Counselor's Manual for Relapse Prevention With Chemically ...

Instructions. Again, it is best to devote two or three sessions to this exercise. Have the patientstake turns reading the warning signs and their descriptions out loud in group. After eachdescription, ask the patients to underline words that strike them and that they identify with. Thenhave the patients talk about any thoughts or feelings that they experienced during the reading.Exercise No. 10 (A and B): Initial Warning Sign ListPurpose. The purpose of this exercise is to help patients identify what is most important abouttheir three major alcohol and drug warning signs and three major offender warning signs.Instructions. Ask each patient to summarize for the group the warning signs they identified. Thenask the group members to question the patient about whether there is any relationship betweenthe two sets of warning signs. Have the group ask the patient about what he or she became awareof during this exercise.Exercise No. 11: Warning Sign AnalysisPurpose. The purpose of this exercise is to help patients recognize how each of the six warningsigns looked at in the last exercise happens to them. This exercise also asks patients to look athow the signs might happen in the future. The occurrence of warning signs varies from patient topatient.Instructions. If necessary, demonstrate how to complete one of these worksheets on theblackboard and ask the patient to complete the rest before the next group session. Ask the patientto review the warning sign analysis worksheets in group, allowing about three minutes for eachwarning sign. Ask the group members to question the patient about what similarities the patientsaw between warning signs, how they were different, and what they learned from the exercise.Exercise No. 12: Combined Warning Sign ListPurpose. This exercise combines the warning signs that were evident in the last exercise sheets.The patient will begin to see common warning signs that appear over and over again.Instructions. It is not necessary for patients to review this exercise in group unless they arehaving trouble identifying similar warning signs from Exercise No. 11.Exercise No. 13: First Ordered Warning Sign ListPurpose. Patients put the warning signs in the order that they happen.Instructions. Patients go back to the combined warning sign list in Exercise No. 12 and put thesigns in order. It is not necessary for patients to review this exercise in group unless they arehaving difficulties with the exercise.