Psycho-Education for Patients and Family Members: Strategies for Avoiding Triggers
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Interruption of sequence
Types of Triggers
Triggers can relate to:
People
Places
Things
Times
Emotional states
7-4
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Questions
:
What are examples of the triggers in each
category that lead to the thought of using?
–
People
–
Places
–
Things
–
Times
–
Emotional states
What are strategies to avoid those triggers?
1-5
Triggers -
People
Friends or family members who use
drugs/dealers
Drug dealers
Absence of significant other
(loneliness)
Partners in drug-related sexual
activity
People discussing drug use
7-6
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Triggers -
Places
Drug dealer’s home
Bars and clubs
Gambling areas
Drug use neighborhoods
Work
Some street corners
Anyplace
associated with use
7-7
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Triggers -
Things
Drug paraphernalia
Money/ATMs
Movies/TV shows about drugs and alcohol
Sexually explicit magazines/movies
Certain music
Cigarette
Gambling
Secondary drug or alcohol use
7-8
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Triggers -
Times
Idle time
Stressful times
After work
Holidays
Birthdays/anniversaries
Paydays
Friday/Saturday nights
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Triggers -
Emotional States
Anxiety
Fatigue
Depression
Anger
Boredom
Frustration
Fear
Loneliness
Concern about weight gain
Sexual arousal
or
deprivation
7-10
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Thought Stopping
Learn to recognize “using thoughts”
Apply thought-stopping techniques:
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Visualization
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Rubber band snap
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Relax
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Call someone
Move to other places
7-11
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Non-trigger Activities
Exercise
Meditation or prayer
12-Step/self-help group meetings
New recreation/hobby
Religious or spiritual activities
Eating/sleeping
Non–drug-oriented movies
Structured/monitored periods
7-12
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Use of a secondary drug or alcohol may lead to
relapse to Shabu through:
Cortical disinhibition (decreased function of a
brain part)
Stimulant craving induction
12-Step philosophy conflict
Abstinence violation effect
Interference with new behaviors
8-13
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The addicted brain attempts to provide a
seemingly rational reason (justification) for
behavior that moves a person in recovery
closer to a slip.
Other people made me do it.
I needed it for a specific purpose.
I was testing myself.
It wasn’t my fault.
It was an accident.
I felt bad.
8-14
Question
:
What are some other examples of
relapse justification using “
Other
people made me do it
”?
1-15
Examples:
My wife used so …
I was doing fine until he brought home …
I went to the beach with my sister and …
My brother came over for dinner and
brought some …
I wanted to see my friend just once more, and he
offered me some …
Question
:
What are some other examples of
relapse justification using “
I needed
it for a specific purpose
”?
1-16
Examples:
I was getting fat again and needed to control my
weight, so I …
I couldn’t get the energy I needed without …
I can’t have fun without …
Life is too boring without …
I can’t be comfortable in social situations or meet
people without …
Question
:
What are some other examples of
relapse justification using “
I was
testing myself
”?
1-17
Examples:
I wanted to see whether it would “work better” now that I’ve
been clean awhile.
I wanted to see my friends again, and I’m stronger now.
I needed a little money and thought I could sell a little without
using.
I wanted to see whether I could use just a little and no more.
I wanted to see whether I could be around it and say no.
I thought I could drink without using.
Question
:
What are some other examples of
relapse justification using “
It wasn’t
my fault
”?
1-18
Examples:
It was right before my period, and I was depressed.
I had an argument with my spouse.
My parents were bugging me.
My partner was intimate with another person.
The weather was gloomy.
I was only going to take a hit and …
Question
:
What are some other examples of
relapse justification using “
It was
an accident
”?
1-19
Examples:
I was in a bar, and someone offered me some Shabu.
I was at work, and someone offered …
I found some in my car.
I went to a movie about …
A friend called to see how I was doing. We were
talking and decided to get together.
Question
:
What are some other examples of
relapse justification using “
I felt
bad
”?
1-20
Examples:
Life is so boring I may as well use.
I was feeling depressed, so …
My job wasn’t going well and I was frustrated, so …
I was feeling sorry for myself, so I …
Recovery is just too hard.
Slide 8-1—Roadmap for Recovery
We will continue to discuss the roadmap for recovery.
