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

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________9. Do not listen: Other people complain or try to talk to me about myusing but I do not listen.________10. Regular blackouts: I do not remember what happened and I get intotrouble when I use alcohol or drugs.________11. Excuses: I use problems in my life as an excuse for using alcohol ordrugs. I feel that I have to use to deal with these problems.________12. Using more than others: I use more than most people, so I hangaround people who use as much or more so that I feel that I fit in.________13. Feel bad: I feel bad about how my using hurts other people, but Idon't know what to do about it.________14. Show off: I show off or get pushy with other people to feel betterand prove that I am okay.________15. Promises: I promise to get my life in order and do better. I mean it,but it doesn't work out that way.____ ____ 16. Control: I try to control my use, but it doesn't work.________17. Give up other things: I've stopped doing things that I used to do thatdidn't involve using alcohol or drugs.________18. Make changes: I change jobs, move, or leave a relationship to try tomake my life better, but it doesn't make any difference.________19. Work and money troubles: I have problems on the job, owe moneyor can't work at all because of my using.________20. Avoid friends and family: I avoid old friends and family that do notuse—unless I need something from them.________21. Neglect food: I do not eat healthy foods or eat at regular times,especially when I'm using.________22. Resentment: I feel like other people are out to get me, and I feelangry a lot.________23. Withdrawal: I need a drink or a drug in the morning or else I get the
shakes or sweats because I feel terrible.________24. Can't make decisions: I can't make decisions about even small things.I just wait until things happen.________25. Health problems: I am sick, have lost a lot of weight, or feel physicallybad most of the time.________26. Decrease in amount to get high: It takes less for me to get high ordoesn't matter how much I use because I can't get the effect I want.________27. Over the line: I do things I said I would never do or things that do notreflect the way I was raised.________28. Use all the time: I use whenever I can, and I don't try to have anormal life.________29. Find someone worse: I try to use with people who are worse off thanI am so that I feel better.________30. Major damage: Even when I'm not using, I have a hard time thinking,remembering,and doing things that used to be easy.________31. Afraid: I feel like something terrible might happen to me, people areout to get me, and I have to be on guard at all times.________32. Give up: I don't try to change anything. I just wait to see whathappens.________33. Using is everything: Getting something to use, using, and gettingover using are my whole life.____ ____ 34. Turn to God: I want God or religion to save me from my life.________35. I'm lost: I don't try to pretend my life is normal. I know I am an addictor an alcoholic. I believe that things will never change.____ ____ 36. Desperation: I am willing to do anything to get better.________37. Confinement: I have been in jails and mental wards because of myusing.
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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 54 and 55: Read This Workbook. By reading and
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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