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Group Review: How Do You Spend Your Idle Time?

5/30/2013

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Chelsea Kline
STL Addiction Intern

Yesterday in group we discussed how we can substitute substance use with a positive activity during free time in our lives. When you get rid of one activity (substance use) you need to replace it with something else. 

It's helpful to think of positive activities that you used to like to do and maybe haven't done since you started filling more of your time with drugs/alcohol. You might remember how much you loved painting when you were younger or that you like to play basketball with friends. Your new positive activities can be any kind of hobby (sewing, reading, playing an instrument, etc.), exercise (walking, yoga, rowing), or reconnecting with old or new safe friends. You may reconnect with an old activity/friend, or you may take this opportunity to reinvent yourself during your new, sober life and try some new activities or join a new group. 

Instead of being sad or angry about being deprived of your old behavior (substance use), rejoice in the fact that you now have more free time to do activities that will give you a more positive and healthy lifestyle. If you continue the positive behavior, your thoughts and feelings will follow in that positive way and you will feel more content about your new activities and lifestyle. 

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Group Review: Using Affirmations as a Coping Mechanism  

5/25/2013

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Today in group we reviewed some successes and struggles from the past week dealing with recovery. Many of the struggles come from hours and hours of negative repeating thoughts, usually about something we have little or no control over. When you become mindful of your thoughts and notice the negative or self-blaming start to arise, repeatedly looking at or saying a list of affirmations or a list of your legitimate rights can help you reframe the situation and see it in a more rational way and allows you to stop beating yourself up about a situation that is out of your control. 

An example of a list of affirmations: 

Your Legitimate Rights
  1. You have a right to need things from others.
  2. You have a right to focus on only yourself sometimes. 
  3. You have a right to communicate and show what you are feeling, even if it's painful.
  4. You have a right to determine and legitimize your beliefs. 
  5. You have a right to your own views, opinions, beliefs, and values. 
  6. You have a right to have and own your life experiences (good and bad).
  7. You have a right to disapprove of and walk away from treatment and judgement that is not right for you.
  8. You have a right to mediate with others for change. 
  9. You have a right to ask for help physically, mentally, & emotionally, even when you may not always get it. 
  10. You have a right to say no and it doesn't mean you are being rude or selfish.
  11. You have a right not to explain or legitimize yourself to other people.
  12. You have a right to not be accountable for another person's problems. 
  13. You have a right to not respond to a situation. Not responding is a form of action. 
  14. Sometimes you have a right to let other people down or inconvenience others. 

It's helpful to pick out a few of these rights that stand out to you and to switch your negative repeating thoughts with these rational and self-soothing affirmations when you begin feeling worried, anxious, bad, angry, or confused about a situation. 

**Legitimate Rights List  borrowed from The Dialectical Behavior Therapy Skills Workbook by McKay, Wood, and Brantley (2007) and adapted from McKay et al., 1983.
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Group Review: Anger at the Thought of Never Being "Cured" and a New Perspective on Long Term Treatment

5/23/2013

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During group tonight one part of the discussion really stood out to me. We got to talking about the anger that is felt by the depressing thought that addicts/alcoholics, no matter how many days, months, or years sober, will never really be "cured." In other words, an addict will always be in remission or recovery. 

Addiction is a disease and an addict has different brain and chemical reactions when thinking of or seeing the substance, making it harder for the addict to stay away from it than someone who is not addicted. Once in treatment, it is a never ending journey to deal with one's recovery. Many times this brings up feelings of unfairness that other people don't have to manage recovery or deal with high risk situations when it comes to the substance(s). The daunting and overwhelming thought that recovery is unending can be scary for some people or cause feelings of anger. This righteous anger is a normal and understandable feeling, but staying angry won't help one's recovery progress. 

Francine then drew her graph, which I tried to (poorly) imitate above, and discussed the flow of a successful recovery and how it becomes a positive part of one's life rather than a burden he/she has to think about 24/7. In the beginning of recovery from an addiction, the individual needs frequent and intense treatment. Recovery becomes priority and the individual is not very engaged in "normal" life. There needs to be a constant mindfulness of what one is thinking, feeling, and doing, especially in high risk situations when it comes to the addiction. 

However, Francine points out that in successful recovery, after a period of time the individual needs less and less treatment. This is because after so much intense and frequent treatment, the person should be able to remember and use the tools given to them in counseling and be able to more easily incorporate these recovery activities such as meditation or self-soothing behaviors into their normal lives and hopefully make habits of them. As the recovery activities are used and thought processes have changed for the better, the individual has to receive less treatment and normal life becomes more prevalent and fulfilling. 

