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

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Read This Workbook. By reading and doing the exercises in this workbook, you will have a betterchance of recovery and less chance of relapse. Follow the instructions very carefully. Sometimesit will seem as if you are doing the same thing over and over again. This repetition forces you tosee certain things again and again so you will remember them. Many times the instructions willhave you copy answers from previous exercises. This is to help you understand how all of theexercises and all the things in the exercises and in your life work together.Sometimes you won't understand why you are doing a certain thing. The reason will becomeclearer as you move on. Sometimes you may get angry and frustrated. Sometimes you will wantto quit. This is normal. Quit for a while, but then try again later. People who do not quit are morelikely to recover.Try to work in the workbook for 1 or 2 hours, once or twice a day. There is plenty of spaceavailable for each answer. You do not have to fill in every line for every question.If you have trouble reading this workbook or understanding it, ask for help. It may not be easy,but learning how to ask for help is one of the things you must do to recover.Most of all, you must put your work into action. It is only by working on changing that we willchange and our lives will get better. It can happen to you if you try.We know of a man who spent over half of his life in reform schools and prisons. He finishedhigh school in prison but had no further education. He began attending AA in prison, and got outof prison at age 35. He worked very hard at his recovery. Today, he has two college degrees, ismarried and has a family, and works as a counselor with inmates. He has been sober for over 10years.You can change your life too. But, you must understand that it will take time and hard work.The "Big Book" is the "school book" of AA that shows you how to recover. It uses the letters H-O-W to explain how to recover. This workbook will work for you in the same way.Honesty—This means being totally honest about how you think, feel, and act. Unless you arewilling to be honest, you cannot make progress.Open-mindedness—You must be willing to think that you may be wrong about some things.Unless you can do this, you cannot change. If you do not change, the same things will keephappening to you.Willingness—You must be willing to try difficult things that you do not like and that sometimeshurt at first. The easiest thing for you to do is what you have always done. The hardest thing todo is change. But you can do it if you work on changing day by day. If you change a little eachday, in the end you will be a different person.Section I: What Are My Problems?
This first section contains two tests. (1) the Alcohol and Drug Addiction Test and (2) theOffender Personality Self-Test. Completing each test will help you to understand yourself betterand begin to change.Alcohol and Drug Addiction TestPurpose. This test describes things that happen to people who are addicted to alcohol or drugs.By taking this test, you will be able to determine if you are addicted and, if so, how serious youraddiction is. To be addicted means that you cannot stop using alcohol or drugs without help. Thistest was adopted from the Jellinek Chart for Addiction. The following problems do not happen topeople who are not addicted.Instructions. Read each question and think back over your life. If this has ever happened to you,make a check mark in the left column (yes). If this has never happened to you, make a checkmark in the right column (no). When you are finished, see the scoring sheet at the end of the test.Yes____No____1. Use to feel better: I use alcohol or drugs to get away from things thatbother me or are hard to face.________2. Use to solve most problems: I use alcohol or drugs to try to solvemost of my problems and things that bother me.________3. It takes more: It takes more or stronger kinds of alcohol or drugs toget the same feelings than it used to.________4. Memory loss: Sometimes after I have been using, I do not rememberwhat happened.________5. Sneaking: Sometimes I hide from other people how much I'm usingor drinking. This might be because I do not want people to know orbecause I do not want to share.________6. Dependence: I rarely do anything for fun unless I use alcohol ordrugs.________7. Fast start: I use stronger alcohol or drugs or use a lot quickly at firstto get a "good start."________8. Feel guilty: I feel guilty about using alcohol or drugs or about thethings that I do when I use.
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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 50 and 51: Dysfunctional: Unable to function i
Page 52 and 53: The purpose of this workbook is to
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
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3. When this warning sign happened
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Summary Title of the Warning Sign _
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B. High-Risk Situation:C. High-Risk
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5. Critical High-Risk Situations: A
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E.F.G.H.I.J.Exercise No. 19: Combin
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2. List the injunctions you think m
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2. The worst that can happen?3. Mos
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If I change the way I think, I will
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If I change the way I think, I will
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A.B.C.4. List three ways that you c
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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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