E-mail homework to: eva gregory@ymail - counseling … · 2012-06-01 · We can order this book for...

We can order this book for you for $15.00.

2/11/2009 1 cevagregorycounselingonlinec2

009

E-mail homework to:

[email protected]

mailto:[email protected]

This is NOT a FAITH-BASE COURSE. We refer you to your Spiritual Advisor. We are

using as a TEXT BOOK, King James Version of Scriptures (Bible) as a historical account

of mankind in thoughts and actions.


009

Disclaimer

• In no way can the author know what may be clinically appropriate for any

individual case in which she has not been formally and fully professionally

involved. A caution regarding the applicability of the material contained in this

class to any specific cases of interest to the reader. Nothing in this class can or

should be construed to indicate necessarily appropriate or applicable approaches

in regard to any case the reader may encounter or have in mind.

• In order to assure the confidentially of the persons from whom the data and details

in this class are drawn, actual names, ages, gender have been substantially

altered.

• This is not a faith-based class. We refer you to your choice of faith and input from

the leaders of your faith.

•

2/11/2009 cevagregorycounselingonlinec2

009 3

WHAT MAP GOT YOU HERE? You will find faulty

maps even on

map quest.

What faulty map was in

your mind that created

the chaos for you?

HOMEWORK:

Draw your faulty map or

cut pictures from a

magazine to form a

picture of your faulty

map.

E-mail your map to [email protected].

2/11/2009 4

cevagregorycounselingonlinec2

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This is a faulty map of the location of First Step Counseling that I owned for 10

years. Even Map Quest has faulty maps.


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Your best thinking is what got you here….

• Thinking is how we interact with the world.

• Thinking directs us to do one thing rather than another.

• Thinking tells you where to go and where not to go.

• Thinking tells you what to say and what not to say.

• Look at your thinking.. That will show you how you respond to your world.

• Homework: How are you responding to the world? Write a one page essay

and discuss with the counselor. E-mail your paper to

[email protected].


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You are here because of an arrest ….. (Go around the room and

each person answer, please). • 1. What is your charge?

• 2. What did your thinking tell you to do before your arrest?

• 3. What did your thinking tell you to do when you were arrested?

• 4. What is your thinking telling you to do now?

If you are taking Supportive Out Patient on line, please write a one

page essay and discuss with the counselor. E-mail your paper to

[email protected].


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When you get a charge of DWI or Possession that is evidence that….

• You have not been thinking about your thoughts.

• You have been impulsive.

• You have been selfish.

• You have been disconnected from other people.

• You have been arrogant…(My using is my business—I don’t hurt anyone).

• Now, as a result, you are suffering negative consequences.

• Homework:

What events in your life would show that you have been selfish?

Write 3 paragraphs explaining and discuss with the counselor.


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YOU NEED A NEW MAP…

• Look around, you are lost and you don’t know why……(defense---denial)---Not a river in Egypt.

• A new map is needed…to find your way out of the maze of addiction.

• You need to become fully human again.


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FIRST STEP TO CREATING A NEW THOUGHT MAP

• 1. RECOGNIZE THAT YOU ARE WHERE YOU ARE TODAY BECAUSE OF YOUR CURRENT MENTAL MAP.

• 2. IDENTIFY the problem.

• 3. Take responsibility for it.

• As a criminal and addictive thinker, you respond by saying: “I haven’t got a problem. I’m fine.”

• Question: “Why are you in the legal system?”

• Homework: Identify your problem and Your choices and Behaviors that got

you into the legal system. Write a one page essay and discuss with

the counselor.


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DENIAL “I DON’T EVEN KNOW I AM LYING”

• IF I CAN DISCOVER THE PROBLEM AREAS IN MY LIFE, I’LL BE OKAY. • MY ONLY PROBLEM IS A NAGGING WIFE/HUSBAND. • MY ONLY PROBLEM, I’M NOT GETTING PROMOTED FAST ENOUGH. • I CAN’T GET ALONG WITH MY STEP-CHILDREN. • MY MATE IS TOO DEMANDING. • MY FAMILY DOES NOT UNDERSTAND ME. • I LIVE IN A DRUG (BAD) NEIGHBORHOOD. • I’LL GET THINGS IN CONTROL IF I JUST DON’T LET THINGS BOTHER ME. • I CAN CONTROL MY ALCOHOL OR DRUG USE. • I’M NOT AN ALCOHOLIC. • I’M NOT AN ADDICT.

