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The Priory Hospital Glasgow. Day therapy groups for individuals with an addiction

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The Priory Hospital

Glasgow

Day therapy groups for individuals with

an addiction

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About our therapy programmes

We understand that it can be difficult to accept that you have an addiction, which is why seeking help is one of the biggest steps in the road towards your recovery. Coming into hospital can be a daunting process, but at the Priory Hospital Glasgow you can be assured of the very best treatment available to suit your individual needs.

We have provided below some detailed information about the content of our Group Therapy modules within a typical week at our hospital. We hope that you will be able to use this information to familiarise yourself with the type of activities you will be undertaking as an inpatient staying with us, or as a day or outpatient coming into the hospital.

These sessions are designed to provide individuals with an addiction (who may also have an acute mental health condition such as depression, stress or a personality disorder) the coping strategies to recognise and, in time, overcome their substance misuse or addictive behaviour.

Within our wide range of therapy groups, we are able to treat a range of addictions, including:

 alcohol

 illegal drugs (as well as ―legal highs‖ and hallucinogens)

 prescription drug use

 stimulants

 binge eating

 gambling

 sex

 internet

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What is Group Therapy?

Group Therapy is recognised as an opportunity for an individual to: i) Understand that they are not alone

ii) Hear shared experiences of others, especially those who are in part recovery iii) Experience a welcoming environment, which is safe and non judgemental iv) Experience a structured routine

v) Develop confidence in their interaction with others vi) Receive support from others within your peer group

Does addiction treatment work?

Understandably, you will want to be sure that the treatment that you receive for your substance misuse or addictive behaviour is not only effective, but also excellent value. Our addiction treatment programme is not just a 28 day rehabilitation plan, it includes twelve months of free aftercare to help you achieve and maintain your treatment goals.

The best way for us to ensure that our patients are pleased by the treatment and support they receive from the Priory Hospital Glasgow is to regularly review our patient satisfaction surveys and monitor clinical outcomes.

We are pleased to report that our most recent results showed that:

86.2% of all patients that stay in contact with us (through aftercare and regular

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A typical week at the Priory Hospital Glasgow # Times may vary slightly 9.30 - 10.30 11.00 - 12.00 1.15 - 2.15 2.45 - 3.45 4.00 - 4.45 7.30 - 9.30 MONDAY A Thoughts & Feelings Diary Session B

Step Work Step Work B LOG BOOK C Self

Awareness

M

Yoga Self Help D Session TUESDAY A Thoughts & Feelings Diary Session B Step Work Aftercare E

Group (Patients & Ex-Patients) & Family Group Meetings E Aftercare Group (Patients & Ex-Patients) & Family Group Meetings

Free Time Free Time

WEDNESDAY A Thoughts & Feelings Diary Session B

Step Work Video Group F & Reflective Feedback G PCT / CBT Group Work in Addictions H

Relaxation Free Time

THURSDAY A Thoughts & Feelings Diary Session B Step Work & Daily Readings Step Work I Creative Therapy & Reflective Feedback

Free Time Self Help Session FRIDAY A Thoughts & Feelings Diary Session B Step Work & Daily Readings K CBT for Self Esteem G PCT / CBT Groupwork in Addictions & J Weekend Planning M Yoga CA Meeting SATURDAY L AA/ NA/ CA Meeting Free Time

(Outings) Free Time (Outings) Free Time (Outings) Free time Free Time

SUNDAY L

AA/ NA/ CA Meeting

Free Time

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Modules relating to Addiction Therapy Weekly Programme:

A – Thoughts & Feelings Diary Session – All patients are supported in writing a daily

diary at the end of each day for presenting and sharing in Group at the start of each day. Diaries focus on feelings and reflective responses to the programme, specific forward goals and development of self-awareness and progress evaluation.

