Scientific Program

Conference Series LLC Ltd invites all the participants across the globe to attend 8th International Conference on Addictive Disorders and Alcoholism Singapore.

Day 1 :

Keynote Forum

Judith Ann Miller

Founder, Soaring Hope Recovery, USA

Keynote: Integrating Scientific Modalities in Addiction Discovery- Use Your Brain for a Change

Time : ---

Addiction Summit 2018 International Conference Keynote Speaker Judith Ann Miller photo
Biography:

To provide science-based addiction recovery opportunities to those afflicted with the brain disease of addiction. This state-of-the-science recovery regime includes “Using the brain for a change”, i.e., neurotransmitter rebalancing, brain imaging, and neuro-feedback to treat addiction, depression, anxiety, sleep disorders, trauma, PTSD, PMS and all other afflictions that are controlled by the brain. Fifty year’s addiction experience and dedicated family and domestic relations professional with significant experience in family matters. Background includes child and family investigation, domestic violence, drug related criminal cases, and DUIs.  Skills include parenting evaluation, domestic violence, restraining orders, developing shared-parenting plans, court reporting, facilitating and mediation. Education in family relations, child and human development; community and human resources family relations and addiction recover.

Abstract:

Statement of Problem: Opioid Overdose is the #1 Killer. Every day at least 115 Americans die from opioid use and the rates of substance use disorder related deaths are continuously on the rise in the United States. Properly addressing this growing crisis starts with understanding the nature of addiction, and the prevention, treatment and recovery opportunities available (National Council).

Methodology and Theoretical Orientation: Science has shown that the brains of addicts are physiologically different - that they work differently — than "normal" brains. In Neuro-scientific terms, pleasure, or the feeling of well-being, is a distinct neurological function linked to a complex reward and reinforcement system. Creating new neural pathways; neurotransmitter rebalancing and stress release and detoxing the body is the answer to achieving sustainable recovery.  During a 12-month study, 178 clients participated in the Seven Components of Care for at least 30 days. Each entered the program with some degree of anxiety and depression; a dependence on illicit drugs; alcohol; and prescription medications. Upon entry each completed The Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI II). As the clients transitioned they completed their exit Inventory.  Participants received neurofeedback (LENS); neurotransmitter rebalancing; spiritual-experiential therapies; evidence-based therapies (CBT, DBT, Psychodrama, EMDR, Yoga); and a lifetime recovery plan.

Findings, Conclusions, and Significance: As 178 participants transitioned from the integrated therapeutic regime, only one reported a low level of anxiety and no one reported depression.  All had titrated from prescriptions and were functioning at an all-natural level. Frequency distribution data related to the mid-prefrontal cortex EEG sites present an interesting analysis of how LENS training can be related to the actual prefrontal cortex functioning. It is exciting to expect that LENS can be a great contributing factor to expect that prescription medication therapy can actually be replaces with holistic, integrated therapy.

Addiction Summit 2018 International Conference Keynote Speaker Ian Young photo
Biography:

Ian Young is a charismatic speaker, with a natural talent of being a positive, uplifting and thought shifting influencer. In 2001 aged 29, after 13 years of chronic alcohol and drug addiction, homelessness and living outside of society he discovered the solution to his debilitating lifestyle, creating a life filled with laughter and love – addiction free! He was the founder of two very successful residential rehabs in the UK, before starting Sober Services in 2008 - pioneering Sober Companions and emerging as the leading Sober Interventionist across the UK, Europe, Africa and the Middle East. He is now looking to grow his methodologies in Asia and Australasia. Ian is also a senior trainer at Sober Academy, delivering training for those looking to work intensely with addictions. The author of “It’s Not about me”, he discloses his story through addiction, whilst exploring practical and spiritual lessons he’s learned along the way.

