Overcoming Alcohol Use Problems: A Cognitive-Behavioral Treatment Program Workbook

208 Pages·2009·0.84 MB·English

by  Elizabeth E. Epstein

A Cognitive-Behavioral Treatment Program for
Overcoming Alcohol Problems
EDITOR-IN-CHIEF
DavidH.Barlow,PhD
SCIENTIFIC
ADVISORY BOARD
AnneMarieAlbano,PhD
GillianButler,PhD
DavidM.Clark,PhD
EdnaB.Foa,PhD
PaulJ.Frick,PhD
JackM.Gorman,MD
KirkHeilbrun,PhD
RobertJ.McMahon,PhD
PeterE.Nathan,PhD
ChristineMaguthNezu,PhD
MatthewK.Nock,PhD
PaulSalkovskis,PhD
BonnieSpring,PhD
GailSteketee,PhD
JohnR.Weisz,PhD
G.TerenceWilson,PhD
A Cognitive-Behavioral
Treatment Program
for Overcoming
Alcohol Problems
W o r k b o o k
•
Elizabeth E. Epstein Barbara S. McCrady
1
2009
1
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About TreatmentsThatWorkTM
One of the most difficult problems confronting patients with various disorders
and diseases is finding the best help available. Everyone is aware of friends or
family who have sought treatment from a seemingly reputable practitioner, only
to find out later from another doctor that the original diagnosis was wrong or
the treatments recommended were inappropriate or perhaps even harmful. Most
patients,orfamilymembers,addressthisproblembyreadingeverythingtheycan
about their symptoms, seeking out information on the Internet, or aggressively
“askingaround”totapknowledgefromfriendsandacquaintances.Governments
and healthcare policymakers are also aware that people in need don’t always
get the best treatments—something they refer to as “variability in healthcare
practices.”
Now healthcare systems around the world are attempting to correct this vari-
ability by introducing “evidence-based practice.” This simply means that it is in
everyone’s interest that patients get the most up-to-date and effective care for a
particular problem. Healthcare policymakers have also recognized that it is very
useful to give consumers of healthcare as much information as possible, so that
theycanmakeintelligentdecisionsinacollaborativeefforttoimprovehealthand
mentalhealth.Thisseries,TreatmentsThatWorkTM,isdesignedtoaccomplishjust
that. Only the latest and most effective interventions for particular problems are
described in user-friendly language. To be included in this series, each treatment
program must pass the highest standards of evidence available, as determined by
ascientificadvisoryboard.Thus,whenindividualssufferingfromtheseproblems
or their family members seek out an expert clinician who is familiar with these
interventions and decides that they are appropriate, they will have confidence
that they are receiving the best care available. Of course, only your health care
professional candecide ontheright mix oftreatmentsforyou.
If you have problems with alcohol use, the program described in this workbook
can help you overcome them. Through self-recording, you will identify your
drinking patterns and triggers. You will learn to anticipate high-risk situations
and plan for dealing with urges to drink. The program will incorporate addi-
tional skills that can help you remain abstinent, such as coping with anxiety and
depression,buildingsocialsupport,beingassertive,managinganger,andproblem
v
solving. Preparing for slips and relapses is also an important part of maintaining
gains. This workbook provides information that will help you follow along with
the program. It also includes worksheets for you to complete in session and at
home. Working with a qualified mental health professional over 12 sessions, you
canachievethegoalofabstinence fromdrinking.
DavidH.Barlow,Editor-in-Chief,
TreatmentsThatWorkTM
Boston,MA
vi
Contents
Chapter1 Session1:Introduction/Rationale/Self-Recording 1
Chapter2 Session2: FunctionalAnalysis 19
Chapter3 Session3:High-RiskHierarchy /SocialNetworkTriggers /
Self-Management Plans 33
Chapter4 Session4: Enhancing MotivationtoChange 53
Chapter5 Session5: AssessingAnxietyandDepression/Dealing With
Urges 65
Chapter6 Session6:AffectandMoodManagement/RearrangingBehavioral
Consequences 83
Chapter7 Session7:Connecting WithOthers/DealingWith
Alcohol-RelatedThoughts 99
Chapter8 Session8:Assertiveness Training/Drink Refusal 111
Chapter9 Session9:Anger Management PartI/Relapse PreventionPartI:
Seemingly IrrelevantDecisions 123
Chapter10 Session10:AngerManagement PartII/ProblemSolving/Relapse
PreventionPartII 135
Chapter11 Session11:RelapsePreventionPartIII 149
Chapter12 Session12:Review/RelapsePreventionPartIV: Maintenance
Planning andRelapse Contract 155
Appendix ofForms 159
vii
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Chapter 1 Session 1: Introduction /Rationale/
Self-Recording
Goals
■ Tolearnaboutthisprogramandwhatit willinvolve
■ Tocommit totheprogramand signatreatmentcontract
■ Toreviewtheresultsofyourpretreatmentassessment
■ Tobegin self-monitoring
■ Totalkaboutwaysofachievingabstinence anddevelopanabstinence plan
■ Toplanhowtodealwithanyupcoming high-risk situationsinwhich you
maybetempted todrink
TheJourneyBegins
Togetherinthistherapy,wearestartingajourney.Themostsuccessfulandambi-
tious journeys all begin with a roadmap (a plan) and a destination (a goal). This
therapy is part of the road map. The goal is sobriety. You will learn ways of
quitting drinking andimproving yourlife.
You will work together with your therapist to identify high-risk situations that
may lead to drinking. Some of these situations will involve places, people, and
things that you come across. Some of these situations will involve thoughts and
emotionsthatareconnectedtoyouruse.Someofthesesituationsmaycomefrom
your relationships. Your therapist will help you develop a plan and the skills to
get through these tough situations. In each session, you will be introduced to a
newskill ortechnique fordealing withhigh-risk situations.
The road will get bumpy at times. Sometimes things may be so rough that you
willwonderifyou’vemadeawrongturn.Manypeoplewhodecidetoquitdrink-
ing have a rough time in the beginning. Some people get discouraged by the
tough times. Other people see these challenging times as a chance to learn more
about themselves. Whatever happens, look at these rough times as chances to
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