PAWS
It can take up to this many months for the nervous system to recover.
Up to 24 months.
This cognitive distortion occurs when we think something has happened or will happen with little or no evidence.
Jumping to conclusions
What are the four broad feelings to focus on?
Boredom, stress, money problems, relationship issues, certain sights and smells, certain people or places, falling into old habits, Anger
An addiction to this substance is the most common in the United States.
Alcohol
PAW symptoms usually occur at what intervals?
moon cycle
30, 60, 90, 120, 180, and 1 & 2 year dates
"My partner should know what I need without me telling them," and "I should be skinnier" are examples of what cognitive distortions?
Should Statements (also "musts," "oughts," "have to's")
In what step do you collect evidence that supports and does not support your initial thought?
Step 4: Evaluate the Thought
These are people, places, or things that make us want to use.
Triggers
With continued substance abuse the brain stops making this chemical.
Dopamine
Name 3 of the 6 most common PAW symptoms.
1. Inability to think clearly
2. Memory problems
3. Emotional overreactions or numbness
4. Sleep disturbances
5. Physical coordination problems
6. Stress sensitivity
Believing that anything good that happens has nothing to do with your own abilities is an example of what cognitive distortion?
Discounting or disqualifying the positive
What are the 4 steps in an action plan?
1. Define the problem
2. Brainstorm possible solutions and pick the best one
3. Make a plan and implement it
4. Follow the plan and set a time to follow up on the success of the implementation
Saying things like "I was testing myself," "I needed it for a specific purpose," and "I felt bad" are all forms of what?
Relapse Justification
To make treatment more effective it is suggested that a person come to treatment with H.O.W. What does H.O.W. stand for?
Honesty, Openness, Willingness
A person recovering from long term stimulant or opiate use can experience PAW symptoms for up to how many years?
10 years
What cognitive distortion did I have when I felt like people did not like me when I sneezed and nobody said "bless you."
Personalizing
Cognitive restructuring is a core technique of this kind of therapy.
Cognitive Behavioral Therapy (CBT)
H.A.L.T. is a relapse prevention technique used to help a person identify how they are feeling. What does H.A.L.T. stand for?
Name the 4 Recovery Stages.
Withdrawal, Early Abstinence (Honeymoon), Protracted Abstinence (the wall), Adjustment/Resolution
During times of ________ PAW symptoms may seemingly disappear.
low-stress
Give an example of dichotomous thinking.
"My partner forgot our anniversary, so they must not care about me at all."
"If it rains during my vacation, the entire trip is a disaster"
"If I didn't finish my entire to-do list, I achieved nothing"
While sharing in group you look around that some people are paying attention, others look zoned out, and one person is sleeping. Your initial thought is "everyone here thinks I am boring."
How would you restructure this thought?
"I don't know what others are thinking, and I have had good conversations in the past."
"It is early in the morning and not everyone's brain is ready for group just yet."
"How people act in the morning has nothing to do with what I am sharing."
"There are plenty of people who find what I have to say engaging."
P.A.W.S. is the brain's way of correcting ___________ _________ that it suffered during active addiction.
(Hint 2 words)
Chemical Imbalances
Relapse rates are between what percentages in the first year of recovery? After 5 years in recovery what is the risk of relapse? What percentage of people recover from addiction?
40-60%
Less than 15%
75%!!!