Sober living

Study co-author Dawei Li, an assistant professor of microbiology and molecular genetics, has worked with other scientists for years to build a genetic database of more than 10,000 people. All are affected by at least one mental illness, but many have multiple disorders, including depression, schizophrenia and bipolar disorder, along with alcohol or drug dependence. People with light-colored eyes may have a higher risk of alcoholism than people with dark-brown eyes, new research suggests.

More in Health

Jehannine Austin, a psychiatric disorders expert for the National Society of Genetic Counselors, said the study was intriguing but that more work needed to be done. If you or a loved one are struggling with alcohol or other drugs, call us now to speak with a Recovery Advocate. Upon first encountering a new patient, a good physician notes physical features that suggest increased risk of pathology. A patient with clubbed fingernails or toenails should be evaluated for pulmonary insufficiency. Both cars had “extensive” damage, while Steele’s eyes were “bloodshot and glassy” and she smelled of alcohol, according to the police report fetal alcohol syndrome celebrities and newly released footage.

1. About 6,000–10,000 years ago, probably in the area of the Black Sea, a single individual was born with a mutation that programs reduced OCA2 gene expression and blue eyes.1 The evidence suggests that all people with blue eyes carry this same variant.
2. People with lighter eye colors appear to be more likely to develop alcoholism, according to a new study published in the American Journal of Medical Genetics.
3. The study defined “alcohol dependence” using criteria from the Diagnostic and Statistical Manual of Mental Disorders – 4th Edition, researcher Dawei Li told The Huffington Post.

ABC News

However, the complexity of genetic research, including factors such as assortative mating and shared environment effects, often challenges the validity of such findings. For instance, the heritability of alcohol use disorders, as shown in meta-analyses of twin and adoption studies, may be influenced by these factors. Despite these challenges, twin studies continue to provide valuable insights into the genetic underpinnings of alcoholism and other addiction disorders. Another dimension to consider is the genetic overlap found by researchers, which could offer insights into the underlying reasons for this association.

Blue Eyes Genetics

The two main pigments are eumelanin (brown or black) and pheomelanin (red or yellow), which together influence the perceived color of the eyes. In individuals with blue eyes, the iris lacks significant amounts of melanin, which is why they appear blue due to the way light scatters in the absence of melanin. Identifying and treating alcohol dependency is a worthy clinical and public health challenge. Alcoholics can be secretive about their addiction and frequently deny it long after it takes a toll on their families, friends and employers. Li and Sulovari found that people with light-colored eyes–or eyes that are blue, grey, or green–were most likely to become alcohol-dependent at some point in their lifetimes when compared to people with dark brown eyes.

From an evolutionary perspective, all blue-eyed individuals may share a common ancestor. A genetic mutation that occurred between 6,000 and 10,000 years ago in a single individual from Europe has been suggested as the origin of blue eyes. This mutation affected the OCA2 gene, which plays a role in melanin production, turning off the body’s ability to produce the brown pigment in the iris.

Recent studies have sparked interest in the potential connection between eye color and the risk of alcoholism. The speculation arises from observed correlations, where individuals with lighter eye colors, particularly blue eyes, may display a higher incidence of alcohol dependency compared to those with darker eyes. Research published in the American Journal of Medical Genetics outlines genetic components that determine eye color and suggests these components are aligned with genes related to excessive alcohol use. The study authors very likely uncovered an uncanny correlation, but that doesn’t provide any big help in diagnosing alcoholism or understanding the complex genetics behind it. The intersection of genetics and behavioral health, such as the study of the connection between blue eyes and alcoholism, has the potential to significantly influence treatment and prevention strategies.

Eye Color Linked to Alcoholism Risk

According to the 2021 National Survey on Drug Use and Health, approximately 28.6 million adults aged 18 and older (11.3%) suffered from AUD in the United States. Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, or health consequences. The mechanism behind tolerance and dependence is based on the way alcohol affects our brain — most notably the way it changes the balance of neurotransmitters in the brain. Drinking causes a brief boost in dopamine, the feel-good neurotransmitter that fuels the brain’s reward circuit. It also increases the levels of GABA (a neurological sedative) while down-regulating its counterpart, glutamate (an excitatory neurotransmitter). The root cause of alcoholism, or alcohol use disorder, is a mix of our unique biology, personal history, personality tendencies, and environment.

By considering genetic factors more closely, medical professionals could provide more targeted and effective care for those struggling with AUD. All in all, AUD is a complex condition that involves genetic and environmental factors alike. Do blue eyes have a higher alcohol tolerance correlation, and is there a connection between blue eyes, alcohol dependence, and AUD?

