Dialectical behavior therapy (DBT) was adapted by its creators to treat both borderline personality disorder (BPD) and substance use disorder (SUD), two commonly comorbid disorders. DBT includes explicit strategies for overcoming many barriers in treating SUD, including weak treatment engagement and retention. Those diagnosed with both a SUD and BPD who undergo DBT are significantly more likely to remain in treatment, achieve greater reductions in drug abuse, and attend more individual therapy sessions than patients receiving standard treatment. 

Usefulness of Dialectical Behavior Therapy in treating addiction

Mindfulness-Based Interventions utilized for addiction are similar to general mindfulness-based interventions in that they are multiple weeks long and are usually in a group therapy format. However, they tend to tailor mindfulness practices to behaviors prominent in addiction, such as craving, and foster discussions about how mindfulness can be applied to cope with addiction.  Open monitoring and focused attention are examples of techniques that are employed in such interventions. 

Mindfulness-Based Interventions for Addiction

Mindfulness has been studied for its usage in those suffering from addiction to substances. Mindfulness has been shown in some scenarios to be effective in decreasing addictive behaviors in people addicted to substances such as opioids, heroin, cocaine, drinking, and smoking. 

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It is a mental disorder that affects a person's brain and behavior, leading to their inability to control their use of substances such as legal or illegal drugs, alcohol, or medication. Symptoms can range from moderate to severe, with addiction being the most powerful form of SUDs.

Substance Use Disorder

There are various populations that can benefit from the use of mindfulness-based interventions, and these populations can differ in age, gender, race, orientations, etc. 

- Children and youth
- Parents
- Those Suffering From Addiction
- Patients with anxiety or depression
- Patients with eating disorders
- Those suffering from minority stress
- Traumatic Brain Injury patients
- Healthcare workers
- Adult Survivors of Childhood Trauma 
- Athletes
- People Who Have Insomnia
- War veterans who suffer from PTSD
- Incarcerated Individuals

Populations that Benefit from Mindfulness Interventions

Garland, E.L., Howard, M.O. Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addict Sci Clin Pract 13, 14 (2018). https://doi.org/10.1186/s13722-018-0115-3

Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research

Addictions counseling, also called substance abuse counseling, is a specialization in counseling that focuses on treating individuals with a dependency on drugs or alcohol.

Addictions Counseling

Mindfulness for those suffering from substance use disorder

Symptoms include: 
-Sudden weight loss or gain
-Pupils that are smaller or larger than usual
-bloodshot eyes
-changes in appetite and sleeping patterns
-slurred speech
-impaired coordination or tremors 
-deterioration of the physical appearance or changes in grooming practices
running nose



Substance Use Disorder Symptons 

Occurs after the body has adapted to the drug's presence after a period of time. When the drug is abruptly removed, it can cause a variety of physical symptoms. In some cases, this can be dangerous.

Substance Withdrawal Disorder

- Theories include opponent, inhibitory control, reward deficiency, incentive sensitization, aberrant learning, and anti-reward theory 

Neuroadaptive Theories in Addiction/Craving

A chronic syndrome characterized by anterograde and retrograde amnesia due to alcoholism, along with other cognitive deficits. It is caused by a lack of thiamine (vitamin B1), which damages neurons. It can also involve deficits in executive functioning, apathy, and social impairments. 

Korsakoff's Syndrome

Alcohol abuse is responsible for one in eight deaths among older Americans. It is predicted that there will be an increase in illicit drug use and alcohol abuse among the baby boomer cohort as many have showcased addiction to prescription medication in the past.

Substance Abuse in Geriatric People 

AUDIT-C is a screener test for evaluating current alcohol consumption risk. 

Alcohol Use Disorder Identification Test (AUDIT-C)

Alcohol Use Disorder is characterized by symptoms such as alcohol craving, recurrent use of alcohol that interferes with the fulfillment of one’s daily responsibilities, alcohol-seeking behavior, inability to control one’s drinking, drinking despite potential hazards (e.g., drinking while driving), the need for increased amounts of alcohol to achieve its effects (tolerance), and withdrawal symptoms when one stops or reduces alcohol intake (e.g., hand tremors, nausea, agitation, hallucinations). The disorder is distinguished as mild, moderate, or severe depending on the number of these symptoms that an individual may have: Mild cases present with two to three symptoms; moderate cases four to five symptoms; and severe cases six or more symptoms.