• Homework:

• Write a one page essay on the denial statement that would describe your mind-set. Be ready to discuss with the counselor this week.


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WHAT IS DENIAL?

• Denial is a normal defense mechanism. Denial is a way the mind handles the stress and trauma of having a long-lasting disease. You may have seen a horrible event. Denial helps to keep you sane.

• Examples:

• People with heart disease often ignore warning signs and fudge on exercise and

lifestyle changes. 2/11/2009 12


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Denial, cont.

• People with cancer are always searching for a “magic cure.”

• Substance dependent people continue to drink and use because they deny they have a problem. At first the denial is just a spontaneous response to the problems which arise from abusing substances. However, as more drugs are taken, the brain is physically damaged and the dependent person loses his or her ability to accurately judge and evaluate simple day-to-day situations.


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Barriers to admitting…..

• Give three examples of personality traits that block you from admitting powerlessness.

• (Pride, false belief in strong will power, not willing to give up drugs and alcohol, attitude of “my way or no way”, rebellion, anti-social, self-focusing, procrastination, ambivalent).

• Homework:

• Write a one page essay and discuss with the counselor

this week.


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Get past the barriers to admitting powerlessness.

• The founders of AA saw how important it is for us to admit powerlessness. That is why they made this admission the first part of Step One.

• It is not easy to admit powerlessness over anything. Your counselor will now become transparent and tell you a personal story about powerlessness. In graduate school a professor stated that he was going to make all of us powerless. Anger arose suddenly. The professor continued talking, “No one taking this class will not make a grade higher than a C.” So no matter the efforts put forth, the grade would be a “C”. When you have a 4.0 GPA, his words hit hard.

• Many of us would rather not face this at all. That is the same story for our addiction problem.

• We don’t want to see how our drinking or drug use hurts and upsets other people.

• This is as much a symptom of our illness as liver damage, withdrawal or digestive disorder.


009

Thought Maps

• Thinking is a tool.

• You make a mental map of the outside world.

• What is safe in the outside world?

• What can I get away with in the outside world?

• Where are my boundaries?

• What are the legal boundaries in this situation?

• Where is it safe?

• Where is it dangerous?


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Mental Map Making

• Men are especially visual.

• Mental mapmaking happens unconsciously and goes on constantly.

• You are making mental maps now…..

• Homework: • Describe in 3 paragraphs what you are planning in your head

while you are studying this lesson. Discuss with the counselor

this week.


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WHY DO WE BECOME POWERLESS OVER ALCOHOL OR DRUGS? Experts think this happens because our bodies react to drugs and

alcohol in a unique way.

• Some individuals do not feel any reactions to drugs and alcohol. What causes the difference in how the body responds?

• Science calls it the X-factor because no one knows exactly why this is true. It is part of the DNA make-up. That individual does not have a reoccurring craving for that alcohol or drug.

• Many studies have been made of this problem.

• No one can explain why some people have a chemically dependence problem and others do not.

• However, all individuals have a choice.


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009 19

YOU DO HAVE CHOICES….

• YOU ARE NOT RESPONSIBLE FOR THE X-FACTOR, HOWEVER…..

• YOU DO HAVE CHOICES.

• THE X-FACTOR IS only PHYSICAL POWERLESSNESS after you have chosen to put the substance into your body.


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PSYCHOLOGICAL POWERLESSNESS

• CHEMICALLY DEPENDENT PEOPLE HAVE AN URGE TO USE THEIR CHEMICAL OF CHOICE

• THAT URGE RULES THEIR LIVES • THEY FORSAKE MANY OR EVEN ALL OF THEIR VALUES. • THROWING AWAY • THE FAMILY, • JOB, • PERSONAL WELFARE, • RESPECT, • AND INTEGRITY. • JUST TO SATISFY THE URGE.

