An Integrative Harm Reduction Approach to Addiction
Andrew Tatarsky, PhD
Andrew Tatarsky, PhD, is the developer of IHRP and author of Harm Reduction Psychotherapy: A New Treatment for Drug and Alcohol Problems. He’s founder and director of the Center for Optimal Living, a treatment and professional training center based on IHRP. He is a founding executive board member and twice Past-President of the New York State Psychological Association’s Division on Addiction and a member of the Clinical and Medical Advisory Boards of the New York State Office of Alcoholism and Substance Abuse Services.
 
  Lecture Description
More than one-third of Americans struggle with problematic substance use and other risky or addictive behaviors, but they often have a great deal of ambivalence about changing them. Even with clients whose issues are mild on the severity spectrum and show up in most clinician’s offices, it’s difficult getting to the heart of the complex reasons, unique to each person, for this roadblock to change. This workshop offers a comprehensive psychobiosocial model for understanding and working with these behaviors with Integrative Harm Reduction Psychotherapy (IHRP), which can be immediately incorporated into your practice. While this is a psychotherapy approach, many of the skills and strategies can be used by other health professionals to: create safety and alliance, identify motivational conflicts, enhance motivation to change, set goals and create positive change plans collaboratively with patients. 
You’ll discover:
• How addictive behavior reflects the interplay of biology, meaning, habit, and social context, and how to address these elements in therapy
• Seven therapeutic tasks that combine relational, CBT, and mindfulness interventions to help people change addictive behaviors
• Effective strategies for treatment, including Urge Surfing, Unwrapping the Urge, Microanalysis, Embracing Ambivalence, Decisional Balance, and the Ideal Use Plan 
• How to implement the harm-reduction stance in treatment 

Learning Objectives:
1. Assess how addictive behavior reflects the interplay of biology, meaning, habit, and social context, and the implications for treatment.
2. Explain why the harm-reduction stance of “meeting people where they are” is essential to effective treatment.
3. Describe seven therapeutic tasks combining relational, CBT, and mindfulness interventions to help people change addictive behaviors. 
4. Use strategies to address risky behaviors in session, including Urge Surfing, Unwrapping the Urge, Microanalysis, Embracing Ambivalence, Decisional Balance, and the Ideal Use Plan.
 
 
 
 


 


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