Preparing and Preventing Relapse and...
Transcript of Preparing and Preventing Relapse and...
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Tribal Law and Policy Institute
Mark Panasiewicz LLMWS
Preparing and Preventing
Relapse and Self-Sabotage
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Self-Sabotage
I want you to write only
one word
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Self-Sabotage
E
ON
W
YDN R O
L
O
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Believing that addiction to only
one substance is the problem
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Recovery/Sobriety or Absence
Recovery is not simply stop using
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Were they Truly in Recovery
-Betty Ford Institute
Sobriety refers to abstinence from
alcohol and all other non-prescribed
drugs.
Personal health refers to improved quality
of personal life as defined and measured
by validated instruments such as the
physical health, psychological health,
independence, and spirituality scales of
the World Health Organization QOL
instrument
. Citizenship refers to living with regard
and respect for those around you as
defined and measured by validated
instruments such as the social function
and environment scales of the WHO-QOL
instrument
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Voluntary
When one in is in Recovery it is VOLUNTARY and should
not be mistaken with periods of forced abstinence such as
during incarceration or coerced treatment. Must be a
willing and voluntary pursuit of behaviors.
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Not pursing Recovery with the
same Energy as Addiction
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Sobriety will fix everything
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Maintained Lifestyle
The phrase maintained lifestyle reflects recognition that
recovery is more than just a state of being at a moment in
time but that it is also not necessarily a permanent state.
Recovery status may change without active management
to sustain it
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Three Causes for Relapse
Emotional
Unhealthy Patterns of Behavior
External situations
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Three Causes for Relapse
Emotional
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Three Causes for
Relapse
Emotional Anxiety
Intolerance
Anger Defensiveness Mood swings Isolation
Not asking for help Not going to meetings Poor eating habits Poor sleep habits
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Three Causes for Relapse Unhealthy Patterns of Behavior aka
Using Behaviors
Dishonesty
Shifting Blame/Consequences Lack of Accountability
Absence of Responsibility Chaos
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Three Causes for Relapse
External situations
PeoplePlaces
Routine
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ASK
When you look at your clients life ask, What has changed
from a year ago? If the only answer is that they are not
using drugs anymore there is a problem.
Who do they hang out with?
What do they do for fun?
What are their goals and are they actually working
towards them?
How many sober people do they hang out with know?
Do they have a sponsor?
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Have them ask themselves
Ask yourself
· who do you spend time with ?
· where do you go or feel like going ?
· how has you feelings, moods, emotions changed recently ?
· how have your behaviors changed in the last year ?
· what are the differences in your thoughts and attitudes
recently ?
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Three Causes for Relapse
DEVELOP A SAFTEY PLAN before they graduate
Healing to Wellness for a workable relapse prevention
plan.
Ask their Sponsor to come in for a session with the team.
Maslow's Hierarchy of Needs before leaving HTWC.
Reach out after HTWC for check in or offer services.
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Relapse PlanHave a general plan - phone fellow recovers, get to a meeting, etc
- Make a list of situations in which you have drunk/drugged in the past.
- Make a list of the places, people and things associated with your addictive behavior.
- Make a list of the internal feelings associated with drinking/using - depression, euphoria, anger, stress, loneliness, success, etc.
- Identify which of these factors are present recently and at the moment and note them as warning signs.
- List the specific warning signs which you have identified and prioritize them hierarchically.
- Work out a series of alternative ways (not just one) which you can use to deal with each
warning sign,. Experiment to see what works best. HAVE A FIRE DRILL….
- Let yourself have a relapse fantasy – Go into detail with it and then figure out working backwards how to prevent it. This is a great group exercise.
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PB
MB
BB W
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Services Options12 Step meetings are a good option because attendance can provide the individual with support. This
type of group can be of value at almost any stage of the relapse/recovery process.
Counseling sessions can help the individual commit to continued development in recovery. I have not
found one HTWC client that should not be in individual therapy. FIND A COURT TYPE THERAPIST
Spiritual/Cultural can be useful for dealing with emotional upheaval in recovery. This does not have to
be a sitting practice but could be something such as Tai Chi or yoga, Sweat lodge, drumming, beading.
Support/Group therapy sessions can be a venue for problem solving and support.
Sponsorship- I feel if someone doesn’t have one there is a problem..
Follow the Four Directions of Mind, Spirit, Emotions and Health.
No Isolation- Isolation is bad for recovery and cannot be maintained and is more of a abstinence
behavior.
Booster shot sessions are provided by some rehabs, groups and/or AODA counselors..
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Self-Sabotage
Behavior is said to be self-sabotaging when it
creates problems and interferes with long-standing
goals
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Self-Sabotage
Procrastination
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Self-SabotageLow Self Esteem
Anxiety over failure and change
Fearing that if you fail or
succeed others will think less
of you.
Doubting yourself
Feeling stressed and anxious,
feeling feelings
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Self-Sabotage
I WANT LION
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Self-Sabotage
Have clients list or come up with goals
Find areas where clients are procrastinating or putting off
making a decision. Set a deadline and assist them
through structure to make the goal. Start out small
Examine why they have a lack of motivation
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Not working on or getting help for
relationship problems
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For More Information . . .
TLPI believes in providing
resources free of charge, or at
minimal cost, whenever possible.
Visit www.tlpi.org
or
contact:
Lauren Van Schilfgaarde,
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