Foundations of Addictions Counseling 3E David Capuzzi Mark

Foundations of Addictions Counseling, 3/E David Capuzzi & Mark D. Stauffer Chapter 3 Process Addictions Updated by Melinda Haley, Walden University Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Process Addictions n Ingestive addiction n n Mood-altering chemicals Process addictions n Behaviors or actions n n Gambling, sex, work, shopping, food Still debated Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Process Addictions n Prevalence unknown n Criteria not clearly defined Comorbidity common Warning signs similar to those for substance abuse Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Sexual Addiction n No DSM criteria for sexual addiction 3% of U. S. adults, 20 -25% women Varying definitions n n “Addicted to lust”, loss of control (Sexaholics Anonymous) Progressive path to increasingly dangerous behaviors (Sex Addicts Anonymous) Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Potential Behaviors of Sexual Addiction n May include, despite consequences n n Compulsive fantasizing, masturbation, use of pornography Repetitive promiscuity, affairs Pursuit of exhibitionism or sexually abusive relationships Isolation, Guilt, Depression, Emptiness Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Gambling Addiction n Impulse Control Disorder in DSM: Pathological Gambling n n n Increased amounts of money to maintain excitement. Lies to conceal the problem. Relies on others to provide money Exhilaration when gambling More common in adolescents and men Brain changes; tolerance and withdrawal Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Signs of Gambling Addiction n n Secrecy Increased spending Unexplained time away Increased debt and worry over finances Increased alcohol, drug consumption Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Work Addiction n n “Workaholism” No recognized diagnosis Little data available on prevalence Socially accepted, encouraged, rewarded More research needed Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Symptoms of Work Addiction n n n Dissatisfaction unless acting Fast-pace Perfectionism Inefficiency Inability to delegate Health complaints Stress, anger, depression, self-esteem problems Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Compulsive Buying n “Shopaholism” n n Consistent, repetitive purchasing in response to stress Overspending, Indebtedness, Bankruptcy Estimates of prevalence is 6% of the U. S. population. While previously thought to affect mostly women, experts say it equally affects men. Media messages support consumerism Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Food Addiction and Disordered Eating n n Preoccupation with food, appearance, and weight Issues of control, acceptance, and poor selfesteem Similarities to chemical addiction Overeaters Anonymous – 12 step process Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Types of Disordered Eating n Anorexia n n n Bulimia n n n Compulsive self-starvation. 4% of women, increasing Compulsive cycle – eating and purging 1 -4% of women Binge Eating Disorder n n Compulsive eating, no purging As many as 30 million people have an eating disorder. Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved

Useful Web Sites n Gamblers Anonymous n n Sex Addicts Anonymous n n www. saa-recovery. org Overeaters Anonymous n n http: //www. Gamblers. Anonymous. org www. oa. org National Eating Disorders Association n www. nationaleatingdisorders. org Foundations of Addictions Counseling, 3 e Capuzzi & Stauffer Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved