RELAPSE PREVENTION WORKBOOK

Bradley A. Hedges, Ph.D., LPCC Psychologist

Mid-Ohio Psychological Services, Inc.
624 East Main Street Lancaster, Ohio 43130 (740) 687-0042 bradhedges@mopsohio.com 12/01/2012

Copyright 1999 Limited permission is granted for the free distribution of this workbook to treatment programs operating in institutions of the Ohio Department of Rehabilitation and Correction. Other distribution of this workbook without the author’s written permission is strictly prohibited.

INDEX

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 The Relapse Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Workbook Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Section A--Identification of Deviancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Section A Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Section A (Addictive Behavior) Worksheet . . . . . . . . . . . . . . . . . . . . . . . . 60 Section B--Modifying Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Theme Feelings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Theme Thoughts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 Rituals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 High Risk Situations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Cost/Benefit Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Section C--Maintaining Adaptive Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Developing A Support Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Ongoing Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116

Appendix A--The Relapse Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Appendix B--The Addictive System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126

Ordering Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

RELAPSE PREVENTION WORKBOOK
Revised 12/01/2011

Introduction Relapse prevention is both the goal of all treatment as well as a specific intervention modality. This workbook is designed to help you in your program of recovery by guiding you through the development of a first draft of a relapse prevention plan. Relapse prevention was originally developed as a method of enhancing maintenance of change by clients who have been in treatment for compulsive behavioral disorders. Relapse prevention was designed to strengthen self management by providing clients with methods for identifying problematic situations, analyzing those situations, and developing strategies to avoid, or cope more effectively with these dangerous circumstances. Relapse prevention can theoretically be understood from two perspectives, The Relapse Syndrome, and The Relapse Process. The Relapse Syndrome presents a cluster of predictable and clinically significant behaviors that predictably lead to relapse. Appendix A of this workbook provides a brief overview of the Relapse Syndrome and provides likely solutions to the targeted behaviors. Although this syndrome is well researched and well known, it is difficult to implement a specific plan of recovery which addresses an individual=s needs. This workbook will focus on the Relapse Process which will be explained below. The overall goal of relapse prevention is to increase your awareness and range of choices concerning your behavior, to develop specific coping skills and self-management abilities, and to create a general sense of manageability to your life. To achieve these goals, you will be asked to take a thorough look at your offense and other problematic behavior, explore further your personal characteristics, and develop specific plans for alternative behavior. Your relapse prevention plan should become an evolving recovery maintenance plan that you update on a continual basis. It is not a document that you complete once and file away. In fact, the final written document is not nearly as important as the process you experience in completing the plan. This is a process that you will need to continue to practice throughout your lifetime if you are to maintain abstinence from your abusive behavior. Definitions: Relapse--A relapse can be defined as a return to behavior which has been previously stopped. For the alcoholic, a relapse means drinking alcohol again. For the cocaine addict, a relapse is the use of cocaine again. For the sexual offender, a relapse is a return to the abusive sexual behavior. Relapse prevention helps you identify the process of relapse and helps you to develop coping skills to implement before your relapse process progresses to the point of a full relapse.

you probably associated your abusive behavior with a set of life experiences including people. dry places. Unfortunately. Remote linkages are best understood as a combination of feelings. For example. These experiences are referred to as remote linkages. taking a break with your friends at work.” Although it is important to avoid contact with high risk situations throughout your recovery. in the case of people who are addicted to cigarettes. many other experiences are less easily identified as being connected to your addiction but result in just as powerful of a craving/desire to return to your addiction. The Relapse Process Although avoiding high risk situations is an important part of recovery. If you do not utilize healthy coping skills when faced with a lapse. you can probably identify several experiences such as finishing dinner. We can then either avoid the linkage event or substitute a healthier behavior for the addictive behavior. You must be willing to look at the experience that you were trying to avoid when . feelings. These experiences which are closely connected to your addiction are called direct linkages. you are much more likely to relapse. But as most recovering addicts can attest. This is often a painful process which leaves us feeling alienated from our friends and families. “Dry faces.Relapse Prevention Workbook Bradley Hedges Page 2 Lapse--A lapse can be thought of as a failure to implement an appropriate coping skill when you have experienced a feeling. or talking on the phone as directly related to increased cravings for cigarettes. For example. When we put ourselves in contact with a direct linkage we are in what is generally referred to as a high risk situation. you must look carefully at your pattern of abusive behavior and you must be very honest with yourself about what you were experiencing when you were participating in your addiction. Avoiding high risk situations is the basis for the old AA saying. The further along in the relapse process you go. and rituals. if you smoke cigarettes. Linkages--In the past. this is an essential part of recovery. Some of these experiences were directly connected to your addiction. Unfortunately. thought. and ritualized behaviors that are subtly connected to your addiction. few addicts return to their addiction purely due to being in a high risk situation. we can suck on a sucker after dinner or we can take our work breaks in another location rather than going outside with our friends who are smoking. getting up in the morning. the more difficult it is to implement coping skills and thus avoid a full relapse. remote linkages are much more difficult to identify than direct linkages. or ritual associated with your addiction. places. High Risk Situations--We can plan for direct linkages by identifying the connection between the linkage event and the addiction. it is absolutely essential to avoid high risk situations early in your recovery. thoughts. most addicts return to their addiction due to remote linkages. And as you might guess. A lapse is very different from a relapse in that you have not returned to the abusive use of the substance/behavior--you have just gotten closer to abusing. Avoiding high risk situations generally requires a change in lifestyle which takes you away from the environment where you use to carry out your addiction. In order to identify your remote linkages. thoughts.

. we are generally able to return to safety. When we lapse.Relapse Prevention Workbook Bradley Hedges Page 3 you were active in your addiction. To develop appropriate coping skills means to learn to deal with these experiences without the use of your addictive behavior. our thought process is effected. If we do not cope with the feeling appropriately. We then encounter some change in our personal reality. If we cope with this feeling well. we relapse and return to our abusive behavior--experiencing an acute relapse. we return to safety. If we do not cope well. we return to safety. We begin by being safe in our environment. The following flowchart describes the Relapse Process. If we do not deal well with these thoughts we lapse and end up in a high risk situation or enter into a pattern of ritualized behavior associated with our addiction. If we cope well with these thoughts. If we cope well with the high risk situation/ritual. we lapse. Some linking event occurs and we respond by experiencing a feeling.

Relapse Prevention Workbook Bradley Hedges Page 4 THE RELAPSE PROCESS S a fe ty L in k a g e (d ir e c t/r e m o te ) F e e lin g s Cope No Yes T h o u g h ts Cope No Yes R it u a l/ H ig h R is k S it u a t io n Cope Yes No A c u te R e la p s e .

you will be asked to begin implementing these coping skills in your day to day life. Much of the material that you will be asked to write about in Section A will not be easy to remember. Finally. If. Ensuring the implementation of the plan is the goal of Section C. As with all components of recovery. All the planning in the world does not make any difference if you do not implement the plan. relapse prevention only works as much are you are willing to work with it. Throughout the development of this relapse prevention plan. By identifying your feelings. and high risk situations you will be able to identify many of your remote linkages relating to your abusive behavior. you will need to become willing to make the changes that you identify in your plan. You will also need to seek the assistance of the people who are closest to you in order to provide you feedback concerning your behavior. after sincerely trying to remember. In Section B. Although it may seem that you are repeating yourself often in completing several of the worksheets (especially in Section A). Finally. this will be the most difficult part of completing this workbook because of the level of honesty that is required to do it completely. you will need to be painfully honest with yourself if the plan is to be effective. attempt to identify what would logically have happened. you will identify “Theme Feelings” and “Theme Thoughts” that have historically gotten you into trouble. you will be asked to develop coping skills for each of these potentially problematic situations. In the third and final section of this workbook (Section C) you will be asked to develop some specific strategies and monitoring techniques to ensure the application of the skills you identified in Section B. It is important for you to respond to every item thoroughly and honestly in order to gain insight into your history of abusive behavior. .the development of a new way of thinking. you cannot remember feelings or events. and after asking the people who you were around at the time of the deviant behavior for information. it is the very nature of repetition which allows/facilitates the habituation of a new way of thinking about our lives.Relapse Prevention Workbook Bradley Hedges Page 5 Workbook Overview The following workbook is designed to help you establish a plan for relapse prevention. For many. In the first section (Section A) you will be asked to look very closely at your history of abusive behavior. thoughts. You will need to be honest with yourself about what you were experiencing when you were actively participating in your addiction and you will need to be honest with yourself about the changes you are willing to make as part of your recovery program. You will then be asked to develop several coping skills for each of these linking conditions. You will also identify high risk situations and ritualized behaviors that have gotten you into trouble. Relapse prevention attempts to help you develop the cognitive skills necessary for internal monitoring of your behavior and developing independently new behavior. ritualized behavior. This workbook is broken down into three sections. In the second section of this workbook (Section B) you will be asked to develop specific coping skills to utilize for maintaining freedom from your abusive behavior. Finally. This is the ultimate goal of relapse prevention-. This will require you to utilize the information that you wrote about in Section A.

a brief description of the event. . You will now be asked to look at behavior that has historically led to unmanageability in your life. relational. financial. and how the behavior led to unmanageability in your life. You will now be asked to identify events that represent unmanageability in your life. Unmanageability results from your behavior when you experience negative consequences: when your social. 1) List everything that you have ever gotten into trouble with the law for. As you do so. Give dates. work. please be aware of the limits of confidentiality as they relate to the program that you are participating in.Relapse Prevention Workbook Bradley Hedges Page 6 SECTION A Identification of Deviancy Relapse prevention requires you to look at the pattern of behavior that has historically led to your abusive behavior. or home life is negatively affected by your behavior.

