Module 1
Programming
Programming
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/Emotions
Tool that helps to look at thoughts, feelings, attitudes and beliefs.
Thinking Report
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; have no control over this.
Life History Factors
Mental, Physical, Soothing are types.
Grounding techniques
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/Deep Breathing, Counting Backwards, Pleasant Imagery/Visualization, Relaxation, Positive Self-Talk, Taking a Break
Self-Control or Coping 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 how you will feel during the conversation. Think about how the other person will feel. Think about different ways you could say what you want to say. Think about what the other person might say back to you. Think about any other things that might happen during the conversation. Choose the best approach you can think of and try it.
Getting Ready for a Difficult Conversation
One component of a tool that is brief and objective.
Situation
These challenge your negative thoughts.
Replacement Thoughts
Distraction, Grounding Techniques, Urge Surfing, or Calling a 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: 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
Guiding principles or important beliefs. Examples: safety, honesty, health, etc.
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, racing heart, butterflies in the stomach.
Physical Sensations
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
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