Change

Question 1

Change

Change

Answer 1

• First step toward change = admitting you have a problem
• People are at various stages of chnge. Outcome is the same ➡︎ personal transformation
• Resistance is a natural part of the change cycle. There are common defence components.
  
  • Denial (most common), minimization and rationalization.
  • Projection: taking one’s unacceptable qualities/feelings & ascribing to others.

Question 2

Change

Procrastination

Answer 2

• #1 obstacle to healthy change: Often leads to more negative consequences before action is taken
• The #1 reason why people don’t change
• Exertion = effort, commitment, perseverance (especially at difficult times) needed to overcome procrastination

Question 3

Change

Styles of Procrastination

CDDOPW

Answer 3

Perfectionist: Waits and waits for the perfect time and situation to take action. Misses out on opportunities for growth.

Dreamer: Has unrealistic expectations. All talk and no action.

Worrier: Thinks up fearful reasons fro not taking action.

Defier: Doesn’t follow good advice and rejects help. Continues to have same problems

Crisis-Maker: Creates crises to distract from taking action. Drama prone.

Overdoer: Will focus on one part of the problme at the expense of the priority issus.

Question 4

Change

Most Common Defence Mechanisms; COCA

Answer 4

• Compliance: changing one’s behaviour under direction/request of someone else. Hidden form of resistance.
• Conflict avoidance: problems handling feelings of anger & disappointment. Need to be liked & approved of.
• Obsessive focusing: all-or-nothing thinking. Focus is usually on the pleasurable aspects of the addiction.
• Acting-Out: Impulses are communicated by behaviour. Most provacative defence component.

Question 5

Change

OARS approach (Non-directive)

Answer 5

Motivational Interviewing

• OPEN-ENDED questions — no yes/no answer. est trust, encourage talk motivation/change ➡︎ focus on ‘hook’
• AFFIRMATION - giving it builds on self-esteem, acknowledge struggles, successes, skills, etc
• REFLECT on verbalizations – be empathetic (even though you likely haven’t been there)
• SUMMARIZE - gives sense of accomplishment

Question 6

Change

Motivational Interviewing: UCAN

Answer 6

Uses brief 40-45 mins, individual counseling to help clients explore their motivation to change & their ambivalence about change

Client centred: focuses on eliciting & understanding client’s view (Doubts & positive aspects) helps build will/commitment to change. Doesn’t confront denial. Change a voluntary choice.

Alternative to formal intervention

Non-directive: OARS Approach

Question 7

Change

ABCs of Effective Motivational Strategies

Answer 7

• ADVICE: clear, explanatory, specific
• BARRIERS: remove/address blocks to change
• CHOICE: enhances intrinsic motivation
• DESIRABILITY: Weigh benefits & costs
• EMPATHY: using reflective listening
• FEEDBACK: positive
• GOALS: Restate in attainable terms
• hExpress interest: letting client know you care

Question 8

Change

An Effective Drug Recovery Strategy…

BAAASH

Answer 8

An Effective Drug Recovery Strategy

1. Break the bonds of denial
2. Avoid shame
3. Adapt to changes in life
4. Actively work and apply the 12 steps and other AA principles in recovery
5. Seek non-chemical altered states of consciousness
6. Have patience and direction
7. Work through negative emotional states and control destructive impulses
8. Move from passive to active decision making in all aspects of life
9. Resist social or peer pressure
10. Improve and continue to work on the sense of self 5-43
11. Deal more effectively with stress
12. Maintain the structure of the recovery program
13. Learn how to enjoy life and others
14. Maintain a sense of humour
15. Take responsibility for self
16. Maintain physical, emotional and spiritual well- being
17. Work on relapse-prevention strategies