- Chapter 1 Introduction
- Chapter 2 Is This Program Right for You?
- Chapter 3 Session 1: Introduction to COPE
- Chapter 4 Session 2: Common Reactions to Trauma and Craving Awareness
- Chapter 5 Session 3: Developing the <i>In vivo</i> Hierarchy and Craving Management
- Chapter 6 Session 4: Initial Imaginal Exposure
- Chapter 7 Session 5: Imaginal Exposure Continued and Planning for Emergencies
- Chapter 8 Session 6: Imaginal Exposure Continued and Awareness of High-Risk Thoughts
- Chapter 9 Session 7: Imaginal Exposure Continued and Managing High-Risk Thoughts
- Chapter 10 Session 8: Imaginal Exposure Continued and Refusal Skills
- Chapter 11 Session 9: Imaginal Exposure Continued and Seemingly Irrelevant Decisions (SIDs)
- Chapter 12 Session 10: Imaginal Exposure Continued and Anger Awareness
- Chapter 13 Session 11: Final Imaginal Exposure and Anger Management
- Chapter 14 Session 12: Review and Termination
- Form 1 COPE Program Treatment Contract
- Form 2 Breathing Retraining
- Form 3 For Families and Loved Ones: What Is PTSD and How Is It Treated?
- Form 4 For Families and Loved Ones: How Can I Help?
- Form 5 For Families and Loved Ones: Common Reactions to Trauma
- Form 6 Understanding Addiction
- Form 7 10 Tips for Well-Being
- Form 8 10 Common Reactions to Trauma
- Form 9 Daily Record of Cravings
- Form 10 Facts About Cravings
- Form 11 Guidelines for Better Sleep
- Form 12 SUDS: The Subjective Units of Distress Scale
- Form 13 <i>In vivo</i> Exposure Hierarchy List
- Form 14 Pleasant Activities Checklist
- Form 15 Craving Thermometer
- Form 16 Coping with Cravings
- Form 17 Patient <i>In vivo</i> Exposure Data Form
- Form 18 Patient Imaginal Exposure Data Form
- Form 19 Personal Emergency Plan
- Form 20 Awareness of High-Risk Thoughts
- Form 21 The ABC Model
- Form 22 Managing Thoughts About Using
- Form 23 Alcohol and Drug Refusal Skills
- Form 24 Seemingly Irrelevant Decisions (SIDs)
- Form 25 Making Safe Decisions
- Form 26 Anger Awareness
- Form 27 Daily Wellness Strategies
- Form 28 Coping with Anger
- Form 29 Early Warning Signs
- Form 30 My Next Steps
- About the Authors
(p. 162) Managing Thoughts About Using
Thoughts about using alcohol or drugs are normal during recovery. Having a thought about using isn’t a problem, as long as you don’t act on the thought.
Here are several ways you can manage thoughts about using alcohol or drugs:
■ Leave the situation.
■ Call someone and talk it out.
■ Distraction: Engage in an activity that is unrelated to alcohol/drugs (e.g., exercise, go to a movie, play with your children).
■ Go to an AA/NA meeting.
■ Question your thoughts. Remember that not all thoughts are true.
Do you really need a drink/hit?
Will using really make things better?
Can you really have “just one”?
■ Positive thinking: Remind yourself of your success so far!
■ Visual imagery: Imagine yourself riding out the wave of craving until it passes.
■ Play it out: What will “one drink” lead to? Where has it ended up in the past?
■ Decision delay technique: If nothing else is working, then look at your watch and make the commitment put off a decision to use for at least 15 minutes.
Renew your commitment to recovery:
My overall level of personal commitment to recovery (circle one)
None 1 2 3 4 5 6 7 8 9 10 Extremely High