Coping skills

Budney AJ, Higgins ST, Radonivich KJ, et al Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence. J Consult Clin Psychol 68 1051-1061, 2000... 

In research and clinical treatment of substance use disorders, pharmacotherapy and psychotherapy are frequently combined. Medication is often used as a maintenance drug, to reduce cravings or intoxication, or to produce aversion to a substance, while the focus of psychotherapy may be to encourage abstinence, teach the patient new coping skills, or improve motivation to address drug or alcohol problems. 

O Malley et al. (1992) conducted a double-blind study combining naltrexone and CBT for alcohohsm. Patients were randomly assigned to participate in cognitive-behavioral coping skills treatment or supportive therapy and to receive 50 mg/day of naltrexone or placebo. Naltrexone-treated patients who received supportive therapy had more continuous abstinence than the other treatment groups. However, naltrexone-treated patients who received CBT had a lower level of craving and lower risk of relapse than the other three groups. This interaction would not have been observed in a study that manipulated only psychosocial treatment or only medication. 

O Malley SS, Jaffe AJ, Chang G, et al Naltrexone and coping skills therapy for alcohol dependence a controlled study. Arch Gen Psychiatry 49 881—887, 1992... 

Rawson RA, Huber A, McCann M, et al A comparison of contingency management and cognitive-behavioral approaches during methadone maintenance treatment for cocaine dependence. Arch Gen Psychiatry 59 817—824, 2002 Rohsenow DJ, Monti PM, Martin RA, et al Motivational enhancement and coping skills training for cocaine abusers effect on substance use outcomes. Addiction... 

Developing coping skills establish a balanced lifestyle between stressors and positive healthy rewards... 

Relapse prevention skills and strategies the recovering addict should develop a menu of options, a toolbox of coping skills... 

The development of coping skills is designed to help patients cope with life events, daily stressors, and managing painful affects. 

The overall goals in recovery from addiction are the same for all substances and include improved coping skills and relapse prevention. Methods for accomplishing long-term sobriety include both nonpharmacologic and pharmacologic means. 

Educate the patient about lifestyle changes that will improve symptoms of anxiety. These include adequate sleep and exercise, stress management, meditation, and coping skills. 

Kadden, R., Carroll, K., Donovan, D., Cooney, N., Monti, P., Abrams, D., Litt, M., Hester, R. (1999). Cognitive-behavioral coping skills therapy manual A clinical research guide for therapists treating individuals with alcohol abuse and dependence. In M. E. Mattson (Ed.), Project MATCH Monograph Series, 4. Bethesda, MD National Institute on Alcohol Abuse and Alcoholism. 

Educating others is a major coping skill for me. I m on the school board and have been working on policy development for about five years now. I ve done a lot in that direction. As I see society recognizing the need for a cleaner environment, my hope is sustained. But, it s very slow work and frustrating. Maybe the information I deliver will be discussed, or maybe it ll go to a committee. When I hit a dead end, the anger builds. I m learning how to communicate better and... 

We may in part be a victim of our own successes. For example, pharma s well-honed coping skills, evolved to respond to the growing tendency for society to pile on regulatory requirements, and for the industry to accept and cope with almost any challenge thrust upon it, have hindered the necessary streamlining and reform efforts, while the system daily accretes more obhgations for the industry and for the FDA. 

F. What is the treatment plan B, C, and D as well as cognitive measures and coping skills measures... 

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