Motivational Enhancement Therapy

Rationale: Preparation for high-risk situations increases likelihood of effective coping.Brainstorm potential high-risk/emergency situationsGive introduction to problem-solving skillsReview that relapse is not uncommon, opportunity for learningDevelop coping with relapse, Emergency PlanCBT Session 5: Planning for Emergencies & Coping with Relapse

1Page 67, page71- Emergency planCoping With High Risk Situations

Talking Points:

Even if someone learns refusal skills & increases support they will still encounter high risk situations must learn to deal with these situationsCBT Sessions 5

2CBT Sessions 5Coping With High Risk Situations

Brainstorming potential slippery situationsType of SituationExample of situationUnanticipated Trigger

Social Separation

School Problem

New situations

New responsibilitiesSubstance use at a drug free activity

Friend moves away, break-up, rejected by friend

Failed test, teacher issues, getting suspended

Parents get divorced, parents move, new school

New job, difficult class, care for sick family

3Coping With High Risk Situations

Problem Solving model:

Is there a problemWhat is the problemWhat will happen ifHow did it workCBT Sessions 5

4Coping with relapse

Relapse is not uncommon Most important is how someone deals with itCan learn from relapse Using relapse to alter prevention planCan rebound from relapse How can some one over come relapse?

CBT Sessions 5

5Review and summarize

Therapist feedback to group members

Feedback among group members

Certificate of completionTermination