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The Tricks of the Trade

When to seek professional help
A wise self-helper will, of course, realize his/her limitations. Professional help is needed if the problems are too severe for self-help, this includes behaviors beyond one's control: serious alcohol abuse, drug abuse, suicidal depression, intense hostility (where there is any risk at all that someone will be hurt), confusion, criminal tendencies, or any problem serious enough to interfere with school or work. Professional help is also appropriate if you have made a couple of genuine attempts to help yourself without success. Don't be ashamed of your self-help efforts and don't hesitate to seek expert help. It's just smart.



The Arsenal

Medieval Advice,
Self Control,
CBA's and Motivation,
Plan,
PYA,
The ABC's,
DIB's - Disputing Irrational Beliefs,
Coping with Urges,
Nutritional Advice
DISARM,
Divert, and
How To Deal With Backsliding
Relapse Prevention
Maintain Your Improvement
FAST - Focused Attention-Selection Tool

A "Disaster" Plan







An Medieval Word of Advice


AVRT, a medieval writing


We must be watchful, especially in the beginning of temptation, because the enemy is easier overcome if he is not suffered to come in at all at the door of the mind, but is kept out at the first knock.

Whence a certain man said;
"Withstand the beginning, after the sickness has taken vigor from long delay, the remedies come too late".

For first a simple thought comes to the mind, then a strong imagination, afterwards delight, and evil motion and consent.

And thus, little by little, the wicked enemy gains full entrance when he is not resisted in the beginning.

And the longer a man is negligent in resisting, so much weaker does he daily become in himself and the enemy becomes stronger against him.

Thomas A 'Kempis -
14th century ecclesiastic
(from The Imitation of Christ)

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SELF CONTROL

Slightly abridged and edited by Henry Steinberger]

"self-control" is:
a) what you build up, develop, create, learn by controlling your behavior repeatedly - regard self-control as a skill;
b) NOT a THING you have [or don't have] that lets you control your behavior [or not].

When some one says:
"I have no self-control over my drinking," or whatever,
I can ask:
"Are you well practiced at resisting urges or opportunities to use." The answer is "no."

This person is well practiced in giving in to those urges and opportunities. Self-control over urges and opportunities is like self-control over bicycles and roller skates -- you get it by practicing. The reason individuals, correctly, feel they don't have it is because they haven't been practicing that which gives it to them. In this case, the SKILL not well practiced is resisting urges and opportunities to use. That is why those who do practice resisting urges [self-control], after awhile, report that it becomes easier and easier to continue. They have been exercising and building their self control and now have begun to show a fair bit of this skill. In every day language, thinking you must first have self control before you acquire a change in your behavior is "putting the cart before the horse." Self- control comes from making the change in your behavior. Self-control may also involve strategies by Henry Steinberger We might add that self-control may involve learning new strategies to bridge the difficult initial learning period. In one famous study, children were left with a candy bar and told that if they didn't eat it they would get two candy bars. The children who resisted the temptation while alone were secretly observed and found to use verbal self-reminders and distracting activities. Children who didn't resist were later able to do so after being taught strategies for better self-control. We have a toolbox of such techniques, but they all require using them.


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MOTIVATION TECHNIQUES

Motivate TOWARD what it is you wish...as opposed to Away From what it is you dislike --- You may find it takes a lot less energy and provide greater incentive.

Get a perspective on the short- and long-term benefits and short- and long-term consequences by getting out pencil and paper and analyzing your problem habit.

Carry reminders on your person, especially with your money.

To Maintain Motivation...Secure your needs.

Abraham Maslow (1971) was critical of traditional psychology because it based its theories on emotionally disturbed patients or on laboratory animals. Like other philosophers, he believed in the basic goodness of humans and in their tendency to move to higher levels of functioning as their basic physical needs are met. Maslow described the needs at each level, going from the most fundamental physiological needs to the highest, most noble needs. Every person has the same "hierarchy of needs:"

Physiological needs--air, water, food, sleep, elimination, sex, activity.

