Clinical staff encourage clients to check-in regarding events over the weekend, provide updates on meeting attendance, involvement with program of recovery, engagement in self-care and recreation/hobbies, medication compliance, and any challenges that arose. Clients are encouraged to provide each other with feedback and support, clinicians utilize Solution-Focused and Strengths Based Therapy interventions to identify adaptive behaviors and work towards modifying high-risk and maladaptive cognitive and behavioral tendencies.
Clinical staff review differences between interpersonal communication styles (passive, assertive, aggressive) and encourage clients to discuss their experiences with each. Clients are encouraged to reflect on recent interpersonal interactions and identify both strengths and areas that need improvement in relation to communication. Barriers to adaptive communication are identified, and group facilitators utilize Cognitive Behavioral Therapy and Solution-Focused therapy to collaborate for a plan of action to practice new, more adaptive communication styles.
Group facilitator encourages clients to discuss commonalities and themes throughout their relapse history, and specific skills and strategies to prevent relapse in the future are discussed. “Building Defense against the First One” is discussed from a 12-step standpoint, and relapse prevention tools including positive self-talk, cognitive restructuring, and utilizing coping skills (prayer, exercise, mindfulness, etc.) are explored.
Group members are educated on skills and strategies for effective emotion management and regulation. Cravings and negative emotions including anxiety, depression, fear, and anger are discussed, and group facilitator uses psychoeducation to equip clients with the skills to reduce negative emotions and increase capacity to regulate cravings and feelings in distressing situations in recovery.
Group facilitator encourages clients to discuss the role of gratitude in recovery. Clients are encouraged to identify specific harmful self-talk and negative, pessimistic thinking patterns that contribute to relapse. Group facilitator utilizes CBT to assist clients in reframing high-risk, harmful thinking and self-talk to more adaptive, positive, recovery-oriented ideas.
Group facilitator reviews four primary Dialectical Behavioral Therapy skills: emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness. Clients are encouraged to discuss ways to strengthen these skills and their role in recovery. Group facilitator utilizes DBT and psychoeducation to increase awareness of the role these skills play in early recovery, as well as adaptive relationships.
Clients are encouraged to identify specific problems they have experienced thus far in treatment and recovery, and group members provide feedback and support related to problem solving. Group facilitator collaborates with clients to devise action plans related to conflict resolution and problem solving, centered around changing what can be changed and working towards acceptance of what is out of our control.
Group facilitator utilizes Motivational Interviewing and CBT to encourage clients to discuss their patterns of and recent experiences with anger. Skills and strategies to identify ‘red flag behaviors
Addiction Treatment Programs
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Dr. Rehan Malik
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