The Party's Over: Treating Grief During Recovery For Alcoholic Women

107 Pages·2013·1.16 MB·English

by  Sarah Skoog

The Party’s Over: Treating Grief
During Recovery For Alcoholic
Women
Sarah E. Skoog, M.Ed., LPC Intern
Under the Supervision of Bryan Moffitt, M.Ed., LPC-S
Janet Froeschle, Ph.D., LPC, CSC
Texas Tech University, Lubbock, TX
Definitions
• Depression:
– Despondency and anergia very similar to general
sadness; however, severity and duration of
symptoms, as well as the presence or absence of a
triggering event are quite different (Holtzheimer &
Mayberg, 2010).
– http://www.youtube.com/watch?v=AbCULoSZnA
g

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Definitions

• Grief :
– “The normal but bewildering cluster of ordinary
human emotions arising in response to significant
loss, intensified and complicated by the
relationship to the person or the object lost, and by
the way the person dies (Anderson, 2010, 128.)”
– http://www.youtube.com/watch?v=m9AnjALHCx
o

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Definitions
• Addiction-Related Grief :
– A reaction to a variety of complex losses incurred
as a direct result of addiction (including
alcoholism), whether it be prior to onset of
addiction, during active addiction, or during
recovery from addiction (Shallcross, 2011, 13).
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Definitions
• Addiction-Related Loss :
– An experience of reduced resources, to which the
individual was strongly attached, either personal,
material, or symbolic in nature (Striefel & Servaty-
Seib, 2009).

– http://abcnews.go.com/GMA/video?id=6988695

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Disorder Comparisons
Substance
MDD/Dysthymia Bereavement
Disorders
Often follows a severe Symptoms of
psychosocial stressor The reaction to the death depression, prolonged
such as the death of a of a loved one. sadness, and grief
loved one. present.
Substance Dependence
Grieving individuals
(particularly alcohol or Mood disorders such as
often present with
cocaine) may contribute MDD or Dysthymia
similar symptoms as
to the onset or often present.
MDD.
exacerbation of MDD.
DSM-IV-TR, 2000
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Disorder Comparisons Continued
Substance
MDD/Dysthymia Bereavement
Disorders
Repeated failure
Prolonged and
Decreased to fulfill major
marked
physical, social physical, social
functional
and role function and interpersonal
impairment
role obligations
Insomnia / Insomnia /
Insomnia
Hypersomnia Hypersomnia
DSM-IV-TR, 2000
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Disorder Comparisons Continued
Substance
MDD/Dysthymia Bereavement
Disorders
Sadness; “Down in Sadness; Symptoms
Heavy sadness
the dumps” of Depression
Feelings of
Low self-esteem; See Morbid worthlessness, low
self as uninteresting preoccupation with self-esteem, and lack
or incapable worthlessness of self-efficacy in
ability to overcome
DSM-IV-TR, 2000
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Disorder Comparisons Continued
Substance
MDD/Dysthymia Bereavement
Disorders
Guilt regarding
Feelings of guilt Guilt
past
Recurrent social
and interpersonal
Social withdrawal
problems; Impaired
social functioning
DSM-IV-TR, 2000
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Disorder Comparisons Continued
Substance
MDD/Dysthymia Bereavement
Disorders
Marked
Brooding Preoccupation
preoccupation
about the past with past
with past
Anger Anger Anger
DSM-IV-TR, 2000
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