Using Acceptance and Commitment Therapy during Methadone Dose Reduction: Rationale, Treatment Description, and a Case Report.

نویسندگان

  • Angela L Stotts
  • Akihiko Masuda
  • Kelly Wilson
چکیده

Many clients who undergo methadone maintenance (MM) treatment for heroin and other opiate dependence prefer abstinence from methadone. Attempts at methadone detoxification are often unsuccessful, however, due to distressing physical as well as psychological symptoms. Outcomes from a MM client who voluntarily participated in an Acceptance and Commitment Therapy (ACT) - based methadone detoxification program are presented. The program consisted of a 1-month stabilization and 5-month gradual methadone dose reduction period, combined with weekly individual ACT sessions. Urine samples were collected twice weekly to assess for use of illicit drugs. The participant successfully completed the program and had favorable drug use outcomes during the course of treatment, and at the one-month and one-year follow-ups. Innovative behavior therapies, such as ACT, that focus on acceptance of the inevitable distress associated with opiate withdrawal may improve methadone detoxification outcomes.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Reducing Dysfunctional Attitudes and Cognitive Misconceptions in People with Methadone Maintenance Treatment

Objective: The present study aimed to compare the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy on reducing dysfunctional attitudes and cognitive misconceptions in people with methadone maintenance treatment. Method: This was a quasi-experimental study using pretest-posttest with a control group. From all the people referred to Roozbeh substance abuse treat...

متن کامل

The Effectiveness of Group Therapy Based on Acceptance and Commitment to Reduce Obsessive-Compulsive Use of Substance, Anxiety and Depression of Addicts under Methadone Treatment

Background and Objective: The third wave of cognitive behavioral therapy (CBT) including acceptance and commitment therapy (ACT) embraces new approaches and methods potentially capable of addressing complex cases of substance abuse. It seems that the third wave of (CBT) emphasizing mindfulness and psychological resilience are effective in the rehabilitation of addicts undergoing methadone treat...

متن کامل

اثربخشی درمان مبتنی بر پذیرش و تعهد بر تنظیم شناختی هیجان در مردان تحت درمان با متادون

Introduction: Today, third wave therapy in psychotherapy puts special emphasis on the individuals’ awareness  as well as their emotional and cognitive acceptance rather than challenging the cognitions. Therfore, this study aimed to investigate the effectiveness of acceptance and commitment therapy on cognitive emotion regulation in the addicted men under Methadone treatment. Method: The stud...

متن کامل

اثر بخشی درمان گروهی مبتنی بر پذیرش و تعهد در کاهش ولع مصرف و افزایش کیفیت زندگی معتادان تحت متادون درمانی

Background and Objective: Today in the third wave of psychotherapy, it is claimed that individuals with cognitive flexibility, awareness, and acceptance of thoughts can modify their feelings and behaviors. The purpose of this study was to determine the effectiveness of group therapy based on acceptance and commitment in the reduction of craving and the improvement of quality of life in addicts ...

متن کامل

The Effectiveness of Mindfulness Training on Cognitive Emotion Regulation, Experiential Avoidance, and Methadone Dose Reduction in Patients under Methadone Treatment

Objective: This research was conducted to investigate the effectiveness of mindfulness training on cognitive emotion regulation, experiential avoidance, and methadone dose reduction in patients under methadone treatment. Method: The current study was quasi-experimental with a pre-test and post-test design with a control group. The statistical population in this study consisted of all individual...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Cognitive and behavioral practice

دوره 16 2  شماره 

صفحات  -

تاریخ انتشار 2009