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A self-help support group that utilizes an evidence-based approach to overcoming addiction. Provides a stigma-free space that focuses on self-empowerment.

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Drug & Alcohol Counselling - Rehabilitation Services | SMART Recovery Australia

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SMART Recovery is the leading evidence-based addiction recovery program. Join a free meeting today and begin experiencing a Life Beyond Addiction.

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Age: 17

Disability Status: Not specified

Religion: Not specified

Ethnicity: Biracial

Socioeconomic Status: Lower-middle-class

Sexual Orientation: Lesbian

Indigenous Heritage: Not specified

National Origin: American

Gender: Female

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SMART stands for self-management and recovery training

This rehabilitation method is influenced by rational emotive behavioral therapy (REBT) and cognitive behavioral therapy (CBT)

Helps individuals develop internal motivation, manage cravings, regulate thoughts, emotions, and behaviors, and create a balanced lifestyle

Principles: self-management, mutual support, choice, evidence-led, and person-centered

Smart Recovery Programs: the 4-point program, Family and Friends, InsideOut, Military, Veterans and First Responders, Youth and Teens, LGBTQAI+

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Uses substances as a way to cope

Abuse of a variety of substances such as: Prescription medications, Xanax and Oxycodone, Psychadelics, Adderal, Heroin, MDMA, Marijuana, alcohol, and other unknown substances

Interpersonal conflict

Grief

Risk-taking behaviors

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Parents brought client to a psychiatrist at a young age and was suggested to have Obsessive Compulsive Disorder, Generalized Anxiety Disorder, Attention Deficit Disorder, and Bipolar Disorder, but the psychiatrist claimed she was "too young to tell"

Took various medications

Does not remember much from ages eight to twelve

Suffered from panic attacks at an early age

Given liquid valium at age 11

Father passed away from cancer

Experimented with drugs (father's prescriptions) at a young age

Drug overdoses

Went to rehab (residential) during the summer before junior year

Narcotics Anonymous

Faked her way through it AKA did not stay clean

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Severe substance use disorder

F41.1 Generalized anxiety disorder with panic attacks

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Using the substance in greater quantities and for a longer duration than initially planned

Unsuccessful attempts to stop using the drug (relapse)

Spends most of her time seeking out, using, and recovering from substances (preoccupation with the drug)

Drug cravings

Social impairment (addiction interfering with school, home)

Interpersonal problems due to substance use

Tolerance otherwise known as chasing the dragon

Withdrawal symptoms such as sweating, vomiting, insomnia, fatigue

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Strong support system: Family and friends

Younger Sister: Gia

Mother

Best Friend: Lexi

Girlfriend: Jules

Fezco

Sponsor

Well-liked

Resilient

Internal motivation to recover

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Theory: Cognitive Behavioural Theory

Interventions:

Rapport Building

Motivational interviewing

Relapse Prevention

Trigger Identification

Cognitive Restructuring

Psychoeducation

Urge Surfing

Identification of Client Strengths

Coping Skill Development

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Advantages for Client and Provider Supporting Client

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Advantages for Client and Provider Supporting Client

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Offers support for a range of addictive behaviors. This would be ideal for Rue since she abuses a variety of substances.

Offers services free of charge since it is a non-profit organization. This would benefit Rue since it is easily accessible and she does not have the resources to afford rehabilitation services.

Services do not incorporate spirituality. This serves as an advantage for Rue because she did not like or find that helpful in her previous program.

Flexibility! Offers service in person and online.

Many of the facilitators have completed this program which can serve as an installation of hope for Rue.

Programs focus on the cultural factors that influence Rue.

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Disadvantages for Client and Provider Supporting Client

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Disadvantages for Client and Provider Supporting Client

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Not as structured as the client's previous rehabilitation program.

Focus on self-direction may be overwhelming for the client.

Difficult for the provider to track progress and hold the client accountable due to the flexibility of the program.

May not fully address the client's history of trauma and loss which can make treatment more difficult.

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Stigma associated with addiction as a female and adolescent. Additionally, Rue may experience stigma surrounding her mental health and substance use, particularly in her community.

Rue identifies as lesbian, which may lead to experiences of stigma, discrimination, or rejection. This could impact her mental health and willingness to seek support.

Being biracial may affect Rue’s sense of belonging and identity.

