ADDICTION

1. Self efficacy
and Problem solving
in addiction disorders
By
Ahmed Albehairy, M.D
Psychiatry Consultant

2. Introduction
Possibility of relapse in addiction therapy
Relapse prevention

3. Key Themes in Relapse Prevention
1- identify risk relapse factors and develop
strategies to deal with.
2- understand relapse as a process and as an
event.
3- understand and deal with cues and cravings.
4- understand and deal with social pressures to
use substance.
5- develop and enhance a supportive social
network.

4. Key Themes in Relapse Prevention
6- develop methods of coping with negative
emotional states.
7- assess the pt. for co morbid psychiatric
disorder.
8- help and learn the pt. methods to cope
with cognitive distortions.

5. Relapse warning signs!!!????
- Attitude changes.
- Thoughts changes.
- Mood changes.
- Behavior changes.

6. What is self Efficacy????
self-efficacy as our belief in our ability to
succeed in specific situations.
high risk factors internal, external( thoughts,
feelings, people, places, events and things )

7. Factors affecting self-efficacy
Bandura points to four sources affecting self-efficacy;
1. Experience
– "Mastery experience" is the most important factor deciding a
person's self-efficacy. Simply put, success raises self-efficacy,
failure lowers it.
2. Modeling - a.k.a. "Vicarious Experience"
– “If they can do it, I can do it as well.” This is a process of
comparison between a person and someone else., modeling

8. Factors affecting self-efficacy
3. Social Persuasions
– Social persuasions relate to
encouragements/discouragements. These can have a strong
influence – most people remember times where something said
to them significantly altered their confidence. Where positive
persuasions increase self-efficacy, negative persuasions
decrease it. It is generally easier to decrease someone's self-
efficacy than it is to increase it.
4. Physiological Factors
– In unusual, stressful situations, people commonly exhibit signs of
distress; shakes, aches and pains, fatigue, fear, nausea, etc. A
person's perceptions of these responses can markedly alter a
person's self-efficacy.

9. Cognitive behavioral model of the
relapse process
Decreased
Coping Increased
Probability
response Self efficacy
Of relapse
High risk
situations
AVE
disonance
No Initial use Increased
Decreased conflicts
Coping Of Probability
Self efficacy Of
response substance Self
relapse
attribution

10. Tools of managing self efficacy in
addict
- Individual psychotherapy .
- Group .
- Team work.
- Motivational skills.
- Ex addict .
- Family involvement.
- Relapse and lapse investigations.

11. Self efficacy and solve problem
- Psycho education
- Anticipation of risky situations .
- Discussion ??????
- Training , motivation.
- List of problems
- Prioritize the problems .
- Analysis of the problems.( cognitive errors
and other related psychosocial issues).

12. Problem solving
- Alternative solutions.
- Choose the suitable solution ( with,
against, and key persons).
- Test the solution .
- Approve the solution or choose other
alternative.
- Recycle and repeat.

13. Types of problems to be solved
- cues.
- Craving
- Psychiatric disorders.
- Medical disorders.
- Legal problem.
- Family .
- financial.

14. Self efficacy and problem solving
mean
Continous motivation for change of
- Attitude .
- Thoughts .
- Mood .
- Behavior .

15. Thank you