Module 1
Motivational Engagement
Motivational Engagement
Cognitive Behavioral Interventions for Substance Abuse
CBISA
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: Pay attention to your body language and physical sensations that lead to losing control. Pay attention to your risky thoughts. Identify coping strategies to manage your feelings and thoughts. Choose the best coping strategy and do it.
Using self-control
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 have no control over this.
Life History Factors
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 or Urges
The way you live and the things you do; you have control over these things and they 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, Positive Self-Talk, Contacting a Support Person
Coping Strategies
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 desirable or has intrinsic worth. Examples: safety, family, health, honesty.
Value
Act out or perform the part of a person or character, for example as a technique in training or psychotherapy.
Role-Play
Feelings that are internal. Examples: hot cheeks, racing heart, clenched jaw, queasy stomach
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