Safety needs--escape fear and pain, physical security, order, physical safety.

Belonging and love needs--to love and be loved, have friends, be part of a family.

Self-esteem needs--to feel competent, independent, successful, respected, and worthwhile.

Self-actualization needs--being one's true self, achieving one's highest potential, wanting knowledge and wisdom, being able to understand and accept oneself and others, being creative and appreciative of beauty in the world. A self-actualized person is happy, realistic, accepting, problem-oriented, creative, democratic, independent, and fulfilling a mission or purpose in life.

What are the implications of this theory for changing behavior? First, the theory says it is necessary to generally satisfy one's basic needs before one can turn to meeting needs higher in the hierarchy. But once a person has taken care of the needs at levels 1 and 2, then one is free, in fact motivated to search for love, then self-esteem, and then finally self-actualization. While thinking in terms of a hierarchy of needs may sometimes help you figure out the real underlying problem, research has not supported the theory that all needs at a more primary level must be satisfied before you can move on to higher needs (just like you might not have to go in order through all six stages of Kohlberg's moral development. So, go for self-actualization (long before Maslow said you were ready for it--see chapter 9), even if you lack confidence and a love relationship.






Building Motivation Through a COST/ BENEFIT Analysis ( CBA )

Now this is a Pencil and Paper Exercise.... so with pencil in hand ....

Take a sheet of paper and draw one horizontal line left and right through the middle, then draw one verticle line up and down through the center.
This divides the paper into 2 Columns and 2 Rows... or quarters. Lable the Rows 1) Short-Term ... 2) Long-Term
Lable the Columns 1) Pro's 2) Con's

So it looks something like this ----

Pro's Cons
Short-
Term
         
Long-
Term
         


Now Fill in the Blocks with a Listing of Answers to some, many, all of the Following Discussions


FOUR QUESTIONS ABOUT MY ADDICTION A COST/BENEFIT EXERCISE (submitted by JV) These 4 questions can provide you with a lot of useful information with which to grow out of your addiction(s).The more honest and complete your answers, the more this exercise will help you.

1.What do I enjoy about my addiction, what does it do for me (be specific)? List as many things as you can that you liked about whatever you are/were addicted to.
a. Where possible, find alternative ways of achieving the same goals.
b. Recognize positive thinking about the addiction as a potential relapse warning sign.
c. Realize that there are some things you liked about the addiction you will have to learn to live without.
d. List what you enjoy about your addiction so you can ask yourself if it is really worth the price.
e. Realize that you aren't stupid; you did get something from your addiction. It just may not be working on your behalf anymore.

2. What do I hate about my addiction, what does it do to me (give specific examples)? List as many of the bad, undesirable results of your addiction as you can. Here it is extremely important that you use specific examples. Specific examples have much greater emotional impact and motivational force!
a. Ask yourself honestly 'If my addiction was a used car, would I pay this much for it?'
b. Review this list often, especially if you are having a lot of positive, happy thoughts about all the great things your addiction did for you.

3. What do I think I will like about giving up my addiction? List what good things you think or fantasize will happen when you stop your addiction.
a. This provides you with a list of goals to achieve and things to look forward to as a result of your new addiction free lifestyle.
b. This list also helps you to reality test your expectations. If they are unrealistic, they can lead to a disappointment based relapse.

4. What do I think I won't like about giving up my addiction? List what you think you are going to hate, dread or merely dislike about living without your addiction.
a. This list tells you what kinds of new coping skills, behaviors and lifestyle changes you need to develop in order to stay addiction free.
b. It also serves as another relapse warning list. If all you think about is how much life sucks now that you are not doing your addiction, you are in a relapse thought pattern that is just as dangerous as only focusing on what you liked about your addiction.

This is not a do once and forget about it exercise. It is an ongoing project. Most people simply can't remember all of the positive and negative aspects of addiction and recovery at any one time. No one really knows what they like or don't like about living addiction free until they have done so for some time. I know of people who continued to add items to all four questions for a full 6 months.