• Homework:

• Which one of these symptoms has been going on in your life? Write 3 paragraphs describing what has been happening.


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LOOK AT YOUR OWN POWERLESSNESS…..

• Honestly answer the following questions on a separate sheet.

Discuss with group. Review your answers with your sponsor.

• 1. List 3 things you did when using alcohol or other drugs---things

that you would not do when sober.

• 2. List 2 personality changes that occur when your are drinking or

using drugs.

• 3. How has drinking or using drugs caused physical damage to your

body?

• 4. How has “loss of control” resulted in your life?

• Homework: On line patients have your answers to discuss with the

counselor this week.


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Dealing with alcoholism in the military; binge drinking

• Binge drinking is common among U.S. active-duty military personnel and is associated with a wide range of adverse health and social consequences, a cross-sectional survey showed. Among 16,037 military personnel, 43.2% reported binge drinking at least once in the previous month, which is similar to estimates reported for college students. Mandy Stahre, M.P.H. of the CDC’s National Center for Chronic Disease Prevention and Health Promotion here, and colleagues reported in the March issue of the American Journal of Preventive Medicine. The per-capita rate was 29.7 binge drinking episodes per person per year. Personnel younger than 26—46.7% of the active-duty military accounted for about two-thirds of all episodes.

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BINGE DRINKERS

• Among current drinkers, those who binged were more likely to report problems with job performance, interaction with the criminal justice system and drinking and driving. The study “underscores the importance of implementing effective strategies to prevent underage and binge drinking, such as maintaining and enforcing the age 21 minimum legal drinking age and increasing alcohol excise taxes.” Excessive alcohol consumption was the third leading cause of preventable death from 2001 through 2005, according to data from the CDC. Binge drinking could have even worse consequences in a military population because of the nature of the equipment and machinery used and the dangerous environments encountered.

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Weighing the Evidence……

• 7. What convinces you that you no longer can use alcohol or drugs safely?

• 8. What convinces you that you can continue using alcohol or drugs in a safe way?

• Homework: On line patients have your answers ready to discuss

with the counselor this week.


009


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The

Vicious


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28

Confirm your diagnosis……

• 8. Are you an alcoholic and chemically dependent person?

• Homework:

• Write a one page essay and state your symptoms.

Discuss this essay with the counselor this week.


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All that I need to control a

drinking or drug problem

is willpower.

• You are buying a myth to avoid facing

Or studying your POWERLESSNESS.

• Another Barrier…certain social ideals…..

We try to be a macho man or sophisticated lady.

• We try to avoid the labels “dope fiend” or “drug addict.”

• Many in our society still think of drug addicts as the lowest forms of chemically dependent people.

• We often hear the families of dependent people say:

“Thank God it’s only a drinking problem and not drug addiction.

•


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BIG BOOK…PAGE 60

• Those who do not recover are people who cannot or will not completely give themselves to this simple program, usually men and women who are constitutionally incapable of being honest with themselves.

Go to Half-Price Book store and get a copy of

Alcoholic Anonymous (Blue Book/Big Book). Assigned

passages will be given to you to read.


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CHEMICAL DEPENDENCY IS PROGRESSIVE.

• That means it can get steadily worse over time. And if it is not arrested, it will destroy us totally---not only physically and emotionally, but spiritually as well.

• Even after looking honestly at their own lives, some people have doubts about admitting powerlessness.


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How it all adds up….

• Physical powerlessness means we can not use drugs or alcohol like other people.

• Psychological powerlessness means we cannot quit once we start using.

In short, we cannot use and we cannot quit.

• We are at the end of our rope. If we continue on this path, we will die or be driven insane from our disease.

• THAT ‘S POWERLESSNESS.


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Social unmanageability • Social unmanageability follows directly from taking alcohol or

other mood-altering drugs.

