Tag Archives: coping skills

Defeating Addictive Urges

Posted on August 24, 2016

Anatomy of an Urge

by Farmgirl68 (Connie)

While taking the facilitator training, I watched a video with Joe Gerstein where he showed the ABC relationship with a lapse and how it often involves a belief (B) or a consequence (C) turning into another activating event (A) thus creating a cascade of ABCs.  This intrigued me, and putting it together with the way I had noticed my own urge experiences, I realized most of the time there is a basic pattern an urge takes on for me.  Being a very visual thinker, I began to formulate on my computer screen a picture of how my urges occur. Continue reading

How to Manage Your Emotions

Posted on July 26, 2016

Building Resilience Part II: How to Manage Your Emotions

Originally posted here, for the Center for Motivation & Change

resilience_1Being resilient means being able to face adversity and cope well enough that you recover relatively quickly. In Part 1 of our resilience discussion in the March newsletter, we reviewed the ways that your perspective can actually mitigate some negative effects of stress. Now in Part 2, we’ll discuss the research that tells us about how to decrease the stress you experience through prevention by managing your emotions with skill and being mindful of the positive things in life. In Part 3 next month, we will talk about the value of getting enough sleep, exercise, oxygen, and healthy food.

Continue reading

Veterans in Addiction Recovery

Posted on July 6, 2016

Veterans Enjoy the Comradery of VA-facilitated SMART Recovery Meetings

By Melinda Gaddy, Ph.D.

Make the impossible possibleA SMART Recovery group member at VA Eastern Kansas Health Care System (Dwight D. Eisenhower Veterans Affairs (VA) Medical Center) stated during their first meeting back after a period of absence from SMART, “The ABCs are so annoying, but they really do work.” We had just finished setting our agenda for the meeting. I believe the individual was speaking not only to a group member newer to SMART, but also to themselves as they settled into a chair, ready to begin again in applying SMART’s well-researched tools to their life circumstances: recently released from the hospital and solemnly resolved to do what was needed to rebuild. I appreciated the statement for a number of reasons. It helped other group members to get focused and ready to dive into the ABC tool, it conveyed hope, and it was a great example of just how good Veterans are at telling it like it is. Opinions and experiences can be offered without need for a “polite filter” since meaningful bonds are formed quickly among Veterans in recovery. This makes facilitating SMART Recovery groups within the VA an incredibly dynamic and rewarding experience.

In recent decades, VA has become increasingly focused on providing military Veterans in the United States with evidence-based treatment programs and recovery tools. Continue reading

Spring Has Sprung, Should You be Worried?

Posted on May 17, 2016

Spring has sprung! The sun is shining, flowers are blooming, and birds are singing. While you are replacing your boots with sandals and pants with shorts and skirts, you can feel the energy buzzing in the warm spring air. Sounds great, right?

As you work to cultivate a life of mindfulness and present-moment attention, you may start to notice another side of spring. The change of season can bring on a whole new set of challenges which may come as a quite a surprise for those trying to change their use of substances.

The sidewalk cafes are bustling with brunch-goers drinking wine and laughing. You may find yourself wondering, “Why can’t I have just a glass? It feels so good to finally get back outside after a winter of being cooped up indoors.” “Perhaps smoking a joint would make me feel even better?” “How can I go to a baseball game without a beer to go with my hot dog?” You may find that the impulse to pair fun, social, or just outdoor activities with the use of substances can grow much more intense as the weather heats up.

For people who do not struggle with substances, the decision to use a substance (including alcohol) or not can carry about as much weight as whether to have the steak or the fish for dinner. However, for people working on changing their relationship with substances, situations like these can be challenging, difficult, intimidating, and even overwhelming. External triggers (sidewalk cafes, concerts, sports, beaches, longer days) and internal triggers (feeling good, memories of warm weather past, relaxation) can become more apparent with the change of season.

So what can you do if you are looking to make changes? What can you do if you find yourself wrestling with these thoughts and feelings? How can your loved ones best support you? Improving your Awareness and Coping skills and well as building your ability to Tolerate is a threefold approach to relapse prevention which can be applied to coping with the change in the season.

