Addictions Worksheets, Dual Diagnosis, And Relapse Prevention

A Guide To Emotions (Psychology Tools For Living Well)
Books & Chapters
ABC Model
Worksheets
Audio Collection: Psychology Tools For Mindfulness
Audio
Behavioral Experiment
Worksheets
Behavioral Experiment (Portrait Format)
Worksheets
Body Scan (Audio)
Audio
Boundaries - Self-Monitoring Record
Worksheets
Classical Conditioning
Information handouts
Cognitive Behavioral Model Of The Relapse Process (Marlatt & Gordon, 1985)
Information handouts
Externalizing
Information handouts
Fortune Telling
Information handouts
Functional Analysis
Worksheets
Functional Analysis With Intervention Planning
Worksheets
Grounding Statements (Audio)
Audio
Grounding Techniques Menu
Information handouts
Intrusive Memory Record
Worksheets
Lapse And Relapse Management
Worksheets
Magnification And Minimization
Information handouts
Managing Substance Use Disorder: Practitioner Guide
Treatments That Work®
Managing Your Substance Use Disorder: Workbook
Treatments That Work®
Mental Filter
Information handouts
Mindful Attention (Audio)
Audio
Mindfulness In Everyday Life (Audio)
Audio
Mindfulness Of Breath (Long Version) (Audio)
Audio
Mindfulness Of Breath (Short Version) (Audio)
Audio
Mindfulness Of Sounds And Thoughts (Audio)
Audio
Motivation and Ambivalence
Exercises
Operant Conditioning
Information handouts
Permissive Thinking
Information handouts
Permissive Thinking – Self-Monitoring Record
Worksheets
Raisin Exercise (Audio)
Audio
Relaxed Breathing Exercise 1 (Audio)
Audio
Relaxed Breathing Exercise 2 (Audio)
Audio
Relaxed Breathing Exercise 3 (Audio)
Audio
Relaxed Breathing Exercise 4 (Audio)
Audio
Sensory Grounding Using Smells (Audio)
Audio
Sensory Grounding Using Your Five Senses (Audio)
Audio
Stages Of Change
Information handouts
Therapy Blueprint (Universal)
Worksheets
Thinking Versus Sensing (Audio)
Audio
Unhelpful Thinking Styles
Information handouts
Urges – Self-Monitoring Record
Worksheets
Window Of Tolerance
Information handouts
Assessment
- Drinking motives questionnaire | Cooper, Russell, Skinner, Windle | 1992
- Scale |
download| archived copy - Cooper, M. L., Russell, M., Skinner, J. B., & Windle, M. (1992). Development and validation of a three-dimensional measure of drinking motives. Psychological Assessment,4,123-132.
- Scale |
- Drinking motives questionnaire – adolescent | Cooper | 1994
- Scale |
download| archived copy - Cooper, M.L. (1994). Motivations for alcohol use among adolescents: Development and validation of a four-factor model. Psychological Assessment, 6,117-128.
- Scale |
- Leeds Dependence Questionnaire | Raistrick, Bradshaw, Tober, Weiner, Allison, Healey | 1994
- Scale | download | archived copy
- Raistrick, D.S., Bradshaw, J., Tober, G., Weiner, J., Allison, J. & Healey, C. (1994) Development of the Leeds Dependence Questionnaire, Addiction, 89, pp 563-572.
- Maudsley Addiction Profile (MAP) | Marsden, Gossop, Stewart, Best, Farrell, Lehmann, Edwards, Strang | 1998
- Scale | download | archived copy
- Marsden, J. Gossop, M. Stewart, D. Best, D. Farrell, M. Lehmann, P. Edwards, C. & Strang, J. (1998) The Maudsley Addiction Profile (MAP): A brief instrument for assessing treatment outcome, Addiction 93(12): 1857-1867.
- Readiness to Change Questionnaire (RTQ) | Heather, Rollnick | 1993
- User’s manual | download | archived copy
- Rollnick, Heather, Gold, Hall (1992)
- Severity of Dependence Scale | Gossop, Darke, Griffiths, Hando, Powis, Hall, Strang | 1995
- Scale | download | archived copy
- Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., Strang, J. (1995). The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction 90(5): 607-614.
- Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) | Miller, Tonigan | 1996
- Scale | download | archived copy
- Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers’ motivation for change: the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10(2), 81.