The Reframe app equips you with the knowledge and skills you need to not only survive drinking less, but to thrive while you navigate the journey. Our daily research-backed readings teach you the neuroscience of alcohol, and our in-app Toolkit provides the resources and activities you need to navigate each challenge. To start,  let’s take a brief look at what gives rise to eye color in the first place. It comes down to our DNA — the sequence of nucleotide molecules that work as templates for building our body’s proteins.

From that extensive database, Li’s and Sulovari’s study filtered out the alcohol-dependent patients with European ancestry, a total of 1,263 samples. The inclusion of ethnically varied groups is crucial to account for structural variation and to develop more accurate predictions of phenotypes and genetic risks across populations. Nature Reviews Genetics emphasizes the need for long sequencing reads and haplotype phasing to confront this challenge. Additionally, training a diverse community of genomic research scientists is essential for the equitable advancement of the field.

Too much alcohol affects your speech, muscle coordination and vital centers of your brain. A heavy drinking binge may even cause a life-threatening coma or death. This is of particular concern when you’re taking certain medications that also depress the brain’s function. If your pattern of drinking results in repeated significant distress and problems functioning in your daily life, you likely have alcohol use disorder. However, even a mild disorder can escalate and lead to serious problems, so early treatment is important.

Support

It can also make circulating platelets less sticky, rendering them less effective in forming clots. This increased blood flow means more blood might escape the vessel if it ruptures. A graduate of Texas Tech University and the can drinking cause bruising University of Cincinnati, Trent is fervently dedicated to providing evidence-based, compassionate care to those battling addiction.

What Is a Bruise?

Because connective tissue is located all throughout our bodies, people with EDS can have a wide range of symptoms. Blood cancers affect blood cells and account for nearly 10% of all cancers in the U.S., according to The Leukemia and Lymphoma Society. A low platelet count makes you bruise easily—one of the telltale symptoms of blood cancers. Your liver has many functions, including helping in digestion, removing waste from the body, and producing certain proteins. If your liver isn’t functioning properly, it will not make enough clotting factors, which makes you more prone to bruising and bleeding.

• If you’re experiencing alcohol symptoms like easy bruising, or you simply want to break free from alcohol misuse, Confidant is here to help.
• First, alcoholics are more likely to fall and injure themselves, which can cause bruising.
• Don’t do this yourself because you could hurt yourself further, cause an infection, and slow your healing process.

Addiction Therapist: What They Do & How to Find the Right One

Alcohol addiction can cause various health issues, some of which include bruising and subcutaneous bleeding. Bruises that take a long time to heal or getting bruised for no apparent cause could be signs of a bleeding disorder. Sunnyside is the leading alcohol health platform focused on moderation and mindfulness, not sobriety. On average, members see a 30% reduction in alcohol consumption in 3 months, leading to improved sleep, diet, and overall wellbeing.

How to Prevent Alcoholic Neuropathy

You should also seek medical attention if your bruises appear on parts of your body where injuries are unlikely to occur, like your torso, back, face or on the backs of your hands. Ditto if they start to appear after you’ve started a new medication. “Generally, bruises should fade completely in a couple of weeks,” Dr. Johnston says. “If your bruise doesn’t heal after roughly three to four weeks, you should seek medical attention because it could be a sign of a more serious medical issue.” With platelet disorders, such as thrombocytopenia, there may be an underproduction or overproduction of platelets in the body, or platelets that don’t work normally. “In the case of too few platelets, the body won’t be able to control bleeding after experiencing physical trauma,” Dr. Johnston says.

Myth: You’re not in danger of health or addiction problems if you only drink alcohol socially.

The pain can feel like burning, throbbing, or sharp pins and needles. As the condition progresses, the pain may vary in intensity, sometimes diminishing for months before worsening again. Because denial is common, you may feel like you don’t have a problem with drinking. You might not recognize how much you drink or how many problems in your life are related to alcohol use. Listen to relatives, friends or co-workers when they ask you to examine your drinking habits or to seek help. Consider talking with someone who has had a problem with drinking but has stopped.

What Are the Long-Term Effects of Alcohol on the Body?

You may avoid possible health problems by limiting your alcohol consumption. When it comes to drinking, remember to always prioritize your well-being and make appropriate decisions. Binge drinking, which includes consuming a large quantity of alcohol in a short period, may be harmful to our health.

