Addiction Treatment (STAT): Transformation for Addicts

Counselor / Addiction

10.00 - CE credit hours training

$60.00 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Addiction Treatment (STAT): Transformation for Addicts

Course Training

See this page for details:
https://courses.schematherapytrainingonline.com/p/schema-therapy-for-addiction-treatment-stat-liz-lacy

Module 1: Understanding Addiction
Module 2: The Therapeutic Relationship
Module 3: Beginning STAT (Schema Therapy for Addiction Treatment)
Module 4: Empathic Confrontation with Addictive Modes
Module 5: Healing Addictive Modes through Meeting Core Needs
Module 6: Relapse Prevention

If you completed the 6 week course above, you can get CE credits by completing this post test.

Post Test

60 Questions

1. Which of the following is NOT one of the four major schemas that play a role in activating the Addictive Mode?

a. Defectiveness/Shame b. Emotional Deprivation c. Insufficient Self-Control d. Unrelenting Standards

2. According to the slides, which of these is a common childhood experience for individuals with addictions?

a. Excessive praise and attention b. Loneliness and emotional abandonment c. Overly permissive parenting d. Consistent and stable family life

3. What is the primary therapeutic stance recommended for assessing addictions?

a. Confrontational approach b. Radical genuineness c. Detached objectivity d. Authoritative guidance

4. Which of the following is NOT mentioned as a core unmet need of addicted people?

a. Validation/Acceptance b. Trust/Safety c. Financial stability d. Healthy Limits Set

5. In Schema Therapy, what is a "mode"?

a. A type of cognitive distortion b. A specific addiction behavior c. The predominant state one is in at a given point in time d. A childhood trauma

6. Which assessment tool is mentioned for evaluating compulsive sexual behavior?

a. CAGE-AID Inventory b. CRAFFT Inventory c. NODS d. Compulsive Sexual Behavior Inventory

7. What is the recommended imagery exercise for assessment?

a. Imagining future success b. Visualizing addiction triggers c. Imagining "Little X" in various scenarios d. Creating a safe place

8. According to the slides, what is often present before the onset of an addictive mode?

a. Financial success b. Strong social support c. Feelings of shame and defectiveness d. High self-esteem

9. Which of the following is NOT mentioned as part of the case conceptualization process?

a. Biopsychosocial assessment b. Detailed history of addictive behaviors c. Assessing current safety needs d. Personality disorder diagnosis

10. True or False: The slides suggest that dismissing addictions as "bad habits" adequately explains their functionality in the addict's life.

a. True b. False

11. Why is the therapeutic relationship considered more critical when working with addictions?

a. Addictions are simple to treat b. There's a history of viewing addictions as "unwilling" c. Addictions only require medication d. Addictions are always caused by trauma

12. According to the slides, what is a key experience that the therapeutic relationship should provide?

a. Confrontation and punishment b. Detachment and objectivity c. Emotional support and radical acceptance d. Financial advice and guidance

13. Which of the following is NOT mentioned as a characteristic of the therapy relationship in addiction treatment?

a. Healthy, stable, safe attachment b. Radical authenticity c. Strong emphasis on "this makes sense" d. Authoritarian approach

14. What does Gabor Mate, MD emphasize about addicted patients in therapy?

a. They are unable to gauge the therapist's commitment b. They seek the "real" therapist and can tell if the therapist is genuinely committed c. They prefer detached therapists d. They respond best to confrontational approaches

15. Which of the following is NOT listed as a common therapist feeling when working with addicted patients?

a. Hopelessness b. Anger c. Excitement d. Frustration

16. What is emphasized regarding self-disclosure by the therapist?

a. It should be avoided entirely b. It should be extensive from the beginning c. It should be judicious at the beginning d. It's not important in addiction treatment

17. Which of the following is NOT mentioned as a difficult behavior for therapists to deal with?

a. Lying and deception b. Financial ruin c. Exposing children to addiction d. Excessive gratitude

18. What is recommended for therapist self-care when working with addicted patients?

a. Avoiding supervision b. Focusing solely on work c. Balancing the caseload where possible d. Ignoring personal schema/mode activation

19. Which of the following is NOT listed as a common therapist mode in ST-AT (Schema Therapy - Addiction Treatment)?

a. Punitive Parent b. Critical Over-compensator c. Detached Protector d. Enlightened Guide

20. True or False: The slides suggest that repair in the therapeutic relationship is unimportant when working with addicted patients.

a. True b. False

21. According to the "Triple Mode Cycle" model, which of the following is NOT one of the main mode categories in addiction?

