Addiction Treatment Homework Planner

JAMES R. FINLEY, MA, is a mental health and addictions therapist who has conducted individual, couples, family, and group therapy with adults, adolescents, and children in outpatient treatment, foster care, residential, and correctional settings. He is the author of Integrating the 12 Steps into Addiction Therapy and coauthor of The Addiction Counselor's Documentation Sourcebook, Second Edition, and the Veterans and Active Duty Military Psychotherapy Homework Planner. BRENDA S. LENZ, MS, is a licensed professional counselor and certified substance abuse counselor with extensive experience treating clients with co-occurring issues. She specializes in treating substance use disorders in college-aged students. She is coauthor of The Addiction Counselor's Documentation Sourcebook, Second Edition, published by Wiley. She currently works in a university counseling center and in private practice.

Wiley PracticePlanners® Series Preface xv

Preface xvii

Section 1: Adult-Child-of-an-Alcoholic (ACA) Traits 1

Exercise 1.A Addressing ACA Traits in Recovery 2

Exercise 1.B Understanding Family History 6

Section 2: Anger 8

Exercise 2.A Is My Anger Due to Feeling Threatened? 9

Exercise 2.B Is My Anger Due to Unmet Expectations? 14

Section 3: Antisocial Behavior 17

Exercise 3.A Benefits of Helping Others 18

Exercise 3.B Taking Inventory of Destructive Behaviors 22

Section 4: Anxiety 24

Exercise 4.A Anxiety Triggers and Warning Signs 25

Exercise 4.B Coping With Stress 29

Section 5: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adolescent 32

Exercise 5.A Developing a Recovery Program 33

Exercise 5.B Staying Attentive and Other Negotiating Skills 37

Section 6: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adult 40

Exercise 6.A From Recklessness to Calculated Risks 41

Exercise 6.B Getting Organized 44

Exercise 6.C Self-Soothing: Calm Down, Slow Down 47

Section 7: Bipolar Disorder 49

Exercise 7.A Early Warning Signs of Mania/Hypomania 50

Exercise 7.B Mania, Addiction, and Recovery 53

Section 8: Borderline Traits 55

Exercise 8.A Forming Stable Relationships 56

Exercise 8.B Seeing That We’re All Just Human 60

Section 9: Childhood Trauma 62

Exercise 9.A Corresponding With My Childhood Self 63

Exercise 9.B Setting and Maintaining Boundaries 66

Section 10: Chronic Pain 68

Exercise 10.A Coping With Addiction and Chronic Pain 69

Exercise 10.B Managing Pain Without Addictive Drugs 72

Section 11: Conduct Disorder/Delinquency 75

Exercise 11.A How Do You Do That? 76

Exercise 11.B Trading Places 80

Section 12: Dangerousness/Lethality 83

Exercise 12.A Anger as a Drug 84

Exercise 12.B Managing Risk 87

Section 13: Dependent Traits 89

Exercise 13.A Building My Support Network 90

Exercise 13.B How Interdependent Am I? 94

Section 14: Eating Disorders and Obesity 97

Exercise 14.A Creating a Preliminary Eating and Health Plan 98

Exercise 14.B Eating Patterns Self-Assessment 102

Section 15: Family Conflicts 104

Exercise 15.A Creating Positive Family Rituals 105

Exercise 15.B Identifying Conflict Themes 108

Section 16: Gambling 110

Exercise 16.A Consequences and Benefits 111

Exercise 16.B Understanding Nonchemical Addictions 114

Section 17: Grief/Loss Unresolved 116

Exercise 17.A Am I Having Difficulty Letting Go? 117

Exercise 17.B Moving on After Loss 120

Exercise 17.C What Would They Want for Me? 124

Section 18: Impulsivity 126

Exercise 18.A Handling Crisis Without Impulsivity 127

Exercise 18.B Learning to Think Things Through 130

Section 19: Legal Problems 132

Exercise 19.A Handling Tough Situations in a Healthy Way 133

Exercise 19.B What’s Addiction Got to Do With My Problems? 137

Section 20: Living Environment Deficiency 140

Exercise 20.A Assessing My Environment 141

Exercise 20.B What Would My Ideal Life Look Like? 144

Section 21: Medical Issues 147

Exercise 21.A Coping With Addiction and Other Medical Problems 148

Exercise 21.B Physical and Emotional Self-Care 152

Section 22: Narcissistic Traits 154

Exercise 22.A Being Genuinely Unselfish 155