=============================================

Questions are from the SMART Recovery Members' Manual,
Section 1, Building Motivation;

=============================================


Benefits Related to Continuing/Stopping Usage
---------------------------------------------

BENEFITS OF CONTINUING TO USE<br>
What is it I like about my compulsive habit? What good does it do for me?





What am I afraid my life would be like if I did not engage in this behavior?




What bad feelings (anger, frustration, stress, depression, etc.) does this help me deal with?




What positive feelings does this behavior make even better?




How does my compulsion help me to cope better? Does it allow me to express anger or love better?




Do I take pride in drinking or using more than most people can?
-- getting higher than most?





How much do I enjoy the high? What exactly about the high do I like? Does it make me feel powerful, witty, lovable, etc.?




How much does this behavior help me socialize comfortably and fit in with others?




How much do I need this behavior in order to feel normal? What does feeling normal mean?




Does it help me to avoid boredom?




BENEFITS OF STOPPING

What is it I dislike about this substance or activity? How does it harm me (be specific)?




What am I afraid my life will be like if I continue to engage in this habit?




How much more productive will I be once I give up my obsession? Won't I have more time, energy and stamina?




Won't I have better health and more money if I quit?




Won't my self-respect and the respect of others for me increase?




Will I avoid legal problems? Loss of driver's license? Fines? Jail?




Will my relationship improve? Will my sex life improve?




What pleasures will I experience that are difficult or impossible now? Won't I feel better in the mornings?




How much more clearly will I think? And, if I can think clearly, won't I be able to make a better life for myself?




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PLAN

Important to plan ahead. Have a written strategy in advanced to "get yourself out" of a tough spot.


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PUSH YOUR ASS
By Ellis


Question: Understanding that to accomplish some things you often need to
force yourself to do them, if you want to get them done, how do you
actually force yourself? From experience, not so easily.

Answer: You force yourself by first giving up the irrational,
self-defeating belief that because you want them to be done easily, without
effort, there should be an easy, magical way to do things. Then you accept,
without necessarily liking, several grim facts of life:

(1) Things won't do themselves--not very often!

(2) You'll benefit by doing them and do yourself in by procrastinating.

(3) It's often hard, but not too hard, to do them.

(4) If things are hard to do, that's the way they should be--hard.

(5) As Benjamin Franklin said, 'There are no gains without pains.'

(6) There's one main way to accomplish things--PYA (Push Your Ass).

(7) If you don't, you're not an idiot, but you have acted idiotically this
time!

(8) It's hard to change, but its harder if you don't.


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THE ABC's


SMART SELF-HELP ABC WORKSHEET

Instructions: A. Describe the activating event. B. Separate rational (sensible thinking) from irrational beliefs (problem habit thinking). C. Describe how you felt and what you did. D. Dispute and challenge your problem habit thinking. E. Record the effects of this effort.

A. Activating event:




B. Beliefs about the event:


Rational Beliefs:




Irrational Beliefs:




C. Emotional and behavioral consequences: (Include how you felt and what happened.)




D. Disputation.


Action steps to challenge irrational belief system.




Action steps to support your rational thinking.





E. New Effects:





For More About this "NO COP-OUT" Way of Thinking
Click Here
Use the Back Button to Return



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Disputing Irrational Beliefs - DIB's
from the Albert EllisReader


Summary of Questions to Ask Yourself in DIBS

1. What self-defeating irrational belief do I want to dispute and surrender?
2. Can I rationally support this belief?
3. What evidence exists of the falseness of this belief?
4. Does any evidence exist for the truth of this belief?
5. What are the worst things that could actually happen to me if I don't get what I think I must (or do get what I think I must not get)?
6. What good things could I make happen if I don't get what I think I must (or do get what I think I must not get)?


