Early Recovery Skills Group Handouts

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T H EM A T R I XM O D E LBEarly Recovery SkillsGroup HandoutsI N T E N S I V E O U T PAT I E N TA L C O H O L & D R U G T R E AT M E N T P R O G R A MRevised and ExpandedRichard A. Rawson, Ph.D., Jeanne L. Obert, M.F.T., M.S.M.,Michael J. McCann, M.A., and Walter Ling, M.D.

BEarly Recovery Skills Group HandoutsDATECOMPLETEDSchedulingALL SESSIONSHandout 1: Scheduling: Is It Important?ALL SESSIONSHandout 2A: Daily/Hourly Schedule (eight copies)ALL SESSIONSHandout 2B: Block Scheduling CardsMarking TimeALL SESSIONSHandout 3: Calendars and StickersALL SESSIONSHandout 4: Calendar (five copies)Session 1: Stop the CycleHandout 5: TriggersHandout 6: Trigger Thought Craving UseHandout 7: Thought-Stopping TechniquesSession 2: Identifying External TriggersHandout 8: External Trigger QuestionnaireHandout 9: Trigger ChartSession 3: Identifying Internal TriggersHandout 9: Trigger Chart (from previous session)Handout 10: Internal Trigger QuestionnaireSession 4: Twelve Step or Other Spiritual Group IntroductionHandout 11: Twelve Step IntroductionSession 5: Your Body Chemistry in RecoveryHandout 12: Road Map for RecoverySession 6: Early Recovery ProblemsHandout 13: Five Common Problems in Early Recovery: New SolutionsHandout 14: Alcohol Argumentscontinuediii

Early Recovery Skills Group HandoutsDATECOMPLETEDSession 7: Thinking, Feeling, and DoingHandout 15: Thoughts, Emotions, and BehaviorHandout 16: Addictive BehaviorSession 8: Keep It Simple, Silly (KISS)Handout 17: Twelve Step Tips iv

Handout 1 Early Recovery Skills GroupScheduling: Is It Important?Scheduling is a difficult and tedious thing to begindoing if you’re not used to it. It is, however, an importantpart of the recovery process. People who abuse or become addicted to alcoholor other drugs typically do not schedule their time.1. Why is it necessary?If you begin your recovery in a hospital or residential facility, you have thestructure of the program and the building to help you stop using. As anoutpatient, you have to build that structure around yourself as you continuefunctioning in the world. Your schedule is your structure.2. Do I need to write it down?Absolutely. Schedules that are in your head are too easily revised. If you write yourschedule down while your rational brain is in control and then follow it, you willbe doing what you think you should be doing (rational brain) instead of what youfeel like doing (lower brain).3. What if I am not an organized person?Learn to be. Use your electronic device or buy a schedule book and work withyour therapist. It is vital to treating your substance use disorder. Remember, yourrational, higher brain plans the schedule. If you follow the schedule, you won’t use.Your lower brain can generate out-of-control behavior. If you go off the schedule,your lower brain may be taking you back to drinking or using drugs.4. Who decides what I schedule?You do! You may consider suggestions made by your therapist or family members,but the final decision is yours. Just be sure you do what you wrote down. Changesshould be limited as much as possible.5. Can I schedule in blocks of time instead of in hours?Yes. Some people who have difficulty scheduling hour-by-hour find it easierto begin with bigger blocks of time. Instead of deciding what you are going tobe doing each hour, simply determine what you will do in the morning, in themidday, in the afternoon, and in the evening. (Block Scheduling Cards are providedas handout 2B.) Gradually, you may be able to move to scheduling your activitieswithin those blocks of time more specifically.THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.1 of 2

Handout 1 Early Recovery Skills GroupSCHEDULING: IS IT IMPORTANT?continuedWith practice, most people can schedule a twenty-four-hour periodand follow it. If you can, you are on your way to gaining controlof your life. If you cannot, talk with your therapist about how toincrease the structure of your treatment program. THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.2 of 2

Handout 2A Early Recovery Skills GroupDaily/Hourly ScheduleDATEDATEDATE7:00 am:7:00 am:7:00 am:8:00 am:8:00 am:8:00 am:9:00 am:9:00 am:9:00 am:10:00 am: 10:00 am: 10:00 am:11:00 am: 11:00 am: 11:00 am:12:00 noon: 12:00 noon: 12:00 noon:1:00 pm:1:00 pm:1:00 pm:2:00 pm:2:00 pm:2:00 pm:3:00 pm:3:00 pm:3:00 pm:4:00 pm:4:00 pm:4:00 pm:5:00 pm:5:00 pm:5:00 pm:6:00 pm:6:00 pm:6:00 pm:7:00 pm:7:00 pm:7:00 pm:8:00 pm:8:00 pm:8:00 pm:9:00 pm:9:00 pm:9:00 pm:10:00 pm: 10:00 pm: 10:00 pm:11:00 pm: 11:00 pm: 11:00 pm:Notes:Reminders:THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.

