Term
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Definition
1. Monitoring daily activities and assessing the pleasure
2. Assigning new daily activities to increase pleasure
3. Imaginal rehearsal of activities before they are undertaken
4. Problem solving any obstacles to undertaking new activies |
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Term
| What type of therapy is used for Substance Use DO? |
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Definition
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Term
| What are the steps of CBT for Substance Use DO? |
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Definition
1. ID Triggers/risky situations (internal or external)
2. Behavioral chain: External triggers --> Internal triggers (thoughts) --> LOOK UP --> Behaviors --> Consequences
4. Break the chain with appropriate coping (Match a good coping strategy with a trigger) |
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Term
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Definition
1. Cravings
2. Presence of drugs/alcohol
3. Offered drugs/alcohol
4. Celebration
5. Negative thoughts
6. Interpersonal problems
7. Intense emotions (ex. anger, boredom, loneliness, fear, anxiety, happiness, shame)
8. Getting “a case of the screw its” |
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Term
| List 11 Coping Strategies. |
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Definition
1. Surf the urge
2. Cognitive restructuring (weigh the evidence, generate alternatives)
3. Positive self-talk
4. Stay in the situation until you habituate
5. Practice relaxation techniques
6. Leave situation where substances are present
7. Use refusal skills
8. Engage in an alternative distracting activity
9. Practice assertive communication
10. Talk it out (call your sponsor)
11. Attend a meeting |
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Term
| What do you do when a pt doesn't think he has a problem and doesn't need to change? |
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Definition
MI: 2. Main focus = Exploring and resolving ambivalence
1. 2 contradicting sides - Attempt to resolve
3. Elicit resolutions from client, rather than using the “righting reflex”
4. Use OARS:
1. Open ended questions
2. Affirmations: Praise ofr positive things stated by pt
3. Reflective listening
1. Simple: Repeat exactly what was said
2. Rephrase: Covey same message with different wording
3. Advanced understanding
i. Continue statement
ii. Amplified Reflection: Exaggerate pt’s argument
iii. Double sided: On the one hand… on the other hand…
4. Summaries: Collect, link, transition |
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Term
| How can you ID Change Talk from Sustain Talk? |
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Definition
1. Desire: I want to
1. How future will look if continue living same way?
2. What kinds of things do you imagine in your future?
2. Ability: I can
1. What gives courage?
2. What do you already do well? What are you really good at?
3. Reason: It’s important
1. If I questions/what would be good about it?
4. Need: I should
1. What are some not so good reasons about continuing to live the same way?
5. Commitment: I will
1. What are some things you might do (first) to make this work
6. Activation: I’m ready
1. Readiness, importance, confidence rulers
i. Why X% and not Y%?
ii. Were you ever at Y? How did you move to Y?
iii. Has there been another time that you didn’t think you could do it and you did?
7. Taking Steps |
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Term
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Definition
What you are doing is based on skills that have been tried and true at other times: Don’t necessarily need a manual
1. Decisional balance: Like a pro/con list
(+) of no change (-) of change
(-) of no change (+) of change
1. Ask what person likes about changing “sounds like many benefits” if say yes to (+) of NOT changing, as why in therapy |
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Term
What are these 2 points a component of?
i. Solution within patient’s comfort and within values
ii. Teach pt to do on own/be own therapist |
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Definition
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Term
| What were the 4 steps for having a Socratic Dialogue? |
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Definition
1. Ask informational Qs: Beliefs, core beliefs
2. Empathic listening
3. Frequent summaries: Organize information and remember what was discussed
4. Ask synthesizing questions |
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