Assessment of Addiction and
Mental Health Issues
Identifying the Problem
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs
Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery
Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
Objectives
 Define screening and assessment
 Define the purpose of assessment
 Explore the steps in the assessment
 Recognize the stage of change a client is in with
regards to mental health and substance abuse and
utilize this towards creating a treatment plan.
 Learn about the first steps in moving toward
happiness
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Why Is This Important
 47% of US Adults suffers from maladaptive signs of
an addictive disorder over a 12-month period
 Co-Occurring Disorders are the EXPECTATION not
the Exception
 Statistics indicate that the majority of people
seen in mental health treatment struggle with
addictive behaviors.
 Refer for treatment or treat yourself
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Screening and Assessment
 Screening is a very quick process which can be
done by
 Physicians
 Coaches
 Specialists/Techs
 Counselors
 Screening simply determines if there may be a
need for further evaluation.
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Purpose of Assessment
 To identify symptoms
 Explore the course of the symptoms
 Identify exacerbating and mitigating factors
 Determine the impact of symptoms
 Identify change goals
 Develop an action plan based on identified goals
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Assessment Provides Awareness of SNAP
 Strengths
◦ Resources
◦ Skills
◦ Mitigating Factors and exceptions
 Needs
◦ Biological
◦ Safety
◦ Love and Belonging
 Attitudes
◦ About recovery
◦ Cultural
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Awareness of SNAP
 Preferences
 Learning style
 Treatment approach
 Quality of Life
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
5 Principles of Motivational Interviewing
 Generate a Gap
 Roll with Resistance
 Avoid Arguing
 Can Do
 Express Empathy
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Stages of Readiness for Change
 Most people have multiple issues
 Readiness for change can be different for each
issue---even each symptom of each issue
 Stages
 Precontemplation
 Contemplation
 Preparation/Determination
 Action
 Maintenance (needs attention when addressing new
issues)
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Addiction (vs. Recreational Use)
 Tolerance need more to get the same rush, high or
feeling.
 Withdrawal: Anxiety, irritability, shakes, sweats, nausea,
depression when unable to access the addiction
 Negative consequences: Continued to use even though
there have been negative consequences.
 Neglected or postponed activities because of your use?
 Significant time or energy spent obtaining, using,
concealing, planning, or recovering from your use.
 Unsuccessful attempts to cut down or control your use
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Chemical and Behavioral
 Addictive behaviors causes a “flood” of neurochemicals
 This flood contributes to an imbalance
 Like a “hangover” occasional use does not necessarily
alter brain functioning
 Repeated use causes the brain to shut down certain
pathways so it is not constantly being flooded (tolerance)
 Many other issues such as pre-existing anxiety or
depression can indicate a pre-existing neurochemical
imbalance which is being self-medicated
 Requires additional stimulation to produce the same relief
because many fewer “doors” are open
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Mental Health
 Depression/Hopelessness/Apathy
 Anxiety/Worry
 Difficulty Concentrating
 Irritability
 Agitation
 Fatigue
 Changes in sleep duration or quality
 Changes in eating
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
First Steps
 Identify the Problem
 Identify the Solution
 Learn about what causes the problem in general
 Learn about what causes the problem for you
 Learn about possible solutions
 Identify solutions that will work for you
 Develop a plan to start implementing those
solutions
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Presenting Problem
 Presenting problem
 What are your symptoms (as evidenced by)
 How long has each been going on
 What makes it worse
 What makes it better
 What are the consequences of each symptom (as
evidenced by)
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Resolution/Goal
 What does happiness look like for you?
 What will be different?
Emotionally
Mentally
Physically
Socially (self-esteem, relationships and recreation)
Environmentally
 What will be the same?
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Transactional Model
 The way you feel emotionally or physically
impacts:
 How you interact with others
 Your stress response
 Your attitude and ability to concentrate
 Your environment
 Each one of those things also impacts how you
feel
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Physical
 Sleep
 Nutrition
 Pain/Illness
 Sunlight
 Exercise
 Addiction
 Alcohol
 Anxiety
 Depression
 Tremors
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Physical
 Addiction
 Amphetamines, cocaine and other stimulants can trigger
 Anxiety, panic
 Depression (withdrawal)
 Tremors
 Marijuana can trigger
 Anxiety
 Apathy/Lack of motivation
 Impaired concentration
 Paranoid delusions/hallucinations
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Physical
 Addiction
Opiates
 Depression
 Decreased pain tolerance
 Disruption of circadian rhythms
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Age
 Many physiological changes take place as a result of
age. Taking this into account can assist in determining
some of the possible causes of symptoms
 Younger people have fewer experiences against which
to judge current experiences
 The culture and environment changes for people of
different ages.
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Social
 Your immediate family
 Social supports
 Stressors
 Self-Esteem
 Environmental
 Active/Interruptions vs. Calm/Peaceful
 Supportive of sleep?