Abstract:

The challenge has always been that family members are crying out for help in many directions, whilst their loved one is in a desperate place, but yet be unable to force them into treatment due to their unwillingness to accept their circumstances or admit defeat to their dependencies. This is called denial, and it leads to many more months/ years of debilitating health and poor behaviors at the expense of the whole family and everyone around the afflicted individual. This has been a major dilemma for treatment providers who want to help but feel unable to work with an unwilling patient. Historically we’ve been told that a person will only respond to treatment once they are willing to engage, and so everyone tentatively waits for them to reach “rock bottom”. We disagree. Our Sober Intervention process works in conjunction with the family confronting their own enabling behaviours and using love, honesty and boundaries we guide them through a process that is effective immediately over 90% of the time, to bring about willingness in the afflicted individual to accept help right here, right now, on our terms. During this presentation, I will explain in more detail the problem facing families whose loved ones don’t want to accept their condition. I will then guide the delegates through the 7 stages of a successful addiction intervention, and then finally I’ll take them through the process that I use personally, using love, honesty and boundaries to produce the willingness in the addict to accept help and move towards permanent recovery.

Keynote Forum

Xiu Liu

Professor & Associate Director of the Graduate Program in Pathology, University of Mississippi Medical Center, USA

Keynote: Effects of opioid receptor blockade on nicotine-taking and -seeking behavior in rats: clinical implications for smoking cessation medication

Time : 00:00

Addiction Summit 2018 International Conference Keynote Speaker Xiu Liu photo
Biography:

Dr. Xiu Liu got his MD & PhD in China and completed postdoctoral training at the Scripps Research Institute in USA. He is a professor and associate director of the Graduate Program in Pathology at the University of Mississippi Medical Center. He has a two-decade track record of studying drug addiction, particularly nicotine and alcohol addictive behavior in animal models. His research has been funded by USA National Institute of Health and Food and Drug Administration grants and the State of California Tobacco-Related Disease Research Program grants. He has published 60 research papers, 6 book chapters and more than 80 research abstracts. Dr. Liu has served as a member of grant review panel for international and national research funding agencies and an editorial board member of more than a dozen reputed journals.

Abstract:

Statement of the Problem: Brain opioidergic neurotransmission has been implicated in reinforcement-related processes for several drugs of abuse. However, it remains not fully understood whether activation of opioid receptors plays a role in the reinforcing/motivational effects of nicotine and its associated environmental cues. The present work examined effects of pharmacological antagonism of opioid receptors on nicotine primary reinforcement and conditioned motivation by nicotine cues.

Methodology & Theoretical Orientation: Male Sprague-Dawley rats were trained to press a lever for intravenous self-administration of nicotine (0.03 mg/kg/infusion, free base). Nicotine conditioned stimuli (cues) were established via pairing sensory stimuli with each nicotine injection. In subsequent extinction test sessions, lever responses produced neither nicotine injection nor its associated cues. In relapse test sessions performed after extinction, lever responses resulted in re-presentation of the cues without nicotine injection. Opioid antagonists were administered prior to the test sessions.

Findings: Pretreatment with the non-selective opioid antagonist naltrexone (0, 0.25, 1, 2 mg/kg) effectively attenuated lever responses supported by nicotine cues. In contrast, naltrexone (both acute and chronic treatment) did not change lever responses for nicotine self-administration. However, further tests revealed that pretreatment with antagonists selective for µ receptors (naloxanazine: 0, 5, 15 mg/kg) but not δ receptors (naltrindole: 0, 0.5, 5 mg/kg), or κ receptors (GNTI: 0, 0.25, 1 mg/kg) suppressed nicotine self-administration.

Conclusions & Significance: These results suggest a clinical potential of the non-selective opioid antagonists for preventing cue-triggered tobacco craving. Moreover, the results indicate that the µ rather than δ or κ subtype of opioid receptors plays a role in mediating the primary reinforcement of nicotine, suggesting that opioid neurotransmission via the µ receptors would be a promising target for the development of opioid ligands for curbing nicotine intake and stopping tobacco smoking.