Handout 2B Early Recovery Skills GroupBlock Scheduling Cards:Instructions for TherapistSome people in early recovery prefer to schedule their day in larger blocks of time,rather than hour by hour. For example, a person who works a full day starting at 8a.m., then attends a 7 p.m. recovery support meeting, might prefer this approach.With Block Scheduling Cards, each day is planned in four blocks: morning, midday,afternoon, and evening.To offer this option to your group, first follow these instructions to make BlockScheduling Cards. Each card is a small folder that shows four days. About the size of acredit card, they’re easy to carry in a pocket, wallet, or purse. To make the cards, you’llneed a photocopier and a pair of scissors. Follow these steps: On the next two pages, you’ll find layouts of eight small daily schedules withblocks of time marked for morning, midday, afternoon, and evening. Photocopy these pages two-sided, so the same layout appears back to back. Cut each photocopy along the dotted lines as shown in step 1 below, dividing eachsheet into quarters. Fold each quarter in half into a small “book” as shown in step 2 below, with onedaily schedule on each “page.” Repeat to make as many four-day schedules as are needed. Each double-sidedpage makes four cards, covering 16 days. For a 16-week program, each participantwill need 28 cards. That’s 7 back-to-back sheets, cut and folded.DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEDateDateDAILY fternoonAfternoonEveningEveningMiddayCut along thedotted lines ofthe page.2Fold each quarterof the page in half. 1AfternoonEveningTHE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.1 of 2

DAILY SCHEDULEDAILY SCHEDULEDAILY SCHEDULEMorningDAILY veningDateAfternoonEveningDAILY SCHEDULEEveningDAILY SCHEDULEMorningDAILY SCHEDULEMorningMiddayDAILY onEveningDateEvening

nEveningDateEveningEveningDAILY SCHEDULEAfternoonAfternoonDateMiddayMiddayDAILY SCHEDULEMorningDateDateMorningDAILY SCHEDULEDAILY oonMiddayMorningDateDAILY SCHEDULEDateDAILY oonMiddayMorningDateDAILY SCHEDULEDateDAILY SCHEDULE

Handout 3 Early Recovery Skills GroupCalendars and StickersIt is useful to both you and your therapist to know whereyou are in the recovery process at all times. Marking acalendar as you go along helps in several ways:1. It’s a reminder of where you are in the stages of recovery. (The way you arefeeling might be related to changes in body chemistry.)2. There is often a feeling of pride that results from seeing your numberof days sober.3. Recovery can seem very long unless you can measure your progress in shortunits of time.Use the Sober Today stickers your therapist givesyou to record every alcohol- and other drug-free day youachieve. Handout 4 contains calendar pages for the timeyou are in treatment. You may decide to continue thisexercise following treatment.SoberTodayIf you regularly record your days sober with stickers, this simple procedurewill help you and your therapist see your progress more oday10SoberToday16Saturday4Us edAlc oh oday293031SoberToday1926THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.SoberTodaySoberTodaySoberToday

Handout 4 Early Recovery Skills undayNAMEMONTHCalendarTHE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.

Handout 4 Early Recovery Skills aySaturdayCalendarTHE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.

Handout 5 Early Recovery Skills GroupTriggersTriggers are people, places, objects, feelings, and times thatcause cravings. For example, if every Friday night you casha paycheck, go out with friends, and use alcohol or other drugs,the triggers would be the following: Friday night After work Money Friends who use The bar or clubYour lower brain associates these triggers with substance use. As a result ofconstant triggering and using, one trigger can cause you to move toward alcoholand other drug use. The trigger thought craving use cycle feels overwhelming.An important part of treatment involves stopping the craving process. The firstand easiest way to do this is:1. Identify the triggers.2. Prevent exposure to triggers whenever possible (for example, do nothandle large amounts of cash if that is a trigger for you).3. Deal with triggers in a different way (for example, schedule exercise anda Twelve Step or community support meeting for Friday nights). Remember, triggers will affect your brain and cause cravings even though you havedecided to stop using alcohol and other drugs. Your intentions to stop must thereforetranslate into behavior changes, which steer you clear of possible triggers.1. What are some of the strongest triggers for you?2. What particular triggers might be a problem in the near future?THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.

Handout 6 Early Recovery Skills Group“If I Trigger Thought Craving UseThe Losing ArgumentIf you decide to stop drinking or using, but then end up moving toward alcohol orother drugs anyway, your brain gives you permission by using a process we call relapsejustification. An argument starts inside your head: your rational self versus youraddiction. You feel as though you are in a fight, and you must come up with manyreasons to stay sober. Your addiction is really just looking for an excuse, a relapsejustification. The argument inside you is part of a series of events leading to alcoholand other drug use. How often in the past has your addiction lost this argument?Thoughts Become CravingsCraving does not always occur in a straightforward, easily recognized form. Oftenthe thought of using passes through your head with little or no effect. It takes effortto identify and stop a thought. However, allowing yourself to continue thinking aboutalcohol or other drug use is choosing to start a relapse. The farther the thoughtsare allowed to go, the more likely you are to relapse.The Automatic ProcessDuring addiction, triggers, thoughts, cravings, and use all seem to run together.However, the usual sequence goes like this:Trigger Thought Craving UseThought StoppingThe key to success in dealing with this process is not to let it get started. Stoppingthe thought when it first begins prevents it from building into an overpowering craving.It is important to do it as soon as you recognize the thoughts occurring.Your addiction is really just lookingfor an excuse, a relapse justification.THE MATRIX MODEL, Revised & Expanded Matrix Institute.Duplicating handouts for personal or group use is permitted.

Handout 7 Early Recovery Skills GroupThought-Stopping TechniquesA New SequenceTo get recovery started, it is necessary to change the trigger-use sequence. Thoughtstopping provides a tool for breaking the process. The process looks like nuedthoughtsCravingsUseYou make a choice. It is not automatic.Thought-Stopping TechniquesTry the techniques described below and use those that work best for you.Visualization: Picture a switch or a lever in your mind. Imagine yourself actuallymoving it from on to off to stop the thought about alcohol

Learn to be. Use your electronic device or buy a schedule book and work with your therapist. It is vital to treating your substance use disorder. Remember, your rational, higher brain plans the schedule. If you follow the schedule, you won’t use. Your lower brain can generate out-of-control behavior. If you go off the schedule,

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Early Recovery Skills Group Handouts

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