• Some people experience a faster onset and progression of alcoholic neuropathy than others.
• According to DermNet.org, drinking large amounts of alcohol can increase a person’s risk of developing psoriasis.
• But long-term and excessive alcohol consumption can lead to liver inflammation (liver hepatitis).
• Furthermore, if alcohol bruises are a result of liver damage, you likely have alcoholic liver disease, which causes severe dysfunction in the liver.

Advances in research, an explosion in sophisticated imaging technology and new medical procedures have allowed for earlier diagnosis of prostate disease and more personalized treatment. Dr. Kling recommends that people going through menopause limit alcohol to one drink a day or less, in addition to eating a balanced diet and exercising regularly. Dr. Oesterle leads Mayo Clinic’s inpatient rehabilitation program for addiction and says he often sees alcohol use become a problem for people after they retire.

By Lindsay CurtisCurtis is a what is alcoholism writer with over 20 years of experience focused on mental health, sexual health, cancer care, and spinal health. At this point, you may have alcohol cravings or drink to avoid the low feelings withdrawal causes rather than for the pleasurable feelings alcohol consumption may offer. The brain is highly vulnerable to the damaging effects of alcohol, which disrupts communication between brain cells.

He emphasizes a holistic, patient-centered approach and stays updated on the latest in addiction research. Trent Carter, FNP-BC, CARN-AP, is a seasoned nurse practitioner with over a decade of experience in addiction medicine. However, giving up alcohol right away isn’t sustainable or desirable for most people. After all, studies have shown that almost 50% of adults wish to reduce their intake without giving up alcohol altogether.

Once stabilized, the goal is to transition from detox, to treatment, to maintenance (practicing sober living by changing your life), to transcendence—the final step in the path to recovery. Additionally, research has shown that alcohol may alter the composition of helpful microorganisms in your gut. These organisms play a crucial role in your gut and immune system function. Alcohol suppresses rapid eye movement, or REM sleep, which is an essential restorative stage of sleep your body requires. And since alcohol is a diuretic, you’ll probably visit the bathroom more frequently at night, which bruising and alcoholism can significantly hinder sleep. If you’ve ever had to nurse a hangover, nausea and vomiting are commonly part and parcel of the ordeal.

Multiple body systems

Having a mild intolerance to alcohol or something else in alcoholic beverages might not require a trip to a doctor. Simply avoid alcohol, limit how much you drink or avoid certain types of alcoholic beverages. Once you quit drinking, your body can begin to recover from some of the damage or, at the very least, prevent it from getting worse. This CME/CE credit opportunity is jointly provided by the Postgraduate Institute for Medicine and Sober living house NIAAA.

What to know about alcoholic liver disease?

Bruises that take a long time to heal or getting bruised for no apparent cause could be signs of a bleeding disorder. If your bruise doesn’t improve within two weeks, or if you start to notice frequent, unexplained bruises—whether you’re drunk or sober—call your doctor. So when you drink alcohol and injure yourself, you can be left with a bigger, more noticeable bruise than you might see while sober. The guidelines classify moderate drinking up to one drink a day for females, and up to two drinks for males, and only over the age of 21 years. While the early stages may have no symptoms, later stages can cause symptoms such as fatigue, swelling in the hands and legs, jaundice, loss of appetite, and weakness. While treating ALD it is important not only to abstain from alcohol but also become conscious of other factors that could affect the liver.

Preventing alcoholic neuropathy

John C. Umhau, MD, MPH, CPE is board-certified in addiction medicine and preventative medicine. For over 20 years Dr. Umhau was a senior clinical investigator at the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health (NIH). The most important thing you can do to treat alcohol-related neuropathy is to stop consuming alcohol. Research suggests that up to 66% of people with AUD have some type of alcohol-related neuropathy. The endocrine system consists of hormone-producing glands in the body. These hormones influence various functions, including growth, metabolism, and breathing.

It can affect people from all walks of life, regardless of their age, gender, or background. Whether someone is young or old, male or female, rich or poor, they can be susceptible to the grip of alcohol addiction. When it comes to understanding alcoholism, it is important to recognize that it is not simply a matter of willpower or moral failing. It is a disease that affects the brain and behavior, and it requires professional help and support to overcome it. The impact of alcoholism is far-reaching, affecting not only the individual but also their loved ones and society as a whole.

Treatment options may include therapy, support groups, medication, and lifestyle changes. It is a journey that requires commitment, perseverance, and a strong support system. With the right help and support, individuals struggling with alcoholism can regain control of their lives and achieve long-term sobriety. Alcohol addiction is rooted in complex biological and psychological factors. Alcohol stimulates the release of neurotransmitters, such as dopamine, in the brain, creating pleasurable sensations.