Maxie Maultsby and Albert Ellis list another five basic principles against which an idea [or a program incorporating a set of ideas] can be judged as rational or irrational, reasonable or unreasonable. Here is the formula:

1. If I believe this thought to be true, will it help me remain sober, safe, and alive?

2. Is this thought objectively true, and upon what evidence can I form this opinion?

3. Is this thought producing feelings I want to have?

4. Is this thought helping me reach a chosen goal?

5. Is this thought likely to minimize conflict with others?"

From Addiction, Change, and Choice, by Vince Fox, Chapter 9, p. 111


For an Expanded Discussion of Disputation
use your Back Button to return



A Quick Three Question Reality Check



1. Is what I'm thinking a fact (provable of course)
2. Does thinking this thought help me feel the way I want to feel?
3. Does thinking this thought help me achieve my goals?
or better yet get where I want to go or be where I want to be.

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Coping with URGES

Physiological urges last around three to five days...after that its "in your head" and YOU have control back.
YOU CAN STAND THEM and THEY DO PASS


4 Common Misconceptions about cravings/urges

by Arthur Horvath President SMART Board of Directors


Urges are excruciating or unbearable.
They compel you to use.
They will not go away until you drink or use.
They will drive you crazy.


Is there any evidence to support any of this? No, there is not. You can resist them and they will get weaker over time. When you realize you can stand a little discomfort, you will be back in control and part of your problem will be solved immediately. Accept your urges as a normal part of changing instead of treating them as catastrophes. You make yourself feel crazy by thinking thoughts such as, "I can't stand this; it's awful to feel this way; this is too much for me; I'm losing control of my emotions and I must be in control.

Commentary from Alcohol: How To Give It Up And Be Glad You Did by Philip Tate Ph.D



When an Urge occurs, accept it, but keep it at a distance. Experience it as you would a passing thought, on which "comes in one ear and out the other". Detach yourself from it, and observe and study it as an outside object for a moment. Then return your attention to what you were previously doing.
If the Urge is intense, remember (and perhaps picture) your benefits of stopping. (Remember that list in your wallet) Recall the "moment of Clarity" when changing your addictive behavior seemed almost without question the right course of action.
Think your addictive behavior through to the end. Don't just remember the "good times", complete the thought to include the negative consequences that follow.

front the SMART Member's Manual


DEADS

The letters stand for a reminder of some techniques for dealing with urges.

D=Delay.
It is a fact that the mind cannot hold a single thought for any length of time. If you don't believe me, just try to meditate on your navel for 20 minutes. Think of NOTHING else. Don't think of that ticking clock you hear, don't think of your foot that itches, and don't think about how much time is left before you can get up and make dinner. Just your navel, period! Hmmm, pretty hard to do. You can use this fact to crowd out urges by postponing them for a later time. Twenty minutes later, the urges will not seem as urgent as it did when it first appeared. Wait that nasty thought out and it will dissappear. Try it! What have you got to lose except ... your urge.

E=Escape the situation.
We cannot ALWAYS manipulate the situation, but often we can. If you have chosen to go to a party, and the urges are looking 'irresistable', do yourself a favor and get the heck out of there. Mark parties off your list for several months. If certain friends seem to 'make you want to drink', put them on the back burner for a while. If driving by your favorite bar puts a yearning in your stomach, drive home a new way for a while. Several months down the road you can experiment with dealing with tempting situations, but why do it in the first sensitive weeks? There is plenty of time later. Give yourself a break!

A=Avoid.
Make your list up now of triggers that YOU feel tempt YOU and avoid them. Avoid them for good or just for a while. This is your list and your choices. Putting them on paper NOW rather than finding yourself in a sticky situation later makes much more sense to me.

D=Distract.
Distraction or divertion is somthing that we talk about a lot around here. Having a list of things to do, in advance, is insurance for when the only thing you can think of to do is drink. Pull out that list and pick an activity... and just do it... whether it feels like something you want to do or not. I have found that at first, I would say 'Heck, I don't want to do that'... but after making myself do it, it became fun. My favorite motto of late:
'Motivation follows action'.
I said earlier that it is hard for you to hold one thought in your mind for any length of time, just think how hard it is to hold TWO thoughts at once! This distraction technique utilizes this principle.

