- 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. 164) Seemingly Irrelevant Decisions (SIDs)
Many of the ordinary, mundane decisions that are made every day seem to have nothing at all to do with using alcohol or drugs. Although they may not involve making a direct choice of whether or not to use, they can move you, one small step at a time, closer to relapse.
Common SIDs include the following:
■ Whether or not to keep alcohol/drugs/paraphernalia in the house.
■ Whether or not to offer a former using buddy a ride home.
■ Whether or not to go to a certain part of town.
■ Whether or not to go to a party to see old using friends.
■ Whether or not to tell a friend that you have quit using or keep it a secret.
■ Whether or not to make plans for the weekend.
Review the following story and identify as many SIDs as possible:
Kim had been clean for 4 weeks. She was driving home after work and instead of taking her usual route home, she chose to take a longer more “scenic route.” While driving, she reached into her purse and found that she was out of cigarettes. She decided to drive around and look for a store where she could buy cigarettes. Along this route, she drove past a bar she had frequented in the past and where she had bought and used cocaine. She decided to stop in momentarily and get a pack of cigarettes. She enters the bar and goes to the cigarette vending machine. Reaching into her purse, she realizes that she left her credit card at home and she has no cash in her wallet. She looks around the bar to see if she knows anyone. Amid the clacking of billiard balls, she hears her name, “Kim!” Turning toward the sound, she (p. 165) recognizes an old using buddy. Her “friend” instantly turns to the bartender and says, “Give my friend a drink, I haven’t seen her in so long!” Kim decides that since her problem was with cocaine, it would be fine to have one beer. Debating only a second, Kim sips her first taste of foaming beer. After several more beers, her friend “happened” to have a gram of cocaine and thus a relapse ensued.
■ When did you think Kim first got into trouble?
■ What were the decisions that Kim made that may have seemed irrelevant at the time?