Keynote Forum

Wai Kwong Tang

Professor, The Chinese University of Hong Kong, Hong Kong

Keynote: Evidence of Brain Damage in Chronic Ketamine Users – a Brain Imaging Study

Time : 00:00

Addiction Summit 2018 International Conference Keynote Speaker Wai Kwong Tang photo
Biography:

Professor WK Tang was appointed to professor in the Department of Psychiatry, the Chinese University of Hong Kong in 2011. His main research areas are Addictions and Neuropsychiatry in Stroke. Professor Tang has published over 100 papers in renowned journals, and has also contributed to the peer review of 40 journals. He has secured over 20 major competitive research grants. He has served the editorial boards of five scientific journals. He was also a recipient of the Young Researcher Award in 2007, awarded by the Chinese University of Hong Kong.

Abstract:

Background and objectives: The objectives of this study were to ascertain the pattern of grey and white matter volume reduction and regional metabolic and activation abnormalities in chronic ketamine users, and to evaluate the correlations between these brain abnormalities and cognitive impairments in chronic ketamine users in Hong Kong.

Design: Cross-sectional observational study.

Setting: Counselling Centre for Psychotropic Substance Abusers in Hong Kong.

Participants: One hundred and thirty-six participants were recruited from October 2011 to April 2014. The participants were divided into two groups: ketamine users (79) and healthy controls (57).

Main outcome measures: Psychiatric assessments included screening with self-rating questionnaires and face-to-face interviews. All of the participants completed a detailed cognitive battery that covered general intelligence, verbal and visual memory, executive functions, motor speed and language. All of the participants underwent magnetic resonance imaging of the brain. 

Results: Many of the participants in the ketamine group also frequently used cocaine and cannabis. Among the ketamine users, 12.6% were diagnosed with a mood disorder and 8.9% with an anxiety disorder. The participants in the ketamine group had worse performance than the healthy controls on tests of general intelligence, verbal, visual and working memory and executive functioning.

In terms of grey matter volumes, the right orbitofrontal cortex, right medial prefrontal cortex, left and right hippocampus and possibly the left orbitofrontal cortex were smaller in the ketamine group. In contrast, the volumes of the left basal ganglia, left putamen and possibly the left caudate were higher in the ketamine group. In terms of white matter volumes, the ketamine group had a lower periventricular white matter volume in the right hemisphere. The grey matter volumes of the left and right orbitofrontal cortex, right medial prefrontal cortex, left basal ganglia and left putamen, and right periventricular white matter volume were negatively correlated with the severity of ketamine dependence. The hippocampal volumes were correlated with performance on the arithmetic, information and digit span tests. The periventricular white matter volume also correlated with the information score.

A functional connectivity examination of the default mode network revealed significantly decreased connectivity in the medial part of the bilateral superior frontal gyrus, left middle frontal gyrus, bilateral gyrus rectus, left superior temporal pole, left inferior temporal gyrus, bilateral angular gyrus and bilateral cerebellum crus II in the ketamine group. This group also displayed increased connectivity in the bilateral precuneus and right inferior occipital gyrus.

Conclusions: The results provide imaging evidence of brain damage in chronic ketamine users. Chronic ketamine use was associated with reduced grey and white matter volumes in certain regions of the brain. Chronic ketamine use was also associated with altered functional connectivity with the default mode network. Abnormal brain structures and altered functional organisation of the brain network may underlie the hypersensitivity towards drug related cues but weakened cognitive control in those with ketamine addiction. Longitudinal or prospective studies would help to strengthen the evidence on the reversibility of the structural and functional brain damage caused by ketamine.

  • Mental Health and Substance Abuse

Session Introduction

Jacqueline Hollows

University of Mississippi Medical Center, USA

Title: Is addiction a state of mind issue rather than a disease issue?

Time : 00:00

Speaker
Biography:

Jacqueline is the founder of Beyond Recovery a social enterprise aiming to improve the health and wellbeing of prisoners in Europe through a pioneering new approach. Their social mission is to revolutionize the way we view and treat addictions and mental health. Jacqueline’s initial evaluation, whilst not perfect, is well designed and has led to interest and funding for further research based on this approach. Beyond Recovery has applied this approach in a number of settings and with different populations. The model used has been built using an iterative approach over the last 5 years of working in this sector. The approach is being adopted by schools and other institutions where this paradigm can be of significant benefit.