Exercise 22.B Getting Out of Myself 158

Section 23: Nicotine Use/Dependence 160

Exercise 23.A Assessing Readiness and Preparing to Quit 161

Exercise 23.B Addressing Relapse Triggers 164

Exercise 23.C Use of Affirmations for Change 167

Section 24: Obsessive-Compulsive Disorder (OCD) 170

Exercise 24.A Interrupting Compulsive Thoughts and Urges 172

Exercise 24.B Reducing Compulsive Behaviors 177

Section 25: Occupational Problems 180

Exercise 25.A Interest and Skill Self-Assessment 181

Exercise 25.B Workplace Problems and Solutions 185

Section 26: Oppositional Defiant Behavior 187

Exercise 26.A Analyzing Acting-Out Behavior 188

Exercise 26.B Learning to Ask Instead of Demand 191

Section 27: Parent–Child Relational Problem 194

Exercise 27.A Am I Teaching My Child Addictive Patterns? 195

Exercise 27.B What Do I Want for My Children? 198

Section 28: Partner Relational Conflicts 201

Exercise 28.A Communication Skills 202

Exercise 28.B Relationship Assessment 207

Section 29: Peer Group Negativity 209

Exercise 29.A Creating Recovery Peer Support 210

Exercise 29.B What Do I Need and How Do I Get It? 213

Section 30: Posttraumatic Stress Disorder (PTSD) 215

Exercise 30.A Coping With Addiction and PTSD or Other Anxiety Disorders 216

Exercise 30.B Safe and Peaceful Place Meditation 220

Section 31: Psychosis 222

Exercise 31.A Coping With Addiction and Schizophrenia Spectrum Disorders 223

Exercise 31.B Planning a Stable Life 227

Section 32: Relapse Proneness 229

Exercise 32.A Early Warning Signs of Relapse 230

Exercise 32.B Identifying Relapse Triggers and Cues 233

Exercise 32.C Relapse Prevention Planning 237

Section 33: Self-Care Deficit as a Primary Problem 240

Exercise 33.A Assessing Self-Care Deficits 241

Exercise 33.B Relating Self-Care Deficits to My Addiction 245

Section 34: Self-Care Deficit as a Secondary Problem 247

Exercise 34.A Filling in Self-Care Gaps 248

Exercise 34.B Working Toward Interdependence 251

Section 35: Self-Harm 253

Exercise 35.A Understanding Self-Harm and Addiction 254

Exercise 35.B Self-Harm Risk Factors, Triggers, and Early Warning Signs 257

Section 36: Sexual Abuse 259

Exercise 36.A It Wasn’t My Fault 261

Exercise 36.B Internal and External Resources for Safety 265

Section 37: Sexual Promiscuity 267

Exercise 37.A Is It Romance or Is It Fear? 268

Exercise 37.B Working Through Shame 272

Section 38: Sleep Disturbance 274

Exercise 38.A Assessing Sleep Problems 275

Exercise 38.B Improving Sleep Hygiene 278

Section 39: Social Anxiety 279

Exercise 39.A Understanding Thoughts, Worries, and Fears 281

Exercise 39.B Action Plan to Address Social Anxiety 285

Section 40: Spiritual Confusion 288

Exercise 40.A Understanding Spirituality 289

Exercise 40.B Finding a Higher Power That Makes Sense 292

Section 41: Substance-Induced Disorders 294

Exercise 41.A Using My Support Network 296

Exercise 41.B Exploring Treatment and Recovery Options 299

Section 42: Substance Intoxication/Withdrawal 301

Exercise 42.A Coping With Post-Acute Withdrawal (PAW) 302

Exercise 42.B Using Books and Other Media Resources 305

Section 43: Substance Use Disorders 307

Exercise 43.A Consequences of Continuing Addictive Lifestyles 308

Exercise 43.B Alternatives to Addictive Behavior 311

Exercise 43.C Personal Recovery Planning 314

Exercise 43.D Taking Daily Inventory 319

Exercise 43.E Making Change Happen 322

Exercise 43.F Balancing Recovery, Family, and Work 326

Section 44: Suicidal Ideation 329

Exercise 44.A Problem Solving and Safety Planning 330

Exercise 44.B Why Do I Matter and Who Cares? 334

Section 45: Treatment Resistance 336

Exercise 45.A Addressing Readiness and Motivation 337

Exercise 45.B Problem Identification: Is It Addiction? 340

Section 46: Unipolar Depression 343

Exercise 46.A Correcting Distorted Thinking 344

Exercise 46.B Gratitude 348

Appendix A: Alternate Assignments for Presenting Problems 350

Appendix B: Suggested Bibliotherapy 371

Appendix C: Alphabetical Index of Exercises 384

About the Authors 387

About the Downloadable Assignments 388