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

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Dysfunctional: Unable to function in a normal manner.Euphoric recall: The memories of using alcohol and drugs that are associated with pleasantexperiences, even if these happened a long time ago.Feeling: 1. An emotion, such as anger, sadness, or frustration. 2. A body sensation, such astenseness, stiff neck, or knotted stomach.Injunction: A mistaken belief in the form of a negative statement to oneself. Injunctions are oftennot conscious. Example. I can't let myself cry or show my feelings because men don't cry.Irrational thoughts: Thoughts that do not make sense to a healthy person.Magical thinking: The belief that alcohol and drugs can help a person do something he or shecannot do without them.Mandate: A mistaken belief in the form of a compelling statement to oneself. Mandates are oftennot conscious. Example. I must be in control at all times.Mistaken belief: An incorrect belief learned in childhood or because of a particular situation thata person continues to believe even though it is not true. This causes the person to feel and act in away that is inappropriate to the current situation.Narcotics Anonymous: An organization of recovering drug addicts who work together to helpthemselves and others recover from addiction.Obsession: A thought (usually about alcohol or drugs) that a person has over and over againdespite efforts to stop it.Recovery: The process of rehabilitation that begins with abstaining from alcohol and drugs andcontinues with changing thoughts, feelings, and actions, which results in major lifestyle andvalue changes.Relapse: A series of internal and external events after starting a recovery program that cause aperson to collapse physically and/or mentally, return to using alcohol or drugs, or commitsuicide.Relapse justification: A particular thought that a person has to make it okay to return to usingalcohol or drugs after starting a recovery program. Example. My life is so miserable anyway, Imight as well use.Relapse prevention: The counseling process that helps a person to identify and change thoughts,feelings, and actions that lead him or her back to active chemical dependency.Relapse warning signs: A series of thoughts, feelings, and actions triggered by a situation orcondition that lead from stable recovery back to alcohol or drug use.
Self-defeating behavior: A behavior that a person uses that causes him or her to be worse off thanbefore. Even though the person doesn't like the result, he or she continues the behavior.Thought: 1. A talk that a person has with himself or herself. 2. A picture or visualization thatforms in a person's mind.Unmanageable feeling: A feeling that a person does not want to have or pretends not to haveuntil the feeling causes a negative reaction.BibliographyGorski, T.T. Passages Through Recovery. Center City, MN. Hazelden Press, 1989.Gorski, T.T. Understanding the Twelve Steps. New York: Prentice Hall/Parkside, 1989.Gorski, T.T., and Miller, M. The Management of Aggression and Violence. Homewood, IL: TheCENAPS Corporation, 1981.Gorski, T.T., and Miller, M. Counseling for Relapse Prevention. Independence, MO:Independence Press, 1985.Gorski, T.T., and Miller, M. Staying SoberCA Guide for Relapse Prevention. Independence, MO:Independence Press, 1986.Gorski, T.T., and Miller, M. How To Start a Relapse Prevention Self-Help Group. Independence,MO: Independence Press, 1988.Gorski, T.T., and Miller, M. Mistaken Beliefs About Relapse. Independence, MO: IndependencePress, 1988.Gorski, T.T., and Miller, M. The Staying Sober Educational Modules. Independence, MO:Independence Press, 1988.Miller, M., Gorski, T.T., and Miller, D.K. Learning To Live Again. Independence, MO:Independence Press, 1982.Appendix--Relapse Prevention Workbook for ChemicallyDependent Criminal OffendersIntroductionIf you are reading this workbook, you probably have had trouble with alcohol or drugs and havegotten into trouble with the law. Many people who have trouble with alcohol and drugs don'tbelieve it is a problem for them. You may not believe it is a problem for you.
Page 1: Counselor's Manual for Relapse Prev
Page 4 and 5: Criminal behaviors. Chemical depend
Page 6: Transition StageThe transition stag
Page 9 and 10: Post Acute WithdrawalSome of the sy
Page 11 and 12: Unstabilized relapse-prone patients
Page 14 and 15: which provide specific information
Page 16 and 17: ecovery plan to determine whether h
Page 18 and 19: "When you said that, I began to thi
Page 20 and 21: Have the patient form a sentence st
Page 22 and 23: There are many models for the stage
Page 24 and 25: e assertive in setting limitsprovid
Page 26 and 27: Time-Limited or Open-Ended Group?It
Page 28 and 29: The abstinence goal. The first focu
Page 30 and 31: Group sessions are 2 hours in durat
Page 32 and 33: They will confuse thoughts and feel
Page 34 and 35: Step 3: Identification of Alternati
Page 36 and 37: Opening Procedure—PurposeEstablis
Page 38 and 39: G—GENERALIZE: "What did you learn
Page 40 and 41: they really understand each exercis
Page 42 and 43: Early Recovery Patients: These pati
Page 44 and 45: Instructions. Again, it is best to
Page 46 and 47: Exercise No. 17: Identifying High-R
Page 48 and 49: eading the cards and also carries t
Page 52 and 53: The purpose of this workbook is to
Page 54 and 55: Read This Workbook. By reading and
Page 56 and 57: ________9. Do not listen: Other peo
Page 58 and 59: Part of the Relapse Prevention Work
Page 60 and 61: personality, it is important for yo
Page 62 and 63: treat someone else badly.____ ____
Page 64 and 65: 2. Unless I really want to give up
Page 66 and 67: 1. I stopped using on _____________
Page 68 and 69: B. Problems with situations:1.2.3.4
Page 70 and 71: E. What happened to you or other fa
Page 72 and 73: C. What did alcohol or drugs help y
Page 74 and 75: C. What did alcohol or drugs help y
Page 76 and 77: D. What thoughts, feelings, problem
Page 78 and 79: Exercise No. 7: Life History Summar
Page 80 and 81: . .. .. .. .6. Adult Work. .. .. ..
Page 82 and 83: Purpose. There are many ways you ca
Page 84 and 85: it, but the feelings do not go away
Page 86 and 87: ___ 39. Deep resentments: I feel an
Page 88 and 89: Phase II: External Dysfunction: In
Page 90 and 91: ___ 30. Believing "just this time":
Page 92 and 93: A. TitleB. Write the words you unde
Page 94 and 95: 3. Write down any new thoughts, fee
Page 96 and 97: H. The next thing I felt wasI. The
Page 98 and 99: 9. Finish the following sentence fi
Page 100 and 101:
5. Warning Sign:Summary Title:6. Wa
Page 102 and 103:
14. Warning Sign:Summary Title:Revi
Page 104 and 105:
Warning Sign Sentence:5. Summary Ti
Page 106 and 107:
14. Summary Title:Warning Sign Sent
Page 108 and 109:
3. When this warning sign happened
Page 110 and 111:
Summary Title of the Warning Sign _
Page 112 and 113:
B. High-Risk Situation:C. High-Risk
Page 114 and 115:
5. Critical High-Risk Situations: A
Page 116 and 117:
E.F.G.H.I.J.Exercise No. 19: Combin
Page 118 and 119:
2. List the injunctions you think m
Page 120 and 121:
2. The worst that can happen?3. Mos
Page 122 and 123:
If I change the way I think, I will
Page 124 and 125:
If I change the way I think, I will
Page 126 and 127:
A.B.C.4. List three ways that you c
Page 128 and 129:
E. What I will do in the future to
Page 130 and 131:
People who will help me with this p
Page 132 and 133:
Purpose: Make as many copies of thi
Page 134 and 135:
2. How did you handle them? How did
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