Impact on your safety

• Alcoholic liver disease is caused by excessive consumption of alcohol.
• During end-stage alcoholism, a person may struggle with involuntary rapid eye movement (nystagmus) or weakness and paralysis of the eye muscles due to thiamin (vitamin B1) deficiency.
• A person may also develop a tolerance for alcohol, meaning that they need larger and larger amounts to obtain the desired effects.
• Liver cirrhosis is linked to bleeding complications and can even lead to the formation of a large type of bruise called a hematoma.
• An alcohol use disorder is a legitimate medical condition that causes lasting changes in the brain.

When that happens, the person is seemingly functional and appears normal to other people. According to a 2021 study, the cerebellum is one of the most vulnerable areas that alcohol can directly affect, leading to difficulty in maintaining balance. This increased blood flow means more blood might escape the vessel if it ruptures. Vasodilation is the widening of the blood vessels caused by the relaxation of the muscles in these blood vessels.

• Unhealthy alcohol use includes any alcohol use that puts your health or safety at risk or causes other alcohol-related problems.
• Alcoholic cirrhosis is a progression of ALD in which scarring in the liver makes it difficult for that organ to function properly.
• The early signs of alcoholic liver disease are vague and affect a range of systems in the body.
• In compensated cirrhosis, the liver remains functioning, and many people have no symptoms.
• Any kind of disease or condition that harms the liver can lead to cirrhosis over time.
• According to a 2021 study, the cerebellum is one of the most vulnerable areas that alcohol can directly affect, leading to difficulty in maintaining balance.

When to see a doctor

Bruising easily usually isn’t a serious problem, but Jahn recommends calling your health care provider if any of these descriptions apply to your bruises. Rarely, severe pain after drinking alcohol is a sign of a more serious disorder, such as Hodgkin’s lymphoma. Even if your loved one seeks help, you may still need help and support to overcome the effects.

By creating a contingency plan, you’re empowering your team to respond quickly to a risk, but you want to make sure that course of action is the right one. Plus, pre-approval will allow you to set the plan in motion with confidence—knowing you’re on the right track—and without having to ask for approvals beforehand. While severe earthquakes aren’t particularly common, being unprepared when “the big one” strikes could prove to be catastrophic. This is why governments and businesses in regions prone to earthquakes create preparedness initiatives and contingency plans. Businesses that create strong plans recover faster from a disruptive event than businesses that don’t. When a negative event occurs, the faster the business recovers and gets back to business-as-usual, the lower the risk to the company, its customers and its employees.

Google Docs Contingency Plan Template by Template.net

This would significantly impact normal operations, so you want to create a contingency plan to prepare for it. Each person on your team has a very particular skill set, and it would be difficult to manage team responsibilities if more than one person left at the same time. Your contingency plan might include who can cover certain projects or processes while you hire a backfill, or how to improve team documentation to prevent siloed skillsets. You can create a contingency plan at various levels of your organization. For example, if you’re a team lead, you could create a contingency plan for your team or department.

Report on key metrics and get real-time visibility into work as it happens with roll-up reports, dashboards, and automated workflows built to keep your team connected and informed. Keep in mind that a contingency plan is only effective if you regularly review and update it to reflect changing circumstances and new risks that may arise. Markets and industries are constantly shifting, so the reality that a contingency plan faces when it is triggered might be very different than the one it was created for. Plans should be tested at least once annually, and new risk assessments performed. Think of the supply chain problems and critical shortages wreaked by the pandemic or the chaos to global supply chains brought about by Russia’s invasion of Ukraine.

For many projects, experts do not recommend using a broad contingency estimate. Instead, project leaders should estimate contingency with more precise tools. Some options include team estimates, Monte Carlo simulations, and phase contingency estimates.

1. It may be helpful to have an example of a contingency plan, so we’ll go over one below.
2. The document takes the guesswork out of emergency planning, so you can protect resources, minimize interruptions, and identify go-to team contacts.
3. ClickUp’s Workplace Emergency Action Plan Template offers a structured approach to planning and responding to these emergencies for contingency planning.

