Late-stage treatment spends less time on substance abuse per se and turns toward identifying the treatment gains to be maintained and risks that remain. Often, they need guidance in understanding and managing their emotional lives. As clients reluctantly sever their ties with substances, they need help managing their loss and finding healthy substitutes. ![]() In the middle, or action, stage of treatment, clients need the group's assistance in recognizing that their substance abuse causes many of their problems and blocks them from getting things they want. Emotionally charged factors, such as catharsis and reenactment of family of origin issues, are deferred until later in treatment. Also, to establish a stable working group, a relatively active leader emphasizes therapeutic factors like hope, group cohesion, and universality. Thus, treatment strategies focus on immediate concerns: achieving abstinence, preventing relapse, and managing cravings. ![]() Each stage differs in the condition of clients, effective therapeutic strategies, and optimal leadership characteristics.įor example, in early treatment, clients can be emotionally fragile, ambivalent about relinquishing chemicals, and resistant to treatment. This chapter describes the characteristics of the early, middle, and late stages of treatment.
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