• There is little doubt that an intoxicated person driving an automobile is unmanageable.

• People who are filled with amphetamines and pushing their bodies beyond the point of exhaustion are unmanageable.

• We see social unmanageability in DWIs, arrests for disorderly conduct, family arguments, or fights after intoxication.

• People under the influence of any drug will react in a drug-induced way. Addiction directly affects our emotions and our behavior---in fact, every area of our lives.


009


009 35

PAST…..

• Often we can find unmanageable behavior in our past. Think back to family gatherings or office parties. Some of us had “one too many” and became more boisterous than normal.

• Perhaps we told off –colored stories.

• Perhaps we danced or related to the opposite sex in a way that’s unusual for us.

• At our jobs, chemical use led to lost hours and responsibilities. Now we can see that we were unmanageable.


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Daily Life….

• The stresses and strains of daily life---hangovers, family problems, job hassles, and

many more---are more evidence that we are powerless.

• Homework:

In a one page essay explain how you are powerless. Be

ready to discuss with the counselor this week.


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ALCOHOLICS ANONYMOUS (THE BIG BOOK)

• We know that while the alcoholic keeps away from drink, as he

may do for months or years, he reacts much like you or me.

We are equally positive that once he takes any alcohol

whatever into his system, something happens, both in the

bodily and mental sense, which makes it virtually impossible

for him to stop….


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Cont………

• And the truth, strange to say, is usually that he has no more

idea why he took that first drink than you have. Some drinkers

have excuses with which they are satisfied with part of the

time.

• But in their hearts, they really do not know why they do it.

• Once this malady has a real hold, they are a baffled lot.

• Homework:

Have you ever tried to cut down or stop drinking or using drugs?

Write a one page essay and discuss with counselor. 2/11/2009 39


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ADMITTING POWERLESSNESS IS ABSOLUTELY ESSENTIAL TO BREAKING

THE ADDICTION CYCLE. • What is the process in breaking the addiction cycle?

• 1) Pain ---embrace the pain—give it a name verbally.

• 2) Reaching out to an addictive agent –STOP!

Replace your behavior with a positive action. Reach inside yourself for strength or outside to a non-addictive agent.

• 3) Temporary amnesia - - Acknowledge the event.

• 4) Negative consequences - - Think before you act.

• 5) Shame, Guilt……low self-esteem.--Don’t have a

pity party.

• Homework:

Write 3 paragraphs describing where you are in this cycle.


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Satisfying the URGE

• You recall the good times that you had and want to repeat them no matter the cost.

• Once this urge exists, it takes on a life of its own.

• You may not be thinking of drinking or getting stoned all the time; yet the urge is just below the surface, ready to rise again.

Write 3 paragraphs explaining how you satisfy your urge. Be ready to

discuss with your counselor. You may also draw, use magazines and cut

out pictures to describe the urge.


009

What breaks the cycle?

Stop or Control

Thinking

Aware of

Emotions

Feelings First?

Go Back and

Control Thoughts

EXPRESS

GUILT, FEAR, ANGER

OR CRAVING IN A SAFE WAY!

Breaking the cycle starts with control the

thoughts. Recognize the thought; refuse the

thought and replace the thought with a positive

thought/action.


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STEP METHOD……

• S situation-leading to

guilty feelings.

• T thinking change –

thoughts to ones that

are more appropriate

to the situation.

• E emotion-have thoughts

that lead to positive

feelings.

• P positive action and

outcomes.

This is your 1st Coping Skill. Visualize a Stop

sign and follow the steps.


009


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Which of

these have

happened in

your life?

Write a one

page essay

and discuss

with the

counselor.


009

Homework:

Group Talk….

• 1. How did you use denial in describing how much you drank and used?

• 2. How did you use denial in describing the problems caused by your use of alcohol and other drugs?

• 3. How did you use denial in describing the hurt and harm caused others by your behavior?

• Homework: Write a one page essay answering these questions. Be

ready to discuss with the counselor this week. 2/11/2009 46


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What keeps the cycle going?