List of risks

If and when that hazard actually jumps in your way, you have that backup plan ready to go — rather than having to scramble to figure your next steps out in the heat of the moment. From simple task management and project planning to complex resource and portfolio management, Smartsheet helps you improve collaboration and increase work velocity — empowering you to get more done. The below graphic shows how a team might track its contingency reserve for a project, month by month. It would track the contingency reserve in concert with the project’s total budget and the running costs for the project. Organizations will often use estimates and detailed calculations to determine the amount of contingency reserve they need for a project, either in costs, time, or both.

It’s your road map to continuity in the face of unexpected events and hurdles, be it a financial downturn, a tech malfunction, or an operational interruption. For example, you might create a contingency plan outlining what you will do if your primary competitors merge or how you’ll pivot if you lose a key client. You could even create a contingency plan for smaller occurrences that would have a big impact—like your software service going down for more than three hours. Many organizations use a strong contingency plan to show employees and customers that they take preparation seriously. By planning for a wide range of potentially damaging events, business leaders can show investors, customers and workers that they’ve taken the necessary steps to minimize risk. The contingency planning process begins with a risk assessment to gauge the potential impact of each risk.

You want to make sure you have all the necessary information before drafting your plan, so this step should be the longest. Once you’ve created your plans, distribute them to key stakeholders in each scenario, so everyone understands what they are responsible for and can prepare ahead of time. The Smartsheet platform makes it easy to plan, capture, manage, and report on work from anywhere, helping your team be more effective and get more done.

Contingency planning vs. risk management

It also outlines the specific actions organization staff will take to respond to them. Next, determine your recovery time objectives (RTOs) to develop an effective emergency response and mitigation strategy. These objectives outline how quickly you must restore each function to avoid consequences.

A contingency plan is a strategy for how your organization will respond to important or business-critical events that knock your original plans off track. Executed correctly, a business contingency plan can mitigate risk and help you get back to business as usual—as quickly as possible. Here are five steps companies use to create effective business contingency plans. Businesses need a plan to get back on track when a disaster interrupts daily operations. Contingency plans, also known as “business continuity plans,” “emergency response plans” and “disaster recovery plans” help organizations recover after a disruption. Contingency planning and risk management are closely related but different processes.

What to Include in a Contingency Planning Policy Statement

Others deal with data breaches, unexpected network downtime or the loss of a key employee such as a CEO or founder. Here are a few examples of contingency plan templates that deal with broadly different scenarios across a range of industries. A contingency plan is a “plan B” that helps a business address specific situations or incidents that may contingency plan example or may not be out of its control.

Once you start thinking about it, you’ll realize how many things you rely on to avoid going wrong, even for fundamental processes. Without that backup, the team might have to recreate the entire website from memory or build a website from scratch. That’s a significant expense and can mean several extra days (or weeks!) of downtime.

Most adults with SUD do not seek treatment because they do not wish to stop using substances, though many also recognize a need for help. This narrative review considers the need for increased research attention on nonabstinence psychosocial treatment of SUD – especially drug use disorders – as a potential way to engage and retain more people in treatment, to engage people in treatment earlier, and to improve treatment effectiveness. Despite significant empirical support for nonabstinence alcohol interventions, there is a clear gap in research examining nonabstinence psychosocial treatment for drug use disorders. Future research must test the effectiveness of nonabstinence treatments for drug use and address barriers to implementation.

Ecological momentary assessment of temptations and lapses in non-daily smokers

Additionally, the support of a solid social network and professional help can play a pivotal role. Encouragement and understanding from friends, family, or support groups can help individuals overcome the negative emotional aftermath of the AVE. Explore the benefits of an individualized treatment plan for addiction counseling and why it’s a game-changer on the path to recovery. Getting through the holidays while maintaining recovery, especially for people newer to this life-changing process, is an accomplishment worthy of celebration in its own right. When an urge to use hits, it can be helpful to engage the brain’s reward pathway in an alternative direction by quickly substituting a thought or activity that’s more beneficial or fun— taking a walk, listening to a favorite piece of music.

Cognitive Behavioural model of relapse

Instead of surrendering to the negative spiral, individuals can benefit from reframing the lapse as a learning opportunity and teachable moment. Recognizing the factors that contributed to the lapse, such as stressors or triggers, helps individuals to develop strategies and techniques to navigate similar challenges in the future. Note that these script ideas were pulled from a UN training on cognitive behavioral therapy that is available online.