S=Substitution.
You can substitute an irrational belief with a rational belief. You can substitute an addictive behavior with a healthy behavior. You can substitute cranberry juice for beer. You can substitute jogging around the block instead of eating chocolate cake. You can substitute feeling sorry for yourself with coming to an online meeting. The possibilites are endless.

DEADS. Another tool to stick in your Smart-toolbelt.


submitted by Marky of SMART Chat Online


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Nutritional Advice to help "Curb those Urges"


Efforts to establish and maintain proper nutritional balance is, of course, essential to physical and mental health. This is especially true in the initial stages of changing any addictive behavior. More than likely nutrition has suffered. Part of Lifestyle Balance is to place proper attention to diet and exercise and maintain motivation and effort to these ends. As with any significant change in physical activity or diet... Consult the proper Professional.


One Person's Experience and Suggestions
from SMART Member, Kristin


Hello people,

I want to share some of my experience with "nutritional therapy" in case anyone would like to try it. I am all for challenging addictive thinking and identifying irrational beliefs. But I've found my cognitive changes run more smoothly when I put my brain and body chemistry back in balance.

I don't advocate anyone following anything blindly. I posted MY experience with vitamins, and YOURS might be very different.

I do recommend seeking further information before trying anything. In my case, I had an exhaustive series of tests performed prior to beginning my vitamin therapy. These tests concluded among other things that I was hypoglycemic and that I had a very healthy liver which was functioning normally. Niacin, as well as the Depakote I was previously taking, both can do extreme damage to the liver over long periods of time. Again, my experience with megadoses of vitamins was over a very short time period (no longer than 6 weeks at a time).

For the past year I have been studying nutrition and vitamins and the effect of alcohol and drugs on the body systems. I will try to keep the medical terminology to a minimum, but my discoveries have totally changed the "withdrawal" period of abstinence, in many substances (including alcohol, cigarettes, and narcotics). I picked up an excellent book called "7 weeks to sobriety" and also read many holistic healing books. I heartily recommend "7 weeks to sobriety." It gives you a vitamin plan for sobriety that helps to put your body back into balance. A lot of the cravings in withdrawal are caused by low blood sugar; your body is used to 1,000 calories or more of empty sugar from alcohol and has adjusted to working with that every day, and suddenly it's not there anymore. Which is why former drinkers often consume huge amounts of sugar and coffee, experience shakes, nightmares, and depression. I changed my diet a lot, substituting whole wheat pasta and breads for white pasta and breads, and staying away from processed foods and sugar. I can't even stress to you the difference it made in the way I feel. My depression (which landed me in the hospital on suicide watch) subsided and I was able to focus. The cravings were present, but they were not this gnawing, horrible thing.

Even if you're not ready to make the nutritional leap, there are a few supplements that you can use that helped me a lot. All of them are available at CVS or Brooks or any local pharmacy. One is vitamin C -- I use Ester C because it doesn't irritate the stomach in large doses and is more easily used by the body. ........... Another is Niacin, which controls blood sugar. I've found ...... Niacin can kill a craving pretty quickly when coupled with Glutamine ........, an amino acid which also controls blood sugar. I also take a multivitamin and a Choline/Inositrol supplement which supposedly weaken addiction.

I still rely heavily on cognitive therapy and SMART "tricks of the trade" to get through cravings. But I've found the cravings much more managable with the help of proper eating, and why go through more pain than you have to? I also have a lot more energy now and can exercise, which makes me feel even better than drinking and drugging did.

If anyone is interested I have a bunch of other books I can recommend. Hope this helps someone.

Kristin


"Seven Weeks to Sobriety: The Proven Program to Fight Alcoholism Though Nutrition"
by Joan Matthews Larson, Ph.D.
Fawcett Columbine, 1992, ISBN number is: 0-449-90896-8.