Abstract:

Statement of the Problem: Addiction is prolific in the UK Criminal Justice System with 64% of prisoners having used Class A drugs at some point in their life and 22% having drunk alcohol every day in the four weeks before they were admitted to custody.  Substance misuse continues whilst people are residing in custody leading to increased violence, debt, family breakdowns and chaotic lifestyles.  Mental health issues are closely linked to these problems and people classed as duel diagnosis can often find it difficult to obtain help as many interventions aim to assist one or the other rather than both. 

Methodology & Theoretical Orientation: Using a new approach known as the Three Principles, Beyond Recovery designed a study comparing participants receiving the new approach to participants receiving all other interventions but not the new approach. This comprised of one 3-hour session per week for 10 weeks; six separate programmes were run. 75 prisoners started, and 53 completed the full course – the others dropped out, were transferred to other prisons or were released.  

Findings: prisoners who participated in the programme had significant increases in all of the four key factors measured: thought recognition, innate health via a clear mind, well-being; and purpose; significant decreases in three of the further tests measuring anxiety, anger and depression (with depression being the only one with no significant improvement).  Dramatically improved behaviour was also recorded by prison staff. 

Conclusion & Significance: The conclusion of this study is that the approach used by Beyond Recovery is effective in a prison setting, resulting in improved well-being and behaviour. Although this is not a perfect research study (very few are, particularly in prison) it is well-designed using impartial and well-respected psychological measures and supports the view that the Three Principles approach can be effective in prison settings.

  • Mindfulness

Session Introduction

Kathirasan K

Centre for Mindfulness, Singapore

Title: The Role of Mindfulness in Treating Addictive Disorders and Rehabilitation

Time : 00:00

Speaker
Biography:

Kathirasan K (Kathir) is the Founder and Director of Centre for Mindfulness (Singapore). He is also the author of the book ‘Mindfulness in 8 Days’. He is an established mindfulness teacher and practitioner, with a background in Yoga, Yoga Philosophy, Organizational Development, Leadership and Education. Kathir has been teaching contemplative practices and philosophy for more than a decade. Kathir learned Mindfulness from a traditional teacher from the Himalayas, with whom he had tutelage for four years. He is currently a Doctoral Candidate with the Hindu University of America researching in the subject of Yoga Philosophy and Meditation. He is also a certified Yoga Instructor. Kathir also holds a Master’s degree in Business Administration (MBA) from the University of Wolverhampton.

Abstract:

Statement of the Problem: Mindfulness was originally introduced as a participatory medicine and complementary therapy in hospital settings in the 1970s. Since then, countless research experiments on Mindfulness practices have shown positive results in the areas of physical and cognitive challenges with a strong impact on the latter.

Methodology & Theoretical Orientation: The connection between rehabilitation in the areas of addiction and mindfulness has also become dominant discussion since the advent of Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness- Based Relapse Prevention (MBRP) which are variants of Mindfulness practices. Research findings suggest positive effects on relapse prevention for addiction and other associated dysfunctions.

Findings: While the results from these research findings appear to suggest that Mindfulness can be favourable to positive change, it is important to 1. distinguish between the practices related to Mindfulness and MBCT/ MBRP; 2. understand the uniqueness of this alternative treatment and relief; and 3. review early results from trials and other studies.

Conclusion & Significance: Hence a review and discussion about both Mindfulness and MBRP can provide significant insights into the uniqueness of Mindfulness interventions in helping people with addiction. The different perspectives to addiction could also be examined according to Mindfulness traditions. Without such discussions, the effectiveness of Mindfulness in addictive disorders cannot be adequately appreciated in spite of its growing success.

  • Depression & Anxiety Disorders
Speaker
Biography:

Dr. G. L. Gupta received his M.Pharm. in Pharmacology, and  Ph.D. in Pharmaceutical Sciences in the year 2005 and 2009 respectively. He is currently working as an Associate Professor, Department of Pharmacology at SPP School of Pharmacy and Technology Management, SVKM’s NMIMS University, Mumbai, India. He has published several scientific papers in peer-reviewed journals, and presented his research work in conferences of National and International repute. Dr. Gupta has also received Young Scientists Award, Travel grants, best oral presentation award, Government funded research projects from Science Engineering, and Research Board, Indian Council of Medical Research. Dr. Gupta is a Life Member of several professional bodies including Indian Pharmaceutical Association, Society for Ethnopharmacology, Indian Pharmacological Society, Association of Pharmaceutical Teachers of India, Indian Pharmacy Graduates' Association. He has also been nominated as CPCSEA member by Animal Welfare Division, Ministry of Environment, Forests & Climate Change, Government of India.