Relapse Prevention Workbook Bradley Hedges Page 7 2) List everything that you should have gotten into trouble with the law for. Be specific as to how the behavior hurt you physically. and how the behavior led to unmanageability in your life. Please be aware of the potential ramifications of writing down this material. Give dates. . 3) List all of your behaviors that have hurt you physically. a brief description of the event.

Relapse Prevention Workbook Bradley Hedges Page 8 4) List all of your behaviors that have hurt your relationships. Identify specific dates and times that you participated in this behavior. . Identify which relationships were hurt and how this behavior hurt the relationship. Identify specific dates and times that you participated in this behavior. 5) List all of your behaviors that have interfered with your work/financially. Identify how much the behavior cost you. Identify how the behavior affected your work and what the consequence of the behavior was on your work.

Please note that you will be asked to complete a specialized worksheet for the items listed on question 7--addictive behavior. You should have identified at least ten behaviors in questions 1-7 above that have led to your unmanageability. There were things that happened before and after you carried out these behaviors. . but that I have not identified as problematic. 7) List the specific behaviors that you feel you are addicted to. These behaviors did not just occur in a vacuum--devoid of outside influence or internalized response. You are now asked to complete at least ten “Section A Worksheets” which will help you to identify more clearly the thoughts and feelings associated with the disruptive behavior identified above.Relapse Prevention Workbook Bradley Hedges Page 9 6) List all of the behaviors that I have engaged in that other people have identified as a problem.

In all you will probably need to fill out at least ten of these forms (minimum). that has caused problems with relationships. Something that I should have gotten into trouble for. etc. Something that messed up my financial situation.). . You will use a different form for your addictive behaviors. write what the behavior is that you will be talking about on this worksheet. that you should have been in trouble for. You should fill out one of these sheets for each behavior that you have been in trouble for. In at least one more sentence. GSI. Something that messed up my work 1) In one sentence. stealing.Relapse Prevention Workbook Bradley Hedges Page 10 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. Something that messed up my relationships. Now. give the date and situation involved in the behavior. fill in the space (____________) in each of the following questions with this word. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. or that has caused problems financially. Name this behavior in one or two words (for example--fighting. that has caused problems with your work. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for.

. where were you working. For each feeling. describe any major changes that were occurring in your life at the time. Also describe anything about your living arrangements that might be considered out of the ordinary. In particular. 3) List five feelings that you had just before you did this (____________).Relapse Prevention Workbook Bradley Hedges Page 11 2) Describe in one paragraph what was going on in your life when this (____________) took place. 4. who were you involved with. 2. How did this feeling relate to the behavior? Why were you feeling this way? 1. define in one sentence what this feeling means to you. etc. 5. 3. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with.

List five steps/activities that you did that led up to the (____________). How did this feeling relate to the behavior? Why were you feeling this way? 1. 5. You must be specific and describe what you mean by each activity using one sentence. 4. 2. 3. We must generally participate in a series of actions before something happens. 5. 1. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 3.Relapse Prevention Workbook Bradley Hedges Page 12 4) Things don’t simply happen. define in one sentence what this feeling means to you. . 5) List five feelings that you had just after you did this (____________). 2. 4. For each feeling.

I decided to 9. . decide to get what we want to eat. identify 10 specific decisions that you had to make before you could participate in the (____________). “I decided to .” 1. I decided to 7. . we do not just eat. decide what we want to eat. and finally decide to eat it. For example. I decided to 8. I decided to 6. decide how to get what we want to eat. Below.Relapse Prevention Workbook Bradley Hedges Page 13 6) Typically. A decision is defined as a cognitive process that results in action. I decided to 10. You may find it helpful to start the statement with the phrase. Abusive behavior works the same way. I decided to 5. I decided to . I decided to 2. I decided to 3. we do not just act. We must first recognize that we are hungry. We usually make a series of decisions that enable us to participate in a behavior. I decided to 4.

I told myself that 9. . I told myself that 6. I told myself that 3. I told myself that 8. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 4. I told myself that 2.” 1. .Relapse Prevention Workbook Bradley Hedges Page 14 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 7. I told myself that 10. I told myself that . Identify what you told yourself about your decisions that allowed you to make them. They just explain away our actions. Rationalizations do not involve action. I told myself that 5.

). You will use a different form for your addictive behaviors. or that has caused problems financially. You should fill out one of these sheets for each behavior that you have been in trouble for. Something that messed up my financial situation. fill in the space (____________) in each of the following questions with this word. Something that I should have gotten into trouble for. In at least one more sentence. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. stealing. Now. etc. Something that messed up my relationships. that has caused problems with your work. In all you will probably need to fill out at least ten of these forms (minimum). Something that messed up my work 1) In one sentence. give the date and situation involved in the behavior. . write what the behavior is that you will be talking about on this worksheet. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. that has caused problems with relationships. GSI.Relapse Prevention Workbook Bradley Hedges Page 15 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. Name this behavior in one or two words (for example--fighting. that you should have been in trouble for.

where were you working. 3) List five feelings that you had just before you did this (____________). 5. define in one sentence what this feeling means to you. 2. . describe any major changes that were occurring in your life at the time. who were you involved with. How did this feeling relate to the behavior? Why were you feeling this way? 1.Relapse Prevention Workbook Bradley Hedges Page 16 2) Describe in one paragraph what was going on in your life when this (____________) took place. Also describe anything about your living arrangements that might be considered out of the ordinary. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. etc. 3. For each feeling. 4. In particular.

We must generally participate in a series of actions before something happens. You must be specific and describe what you mean by each activity using one sentence. 3. For each feeling. 5. 2.Relapse Prevention Workbook Bradley Hedges Page 17 4) Things don’t simply happen. 5) List five feelings that you had just after you did this (____________). 4. List five steps/activities that you did that led up to the (____________). 2. 4. 5. How did this feeling relate to the behavior? Why were you feeling this way? 1. . define in one sentence what this feeling means to you. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 3. 1.

and finally decide to eat it. I decided to 6. I decided to 8. I decided to . I decided to 9. A decision is defined as a cognitive process that results in action. I decided to 4.Relapse Prevention Workbook Bradley Hedges Page 18 6) Typically. “ 1. We usually make a series of decisions that enable us to participate in a behavior. . decide what we want to eat. We must first recognize that we are hungry. I decided to 2. You may find it helpful to start the statement with the phrase. I decided to 7. decide how to get what we want to eat. . I decided to 10. For example. I decided to 3. “I decided to . identify 10 specific decisions that you had to make before you could participate in the (____________). Abusive behavior works the same way. decide to get what we want to eat. I decided to 5. we do not just eat. we do not just act. Below.

Identify what you told yourself about your decisions that allowed you to make them. I told myself that 4. I told myself that 5. I told myself that 6. Rationalizations do not involve action.Relapse Prevention Workbook Bradley Hedges Page 19 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 3. I told myself that 10. I told myself that 7. “ 1. I told myself that 9. . I told myself that 2. . They just explain away our actions. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that . I told myself that 8.

that has caused problems with relationships. that you should have been in trouble for. etc. GSI. In at least one more sentence. Something that I should have gotten into trouble for. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. write what the behavior is that you will be talking about on this worksheet. In all you will probably need to fill out at least ten of these forms (minimum). The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. that has caused problems with your work. Something that messed up my financial situation. Something that messed up my relationships. give the date and situation involved in the behavior. You will use a different form for your addictive behaviors. stealing. Now. fill in the space (____________) in each of the following questions with this word. Name this behavior in one or two words (for example--fighting.). You should fill out one of these sheets for each behavior that you have been in trouble for. .Relapse Prevention Workbook Bradley Hedges Page 20 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. or that has caused problems financially. Something that messed up my work 1) In one sentence.

For each feeling. How did this feeling relate to the behavior? Why were you feeling this way? 1. In particular. etc. 2. 4. where were you working. Also describe anything about your living arrangements that might be considered out of the ordinary.Relapse Prevention Workbook Bradley Hedges Page 21 2) Describe in one paragraph what was going on in your life when this (____________) took place. . 3. 3) List five feelings that you had just before you did this (____________). describe any major changes that were occurring in your life at the time. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. define in one sentence what this feeling means to you. 5. who were you involved with.

You must be specific and describe what you mean by each activity using one sentence. 2. . 5. How did this feeling relate to the behavior? Why were you feeling this way? 1.Relapse Prevention Workbook Bradley Hedges Page 22 4) Things don’t simply happen. 5. 1. List five steps/activities that you did that led up to the (____________). For each feeling. 5) List five feelings that you had just after you did this (____________). 4. 2. We must generally participate in a series of actions before something happens. 4. 3. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. define in one sentence what this feeling means to you. 3.