Francine reminded us that although recovery/treatment is a part of an addict's life forever and never completely goes away (new things will always pop up in life and challenge sobriety so it is best to maintain some sort of treatment, even if it is only a few times a year), the longer one can stay on track, the less prevalent and burdening recovery is. 

Accepting the fact that recovery will always be a part of your life's journey can be scary, especially for someone who is newly sober, but if you look at it from a different perspective, you can see the positive life changes that can be made through recovery. Someone in successful recovery can proudly say that they now have remission for the rest of their life's journey instead of an addiction for the rest of their life, or worse, no longer having life because of an addiction. If you can change your attitude about a never ending recovery, you can start to see the positives that come out of it and the new, healthier, and fulfilling lifestyle you have achieved because of it. 

Written by: Chelsea Kline

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Group Review: Questions to ask yourself about your ANTS (Automatic Negative Thoughts)

5/18/2013

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Many times we find our thoughts dictating our feelings and behaviors. When these thoughts are negative it can lead to more negative feelings and behaviors and continue in a cycle. 

Today we asked group to think of some automatic negative thoughts that pop in their head, particularly when it comes to the addiction, and gave them these list of questions to think of and help to redirect those thoughts in a more positive way. 

  • What is my automatic negative thought?
Some of the automatic negative thoughts we have are "why me?" "People won't want to be around me         because of my past or present addiction." "This is hopeless." "I am not being allowed to do what I want."
  • What is the evidence that supports this thought?/What is the evidence that does not support this thought?
When we think of the situation or thought realistically and look at factual evidence, usually we don't have real evidence that supports our ANTs. 
  • Is my thought extreme/rigid or balanced?
Many times, especially with addiction, we find ourselves using an "all or nothing" mentality or looking at things as black or white. This is usually destructive  and we want to find the balance, gray area, or positives of the thought/situation.
  • Is this thought leading to healthy or unhealthy behaviors?
Negative thoughts can lead to negative feelings and negative behaviors that leave us feeling helpless and hurting. However, positive thoughts can lead to positive feelings and positive behaviors. Detecting the connection of your ANT and unhealthy behavior may help you to try to turn those thoughts positive. 
  • How am I likely to feel and act if I continue thinking this way?
As we've been saying, ANTs will lead to negative feelings and can begin the vicious cycle. If your thoughts are making you continually feel bad, look to change those thoughts to positive ones that will impact your feelings in a good way. 
  • How do I need to change my thought in order to feel better and act more constructively?
Many times reframing the situation, looking at in a different way or from another point of view will help you to see it more realistically and can change your thoughts and feelings about what happened. 
  • What would I say to a friend about this?
If you think of someone you care about coming to you with the same problem or thoughts you were having what would you say to them? Many times you would say it was untrue and encourage and support them and give them a different view on things. Now try to apply that friendly advice to your own thoughts/situation. This helps you to become objective. 
  • What is the worst case/best case scenario? How would I cope with either outcome?
This question is good to ask yourself, especially when anxious. Although it may be scary to think of the absolute worst outcome, most times we find that, realistically, it is something that is not as bad as we may have pictured it and if it did happen we could live with it. Thinking of how you could cope with a positive or negative outcome of an event can help set your mind at ease.
  • Are there alternative ways to looking at this situation? Could there be another explanation?
Again, reframing or looking at a situation in another light can help you to be objective, see it more realistically, and usually feel better about it and have less ANTs about the situation. There are always multiple sides to every story.
  • What can I do now?
Don't keep looking at the past, especially the negatives of the past. It is good to understand and learn from it, but start focusing on how you can make it better now, in the present. We can't go back and change things, so what can you do now that will make you better?
  • Will I still feel this way tomorrow? In six months? In a year?
Is this thought or feeling something that will impact your life in the next year? Or even tomorrow? Most of the things we do and think each day will be forgotten. If it is not that important, don't waste your time and energy thinking negatively about it when it won't really matter in the future. In another way, if it is a negative feeling or ANT you don't want to carry it on for the next couple weeks, days, or even hours! Facing it now and turning into a positive will be a better use of your time and energy and can stop you from having that ANT reoccur. 

These are great questions to ask yourself when you discover your own automatic negative thought arising. Sometimes people don't think they have ANTs, but a helpful way to detect them is to become more aware of your thoughts and journal them, especially when they are thoughts about the addiction or negative thoughts about yourself. Being mindful of your ANTs will help you to change them in a positive way that will lead to a more positive present and future. 
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    Mindfulness: the art of paying attention in a particular way.

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