This session delves into identifying triggers that lead to thoughts of substance use, including triggers related to people, places, things, times, and emotional states. Strategies for avoiding these triggers are discussed to support individuals in their recovery journey.
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Presentation Transcript
Psycho-Education for Patients and Family Members Session 8: Roadmap for Recovery (2) 8-1
Triggers and Thought Stopping Thought- Stopping Techniques Recovery STOP Trigger Thought Continued Thought Cravings USE 8-2
Triggers and Thought Stopping Interruption of sequence STOP! 7-3
Triggers and Thought Stopping Types of Triggers Triggers can relate to: People Places Things Times Emotional states 7-4
Questions: What are examples of the triggers in each category that lead to the thought of using? People Places Things Times Emotional states What are strategies to avoid those triggers? 1-5
Triggers and Thought Stopping Triggers - People Friends or family members who use drugs/dealers Drug dealers Absence of significant other (loneliness) Partners in drug-related sexual activity People discussing drug use 7-6
Triggers and Thought Stopping Triggers - Places Drug dealer s home Bars and clubs Gambling areas Drug use neighborhoods Work Some street corners Anyplace associated with use 7-7
Triggers and Thought Stopping Triggers - Things Drug paraphernalia Money/ATMs Movies/TV shows about drugs and alcohol Sexually explicit magazines/movies Certain music Cigarette Gambling Secondary drug or alcohol use 7-8
Triggers and Thought Stopping Triggers - Times Idle time Stressful times After work Holidays Birthdays/anniversaries Paydays Friday/Saturday nights 7-9
Triggers and Thought Stopping Triggers - Emotional States Anxiety Fatigue Depression Anger Boredom Frustration Fear Loneliness Concern about weight gain Sexual arousal or deprivation 7-10
Triggers and Thought Stopping Thought Stopping Learn to recognize using thoughts Apply thought-stopping techniques: Visualization Rubber band snap Relax Call someone Move to other places 7-11
Triggers and Thought Stopping Non-trigger Activities Exercise Meditation or prayer 12-Step/self-help group meetings New recreation/hobby Religious or spiritual activities Eating/sleeping Non drug-oriented movies Structured/monitored periods 7-12
Secondary Drugs and Alcohol Use of a secondary drug or alcohol may lead to relapse to Shabu through: Cortical disinhibition (decreased function of a brain part) Stimulant craving induction 12-Step philosophy conflict Abstinence violation effect Interference with new behaviors 8-13
Relapse Justification The addicted brain attempts to provide a seemingly rational reason (justification) for behavior that moves a person in recovery closer to a slip. Other people made me do it. I needed it for a specific purpose. I was testing myself. It wasn t my fault. It was an accident. I felt bad. 8-14
Question: What are some other examples of relapse justification using Other people made me do it ? Examples: My wife used so I was doing fine until he brought home I went to the beach with my sister and My brother came over for dinner and brought some I wanted to see my friend just once more, and he offered me some 1-15
Question: What are some other examples of relapse justification using I needed it for a specific purpose ? Examples: I was getting fat again and needed to control my weight, so I I couldn t get the energy I needed without I can t have fun without Life is too boring without I can t be comfortable in social situations or meet people without 1-16
Question: What are some other examples of relapse justification using I was testing myself ? Examples: I wanted to see whether it would work better now that I ve been clean awhile. I wanted to see my friends again, and I m stronger now. I needed a little money and thought I could sell a little without using. I wanted to see whether I could use just a little and no more. I wanted to see whether I could be around it and say no. I thought I could drink without using. 1-17
Question: What are some other examples of relapse justification using It wasn t my fault ? Examples: It was right before my period, and I was depressed. I had an argument with my spouse. My parents were bugging me. My partner was intimate with another person. The weather was gloomy. I was only going to take a hit and 1-18
Question: What are some other examples of relapse justification using It was an accident ? Examples: I was in a bar, and someone offered me some Shabu. I was at work, and someone offered I found some in my car. I went to a movie about A friend called to see how I was doing. We were talking and decided to get together. 1-19
Question: What are some other examples of relapse justification using I felt bad ? Examples: Life is so boring I may as well use. I was feeling depressed, so My job wasn t going well and I was frustrated, so I was feeling sorry for myself, so I Recovery is just too hard. 1-20
