ACT for Substance Use and Addictions
A Compassionate Approach to Motivating and Sustaining Change
How “close” is addiction to your life right now?
How many of your clients struggle with the role substances play in their lives?
Do you have family members or close friends who know this struggle?
Perhaps you’ve even brushed up against it yourself?
The ubiquity of substance use and addiction is such that clinicians will inevitably encounter it, whether this is their area of expertise or not.
They’ll have clients who describe using alcohol, cannabis, or other substances in ways that cause tension in their lives.
These clients might say it contributes to demotivation, conflict, anger, or defensiveness, or that it compels them to lie or otherwise hide from others. You might even see these behaviors unfold with you in the therapy room, which can create a strained dynamic.
And if a client mentions using opioids or other “harder” substances, there might be alarm bells going off in your mind…
I’m not qualified to address this, you might think.
They need more specialized help.
What if I do something wrong?
Addiction can have a big “scare factor” for clinicians. The stakes are high, and it can feel like you never have enough tools to confidently address it.
But, like any other behavioral pattern, substance use serves a function for clients. Addiction grows from underlying needs that may or may not seem obviously related at first.
The sooner you can look at substance use through a functional lens, the sooner you can gain a deeper, practical understanding of the problem and take action, rather than trying to work around it because you fear you don’t have the right tools.
Whether you identify as a specialist in this area or not, you need to be able to engage with it effectively.
That’s exactly what Dr. Daniel P. Johnson teaches in this brand-new course.
Using acceptance and commitment therapy and contextual behavioral science as a framework, you’ll gain a foundational — and functional — understanding of substance use and addictions as well as strategies for offering flexible, compassionate, and authentic support to clients with these struggles.
What You’ll Learn
In this course, you will be empowered to address substance use and addiction using the principles of contextual behavioral science and acceptance and commitment therapy (ACT).
Using the three ACT pillars — open, aware, engaged — as anchors, you’ll learn effective techniques for addressing common clinical presentations, such as managing relapse, working through cravings, and defusing from “addict” self-narratives.
The course will also discuss finding common ground between ACT and mutual help groups, such as 12 Step, SMART Recovery, and others.
Through a functional contextual lens, participants will examine the impact of historical, sociopolitical, and cultural influences on addiction as well as the underlying function of related behaviors, both in and out of the therapy room.
All of this will allow you to:
- Skillfully address substance use and addiction using a range of tools, even when you feel discomfort or uncertainty around these issues
- Build flexibility skills to keep clients moving toward change in the face of relapse, cravings, and limiting self-narratives
- Identify root causes of lying, ambivalence about change, or reactive anger, and apply a trauma-sensitive response to these difficult behaviors when they show up in therapy
- Create stronger therapeutic alliances by noticing and undermining substance use stigma and encouraging more openness and compassion in your interactions
- Keep yourself from burning out by contextualizing difficult client behaviors that show up in therapy, so you can take them less personally and work from a place of flexibility
Each session will introduce new learning material, including concrete skills to share with clients, like dynamic visual learning aids, for example, as well as enlivening small group and breakout discussions and experiential practices to bring key concepts and interventions to life.
Throughout the learning process, Dr. Johnson will support you in looking inward, to identify areas for growth and sources of strength. You’ll also be part of a community inside the course, which will aim to tap into the collective wisdom and experience of participants.
This training offers 10 CE hours if attended live. We can only provide CE to those who are present via Zoom for the live sessions. However, the sessions will be recorded and available to watch later. Registrants may access these recordings at any time for up to nine months after the live training ends.
Before registering, please review conflict of interest disclosures and complete CE information here.
Session 1 | November 12, 2024, 12:30 p.m.–2:30 p.m. EST
- Naming the contextual influences (including societal, interpersonal, and intrapersonal) that shape our assessment and treatment of substance use and addictions
- Applying the ACT lens to substance use and engaging clients in a conversation about it
Session 2 | November 19, 2024, 12:30 p.m.–2:30 p.m. EST
- Naming and reducing the effects of stigma and clinician discomfort on treatment and the therapy relationship
- Empowering clinicians with self-awareness and self-knowledge to reduce burnout and increase willingness to engage with substance use and addictions in session
Session 3 | December 3, 2024, 12:30 p.m.–2:30 p.m. EST
- How to apply ACT interventions to common presentations, including ambivalence around change, functional analysis of behavior and relapse, cravings, and fusion with addiction “identity”
- Using ACT/CBS lens for trauma-informed care of substance use
Session 4 | December 10, 2024, 12:30 p.m.–2:30 p.m. EST
- Responding compassionately and effectively to lying and difficult behaviors in session.
