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Integrated Co-Occurring Disorders Treatment using a Motivational Interviewing Approach: Alcohol Dependence and Depression

Video Type: In Practice

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Summary

James Rogers works with Sam, an adult male who is experiencing symptoms associated with alcohol dependence and moderate clinical depression. Sam suffers from lack of energy, irritable mood, loss of interest in romantic and sexual feelings, and some hopelessness. These symptoms have been present continuously for over 6 months. Sam consumes alcohol four to five times per week, drinks for longer periods of time, and consumes larger quantities than originally intended. Sam knows his drinking is a problem, and he attempts to hide his drinking behaviors. This alcohol dependence, along with symptoms of depression, have led to difficulties at work and with his wife. Sam is seeking treatment due to an ultimatum from his wife, however he has chosen to pursue individual treatment instead of couples therapy due to not wanting to disclose the full extent of the problems associated with the alcohol consumption and depression. Rogers uses an integrated approach working with Sam. He views and treats both of Sam’s conditions as equal and primary, without making an assumption or hypothesis about which came first. Both the depression and alcohol dependence are considered primary conditions, each requiring its own screening, assessment, and treatment plan. At the same time, the two conditions are interrelated and can affect and/or exacerbate each other. Rogers utilizes the transtheoretical model of change, by Prochaska and DiClemente, as well as motivational interviewing, co-created by William Miller and Stephen Rollnick. Rogers demonstrates a high use of open-ended questions, affirmations, reflections, and summaries in this session, while expressing empathy and helping to elicit change talk. James Rogers is a bilingual/bicultural Latino who received a doctor of psychology degree in clinical psychology from the California School of Professional Psychology. Most of his clinical experience has been working with individuals with serious mental illness and co-occurring substance use disorders. Rogers been trained by Kenneth Minkoff and Christie Cline in the Comprehensive Continuous Integrated System of Care model for individuals with co-occurring mental health and substance use disorders, which utilizes an integrated approach when working with people with co-occurring disorders. He is also a member of the 2004 Motivational Interviewing Network of Trainers and completed the 3-day Motivational Interviewing Training New Trainers course led by William Miller (co-creator of motivational interviewing) and Theresa Moyers.

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