Programme

Programme For Addiction

Treatment at The Haven Addiction Recovery Centre is built around the successful Minnesota programme, which successfully blends the skills of a full-time professional psychologist, with trained (recovering) addiction counsellors, around the principles of the twelve step AA model.

Our recovery programme is also enhanced by the individually tailored use of CBT (Cognitive Behavioural Therapy) as well as psychodynamic therapy, narrative therapy, interpersonal therapy and positive psychology.

Our Programme Includes:

  • A medical and psychosocial assessment.
  • An individualised treatment plan.
  • Individual sessions with our registered psychologist and addiction counsellors.
  • Daily group therapy sessions.
  • Completing  a life story.
  • CBT/12 Step based worksheets.
  • Attending two to three NA/AA meetings in Plettenberg Bay per week.
  • Informative/educational lectures by the psychologist, counsellors or guest speakers
  • Educational DVD’s
  • Yoga and exercise classes.
  • Opportunities to become involved in local community projects.
  • Various group activities including cooking, art, bee-keeping, wood work classes etc.
  • Beach and Forest walks.

 

The 12 Step Programme

A twelve step programme is a set of guiding principles outlining a course of action for recovery and rehabilitation from addiction, compulsion or other behavioural problems. The programme may be summarised as follows:

  • Admitting that one cannot control one’s addiction or compulsion.
  • Recognising that a greater power can give strength.
  • Examining past errors with the help of a sponsor or counsellor.
  • Making amends for these errors.
  • Learning to live a new life with a new code of behaviour.
  • Helping others who suffer from similar addictions or compulsions.

 

Cognitive Behavioural Therapy

According to the cognitive behavioural therapy approach, addictive behaviours, such as drinking, drug use, problem gambling, compulsive shopping, interactive addiction, food addiction, and other types of harmful excessive behaviour, are the result of inaccurate thoughts and subsequent negative feelings. CBT has an excellent track record, with numerous studies demonstrating its effectiveness in treating depression, anxiety and other conditions, including addiction. Using the techniques of CBT it is possible to equip clients with a ‘cognitive tool box’ upon which they can draw when they experience the cognitive triggers that lead to substance abuse.

 

Psychodynamic Therapy

Psychodynamic therapy encompasses a range of different therapies which focus on understanding the unique internal dynamics within a person which impact on their feelings behaviour and relationships. Psychodynamic psychotherapy adopts the view that insight or self-knowledge is an essential condition for lasting recovery and change. A trusting, consistent relationship with the therapist allows the individual to gradually reveal the patterns in their emotional and behavioural reactions that are causing problems. The therapist helps the client to explore and understand these problems.

 

Narrative Therapy

In Narrative therapy a person’s beliefs, skills, principles, and knowledge in the end help them regain their life from a problem. In practice a narrative therapist helps clients examine, evaluate, and change their relationship to a problem by acting as an “investigative reporter” who is not at the centre of the investigation but is nonetheless influential; that is, this therapist poses questions that help people externalize a problem and then thoroughly investigate it.

Intertwined with this problem investigation is the uncovering of unique outcomes or exceptions to its influences, exceptions that lead to rich accounts of key values and hopes—in short, a platform of values and principles that provide support during problem influences and later an alternate direction in life.

 

Interpersonal Therapy

There are seven types of interventions that are commonly used in IPT, many of which reflect the influence of psychodynamic psychotherapy: a focus on clients’ emotions; an exploration of clients’ resistance to treatment; discussion of patterns in clients’ relationships and experiences; taking a detailed past history; an emphasis on clients’ current interpersonal experiences; exploration of the therapist/client relationship; and the identification of clients’ wishes and fantasies. IPT is, however, distinctive for its brevity and its treatment focus. IPT emphasizes the ways in which a person’s current relationships and social context cause or maintain symptoms rather than exploring the deep-seated sources of the symptoms. Its goals are rapid symptom reduction and improved social adjustment.

 

Positive Psychology

A relatively new branch of psychology which contrary to beliefs is not the science of happiness, but rather the science of all that goes right (rather than wrong) with people. It includes happiness but extends far beyond this to resilience, perseverance, courage, optimism, curiosity and other positive topics, it teaches techniques to enable good decision making and inspire relationships.

 

 

 

 

 

 

 

Programme For Depression

 

The Haven’s programme for depression requires a one to three month commitment from the client (depending on the individual need as well as severity of the client).  Rather than making use of the 12 Step Programme which is tailored specifically for addiction, we have developed a dynamic and eclectic range of intervention strategies which have been shown to be beneficial in achieving recovery with residential clients who are suffering from depression.

In order to optimize recovery, it is recommended to treat the depression both medically and therapeutically. Our consulting medical doctor will treat each client medically which could require prescribing and managing the necessary medications in order to manage the disorder. Our therapeutic team will monitor the effects of the medication whilst implementing a structured therapeutic programme.

Cognitive behavioural therapy (CBT), psychodynamic therapy, interpersonal therapy, narrative therapy and positive psychology are among the various tools used to treat this debilitating disorder at The Haven in an individual, group or worksheet setting. CBT is considered to be the most effective form of therapy in treating depression according to the international psychological and medical community.

 

Our Depression Programme Includes:

  • A medical and psychosocial assessment.
  • An individualised treatment plan.
  • Individual sessions with our registered psychologist and addiction counsellors.
  • Daily group therapy sessions.
  • Completing a life story.
  • CBT/narrative therapy/positive psychology based worksheets.
  • Informative/educational lectures by the psychologist, counsellors or guest speakers
  • Educational DVD’s
  • Yoga and exercise classes.
  • Opportunities to become involved in local community projects.
  • Various group activities including cooking, art, bee-keeping, wood work classes etc.
  • Beach and Forest walks.

 

 Therapy modalities for the treatment of depression

 

Cognitive Behavioural Therapy (CBT)

CBT is effective in treating depression as it aims to recognize and challenge negative and dysfunctional thinking patterns and replace them with healthier ways of thinking, and thus coping. Negative/dysfunctional thinking directly affects behaviour which both contribute to a low/depressed mood. In addition to challenging negative thinking patterns, negative patterns of behaviour will also be evaluated and challenged in order to break the cycle of depression. Studies have shown CBT to be as effective as anti-depressants, and even more effective if used in combination.

 

Psychodynamic Therapy

This form of therapy places its main focus in past experiences rather than CBT which focuses more on the present. Psychodynamic therapy attributes present-day problems to unconscious conflicts from the past. Past family relationships and significant events will be explored to determine the origin of the patient’s current mood state. The aim is to gain greater insight into unresolved conflicts and to develop healthier ways of coping in the present and future. Some studies have shown that psychodynamic therapy produces longer lasting results when it comes to the patient’s long-term ability to cope with a condition, and that these benefits strengthen over time as opposed to other forms of therapy.  

 

Interpersonal Therapy

Interpersonal Therapy takes it structure from psychodynamic therapy as well as CBT. By addressing interpersonal issues, interpersonal therapy for depression puts emphasis on the way symptoms are related to a person’s relationships, including family and peers. Short term-goals include rapid symptom relief from depression and improved social adjustment. The ability of the patient to make is or her own needed adjustments in order to cope in a more functional manner would form part of the longer term goals of this specific therapy. Results have been shown to be as effective as antidepressants.

 

Narrative Therapy

Narrative therapy seeks to externalize problems such as depression so that it is not considered to be part of the patient. The patient will learn how to “re-story/reappraise” the way they tell their life stories in order to develop different perspectives/ roles in those specific stories which have shaped the person’s life. These techniques will empower the patient as he/she will be able to view their experiences in context and build a greater understanding of them.