Self-control and coping responses

• AA was established in 1935 as a nonprofessional mutual aid group for people who desire abstinence from alcohol, and its 12 Steps became integrated in SUD treatment programs in the 1940s and 1950s with the emergence of the Minnesota Model of treatment (White & Kurtz, 2008).
• Furthermore, the strength of proximal influences on relapse may vary based on distal risk factors, with these relationships becoming increasingly nonlinear as distal risk increases [31].
• These covert antecedents include lifestyle factors, such as overall stress level, one’s temperament and personality, as well as cognitive factors.
• More recent versions of RP have included mindfulness-based techniques (Bowen, Chawla, & Marlatt, 2010; Witkiewitz et al., 2014).

We identify a clear gap in research examining nonabstinence psychosocial treatment for drug use disorders and suggest that increased research attention on these interventions represents the logical next step for the field. In addition to these areas, which already have initial empirical data, we predict that we could learn significantly more about the relapse process using experimental manipulation to test specific aspects of the cognitive-behavioral model of relapse. For example, it has been shown that self-efficacy for abstinence can be manipulated [137]. Thus, one could test whether increasing self-efficacy in an experimental design is related to better treatment outcomes. Similarly, self-regulation ability, outcome expectancies, and the abstinence violation effect could all be experimentally manipulated, which could eventually lead to further refinements of RP strategies.

• Lifestyle factors have been proposed as the covert antecedents most strongly related to the risk of relapse.
• Multiple theories of motivation for behavior change support the importance of self-selection of goals in SUD treatment (Sobell et al., 1992).
• In high-risk situations, the person expects alcohol to help him or her cope with negative emotions or conflict (i.e. when drinking serves as “self-medication”).
• Additionally, we review the nascent but rapidly growing literature on genetic predictors of relapse following substance use interventions.
• They assume a distinction between stress coping skills, which are responses intended to deal with general life stress, and temptation coping skills, which are coping responses specific to situations in which there are temptations for substance which could contribute to relapse13.

In a prospective study among both men and women being treated for alcohol dependence using the Situational Confidence Questionnaire, higher self-efficacy scores were correlated to a longer interval for relapse to alcohol use8. The relationship between self-efficacy and relapse is possibly bidirectional, meaning that individuals who are more successful report greater self-efficacy and individuals who have lapsed report lower self-efficacy4. Chronic stressors may also overlap between self-efficacy and other areas of intrapersonal determinants, like emotional states, by presenting more adaptational strain on the treatment-seeking client4. Additionally, this model acknowledges the contributions of social cognitive constructs to the maintenance of substance use or addictive behaviour and relapse1.

Many advocates of harm reduction believe the SUD treatment field is at a turning point in acceptance of nonabstinence approaches. Indeed, a prominent harm reduction psychotherapist and researcher, Rothschild, argues that the harm reduction approach represents a “third wave of addiction treatment” which follows, and is replacing, the moral and disease models (Rothschild, 2015a). In terms of clinical applications abstinence violation effect of RP, the most notable development in the last decade has been the emergence and increasing application of Mindfulness-Based Relapse Prevention (MBRP) for addictive behaviors [112,113]. Given supportive data for the efficacy of mindfulness-based interventions in other behavioral domains, especially in prevention of relapse of major depression [114], there is increasing interest in MBRP for addictive behaviors.

Not least is developing adaptive ways for dealing with negative feelings and uncertainty. Those ways are essential skills for everyone, whether recovering from addiction or not—it’s just that the stakes are usually more immediate for those in recovery. Many experts believe that people turn to substance use—then get trapped in addiction—in an attempt to escape from uncomfortable feelings. Changing bad habits of any kind takes time, and thinking about success and failure as all-or-nothing is counterproductive. In the case of addiction, brains have been changed by behavior, and changing them back is not quick. Research shows that those who forgive themselves for backsliding into old behavior perform better in the future.

Relapse road maps

Because the scope of this literature precludes an exhaustive review, we highlight select findings that are relevant to the main tenets of the RP model, in particular those that coincide with predictions of the reformulated model of relapse. Using a wave metaphor, urge surfing is an imagery technique to help clients gain control over impulses to use drugs or alcohol. In this technique, the client is first taught to label internal sensations and cognitive preoccupations as an urge, and to foster an attitude of detachment from that urge. The focus is on identifying and accepting the urge, not acting on the urge or attempting to fight it4. Various psychological factors were significant in initiating and maintaining Rajiv’s dependence on alcohol. At the start of treatment, Rajiv was not keen engage to in the process of recovery, having failed at multiple attempts over the years (motivation to change, influence of past learning experiences with abstinence).

