Unconditional Positive Regard
The therapists at ATMC employ many different therapeutic modalities. However, foundationally Unconditional Positive Regard purported by Carl Rogers (1959) is the approach taken by all therapists at ATMC. The basic edict is that therapists are to help create and sustain an atmosphere of harmony or congruence because acceptance of a client within the therapeutic relationship is paramount to building trust (Rogers, 1959). Validating clients is the hallmark of our approach.9
Behavioral therapies are based on research and are believed to help clients cease their use of substances. Behavioral therapy helps clients become empowered and creates a space for them to change addictive patterns of behavior (NAADAC, 2009). Behavioral Therapy helps clients discover their thinking patterns to evaluate rational and irrational cognition. Once evaluated, the therapist’s goal is to change the client’s thoughts, emotions, and behaviors (Murdock, 2012). By developing new ways of being and thinking the client is taught how to associate behaviors with uncomfortable feelings and is then taught new learning patterns of ways to react differently when faced with fear, anxiety, phobias, and obsessive-compulsive behaviors (MacLeod, 2010). Clients presenting with myriad issues are offered Behavioral Therapy as it has been known to help those with phobias and obsessive-compulsive disorders by uncovering the client’s irrational thoughts and avoidance of a situation (MacLeod, 2010).
Inpatient counseling services at ATMC include:
- CBT (cognitive behavioral counseling)
- Dialectical Behavioral therapy
- Social Cognitive theory
- Reality therapy
- Choice therapy
- Structural Family System Theory
- Practicing Mindfulness
- Equine Assisted therapy
- One-on-one addiction counseling
Inpatient Counseling with Cognitive Behavioral Therapy
Cognitive Behavioral Therapy (CBT) has been shown to be effective in the treatment of alcoholism and drug addiction, particularly when combined with a comprehensive recovery program. Cognitive-Behavioral Therapy is considered to be a brief intervention treatment in that it is short-term in its design. The research of Lazarus demonstrates that it helps those with addictive behaviors learn coping skills and unlearn behaviors that substance users may have initially learned while on the pathway toward dependence.8 Within this therapeutic modality our thinking, memory, and reasoning are taken into consideration as “the way you think affects the way you feel”, according to the work of Clark & Beck.5
Dialectical Behavioral Therapy
Therapists at ATMC also employ Dialectical Behavioral Therapy (DBT). This therapeutic modality is a type of Cognitive Behavioral Therapy that identifies and changes negative thinking patterns and promotes positive behavioral changes. DBT may be used to treat suicidal and other self-destructive behaviors and helps clients cope with, and change, unhealthy behaviors.11
Social Cognitive Theory
Bandura’s (1998) Social Cognitive Theory (SCT) is yet another arrow in our therapeutic quiver addressing substance use and dependency. For example, when a user first gets the first shot of their drug of choice, we ask the question, ‘What is it that makes them return again and again?’ To answer this question, we note that SCT considers the users’ thoughts, feelings, and beliefs and takes into consideration the social and environmental factors leading them toward initial and continued drug use.1
Reality Therapy
Reality Therapy (RT) which catapulted Glasser’s Choice Theory (Murdock, 2012) is the grand finale after many other theoretical strategies have been applied and utilized in regard to client care. Choice Therapy is concerned with the client’s intrinsic belief system in the here and now and is more fundamental in its approach to explaining how and why we function. “Choice Therapy posits that we are not born blank slates waiting to be externally motivated by forces in the world around us. Rather, we are born with five genetically encoded needs that drive us all of our lives: survival, or self-preservation; love and belonging; power, or inner control; freedom, or independence; and fun, or enjoyment (Corey, 1990, p. 336).” 12
Choice Therapy
Choice Therapy is a more mindful type of therapy as clients recognize their behaviors and actions and question how well these behaviors are working for them in their lives. When considering Choice Therapy we may apply Dr. Phil’s questioning his guests with, “How is that working for you so far?”
