Module 1
Motivational Engagement
Motivational Engagement
Cognitive Behavioral Interventions for Substance Abuse
CBI-SA
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
These should be positive and realistic.
GOALS
Tool used to weigh the short and long-term pros and cons to help you face a difficult choice.
Cost/Benefit Analysis
Events that occurred in your life that you had no control over.
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
The way you live and the things you do; these can be changed.
Lifestyle Factors
Paced Breathing, Counting Backwards, Pleasant Imagery/Visualization, Relaxation, Positive 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
Tool that looks at the situation, thoughts, feelings, and attitudes and beliefs.
Thinking Report
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
The most important skill of Problem Solving
Stop and Think
A principle or quality that is valuable or desirable. Examples: safety, security, health, trustworthiness.
Value
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, 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
I think/feel ____ because ______ and my risk reaction is _________.
Problem statement