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

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2. Unless I really want to give up alcohol and drugs, I will not get better. Things might get better fora short time, but this will not last. I want to change because . . .Exercise No. 2: Reasons for RelapsePurpose. This exercise will show you why you have trouble with recovery. By knowing this, youwill know more about what you need to change.When someone is having trouble staying sober and clean, it is because that person is havingtrouble with one of four major areas of recovery:1. Acceptance of their disease: People who are having trouble accepting their disease believe theycan still use alcohol or drugs and learn to control their use.2. Unable to stabilize: Every time they try to stop using, they become sick, feel crazy, or cannotthink about anything except drugs or alcohol. Therefore, they use alcohol or drugs to feel better.3. Cannot get comfortable being sober: When they stop using, they do not know how to changethe way they live so they can enjoy sobriety.4. Relapse: They get sober and clean, they attend AA or NA meetings and enjoy sobriety, but thensomething happens, and they become unhappy and start to use again.Instructions. Answer the following questions.True____False____1. I believe that I can learn to drink or use drugs and control my use sothat it will not hurt me.
________2. I know that I should not use alcohol or drugs at all, but every time Itry to quit, I get sick and feel crazy, so I use alcohol or drugs to feelbetter.________3. I know I cannot use alcohol or drugs, but when I quit for a while, Ialways end up using again.________4. I know I cannot use alcohol or drugs, and I attend AA or NA and doeverything I can to stay sober and clean. Sometimes I get very happyin recovery, but I still end up using again.Notice if your above answers change as you complete the next exercise.Exercise No. 3: Alcohol/Drug/Legal CalendarPurpose. This exercise will help you to examine your past and how things have gone for you. Bydoing this exercise, you will begin to understand how your alcohol or drug use and legalproblems are related.Instructions. Write a history of your problems with the law, alcohol, and drugs. Include all thetimes you went to jail, were arrested, and went into treatment, the times when you were cleanand sober, and the times you relapsed. Complete a month-by-month calendar of youralcohol/drug/legal activities. (A sample calendar appears in the hard copy of this TAP.)Do this by writing in the year you first got into trouble with the law or began to use alcohol anddrugs on a regular basis. Make a wavy line through the middle of each month that you usedalcohol and/or drugs. Write the name of the drug you usually used during that time under theline. Draw a straight line where you weren't using any alcohol or drugs. Write in the name of anytreatment centers or jails you were in under either line and put a line up and down to show thebeginning and the end of that time. Above the line for each period you weren't using, write aword that reminds you of that time. Do the same for any period you were using. Write inparentheses the things you used to help you abstain from alcohol/drugs. Write this information ineach line for every year up to and including the present. Make additional copies of the calendar ifnecessary.Exercise No. 4: Relapse Episode ListPurpose. This exercise will help you notice what happened when you tried not to use alcohol anddrugs. By understanding what happened during these times, you can see what to change.Instructions. Make three copies of this exercise. Go back to Exercise No. 3 and fill out one of theworksheets for each of the last three times you tried to stay clean and sober.Attempt no. _________
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Counselor's Manual for Relapse Prev
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Criminal behaviors. Chemical depend
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Transition StageThe transition stag
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Post Acute WithdrawalSome of the sy
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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 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 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
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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
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People who will help me with this p
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Purpose: Make as many copies of thi
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2. How did you handle them? How did
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