 Supportive of relaxation?
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Evaluate potential causes of the symptoms
 Emotions
 Anger
 Anxiety
 Depression
 Happiness
 Thought triggers for each emotion
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Symptom Assessment
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Behaviors Thoughts Environments
Make the
symptom worse
Make the
symptom better
Impact of
Symptom
Symptom Assessment: Lenny
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Behaviors Thoughts Environments
Make the
symptom
worse
• Working out really hard
for several days
• Not getting enough sleep
• Too much caffeine
• I am having another
cardiac episode
• I can’t breathe
• I have to make this
stop
• I am overwhelmed
• Chaotic
environments
• Negative people
Make the
symptom
better
• Working out moderately
each day
• Getting sufficient sleep
• No caffeine
• Doing something each day
I enjoy to have a sense of
accomplishment
• Petting Mojo
• Positive self-talk
• Focus on what I need
to do better to
eliminate the
symptoms
• Focusing on the things I
can change and letting
go of what I cannot
• Aromatherapy
• Clean/organized
environments
• Calm
Impact of
symptom
• Afraid to workout
• Lethargic
• Increase a sense of
helplessness
• Become “stressed”
• Withdraw from
other people
Next Step
 Work on becoming mindful of your symptom
triggers
 Do a mindfulness scan prior to each meal to identify
how you feel and what you need…
Emotionally
Mentally
Physically
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Summary
 The Assessment is really the beginning point
 It helps clients get a clearer idea of what may be causing
their symptoms or making them worse.
 Proper nutrition, adequate quality sleep and pain
management are all necessary for happiness and recovery
 At this stage clients are starting to envision what
happiness looks like for them.
 Help them identify their strengths and what things are
good uses of their energy
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Summary
 Identify which presenting symptoms the client is most
willing to work on a develop a treatment plan from
there
 From the perspective of the transactional model,
improving any area will likely improve the person’s
overall happiness
 The symptom assessment chart can help identify
current strengths and possible contributors to the
symptom.
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
Subscribe
Counselor Toolbox Podcast
Youtube.com/AllCEUsEducation
Facebook: Facebook.com/AllCEUs/
Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com

Assessment of Addiction and Mental Health Issues Using a Transactional Model

  • 1.
    Assessment of Addictionand Mental Health Issues Identifying the Problem Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com Presented by: Dr. Dawn-Elise Snipes Executive Director, AllCEUs Podcast Host: Counselor Toolbox & Happiness isn’t Brain Surgery Author: Journey to Recovery (2015) & Happiness Isn’t Brain Surgery (2017)
  • 2.
    Objectives  Define screeningand assessment  Define the purpose of assessment  Explore the steps in the assessment  Recognize the stage of change a client is in with regards to mental health and substance abuse and utilize this towards creating a treatment plan.  Learn about the first steps in moving toward happiness Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 3.
    Why Is ThisImportant  47% of US Adults suffers from maladaptive signs of an addictive disorder over a 12-month period  Co-Occurring Disorders are the EXPECTATION not the Exception  Statistics indicate that the majority of people seen in mental health treatment struggle with addictive behaviors.  Refer for treatment or treat yourself Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 4.
    Screening and Assessment Screening is a very quick process which can be done by  Physicians  Coaches  Specialists/Techs  Counselors  Screening simply determines if there may be a need for further evaluation. Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 5.
    Purpose of Assessment To identify symptoms  Explore the course of the symptoms  Identify exacerbating and mitigating factors  Determine the impact of symptoms  Identify change goals  Develop an action plan based on identified goals Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 6.
    Assessment Provides Awarenessof SNAP  Strengths ◦ Resources ◦ Skills ◦ Mitigating Factors and exceptions  Needs ◦ Biological ◦ Safety ◦ Love and Belonging  Attitudes ◦ About recovery ◦ Cultural Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 7.
    Awareness of SNAP Preferences  Learning style  Treatment approach  Quality of Life Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 8.
    5 Principles ofMotivational Interviewing  Generate a Gap  Roll with Resistance  Avoid Arguing  Can Do  Express Empathy Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 9.
    Stages of Readinessfor Change  Most people have multiple issues  Readiness for change can be different for each issue---even each symptom of each issue  Stages  Precontemplation  Contemplation  Preparation/Determination  Action  Maintenance (needs attention when addressing new issues) Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 10.
    Addiction (vs. RecreationalUse)  Tolerance need more to get the same rush, high or feeling.  Withdrawal: Anxiety, irritability, shakes, sweats, nausea, depression when unable to access the addiction  Negative consequences: Continued to use even though there have been negative consequences.  Neglected or postponed activities because of your use?  Significant time or energy spent obtaining, using, concealing, planning, or recovering from your use.  Unsuccessful attempts to cut down or control your use Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 11.