Abstract:

Statement of the Problem: Alcoholism is a serious public health problem that often results in medical, social (violent crimes and traffic accidents) and economic consequences throughout the world. There has been increasing thrust worldwide to opt for safer and effective plant-derived antiaddiction drugs mentioned in the traditional medical systems. Green tea (Camellia sinensis, family Theaceae) have huge medicinal uses and traditionally used for the treatment of alcohol disorders. Therefore, we evaluated the effect of Camellia sinensis in alcohol abstinence syndrome, developed following long-term voluntary alcohol intake in rats.

Methodology & Theoretical Orientation: The hydro-alcoholic extract of Camellia sinensis leaves (HECS) was first characterized for the presence of epigallocatechin gallate (15.73% w/w), and subsequently acute, sub-acute toxicity studies were also performed. For evaluation of the effects of HECS in ethanol abstinence syndrome, healthy Wistar rats were enabled to voluntary drinking of 9% v/v alcohol for fifteen days. The behavior studies were conducted employing tail suspension test, forced swim test, light-dark model and elevated-plus maze test on day 16th, 17th & 18th and peak ethanol withdrawal syndrome were determined. HECS (50, 100 and 200 mg/kg) and standard drug diazepam were administered orally during withdrawal symptoms. Oxidative stress parameters, serum serotonin, expression of Gabra1, Gabra2, Gabra3, Gabra4, Gabra5 genes for GABAA receptor and Grin1, Grin2a, Grin2b genes for NMDA-glutamate receptor in hippocampus of rats were also determined.

Findings: The results revealed that no observed adverse effect level was higher than 2000 mg/kg, orally. HECS exhibited significant protective effect at doses 100 and 200 mg/kg, but 50 mg/kg showed insignificant protection against alcohol abstinence syndrome like anxiety and depression. The increased expression of Grin2a, Grin2b and decreased expression of Gabra1, Gabra2, Gabra4 following ethanol abstinence were also reversed by HECS at doses 100 and 200 mg/kg.

Conclusion & Significance: Thus, HECS has remarkable protective effects in ethanol abstinence syndrome, which may be due to its antioxidant, serotonergic, GABAmimetic or anti-glutaminergic effect.

  • Alcoholism

Session Introduction

Ram Narain Dubey

Registered Clinical Counsellor, Accredited Mediator and Author of the book ‘From Drunken to Driven’

Title: Adopting a Holistic Approach to Overcoming Alcoholism
Speaker
Biography:

Ram Dubey is a Registered Clinical Counsellor, Accredited Mediator and Author of the book ‘From Drunken to Driven’. He provides individual and group counselling as well as mediation and training in private and institutional settings. A former Regional Director in a Banking Software House he now engages in building social awareness about ‘Alcoholism’ and the harm it brings to people, families and communities. His aim is to encourage people to seek help early and get on the path to recovery. His book has been featured in local press, TV and Radio. He has also been awarded the Abdeali Tayebali Family Trust Gold Medal by the Muslim Kidney Action Association in recognition of his social work and publication of his book to help the community.

Abstract:

Statement of the Problem: There is a lack of awareness about dangers of problem drinking as well as what to do if somebody has become addicted to it. Social acceptance, associated glamour, career and potential life success benefits often encourage indulgence. When the drinking goes overboard the reverse happens. By this time addiction may have set in and people, family and friends are at a loss what to do.

Methodology & Theoretical Orientation: Review of Books and Research shows that adhoc attempts to resolve the problem, by adopting a piece meal approach of seeking either medical, support group or counselling help often meets with limited recovery.

