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TheCompulsiveBehaviorCycleArronHightower,LPCLicensedProfessionalCounselor#8856

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TheCompulsiveBehaviorCycle

Defini&on

Acogni<ve-behavioralcycleinwhichtheindividualisseeminglytrappedina

repe<<veandoCenlong-termpaDernofmaladap<vethinkingthatleadstounwantedandharmfulbehavior.

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TheCompulsiveBehaviorCycle

Whatismeantbyunwanted?

• Thecompulsivebehaviorisnotwanttheindividualistrulyseeking•  Itisareplacementbehaviorforsomethingdeeperintheindividual’slife• Examples:• Shopping• Ea<ng• AlcoholorSubstanceAbuse

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TheCompulsiveBehaviorCycleTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Event/Situation(AKATrigger)TheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Event/Situation(akaTriggers)• Thesearethetriggersthatbeginthewholecycle• TriggerscanandoCenaredifferentfordifferentpeople• Comprehensiveiden<fica<onoftriggerscantakeyearsastheyoCenmorphover<meandastherapybeginstowork

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ThoughtsTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Thoughts• Automa<cthoughts• Thoughtsthat“pop”intoourmindswithoutaconsciouseffort

• Intermediatebeliefs• If...thenstatementswecreatetobringunderstanding

• Corebeliefs• Whatwebelievetobetrueaboutourselves

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FeelingsTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Feelings•  Areareac<ontoourcorebeliefs•  OccuraCerthoughts• WhenworkingwithaclienttoidthoughtsIalwaysbeginwithfeelingsbecausewearemuchmoreawareofthesethanthoughts•  Tobegin,simplyhaveclientsjotdowninanotebookwhentheyno<cetheirfeelingshavechanged•  Thenhavethemaskthemselves,“WhatwasIjustthinkingabout?”•  Example:GonewiththeWind

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Fantasy/ObsessionTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Fantasy/Obsession•  Thisiswhentheslipperyslopetoengaginginacompulsivebehaviorbeginstohappen•  Justasitsnamesuggests,thisiswhenwebegintofantasizeaboutthemaladap<vebehavior• Wemayimagehowitfeels,tastes,sounds,etc.•  Thisiswhenwecan“see”ourselvesengaginginthebehavioraswellashowwecanputinplace

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PlanningTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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Planning• Thisisthestageinwhichwebegintomentallythinkthroughthestepsofhowwecanputintoplacethethingsthatmusthappeninorderforustodoourcompulsivebehavior

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ActonPlanTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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ActonPlan• Thisisthestageinwhichwebegintoactualizeourplan.Wegetintoourcar,gototheATM,drawoutmoney,drivetothedealer’shouse,knockonthedoorandbuydrugs.

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EngageinBehaviorTheCycle

Event/Situa<on

Thoughts

Feelings

Fantasy/Obsession

Planning

ActonPlan

EngageinBx

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EngageinBehavior• Thisisthestageinwhichweshootup,inject,smokeorotherwiseconsumetheproduct

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LetDown• Thisisa“micro-stage”• Canbepost-useremorse(e.g.shame,guilt)• Canbe“chasingthedragon”inwhichwithdrawaloccurs• Allofthesebecomethenexttrigger(s)tothecyclewhichspeedsuptheprocessandspiralstheindividualintofasterandfasterversionsofthecycle

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QUESTIONS