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Our Approach
Russell Enright, the founder of Anthony
Russell Counseling, endorses the Two Factor Model of substance
dependence. This Model theorizes that a percentage of persons
are born at higher risk for developing substance dependence.
When such predisposed individuals encounter stress, abuse, or a
less than nurturing environment, and turn to alcohol or drugs,
they have a reaction that is euphoric in nature and provides
such a profound sense of relief from life’s stressors that
they are driven to use more and more frequently. As time passes
and the frequency and amount of alcohol or drugs used by the
individual increases, the mid brain of the individual begins to
associate the substance being used with survival. Once this
association is solidified, the individual literally experiences
a survival impulse to use. Health risks, consequences of using,
will power and many other rational reasons that would stop the
average person from using have no effect on the addicted
individual. This model is often referred to as the bullet (the
genetic predisposition) and the trigger (the life situation)
model and is endorsed by many practitioners of substance abuse
treatment. Compounding this process is an increased physical
tolerance for the substance and a reduced physical effect of the
substance within the individual. Over time, the individual must
use the substance just to feel normal. This process exacerbates
the use to survive association within the individual because of
withdrawal. When the individual attempts to cut down on their
use or stop using entirely, they experience stress which
triggers the survival association to use. The individual’s
will, failing health and relationships, and other debilitating
effects of using are no match for the power of the survival
based compulsion to use.
Russell approaches treatment by fully assessing the
complexity of the individual’s addiction as well as fully
assessing the dynamics of his past and current relationships.
His goal is to implement a treatment approach that will
effectively address the addiction as well as relational dynamics
that may be causing high amounts of stress. The individual is
guided through a recovery program that allows her to relearn how
to live life on life’s terms. Without this psychic change, the
individual has little chance of maintaining full recovery. With
this psychic change, the association between the substance once
abused and survival is broken. The individual is now able to
meet life’s challenges without the compulsion to escape
through use.
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