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DISARMING Drinking THINKING

Some SMART self-help groups use the acronym. DISARM, to suggest a way to throttle down drinking thinking (Dr. Joe Gerstein and Dr. Hank Robb devised the acronym, DISARM.). The acronym stands for Destructive SeIf-taIk Awareness & Refusal Method. DISARM, reminds us to dispute drinking thinking to avoid pickling our intelligence and judgement with alcohol or drugs.
You can DISARM drinking thinking by: (1) identifying your both your rational and self-defeating drinking beliefs. (2) Attaching the rational and irrational beliefs to short and long-term emotional and behavioral consequences. (3) Disputing irrational belief systems by Thought and action.
This DISARM process starts with drinking thinking awareness followed by forceful refusing to cave into urges to drink or use.


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DIVERT

When you just are not able to "stop the thoughts"...
LIKE WHEN YOUR BORED !


Make yourself DO something, anything, (Remember the benefit of PLANNING ahead) till it passes.

These don't need to be major things; they can be simple things:

Take a Walk
Read a good book
Go to the beach
Read the papers to find interesting activities
Watch a sunset


Or Major Things:

Get involved with an environmental group
Join a church
Join a civic group
Volunteer for S.M.A.R.T

IT WILL PASS

THESE ALL WORK..."IF YOU WORK THEM" :-)


Above All --- REMEMBER ---
YOU CAN STAND IT!


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RELAPSE PREVENTION Going from substance abuse to abstinence can involve lapses and relapses. Though normally not fatal, such backsliding can prove discouraging.
Meaningful personal change usually takes more than one attempt. In SMART we understand that lapses and relapses can and do occur as part of this change process. We do not like it but we accept this reality. Still, if you feel determined to change, and work diligently, you may not relapse. Sam Klarreich, Toronto Psychologist and President for the Toronto to Center for Rational Emotive Behavior Therapy, has helpful advice about preventing lapses and relapse. He suggests that you develop a recovery voice to counter the seductive self-talk that leads to problem habit drinking. Examples of the recovery voice include:

o Although I do not want to give up the pleasures of drinking or using, I like the consequences even less. So I will attempt to live through my inner pressures for using.
o While I do not see myself as a worthless worm for backsliding I see myself as responsible for my actions. I will responsibly reject the seductive messages of my addictive thinking.

Klarreich says that an important key to relapse prevention involves understanding the reasons for the backsliding. By using this understanding, you reduce the future risk of lapses or relapses. This process includes:
(1) identifying stimuli for using and then coping with them to avert a lapse or relapse
(2) recognizing the seductive self-talk that stimulates drinking or using
(3) challenging (Disarming) this destructive voice
(4) talking to a supportive friend when your urge to use feels strong.

PUTTING IT TOGETHER

In 1956, Psychologist Arnold Lazarus, the founder of Multimodal Therapy, showed how to apply cognitive-behavioral methods to overcome alcohol abuse and dependency. Lazarus detailed the need to :
(1) attend to physical problems related to abuse
(2) employ active change methods to help break compulsive habits
(3) recognize the interaction between the person and his or her social environment
(4) solicit help from a spouse and others who can help support positive change
(5) apply a wide breadth of change techniques.
For Lazarus, the concept of "treatment breadth" became a focal issue. The SMART Activity Worksheet on Page 52 gives you a structure that supports the idea of " treatment breadth."

You increase your chances for overcoming a problem habit when you conscientiously use multiple proven change techniques.

REPRINT FROM SMART RECOVERY - A SENSIBLE PRIMER


A short word from Me :-)

Group Support had been integral in my case. This support does not have to be formal though.
Organized groups, if available, are great. Support, though can come from as simple a source as a good friend. I recommend every type support that you can muster. It's basically for reasons like... "Two Heads are Better than One", someone to call you on your BS, perspective, inspiration, understanding and fellowship.AND... It Gives You Something To DO !!!