We usually make a series of decisions that enable us to participate in a behavior. Abusive behavior works the same way. “I decided to . . . I decided to 5. “ 1. I decided to 8. we do not just act. I decided to 4. I decided to 2. I decided to .Relapse Prevention Workbook Bradley Hedges Page 23 6) Typically. I decided to 10. For example. decide to get what we want to eat. We must first recognize that we are hungry. and finally decide to eat it. I decided to 6. Below. we do not just eat. identify 10 specific decisions that you had to make before you could participate in the (____________). You may find it helpful to start the statement with the phrase. decide what we want to eat. A decision is defined as a cognitive process that results in action. I decided to 7. I decided to 9. I decided to 3. decide how to get what we want to eat.

“ 1. I told myself that 8. . I told myself that 7. I told myself that . What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 4. Identify what you told yourself about your decisions that allowed you to make them. . Rationalizations do not involve action. I told myself that 10.Relapse Prevention Workbook Bradley Hedges Page 24 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 2. I told myself that 9. I told myself that 6. They just explain away our actions. I told myself that 3. I told myself that 5.

fill in the space (____________) in each of the following questions with this word. Something that messed up my work 1) In one sentence.). stealing. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. or that has caused problems financially. You will use a different form for your addictive behaviors. that you should have been in trouble for. In at least one more sentence. write what the behavior is that you will be talking about on this worksheet. You should fill out one of these sheets for each behavior that you have been in trouble for.Relapse Prevention Workbook Bradley Hedges Page 25 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. . Name this behavior in one or two words (for example--fighting. In all you will probably need to fill out at least ten of these forms (minimum). You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. Something that messed up my relationships. GSI. that has caused problems with relationships. that has caused problems with your work. Something that I should have gotten into trouble for. Something that messed up my financial situation. etc. give the date and situation involved in the behavior. Now.

where were you working. How did this feeling relate to the behavior? Why were you feeling this way? 1.Relapse Prevention Workbook Bradley Hedges Page 26 2) Describe in one paragraph what was going on in your life when this (____________) took place. Also describe anything about your living arrangements that might be considered out of the ordinary. 5. For each feeling. describe any major changes that were occurring in your life at the time. In particular. define in one sentence what this feeling means to you. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. 3) List five feelings that you had just before you did this (____________). etc. 4. . who were you involved with. 2. 3.

. define in one sentence what this feeling means to you. For each feeling. 1. 4. 3. How did this feeling relate to the behavior? Why were you feeling this way? 1.Relapse Prevention Workbook Bradley Hedges Page 27 4) Things don’t simply happen. 4. 3. You must be specific and describe what you mean by each activity using one sentence. 2. List five steps/activities that you did that led up to the (____________). 5) List five feelings that you had just after you did this (____________). 2. We must generally participate in a series of actions before something happens. 5. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 5.

“ 1. decide how to get what we want to eat. I decided to 2. Below. You may find it helpful to start the statement with the phrase. I decided to 6. we do not just eat. . For example. I decided to 4. identify 10 specific decisions that you had to make before you could participate in the (____________). I decided to 9. We usually make a series of decisions that enable us to participate in a behavior. decide what we want to eat. I decided to 3. I decided to 10.Relapse Prevention Workbook Bradley Hedges Page 28 6) Typically. I decided to . “I decided to . we do not just act. decide to get what we want to eat. Abusive behavior works the same way. We must first recognize that we are hungry. I decided to 7. . A decision is defined as a cognitive process that results in action. and finally decide to eat it. I decided to 5. I decided to 8.

I told myself that 9. I told myself that 2. Rationalizations do not involve action. . I told myself that . I told myself that 3. “ 1. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 4. I told myself that 6. .Relapse Prevention Workbook Bradley Hedges Page 29 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. Identify what you told yourself about your decisions that allowed you to make them. I told myself that 8. I told myself that 7. I told myself that 10. I told myself that 5. They just explain away our actions.

stealing. Something that messed up my financial situation. fill in the space (____________) in each of the following questions with this word. In at least one more sentence. write what the behavior is that you will be talking about on this worksheet. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. Now. that you should have been in trouble for. that has caused problems with your work. Something that messed up my relationships. .Relapse Prevention Workbook Bradley Hedges Page 30 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. give the date and situation involved in the behavior. etc. Something that I should have gotten into trouble for. or that has caused problems financially. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. that has caused problems with relationships. Something that messed up my work 1) In one sentence. In all you will probably need to fill out at least ten of these forms (minimum).). GSI. You should fill out one of these sheets for each behavior that you have been in trouble for. You will use a different form for your addictive behaviors. Name this behavior in one or two words (for example--fighting.

Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. etc. where were you working. 5. 3) List five feelings that you had just before you did this (____________). define in one sentence what this feeling means to you. . How did this feeling relate to the behavior? Why were you feeling this way? 1. 3. 4. For each feeling. In particular. Also describe anything about your living arrangements that might be considered out of the ordinary.Relapse Prevention Workbook Bradley Hedges Page 31 2) Describe in one paragraph what was going on in your life when this (____________) took place. 2. describe any major changes that were occurring in your life at the time. who were you involved with.

2. How did this feeling relate to the behavior? Why were you feeling this way? 1. 5) List five feelings that you had just after you did this (____________). 5. For each feeling. 3. 1. 4. 4. 3. We must generally participate in a series of actions before something happens. You must be specific and describe what you mean by each activity using one sentence. define in one sentence what this feeling means to you. .Relapse Prevention Workbook Bradley Hedges Page 32 4) Things don’t simply happen. List five steps/activities that you did that led up to the (____________). 5. 2. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior.

. I decided to 2. Below. and finally decide to eat it. For example. I decided to 4. “ 1. we do not just act. I decided to 3. . identify 10 specific decisions that you had to make before you could participate in the (____________). decide to get what we want to eat. decide how to get what we want to eat. I decided to 10. I decided to 6. We usually make a series of decisions that enable us to participate in a behavior. A decision is defined as a cognitive process that results in action. I decided to . We must first recognize that we are hungry.Relapse Prevention Workbook Bradley Hedges Page 33 6) Typically. we do not just eat. I decided to 5. “I decided to . You may find it helpful to start the statement with the phrase. I decided to 9. I decided to 7. decide what we want to eat. Abusive behavior works the same way. I decided to 8.

I told myself that .Relapse Prevention Workbook Bradley Hedges Page 34 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. . I told myself that 4.” 1. I told myself that 5. I told myself that 8. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . Rationalizations do not involve action. I told myself that 10. I told myself that 9. . I told myself that 6. I told myself that 3. I told myself that 7. I told myself that 2. They just explain away our actions. Identify what you told yourself about your decisions that allowed you to make them.

Something that messed up my work 1) In one sentence. stealing. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. that has caused problems with relationships. fill in the space (____________) in each of the following questions with this word. Something that I should have gotten into trouble for. Now. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. etc. give the date and situation involved in the behavior. Something that messed up my relationships.Relapse Prevention Workbook Bradley Hedges Page 35 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. write what the behavior is that you will be talking about on this worksheet. that has caused problems with your work. In all you will probably need to fill out at least ten of these forms (minimum). that you should have been in trouble for. or that has caused problems financially. GSI. In at least one more sentence. You will use a different form for your addictive behaviors. You should fill out one of these sheets for each behavior that you have been in trouble for. Name this behavior in one or two words (for example--fighting. . Something that messed up my financial situation.).

Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. For each feeling. define in one sentence what this feeling means to you. .Relapse Prevention Workbook Bradley Hedges Page 36 2) Describe in one paragraph what was going on in your life when this (____________) took place. Also describe anything about your living arrangements that might be considered out of the ordinary. 3) List five feelings that you had just before you did this (____________). where were you working. 3. How did this feeling relate to the behavior? Why were you feeling this way? 1. 5. 4. 2. In particular. who were you involved with. describe any major changes that were occurring in your life at the time. etc.

5. 1. define in one sentence what this feeling means to you.Relapse Prevention Workbook Bradley Hedges Page 37 4) Things don’t simply happen. 4. 2. For each feeling. List five steps/activities that you did that led up to the (____________). We must generally participate in a series of actions before something happens. 3. You must be specific and describe what you mean by each activity using one sentence. 2. How did this feeling relate to the behavior? Why were you feeling this way? 1. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 3. 4. 5) List five feelings that you had just after you did this (____________). . 5.

decide how to get what we want to eat. . We usually make a series of decisions that enable us to participate in a behavior. I decided to 2. I decided to 5. I decided to 8. I decided to 3.Relapse Prevention Workbook Bradley Hedges Page 38 6) Typically. and finally decide to eat it. Below. decide to get what we want to eat. For example. I decided to 4. decide what we want to eat. I decided to 6. Abusive behavior works the same way. we do not just eat. You may find it helpful to start the statement with the phrase. “I decided to . . “ 1. I decided to 10. we do not just act. I decided to 9. A decision is defined as a cognitive process that results in action. identify 10 specific decisions that you had to make before you could participate in the (____________). We must first recognize that we are hungry. I decided to . I decided to 7.

. I told myself that 10. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 3. I told myself that 4.Relapse Prevention Workbook Bradley Hedges Page 39 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 6. I told myself that . I told myself that 5. They just explain away our actions. I told myself that 8. I told myself that 2. Identify what you told yourself about your decisions that allowed you to make them. I told myself that 7. Rationalizations do not involve action.” 1. I told myself that 9. .

