Module 1
Motivational Engagement
Motivational Engagement
Cognitive Behavioral Interventions for Substance Use- 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: Choose a time/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, allowing the other person to accept or decline. Thank the person for listening.
Communicating Your Needs
Skills Steps: Decide if the situation is risky for you. Think about different ways to say "NO". Choose the best way to say "NO" in the situation and do it. If appropriate, suggest other things to do that are not risky.
Deciding to say "NO"
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
Skill Steps: Decide if you are in a risky situation. Decide how you could best manage the situation. Tell the other people what you decided. Suggest another activity that is not risky for you.
Dealing with Peer Pressure
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: Look at the person who is talking. Think about what is being said. Wait for your turn to talk. Say what you want to say.
Active Listening
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
Starting a question with Tell me, What, Describe, How, or Why
Open-ended question
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: Decide if you feel rejected or have failed at something. Think about different ways to manage how you feel. Pick the best way and do it. Think about how to avoid feeling rejected or failing again.
Dealing with Rejection and Failure
A principle or quality that is valuable or desirable. Examples: 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: hot cheeks, racing heart, clenched jaw, wringing your hands, tapping, pacing, crying, leg jumping.....
Body Language & Physical Sensations
Skill Steps: Think about how you feel about the person's behavior. Describe the behavior to the person, saying, "When you do.....", Describe your feelings and how the person's behavior affects you, saying, "then I feel/think.....", State what you would like to happen in the future.
Assertive Communication
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