BACKWARD STEPS TO ADDICTIVE BEHAVIORS

  1. TRIGGERS External, interpersonal, and intrapersonal. Which areas are the riskiest for you? Which do you have the most difficulty combatting? Rate each category from 0-10 (where 10 is the riskiest or most difficult).

    a.____ Conditioned responses in certain settings
    b.____ Unpleasant emotions
    c.____ Unpleasant physical sensations
    d.____ Pleasant emotions
    e.____ Pressure from others
    f.____ Conflict with others
    g.____ Socializing
    h.____ Testing personal control

  1. IMAGINING/FANTASIZING Start to imagine what it would be like to... how you would feel.., how you would think and act ... then...

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3.
“STINKING THINKING” Irrational beliefs, cognitive distortions, and rationalizations that you used to convince yourself to take the backward step.
a.____Negative exaggeration; awfulizing; catastrophizing.
b.____Self-downing / self denigration.
c.____ Rationalizations:
             
“It won’t really matter."
               "I deserve it.”
              “I will only have one.
             “It’s been a long time.”
d.____Low frustration tolerance:
              "7 can’t stand it.”
             
“It’s awful.”
e.____The tyranny of the should:
              “It shouldn’t be so hard.”
               “I shouldn’t have this problem.”
                “S/he shouldn’t speak to me that way.”
                 "The world stinks, and it shouldn’t!”

4.
PLANNING

  1. ‘Tll just go down to the store and buy a bottle.”
  2. “I’ll finish this project and then go to the bar.”
  3. ‘Tll take some money out of my other account.”
Others:_____________________________________________________


5.
ACTING Behaviors that led to UNDESIRABLE OUTCOMES (list them)

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Teach yourself how to respond at each step. Even though it gets harder to intervene at each step along the way, it can be done. Practice rehearsing relapse preventive self-talk in SMART Recovery group meetings (role-playing is an excellent exercise), out loud at home, into a tape recorder, or in writing.