bittensaddiction - grindavíkgrindavik.is/gogn/2014/mheill/foodaddiction_treatment_island.pdf ·...
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bittensaddiction.com
Food (sugar) addiction
Not a real addition?
Or
A “mild” addiction ?
Easier to treat then alcoholism/drugaddiction ?
A weightproblem ?
bittensaddiction.com
Societys view on overweight
• ”bad” charachter
• Psychological and social disorder, maladaption
• Secundary problem related to trauma
• Relationship problems
• Emotional/spiritual disorder
• Due to lack of work, home, money etc ( compare
the view of alcoholism )
bittensaddiction.com
Treatment today
Dieting, start stop methods Lowfat Lightproducts, no nutrition for brain VLC Pshycotherapy Learn to eat in moderation of everything ( sugar flour ) Controlled eating, very stressful Dietpills Bariatric syrgery ( dangerous consequences
bittensaddiction.com
Foodaddiction is the toughest
addiction to treat !
Why?
Public will not take it seriously
Most people (researchers to ) think it is a
milder form of addiction ! It is not..
It is the most primitive instinct of all. If you
do not eat you die.
You have to challenge it several times a day
”Drugfoods” are everywhere (industri)
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A psykosocial modell
It looks at why and that is interesting
when working with harmful use and
prevention, but not addiction because it is
acquired and primary.
Carlton Erickson Prof. Ph.D Texas University
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Addictive Foods?
”Some foods act as addictive substances on the
brain,
a hard concept for experts in the nutrition/obesity
field” 2007
Mark S. Gold & Kelly D. Brownell i boken
”Food and Addiction, a comprehensive handbook”
Oxford University Press 2012
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A New Vision For Treating FoodAddiction…
• ”Based on Medical Care“
• Focus on Salutogenesis instead of Phatology
• Braindisease
• Holistic view, Addiction Interaction Disorder
• Multifactorial disease
• Multidisciplinary team
• Transforming motivation from outside client to inside client
• Knowledge is not enough. Need understanding and change in
attitudes…
• ”Educating ” clients vs treating them
bittensaddiction.com
1
4
1. Addiction Medicine
2. IFM & OMM
Unique biochemistry
3. Traditonell Medicine
4. 12-step oriented
treatment
2 3
A holistic modell
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Psycho-Neuro-Immunologi
Old view: Psycho-social approach
New view : Bio-Psycho-Social-Spiritual
Remember: as well as something is
Psycho-Somatic (”pain” in the mind/psyche expressed as pain in the
body) it is simultaneously and equally important to
understand
Somato-Psychic ( if the body is out of balance, you can be sad,
aggressive, depressed, etc.)
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Def. Systems biology
The study of biological systems
which take into account the interactions between key
elements such as DNA, RNA, proteins, and cells.
Professor Lars Bohlin, Ph.D.
Uppsala University, Sweden
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• 1954, ASAM, WHO
1. Primary illness
2. Progressive illness
3. Chronic illness
4. Deadly if not arressted
2006, NIDAAC, Recurrent illness
• 2011, ASAM, latest definition
History of ”diseaseconcept”
bittensaddiction.com
Braindisorder with multipel
consequences
1. Physical
2. Psyhcological
3. Social
4. Spirirtual
Places great demands on cooperation, skills,
competence and treatment models
bittensaddiction.com
How do I know if it is addiction
1. Screening, UNCOPE (indicates)
2. Assessment (more indepth
knowledge about client)
3. Diagnos, ADDIS/ ADDIS S ( we know )
14
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ADDIS S gives
ADDIS is telling us the difference
between harmful use/abuse and
addiction/dependency with high
accuracy
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Definition IFM
Functional medicine is an evolution from the usual conventional medicine, based on scientific principles and methods that can better meet the needs of modern health and wellness today. Unlike traditional medical care that focuses on disease, sees a function medics to the whole person, which involves the interaction between the person's history, physical and social environment, genetics, nutritional status, diet, lifestyle, mental, emotional-, and spiritual health and how these can affect health in the long term.
bittensaddiction.com
Definition OMM
Orthomolecular medicine is a form of medicine aimed at
maintaining health through nutritional supplementation and
based on the assertion that there is an optimum nutritional
environment in the body and that many diseases reflect
deficiencies in this environment. Treatment for disease,
according to this view, calls for the "correcting of
imbalances or deficiencies based on individual
biochemistry" by use of substances natural to the body,
such as vitamins, minerals, amino acids, trace elements
and fatty acids ususally in combination with traditional
medicine
bittensaddiction.com
We need to work together
• Consensus
• Common approach
• Cooperation
• Referring to network
• Joint ventures
• Parallell treatment
• Multidisciplinary team
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Treatment plan from ADD
• First call , screening, assessment, diagnostics, treatmentplan
• Detox, i.e mealplan, safe environment, medical attention, chemical history, brain repair.
• Primary trt with relapsepreventionplan
• Aftercare with focus on risksituations and warningsign management, daily living, special plan for PAA
• Lifelong maintenance treatment (chronic illness )compare MS
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Traditional healthcare system
• Need a lot of education about 12 step
programs and their advantages
• Very unexpensive
• The wounded healer ( laymen )
• Very efficient
• No rules, only suggestions and principles
• Available 24/7
• Sponsorship
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12 step, one of several tools in professional setting
12 step treatment
• Expressions that confuses
• 12 step is not treatment
• Professional treatment introduces the steps in treatment
• And recommend 12 step for continued recovery
• Several studies shows increased recovery for those who go to meetings regulary
Valerie Slaymaker Ph.D Hazelden
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Successful Treatment !
• 10% is the actual food (nutrition ),
supplement and physical plan
• 45% is thoughts, feelings and actions
• 50% is community, you can,t do it alone
• Satbilization takes years..
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Recovery is slow
• Patience (Pre Frontala Cortex PFC )
• Endurance ( PFC)
• Risktaking (PFC)
• Boring ( PFC)
• Letting go
• Sense of Humor
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Brain By Pass
• Rewiring takes time
• Neurotransmittor refill (methylation)
• Addiction Memory Circuit is strong
• Euphoric Recall acting up every time we
encounter any stressors
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BRAIN REPAIR
Focus On Brain
which is literally built from
nutrients
often lacking in our diets today.
”Garbage in,
garbage ( thoughts, feelings, action) out”
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Highlights
• Earlier intervention, better treatment outcome
• Family illness
• Involve the whole family, village, town
• Recovery based community network with recovery activities
• New approaches and new ways of thinking with those who do not want change.