B – Step Work – The Priory addiction therapy programme integrates the essential elements

of a traditional 12 Step programme within a group environment. This type of programme was adapted from the 12 steps of Alcoholics Anonymous (1935). These steps are also used by Narcotics Anonymous, Cocaine Anonymous and Gambling Anonymous. Patients will be introduced to the 12 step programme whilst in treatment here which are seen as code for living. The 12 step programme helps the patient understand their problem, offer a solution, and then teach them how to live life on life‘s terms. Twelve step philosophy also encourages ongoing self analysis and further encourages attendance at 12 step fellowship meetings. The collective knowledge, shared experiences and one common problem are seen as a powerful vehicle for recovery with researchers believing the actual fellowship to be one of the most important factors. Attendance at these meetings is seen as maintenance to the ex-patient and is vital for on-going recovery.

C – Log Book - This is a log of all the assignments given to a patient. The purpose of this

―tool‖ is to help identify areas where a patient may have some difficulties and require extra support. Assignments are in the form of questionnaires and guidelines.

D – Self Help Sessions – These are self-help Groups which are an integral part of

on-going recovery maintenance. These Groups are self facilitated by ex-patients and current patients wishing to access these Groups are introduced during whatever time they spend within the Hospital.

E – Aftercare Groups – Involvement in Aftercare actually begins whilst a patient is in

Therapy treatment and is provided free of charge for a total of 52 weeks after a treatment programme is completed.

F – Video Group and Reflective Feedback – Showing a rolling selection of DVD‘s and

videos around various facets of addiction recovery, including practical case studies using the 12 Steps. After each illustration, there is a feedback discussion around the content within these cases and this is then related back to individuals within the Group.

G – PCT/ CBT Group Work in Addictions – This therapy is defined very specifically

around the individuals within the Group but and utilises PCT and CBT techniques. Essentially it is based on social behavioural assessment and includes improving understanding of

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I – Creative Therapy and Reflective Feedback – This includes artwork therapy which works well with patients who are recovering from addiction issues. Each assignment is reviewed within the Group and helps individuals express themselves freely in a safe environment.

J – Weekend Planning – Structured planning ahead for the weekend, recognising that this

is one of the more difficult times of the week and the fact that there is significant free time. This is an important part of therapy because the individual recognises that at the weekend they may be more vulnerable and they are taking ownership for putting actions in place to reduce this vulnerability.

K – CBT for Self Esteem - A structured, CBT focussed Group that examines the individual‘s

relationship with their own self awareness and self thoughts; addresses cognitive distortions, identity and encourages acceptance that everybody is individual and that each individual is important to themselves and others.

L – AA / NA/ CA Meetings – Accompanied visits to Alcoholics Anonymous, Narcotics

Anonymous or Cocaine Anonymous, clearly depending upon the type of addiction being treated.

M - Yoga – Any kind of addiction can be helped by the discipline and health of regular exercise. Yoga teaches techniques that can be used throughout the day to reinforce healthy habits. Most importantly Yoga can shift attention away from the pain of withdrawal to the reassurance that the individual is on their way to recognising the strength and power to change. Addiction does not destroy strength; it makes the individual forget about it. Yoga helps bring this recognition back and using its techniques helps the individual practice to grow healthy again.

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Our therapist specialities

In addition to a team of addiction treatment therapists, we also provide a broad range of therapies, tailored to meet the specialist requirements of each individual patient, particularly those with dual diagnosis (a mental health illness as well as their addiction). These include: Eating disorder (occupational therapy)

Cognitive behavioural therapy Anxiety management

Person centred therapy

Eye movement desensitisation and reprocessing Obsessive compulsive disorder

Child and adolescent mental health services Attention deficit-hyperactivity disorder Exposure work Life-skills Mindfulness Positive psychology Family interventions Couple work Harm reduction Sexual abuse Yoga Personality disorders Complex trauma

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Glossary of Clinical Terms

Addiction TherapyProgramme (ATP) – based upon detoxification followed by an

abstinence (and sustainment) model.

Eating Disorder - Occupational Therapy (ED – OD) – various therapies relating to

pragmatic ways to improve life experience in coping with an Eating Disorder.

