Problematic Substance Use Treatment
Problematic Substance Use / Addiction
The stress of daily life can be overwhelming and lead to problematic substance use. Drug and alcohol use (or other activities such as gambling) are problematic when it has harmful effects on health and quality of life. The negative effects might include or impact:
- missing work or school
- relationships with family and friends
- physical and mental health
- extreme changes in behaviours
- legal problems
- money issues
Drugs and alcohol use can produce feelings such as calm, increased energy or euphoria. These effects can lead to regular use of drugs or alcohol, which can lead to dependence, or even addiction. Over time, the harms associated with using substances may outweigh any short term positive effects.
If someone is struggling with substance use, success can have many different meanings. For some, success is abstinence. For others it is reducing use and engaging in healthier behaviours.
Regardless of the goal, long term success is best achieved by:
acknowledging substance use as an unhealthy coping tool;
gaining insight into the unmet needs that lead to problematic substance use; these might be unresolved trauma or a lack of meaning or purpose, or a clash of values and lifestyle, or social disconnection;
developing skills and strategies to address the unmet needs in a heathier manner.
Resilient Living™ Recovery is a program that uses acceptance and commitment therapy (ACT), motivational interviewing, and relapse prevention therapy. Given current social distancing recommendations, the program is currently only delivered through secure video conferencing. Clients and referral sources have the option of selecting either a harm reduction or an abstinence-focused cohort.
ACT aims to change the relationship between thoughts, feelings, memories and bodily reactions so clients become liberated from the habits that inhibit a meaningful and enjoyable life.
Motivational interviewing is helpful in treating addiction because clients learn to change the behaviors that cause addiction.
Relapse prevention therapy teaches individuals to anticipate and cope with potential relapse.
The program participants should have the following characteristics:
- Living in British Columbia (Ontario and Alberta to be added soon)
- Mild to moderate substance use challenges
- Available to participate in a program that meets for 2 hours once a week for 10 weeks
- Able to originate a video session on their desktop computer, tablet or smart phone
This program is not suitable for persons with:
- Unmanaged substance use as defined by:
- consuming >35 alcoholic units weekly; or
- binge drinking resulting in “black outs” several times per month; or
- recent overdose or substance-related hospitalization
- Active suicidal ideation or hospitalization for self-harm in last 30 days
- Psychosis or personality disorder
- Ongoing involvement with legal system due to substance use issues
Schedule and Curriculum
The program consists of:
- intake interview with one of the group facilitators
- 2 hours of weekly group meetings for 10 weeks (20 hours total)
- 5 x 30 minute individual sessions with a group facilitator (2 1/2 hours total)
The costs associated with the Resilient Living™ Recovery Group are:
- $350 for intake evaluation
- $1,650 for group programming and individual sessions
- additional individual therapy sessions available
- aftercare groups available for a small monthly fee
- written reports available for an additional fee
A limited number of sliding scale seats are available in each cohort.