When working with clients at ATMC it is of utmost importance to the therapists to include families. Bowenian Therapy purports the importance of including the client’s family and focusing on multigenerational issues (Murdock, 2007). One of the main goals of Bowenian Therapy is to reduce anxiety by bringing awareness and greater understanding to the emotional system of the family. 10
Structural Family System Theory
Structural Family System Theory (SFST) is also utilized by therapists at ATMC. It primarily focuses on structural change. Structural Family System Theory looks at psychosomatic problems as well as all emotional challenges. When applying this theory, therapists concentrate more heavily on family development, rather than on each family member (Minuchin, 1974). Dysfunction within the family system is discovered when the methods of relating among family members are explored (Minuchin, 1974). For example, determining which family members support each other as opposed to who does not, is important when observing family arguments and behaviors within the family system. The role of the therapist is to be an agent of change (Minuchin, 1974).
Structural Family System Theory observes relationship interactions and takes several factors into consideration. These factors are the quality of the relationship; whether disengaged or enmeshed; psychosomatic problems; and, the effects of power structures. An additional family therapy offered to clients and their families is Strategic Therapy. With this modality, therapists focus more on patterns repeated in communication styles and observe behavior between dyads and all family members (Murdock, 2012). Strategic Therapy investigates the power portrayed within the hierarchy of the family (Nichols, 2008).
Strategic Therapy utilizes an effective approach called “Open Dialog.” Open Dialogue is a form of family communication that utilizes openness and flexibility to change, as opposed to promoting change directly. Agendas are not encouraged and the beginning of the conversation flows with objective language about the challenges facing the client. Everyone is heard with unconditional acceptance. During the Open Dialogue process, therapists may not engage in normal therapeutic nomenclature but rather be present through gestures, facial expressions, and posture (Burton, 2015).4
Mindfulness
Mindfulness is associated with brain chemistry and the various ways the neural pathways in the brain are altered. In a mere eight weeks, the mid-prefrontal cortex and other parts of the brain are transformed in ways that bring about changes in creativity and a greater sense of well-being (Lazar et al. 2005). Based on Cognitive Behavioral Theory, Mindfulness is used to help substance use disorder clients prevent relapse. The program examines and discovers the genesis of addiction while focusing on negative emotions and cravings which are two predictors of relapse (Lazar, et al, 2005).6,7
Equine-Assisted Therapy
Equine-Assisted Therapy is gaining in efficacy, validity, and reliability as more and more therapists are integrating this approach into their work with clients.
Recently, research has shown that clients participating in Equine-Assisted Therapy (EAT) while recovering from substance use dependency are experiencing transformation and behavioral changes (Beetz, Uvnas-Moberg, Julius, & Kotrschal, 2012).2,3
Addiction Counseling at Alternative to Meds Center
At ATMC we help clients heal and become a better version of themselves through the discovery of self-validation and self-love. This process is often one that consists of helping the clients find forgiveness of self and others; reframe their experiences; and, learn to show their authentic selves through validation of feelings long buried and ignored. Compassion and positive regard play vital roles in building the framework for good rapport in addiction counseling.13
“Disease Model” Takes Away Choice
Therapists at ATMC do not utilize the “Disease Model.” It is our philosophy that this model takes away choice, freedom, autonomy, and control with an underpinning that we are behaviorally driven by some genetic predisposition or flaw. Under the auspices of having a “disease,” clients presenting with mental health issues are simply given a diagnosis and then prescribed medications to change their behavior. This particular form of treatment may leave clients feeling like the victim of a disease, which does little to help them take responsibility for their thoughts, feelings, and beliefs. The antidote is found in a pill and thus “the rest of the story” becomes silenced and unheard.
Inpatient Counseling — An Important Component at ATMC
ATMC inpatient counseling provides diverse pathways uniquely tailored to each client to reach their recovery goals. Many other services are provided for a wide horizon of treatment options for improved physical and mental well-being. Please call us for more information on how our programs and services may assist you or your loved one to accelerate reaching your health goals.
Fact Checked Alternative to Meds Editorial Team
