Thinking Distortions
Avery feels, "The only time I feel good is when I use/drink. If I don't use/drink, I can't be happy."
Emotional Reasoning
DBT
Dialectical Behavior Therapy
What time does group begin?
9am and 12:30 pm
Also, directly after times of break given
"I don't have a problem"
Pre-contemplation
Ensuring good sleep through consistent, restful practices is comparable to setting the stage for a peaceful night to wake up rejuvenated.
Sleep Hygiene
"I'm going to indulge in my DOC now, and I'll deal with the consequences later. Right now, I need this escape."
Immediate gratification
HALT
H-Hungry
A-Angry
L-Lonely
T-Tired
If you are going to be late or absent, what should you do?
Call the front desk
"I have started seeing a therapist, I have a long way to go, but am unsure it will work"
Preparation
DBT skill where you weigh the benefits and drawbacks of a behavior or decision.
Pros and Cons list
"If I can't solve this issue on my own, it means I'm completely incompetent and a failure. I should just give up."
Catastrophizing
STOP
S- Stop
T- Take a step back
O-Observe
P- Proceed effectively
STOP is like hitting the pause button in the middle of an emotional storm, allowing you to take a breath, assess the situation, and choose how to respond calmly.
What needs completed if you know you will be missing group time?
Missing group notification
Abstinence has lasted 6mo to 5 years
Maintaining lifestyle changes that have made an impact on not returning to use
Confidence is building
They truly believe in their ability to maintain long term sobriety
Attention is forward with sleep hygiene, support groups, regular exercise, nutrition, recreational activities, and staying sober
Maintenance
Embracing life as it is, not as you wish it to be, is similar to acknowledging the sky is cloudy when you hoped for sunshine.
Radical Acceptance
I'm not addicted; I can stop using whenever I want. I just haven't decided to stop yet."
Denial
TIPP
Temperature
Intense exercise
Paced breathing
Paired muscle relaxation
TIPP is for quickly reducing emotional distress, like using a fire extinguisher on a sudden blaze. It uses physical techniques to help bring your emotional intensity down when you’re feeling overwhelmed.
Phones are allowed in group as long as you keep them quiet.
True or False
False
"I see where my use has caused problems, I don't know what to do about it"
Contemplation
The practice of focusing the mind, clearing the mental clutter, and making the mind more peaceful and functional. It enhances focus, lowers stress, and boosts well-being.
Meditation
"I've had a tough week, so it's okay if I indulge in my DOC just this once. I'll get back on track tomorrow
Denial
DEARMAN
D- Describe one's situation
E-Express why this is an issue and how you feel
A-Assert yourself by asking for what you want
R-Reinforce your position by offering positive consequences
M- Mindful of the situation by focusing on what you want and ignoring distractions
A- Appear confident even when you don't feel it.
N- Negotiate with hesitant people and come to a comfortable compromise.
What are 3 things you need to do at the front desk when arriving?
Sign in
Survey
Check if your UA is due for the day
Prolonged periods of abstinence
Self-care is present
Self-understanding is present
Asks for help when needed
Action
Being fully present in the moment, aware of your thoughts, feelings, and surroundings without judgment.
Mindfulness