Authentic Counselling Training

Substance Use

[Under construction: 4 May 2005]

People use substances to change the way they feel, feel about themselves, think. Some substances are stimulating, others are tranquilising; some trigger the release of serotonin, and others trigger hallucinations. Use of some substances is legal in the UK, whereas the use of other substances is illegal. When counselling a client who has been using a substance, a counsellor may consider the extent to which:

·      the client has become chemically addicted to substance (that is, the physiology of the client has been altered by the substance, and can no longer function without that substance);

·      the effects of withdrawal from substance use may be too severe (e.g. plummeting serotonin levels consequent to withdrawal from SSRIs)

·      the client has invested meaning in use of the substance, including behaviours (rolling a cigarette or joint, going outside the office to smoke, going to pub on the way home from work), peers (the mates down the local) and lifestyle (being visited by the tab man who sells duty free cigarettes door-to-door, clubbing with ecstacy);

·      the client has meanings in their life alternative to use of the substance (e.g. family, job, non-use recreations);

·      the client’s emotional needs in life are being met;

·      the client is fully in touch with themselves as a person (Maslow’s hierarchy of needs).

Some substances

Caffeine (coffee, tea, Red Bull)

Chocolate

Chilli peppers (jalapenos)

Alcohol

Tobacco

Cannabis (dope, blah, grass)

Psylocybin (magic mushroom)

Ecstacy

Amyl nitrate (poppers)

LSD (acid)

Amphetamine (speed)

Cocaine

Mescaline

Codeine

Opium

Heroin

Nitrous oxide

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Peter Hughes: introduction

 p.g.h@btinternet.com

This document in all parts is copyright © Peter Hughes from the date of construction given above. Please feel free to make use of them for solely personal purposes. However, should you wish to use them for teaching, training, commercial or other purposes, you are required to ask me first.