Mental health counselors also can obtain voluntary specialty credentialing as Certified Clinical Mental Health Counselors (CCMHCs) from the NBCC. To obtain this certification, NCCs must complete at least 60 hours of graduate coursework and at least two years and 3,000 hours of supervised clinical counseling experience.
On the other hand, morphine addicts can grow to tolerate over two grams a day, though it normally only takes 200 milligrams to induce a fatal overdose (60 in extreme cases). This is true whether someone becomes addicted through medical assistance or illicit attempts to get high.
Report Abuse. Morphine is morphine, but oral administration is subject to first pass metabolism, so the oral dosage is substantially higher than the parenteral dose. Average for analgesia in the emergency department is about 1.5 mg/kg body mass, but 10 mg in a shot is about equivalent to 60 mg in a pill.The difference here is that an oral dose enters the portal circulation, goes to the liver, and is mostly metabolized before it has a chance to get into the general circulation.verage for analgesia in the emergency department is about 1.5 mg/kg body mass, but 10 mg in a shot is about equivalent to 60 mg in a pill. The difference here is that an oral dose enters the portal circulation, goes to the liver, and is mostly metabolized before it has a chance to get into the general circulation.