    Chemical and Behavioral Addictive behaviors causes a “flood” of neurochemicals  This flood contributes to an imbalance  Like a “hangover” occasional use does not necessarily alter brain functioning  Repeated use causes the brain to shut down certain pathways so it is not constantly being flooded (tolerance)  Many other issues such as pre-existing anxiety or depression can indicate a pre-existing neurochemical imbalance which is being self-medicated  Requires additional stimulation to produce the same relief because many fewer “doors” are open Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 12.
    Mental Health  Depression/Hopelessness/Apathy Anxiety/Worry  Difficulty Concentrating  Irritability  Agitation  Fatigue  Changes in sleep duration or quality  Changes in eating Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 13.
    First Steps  Identifythe Problem  Identify the Solution  Learn about what causes the problem in general  Learn about what causes the problem for you  Learn about possible solutions  Identify solutions that will work for you  Develop a plan to start implementing those solutions Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 14.
    Presenting Problem  Presentingproblem  What are your symptoms (as evidenced by)  How long has each been going on  What makes it worse  What makes it better  What are the consequences of each symptom (as evidenced by) Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 15.
    Resolution/Goal  What doeshappiness look like for you?  What will be different? Emotionally Mentally Physically Socially (self-esteem, relationships and recreation) Environmentally  What will be the same? Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 16.
    Transactional Model  Theway you feel emotionally or physically impacts:  How you interact with others  Your stress response  Your attitude and ability to concentrate  Your environment  Each one of those things also impacts how you feel Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 17.
    Evaluate potential causesof the symptoms  Physical  Sleep  Nutrition  Pain/Illness  Sunlight  Exercise  Addiction  Alcohol  Anxiety  Depression  Tremors Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 18.
    Evaluate potential causesof the symptoms  Physical  Addiction  Amphetamines, cocaine and other stimulants can trigger  Anxiety, panic  Depression (withdrawal)  Tremors  Marijuana can trigger  Anxiety  Apathy/Lack of motivation  Impaired concentration  Paranoid delusions/hallucinations Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 19.
    Evaluate potential causesof the symptoms  Physical  Addiction Opiates  Depression  Decreased pain tolerance  Disruption of circadian rhythms Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 20.
    Evaluate potential causesof the symptoms  Age  Many physiological changes take place as a result of age. Taking this into account can assist in determining some of the possible causes of symptoms  Younger people have fewer experiences against which to judge current experiences  The culture and environment changes for people of different ages. Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 21.
    Evaluate potential causesof the symptoms  Social  Your immediate family  Social supports  Stressors  Self-Esteem  Environmental  Active/Interruptions vs. Calm/Peaceful  Supportive of sleep?  Supportive of relaxation? Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 22.
    Evaluate potential causesof the symptoms  Emotions  Anger  Anxiety  Depression  Happiness  Thought triggers for each emotion Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 23.
    Symptom Assessment Unlimited CEUs$59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com Behaviors Thoughts Environments Make the symptom worse Make the symptom better Impact of Symptom
  • 24.
    Symptom Assessment: Lenny UnlimitedCEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com Behaviors Thoughts Environments Make the symptom worse • Working out really hard for several days • Not getting enough sleep • Too much caffeine • I am having another cardiac episode • I can’t breathe • I have to make this stop • I am overwhelmed • Chaotic environments • Negative people Make the symptom better • Working out moderately each day • Getting sufficient sleep • No caffeine • Doing something each day I enjoy to have a sense of accomplishment • Petting Mojo • Positive self-talk • Focus on what I need to do better to eliminate the symptoms • Focusing on the things I can change and letting go of what I cannot • Aromatherapy • Clean/organized environments • Calm Impact of symptom • Afraid to workout • Lethargic • Increase a sense of helplessness • Become “stressed” • Withdraw from other people
  • 25.
    Next Step  Workon becoming mindful of your symptom triggers  Do a mindfulness scan prior to each meal to identify how you feel and what you need… Emotionally Mentally Physically Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 26.
    Summary  The Assessmentis really the beginning point  It helps clients get a clearer idea of what may be causing their symptoms or making them worse.  Proper nutrition, adequate quality sleep and pain management are all necessary for happiness and recovery  At this stage clients are starting to envision what happiness looks like for them.  Help them identify their strengths and what things are good uses of their energy Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 27.
    Summary  Identify whichpresenting symptoms the client is most willing to work on a develop a treatment plan from there  From the perspective of the transactional model, improving any area will likely improve the person’s overall happiness  The symptom assessment chart can help identify current strengths and possible contributors to the symptom. Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com
  • 28.
    Subscribe Counselor Toolbox Podcast Youtube.com/AllCEUsEducation Facebook:Facebook.com/AllCEUs/ Unlimited CEUs $59 Certificate Training Programs $149 Live Webinars $5 https://allceus.com