a. Child Modes b. Detached Modes c. Punitive/Demanding Modes d. Adaptive Modes

22. Which of the following is described as an example of a Child Mode activated before target behavior?

a. Self-Soothing Detachment b. Punitive Parent c. Lonely Child d. Healthy Adult Mode

23. What type of mode is described as being activated during target behaviors in addiction?

a. Child Modes b. Detached Modes c. Punitive Modes d. Healthy Adult Mode

24. According to the slides, which modes are most amenable to deep change through Schema Therapy interventions?

a. Central Addictive Mode b. Detached Modes only c. Child and Critic Modes in the cycle d. Healthy Adult Mode only

25. What does the text suggest about the development of intrapsychic walls in addiction?

a. They prevent addiction from developing b. They help individuals seek treatment more easily c. They make healthy attachment to others more difficult d. They have no impact on the addiction process

26. Which of the following is NOT mentioned as a type of Detached Addictive Mode?

a. Self-Soothing Detachment b. Thrill Seeking Detachment c. Preoccupied Detachment d. Empathic Detachment

27. What role does the Healthy Adult Mode play in addiction treatment according to the slides?

a. It's always strongly present in addicted individuals b. It's irrelevant to the treatment process c. The therapist often must model and function as the Healthy Adult d. It's only important in the early stages of treatment

28. Which statement best describes the Central Addictive Mode according to the "Effective Interventions" slide?

a. It's easily changed through cognitive interventions b. It's primarily targeted with behavioral interventions and is highly entrenched c. It's the most responsive to Schema Therapy d. It doesn't require any specific interventions

29. What does the text suggest about societal perceptions of addictions?

a. They have no impact on the addicted person b. They are always positive and supportive c. They contribute to the development of the intrapsychic wall d. They help addicted individuals seek treatment more easily

30. True or False: The Punitive/Demanding Modes activated after target behavior often reactivate Child Modes, making the cycle more entrenched.

a. True b. False

31. What are the two types of enabling modes described in the presentation?

a. Active and Passive b. Avoidant and Compliant Surrender c. Minimizing and Secrecy d. Lying and Manipulation

32. Which of the following is NOT listed as a typical enabling avoidant behavior?

a. Lying b. Gas-lighting c. Secrecy d. Confrontation

33. How does the Compliant Surrender mode enable addictive behavior?

a. By actively encouraging substance use b. By surrendering to schema activation c. By confronting the addiction directly d. By avoiding therapy sessions

34. What is the primary purpose of empathic confrontation in addressing enabling behaviors?

a. To shame the client b. To express empathy for the why and confront the how c. To encourage continued substance use d. To avoid discussing the addiction

35. Which of the following is NOT mentioned as an effective empathic confrontation technique?

a. Making sense of the behaviors b. Using the therapy relationship c. Transparency in intent and thoughts d. Ignoring the client's past experiences

36. What does the presentation suggest about the appearance of enabling/detachedmodes in therapy?

a. They always involve aggressive behavior b. They can manifest as lateness to appointments or minimizing use c. They only occur outside of therapy sessions d. They are easy for therapists to identify and address

37. How should therapists approach clients who are in enabling/detached modes?

a. With judgment and criticism b. By remaining curious, flexible, and sturdy c. By avoiding direct confrontation d. By ignoring the behavior entirely

38. What does the presentation emphasize about the role of the addiction in the client's life?

a. It should be replaced immediately with positive activities b. It serves no purpose and should be disregarded c. It fulfilled real needs and alignment with client's values is a better alternative d. It is not important to address in therapy

39. Which of the following is suggested as a way for therapists to manage their own reactions to enabling behaviors?

a. Ignoring their own emotional responses b. Confronting the client aggressively c. Seeking supervision and peer support d. Terminating therapy with difficult clients

40. True or False: The presentation suggests that clients will always explicitly state when they don't want to stop their addictive behavior.

a. True b. False

41. Why is Module 5 focused on Child Modes in addiction treatment?

a. Child Modes are easy to identify early in treatment b. Child Modes hide behind Addictive Modes and Inner Critics c. Child Modes are not relevant in addiction treatment d. Child Modes only appear in childhood trauma

42. Which of the following is NOT listed as a real need of Child Modes?

a. Validation b. Safety and Stability c. Financial success d. Healthy Boundaries

43. What does the presentation suggest about addicted individuals' ability to identify feelings?

a. They are experts at identifying their feelings b. They typically have trouble identifying feelings c. They only experience positive emotions d. They don't have any feelings