Mechanisms of treatment effects

• Based on the cognitive-behavioral model of relapse, RP was initially conceived as an outgrowth and augmentation of traditional behavioral approaches to studying and treating addictions.
• Training in assertiveness involves two steps, a minimal effective response and escalation.
• In CBT for addictive behaviours cognitive strategies are supported by several behavioural strategies such as coping skills.
• The terms “relapse” and “relapse prevention” have seen evolving definitions, complicating efforts to review and evaluate the relevant literature.

Viewing a lapse as a personal failure may lead to feelings of guilt and abandonment of the behavior change goal [24]. This reaction, termed the Abstinence Violation Effect (AVE; [16]), is considered more likely when one holds a dichotomous view of relapse and/or neglects to consider situational explanations for lapsing. In sum, the RP framework emphasizes high-risk contexts, coping responses, self-efficacy, affect, expectancies and the AVE as primary relapse antecedents. A basic assumption is that relapse events are immediately preceded by a high-risk situation, broadly defined as any context that confers vulnerability for engaging in the target behavior. Examples of high-risk contexts include emotional or cognitive states (e.g., negative affect, diminished self-efficacy), environmental contingencies (e.g., conditioned drug cues), or physiological states (e.g., acute withdrawal). Although some high-risk situations appear nearly universal across addictive behaviors (e.g., negative affect; [25]), high-risk situations are likely to vary across behaviors, across individuals, and within the same individual over time [10].

So she then tried a much more acceptance-based approach that came out of her meditation and mindfulness practice. Capability enhancement.DBT provides opportunities for the development of existing skills. These are emotion regulation, mindfulness, interpersonal effectiveness, and distress tolerance.

Sometimes, the hardest step is the first one, but once you start your online dialectical behavior therapy journey, you can begin a course of treatment that’ll benefit you in ways you couldn’t have imagined. An individual who regularly goes through intense negative https://ecosoberhouse.com/ emotions will benefit from learning how to regulate and control their emotions. Once a patient has learnt how to manage their feelings, they decrease their vulnerability to any form of painful emotions caused by situations that are entirely out of their control.

More health news + info

These are a behavioral science biosocial model of the development of chronic mental health issues, the mindfulness practice of Zen Buddhism, and the philosophy of dialectics. Due to the intensity of crisis-related situations, therapists spent a good deal of time addressing safety concerns, such as suicidal thoughts or gestures, hostility and threats toward the therapist, or self-injurious behavior. Often, little time was left to teach coping skills or address behavioral functioning. Participants experienced the change-focused interventions as invalidating. These feelings often resulted in withdrawal from therapy, aggression toward therapists, or a fluctuation of both extremes. The issues faced by many who participate in DBT can be complex and severe.

CBT’s emphasis on changing thoughts and behaviors did not do enough to support her clients in accepting where they are right now. The CBT techniques Dialectical Behavioral Therapy alone were too invalidating to people, who often found concepts such as cognitive distortions to imply that their thoughts and feelings were wrong.

A systematic review of dialectical behavior therapy mobile apps for content and usability

However, a coherent case formulation and treatment plan is obligatory to reasonably integrate techniques of other treatments. DBT has also been adapted to treat drug dependenceand substance abuse(Linehan et. Al. 1999). The 2nd edition of the DBT Skills Training Module includes a section of skills to use when the crisis is addiction in its distress tolerance module. This module was developed based on a series of studies treating individuals with drug dependence with DBT . Emotion regulation allows clients to identify and label their emotions and obstacles so that they can apply distress tolerance strategies. They also learn how to increase mindfulness as well as how to react positively to emotional events.

However, it appears that he has improved over the offseason. His training camp instilled no doubt that he would be placed as RB1 in Week 1. Dependent on his performance in Week 1, he will either be a great pick, or a waste of one. I have CEH listed as RB25 on my Fantasy Cheat Sheet, which can be found pinned on my Twitter page @ZGKC08.

• Rather, my issue with Gray is that he doesn’t see the field very often.
• Watson showed his skill in the preseason, and I expect that it will continue into the regular season as well.
• Noah Gray doesn’t have the same issues as Blake Bell.
• Dependent on his performance in Week 1, he will either be a great pick, or a waste of one.

In both of my leagues that have already drafted, I’ve picked him in round 15. He’ll be a bench RB until he proves himself, but he was my risk pick this season. As Kansas City’s WR5, one wouldn’t expect much from Justin Watson this season.

The best, worst, and sleeper KC Chiefs picks for fantasy football

That has led some to believe that he could be a viable bench RB. However, I don’t expect him to be used as much as CEH or RoJo. Better alternatives for RB3s include Rashaad Penny , Rhamondre Stevenson , and Michael Carter . Your favorite teams, topics, and players all on your favorite mobile devices.