Now. You should fill out one of these sheets for each behavior that you have been in trouble for. fill in the space (____________) in each of the following questions with this word. . Something that I should have gotten into trouble for. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. or that has caused problems financially. write what the behavior is that you will be talking about on this worksheet. Something that messed up my work 1) In one sentence. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. that you should have been in trouble for. stealing. Name this behavior in one or two words (for example--fighting. You will use a different form for your addictive behaviors. that has caused problems with your work. give the date and situation involved in the behavior.). In all you will probably need to fill out at least ten of these forms (minimum). etc. Something that messed up my relationships. GSI. that has caused problems with relationships. In at least one more sentence. Something that messed up my financial situation.Relapse Prevention Workbook Bradley Hedges Page 40 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group.

etc. In particular. 5. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with.Relapse Prevention Workbook Bradley Hedges Page 41 2) Describe in one paragraph what was going on in your life when this (____________) took place. define in one sentence what this feeling means to you. 2. Also describe anything about your living arrangements that might be considered out of the ordinary. How did this feeling relate to the behavior? Why were you feeling this way? 1. . where were you working. describe any major changes that were occurring in your life at the time. For each feeling. 4. who were you involved with. 3. 3) List five feelings that you had just before you did this (____________).

Relapse Prevention Workbook Bradley Hedges Page 42

4)

Things don’t simply happen. We must generally participate in a series of actions before something happens. List five steps/activities that you did that led up to the (____________). You must be specific and describe what you mean by each activity using one sentence. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 1.

2.

3.

4.

5.

5)

List five feelings that you had just after you did this (____________). For each feeling, define in one sentence what this feeling means to you. How did this feeling relate to the behavior? Why were you feeling this way? 1.

2.

3.

4.

5.

Relapse Prevention Workbook Bradley Hedges Page 43

6)

Typically, we do not just act. We usually make a series of decisions that enable us to participate in a behavior. For example, we do not just eat. We must first recognize that we are hungry, decide what we want to eat, decide how to get what we want to eat, decide to get what we want to eat, and finally decide to eat it. Abusive behavior works the same way. Below, identify 10 specific decisions that you had to make before you could participate in the (____________). A decision is defined as a cognitive process that results in action. You may find it helpful to start the statement with the phrase, “I decided to . . .” 1. I decided to

2. I decided to

3. I decided to

4. I decided to

5. I decided to

6. I decided to

7. I decided to

8. I decided to

9. I decided to

10. I decided to

Relapse Prevention Workbook Bradley Hedges Page 44

4)

A rationalization is something that you tell yourself to justify or somehow make OK your decision. Rationalizations do not involve action. They just explain away our actions. Identify what you told yourself about your decisions that allowed you to make them. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . . .“ 1. I told myself that

2. I told myself that

3. I told myself that

4. I told myself that

5. I told myself that

6. I told myself that

7. I told myself that

8. I told myself that

9. I told myself that

10. I told myself that

Something that I should have gotten into trouble for. fill in the space (____________) in each of the following questions with this word.). or that has caused problems financially. write what the behavior is that you will be talking about on this worksheet. that you should have been in trouble for. that has caused problems with your work. You will use a different form for your addictive behaviors.Relapse Prevention Workbook Bradley Hedges Page 45 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. You should fill out one of these sheets for each behavior that you have been in trouble for. Something that messed up my financial situation. In all you will probably need to fill out at least ten of these forms (minimum). give the date and situation involved in the behavior. etc. Now. . You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. stealing. In at least one more sentence. Something that messed up my relationships. Name this behavior in one or two words (for example--fighting. Something that messed up my work 1) In one sentence. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. GSI. that has caused problems with relationships.

where were you working. 5. In particular. 3) List five feelings that you had just before you did this (____________). For each feeling. How did this feeling relate to the behavior? Why were you feeling this way? 1. who were you involved with. Also describe anything about your living arrangements that might be considered out of the ordinary. 4. 2. 3. .Relapse Prevention Workbook Bradley Hedges Page 46 2) Describe in one paragraph what was going on in your life when this (____________) took place. etc. describe any major changes that were occurring in your life at the time. define in one sentence what this feeling means to you. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with.

define in one sentence what this feeling means to you. 3. We must generally participate in a series of actions before something happens. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. 2. 4. 1. You must be specific and describe what you mean by each activity using one sentence. How did this feeling relate to the behavior? Why were you feeling this way? 1. 3. 5) List five feelings that you had just after you did this (____________). . List five steps/activities that you did that led up to the (____________). 4.Relapse Prevention Workbook Bradley Hedges Page 47 4) Things don’t simply happen. 5. For each feeling. 5. 2.

I decided to 6. we do not just eat. decide how to get what we want to eat. “I decided to . . A decision is defined as a cognitive process that results in action. We must first recognize that we are hungry. I decided to 5. I decided to 4. You may find it helpful to start the statement with the phrase. I decided to 9. decide to get what we want to eat. Below. For example. .Relapse Prevention Workbook Bradley Hedges Page 48 6) Typically. we do not just act. I decided to 7. I decided to 2. and finally decide to eat it. I decided to 3. identify 10 specific decisions that you had to make before you could participate in the (____________). I decided to 8.” 1. decide what we want to eat. I decided to 10. Abusive behavior works the same way. I decided to . We usually make a series of decisions that enable us to participate in a behavior.

Rationalizations do not involve action. Identify what you told yourself about your decisions that allowed you to make them. I told myself that 5. I told myself that 10. . I told myself that 2. I told myself that 8.” 1. I told myself that 9. I told myself that 7.Relapse Prevention Workbook Bradley Hedges Page 49 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. They just explain away our actions. I told myself that 3. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 4. I told myself that . I told myself that 6. .

fill in the space (____________) in each of the following questions with this word. that has caused problems with relationships. Something that messed up my financial situation. give the date and situation involved in the behavior. that has caused problems with your work. etc. Now. In at least one more sentence. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. In all you will probably need to fill out at least ten of these forms (minimum). Something that I should have gotten into trouble for.). Something that messed up my work 1) In one sentence.Relapse Prevention Workbook Bradley Hedges Page 50 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. You will use a different form for your addictive behaviors. or that has caused problems financially. . GSI. write what the behavior is that you will be talking about on this worksheet. that you should have been in trouble for. stealing. Name this behavior in one or two words (for example--fighting. You should fill out one of these sheets for each behavior that you have been in trouble for. Something that messed up my relationships. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for.

describe any major changes that were occurring in your life at the time. where were you working. In particular.Relapse Prevention Workbook Bradley Hedges Page 51 2) Describe in one paragraph what was going on in your life when this (____________) took place. . 5. For each feeling. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. etc. 3) List five feelings that you had just before you did this (____________). Also describe anything about your living arrangements that might be considered out of the ordinary. who were you involved with. 4. 3. 2. How did this feeling relate to the behavior? Why were you feeling this way? 1. define in one sentence what this feeling means to you.

Relapse Prevention Workbook Bradley Hedges Page 52 4) Things don’t simply happen. 5. You must be specific and describe what you mean by each activity using one sentence. 3. 5. 4. List five steps/activities that you did that led up to the (____________). 1. We must generally participate in a series of actions before something happens. 3. How did this feeling relate to the behavior? Why were you feeling this way? 1. Describe how each activity contributed to (enhanced or facilitated) your eventual behavior. define in one sentence what this feeling means to you. . 2. 2. For each feeling. 4. 5) List five feelings that you had just after you did this (____________).

. For example. I decided to 5. . I decided to 3. decide what we want to eat. I decided to . and finally decide to eat it. We must first recognize that we are hungry.Relapse Prevention Workbook Bradley Hedges Page 53 6) Typically. A decision is defined as a cognitive process that results in action. I decided to 7. I decided to 2.” 1. we do not just act. “I decided to . decide how to get what we want to eat. I decided to 8. identify 10 specific decisions that you had to make before you could participate in the (____________). Abusive behavior works the same way. I decided to 9. we do not just eat. You may find it helpful to start the statement with the phrase. We usually make a series of decisions that enable us to participate in a behavior. I decided to 4. I decided to 6. decide to get what we want to eat. Below. I decided to 10.

“ 1. I told myself that 5. I told myself that 6. . They just explain away our actions. . What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 8. I told myself that 4. Rationalizations do not involve action. Identify what you told yourself about your decisions that allowed you to make them.Relapse Prevention Workbook Bradley Hedges Page 54 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 2. I told myself that 7. I told myself that 10. I told myself that . I told myself that 3. I told myself that 9.

that you should have been in trouble for. Something that messed up my financial situation. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. GSI. Something that messed up my work 1) In one sentence. that has caused problems with relationships.). You will use a different form for your addictive behaviors. write what the behavior is that you will be talking about on this worksheet. or that has caused problems financially. fill in the space (____________) in each of the following questions with this word. Something that messed up my relationships. . Something that I should have gotten into trouble for. give the date and situation involved in the behavior. The behavior that will be addressed on this form is (check one): Something that I did get in trouble for. Name this behavior in one or two words (for example--fighting.Relapse Prevention Workbook Bradley Hedges Page 55 Relapse Prevention Worksheet Section A revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. You should fill out one of these sheets for each behavior that you have been in trouble for. that has caused problems with your work. stealing. In all you will probably need to fill out at least ten of these forms (minimum). Now. etc. In at least one more sentence.

Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. 5. How did this feeling relate to the behavior? Why were you feeling this way? 1. Also describe anything about your living arrangements that might be considered out of the ordinary. define in one sentence what this feeling means to you. 3. where were you working. . etc. In particular. who were you involved with. 4. 3) List five feelings that you had just before you did this (____________).Relapse Prevention Workbook Bradley Hedges Page 56 2) Describe in one paragraph what was going on in your life when this (____________) took place. 2. describe any major changes that were occurring in your life at the time. For each feeling.

1. How did this feeling relate to the behavior? Why were you feeling this way? 1. 4. 5) List five feelings that you had just after you did this (____________). Describe how each activity contributed to (enhanced or facilitated) your eventual behavior.Relapse Prevention Workbook Bradley Hedges Page 57 4) Things don’t simply happen. 2. 5. You must be specific and describe what you mean by each activity using one sentence. 3. For each feeling. We must generally participate in a series of actions before something happens. 5. 2. 3. List five steps/activities that you did that led up to the (____________). define in one sentence what this feeling means to you. 4. .

Abusive behavior works the same way. identify 10 specific decisions that you had to make before you could participate in the (____________). “I decided to . decide how to get what we want to eat. I decided to 9. You may find it helpful to start the statement with the phrase. We must first recognize that we are hungry.Relapse Prevention Workbook Bradley Hedges Page 58 6) Typically. I decided to 3. . . Below. we do not just act. We usually make a series of decisions that enable us to participate in a behavior. “ 1. I decided to 10. decide to get what we want to eat. I decided to 5. A decision is defined as a cognitive process that results in action. decide what we want to eat. and finally decide to eat it. I decided to 2. I decided to 4. I decided to 6. I decided to 8. For example. I decided to 7. I decided to . we do not just eat.

I told myself that 8. I told myself that 4. Identify what you told yourself about your decisions that allowed you to make them. . They just explain away our actions. I told myself that 3. What did you tell yourself about the (____________) that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that . I told myself that 9.Relapse Prevention Workbook Bradley Hedges Page 59 7) A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 6. Rationalizations do not involve action. I told myself that 2. I told myself that 5. . I told myself that 7. “ 1. I told myself that 10.

Now. 2) Describe in one paragraph what was going on in your life when this addiction was in its greatest control of your life. Also describe anything about your living arrangements that might be considered out of the ordinary. who were you involved with. Name this addiction in one or two words (for example--Alcohol. fill in the space (____________) in each of the following questions with this word. Cocaine. etc. write what the addictive behavior is that you will be talking about on this worksheet. 1) In one sentence. where were you working. You should fill out one of these sheets for each addictive behavior that you have identified. sex. In at least one more sentence. .Relapse Prevention Workbook Bradley Hedges Page 60 Relapse Prevention Worksheet Section A (Addictive Behavior) revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. describe your addiction. etc.). In particular. describe any major changes that were occurring in your life at the time. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor.

3. 2. 3. 1. 2. c) Describe in a short paragraph how you expressed your preoccupation within your addiction. 1. b) Identify three ways that you specifically applied your core beliefs to your addiction (impaired thoughts). A core belief should be thought of as a general life statement that allows you to carry out your addiction.Relapse Prevention Workbook Bradley Hedges Page 61 3) Describe your addiction using the addiction cycle: (see appendix B of this workbook to help you understand the meaning of the terms used in this section) a) List three core beliefs that you have about (____________). .

Relapse Prevention Workbook Bradley Hedges Page 62 d) Identify at least five steps (ritualization) that you usually did that led up to your addictive acting out of your (____________) addiction. 1. 2. e) Describe in a brief paragraph what you did when you acted out on your addiction. what did you do when you actually carried out your addiction. That is. 3. 5. . 4.

4. h) List at least five ways your life became unmanageable because of your (____________) addiction. 5. g) Describe in a brief paragraph how you experienced guilt after you carried out your addiction. 2. Guilt can be thought of as a negative experience put upon you in relationship to others and is usually experienced as a result of the consequences you experience for your behavior. 3. 1.Relapse Prevention Workbook Bradley Hedges Page 63 f) Describe in a brief paragraph how you experienced shame after you carried out your addiction. . Shame can be thought of as a negative self statement about your personal worth.

5) List five feelings that you had just after you did this (____________). For each feeling. How did this feeling relate to the behavior? Why were you feeling this way? 1. 4. define in one sentence what this feeling means to you. 3. 5. 2. For each feeling. 2. 5. 4. . 3.Relapse Prevention Workbook Bradley Hedges Page 64 4) List five feelings that you had just before you did this (____________). How did this feeling relate to the behavior? Why were you feeling this way? 1. define in one sentence what this feeling means to you.

I decided to 2. I decided to 10.Relapse Prevention Workbook Bradley Hedges Page 65 6) Typically. identify 10 specific decisions that you had to make before you could participate in the (____________). I decided to 6. You may find it helpful to start the statement with the phrase. . For example. 1. decide what we want to eat. decide how to get what we want to eat. and finally decide to eat it. decide to get what we want to eat. ). I decided to 4. we do not just eat. . We must first recognize that we are hungry. I decided to 8. we do not just act. A decision is defined as a cognitive process that results in action. I decided to 5. Abusive behavior works the same way. I decided to 9. I decided to 3. “I decided to . We usually make a series of decisions that enable us to participate in a behavior. Below. I decided to 7. I decided to .

What did you tell yourself about the addiction that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 9.Relapse Prevention Workbook Bradley Hedges Page 66 7. I told myself that 5. Rationalizations do not involve action. I told myself that 4. A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 6. . I told myself that 10. I told myself that 2. . I told myself that 3. “ 1. I told myself that 7. I told myself that 8. I told myself that . Identify what you told yourself about your decisions that allowed you to make them. They just explain away our actions.

In at least one more sentence. . You should fill out one of these sheets for each addictive behavior that you have identified. etc. 2) Describe in one paragraph what was going on in your life when this addiction was in its greatest control of your life. Cocaine. etc.). write what the addictive behavior is that you will be talking about on this worksheet. You should fill them out in pencil so that you can make corrections after they have been looked at by your counselor. Name this addiction in one or two words (for example--Alcohol. 1) In one sentence. In particular. fill in the space (____________) in each of the following questions with this word. who were you involved with. Describe the life situation that you were experiencing when you participated in this behavior--who were you living with. describe any major changes that were occurring in your life at the time. Also describe anything about your living arrangements that might be considered out of the ordinary. Now. sex. describe your addiction.Relapse Prevention Workbook Bradley Hedges Page 67 Relapse Prevention Worksheet Section A (Addictive Behavior) revised 1/12/98 Name: Date: Note: This worksheet is to be filled out as part of the Relapse Prevention Workbook in conjunction with your therapy group. where were you working.

3. . 2. 3. b) Identify three ways that you specifically applied your core beliefs to your addiction (impaired thoughts). 1. 2.Relapse Prevention Workbook Bradley Hedges Page 68 3) Describe your addiction using the addiction cycle: (see appendix B of this workbook to help you understand the meaning of the terms used in this section) a) List three core beliefs that you have about (____________). 1. c) Describe in a short paragraph how you expressed your preoccupation within your addiction. A core belief should be thought of as a general life statement that allows you to carry out your addiction.

1. . 3. That is. 2. what did you do when you actually carried out your addiction. e) Describe in a brief paragraph what you did when you acted out on your addiction.Relapse Prevention Workbook Bradley Hedges Page 69 d) Identify at least five steps (ritualization) that you usually did that led up to your addictive acting out of your (____________) addiction. 5. 4.

4. g) Describe in a brief paragraph how you experienced guilt after you carried out your addiction. 1. 5. Shame can be thought of as a negative self statement about your personal worth.Relapse Prevention Workbook Bradley Hedges Page 70 f) Describe in a brief paragraph how you experienced shame after you carried out your addiction. Guilt can be thought of as a negative experience put upon you in relationship to others and is usually experienced as a result of the consequences you experience for your behavior. 2. h) List at least five ways your life became unmanageable because of your (____________) addiction. 3. .

For each feeling. define in one sentence what this feeling means to you. How did this feeling relate to the behavior? Why were you feeling this way? 1. For each feeling. 5) List five feelings that you had just after you did this (____________).Relapse Prevention Workbook Bradley Hedges Page 71 4) List five feelings that you had just before you did this (____________). 4. How did this feeling relate to the behavior? Why were you feeling this way? 1. 5. . define in one sentence what this feeling means to you. 3. 2. 3. 4. 2. 5.

Relapse Prevention Workbook Bradley Hedges Page 72 6) Typically. . I decided to 7. and finally decide to eat it. I decided to 4. For example. You may find it helpful to start the statement with the phrase. decide what we want to eat. I decided to 3. We must first recognize that we are hungry. Abusive behavior works the same way. I decided to 10. we do not just act. I decided to . I decided to 5. We usually make a series of decisions that enable us to participate in a behavior. I decided to 2. I decided to 9. . identify 10 specific decisions that you had to make before you could participate in the (____________). A decision is defined as a cognitive process that results in action. Below. I decided to 8. I decided to 6.” 1. “I decided to . decide to get what we want to eat. decide how to get what we want to eat. we do not just eat.