• Losing control over your guilt, FEAR, ANGER by USING ALCOHOL AND OTHER DRUGS.

• Denying appropriate guilt, FEAR, ANGER.

• Preventing yourself from seeing right from wrong.


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STRESS & ADDICTION

• Often addicted people began using alcohol and other drugs to relieve their feelings of stress. Drinking, smoking pot or popping pills were a way

to relax. You can put the world on hold. But the buzz goes away and is short-lived.

• By now you probably have realized that alcohol and other drugs were just temporary pacifiers which offered short-term solutions at best. Eventually, the substances added more stress, more anxiety and more fear to your life.


009

Early Recovery….

• If you are in early recovery, you are wondering:

• “How can I get through a day at work without a little substance help?”

• “How can I go to a party or dance without being high?”

• “How can I sit in class all day long without any pot or vodka?”


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Drunk Driving Accident Pictures

• There are about 17,000 alcohol related car accident deaths in the United States each year, this means that there is a drunk driving death every 31 minutes. Alcohol was a factor in 39 percent of all fatal accidents and in 7 percent of all crashes in 2004. Additionally about 248,000 people are injured in accidents where police reported that alcohol was present, thus one person is injured in a drunk driving accident in the US every 2 minutes. These incredible statistics reveal why drunk driving is a major public policy issue. Below are many examples of drunk driving accidents. Too much Beer

•

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http://www.car-accidents.com/car-accident-blog-discussion.html


http://www.car-accidents.com/car-crash-videos.html

http://www.car-accidents.com/pages/accident_story/3-11-04.html

http://www.car-accidents.com/2007-auto-crash-story/7-17-07-uk-crash-1.html

Car-Accidents.com Home Page Main Picture Gallery Car Accident Discussion Car Crash Videos

Toyo

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http://www.car-accidents.com/






http://www.car-accidents.com/pages/car_accident_photo.html





http://www.car-accidents.com/car-crash-videos.html



http://www.car-accidents.com/pages/accident_story/3-11-04-drunk-driving-2.html

http://www.car-accidents.com/pages/accident_story/3-11-04-dui-accident-3.html

http://www.car-accidents.com/pages/accident_story/3-11-04-drunk-driving-2.html








http://www.car-accidents.com/2008-wreck-pages/4-7-08-toyota-rav-4.html




Young Adults’ PrescriPtion drug use is

up ^ and many do not think twice about

“stAcKing” drugs.


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Heath was on top of the world. Had just been nominated for an Oscar for his role in the critically-acclaimed film Bokeback Mountain.

On January 22, 2008, Heath was found dead. Doctors concluded that the 28-year-old had died from a lethal combination of prescription drugs, including oxycodone, hydrocodone and diazepam.

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Benzodiazepine Information

• These drugs have been developed to produce central nervous system (CNS) depression.

• These drugs are referred to as downers, sedatives, hypnotics, minor tranquilizers, anxiolytics, and anti-anxiety medications.

• Of the drugs marketed in the United States that affect CNS function, benzodiazepines are among the most widely prescribed medications.

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Xanax

• Xanax is a group of drugs called benzodiazepines which affect the chemicals in the brain that may become unbalanced and cause anxiety.

• The long-term effects of using Xanax is drowsiness, dizziness, feeling irritable, amnesia or forgetfulness, trouble concentrating, sleep problems (insomnia), muscle weakness, lack of balance or coordination, slurred speech, blurred vision and loss of interest in sex.

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Group Talk…

• Describe three situations in which you used alcohol and drugs to deal with stress.

• 1._________________

• 2.________________

• 3.________________

Write 3 paragraphs detailing a situation. Be

prepared to discuss with the counselor. 2/11/2009 56


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HONESTY reduces stress…

• Reaching an inner peace comes with being honest. People who abuse alcohol and other drugs find it impossible to lead honest lives. They must always be making up stores and excuses, always scrambling to cover up their addictive behavior.

• As you are able, one day at a time, to strive for rigorous honesty, you will find much of your feelings of fear and anxiety will disappear.


