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

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1. I stopped using on ____________________________(month and year).2. I stayed completely clean and sober for ________________ (days, weeks, months, and/oryears).3. When I stopped using alcohol/drugs, I used the following help:A. AA/NA. Meetings per week ._____B. Sponsor. I talked to my sponsor ______ times (fill in number of times per week).C. Worked on steps: 1 2 3 4 5 6 7 8 9 10 11 12 noneD. Detox. Number of days _____.E. Outpatient counseling. Number of times per month _____.F. Inpatient program. Length of inpatient time _______.G. Prescribed medications ________________________________4. How did you feel during this time? (check one). I never felt good or calm.A. I felt good once in a while, but it didn't last.B. I felt good most of the time, but sometimes I felt awful.C. I always felt good and thought I could do well.5. I had problems during this period of not using..A.B.C.D.E.F.G.H.I.J.K.L.M.N.O.I had the following problems with people. Example: I fought with my wife.I had the following problems with situations. Example: I lived in a place where therewere drug dealers.I had the following problems with thoughts and feelings. Example: I was angry andcouldn't seem to think about anything but using alcohol or drugs.I had the following problems with pain and sickness. Example: My back hurt and I wastired all the time.
6. I started to use again when:. I started to thinkA. I started to feelB. I wanted to7. The first drug I used was (include alcohol):Then I usedThen I used8. I used for ___________ (days, weeks, months, and/or years) before stopping again.Exercise No. 5: Summary of Relapse HistoryPurpose. In this exercise, you will see if the same reasons caused you to return to using alcoholor drugs.Instructions. Reread the Alcohol/Drug/Legal Calendar (Exercise No. 3) and the worksheets fromExercise No. 4 and answer the questions below. Remember that you do not have to fill in everyline.1. I first attempted recovery in __________________ (fill in month and year).2. Since that time, I have tried to quit using ____________ times.3. The longest I have been able to be completely free of alcohol and drugs (including methadone)was ___________________ (days, months, or years).4. The problems that appeared more than once before I started using alcohol or drugs again are:A. Problems with people:1.2.3.4.
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Counselor's Manual for Relapse Prev
Page 4 and 5:
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
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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 64 and 65: 2. Unless I really want to give up
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
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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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