Relapse Prevention Counseling: Clinical Strategies to Guide Addiction Recovery and Reduce Relapse

by Dennis C Daley PH D

Overview

Written specifically for clinicians, this comprehensive book makes it easy for you to implement strategies proven to reduce relapse and help your client recover from substance use disorders (SUDs). Each chapter will lead you step-by-step through valuable resources for treatment such as: Tools for individual, group and family sessions, Treatment models and therapies, Counseling strategies for co-occurring disorders, 12 group exercises for SUDs, Tips for teaching clients to identify craving triggers to prevent relapse, Best practices for medication-assisted treatment, Emotion management techniques, Using motivation to make lifestyle changes, 8 group exercises for co-occurring disorders

Product Details

ISBN-13:	9781937661687
Publisher:	PESI Publishing & Media
Publication date:	08/28/2015
Edition description:	New Edition
Pages:	160
Product dimensions:	6.90(w) x 9.90(h) x 0.40(d)

Table of Contents

Dedication to G. Alan Marlatt xiii

About the Authors xv

Introduction and Overview xvii

Chapter 1 Recovery and Relapse Prevention 1

Recovery from Substance Use Disorders 1

Recovery from Psychiatric or Co-Occurring Disorders 2

Factors Affecting Recovery 3

Lapse and Relapse for Substance Use Disorders 4

Relapse and Recurrence for Psychiatric Disorders 5

Determinants of Lapse, Relapse or Recurrence 5

Effects of Lapse, Relapse or Recurrence 7

Chapter 2 Relapse Prevention Therapies 9

Treatment Models Incorporating RP Principles 9

Common Elements of RP 10

Research Support for RP with Substance Use Disorders 15

Limitations to Studies and Reviews of RP for Substance Use Disorders 17

Approaches to Recovery and RP for Psychiatric or Co-Occurring Disorders 18

Research Support for Treatment of Psychiatric or Co-Occurring Disorders 22

Chapter 3 Counseling Strategies to Promote Recovery and Reduce Relapse Risk 25

Motivation to Change 26

Adherence and Retention in Treatment and Recovery Programs 28

Medication-Assisted Treatment 29

Managing a Substance Use or Related Addictive Disorder 33

Psychiatric Illness Management Skills 38

Monitor Acute Symptoms of a Psychiatric Disorder 38

Emotion Management Skills 40

Relationships and Communication Skills 41

Mutual Support Programs (MSPs) 43

Relapse Recognition and Interruption Skills 44

Lifestyle Changes 47

Chapter 4 Counseling Aids for Relapse Prevention 51

Addict Aftercare: Recovery Training and Self-Help 51

Challenging Thoughts of Using Substances 51

Cognitive Distortions and Psychiatric Relapse 52

Consequences of Using Substances 54

Control-O-Log 54

Daily Relapse Prevention Inventory 54

Decision Matrix 55

Meditation 55

Mindfulness 55

Mood Thermometer 56

Monitoring Persistent Symptoms of Psychiatric Illness 56

Relapse Autobiography 56

Learning from Mistakes: Relapse Debriefing 57

Relapse Fantasy 57

Relapse Prevention Workbook for Substance Use Disorders (RPW) 57

Relapse Prevention Workbook for Psychiatric Disorders 59

Others Readings (Bibliotherapy) 59

Role Plays (Behavioral Rehearsals) 59

The Road to Relapse 61

Sobriety Journal 62

Urge or Craving Surfing 63

Chapter 5 Relapse Prevention Groups for Substance Use and Other Addictive Disorders 65

Creating Relapse Prevention Groups 65

Group Interventions 65

Group Format for Outpatient Settings 66

Group Format for Residential or Inpatient Settings 67

Orienting Clients to RP Groups 68

Strategies for RP Group Leaders in Covering Group Content 68

12 Structured RP Groups 71

The Process and Domains of Recovery 73

Managing Cravings to Use Substances 76

Managing Anger 79

Managing Boredom and Using Leisure Time 82

Managing Social Pressures to Use Substance 85

Establishing a Recovery Support System 87

How Mutual Support Programs Aid Recovery and Reduce Relapse Risk 90

Identifying and Managing Relapse Warning Signs 93

Identifying and Managing High Risk Factors 95

Setbacks: Stopping a Lapse or Relapse 98

Building a Long-Term Recovery Plan 101

Lifestyle Balancing 104

Chapter 6 Relapse Prevention Groups for Co-Occurring Disorders 107

Group Format for Outpatient Settings 108

Group Format in Inpatient Settings 109

8 Structured RP Groups 110

Recovery from Psychiatric or Co-Occurring Disorders 111

Managing Early Relapse Warning Signs 114

Identifying and Managing Relapse Risk Factors in Psychiatric Illness 116

Establishing a Recovery Support System 120

Managing Emotions or Moods 123

Healthy Leisure Activities and Lifestyle Change 126

Addressing Alcohol or Drug Use 129

Setbacks & Stopping a Psychiatric Relapse 132

Chapter 7 Problem Solving or Therapy Groups 135

Objectives of Groups 135

Group Format 135

Problems Discussed in Problem Solving or Therapy Groups 136

Problems Encountered in the Group Process 138

Chapter 8 Relapse and the Family 141

Impact of Disorders and Relapse on the Family 141

Family Groups 143

Multiple Family Groups 144

Mutual Support Programs for Families 144

Appendices 145

References 147

Websites 157