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Course Overview
Session 4:
Compulsive Behaviors: Drugs, sex, food, self-injury, etc.
Jeffery Smith, MD
Dopamine, motivation, development
Acting out in adolescence involves both biology and mind in an effort to manage emotions. Maintaining adequate self-esteem vs. healthy development.
Motivational systm
Locusts & serotonin
Dopamine, Norepinephrine, Serotonin: The monoamines
nucleus accumbens & dopamine
Self Governance
Impulse control
Superego
Asceticism, rules, “No protein”
Thin is safe, no criticism
Superego, suppressed August Eichorn
Sanctions, time frame
More is better
Punishment: Just enough for regret.
Achieve success
Regulating self-esteem
Who to listen to
Experience and development
Specific Problematic Behaviors:
Sleep
Alcohol
Marijuana
Other Drugs
Overeating
Anorexia
Bulimia
Self mutilation
Treatment
Mentoring
Internal conflict vs. external
Participant observer
Transference vs. re-parenting
Behavior change
Psychological vs biological drivers
Stages of readiness for change
Plan
Support
More is better
Mentor relationship