15. CBT and relapse prevention

Question 1

What is CBT (cognitive behavior therapy)

Answer 1

It theorizes substance use is a learned behavior influenced by the enviornment. Brief time limited therapy, emphasis on relationship between thoughts behavior and emotion

Question 2

CBT Triangle

Answer 2

thoughts emotions and behaviors. BET

Question 3

Features of CBT

Answer 3

Collaboration between therapist and client, helps set and achieve goals.

Question 4

True or false CBT is thought focuses

Answer 4

True. Helps recognize thoughts, not external factors, can lead to feeling and behaviors. Interpretations of situations lead to feelings.

Question 5

CBT and Socratic questioning

Answer 5

Focuses on socratic questioning to question clients assumptions and unlearn ineffective behavior reactions

Question 6

What are automatic thoughts

Answer 6

1. Thoughts that are instantaneous and nonconcious
2. Thoughts have been so well learned and repeated they occur without cognitive effort

CBT tries to reverse automatic thoughts

Question 6

CBT: functional analysis

Answer 6

Insight into what triggers use and consequences of usage

Question 7

Examples of automatic thoughts

Answer 7

1. All or nothing
2. Jump to conclusion s
3. If only
   4,. If then

Question 8

CBT Skill building

Answer 8

• Self monitoring
• Negative thinking
• Refusal Skills
• Communication skills
• Social Skills
• Coping skills

Question 9

Is CBT effective

Answer 9

Evidence shows CBT can:

• Increase abstinence
• Decrease drinking/substance use
• Decrease problems related to use

Question 10

Considerations for teens for teens

Answer 10

Broad developmental stage
Comorbidity
Risk factors for relapse
Relapse is high

Question 11

What is DBT (dialectical behavioral therapy)

Answer 11

USed for co-ocurring and personality disorders. Manages strong emotions, relationships, self harm and family conflict

Question 12

What does DBT teach

Answer 12

Distress tolerance, emotion regulation, mindfulness

Question 13

DBT for substance abuse: views on abstinence

Answer 13

Solid commitment to abstinence but acceptance of slips as a way to secure a path to abstinence. Avoids shame that occur during lapses

Question 14

What is DBT Addict mind

Answer 14

When a person is rruled by the addiction. Impulses determine thoughts emotions and behaviors

Question 15

What is DBT Clean mind

Answer 15

When you are lean but oblivious to dangers that might cue problem behaviors. You believe you are immune and invincible from future temptations

Question 16

What is DBT clear mind

Answer 16

Safest place to be. You are clean but you remembr addict mind. Know that relapse is not impossible

Question 17

Relapse prevention techniques

Answer 17

Identify and avoid high-risk situations that are emotional and behavior triggers of substance use

employ coping strategies

Question 18

Abstinence Violation Effect:

Answer 18

Person focuses on negative feelings rather than employing coping responses to prevent future lapses.

Abstinence seems imposible