Module 1
Motivational Engagement
Motivational Engagement
Cognitive Behavioral Interventions for Substance Abuse- Adult
CBI-SUA
Tool used to see your thoughts, feelings, actions and consequences of a situation.
Behavior Chain
Examples: happy, sad, angry, irritated, upset, nervous, controlled, entitled, frustrated.....
Feelings
Skill Steps: Decide why the situation could lead to conflict. Determine the ultimate goal for this situation. Brainstorm what you could say that would help you reach your goal. Choose the best way and express yourself.
Communicating Assertively
Skills Steps: Look at the person who is talking. Think about what is being said. Wait your turn to talk. Say what you want to say.
Active Listening
Tool used to weigh the pros and cons to help you face a difficult choice.
Cost/Benefit analysis
Events that occurred in your life; you may have no control over this.
Life History
Paying attention to your emotions.
Identifying our emotions.
Managing our emotions.
Emotion Regulation
Describe your physical surrounding in detail (what you see, hear, smell).
Mental Grounding
Skill Steps: Tune in to your body's physical sensations. Identify the situation that seemed to be connected. Identify the emotion that you are feeling.
Recognizing Your Feelings
These are normal, common, time-limited and a sign of change.
Cravings
The way you live and the things you do; these can be changed.
Lifestyle Factors
Paced Breathing, Counting Backwards, Pleasant Imagery/Visualization, Relaxation, Self-Talk, Taking a Break
Self-Control Strategies
Skill Steps: Choose a time and place where everyone is calm. Ask the person's permission to have a conversation. If the person agrees, objectively describe the situation and then state your own thoughts and feelings. Make your request. Thank the person.
Communicating Your Needs
Skill Steps: Think about different people or places you could find support avoiding substance abuse. Think about the different ways to connect with those individuals or groups. Contact the person or group and ask for support in making positive changes.
Finding Support
Objective, brief, factual, something a camera would see.
Situation
These challenge your negative thoughts.
Replacement Thoughts
Distraction, Urge Surfing, Self-Talk, Support Person
Strategies for Dealing with Urges
Skill Steps: Pay attention to the person's words and body language. Identify the most likely emotion being communicated to you. Calmly check in to see if you are correct. Ask an open question to get more information.
Understanding the Feelings of Others
Skill Steps: Pay attention to your thinking. Recognize risk. Use new thinking.
3 steps of cognitive self-change
A principle or quality that has intrinsic worth or is desirable. Examples: honesty, safety, security, health, trustworthiness.
Values
Act out or perform the part of a person or character, for example as a technique in training or psychotherapy.
Role-Play
Examples: feeling hot, racing heart, jaw clenched, stomach burning.
Physical sensations
Skill Steps: Decide if you and the other person are having a difference of opinion. Tell the other person what you think about the situation. Ask the other person what they think about it. Listen objectively. Think about why the other person might feel this way. Suggest a compromise.
Negotiating
Skill Steps: Remind yourself to stay calm and listen with an open mind. Think about why the person is criticizing you. Think about ways to address the criticism that will keep the conversation calm. Choose the best option and do it.
Responding to Criticism