44. Which of the following is described as an origin of the Impulsive Child mode?

a. Balanced parenting b. Overly strict parenting c. Consistent emotional support d. Absence of parental figures

45. What is the central schema associated with the Impulsive Child mode?

a. Abandonment b. Emotional Deprivation c. Insufficient Self Control d. Unrelenting Standards

46. Which of the following is NOT mentioned as a Child Mode in the presentation?

a. Lonely, Lost b. Shamed c. Confident d. Abused

47. What is described as a consequence of addiction going from "protector to captor" situation?

a. Increased ability to form real relationships b. Better emotional regulation c. Feelings become more remote and prevent closeness d. Decreased intensity of emotions

48. What basic emotions are suggested as a starting point for teaching emotion identification?

a. Joy, Anger, Fear, Disgust b. Sad, Mad, Glad, Scared c. Love, Hate, Envy, Pride d. Anxiety, Depression, Elation, Confusion

49. Which of the following is NOT mentioned as a Schema Therapy intervention for Child Modes?

a. Limited Reparenting b. Imagery c. Chairwork d. Medication management

50. True or False: The presentation suggests that addressing Child Modes typically occurs more frequently in the early stages of addiction treatment.

a. True b. False

51. According to the presentation, which of the following is NOT considered a chronic disorder?

a. Diabetes b. Depression c. Addictions d. Common cold

52. What is described as the #1 reason for relapse in addiction?

a. Financial stress b. Interpersonal tears c. Physical pain d. Boredom

53. How does the presentation describe the process of relapse?

a. It happens suddenly and dramatically b. It occurs slowly over time c. It only happens due to external triggers d. It's always preceded by a major life event

54. Which of the following is NOT mentioned as a technique for relapse prevention?

a. Developing and maintaining a support system b. Healing child modes c. Anticipating schema activation d. Avoiding all discussions about the addiction

55. What does the presentation suggest about grief work in addiction treatment?

a. It's unnecessary in addiction treatment b. It should be avoided to prevent triggering c. It's crucial and often overlooked d. It's only relevant for alcohol addiction

56. How does the mode model align with the concept of addiction as a chronic disorder?

a. It doesn't align at all b. Coping modes weaken but never change c. Dysfunctional modes weaken with time while Healthy Adult strengthens d. All modes disappear completely after treatment

57. What is suggested as a way to combat all-or-nothing thinking in recovery?

a. Ignoring minor setbacks b. Distinguishing between a slip and a relapse c. Encouraging perfection in recovery d. Focusing only on major relapses

58. According to the presentation, what often happens to schema activation after the numbing effect of addiction is removed?

a. It disappears completely b. It remains unchanged c. It can seem to intensify d. It only affects new schemas

59. Which of the following is NOT mentioned as a healthy mode to teach in recovery?

a. Playful, Free Child b. Content, Relaxed Healthy Adult c. Focused, Persistent Adult d. Detached Protector

60. True or False: The presentation suggests that relapse is defined only by the use of the addictive substance or behavior, regardless of intensity or abandonment of the recovery plan.

a. True b. False

Course Description

SEE MATERIAL BELOW

Learning Objectives

Conceptualize addiction from a schema therapy perspective.
Describe approaches for empathically engaging and confronting clients struggling with addictions.
Outline approaches to hep clients with addictions build a healthy adult self while healing attachment and other core needs.
Describe how to balance change, setting limits, and meeting real needs in the therapy process.
Summarize how to target the central addictve mode with clients struggling with addiction.

Source

Liz Lacy, LCSW, provides individual, couples, and group therapy in private practice in New York City. She has an Advanced Certification in Schema Therapy and is a member of the International Society for Schema Therapy, having served on the ISST's Board subcommittee for Supervisor Training. Liz is also an Emotion Focused Couples Therapist, a member of NYCEFT and is a member of the Association for Behavioral and Cognitive Therapies. Liz contributes to professional publications and develops and implements training programs for the NY/NJ Schema Institute, private practices throughout the Tristate area, NASW and Orange County Trauma Task Force among others. Throughout her long career in human services, Liz has worked in mental health treatment, intensive alcohol treatment programs, served as clinical director for an HIV service organization and clinical supervisor for a NYC Sex Addiction Treatment Center. Her focus for the past decade has been working with individuals with PTSD, sexual and other addictions, chronic anxiety disorders and personality disorders, especially Borderline and Narcissistic Personality Disorders.) In April 2021, New Yorker Magazine named Liz as one of the top therapists in New York City.

Counselor / Addiction