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Self-will vs. acceptance

• The first step begins with making an important decision: will you accept the fact that you are unable to control your use of alcohol or other drugs?

Write 3 paragraphs detailing your thoughts on

the above question. Discuss with the

counselor.


009

HOW

• 1. Honesty -- Being honest with yourself and Being honest with the group, being honest with others.

• 2. Open -- Be open about now and the past.

• 3. Willing – Be willing to change to make your life better.


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Being open:

• In your book, write the date of your first crime….note we are not saying your first arrest….

• If you are here for a DWI—your first…we know that it is the first time you were caught by authorities…You have been drinking and driving many times before.

• Now write down all the crimes you have been arrested for and convicted for.

• Discuss with the group. • Homework:

if You’re A PAtient on line, write Your Answer And be

prepared to discuss with the counselor.


009

Details….

• 1. How much time did you spend locked up for these offenses?

• 2. What crimes did you commit while under the influence of alcohol or other drugs?

• 3. What crimes did you commit while trying to get alcohol or other drugs?

• Homework: Write a one page essay detailing this information. Be

prepared to discuss with your counselor.


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Consequences….

• 1. What has been the two worst consequences of your criminal/negative behavior?

• 2. Why is criminal behavior and lifestyle attractive to you?

• Homework: Write a one page essay and discuss with your counselor.


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Drug of Choice….

• What is your drug of choice?

• At what age did you start using your drug of choice?

• How much did you use of your drug of choice in a typical week?

• Homework: Write a one page essay and discuss with your counselor.


009

Daydreaming….

• 1. Have you had trouble concentrating because you daydream about using alcohol or other drugs?

• 2. When you think of going out to dinner, how much time is spent on what am I going to drink vs. what am I going to eat?

• Homework: Write a one page essay and be ready to discuss

with the counselor.


009

Tolerance level….

• Did your use of alcohol or other drugs increase over time?

• Did you not get the effect you wanted, so you changed to another drug in the same family?

• What was happening in your life when your use was the heaviest?


009

Did you ever try to quit?

• Did your use of alcohol or other drugs decrease over time?

• What was happening that you stop using?

• What was happening that you decreased the amount of alcohol or drugs that you were using?

• Homework:

• Name 2 reasons that alcohol or other drugs are attractive to you.


009

Blackout…

• Definition…A blackout is when a person under the influence of alcohol or other drugs continues to function but has no memory of seconds, minutes, hours of a period of time of what happened.

• Did you have a blackout? Tell group about examples.

• Homework:

Write a one page essay about any seconds, minutes after using or

drinking that you could not recall what when on during that time.

Be prepared to discuss with the counselor. 2/11/2009 67


009

Your behavior while drinking or using…

• Have you done things while drinking or using that you feel bad about?

• Please explain to group one occurrence.

• Homework:

Write 3 paragraphs and discuss with your

counselor.


009

Are you out of control?

• Give two reasons while you feel you are not out of control.

• Give two reasons while you feel you are out of control.

• Discuss with the group. Listen to feedback. Remember, when you get feedback, you do not have to respond to the feedback.

Write a one page essay and discuss with the

counselor this week. 2/11/2009 69 cevagregorycounselingonlinec2

009

Negative Consequences…

• Discuss the two worst consequences of your use of alcohol or other drugs.

• Homework: Write 3 paragraphs and discuss with the

counselor.


009

Timeline of Use

• Take a sheet of paper. • Draw a straight line. • Draw a scale on the line showing the age, type of drug and amount you

first used. • Do the same for every drug that you have used only once. • Have you had a sober time or tried to get sober? Show this on the

timeline. • Have you stopped and started using again? Show this on the timeline. • Discuss the timeline with the group.

• __________________________________________________________ • Age Age Age Age Age Now

• Drug Drug Drug Drug Drug

• Amount used

• Frequency

Be prepared to discuss with counselor

this week. 2/11/2009 71 cevagregorycounselingonlinec2

009

Homework:

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