• Refined Avoidance Focus Imagination.
  {RAFI_2}
  (White Cloud Technique) 
  29_12_2022
  *****************
  Triggers are just like  invitation cards to Cravings  and urges..
  Because we are very expert to fulfill these cravings just like hunger,sleep,sex etc..v expert.
  When Drugs and Alcohol take charge of these natural cravings ,these are more powerful than natural,so we do the same but with more power and swiftly.
  Without getting skill how to manage cravings, we can go back to our previous life drug patterns.
  Lets have an exercise to minimise the intensity of craving.after three attempts...

What are the 30 qualities of a good counselor?

Following are the 30 qualities of a good counselor  :

• 1- Openness
• 2- Acceptance
• 3- Empathy
• 4- Unconditional positive regard
• 5- Genuineness
• 6- Ethical consideration
• 7- Confidentiality
• 8- Persuasive
• 9- Skilled
• 10- Trained
• 11- Knowledge of techniques
• 12- Dissemination of information
• 13- Attending skills
• 14- Intrapersonal skills
• 15- Listening skills
• 16- Communication skills
• 17- Decisiveness
• 18- Problem solving skills
• 19- Keen observer
• 20- Patience
• 21- Compassion
• 22- Encouragement
• 23- Flexibility
• 24- Self awareness
• 25-...

1. Types of professionals..
   (Rafi khawar)
   1..Educated only professional..
   This professional knows each term of addiction prefession.knowledge of disease,models of Addiction and information about therapies .But do,t have experience in the field,does not know the environment and temperature of the field.exposure of clientage is at zero or minimal level. 
   2..Experience only professional.
   This professional has minimum knowledge of addiction knowledge profession,does not know about above mentioned education.but know how to manage patient in the facility.have enough knowledge about environment...

• Rubble Addict’s Family Inventory( RAFI)

  Introduction

  Addiction is prevailing all over the world. People use different addictive chemicals in different ways in different regions. Each region and religion has its own norms and values which cannot be ignored dealing with any kind of social problem .There are so many models of addiction treatment. In these days Disease Model is considered the best model in the world and all treatment strategies are being developed by focusing this model. All psychological screening tools are developed according to this disease model.

  Those regions where...

*Craving Candles Technique* .
By ..Rafi Khawar
(Pakistan)
Dated.. October 30_2022
*Craving candles* *technique* .
By ..Rafi Khawar
(Pakistan)
Dated.. October 30_2022
 *Quantity* 
(21 candles )
 *size* 
(Big to Small)
 *Position* 
(in a Row)
 *Condition* . (Burning )
 *Client Sitting* .
Comfortable posture ,one and half feet away from candles by side the Row.
Imagination..
 *Therapist* in a session..
(Use I statement when doing alone)
**************** 
Having all this material and conditions in your mind and sitting in a chair comfortably,you are watching these 21 burning candles .
First is big...

• *Professional Brought up* ..
  *******************
   *Rafi khawar* 
  (Pakistan)
  ****21_10_22****
  We are in the field of counselling just as when we are in a hotel and we select our food from menu list.we order and we eat joyfully.
  Imagine please,we are sitting in a self/professional  Grooming hotel and we have menu  in our hands..we are reading it.
  We look our surroundings and observe no one is there,we are alone in a big hall.after reading that menu ,we decide nothing is special here.we put the menu card on the table and walked outside and got nothing except deprivation.
  Hunger has a...

1. *Professional Stagnancy* 
   *******************
   Rafi khawar
   (Pakistan)
   October 15_2022
   ----------------------------
   Any profession needs enhancements through knowledge,information,new ideas,new skills , researches and experience.
   Its like a running water of a beautiful stream.
   When water is  blocked by any means ,it losts its continuity and converted into stagnant pool..
   After some time this stagnancy produces ill smell and we can listen  reptiles voices from this too .its all due to stopped water..
   In professions , especially in our profession(Addiction),which needs continuing care...