Intervention
Treatment manuals
- Enhancing Motivation for Change in Substance Use Disorder Treatment | SAMHSA | 2019 | download | archived copy
- Motivational Enhancement Therapy Manual | Miller, Zweben, DiClemente, Rychtarik | 1995 | download | archived copy
- Cognitive Behavioural Coping Skills Treatment Manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence | Kadden, Carroll, Donovan, Cooney, Monti, Abrams, Litt, Hester | 2003 |
download| archived copy - Clinical guidelines for implementing relapse prevention therapy | Marlatt, Parks, Witkiewitz | 2002 |
download| archived copy - A cognitive-behavioral approach: Treating cocaine addiction | Carroll | 1998 |
download| archived copy - Addictions and trauma recovery | Janina Fischer | 2000 | download | archived copy
- Patient’s workbook for cognitive behavioral therapy sessions – Intensive Treatment and rehabilitation program for residential treatment and rehabilitation centers for drug dependents (INTREPRET) | Phillipines Department of Health | 2020 | download | archived copy
- Substance use / brain injury bridging project – Client workbook | Community Head Injury Resource Services of Toronto (CHIRS) and the Centre for Addiction and Mental Health (CAMH) | download | archived copy
Information Handouts
Information handouts
- Substance Use / Brain Injury workbook | download | archived copy
- Anxiety and substance use | NDARC | download | archived copy | archived copy
- Mood and substance use | NDARC | download
- Personality and substance use | NDARC | download | archived copy
- Psychosis and substance use | download
- Trauma and substance use | NDARC | download | archived copy
- Changing addictive thought patterns | download | archived copy
- What is alcoholism? |
download| archived copy - Introduction to codependency |
download| archived copy - Changing addictive thought patterns | download | archived copy
Presentations
- Cognitive behavioral & relapse prevention strategies | UNODC | 2007 | download | archived copy
- Acceptance and commitment therapy for substance abuse | Richie | 2013 |
download| archived copy - The great porn experiment – TED lecture | Gary Wilson | youtube.com
- Yourbrainonporn – contains useful information about neurobiology of addiction | link
Recommended Reading
- Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41(7), 765. | download
- Hendershot, C. S., Witkiewitz, K., George, W. H., & Marlatt, G. A. (2011). Relapse prevention for addictive behaviors. Substance abuse treatment, prevention, and policy, 6(1), 17. | download
- Larimer, M. E., Palmer, R. S., Marlatt, G. A. (1999). An overview of Marlatt’s Cognitive-Behavioural Model. Alcohol Research and Health, 23(2), 151-160 | download | archived copy
- Volkow, N. D., Koob, G. F., & McLellan, A. T. (2016). Neurobiologic advances from the brain disease model of addiction. New England Journal of Medicine, 374(4), 363-371 | download
What Is Addiction?
Signs and Symptoms of Addictions and Relapse
Behavioral and Social Signs of Addictions Include:
- Continuing to use a substance (or engage in certain behaviors) despite the negative consequences that they cause
- Trying but failing to reduce or stop misusing a substance
- Secretive, furtive, or dishonest behavior
Psychological Symptoms of Addictions Include:
- Mood swings
- Anger or irritability
- Paranoia
- Defensiveness
- Poor judgment
Psychological Models of Addictions and Relapse
There is considerable psychological theory which clinicians working in the field of addiction can draw upon.
Prochaska and DiClemente’s Transtheoretical Model (Stages of Change Model)
The transtheoretical model (Prochaska & DiClemente, 1982; Prochaska, DiClemente, Norcross, 1992) is used to conceptualize the process of intentional behavior change. It identifies important stages in the process of changing a behavior: precontemplation, contemplation, preparation, action, and maintenance. The transtheoretical model also identifies processes which need to be implemented to attain behavior change: consciousness raising (awareness of the facts), dramatic relief (paying attention to feelings), environmental re-evaluation (noticing our effects upon others), self–re-evaluation (creating a new self-image), social liberation (noticing support around us), self-liberation (making a commitment), counterconditioning (using substitutes), helping relationships (getting support), reinforcement management (using rewards), stimulus control (managing your environment).
Marlatt and Gordon’s Cognitive Behavioral Model of Relapse
Marlatt and Gordon published a cognitive behavioral model of relapse in 1985. They conceptualize relapse as a “transitional process, a series of events that unfold over time” (Marlatt & Gordon, 1985). The model identifies factors that can contribute toward episodes of relapse. These include intrapersonal factors such as self-efficacy (the degree to which an individual feels confident and capable of performing a certain behavior in a specific situational context), outcome expectancies (an individual’s anticipation of the effects of a future experience), craving, motivation, and social support.
The Cognitive Behavioral Model of Substance Abuse
The cognitive behavioral model of substance abuse (Beck, Wright, Newman, & Liese, 1993) describes psychological areas of vulnerability that predispose an individual to misusing substances including: dysfunctional beliefs about drugs, oneself, or one’s relationship with drugs; ‘permission-giving beliefs’ with which an individual may justify their drug use; and reactions to a lapse or relapse that lead to a vicious cycle of maintenance.
Evidence-Based Psychological Approaches for Working with Addictions and Relapse
Cognitive approaches to working with addictions may include:
- identifying patterns of dysfunctional thinking such as ‘permission-giving beliefs’;
- learning how to delay and distract in response to cravings and urges;
- learning problem-solving techniques;
- making positive lifestyle changes;
- treating underlying mental health conditions which predispose an individual toward substance misuse.
Resources for Working with Addictions and Relapse
Psychology Tools resources available for working therapeutically with addictions may include:
- psychological models of addiction and relapse
- information handouts for addiction and relapse
- exercises for addiction and relapse
- CBT worksheets for addiction and relapse
- self-help programs for addiction and relapse
References
- Beck, A. T., Wright, F., Newman, C., & Liese, B. (1993). Cognitive therapy of substance abuse: a treatment manual. New York Guilford.
- Larimer, M. E., & Palmer, R. S. (1999). Relapse prevention: An overview of Marlatt’s cognitive-behavioral model. Alcohol Research and Health, 23(2), 151–160.
- Marlatt, G. A. (1985). Relapse prevention: Theoretical rationale and overview of the model. In G. A. Marlatt & J. R. Gordon (Eds.), Relapse prevention. New York: Guilford Press.
- Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research & Practice,19(3), 276–288.
- Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to the addictive behaviors. American Psychologist, 47(9), 1102–1114.
- Reynolds, M., Mezey, G., Chapman, M., Wheeler, M., Drummond, C., & Baldacchino, A. (2005). Co-morbid post-traumatic stress disorder in a substance misusing clinical population. Drug and Alcohol Dependence, 77(3), 251–258.