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Addictions: Tools for "Controlled" Drinking
6 CEUs Addictions: Tools for Controlled Drinking
 

Section 19
Appendix: Client Reproducible Worksheets

Answer Booklet | Table of Contents
| Addictions CEU Courses
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

Self-Monitoring
Review CD track 1 for more information regarding this technique.
Client reviews and utilizes the following procedures to implement the first step of self moderation.
1.  Keep a card or pen or pencil with you at all times, unless you plan to keep your records electronically.
2.  Write down each and every drink before taking the first drink.
3.  Record the type of drink, the amount, date and time.
4.  Record one drink at a time.
5.  If you slip up and fail to record a drink, do it later.  Better late than never!
6.  Use a card until it’s full and then begin a new card, or, if you wish, start a new card every day.  What matters        is maintaining a complete and accurate record of your drinking.

Five Steps to Slowing Down
Review CD track 2 for more information regarding this technique.
Client reviews and utilizes the following procedures as a tool of moderation.
1.  Make your drinks last longer by sipping more slowly and by taking smaller sips.
2.  Allow time to pass between finishing one drink and starting the next.
3.  Have a nonalcoholic beverage between drinks. 
4.  If you like your drink chilled, keep it fresh by adding ice or cooling it instead of gulping it before it gets too warm.
5.  Do something between drinks.

 Guidelines for Choosing a Self-Reward
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to affirm progress through appropriate rewards.
1.  Your reward should be pleasurable enough so that you really want to work to earn it.  
2.  Make sure you can afford the reward.
3.  Use a variety of rewards so you don’t become accustomed to a specific reward.

Self Agreements        
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to commit to a definitive plan for affirming progress and regulating rewards.
1.  Decide what would be a reasonable amount of progress.
2.  Choose a reward.
3.  Make a commitment with yourself that only if you achieve your goal of moderation will you allow yourself your reward.

Guidelines for Progress Partners
Review CD track 3 for more information regarding this technique.
Client reviews and utilizes the following procedures to avoid nonproductive use of a progress partner.
1.  Don’t turn your progress partner into a police officer by having your partner penalize you if you fail to reach a goal.
2.  Choose someone whom you trust and who cares about you.  This should be someone who isn’t too emotionally tied up with your drinking and who isn’t an alcoholic.
3.  Tell your progress partner about your goals and share your treatment plans.
4.  Explain that you’re not asking your potential progress partner to be responsible for your progress, but rather to only take an active interest in it.
5.  Explain how the person can clearly help.

Avoiding People Who Influence Drinking
Review CD track 4 for more information regarding this technique.
Client reviews and utilizes the following procedures to learn to avoid people that may influence excessive alcohol use.
1.  Moderate your drinking to see if the other person’s drinking will decrease.
2.  Ask for support.  Let the other person know that you are working toward moderation and that you don’t want to become an alcoholic.  Ask for help, but if they aren’t willing to help, don’t pressuring them to control their drinking.
3.  Try spending time with the other person engaged in activities other than drinking.

Systematic Desensitization
Review CD track 5 for more information regarding this technique.
Client reviews and utilizes the following procedures to make a formerly overwhelming situation manageable.
1.  Make a list of possible versions of the situation that make you uncomfortable.  Arrange these elements into scenes that you can imagine in very vivid detail and put the scenes in order so that the least difficult ones come first.
2.  Write each scene on an index card and put them in order from the lowest to highest discomfort factor.
3.  Go through a progressive deep muscle relaxation exercise or a deep breathing exercise.
4.  While relaxed, close your eyes and imagine the first (easiest) scene as vividly as possible.
5.  If you feel tension or discomfort, stop imagining the scene and go back to your relaxation technique.  When you are able to picture the scene twice for at least 20 seconds each time without feeling any tension, you are ready to go on to the next card.  This may require three to seven repetitions of the same scene.
6.  Continue through your list until you can vividly imagine the most difficult items without feeling tension building up.

Alternatives to Systematic Desensitization
Review CD track 5 for more information regarding this technique.
Client reviews and utilizes the following procedures to deal with unpleasant memories without using

Systematic Desensitization.

1.  Get memories off your chest by telling them to someone you trust.  Sometimes just hearing yourself talk about it helps.  You can even ask your friend to just listen, being understanding but not giving any advice or opinions.
2.  Write down your unpleasant memories.  Putting it on paper can make the memory more manageable.  Set aside some time to this and write down the full memory.  Record all that you feel, such as good feelings, bad feelings, hopes and fears, doubts and certainties.  If the memory has to do with a particular person, consider writing your thoughts in the form of a letter to that person.  You can decide later whether or not to mail the letter.
3.  Set aside time to just to remember without alcohol.  During this reserved time, just focus on the memory.  Don’t distract yourself with work, recreation, eating, or drinking.  During the rest of the day, don’t allow yourself to think about the memory.  If the memory intrudes, imagine yourself yelling "STOP!"  Or merely say to yourself, "I will devote time to this memory later."  The idea behind this approach is that, by controlling when the memory occurs, you can begin to control the memory itself, diminishing its emotional charge.
4.  Experiment with reshaping the memory.  If the way you think about a past event continually brings about emotional pain, you might be able to think about the memory in other ways.  It can help to conceive of the memory as though it were a physical object that can be turned over, dismantled, or even discarded.

Increasing Positive Self-Thoughts
Review CD track 6 for more information regarding this technique.
Client reviews and utilizes the following procedures to think more positive thoughts.
1.  Set up some reminders for yourself.  The general idea is to use something that you do frequently to remind yourself to think positive thoughts.  The effect is even stronger if you practice thinking positive thoughts before you perform the more frequent behavior, like shaving or looking at your watch.
2.  Make a list of positive self-statements.  Here is a list of positive characteristics of people who succeed with change.  Which of these are true of you?


Accepting

Committed

Flexible

Persevering

Stubborn

Active

Competent

Focused

Persistent

Thankful

Adaptable

Concerned

Forgiving

Positive

Thorough

Adventuresome

Confident

Forward-looking

Powerful

Thoughtful

Affectionate

Considerate

Free

Prayerful

Tough

Affirmative

Courageous

Happy

Quick

Trusting

Alert

Creative

Healthy

Reasonable

Trustworthy

Alive

Decisive

Hopeful

Receptive

Truthful

Ambitious

Dedicated

Imaginative

Relaxed

Understanding

Anchored

Determined

Ingenious

Reliable

Unique

Assertive

Die-hard

Intelligent

Resourceful

Unstoppable

Assured

Diligent

Knowledgeable

Responsible

Vigorous

Attentive

Doer

Loving

Sensible

Visionary

Bold

Eager

Mature

Skillful

Whole

Brave

Earnest

Open

Solid

Willing

Bright

Effective

Optimistic

Spiritual

Winning

Capable

Energetic

Orderly

Stable

Wise

Careful

Experienced

Organized

Steady

Worthy

Cheerful

Faithful

Patient

Straight

Zealous

Clever

Fearless

Perceptive

Strong

Zestful

 

 

 

 

 

 

 

 

 

 

 

 

Thought Stopping
Review CD track 6 for more information regarding this technique.
Client reviews and utilizes the following procedures to think less negative thoughts.
1.  When you become aware of a negative self-thought, imagine yourself yelling the word "Stop!" as loudly as you can.     
2.  Replace the negative thought with one of your positive self-statements.

 

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