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What is the purpose of a group session?
What have you gained from attending this week?
Sharing Can Be Healing. In a group setting, clients are encouraged to be open and vulnerable. Unconditional Support. One of the best aspects of group therapy is its ability to create supportive relationships and connections. Building Social Skills. Groups are helpful for easing clients’ sense of isolation and extending ability to express their thoughts in an appropriate ways.
Listening to a guided relaxation or mediation is an example of what DBT skill?
How does it help with Substance use?
What is mindfulness?
The goals of mindfulness is generally accepted as to reduce suffering and increase happiness. This can be described as experiencing reality as it is.
-reduce pain, tension and stress
-increase joy, happiness and peacefulness
-improve physical health, relationships and distress tolerance
-increase emotional regulation
- decrease rumination thoughts and behaviors
-decrease mood swings
-increasing brain activity, "exercise the brain"
-enhances immune response
-increases sense of well-being
-decreases relapses of depression
STOP, TIP, ACCEPTS and IMPROVE are examples of what skill?
What is a distress tolerance?
What is the PLEASE skill? When did you or could you have used it this week?
Physical, Eating, Altering, Sleep, Exercise
Treat physical illnesses - the healthier you are the more you are able to regulate your emotions, maintain medication routine
Why do you need to understand how emotions can influence sobriety vs relapse?
What are some emotions you experienced this week?
Emotions can be triggers, which may be part of past use. Often people are not aware that an emotion has that kind of influence on them. Especially when we try to bury or avoid dealing with emotions.
Fear, confidence, worry, envy, anger, shame, grief, inadequate, anxious, arousal, frustration, guilt, boredom, exhaustion, lonely.
What is SURG? What are the "rules" and suggestions to get the most from SURG?
Substance Use Recovery Group
Everyone participates
Maintain confidentiality of group
Compassion and respect to everyone
Non-judgmental of others in group
Arrive on time
Bring a pen
Offer helpful, constructive feedback
Be honest in sharing, keeping it PG/PG13
Complete homework, be prepared for group
Consider how what you share and how you share could be triggering for others
What is building relationships and communicating skills called?
Why do we need this in SURG?
What is interpersonal effectiveness?
What can you do to learn not to use avoidance or maladaptive behaviors? Give an example of one you used this week.
BA -Behavior Activation
What are ways we self-sabotage ourselves when thinking of substance use - after maintaining sobriety?
relapse justification, euphoric, romanticizing, rumination, glamorizing
What are some ways to work through cravings or triggers?
5-4-3-2-1 Mindfulness
Visualization
Relaxation: respiratory control, muscle relaxation, meditation, prayer, call support people
What did Cookie Monster teach you this week?
Why is it important to understand this concept while in recovery?
RESIST: understanding why addictions are so difficult to resist is important in recovery. While it is possible, it is not easy.
You encounter a problem that cannot be solved at that moment. Instead of trying to solve a problem that you do not have any control over, you try to improve the moment and focus on positives. Which DBT skill are you using?
What is distress tolerance?
How can you "surf an urge?" Give a real example of you using this skill this week.
Observation of urge, using mindfully being aware of and owning the urge.
A relationship skill that includes doing something nice for someone else without expecting anything in return
What is turn the table?
What are 3 components of 5-4-3-2-1 Mindfulness that make it effective?
1. Observing your world or body
2.Describing (non-judgmentally)
3. Participation in present
What are four types of cravings?
1. Covert
2. Overt
3. Reinforced use
4. Conditioned Cue
Accepting things that we cannot change, despite feeling unhappy about.
What is radical acceptance?
Give an example of each of the two triggers discussed this week that you experienced. What skills did you or could you have used with them? Feedback from peers on ways to cope with triggers.
Internal-feelings, emotions, thoughts
External-people, places or things
STOP, PLEASE, urge tracker, mindfulness, Behavior activations, costs & benefits
What are ways to overcome self-sabotaging behaviors or thoughts?
RECOGNIZE and observe it for what it is
STOP
SUPPORT
MINDFULNESS
and others....
This is one of the core concepts behind all elements of treatment at Rogers, it is considered a foundation for the other skills taught.
What is mindfulness?
All the components of PLEASE have one purpose underlying each suggestion - What is it?
What benefits do we get from following this suggestion?
RESILIENCE: The body and mind need to be 'balanced' in health and strength. When the mind and body are health and strong we are better able to manage negative events, thoughts and feelings. Negativity can decrease in all areas when the mind and body are healthy.
What are the goals of INTERPERSONAL EFFECTIVENESS?
To be skillful in achieving objectives with others: - asking others to do something -saying NO to unwanted requests effectively
Build relationships, strengthen good ones or ending destructive/sabotaging relationships
Walking the Middle path - keeping up with maintaining relationships yet not allowing others priorities to overwhelm our own needs and wants.
"If I think this, and I feel this, and I do this" is an example of what skill, and what are examples of these pieces think, feel, and do?
What are emotion mind, logical mind, and clean mind?
What are Paws? How are they different from cravings? Share 3 you have experienced or discussed in the last week.
Post Acute Withdrawal Symptoms- Typically most noticeably recognized in early recovery. Can be biological, ie: sleep problems, Physical, ie: eye-hand coordination, Cognitive, ie: focus or attention, or Psychological, ie: overreacting.
Part of PLEASE skill relates to sleep, what is the recommendation and why?
What are ways we can help ourselves to do this?
The brain and body need 7-9 hours of sleep per night, consistency in sleep patterns is more effective than 4 hours one night and 12 hours the next. The brain uses sleep time to heal and repair damages as well as to clear out old 'memories' and toxins from the day. Without the benefits of regular sleep the brain cannot clean or recharge itself.