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Co-Occurring Disorders Current Evidence Based Treatments
Dr. Dawn-Elise Snipes
Objectives
~ Review current research on evidence based and promising practices for Co-Occurring Disorders

Intro
~ Most people with addictions also have other co-occurring issues
~ Mood disorders
~ Pain
~ PTSD
~ Effective treatment requires concurrent treatment of all presenting biopsychosocial issues

CBT
~ Cognitive Behavioral Therapy
~ Addiction
~ Anxiety
~ Dementia
~ Depression
~ Eating Disorders
~ Insomnia
~ OCD
~ Schizophrenia focuses on motivational enhancement for agreed recovery goals, appropriate use of coping skills, working with symptoms, understanding experience of psychosis, strengthening adaptive view of self, personal/emotional issues or comorbid disorders, relapse prevention, and family or social reintegration.

Mindfulness Based Interventions
~ MBIs consistently outperform active control conditions, such as health education, relaxation training, and supportive psychotherapy.
~ Mindfulness treatments were shown, in general, to have similar effectiveness with first-line psychological (and psychiatric) interventions for children and adults when compared directly and superior to waitlist and control conditions with relatively little variation across disorders
~ mindfulness was equivalent or superior to other active treatments for addictions, smoking, depression, pain, and weight/eating

Summary
~ CBT and Mindfulness are still the gold standard to address the cognitive and HPA-Axis aspects of a variety of disorders

Video by Dr. Dawn Elise Snipes on integrative behavioral health approaches including counseling techniques and skills for improving mental health and reducing mental illness.

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