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Discussion 1- Addiction- Biology, Genetic or Psychosocial?

Read Chapter 1 in Frances, R.J., Miller, S.I., & Mack, A.H. (Eds). (2011). Clinical Textbook of Addictive Disorders (3rd ed.). New York: Guilford Press.
Chapter 1 discusses the neurobiology of addictions and how that impacts treatment. It is essential for counselors to maintain a thorough understanding of the physical consequences of addiction and how substance use affects the brain.
Read the following journal article in the Library:
Buckner, J., Heimberg, R., Ecker, A., & Vinci, C. (2013).A biopsychosocial model of social anxiety and substance use. Depression and Anxiety , 30(3), 276-284.
Based on a review of the literature, the relationship of social anxiety and substance use is understood through the biopsychosocial perspective.
As a clinician it is critical that you have a clear understanding of how you view addiction, as well as what treatment modalities you support. Your readings for this unit will provide you with some core concepts to assist in identifying and forming your perspective as an addictions counselor.
Discussion 1 of 2

Discussion Topic
Being self-aware and recognizing how you conceptualize the etiology of addiction is essential for all clinicians. Do you view addiction as a result of biological or genetic factors, or do you take more of an environmental approach to the development of addiction? Explain, and provide a rationale from your readings and outside research articles. How could your personal beliefs as the counselor influence your client’s treatment options?
Whether you view addiction as a learned behavior or as a biological disease, there is no denying that the brain is affected by the use of psychoactive substances or repeated exposure to a behavior. What are some of the neurobiological effects of substance use or other addictive behaviors and why is it so important for counselors to be aware of them? How do you think this knowledge could impact treatment recommendations? Support your position with the Readings or other peer-reviewed journal articles.

Discussion 2 of 2

Case Study
Read the following case study:
Becky is a 19 year old and identifies as a lesbian, African American female. She is a first year undergrad student with an undeclared major. Her primary reason for counseling is that she wants to be better able to control her anger, enough that she doesn’t become violent and hurt others. She reports that there are several students that irritate her and there have been times that she has verbally threatened others. Sarah said that she was encouraged by one of her closer friends to see a counselor because others are intimidated by her. She explained that she grew up witnessing and knowing friends involved with gang related violence. Becky shared that she has been sexually assaulted more than once. She said that she has never trusted anyone completely. She explained that her primary motivation of controlling her anger is to stay in college, because she feels she can improve her life and this is a better option for her than living at home. Becky said that it has been stressful for her to conform to the college environment and follow the rules. She has had a hard time adjusting, but relies on her one friend here for support. She denies symptoms of depression; she reports eating and sleeping normally, and she is attending her classes and completing her work. She said that she drinks alcohol and uses marijuana on a regular basis, about 3-4 times a week. She primarily drinks hard alcohol and she occasionally has blackouts. She explained this is normal for her as she drinks and smokes this much with friends back home. She didn’t want to talk about her romantic relationships, she said she was gay and she was fine with it.