Findings: One needs to get sober and approach impacts of alcohol on them with honesty, openness, positivity and endurance. They need to take a holistic approach to recovery.

Conclusion & Significance: The S.P.E.R.M. model to overcoming alcoholism and leading fulfilling lives encourages people to get a new life away from alcohol. The acronym is to remind people that the new life should go beyond just seeking medical and counselling help and also include rebuilding Spiritual, Physical, Emotional, Relational and Mental health. The model has been put together from the reading of various books and research done in the addiction and alcoholism area. This is not a research book or paper. It is just an effort to demystify the help available for alcohol addiction and an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery.

  • Drug Addiction

Session Introduction

Colin La Galia

Toxicology APAC China and Japan , Singapore

Title: Drug of Abuse Testing for Synthetic Cannabinoids and Psychoactive Drugs
Speaker
Biography:

Colin LaGalia is the Regional Business Director, Toxicology for the Asia Pacific, China and Japan Region, based in Singapore. He has worked extensively across the Asia Pacific, North Asia, China and Japan regions in both Corporate Commercial and Consulting roles for the past 15 years with strong established business relationships.  He is responsible for providing guidance and direction on all Toxicology related matters within the region, including Drug and Alcohol Testing, Product knowledge, Product training and sales and marketing support and Key Opinion Leader advocacy. Colin has extensive experience in Drug of Abuse Screening, Testing, Evaluation and Confirmation and works with organisations to ensure safety on our roads and in our workplaces. Colin also has qualifications in Pharmaceutical Manufacturing, Business Management, Project Management and Human Resources.  He also holds certifications in Performance Coaching, Accelerated Delivery and Emotional Intelligence. He has a passion developing people capability and advocates for the importance of Drug and Alcohol Screening to ensure safety on our roads and in our workplaces to reduce accidents and save lives. Colin works with the APAC Country Leaders, Toxicology Leads and the Toxicology Global Business Community to identify and develop drug and alcohol testing policies and procedures at government, police and corporate levels.

Abstract:

Statement of the Problem: Synthetic Cannabinoids? Psychoactive Drugs? What are they?

Methodology & Theoretical Orientation: The presentation will provide an insight into Synthetic Cannabinoids, what they are, how they work and their mind altering impact on drug users. The presentation will take a look at the 7 major structural groups for Synthetic Cannabinoids and associated effects.

Findings: We will also discuss the New Psychoactive Substances and the evolution of these drugs in our society as well as address suitable drug testing techniques available for these products. The presentation takes a look at the features and benefits, analytical specificity, analytical selectivity and drug testing matrices.

Conclusion & Significance: We share which Synthetic and Psychoactive Drugs we can currently test and provide a solution for to our stakeholders, employers and corporate customers.

Speaker
Biography:

Dr. Iszaj is currently working as a postdoctoral fellow at University of Mysore, India. Her project includes the understanding of human consciousness, through studying yoga and cognitive skills. She owns a PhD in psychology, she conducted her research at the Department of Clinical Psychology and Addiction, Eotvos Lorand University, Budapest, Hungary. Her doctoral dissertation was about the relationship between the artistic creative process and psychoactive substance use. She is specifically interested in conscious vs. unconscious processes, various altered states of consciousness, yoga, mental health and psychoses.

Abstract:

Statement of the problem: The connection between the use of psychoactive substances and the artistic creation and creativity is a long-standing topic. This bound is often marked as mysterious and is popularized a lot by the media. However, science does not state a clear viewpoint in the topic. Based on this, a systematic review about the relationship between psychoactive substances and the artistic creation and creativity was conducted.

Methodology: In this presentation, the summary of this review is introduced which means a total of 19 studies. These include all the empirical publications and case reports that had been published in English in peer-reviewed journals or scientific books.

Findings: The general results suggest that there is an association between creativity and substance use. However, because of the diversity of the studies, it is still not clear whether substance use directly facilitates creativity or the artistic creative process.

Conclusion: It is concluded that specific skills might be changed as a consequence of substance use, and therefore might have an effect on the style of creation.