To start, try to increase your awareness of the high risk situations, people and feelings that might increase ambivalence about your goals in this season of change. This will allow you to prepare yourself and plan for ways to stick to your goals. For example, you might take some time to think through your triggers and identify that seeing people at a sidewalk cafe drinking is triggering to you. Then you can plan your route home to limit the number of cafes you pass, or perhaps you make sure that you have an alternate form of decompression ready for you when you get home. Either way, your awareness of what triggers you allows you to prepare yourself in advance.

Next is coping. How does one cope with all of the new “triggers” brought about by the spring? One action for this might be making the decision to avoid certain events. Is a backyard BBQ full of beer too tough for you right now? How about planning a massage or lunch with a friend you don’t strongly associate with drinking? Another strategy might be to reduce the time you spend at these events and/or to bring a safe friend along. Maybe you can go late to the concert just for the music you want to hear and leave as soon as it’s over? Maybe you can bring a supportive friend or family member to the beach, since there is no need to do it alone. Find a way to have a (non-alcoholic) drink in your hand and partake in the food that is available in order to avoid people pushing drinks or craving a drink because you are hungry. Finally, if you find that your emotions start running high or your capacity to stick to your goals is weakening, have an exit strategy planned in advance. You can also book-end events with healthy people or things on either side of a potentially tricky situation.

And what about the all-important role of tolerating? What exactly does this mean? In this case what might be most important to remember is that cravings and feelings (both negative and positive) are time limited and they do pass. In the moment of intense cravings or feelings, it may seem as though the desire to use will never end. The reality…is that cravings always end.

If you are trying to really change your relationship with substances, it’s important to build up your ability to tolerate cravings and feeling of ambivalence without doing something that goes against the goals you set for yourself or makes things worse. Here are some suggestions to increase your ability to tolerate these tough moments…

  • Have a friend to call who can remind you that you will get through this moment and that you have before.
  • Make a note and put it in your wallet to remind yourself of your reasons for wanting to change and ways you have tolerated these moments in the past.
  • Create a mantra that you say to yourself over and over until the feeling or craving passes.
  • Cheerlead yourself with positive, supportive feedback. The way you “talk” to yourself really matters!
  • Practice meditation on a regular basis.
  • While none of these suggestions are a quick, easy fix, that all will build your capacity to tolerate difficult situations that may arise.

If you are new to making changes, getting through this change of season can seem a little daunting, but if you embrace and use these skills you can get through! If you’re a seasoned veteran of behavior change, it’s good to remember these skills! Each experience you have for the first time may challenge you in unexpected ways. Some things may be easier than you expected, some may be harder, and some may be just what you anticipated. Whatever the case, your decision to change is admirable and inspiring. Using these skills can help you achieve and maintain your change goals.

Julie Jarvis, Ph.D.

Reprinted from the Center for Motivation and Change at http://motivationandchange.com/cmcs-blog-for-individuals-and-families/

Promoting Positive Thinking

Posted on April 25, 2016

It’s not so much what you see, but how you see it.

That’s called your perspective.

Things are not always as they seem.

My mom told me as a child “Believe nothing you hear and half what you see”

storm_smartblogYour brain will try to make sense of everything that is going on around you, and collectively organize it, compare it to your past experiences, then catalog it.

Sometimes you brain makes the wrong perspective, and your left in the aha moment, scratching your head. This is relevant to a magician’s trick.

Other things, that are in comparison to each other are put into the same category in your brain. Your brain becomes wired… negative thinking, equals negative outcomes, positive thinking equals positive outcome. Continue reading

A Message to Young People

Posted on April 18, 2016

Dr. Robert SchwebelSMART Recovery Webinar: You are Powerful: A Message to Young People from Dr. Robert Schwebel, Saturday, 4/23/2016 5:00 pm EDT

REGISTER: http://www.anymeeting.com/PIID=EC54D682834938

SMART Recovery® is pleased to present a talk with author and developer of The Seven Challenges® Program, Dr. Robert Schwebel. We are interested in learning how to engage youth who have problems with drugs in meaningful conversations and to support them in taking power over their lives. Dr. Schwebel’s work is designed for counseling settings, and we think you’ll find his approach highly complementary with SMART in the continuum of care. In implementing The Seven Challenges Program, many practical lessons have been learned that are helpful in thinking about how to best to serve and collaborate with youth. The conversation will focus on attitudes, strategies, and messages that engage and empower youth, and there will be plenty of time for questions and answers. Continue reading