Defense Mechanisms
DENIAL, Rationalizing, Generalizing, switching (deflection), Justifying, Projecting, Minimizing, Displacement (dumping on others), overcompliance, humor, Intellectualizing.
What are 3 Defense Mechanisms?
Saying what is true
What is affirming?
A combination of damage to the nervous system caused by substances and psychosocial stress of coping with life without substances.
What is Post Acute Withdrawal Syndrome?
Irresponsibility/Pseudo-Responsibility, Social Rule Bending/Rule Breaking, Interpersonal Triviality, Stress/Coping Imbalance.
What are the Lifestyle models?
BLAMES OTHERS (FAMILY, PAST, SOCIAL CONDITIONS, ETC.) FOR CAUSING BEHAVIOR
SEES RESPONSIBILITY FOR PROBLEMS AS BEING CAUSED BY OTHERS AND CIRCUMSTANCES
What is Victimstance?
Honesty, Humility, Objectivity, Caring, Responsibility, Open-mindedness, Willingness, and Gratitude.
What are attitudes that are important factors in successfully making responsible lifestyle changes?
Core principles of recovery.
“Of course I was driving. I’m too drunk to walk.”
What is humor?
Skill steps to affirming
What are Personalize it, create it, repeat it, believe it?
The symptoms typically grow to peak intensity this long after abstinence begins
What is 3-6 months?
The individual struggling with addiction/criminal behaviors overreacts to stressful situations and acts out for relief through drinking, substance use, sexual promiscuity, or criminality
What is Stress/Coping Imbalance?
UNREASONABLE NEED TO BE IN CONTROL
WHEN FEELING “PUT DOWN” OR OUT OF CONTROL, IMPULSIVELY SEEKS TO REGAIN CONTROL WITH NO THOUGHT OF CONSEQUENCES
USES MANIPULATION, DECEIT, ANGER AND THREATS AS WAYS OF FEELING POWERFUL
“F__ IT! I DON’T CARE ABOUT THE CONSEQUENCES. NOBODY TELLS ME WHAT TO DO/MESSES WITH ME, ETC. ”
What is Power Thrust?
Hereditary, physiological, psychological, emotional or social factors that contribute to the development of a substance use disorder.
What is the biopsychosocial model?
“You better be careful about what you say to me or you’ll be sorry!”
What is threatening?
Coming up with many possibilities and choices
What is brainstorming?
Inability to think clearly, memory problems, emotional overreactions/numbness, sleep disturbances, physical coordination problems, stress sensitivity
What are symptoms of PAWS?
A lack of accountability, reliability, or maturity in handling one's duties, obligations, or actions.
What is Irresponsibility?
Mollification, Cut Off, Entitlement, Power Orientation, Sentimentality. Super optimism, Cognitive Indolence, Discontinuity
What are the 8 patterns of thinking that have been identified as contributing to to a criminal lifestyle?
Thinking errors
The uncomfortable feelings that try to draw a person back to their comfortable behaviors.
What is cognitive-emotive dissonance?
“The secret to doing easy time is to just tell them what they want to hear. If they want me to say I’m an addict, I’ll say I’m an addict. If they want me to say I’ll quit drinking and smoking crack, I agree to quit drinking and smoking crack
What is overcompliance?
Communicating your wants/needs in a clear constructive manner
What is asserting?
What is Assertive communication?
Inability to experience pleasure
What is anhedonia?
Fails to perform responsibly though may feign responsible behavior, or justifies irresponsible behavior by claiming it is necessary to meet responsibilities
What is Irresponsibility/Pseudo-Responsibility?
SPECIAL” – BETTER THAN OTHERS (SENSE OF ENTITLEMENT)
GRANDIOSE – THINKS OF SELF AS SUPERIOR IN SPITE OF LACK OF ACCOMPLISHMENT
BELIEVES THE RULES DO NOT APPLY, OR SHOULD NOT APPLY
What is Uniqueness?
Boredom, Guilt, Loneliness, Resentment, Anger.
What are feelings that affect Recovery?
“I’m willing to quit smoking pot for a week if you’ll buy me a new outfit. After all, one week without pot is progress and you can just about cover the cost of the outfit with the money I won’t spend on pot.”
What is manipulation?
Recognizing a situation that could trigger you to use
What is danger-spotting?
Think slippery slopes....
Recovery from the damage caused by addiction requires abstinence, but the damage interferes with the ability to remain abstinent
What is the Paradox of Recovery?
Sudden, intense desires to perform a specific action, often in response to a trigger or craving. The immediate, impulsive drive to engage in a behavior, they typically peak and then subside.
What are Urges?
Awfulizing, Blaming, I can’t, Loaded words, Absolutes,
Have to, need to must, Shouldisms, statement of fact,
He /she, it statements, Rhetorical questions
What are Irrational thoughts (self-talk)?
Tolerance Loss of Control
Withdrawal Activities Given Up
Unsuccessful Attempts to Cut Down
Time Spent Obtaining or Recovering
Continued Use Despite Problems
What is the DSM-V definition for Dependence?
“So I smoke a little crack once in a while? I don’t smoke more than once a day. That’s not a problem – that’s control and fun.”
What is minimizing?
Identifying people, places, emotions, or situations that lead to cravings or urges.
What are recognizing personal triggers?
A state of intense optimism and euphoria experienced early in the recovery journey. During this phase, individuals may feel highly motivated, hopeful, and confident about their recovery, often believing they've "got it all figured out."
What is the pink cloud symdrone?
This phase can be temporary and might lead to unrealistic expectations or a lack of preparedness for future challenges.
External or internal stimuli that set off a desire or reaction, - leading to intense longing. It then feels overwhelming, making it difficult to resist the behavior.
What are triggers that lead to cravings?
Is the thought based on objectivity of fact?
Will thinking this way help protect my life/health?
Will thinking this way help me achieve my goals?
Will thinking this way keep me out of conflict?
Will thinking this way help feel the way that I want to without using?
What are the Five rules of Rational Thinking?
Mindfulness and meditation:
Physical activity
Support groups
Journaling
Healthy habits
Creative expression
Grounding techniques
Cognitive-behavioral therapy (CBT)
Self-care
Emergency planning
What are coping skills that can assist with relapse prevention / Substance Use Disorder (SUD) recovery?