Expectations and Etiquette
Why are side conversations frowned upon?
Distracts everyone, disrespects the speaker, can interrupt someone processing trauma, Emma hates redirecting
What is the difference between a natural support and a professional support?
Natural - friends, family, acquaintances (unpaid helpers)
Professional - therapists, doctors, case managers, teachers (paid helpers)
What emotions do people usually show when they are stressed?
Anger, anxiety
Why is it important to have boundaries?
You welfare is important
You teach people how to treat you
You will be less stressed
Which 6 coping skills have you used successfully?
Yeah!
Why do you think speaking proudly about drug activity, relapses, crimes is frowned upon?
It can trigger others, it's nothing to be proud of. Share your narrative to better yourself, but not to boast
Why is substance abuse treated in a group setting?
Less guilt and shame, you learn you're not alone, you can resonate with others, you recover better in a group setting for addictions (AA, NA, Weight Watchers, etc)
This substance causes a flat nose, as your nose collapses with long term use
cocaine
What can I do if a group member offends me because of their religion, gender, past, etc
Talk to me! Let's figure out solutions
Which 5 coping skills have you used successfully?
Well done!
When is it acceptable to leave group early?
Drug test- iff you have been at work all day
family emergency
*If you always have an emergency or always need to leave early, you'll be asked to show proof
What is the point of completing a genogram in a substance use class?
I learn from you, you learn from you, you can see your family history from another perspective, you can be better for your children and break the generational curse
What is the point of the Eisenhower Matrix?
It helps you organize your life. If followed, it is very effective and relieving
What is Harm Reduction
Not telling people to abstain, but teaching them to be safe
What can happen if I tell the truth?
You get treated better. Sentences are more lenient. People want to help you. People respect you.
Tell me two expectations group members are asked to follow when there is an interpreter present
Speak to the member when asking the member a question.
Say no more than 3 sentences at a time, the interpreter is human not a machine.
no side conversations
What is the point of being aware of your ecological systems?
You don't exist in a vacuum, your environment has an influence on you
Name two (appropriate) protective factors to counteract stress
a supportive person that really listens, therapy, medication, 7-8 hours of sleep, healthy diet, meaningful employment, supportive family/friends, meditation/grounding exercises, asking for help, cardiovascular exercise
What organ is damaged by stimulats? (Cocaine, crack, meth, non prescribed Xanax). Bonus points if you can say how
The brain
Stimulants burn/strip away the myelin sheet
When is it ok to be angry?
To release the emotion appropriately.. When you are not hurting people. Going to a gym. Talking to someone. Punching a pillow/punch bag. Screaming into a pillow if your household members are aware. Writing an angry letter and burning it. any other way that you can express it appropriately
What can happen if you have 2 no shows, or chronic cancelations?
You can be placed on hold, be closed from services (if you don't answer your phone), or moved to a higher level of care
Name two ecological systems
Micro - self
Meso/Mezzo - surroundings (family, work, school)
Exo - your loved's ones Mesos (child's school, spouses job site)
Macro - National, cultural, passed down to you
medical health declines
mental health declines
substance use increases
Quality of life declines
What is the first or most important need on Maslow's Hierarchy of Needs? (The pyramid)
Food, water, or shelter
Therapy is a safe and confidential space, nut there are situations when the law requires a therapist breaks confidentiality. What situations does a therapist have to break confidentiality?
When you report you will harm yourself or others in a possible life ending manner.
When you are intoxicated/ using drugs on public premises.
When you report a minor (under 18) or elder (over 65) is being abused.