ASSISTED RECOVERY

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ASSISTED RECOVERYS

• PSYCHOSOCIAL
• TOOLBOX

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CBT / REBT

• Assisted Recovery utilizes many of the tools of
  modern Cognitive Behavior Therapy (CBT or REBT)
  to address the Psychological and Social
  components of Alcohol Dependence.

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CBT / REBT

• These tools are designed to help individuals to
  help themselves in their Recovery, and must be
  learned in advance so that they are ready for use
  when the urge to drink arises. (No, Naltrexone
  will not prevent ANYONE from thinking about
  drinking.)

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CBT / REBT

• THEY INCLUDE
• 1.) Enhancing motivation to quit drinking, and
  to remain abstinent.
• Risks/Rewards Analysis (Costs/Benefits of
  Drinking/Quitting).

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CBT / REBT

• THEY INCLUDE
• 1.) Enhancing motivation to quit drinking, and
  to remain abstinent.
• Setting SMART goals and working towards
  achieving them.
• (Sensible, Measurable, Achievable, Reasonable,
  and Timed)

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CBT / REBT

• THEY INCLUDE
• 2.) Learning how to refuse to act on urges to use
  when they arise.
• Understanding triggers and where they come from.
  (Urge log)

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CBT / REBT

• THEY INCLUDE
• 2.) Learning how to refuse to act on urges to use
  when they arise.
• Rehearsing slippery social situations (role
  playing).

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CBT / REBT

• THEY INCLUDE
• 3.) Managing life's problems in a sensible and
  effective way.
• Using the A-B-Cs to identify your Irrational
  Beliefs.

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CBT / REBT

• THEY INCLUDE
• 3.) Managing life's problems in a sensible and
  effective way.
• Unconditional Self-Acceptance and
  Other-Acceptance.

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CBT / REBT

• THEY INCLUDE
• (and) 4.) Developing a positive, balanced and
  healthy lifestyle.
• Importance of Exercise and Nutrition in Recovery.

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CBT / REBT

• THEY INCLUDE
• (and) 4.) Developing a positive, balanced and
  healthy lifestyle.
• Replacing destructive habits with constructive
  habits.
• (And avoiding replacing one bad habit with
  another bad habit.)

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COST/BENEFIT ANALYSIS

• BENEFITS/REWARDS OF DRINKING
• Quick and easy way to relieve stress.
• Feel more relaxed in a social situation.
• Like the taste, like the buzz.
• Helps me to forget about my problems.
• Loss of inhibitions, more courage.
• Etc.

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COST/BENEFIT ANALYSIS

• COSTS/RISKS OF DRINKING
• Trouble with the law, DUIs etc.
• Loss of jobs, employment problems.
• Relationship problems, loss of trust.
• Damage to health, improper nutrition
• Loss of ambition, and self-respect.
• Etc.

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COST/BENEFIT ANALYSIS

• REWARDS/BENEFITS OF QUITTING
• Better health.
• More money in the pocket.
• Better self-control.
• No more fear of Police, Judges.
• Peace of mind, optomism.
• Etc.

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COST/BENEFIT ANALYSIS

• RISKS/REWARDS OF QUITTING
• Loss of friendships.
• Having to face reality.
• People will think I cant handle it.
• Lose my best friend - alcohol.
• What if I fail? Ill be worse off than before.
• Etc.

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COST/BENEFIT ANALYSIS

• The advantage to writing it down on a single
  sheet of paper, is that most people can quickly
  and clearly see, that in spite of the fact that
  there are some benefits to drinking, it clearly
  does not justify all the costs and risks that are
  involved.

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GOAL SETTING

• Setting and working towards achieving goals is
  the single most important thing a person in early
  recovery can do. Not only does it keep them
  moving in a positive direction towards finding
  true happiness in life, but its also provides
  the answer to the question
• OK, Im sober. Now what?

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GOAL SETTING

• SOME CATEGORIES FOR GOALS
• Health Nutrition
• Family Social Relationships
• Career Financial
• Public Service
• Education
• Pleasure - Learning how to have fun.

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DEALING WITH URGES

• Understanding triggers, where they come from and
  how to deal with them. How to use an Urge Log to
  identify triggers, and how to learn from it.
• You cant stop a bird from pooping on your head,
  but you dont have to let it build its nest in
  your hair.

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DOING THE ABCS

• Activating Event What happened?
• Beliefs about A What you thought about it.
• Consequences of B How you feel after B.
• Dispute any irrational beliefs at B.
• Effective new thinking resulting from D.
• New Feelings resulting from E.
• Goals - How would you handle it in future?

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RELAPSE PREVENTION

• Most of the work we do is aimed at preventing a
  lapse (that first drink, or a brief slip.) But
  just in case one does happen, we help the client
  to prepare a personalized Relapse Prevention
  Plan. This is what you do if when wake up the
  morning after a slip, in order to prevent a lapse
  from turning into a full-blown relapse.

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HAVE MORE FUN

• Much of what we do at Assisted Recovery is aimed
  at teaching clients that life without alcohol
  doesnt have to be boring. Encouraging people to
  get out and have fun, sober, is one of the best
  ways if ensuring happiness and long-term sobriety.

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NO STEPS?

• Every client is initially interviewed according
  to BRENDA guidelines, and an Individualized
  Treatment Program is developed in a collaborative
  process between the client and counselor. The
  Treatment Program is formally reviewed every 90
  days, and/or adjusted as necessary.

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NO STEPS?

• Although we are NOT a 12-Step-Program, we are
  most emphatically NOT ANTI-AA. We simply believe
  that individuals should have a variety of options
  from which to choose, and found that CBT
  techniques worked well in combination with
  Naltrexone. We do not, however, see any reason
  why Naltrexone use would not be compatible with
  12-Step-Programs.

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IN CONCLUSION

• At Assisted Recovery,
• we have found Naltrexone
• to be a useful new tool
• in the battle against
• Alcohol Dependence.

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IN CONCLUSION

• We look forward to the future,
• when new scientific research
• and other new medications
• will help Treatment Providers
• enhance treatment outcomes for
• other types of addiction problems.

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IN CONCLUSION

• In particular,
• wed like to thank
• Dr. Joseph Volpicelli
• for his groundbreaking work
• and his generous assistance, which
• helped make our program possible.