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

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___ 39. Deep resentments: I feel angry with the world and feel as if everyone is against me.___ 40. Discontinue all treatment and AA/NA: I do not attend AA/NA meetings, avoid mysponsor, and have stopped going to counseling or aftercare.___ 41. Overwhelming loneliness, frustration, anger, and tension: I begin to feel like I aminsane and think my only choices are drinking or using drugs, suicide, or insanity.___ 42. Loss of behavioral control: I have problems in all areas of my life. I cannot controlhow I act, think, or feel.Phase XI: Return to Use, or Physical/Emotional Collapse___ 43. Return to "controlled" use: I try to use with control and sometimes I am able to dothis for a short period.___ 44. Shame and guilt: I feel ashamed and guilty for using and believe that if I had donethings the right way, this wouldn't have happened to me. I believe I am a badperson because I've started to use again.___ 45. Loss of control: I begin to use just as much or more than I did before.___ 46. Life problems: I begin to have severe problems with my spouse/partner, job,friends, health, or the law. I need professional help in order to get better.Exercise No. 9: Offender Relapse Warning SignsPurpose. This offender relapse warning sign list will help you to understand how you return tobreaking the law, even when you do not want to.Instructions. Below is a list of thoughts, feelings, and actions that offenders may experiencebefore committing a crime. Read the list and place a check mark next to any signs that you haveexperienced. Place a question mark next to any that you do not understand. Underline any wordsthat cause you to have strong thoughts or feelings or make you want to do something. (This listwas adapted from the work of Stanton E. Samenow, Ph.D.)Phase I: Internal Dysfunction: During this period, changes occur in thoughts and feelings. Thesechanges are unnoticed by other people.___ 1. Worry: I worry about being able to survive in the real world. I wonder how I amgoing to be able to find and keep a job, pay bills and fines, get along with my
family, or stay away from my old friends.___ 2. Denial: I tell myself it will all work out. I pretend everything is all right. Whenpeople ask me about my problems, I tell them I will be okay, even though I am notsure.___ 3. Belief that troubles are over: I convince myself that I've learned my lesson and willnever do anything illegal again. I tell my friends, family, counselor and probationofficer, "I've really learned this time," even though I do not have a plan for how tochange.___ 4. Uncomfortable feelings: I feel uncomfortable around people who are not involvedin illegal activities. They seem boring, and I get nervous and jumpy. I want moreexcitement in my life.___ 5. "All or nothing" thinking: I feel like I must be the best or I will be nothing. I must bevery successful at everything I do. I get excited and build up in my mind howsuccessful I must be. I feel that if I do not do everything right, I will fail.___ 6. Unrealistic feelings: I think things should go my way just because I want them to.Because other people want me to succeed and I want to do well, things willhappen the way I want them to.___ 7. Not planning ahead: I do not plan for the future. When people ask me what myplans are, I tell them what I think they want to hear.___ 8. Lack of effort: I do not do things that I do not like or that are boring or hard for me.I do not look into jobs or other things that might help me, and I find excuses for notdoing these things.___ 9. Building self up: I make myself feel better by putting other people down. I tellmyself how stupid other people are. Most of the time I just think it, but sometimesI tell people that they are dumb or do not know anything.___ 10. Poor decision making: I make decisions on the spur of the moment withoutthinking about what might happen. Afterwards, I think, "I really screwed up."___ 11. Sensing a lack of trust: I feel like others do not agree with me or do not trust me. Ithink people should trust me no matter what I may have done in the past. I tellthem I have changed, and I expect them to believe me. Their lack of trust makesme angry.
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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
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which provide specific information
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ecovery plan to determine whether h
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"When you said that, I began to thi
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Have the patient form a sentence st
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There are many models for the stage
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e assertive in setting limitsprovid
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Time-Limited or Open-Ended Group?It
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The abstinence goal. The first focu
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Group sessions are 2 hours in durat
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They will confuse thoughts and feel
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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 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 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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