there is a gradual process of negotiation in which the patient, not the practitioner, articulates the benefits and costs involved. Therapist and client tackle the problem together, as a team, to achieve the client’s goals.
Cognitive Behavioural Therapy:
Cognitive Behavioural Therapy can also be applied to modifying or addressing compulsive behaviours. Clients whose thinking regarding their substance use is distorted can benefit by consciously examining their thinking and subsequent behaviour, including how their use is affecting their families, friends, and work associates. Relapse prevention is a key aspect of CBT addictions treatment.