Rationalizations do not involve action. A rationalization is something that you tell yourself to justify or somehow make OK your decision. I told myself that 6. I told myself that 7.Relapse Prevention Workbook Bradley Hedges Page 73 7. What did you tell yourself about the addiction that made it OK for you to do it? You may find it helpful to start the statement with the phrase “I told myself that . I told myself that 9. “ 1. I told myself that 8. . . I told myself that 2. I told myself that 4. I told myself that . I told myself that 5. They just explain away our actions. Identify what you told yourself about your decisions that allowed you to make them. I told myself that 3. I told myself that 10.

and behaviors that have historically caused you the greatest amount of difficulty in the past and then you will be asked to develop specific coping skills to aid you in dealing with these dangerous precursors to your abusive behavior. The following questions will help you to identify when you are in a lapse situation and help you to be prepared to cope with lapses using adaptive responses. . In the following pages you will be asked to identify collectively the feelings. You must be able to replace deviant feelings/thoughts/behaviors with healthier ones through the establishment of healthy coping mechanisms. thoughts. you become empowered to change the behavior. As much as you might want to. you must become aware that you are approaching one. When your old behavior begins to emerge. however. Before you can prevent a lapse situation.Relapse Prevention Workbook Bradley Hedges Page 74 Section B Modifying Behavior Once you have identified your past abusive behavior and the feeling/thoughts/behaviors associated with the abusive behavior. you will find situations (linkages) that will resurrect your old behavior on occasion. That is. you must know the symptoms of a lapse situation. Therapy has focused on altering your core beliefs. you would not need to be in a program of recovery. If it were that simple. you cannot simply stop the behavior through will power alone. You must then be prepared to implement appropriate coping skills to prevent the lapse from occurring. you must be prepared to alter it before your behavior results in a relapse.

THEME FEELINGS We will begin by looking at your feelings. You will need to use the material gathered in Section A of this workbook to complete this section. . List all of these feelings below.Relapse Prevention Workbook Bradley Hedges Page 75 1. A) Review the feelings generated in Section A of this workbook (including the feelings that you had before you carried out your abusive behavior and the feelings that you had after you carried out the abusive behavior).

Feeling:_______________ 4. Feeling:_______________ 2. Feeling:_______________ 9. Feeling:_______________ 7. then include them in a single cluster. If two feelings are very similar and mean about the same thing to you. Feeling:_______________ . 1. Define what you mean by each of the feeling words listed below. Feeling:_______________ 3.Relapse Prevention Workbook Bradley Hedges Page 76 B) Identify ten "theme feelings" that are consistent with most of your abusive behavior. Feeling:_______________ 8. Do this by counting how many times each feeling appears. Feeling:_______________ 6. Feeling:_______________ 5. Feeling:_______________ 10.

Feeling:_______________ 9. Feeling:_______________ 7. Feeling:_______________ 5. describe how you and those people who are close to you will know when you are experiencing each of these feelings. Feeling:_______________ 10. How do you express these feelings behaviorally? Be certain to clarify how others will be able to differentiate one feeling from another. Feeling:_______________ 2. Feeling:_______________ 6. Feeling:_______________ 8. Feeling:_______________ 4.Relapse Prevention Workbook Bradley Hedges Page 77 C) For each of the feelings listed on the previous page. 1. Feeling:_______________ . Feeling:_______________ 3.

b. c. b. identify at least three adaptive ways of releasing or coping with the feeling. Feeling:_______________ a. 2. should be “doable” and should somehow interfere with the abusive behavior. 3. Feeling:_______________ a. Be specific in describing how you can carry out these coping mechanisms. c. Each coping mechanism should include some level of accountability. Feeling:_______________ a. c. . 1. b.Relapse Prevention Workbook Bradley Hedges Page 78 D) For each "theme feeling" listed on the previous pages.

5.Relapse Prevention Workbook Bradley Hedges Page 79 4. 6. Feeling:_______________ a. Feeling:_______________ a. Feeling:_______________ a. c. c. . b. b. c. b.

Feeling:_______________ a. . Feeling:_______________ a. b. 9. 8. Feeling:_______________ a. b. b. c.Relapse Prevention Workbook Bradley Hedges Page 80 7. c. c.

. b. Feeling:_______________ a. c.Relapse Prevention Workbook Bradley Hedges Page 81 10.

In Section A of this workbook you were asked to identify decisions and rationalizations that you made prior to carrying out your abusive behavior. 7. identify ten pathological "theme thoughts". 2. 10. Do this in the same way that you identified the “theme feelings”. THEME THOUGHTS If we do not cope well with our feelings. A) Drawing from the rationalizations and decisions identified in Section A. our pathological thoughts tend to creep into our lives. In this section. 6. 8. . you will be asked to look at these thoughts and to develop coping skills for them so that you do not proceed in the relapse process. You will probably find it easiest and most useful to focus primarily on the rationalizations that you made. 1.Relapse Prevention Workbook Bradley Hedges Page 82 2. 4. 3. 5. 9.

b. b. 2. 3. c.Relapse Prevention Workbook Bradley Hedges Page 83 B) For each "theme thought" listed on the previous page. Name of thought: ____________________________ a. c. That is. Name of thought: ____________________________ a. b. . what can you tell yourself about each of the "theme thoughts" that will challenge or get rid of your "stinking thinking"? 1. Name of thought: ____________________________ a. identify at least three adaptive selftalk statements/coping responses that will reduce the risk of your lapsing. c.

. Name of thought: ____________________________ a. b. c. Name of thought: ____________________________ a. b. Name of thought: ____________________________ a. 6.Relapse Prevention Workbook Bradley Hedges Page 84 4. c. 5. c. b.

b. c. c. 9. Name of thought: ____________________________ a.Relapse Prevention Workbook Bradley Hedges Page 85 7. Name of thought: ____________________________ a. b. c. . 8. b. Name of thought: ____________________________ a.

Relapse Prevention Workbook Bradley Hedges Page 86 10. c. Name of thought: ____________________________ a. . b.

d. we often perform rituals that facilitate and/or enhance the abusive behavior. e. Name of ritual:_________________________ a. A) Review the steps that you identified in Section A of this workbook and identify at least five ritualistic behaviors that you participated in. c. b. Name of ritual:_________________________ a. Identify at least five steps to each of the rituals. . RITUALS Once we have given ourselves permission to participate in abusive behavior through our dysfunctional thought processes. 2. 1. d. c. e. b. Be specific in describing each of these rituals.Relapse Prevention Workbook Bradley Hedges Page 87 3.

. c. e. b. d. 4.Relapse Prevention Workbook Bradley Hedges Page 88 3. Name of ritual:_________________________ a. d. Name of ritual:_________________________ a. b. c. e.

Name of ritual:_________________________ a. d. B) Identify how each of these rituals facilitated (made it easier)/enhanced (made it better) the abusive behavior. c. That is. Name of ritual:_________________________ Facilitated Enhanced 2. e. b. Name of ritual:_________________________ Facilitated Enhanced . how did this ritual help with your abusive behavior? 1.Relapse Prevention Workbook Bradley Hedges Page 89 5.

Relapse Prevention Workbook Bradley Hedges Page 90 3. Name of ritual:_________________________ Facilitated Enhanced . Name of ritual:_________________________ Facilitated Enhanced 5. Name of ritual:_________________________ Facilitated Enhanced 4.

c. As with the coping responses you generated for your ”Theme feelings”. Name of ritual:_________________________ a. c.Relapse Prevention Workbook Bradley Hedges Page 91 C) Develop at least three adaptive responses for altering each of the ritual behaviors. Be specific as to how you can carry out the adaptive responses. each coping mechanism should include some level of accountability. 2. b. . b. Name of ritual:_________________________ a. 1. should be “doable” and should somehow interfere with the abusive behavior.

b. . b. c. 4. Name of ritual:_________________________ a. Name of ritual:_________________________ a.Relapse Prevention Workbook Bradley Hedges Page 92 3. b. c. c. Name of ritual:_________________________ a. 5.

1. 4. A) List ten high risk situations you are likely to encounter once you go to your permanent home. . 8. 7. 9. 5. 6.Relapse Prevention Workbook Bradley Hedges Page 93 4. HIGH RISK SITUATIONS A high risk situation is defined as a situation which is directly linked to your abusive behavior that is likely to contribute to a relapse. Describe how each of these high risk situations is linked to your abusive behavior. 3. 2. 10.

Name of High Risk Situation: _________________________________ 3. identify what is likely to keep you from simply leaving the situations. Name of High Risk Situation: _________________________________ 6. Name of High Risk Situation: _________________________________ 5. Name of High Risk Situation: _________________________________ .Relapse Prevention Workbook Bradley Hedges Page 94 B) For each of the high risk situations listed above. Name of High Risk Situation: _________________________________ 2. Name of High Risk Situation: _________________________________ 4. Name of High Risk Situation: _________________________________ 8. Name of High Risk Situation: _________________________________ 10. Name of High Risk Situation: _________________________________ 7. Name of High Risk Situation: _________________________________ 9. How might the nature of the high risk situation keep you from using appropriate coping skills? 1.

identify three adaptive ways for coping with the situation that will keep you from relapsing. What can you do to keep the situation from escalating into a full relapse? 1. Identify what resources you will need to leave the situation. Name of High Risk Situation: _________________________________ a. b. b. c. 2. c. Do not include “leave the situation” as this is assumed to be an appropriate thing to do in each case. .Relapse Prevention Workbook Bradley Hedges Page 95 C) For each of the high risk situations listed above. Name of High Risk Situation: _________________________________ a.

b. Name of High Risk Situation: _________________________________ a. c. b.Relapse Prevention Workbook Bradley Hedges Page 96 3. 5. c. . b. Name of High Risk Situation: _________________________________ a. Name of High Risk Situation: _________________________________ a. c. 4.