Rue’s various identities (biracial, lesbian, lower-middle-class) intersect, creating unique challenges that affect her experiences and treatment needs.

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This video provides a brief overview of substance use disorder.

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Effectiveness of motivational interviewing for clients struggling with addiction.

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This assignment opened my eyes to the complexities of counseling clients with substance use disorders. Throughout this assignment, I learned that especially in addiction counseling, progress is not linear and the way of tracking progress is different than most disciplines in the counseling field. Moreover, I have learned that the value of patience is crucial for an addictions counselor since setbacks and relapses are a part of recovery. Additionally, I learned that educating clients about addiction and relapse can help increase the client's awareness and insight of their disorder. Assisting a client in understanding the internal workings of their body can empower them to take change of their recovery journey. Overall, this assignment helped increase my awareness and understanding of treating a client with substance use disorder.

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This assignment made me feel as if Rue were an actual client of mine. If this were to be the case, I would prioritize rapport building in the first couple of sessions since Rue has trouble with trust and forming relationships. Developing a strong therapeutic alliance would allow Rue to be honest and open about her use with me. Having a full understanding of her substance use between sessions would allow me to track her progress and make changes to the treatment plan when necessary. Moreover, I would focus on processing her past trauma and experiences with loss before tackling her substance abuse. Afterward, I would utilize CBT interventions and motivational interviewing to lead Rue toward recovery. I would focus on the development of coping skills throughout our sessions. During this time, I would remind myself to remain patient and to trust the process. The more that I motivate, empower, and trust my client will succeed, the more likely they will feel the same!

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The NAADAC website offers a variety of resources specifically designed for addiction counselors. It provides access to educational materials, professional development opportunities, and best practice guidelines. Counselors can find information on certifications, training programs, and ethical standards. Lastly, the site features tools for networking, advocacy resources, and research updates.

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This book would serve as a useful tool for addiction counselors because it explores and explains the science of addiction. Moreover, this book reveals how substances alter the brain's reward system and how this leads to compulsive behaviors. The author of the book is both a neuroscientist and a recovering addict.

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This website provides an extensive range of research about various substances and addiction. This serves as a useful tool for addiction counselors because they can educate themselves and keep up to date about drug use statistics and evidence-based practices. Additionally, this would be a useful resource for treatment planning.

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NIDA.NIH.GOV | National Institute on Drug Abuse (NIDA)

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NIDA's mission is to advance science on the causes and consequences of drug use and addiction and to apply that knowledge to improve individual and public health. NIDA is one of the National Institutes of Health.

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This website offers a variety of worksheets designed for therapists working with clients who are dealing with addiction. These ready-to-use materials make it easier for addiction counselors to address specific issues related to substance use and recovery.

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Substance Use Worksheets | Therapist Aid

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Download addiction and substance use therapy worksheets. Topics include relapse prevention plans, trigger identification, and more. Great for groups.

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Build a strong therapeutic alliance by creating a safe and approachable space for the client

Set clear and realistic goals that are attainable for the client

Provide psychoeducation for the client about their disorder, interventions, and cycle of addiction

Involve support systems such as family and friends

Empower and motivate! Promote autonomy through collaboration

As an addiction counselor, prioritize self-care

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Association, A. P. (2022). Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM-5-TR®) (5th ed.). American Psychiatric Publishing, Inc.. https://bookshelf.vitalsource.com/books/9780890425770

Beck, A. K., Forbes, E., Baker, A. L., Kelly, P. J., Deane, F. P., Shakeshaft, A., Hunt, D., & Kelly, J. F. (2017). Systematic review of SMART Recovery: Outcomes, process variables, and implications for research. Psychology of Addictive Behaviors, 31(1), 1-20. https://doi.org/10.1037/adb0000237

Kelly, J. F., Levy, S. A., & Hoeppner, B. B. (2023). An investigation of SMART Recovery: protocol for a longitudinal cohort study of individuals making a new recovery attempt from alcohol use disorder. BMJ open, 13(2), e066898. https://doi.org/10.1136/bmjopen-2022-066898

McHugh, R. K., Hearon, B. A., & Otto, M. W. (2010). Cognitive behavioral therapy for substance use disorders. Psychiatric Clinics, 33(3), 511-525.

Smart Recovery (n.d.) About us. https://smartrecovery.org/about