Fantasy data from 2021 is gathered from Fantasy Data.

Moore has a similar explanation to Watson in that he will also receive a lot of targets in the regular season. Though he didn’t show out as much in the preseason, I still expect him to be good. Pick up Moore as a 4th or 5th WR and play him in Week 1.

Must-Have Players

For these reasons, I suggest staying away from Bell. I have the Chiefs D/ST being the 11th D/ST taken off the board. If you want https://sober-house.org/ to hope and pray that rookies pan out, this is your team. Either the Chiefs defense will be elite, or they’ll be god awful.

• Though he didn’t show out as much in the preseason, I still expect him to be good.
• If you or someone you know has a gambling problem, call GAMBLER.
• Better alternatives for RB3s include Rashaad Penny , Rhamondre Stevenson , and Michael Carter .
• With two TDs in the game against the Commanders in the preseason, I see Fortson getting a lot of receiving looks when he is on the field.

Pacheco was the training camp sweetheart this season. This may not seem like the best recipe for fantasy success. But, dependent on Jerrick McKinnon’s regular season usage and Ronald Jones’… success, Pacheco could be a fantastic pick in the later rounds.

But if you really want to, I hope this guide helped. These players are set to have breakout seasons in 2022. They may seem like risky picks in the moment, but they may end up paying off. McKinnon had breakout games in the 2021 postseason.

The content on this site is for entertainment and educational purposes only. All advice, including picks and predictions, is based on individual commentators’ opinions and not that of Minute Media or its related brands. No one should expect to make money from the picks and predictions discussed on this website. For more information, please read our Legal Disclaimer. If you or someone you know has a gambling problem, call GAMBLER.

The best, worst, and sleeper KC Chiefs picks for fantasy football

Noah Gray doesn’t have the same issues as Blake Bell. He does get receptions when he plays, just not as many as WRs or Travis Kelce. Rather, my issue with Gray is that he doesn’t eco sober house complaints see the field very often. Honestly, there aren’t all that many bad options on the Chiefs’ roster. But, there are a few that I would avoid in favor of better alternatives.

Let’s look at the best, the worst, and the sleeper picks from the Kansas City Chiefs as you think about your fantasy football draft. All in all, the Chiefs have a lot of very good talent to take in fantasy. And, I see a lot of good WR and RB talent as well. I didn’t include Butker on this list, because most don’t consider kickers to be vital to a fantasy roster, but you can take him as K4 or 5. Of course, it’s never a good idea to base your fantasy team on your fanbase.

Must-Have Players

With the Cardinals shorthanded, I see Moore getting a lot of catches. Travis Kelce is the greatest TE in the league at this moment. With six straight seasons of 1,000 receiving yards or more, he is a very reliable fantasy grab. Last season, he recorded 170.8 points in the season. While it could be argued that you should take Mark Andrews at TE1, if you have the opportunity to take Kelce, do it.

However, I expect that the Chiefs’ WR corps will be more or less similar in targets this season. Without Tyreek Hill, the ball will be spread out more. Watson showed his skill in the preseason, and I expect that it will continue into the regular season as well.

• Fantasy data from 2021 is gathered from Fantasy Data.
• With six straight seasons of 1,000 receiving yards or more, he is a very reliable fantasy grab.
• Of course, it’s never a good idea to base your fantasy team on your fanbase.
• While it could be argued that you should take Mark Andrews at TE1, if you have the opportunity to take Kelce, do it.
• However, I expect that the Chiefs’ WR corps will be more or less similar in targets this season.

I would take Watson in one of the back rounds of your draft as a backup WR. JuJu Smith-Schuster is a fifth-round pick, in my opinion. While he’s not the greatest WR in the league, he will produce now that he has a QB throwing to him that isn’t as old as the earth he walks on. In his last complete season, 2020, he recorded 137.1 fantasy points over the season. Now that he’s on a better team, I expect that number to rise. CEH is a risky pick, based on his performance in previous seasons.

As the 2nd receiving TE on the Chiefs, Jody Fortson will be a playmaker this season. With two TDs in the game against the Commanders in the preseason, I see Fortson getting a lot of receiving looks when he is on the field. Kelce is still TE1 on the Chiefs, but if you missed out on him and are looking for a reliable TE, look no further than Fortson, my TE22. Some players that the Chiefs have are so elite that, given the opportunity, you should not pass them up.