Alcohol Use Disorder (AUD)

Health Psychology research studies relating to Substance Abuse include

- ICU Admissions and Alcohol Misuse
- Factors Associated with AUD (Alcohol Use Disorder)
- Alcohol Use and Gender



Health Psychology Research Relating to Substance Abuse

Central nervous system (CNS) stimulants are a category of drugs that increase nervous system activity. This group includes cocaine, amphetamines, cathinones, and MDMA, which act as dopamine agonists. Other stimulants like nicotine and caffeine function by affecting acetylcholine and adenosine neurotransmitter systems, respectively.

Central Nervous System Stimulants

It is noted that there are possible benefits for children participating in different mindfulness-related activities, such as yoga and meditation. However, it should be noted that more in-depth research is needed to measure change over time.

Mindfulness in Children and Youth

Cognitive Behavioral Therapy (CBT) was one of the original treatments for mental disorders like depression and anxiety.  While CBT is still a very popular treatment, mindfulness-based interventions like Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) have been shown to be as effective as CBT, creating the "new" types of treatment.

Mindfulness Interventions in Patients with Depression and Anxiety

- Hypothesis which states that internalized stigma contributes to existing mental health disparities in marginalized communities

Minority Stress Hypothesis

Mindfulness has been shown to be effective in reducing depression and anxiety symptoms in adults who had  (ACE) adverse childhood experiences that led to trauma.

Mindfulness in Adult Survivors of Childhood Trauma 

There are possible benefits for people who suffering from addiction from mindfulness-related activities.

Those Suffering From Addiction

Mindfulness interventions have been shown to be beneficial for those suffering with eating disorders including anorexia nervosa, binge eating disorder, and bulimia nervosa.

Mindfulness for patients with eating disorders

It has been proven that mindfulness-based interventions have been successful in reducing anxiety, symptoms of stress, improving well-being, and cognitive ability in athletes. Mindfulness-based interventions allow athletes to separate themselves from their feelings, thoughts, and perceptions by taking on a role as an "external observer."

Mindfulness-Based Interventions for Athletes

In general, Mindfulness Based Interventions have the strongest effects on self-reported sleep quality and on decreasing total wake time in people with insomnia. Additionally, it has been shown to positively affect the severity of insomnia as well. These benefits are achieved because through the the targeting of arousal in mindfulness practices, a mindful stance can be achieved, thus decreasing sleep arousal and allowing for normal sleep patterns to emerge. 

Mindfulness and Effects on Insomnia

It has been supported by mutliple studies that MBI's such as Mindfulness Meditations and Vipassana Meditation help those involved in the justice system reduce stress, anger, substance use and improve emotional regulations.

Mindfulness-Based Interventions for Incarcerated Individuals

Through mindfulness practices, parents are able to not only improve their own health and deal with the stress of being a parent but also improve their relationship with their children.  With their parents learning mindfulness practices, children are able to form more secure attachment styles and improve their own behavior.

Mindfulness in Parents

 Mindfulness-based therapies combines the use of mindfulness principles and practices with behavioral strategies for insomnia. Mindfulness-based therapies can provide an alternative treatment to Cognitive Behavioral Therapy (CBT) by addressing hyper-arousal symptoms of insomnia. With the development of a conscious awareness through mindfulness meditation, there is a reduction in cognitive and physiological hyper-arousal, which targets chronic insomnia.

Mindfulness and Behavior Therapy for Insomnia

A disorder that results from experiencing or witnessing something that makes one feel afraid, terrified, or powerless and makes them think that their life, bodily integrity, or safety are in danger. It manifests as painful and intrusive memories of the stressful event, jitteriness, ongoing negative emotional states, social distancing, violent outbursts, and avoiding reminders of the incident.

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