Cognitive Behavioural Therapy (CBT) - is a psychotherapeutic approach that addresses

(sometimes) dysfunctional and complex emotions, maladaptive behaviors and cognitive processes and contents through a number of goal-oriented, explicit systematic procedures. This principle is known to be effective across a wide range of psychological problems.

Person Centered Therapy – the goal of PCT is to encourage focus on personal issues a

safe, comfortable, non-judgmental environment by demonstrating congruence

(genuineness), empathy, and unconditional positive regard toward their patients while using a non-directive approach. The underlying philosophy is; that as humans we strive t be the best that we can be and in the safety of a therapeutic environment, the patient can explore thoughts and feelings and through awareness, pursue acceptance and change.

Eye movement desensitization and reprocessing (EMDR)- is a psychotherapy for post

trauma stress disorder that has been judged efficacious by numerous professional bodies. In EMDR treatment the patient first recalls traumatic material and then free associates on their own ("just let whatever happens happen") to sequences of linked material, both traumatic and non-traumatic, all while simultaneously attending to inner thoughts and sensory stimulation from a rhythmic, bilateral source. The goal of EMDR therapy is to

process these distressing memories, reducing their lingering influence and allowing clients to develop more adaptive coping mechanisms.

Obsessive Compulsive Disorder (OCD) – is an anxiety disorder characterized by

intrusive thoughts that produce uneasiness, apprehension, fear, or worry; by repetitive behaviors aimed at reducing the associated anxiety; or by a combination of such obsessions and compulsions. Symptoms of the disorder include excessive washing or cleaning; repeated checking; extreme hoarding; preoccupation with sexual, violent or religious thoughts;

relationship-related obsessions; aversion to particular numbers; and nervous rituals, such as opening and closing a door a certain number of times before entering or leaving a room. These symptoms can be alienating and time-consuming, and often cause severe emotional and financial distress. However, OCD sufferers generally recognize their obsessions and compulsions as irrational, and may become further distressed by this realisation.

Child and Adolescent Mental Health Services (CAMHS) – for the diagnosis and

treatment of children and adolescents, generally until school-leaving age.

Attention Deficit-Hyperactivity Disorder (ADHD) – is a neurobehavioral disorder

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it being predominantly inattentive (ADHD-PI or ADHD-I), predominantly hyperactive-impulsive (ADHD-HI or ADHD-H), or the two combined (ADHD-C). Often people refer to ADHD-PI as "attention deficit disorder" (ADD). ADHD generally impacts school-aged children and results in restlessness, acting impulsively, and lack of focus which impairs their ability to learn properly, although it is now generally accepted that with adults sypmtoms can prevail and adults can demonstrate the same.

Exposure work - is a technique in behavioural therapy intended to treat anxiety disorders

and involves the exposure to the feared object or context without any danger in order to overcome their anxiety.

Mindfulness - Promotes a ―way of being‖ that helps us approach an individual‘s present

predicament with kindness and compassion. Learning new and more effective ways of handling moods and emotions by learning to disengage from trying to ‗fix‘ things and repeated self-critical thoughts.

Positive Psychology – Developing more effective understanding and interventions to

determine how things go right; through positive experiences, enduring psychological traits, positive relationships positive influences. This branch complements, with no intention to replace or ignore, the traditional areas of psychology.

Personality Disorder– Eating Disorder (Occupational Therapy) – refers to a class of

personality types and enduring behaviors associated with significant distress or disability, which appear to deviate from social expectations particularly in relating to other humans.

Complex trauma therapy – to help alleviate severe anxiety disorder that can develop

after exposure to any event that results in psychological trauma. This event may involve the threat of death to oneself or to someone else, or to one's own or someone else's physical, sexual, or psychological integrity, overwhelming the individual's ability to cope. As an effect of psychological trauma, PTSD is less frequent and more enduring than the more commonly seen post traumatic stress (also known as acute stress response). Diagnostic symptoms for PTSD include re-experiencing the original trauma(s) through flashbacks or nightmares, avoidance of stimuli associated with the trauma, and increased arousal—such as difficulty falling or staying asleep, anger, and hyper vigilance.

References

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