By Aaron T. Beck
Preview of Cognitive Therapy of Substance Abuse PDF
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Extra resources for Cognitive Therapy of Substance Abuse
The usefulness of coping statements may be improved by way of asking sufferers to write down those statements onflashcards(e. g. , three" x five" index cards). a few examples contain aflashcardwith the checklist of benefits for now not utilizing drags and a listing of items that may be obtained with the cash meant for cocaine. the next are examples of statements that one sufferer wrote on his flashcards: 1. you are feeling extra sane for those who do not use. 2. issues are going nice with m y spouse; continue it that manner! three. You glance strong bodily; maintain it that means! four. Get the hell out of this case nowl Imagery recommendations those options comprise (1) photo refocusing, (2) destructive snapshot substitute, (3) confident photograph alternative, (4) picture practice session, and (5) photo mastety. Refocusing is largely a disfraction strategy. sufferers direct their realization clear of inner cravings by way of imagining exterior occasions. Refocusing can beginfirstby asserting "Stop! " so that it will accenhiate this thought-stopping process, sufferers m a y interject a visible photograph of a cease signal, a police officer, or a brick wall, to n a m e a number of. 162 COGNITIVE remedy OF SUBSTANCE ABUSE They then start to describe to themselves what they see happening round them. for instance, one sufferer was once at a picnic the place m a n y humans have been consuming and having a great time. H e started to have spontaneous stories of the final time he used cocaine, which resulted in a wish to use within the current. H e acknowledged "Stop" to himself, pictured a cease signal, after which begun focusing his consciousness at the humans round him who weren't ingesting. H e pointed out them via identify, what they have been donning, and what they have been doing. In doing so, he used to be capable of concentration his awareness clear of the cocaine thoughts and he skilled next aid within the yearning. one other imagety procedure is destructive photo substitute. often throughout the first few weeks of abstinence, sufferers document picturing themselves utilizing, occasionally even having desires approximately utilizing. In those pictures they see using drags as a style for dealing with their present misery, and the picture takes on a good glow. In reaction, it truly is worthwhile for sufferers to alternative a unfavourable photograph in regards to the many unlucky outcomes of taking the drug, corresponding to feeling helpless and hopeless (especially after a interval of abstinence) or wasting funds, jobs, and relationships. for instance, one sufferer, whereas at a nightclub, turned particularly angty that he may perhaps now not drink alcohol. H e observed folks round him ingesting and this introduced again nostalgic thoughts of a few of his drag and alcohol days. In reaction, he changed the picture with one referring to the disagreeable actual studies that he might have w h e n he crashed the day after utilizing alcohol and cocaine. This snapshot was once powerful sufficient to dissuade him from taking the 1st drink. optimistic picture substitute is a comparable strategy to support focus on cravings and urges. for instance, one sufferer skilled vety robust adverse photographs approximately his present state of affairs, that nearly his whole kinfolk was once Strang out on drags.