#### Introduction
- Presenter: Dr. Dawn-Elise Snipes
- Topic: Theories of addiction and co-occurring disorders
- Focus on understanding and addressing co-occurring disorders in addiction treatment
#### Co-Occurring Disorders
- Expectation rather than the exception in addiction treatment
- Importance of addressing co-occurring symptoms to prevent relapse
- Symptoms can include depression, anxiety, PTSD, and personality disorders
#### Theories of Addiction
1. **Moral Theory**
- Addiction seen as a moral weakness
- Treatment focused on willpower and virtuous lifestyle
- Largely outdated
2. **Disease Theory**
- Addiction as a chronic, incurable, and progressive disease
- Genetic and biological factors play a significant role
- Focus on physiological deficits and neurotransmitter imbalances
3. **Social Learning Theory**
- Addiction learned through observation and vicarious reinforcement
- Influence of family, peers, and media on addictive behaviors
4. **Cognitive-Behavioral Theory**
- Irrational thoughts and cognitive distortions lead to addiction
- Addressing negative thinking patterns is crucial for recovery
5. **Self-Medication Hypothesis**
- Addiction as a way to cope with distress and emotional pain
- Individuals use substances or behaviors to manage unbearable feelings
6. **Biopsychosocial Model**
- Comprehensive approach combining biological, psychological, and social factors
- Recognizes the interplay of various elements in the development of addiction
#### Key Symptoms in Early Recovery
- Depression: Hopelessness, low energy, guilt, suicidal ideation
- Anxiety: Increased worry, irritability, restlessness
- PTSD: Emotional dysregulation, hypervigilance, avoidance
- Personality Disorders: Unstable self-image, interpersonal functioning deficits
#### Importance of Comprehensive Treatment
- Addressing all aspects of a person's life for effective recovery
- Combining different treatment models for a holistic approach
### Time Codes for Major Points
00:00 Introduction and overview of addiction and co-occurring disorders
02:30 Co-occurring disorders are the expectation, not the exception
05:15 Symptoms in early recovery: Depression, anxiety, PTSD
10:45 Theories of addiction: Moral theory, disease theory
15:00 Social learning theory and socio-cultural factors
20:30 Cognitive-behavioral theory and cognitive distortions
25:45 Self-medication hypothesis and distress management
30:00 Biopsychosocial model and comprehensive treatment approach
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