- How to support client engagement with community supports
Session 5 | December 17, 2024, 12:30 p.m.–2:30 p.m. EST
- Applying ACT to case examples
- Integrating ACT into your professional context and role
Participants will be able to:
- Identify societal, interpersonal, and intrapersonal contextual factors that shape our assessment and treatment of substance use and addictions.
- Define and conceptualize substance use and addictions through the lens of acceptance and commitment therapy (ACT).
- Give examples of substance use stigma and apply ACT-consistent techniques for undermining stigma.
- Identify ACT-consistent techniques for responding to common clinical presentations (relapse, ambivalence, cravings, self-narratives).
- Describe ACT-consistent interventions for difficult interactions in the therapeutic relationship (lying behavior, antagonism, distrust).
- Integrate principles of trauma-informed care with an ACT-consistent approach to substance use and addictions.
- Identify community-based mutual help groups and describe how they can align with ACT-consistent treatment goals.
Please review complete CE and conflict-of-interest disclosure information prior to registering. This live online course is sponsored by Praxis Continuing Education and Training and is approved for 10 CE Hours by the following listed below. There was no commercial support for this activity. None of the planners or presenters for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Praxis CET maintains responsibility for the program with the CE approvals outlined below:
Joint Accreditation: In support of improving patient care, Praxis Continuing Education and Training, Inc is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
IPCE: This activity was planned by and for the healthcare team, and learners will receive 10 Interprofessional Continuing Education (IPCE) credit for learning and change.
Nursing: Praxis Continuing Education and Training, Inc designates this activity for a maximum of 10 ANCC contact hours.
Physicians: Praxis Continuing Education and Training, Inc designates this live activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Psychologists: Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs.
Social Workers: As a Jointly Accredited Organization, Praxis Continuing Education and Training, Inc. is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 10 clinical continuing education credits.
Drug and Alcohol Counselors: This course has been approved by Praxis Continuing Education and Training, Inc, as a NAADAC Approved Education Provider, for 10 CE hours. NAADAC Provider #165310, Praxis Continuing Education and Training, Inc, is responsible for all aspects of its programming.
National Counselors: Praxis Continuing Education and Training, Inc. has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6759. Programs that do not qualify for NBCC credit are clearly identified. Praxis Continuing Education and Training, Inc. is solely responsible for all aspects of the programs.
NY Social Workers: Praxis Continuing Education and Training, Inc is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0467
NY Counselors: Praxis Continuing Education and Training, Inc. is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0198.
NY Psychologists: Praxis Continuing Education and Training, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0002.
NOTE: Many state boards accept offerings accredited by national or other state organizations. If your state is not listed, please check with your professional licensing board to determine whether the accreditations listed are accepted.
Lee, E. B., An, W., Levin, M. E., & Twohig, M. P. (2015). An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders. Drug and alcohol dependence, 155, 1-7.
Farhoudian A, Razaghi E, Hooshyari Z, et al. Barriers and Facilitators to Substance Use Disorder Treatment: An Overview of Systematic Reviews. Substance Abuse: Research and Treatment. 2022;16. doi:10.1177/11782218221118462
Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of contextual behavioral science, 18, 181-192.
Ii, T., Sato, H., Watanabe, N., Kondo, M., Masuda, A., Hayes, S. C., & Akechi, T. (2019). Psychological flexibility-based interventions versus first-line psychosocial interventions for substance use disorders: Systematic review and meta-analyses of randomized controlled trials. Journal of Contextual Behavioral Science, 13, 109-120.
Stynes, G., Leão, C. S., & McHugh, L. (2022). Exploring the effectiveness of mindfulness-based and third wave interventions in addressing self-stigma, shame and their impacts on psychosocial functioning: A systematic review. Journal of Contextual Behavioral Science, 23, 174-189.Van Boekel, L. C., Brouwers, E. P., Van Weeghel, J., & Garretsen, H. F. (2013). Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug and alcohol dependence, 131(1-2), 23-35.
We understand, sometimes things come up!
Praxis will offer a full refund to registrants of both live and live-online trainings who cancel their registration up to 14 days before the course or workshop start date, minus an administrative processing fee of $30 for a 2-day workshop or online course, and a $50 fee for a 4-day workshop. If cancelled within 14 days, no refund will be issued, however, a credit for the same amount will be applied toward another learning product, which expires within 1 year. Please email us at online@praxiscet.com to cancel a registration.