1. *Eight Ps in *Addiction* *Treatment* 
   ***************
    *Rafi* *khawar** 
   (Pakistan)
   ***************
    *1*Person*** with
    Substance use disorder .
   *Continued use  *Harmful consequences 
    *2 Profile* 
   Complete assessment and diagnoses
    *3 Planning* 
   What should be done?
    *4 Product* 
   *Physiological consideration.
   *Psycho Education
   *Psychotherapy,
   *Process of Complete Rehabilitation
    *5 Package* 
   Cost, accessibility and availability of product.
    *6 Purchasing* 
   Wether the person is recieving the product,His willingness,Readiness to change .
    *7 Professional* *Competence* 
   ...

• *Professional* *interconnectedness* 
  *******************
  Rafi khawar
  (Pakistan)
  -----------------------------
  Professional interconnectedness is a real food for professional grooming.we can learn many new things and share our knowledge to each other.
  Isolated professionals can not enjoy professional togetherness,new experiences of colleagues and block themselves for more knowledge,professional expertise and result is brun out .
  Actually professional togetherness rate us where we are professionally.we have many  choices here .
  We see an colleague to have more knowledge , experience...

No one wants me..
No one cares me..
No one wish for me....
Why????
Am i so ugly??
I am not beautiful?????
Every one asked for physical health.
Every one wants physical Health.
Every one wishes for  Physical health????
Why why why..???????
Tell me the reason???
Mental Health is weeping and asking Questions..
Mental Health Day
2022.
Rafi khawar
Pakistan

**Stages of Change* 
 ( *Other** *perspectives)* 
_________________
 *Rafi khawar* 
(Pakistan)
*******************
08_10_2022
Prochaska,s Change Model is amazing,fantastic .we can apply it in other behavioral interventions too.
Stages are 1.Precontemplation Stage
2.Contemplation stage
3.Preparation stage
4.Action stage
5.Maintenance stage.
And results of healthy and unhealthy maintenance.
(Recovery or Relapse)
At first stage,patient is unable to see his or her problems and does not want any change.
And we often focus on only drugs here.
If we see other areas like dissociation from addictive...

Negativity or Coping  mechanism
Rafi khawar 
(Pakistan)
Disease of Addiction is complicated to understand by people due to its deep-rooted ness.
Patient revolves around this mechanism to satisfy cravings,urges by any means.He beaks every thing,promises,
rules,laws,social obligations and innocent hearts of his family members.
Any person who needs breaths to survive,will manage breaths at any cost and will not see the rules,laws or tears and cries of family.
He will not care about his responsibilities or social obligations..He has to survive only by taking breath..
In Addiction,Drug is like a...

Professional approach vs family approach.
*******************
Rafi khawar
(Pakistan)
*******************
Addiction treatment is a departmental treatment actually.There are many departments working at the same time together.
If they have good coordination,we can find wanted outcomes.in opposite condition   result will be opposite.
Family of patient has emotional approach to deal the issue.thay have anger,pittiness, resentments, helplessness,
disapointments,etc.These emotions and mental condition effects perceptions,thinking abd decision making.Emotional vulnerability has a potential to change...

Stigma and Association of D/C words.
**************
Rafi khawar ...pakistan
01_10_2022
******************
Addiction treatment field is growing rapidly on EBP. This field is offering positive  regard to patients and using positive vocabulary and terms in this regard.now in modern literatures on Addiction treatment ,person with substance use disorder is being used instead of Addict.This kind of emotional care is praise worthy and highly appreciable to reduce or minimize shame and guilt.
There is an indication of two associated words having potential to make the positive efforts weak.
In other...

*Seven Right Cs of* *Addiction* *Treatment*
Developed by............Rafi khawar...Pakistan 
Dated..September 25_2022
Right Client
Right Consent
Right Center
Right Counselor
Right Cost
Right Care
Right Case Management ..

7Cs

*Seven Right Cs of* *Addiction* *Treatment*
Developed by............Rafi khawar...Pakistan 
Dated..September 25_2022
Right Client
Right Consent
Right Center
Right Counselor
Right Cost
Right Care
Right Case Management ..

7Cs

most patients with alcohol dependence do not complete their therapy. they drop out after two to three months of clinical follow-up. now i have a patient who is in his second month of abstinence.
After how long can we consider the patient cured? how can we keep them in treatment longer? can you help me with the management of alcoholics?