Keywords: artistic creative process, creativity, psychoactive substance use, drugs, systematic review

Mafia Shahzadi

University of Management and Technology, Pakistan

Title: Friends’ Company affected my Life
Speaker
Biography:

Mafia Shahzadi is a Clinical Psychologist in Pakistan and visiting supervisor at university of management technology Lahore, Pakistan. Mafia has worked as clinical psychologist at Punjab Institute of Mental Health Lahore Pakistan and Fountain House Lahore Pakistan (Pakistan) Apart from this, Mafia also has worked experience in various drug rehabilitation centers as an Addiction Counselor for more than 2 years (Pakistan). Nowadays, mafia is doing a Post Graduate Diploma in Addiction Sciences from Cyberjaya University College of Medical Sciences. (Malaysia).This Diploma is fully scholarship based and the duration for this diploma till September 2018.

Abstract:

Statement of the Problem: There’s no doubt that a friend adds to the fullness of life. Friends become increasingly important to health and happiness in individual’s life. Some friends may even be closer when compared to some of the others and their company affects a lot on individual’s behavior. It is evidence based that humans are influenced by the people they spend their time with. In Pakistan, many adolescents start to take drugs due to the influence of their friends. Friend’s sway has a high impact on individual’s decision making and most of individuals learn how to use drugs. The use of substance leads toward substance dependence and addiction, therefore, drug addiction is a chronic and rapid spreading problem in Pakistan which is destroying the social velvet of the society. 

Methodology & Theoretical Orientation: In this case study, the method which the researcher has used to identify the client’s problems deeply was Subjective and Objective components of assessment such as: behavioral observation, clinical interview, mental status examination, subjective rating of the problems, trait anger and expression scale and addiction severity index. The researcher selected a client was case study which was admitted in a XYZ hospital of Lahore of Pakistan for the purpose of substance use treatment and rehabilitation.

Findings: According to behavioral observation technique, this case study showed that client’s weight was below average as compare to his height. Client maintained eye contact most of the time during the session but the speech content was not appropriate because of cocaine’s withdrawal symptoms. Moreover, the result of clinical interview revealed that the client was suffering from anger (8/10), fatigue (7/10), muscle pain, (7/10) and disturbed sleep (6/10). Whereas, the result of ‘trait anger and expression scale’ showed that the client was suffering high level of anger and expression as his score on this scale was 60. Lastly, ‘addiction severity index’ highlighted that the client was suffering a high level of substance use dependence.

Implementation: In this case study, the client reported to researcher that the main cause of his taking drugs was his friends and due to this he could not sustain recovery. It is evidence based that no one client can sustain recovery if the root cause of problem is not sorted. This study is very important in the field of addiction sciences as this case study will help to other researchers to identify root cause of addiction and will provide the psychological interventions e.g counseling, cognitive behavior therapy and rehabilitation related to root cause of individual.

Conclusion: The result of this case study showed that only main reason of client’s problems was friends’ company and this company totally affects his life not only biological but also psychological and social perspective as well.

  • Addiction Therapy

Session Introduction

Suchi Deshpande

Happiness Strategist and Laughter Coach

Title: Using Laughter Therapy To Beat Stress
Speaker
Biography:

Ms. Suchi Deshpande is a Happiness Strategist and Laughter Coach who speaks, trains and conducts workshops widely on stress management, laughter therapy and other mental health matters.

Abstract:

Statement of the Problem: Stress has been shown to be a key risk factor in addiction initiation, maintenance & relapse. Stressful life events combined with poor coping skills often bring risk of substance abuse and addiction.

Methodology & Theoretical Orientation: Research and review of literature on stress management shows that while it may not be possible to entirely eliminate stress, we can find healthy ways to manage it. Laughter is one such healthy coping mechanism.

Findings: Laughter has been shown to boost immunity and improve quality of life. It is has been shown to be noninvasive and a complementary and alternative therapy in helping people avoid stress and even addiction as well as help in recovery from various ailments.

Conclusion & Significance: Laughter Therapy provides a therapeutic way of dealing with stress. This session aims to share tips with participants on the use of laughter in our daily lives to alleviate stress and also use it to get more resilient against addiction and other diseases.