Relapse Prevention Workbook Bradley Hedges Page 97

6. Name of High Risk Situation: _________________________________ a.

b.

c.

7. Name of High Risk Situation: _________________________________ a.

b.

c.

8. Name of High Risk Situation: _________________________________ a.

b.

c.

Relapse Prevention Workbook Bradley Hedges Page 98

9. Name of High Risk Situation: _________________________________ a.

b.

c.

10. Name of High Risk Situation: _________________________________ a.

b.

c.

C)

For each of the High Risk Situations listed above, construct a cost/benefit matrix. The easiest way to keep from returning to old behavior is to "over learn" the new behavior. That is, if we practice a behavior until it becomes automatic, we will have to think about other behaviors before we do them. If we make healthy behavior our automatic behavior, we will need to think about participating in our old behaviors before we can do them. It is during this thinking process that we can catch ourselves before lapsing. During this thinking process, we always perform a cost/benefit analysis to determine what behavior we should participate in (although we are often unaware of the thought process).

Relapse Prevention Workbook Bradley Hedges Page 99

In developing a decision matrix, we are actually exploring the "response strength" between a stimulus (an event or internal experience) and a behavioral/emotional response. In the past when you encountered a high risk situation (stimulus), you responded with deviant acting out behavior. After participating in programming, it is assumed that you no longer see the old stimulus/response connection the way you use to. When we develop the decision matrix, we will be exploring the way you use to see the stimulus/response connection of your old behavior, the way you now see the stimulus/response connection of you old behavior, and the stimulus/response connection of your new, adaptive behavior. Additionally, all experiences have a cost and a benefit. That is, all experiences have positive attributes and negative attributes. In your past, the deviant acting out behaviors had things that you did not like (costs--like waking up with a hangover) and things you did like (benefits--like getting high). We hope you do not see these costs and benefits the same way you did in the past! As a result, you should have a new set of costs and benefits for your past behavior. Your new behavior also has costs and benefits that may or may not be related to the old costs and benefits. On the attached form fill in the appropriate boxes as follows: 1) At the top of the form spell out in detail the high risk situation that you will be discussing in this matrix. Define the old response pattern to this situation and define your new response pattern Cost of old response pattern as seen in the past. Imagine your self as you were in the past and explore the negative attributes of being in this position. That is, what was bad or what did you have to give up to be in this position? List at least three of these costs. Benefit of old response pattern as seen in the past. Imagine yourself as you were in the past and explore the positive attributes of being in this position. That is, what did you get out of being in this situation. List at least three of these benefits. Cost of old response as viewed today. Given how you view the world today, look back at how you used to deal with this situation and identify at least three negative things associated with this. Benefit of old response as viewed today. Given how you view the world today, look back at how you use to deal with this situation and identify at least three positive things associated with this. Cost of new response. Given that you have developed a new response pattern when you are faced with this situation, what price will you be paying if you carry it out. List at least three of these costs.

2)

3)

4)

5)

6)

8) 9) .Relapse Prevention Workbook Bradley Hedges Page 100 7) Benefit of new response. assign a number between 1 and 10 to each of these costs and benefits indicating how important each of these are (1 being very unimportant and 10 being very important). The response strength determines which decision you are most likely to make. That is. For each response subtract the cost from the benefit. Assign the relative value of each of these costs and benefits. Given that you have developed a new response pattern when you are faced with this situation. what is the benefit? List at least three of these benefits. This is the response strength of that response to the stimulus.

2. 3. 3. Total 1. 2. 3. Total 1. 2. Total . Total Value Net Value Old response as viewed today 1. Total New adaptive response to avoid high risk situation 1. 3. 2. Total Value COST 1.Relapse Prevention Workbook Bradley Hedges Page 101 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 3. 2. 2. 3.

3. 2. 3. 3. Total Value Net Value Old response as viewed today 1. 2. Total New adaptive response to avoid high risk situation 1. 2. Total 1. 3. 3.Relapse Prevention Workbook Bradley Hedges Page 102 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2. 2. 2. Total 1. Total Value COST 1. Total . 3.

3. 2. 2. 2. 3. 3. Total Value COST 1. 2.Relapse Prevention Workbook Bradley Hedges Page 103 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 3. 3. 2. Total Value Net Value Old response as viewed today 1. Total 1. Total New adaptive response to avoid high risk situation 1. 2. Total 1. 3. Total .

Relapse Prevention Workbook Bradley Hedges Page 104 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2. 2. Total Value COST 1. Total . 3. 3. 2. Total New adaptive response to avoid high risk situation 1. Total Value Net Value Old response as viewed today 1. 2. Total 1. 3. 3. 3. 2. Total 1. 3. 2.

Relapse Prevention Workbook Bradley Hedges Page 105

COST/BENEFIT MATRIX
Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2. 3.
Total

Value

COST 1. 2. 3.
Total

Value

Net Value

Old response as viewed today

1. 2. 3.
Total

1. 2. 3.
Total

New adaptive response to avoid high risk situation

1. 2. 3.
Total

1. 2. 3.
Total

Relapse Prevention Workbook Bradley Hedges Page 106

COST/BENEFIT MATRIX
Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2. 3.
Total Value

COST 1. 2. 3.
Total

Value

Net Value

Old response as viewed today

1. 2. 3.
Total

1. 2. 3.
Total

New adaptive response to avoid high risk situation

1. 2. 3.
Total

1. 2. 3.
Total

Relapse Prevention Workbook Bradley Hedges Page 107

COST/BENEFIT MATRIX
Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2. 3.
Total Value

COST 1. 2. 3.
Total

Value

Net Value

Old response as viewed today

1. 2. 3.
Total

1. 2. 3.
Total

New adaptive response to avoid high risk situation

1. 2. 3.
Total

1. 2. 3.
Total

2. 3. 3. 3. 2. Total 1. 3. 3. 2. Total New adaptive response to avoid high risk situation 1. Total Value Net Value Old response as viewed today 1. 3. 2.Relapse Prevention Workbook Bradley Hedges Page 108 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. Total Value COST 1. 2. Total 1. Total . 2.

2. 2. 3. Total 1. 3. 3. 2. 2. 2. Total Value Net Value Old response as viewed today 1. 3. Total Value COST 1. 3. Total . Total New adaptive response to avoid high risk situation 1. Total 1. 3.Relapse Prevention Workbook Bradley Hedges Page 109 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 2.

Total New adaptive response to avoid high risk situation 1. 3. 3. 2. 3. Total Value COST 1. 2. Total 1. 3. Total 1. Total . 2. 2. 2. 2.Relapse Prevention Workbook Bradley Hedges Page 110 COST/BENEFIT MATRIX Describe the High Risk Situation: BENEFIT Old response as viewed in the past 1. 3. 3. Total Value Net Value Old response as viewed today 1.

you will attempt to develop methods for maintaining the healthy new behavior. 5. we usually go back to the behavior that we know best. 8. the second step of the 12 Steps states. In this section we will focus on two methods of preventing this return to familiar (dysfunctional) behavior-the utilization of support people and ongoing monitoring of our behavior. 9.” Relapse prevention requires you to identify how this Power manifests itself in the people around you and to integrate those people into your recovery plan. 2. 1. we become excited and try to use it as often as we can. In this section of the workbook you will be looking at how you can utilize the people in your life to implement the plan that you have developed. 7. 6.Relapse Prevention Workbook Bradley Hedges Page 111 Section C Maintaining Adaptive Behavior In Section A we focused on identifying dysfunctional behavior and in Section B we focused on identifying healthy new behavior. 3. DEVELOPING A SUPPORT NETWORK A) Identify ten people that you are likely to encounter on a daily basis when you return to your permanent residence. Whenever we gain new behavior that is more efficient and/or more adaptive. For the person with a clearly defined behavioral pattern. . 10. 4. When these new behaviors do not seem to be working too well. 1. In this section. If you will recall. this usually means a lapse. “We came to believe that a Power greater than ourselves could restore us to sanity.

Everyone you encounter can participate in enabling behavior. they contribute to your abusive behavior. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 4.Relapse Prevention Workbook Bradley Hedges Page 112 B) An enabler is identified as someone that enables you to continue to participate in your abusive behavior. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 3. Often. 1. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 2. these individuals do not realize that they are enabling your behavior--they often are trying to help you or are doing what they think you want them to do. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- . Regardless of their motivation. identify how each individual may participate in enabling behavior with you and how can you avoid the impact of their enabling behavior without avoiding unnecessarily your contact with the people. For each of the people you identified in Question A.

Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- . Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 8. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 6. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 10. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 9.Relapse Prevention Workbook Bradley Hedges Page 113 5. Person’s name: ______________________ How they enable-- How you can avoid impact of enabling-- 7.

identify how they can most effectively support you in your recovery. Person’s name: ______________________ 3. That is.Relapse Prevention Workbook Bradley Hedges Page 114 C) Although everyone you encounter can potentially enable you to continue to participate in your abusive behavior. Person’s name: ______________________ 10. Person’s name: ______________________ 9. they can be an important part of your recovery--supporting your attempt to maintain sobriety. 1. they can also help you avoid further abusive behavior. Person’s name: _____________________ 2. Person’s name: ______________________ 8. Person’s name: ______________________ 7. Person’s name: ______________________ . For each of the people identified in Question A. Person’s name: ______________________ 6. Person’s name: ______________________ 4. Person’s name: ______________________ 5.

Person’s name: ______________________ 8. Also identify when you will communicate with them and under what circumstances it would be best to communicate this information with them.Relapse Prevention Workbook Bradley Hedges Page 115 D) As with all of the work that you have done on this relapse prevention plan. identify how you will communicate to them how they might enable you and how they can support you. you must also make steps toward altering your behavior. To this end. 1. Person’s name: ______________________ 7. phone. Person’s name: ______________________ 3. Person’s name: ______________________ 5. it is not enough to simply gain insight into your behavior. Person’s name: ______________________ 10. This can be done through direct conversation. Person’s name: ______________________ 6. etc. for each of the people identified in Question A. Person’s name: ______________________ 9. Person’s name: ______________________ 2. letter. Person’s name: ______________________ . Person’s name: ______________________ 4.

This section of the workbook is designed to help you carry out your plan in an intentional fashion. planning for your recovery is important--but meaningless unless you actually implement this plan. Situation/Feeling Coping skill attempted-- How did it work? Why? 2. 1. identify ten times that you have utilized coping skills to manage your feelings. Identify whether the coping skills worked and. Situation/Feeling Coping skill attempted-- How did it work? Why? . if not. why they did not work. A. In the past week. Situation/Feeling Coping skill attempted-- How did it work? Why? 3.Relapse Prevention Workbook Bradley Hedges Page 116 2. ONGOING MONITORING As you well know by now.

Situation/Feeling Coping skill attempted-- How did it work? Why? 7. Situation/Feeling Coping skill attempted-- How did it work? Why? 5. Situation/Feeling Coping skill attempted-- How did it work? Why? .Relapse Prevention Workbook Bradley Hedges Page 117 4. Situation/Feeling Coping skill attempted-- How did it work? Why? 6.

Relapse Prevention Workbook Bradley Hedges Page 118 8. Situation/Feeling Coping skill attempted-- How did it work? Why? 9. Identify five times that you entered into you dysfunctional thought processes in the last week and indicate how you attempted to utilize your coping skills to address the thought process. 1. Situation/Feeling Coping skill attempted-- How did it work? Why? B. why they did not work. Situation/Thought Coping skill attempted-- How did it work? Why? . Situation/Feeling Coping skill attempted-- How did it work? Why? 10. Identify whether the coping skills worked and. if not.

Situation/Thought Coping skill attempted-- How did it work? Why? 3. Situation/Thought Coping skill attempted-- How did it work? Why? 4. Situation/Thought Coping skill attempted-- How did it work? Why? 5.Relapse Prevention Workbook Bradley Hedges Page 119 2. Situation/Thought Coping skill attempted-- How did it work? Why? .

1. 4. Describe ten times that you have utilized you social support system in the past week to aid you in your program of recovery. 1. 2. Identify whether the coping skills worked and. . 3. High Risk Situation Coping skill attempted-- How did it work? Why? 2.Relapse Prevention Workbook Bradley Hedges Page 120 C. High Risk Situation Coping skill attempted-- How did it work? Why? D. if not. Identify two high risk situations you experienced in the last week and how you attempted to utilize your coping skills to deal with high risk situations. why they did not work.

9. 6. 10. 7.Relapse Prevention Workbook Bradley Hedges Page 121 5. 8. .

He will begin placing himself in "at risk" situations and will stop doing his relapse prevention exercises. Maintain a "negative image" reminder of the price you paid for your addictive behavior. Relapse generally follows a predictable and readily identifiable pattern. we often try to just stop the behavior. When asked how he is doing he is likely to say "fine. Encourage them to probe you about problems. Problem: As the addict begins to deny the potential for relapse. we all have problems that need to be dealt with regularly. Problem: As the addict progresses in his program. Unfortunately. Avoidance of defensive behavior. he drops his defensive behavior. 2. this does not usually work. If you are able to identify this pattern for your own behavior. . This return of denial is often supported by those persons who strongly want you to be "cured". Develop and review a cost/benefit analysis of your coping behavior. This pattern usually takes the following steps: 1.Relapse Prevention Workbook Bradley Hedges Page 122 APPENDIX A THE RELAPSE SYNDROME When we attempt to stop an addictive behavior. Return of denial. in fact. He often will focus more energy on fixing others than on working on himself. Solution: 1) 2) Teach support people about recovery and relapse. Write down your problems on a daily basis and share this list with someone. you will be better prepared to prevent relapse. he is likely to begin to feel that he has his problem under control. no problems" when. Solution: 1) 2) 3) Surround yourself with support people who will encourage you to continue working on your relapse prevention program.

Problem: When a crisis builds up. problems begin to pile up and it becomes more and more difficult to see options.Relapse Prevention Workbook Bradley Hedges Page 123 3. Problem: While the problems continue to grow and the addict feels stuck. Confusion and overreaction. Problem: As a result of avoiding defensive behavior. Plans that were developed earlier often begin to fall apart. Solution: 1) 2) 3) 4) Remind yourself to take one day at a time. A sense that nothing can be solved may develop. Immobilization. develop a general sense of tension. Crisis building. 4. Review the concepts of RET (RET states that it is your thoughts about an event and not the event that is "bad" or "good"). The addict becomes totally incapable of initiating action and is trapped by his own lies and problems. 5. Solution: 1) 2) 3) Use the Serenity Prayer. Return to coping behavior. During this phase of the relapse syndrome. the addict becomes crushed and trapped by the problems. and view others as out to get him. Accept your personal limits. Review the concept of lapse as opposed to relapse (accept the reality that you may make some small mistakes but this does not mean that you have failed). Use the support people that you have developed. . The addict develops tunnel vision and loses the ability to perform constructive planning. the addict may become irritable with those around him. Often. the addict develops an unrealistic optimism wishing that things would "just go away". he often becomes confused and angry.

loss of daily structure. the addict becomes unable to control or regulate personal behavior and a daily schedule. the addict may begin self-pity. Symptoms may include irregular eating habits. . Recognition of loss of control. AA. and lose self-confidence. Return to self-help programs (ie. and feelings of powerlessness and helplessness.Professional intervention. 8. 7. Solution: . Solution: 1) 2) Professional intervention. SLAA. Identify the source of the feelings. Problem: During this phase.Professional intervention. lack of desire to take action. open rejection of help. return to deviant fantasies. There is heavy denial and no full awareness of being out of control. consciously lie. irregular sleeping habits. the addict begins to develop a sense of hopelessness and begins to turn the anger inward in the form of depression. Depression. etc. Review RET concepts. As a result of this panic. Problem: The addict's denial breaks and suddenly he recognizes how severe the problems are and panics. Solution: . Accept responsibility for problems.Relapse Prevention Workbook Bradley Hedges Page 124 Solution: 1) 2) 3) 4) 6. Possible professional intervention.). Problem: As the anger begins to build. Behavioral loss of control. Life becomes chaotic and many problems are created in all areas of life and recovery as indicated by irregular support meeting attendance. and suicidal ideation.

Only three options seem possible--insanity. or relapse. Common symptoms include: unreasonable resentment. Problem: Return to the abusive behavior. 10. Revocation. Adapted from: The Relapse Syndrome. The addict believes that nobody can help. discontinuance of all treatment. Herald House--Independence Press . Option reduction.Relapse Prevention Workbook Bradley Hedges Page 125 9. and tension. Solution: 1) 2) Forced treatment. suicide. anger. frustration. Problem: During this phase the addict feels trapped by the pain and inability to manage life. and overwhelming loneliness. Acute relapse episode.

Adapted From: Carnes. (ie. Shame--the part of the despair cycle that includes feeling hopeless about self. Behavioral Acting Out--acting out the addictive behavior. social. Minneapolis. occupational. P. MN: CompCare. and life. Unmanageability--the result of the addictive cycle that usually results in the impairment of one or more area's of the individual's life. Addiction Cycle--an ongoing process that feeds on the Impaired Thinking and contributes to the Unmanageability. Preoccupation--compulsive fantasizing or intense focus on the addictive behavior. marital. This often includes intrusive thoughts. (1983). Out of the shadows: Understanding sexual addiction.. Ritualization--routines or rituals that enhance the preoccupation and facilitate the acting out behavior. Impaired Thinking--distorted view of self. This impaired thinking develops in response to/and based on Core Belief's. Negative statements about self. . or spiritual). others.Relapse Prevention Workbook Bradley Hedges Page 126 APPENDIX B THE ADDICTIVE SYSTEM Core Belief's--the accumulation of all life's experiences from the beginning of your life until the present as they relate to the addiction. Guilt--the part of the despair cycle that includes feeling bad about specific actions. The specific application of the core belief in a specific situation. Realization of consequences.

Bradley Hedges at bradhedges@mopsohio.Relapse Prevention Workbook Bradley Hedges Page 127 ORDERING INFORMATION If you would like to print out and use this workbook.com to receive permission to do so. . please contact its author.