EVIDENCE BASED PSYCHOTHERAPIES
At Y&Y Recovery, we specialize in psychotherapies that are evidenced based and have high success rates with treating clients. The push for Evidence-Based Therapyis a movement in psychology and substance use disorder treatment that aims to track the efficacy of treatment plans so that clients only undergo treatments which have been proven to work.This definition has since “expanded” to include “consideration of patients’ preferences, actions, clinical state, and circumstances” (Cook et al., 2017). For our purposes, we can consider Evidence-Based Therapy to refer to the types of psychotherapy practices, that have been proven effective rather than purely based in theory. Listed below are the Evidenced Based Therapies used by Y & Y Recovery.
COGNITIVE BEHAVIOR THERAPY
CBT is known to influence brain chemistry by positively changing negative thought processes. To be more exact, it helps individuals discover the relationships that exist between self-destructive behaviors and negative thoughts and feelings. The client is given the opportunity to identify negative/distorted thoughts and feelings about themselves and the world and replace them with realistic, positive thoughts that in turn helps to build a sense of hope for the future.
DIALECTICAL BEHAVOIR THERAPY
Used in conjunction with CBT, DBT is an intensive form of evidence-based treatment that includes acceptance-oriented skills (mindfulness and distress tolerance) and change-oriented skills (emotion regulation and interpersonal effectiveness). DBT teaches clients to communicate openly with others calmly and effectively. Developed by Dr. Marsha Linehan in the late 1980s, it was initially used to treat chronically suicidal individuals suffering from Borderline Personality Disorder. Nevertheless, it has been proven to be effective in a wide range of other disorders such as substance use disorder, depression, complex post-traumatic stress disorder, and eating disorders.
At Y&Y Recovery we take a non-judgmental approach - rather than focusing on our clients’ deficits, we collaborate with them and focus on their strengths. Motivational Interviewing is built on the premise that the clinician is not there to force clients to change, but instead, we facilitate the capacity clients already have within themselves to change. Motivational Interviewing has proven to be very useful in the treatment of substance use disorders as well as various mental health disorders.
MEDICATION ASSISTED TREATMENT
Medicated-Assisted Treatment is the use of FDA-approved medications that target opioid, alcohol and smoking use disorders, in combination with cognitive behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. Our staff, including Dr. Mathew A. Torrington who specializes in addiction medicine and Dr. Eric Chaghouri, who specializes in addiction psychiatry collaborate with the clients to determine our clients’ individual needs.
MEDIATION ASSISTED RECOVERY (MAR)
At Y&Y Recovery we know that detox and residential treatment services are only the beginning on the journey to sobriety. For this reason and depending on the individual’s substance and medical history, diagnosis and co-occurring issues, we offer a Medication Assisted Recovery program for those who will be transitioning back into their lives, while continuing the use of certain medications to assist with continued abstinence from substances that have proved to difficult to stop without the use of an aid. Pharmacological treatment can have an essential role in the treatment of addiction. The phrase “Medication-Assisted Recovery” is a practical, accurate, and non-stigmatizing way to describe a pathway to recovery made possible by physician-prescribed and monitored medications, along with other recovery practices, e.g., continued long-term treatment and support groups. Understanding that prolonged use of alcohol and other drugs can change the structure and function of the brain helps explain why pharmacological treatment can have an important role in the treatment of addiction. Unless restorative, rebalancing treatment is provided, these functional brain disorders can result in worsening or sabotage of recovery attempts.
Our strategy at Y&Y Recovery is individualized care – We don’t believe there is a one size fits all approach to treating individuals. Harm reduction is an approach for substance use treatment that involves a set of practical techniques so that we can openly communicate with clients around what is most likely to be achieved. The focus is on reducing the negative consequences and risky behaviors of substance use; it neither condones nor condemns any behavior. By incorporating strategies on a continuum from safer drug use, to managed substance use, up to abstinence, harm reduction practice helps clients affect positive changes in their lives by embracing respect, trust and a nonjudgmental stance as the essential components of a productive therapeutic relationship.
NathanielHodder-Shipp, B. Msc, CADC-II, is President and Founder of Breathwork for Recovery and has worked as a professional healer for almost a decade. Using an arsenal of techniques with a special focus on breathwork, Nathaniel has helped thousands of people process trauma, disarm negative thought patterns, and maintain healthy and happy relationships with themselves and loved ones. Nathaniel’s specialty includes working in addiction treatment facilities to help accelerate clients’ journey to recovery.
It was in treatment where Nathaniel first discovered breathwork. Following ongoing struggles with addiction and several failed attempts at suicide, Nathaniel was disconnected, at odds with his integrity and running away from life. Everything changed once Nathaniel discovered breathwork. His skepticism and resistance to traditional healing techniques dissolved as he began to see how swiftly the practice shifted his perspective on life, love, and sobriety. After leaving treatment, Nathaniel became certified by David Elliott to teach this kind of powerful healing to others and since then, has studied more advanced levels of substance use disorder, sexual abuse, and other trauma disorders to offer clients comprehensive and professional care.
Sarah Stitt has been a practicing painter and fine artist since she was 17 and attended St Martins School of Art in London. Sarah has exhibited her work worldwide and gained a reputation in London as a portrait and landscape painter. After moving to the US in 2006, Sarah began working in treatment and worked for some years as a counselor and family program director. She then realized she could utilize her skills as a teacher and painter by incorporating them into her counseling and group work realizing this was an excellent way for the clients to begin to regulate their emotions, gain self-esteem and insight. Sarah, having used her art as a coping skill and language decided to try this with the clients and it worked. The goal is to allow clients to use a different part of their brain to express language rather than sitting in a group talking. Sarah incorporates creative writing, poetry and rap songs into her groups and asks clients to let the words flow out in a stream of consciousness. Writing in an excellent tool for recovery and can be crucial in helping clients process emotions. There are no specific skills required for any group and clients will be asked to try various mediums and allow themselves to get out of their comfort zone with materials and prompts. Clients are encouraged to be in the process rather than focus on the results. Sarah supports the clients to see the group as “playing and experimenting,” as the goal is to have some fun. Clients often leave the group feeling lighter and stating they managed to get out of their negative thinking and surprised that they enjoyed the experience. Some clients have not drawn or painted since they were children and are nervous about putting pen to paper only to find they feel energized and excited about the process.
Pia Artesona teaches Yoga and Recovery Yoga at Y& Y Recovery. Her passion lies in guiding those who have experienced Trauma and addiction through a practice that is gentle and restorative. It incorporates a combination of breath, movement, stretching, and stillness. This practice allows the practitioner to come back to a sense of safety and comfort in exploring what drives our actions, cultivating positive regard for the body and strengthening the resilience to deal with painful or uncomfortable emotions that arise. This practice often allows the client to develop a way of syncing the mind, body, and spirit. Clients in recovery are affected not only psychologically and emotionally, but their physical health has likely been harmed as well. The body does not feel like a safe space, and so these clients disconnect from the self and may even punish the body through drugs, alcohol, overeating, under eating, etc. The focus of Recovery Yoga is on the release of traumatic experiences held in the body, addictive thoughts and self-destructive patterns that separate, disconnect, and prevent clients from flourishing in relationships with themselves, family and friends, and their surroundings.