IHE is on the leading edge and an advocate for advancements in residential treatment care (RTC). Since before 2009, many RTC experts have felt that programs based on level systems alone are too restrictive, and even punitive. Other program developers argue that without level systems, there are no means to measure therapeutic outcomes, advancements, obtained goals, or to gather data. IHE is unique in that we use a Child-Centered Program – which promotes Collaborative Problem Solving (CPS) to nurture, build and guide our young women. Level systems are only used as a means of measuring the young women’s success and then her goals and data is recorded through private and secured medical notes. This unique system allows our consumers the ability to progress in a positive, supportive, atmosphere – where she is taught tools that can last her a life-time in any setting – not just when a level system is in place.
The IHE therapeutic modalities are varied. As each girl is an individual – so is her therapeutic treatment. After intake and full screening, our Program Director evaluates the most appropriate modality to best support healing for the young woman. This, along with her education plan, and program graduation plan – allows her the optimal opportunity to gain long term healing.
Fairly recently developed in the 1980’s, Dialectical behavior therapy (DBT) is a type of cognitive-behavioral therapy (CBT) that focuses on psychosocial treatment. CBT focuses primarily on overall psychological treatment.
Originally created as an improved treatment for borderline personality disorder, DBT has since expanded into use for many other mental health conditions.
Borderline personality disorder is characterized by intense mood swings (think of bipolar disorder, but with more intense highs and lows). People suffering from borderline personality disorder, as well as other mental health conditions, are prone to overreactions in seemingly ordinary emotional situations. DBT is based on the idea that these people are more sensitive to stimulus than the average person, and their emotional intensity reflects that sensitivity. Family, friend, and romantic situations may cause an abnormal spike in emotional intensity, and take longer to return to normal.
Dialectical behavioral therapy gives these people a way to cope with these intense emotional swings, by focusing on building their social skills, and improving their social interactions. It is built on the theories of CBT, characterized by cognitive thinking (identifying negative patterns of thought and emotions), then supporting the patient with new, encouraging thought patterns and ways to feel in control of emotional reactions.
Cognitive behavioral therapy focuses on the patient’s history and internal chain of thoughts, rather than their social interactions. Metacognition, or identifying your own pattern of thoughts, has proved remarkably effective in letting the patient gain control of their thoughts and reactions, subsequently easing the effects of a mental health disorder.
Typically, DBT includes individual and group therapy sessions, whereas CBT tends to include only individual therapy.
Cognitive Behavioral Therapy (CBT), like the one offered through our Utah CBT program, encourage metacognition, or thinking about the way you think. As confusing as that sentence may sound many times addict and alcoholic do not have the ability to objectively look at their thought processes. They have a thought about drinking or using and they do it without thinking through the consequences. This form of therapy allows the individual to identify damaging thought patterns, and rebuild negative associations they have developed over time, which gives them the control they need in order to take their life back.
CBT is a research-backed and proven method of helping addicts and alcoholics to identify and change thought patterns that may cause addiction. For example, an individual may have developed their addiction to alcohol after a traumatic death in the family. Drinking made them forget momentarily about their grief, and over time, that built a positive association to alcohol. Getting drunk equals relief, and because of this the action is enforced by the mind, and even though the rest of their life may be falling apart due to their drinking, they will pursue this action at the expense of everything.
What is most interesting and frightening about this, is that the individual may not even realize that they are falling deeper and deeper into their addiction, until it is too late. Their brain is informing them that alcohol brings them joy and that is all that they can see. They cannot really see the destruction is it bring to their lives and that is what makes treating alcoholism and addiction so trickery. In many ways the addict or alcoholic is usually the last person to truly know that they have a problem and because of this they will often times engage in their addiction for years past the point where they could have stopped on their own volition.
As terrible as all of that sounds it is entirely normal. Addiction is a disease that rewires the brain, and creates countless associations like the example above. CBT identifies these thought patterns, and creates new associations to take the place of the harmful ones. In this case, CBT may replace drinking with exercise. Every time you begin the thought patterns that would result in you reaching for a bottle, you now to go for a run. ‘Rewiring’ the way your brain thinks about substances or behavioral addictions is crucial to making a lasting change.
WHAT IS EMDR?
Eye Movement Desensitization and Reprocessing, or EMDR, is a psychotherapy approach, commonly used for trauma and severe psychological stress. EMDR in addiction treatment is shown to be especially effective. It focuses on the patient’s reaction to bad memories or experiences, and teaches them to make new, positive associations to those memories. Those negative experiences are often at the root of a dangerous substance or behavioral addiction. EMDR in addiction treatment programs is increasingly recognized and implemented in rehab centers.
EMDR is typically administered in several phases of treatment, once the therapist has gained a broad understanding of traumatic past events, tendencies, and genetic predispositions. The treatment itself is very complex, and can vary with the practitioner, but it is usually described as follows:
The therapist asks the patient to think of the negative event, and the feelings associated, while following an object or a light with their eyes. The therapist then asks the patient to think of good feelings or memories to replace the negativity, while again following that same object/light path with their eyes.
The complexity lies in NLP, or neuro-linguistic programming. In its simplest definition, this teaches patients to separate themselves emotionally from a traumatic event, and associate positive feelings to that event, reducing the severity of anxiety, post traumatic disorders, and other negative feelings.
While research surrounding EMDR is minimal, research supporting NLP is astounding - and shows amazing success in therapy, especially addiction treatment therapy.
Interpersonal psychotherapy (IPT) is a brief, attachment-focused psychotherapy that centers on resolving interpersonal problems and symptomatic recovery. It is an empirically supported treatment (EST) that follows a highly structured and time-limited approach and is intended to be completed within 12–16 weeks.
Psychodynamic or psychotherapy is a form of depth psychology, the primary focus of which is to reveal the unconscious content of a client's psyche in an effort to alleviate psychic tension. In this way, it is similar to psychoanalysis.
Family systems therapy is a form of psychotherapy that helps individuals resolve their problems in the context of their family units, where many issues are likely to begin. Each family member works together with the others to better understand their group dynamic and how their individual actions affect each other and the family unit as a whole. One of the most important premises of family systems therapy is that what happens to one member of a family happens to everyone in the family.
Expressive arts therapy combines psychology and the creative process to promote emotional growth and healing. This multi-arts, or intermodal, approach to psychotherapy and counseling uses our inborn desire to create—be it music, theater, poetry, dance, or other artistic form—as a therapeutic tool to help initiate change. The difference between expressive arts therapy and art therapy is that expressive arts therapy draws from a variety of art forms, while art therapy tends to be based on one particular art form.
Experiential therapy is a therapeutic technique that uses expressive tools and activities, such as role-playing or acting, props, arts and crafts, music, animal care, guided imagery, or various forms of recreation to re-enact and re-experience emotional situations from past and recent relationships. The client focuses on the activities and, through the experience, begins to identify emotions associated with success, disappointment, responsibility, and self-esteem. Under the guidance of a trained experiential therapist, the client can begin to release and explore negative feelings of anger, hurt, or shame as they relate to past experiences that may have been blocked or still linger.
IHE – believes that part of any successful healing plan for adolescents must include elements that are supportive of culturally applicable, age related, wholesome recreational activities. Our girls participate in weekend/weekly activities, monthly outings and tri-annual – retreats!