LIFESTYLE BALANCE

Like the old adages...Moderation in Everything...Too much of a Good Thing...etc. The Essential Element is Balance. Balance just doesn't simply happen however, it takes effort and planning. Address and Balance your physical exercise and diet. You will have a more positive perspective... and you run less risk of confusing simple hunger or fatigue as an urge or depression. Sounds silly but it is surprisingly commonplace. Address and Balance your social and spiritual activities. Spend time in solitude as well as in groups. Spend time in dedicated study as well as simple distraction. Be Selfish and Altruistic. The List Goes On..... Balance your Recovery! Pay attention to maintaining your progress but you are a human being with a life. That's the Goal, Right? Life, Your myriad of opportunities and potentials


Live in the "Here and Now". Plan for the future and learn from the past, but do it only when the "Now" dictates. Unnecessary speculation of the future is only fantasy, reliving the past is only a dream. Both are egocentric and create fertile ground for distress.


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Maintain Your Improvement
( excerpt from the Albert Ellis Reader )


      Keep forcefully and persistently disputing your irrational beliefs whenever you see that you are letting them creep back in again. And even when you don't actively hold them, realize that they may arise once more, bring them to your consciousness, and preventively - but vigorously! - dispute them.
Keep risking and doing things that you irrationally fear - such as riding in elevators, job hunting, or creative writing. Once you have partly overcome one of your irrational fears, keep acting against it on a regular basis. If you feel uncomfortable in forcing yourself to do things that you are unrealistically afraid of doing, don't allow yourself to avoid doing them - or else you'll preserve your discomfort forever! Practice making yourself as uncomfortable as you can be, in order to eradicate your irrational fears and to become unanxious and comfortable later.
Try to clearly see the real difference between healthy negative feelings - such as those of sorrow, regret, and frustration, when you do not get some of the important things you want - and unhealthy negative feelings, such as depression, anxiety, self-hatred, and self-pity.
Whenever you feel overconcern (panicked) or unduly miserable (depressed) acknowledge that you are having a statistically normal but a psychologically unhealthy feeling and that you are mainly bringing it on yourself with some dogmatic should, ought, or must.



For More on Maintaining
Click Here
Use the Back Button to Returm




Remember Ladies and Gentlemen, You cause your distress. Events are real, they complicate, they "demand" time and effort. They do not, however, CAUSE distress... You make the choice. Choose Serenity.


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A "Disaster"-Prepardness Plan




A Post from the SMART Recovery Message Board
Check it Out

Hi Guys,

I wanted to add to what Marky suggested about having a pre-determined plan in response to a desire to drink after an established period of sobriety.

I devised one after several months sober and refer to it as my Disaster-Preparedness plan. Although I do realize that the title may infer "awfulizing", it is more symbolic of my resolve to not return to old behaviors that I BELIEVE will ultimately cost me my freedom.

I felt the Plan was in my best interests as I had previously had 2 six-month periods of abstinence and at the end of both, consciously and deliberately CHOSE to drink again with the goal of moderation. At the time, I thought the choice of moderation was reasonable and obtainable. It was surprising how quickly the drinking escalated but I now know those old patterns returned because I did not have the knowledge nor the tools to effectively recognize and change the beliefs that led to my problem drinking. Although SMARTer now, I devised a plan of action to be implemented in the event that my usual disputations and rational thinking processes fail for some "out of the blue" reason.

My Plan is to be implemented if I ever seriously consider that I want to have A drink.

1. For the first 24 hours, I may do nothing- I may not drink under any circumstance. I simply consider the thought of having a drink as simply an urge- no big deal. Dispute and distract for 24 hours.

2. If after 24 hours, I continue to think that I would like to have a drink and explore moderation, then for 6 days, I give this thought some serious work. I explore it, write about it (ABC, etc), do another Cost Benefit Analysis for this particular time frame, and invest the time and energy a potentially life changing decision deserves.

3. If after these 7 days, I believe that I still would like to have A drink and that moderation is in my best interests, then I must present my work (done in # 2) to my SMART friends. I believe that they will listen to me, that they care about my best interests, and that they will be objective. If they concur that my new beliefs meet the test of rationality, that my new plans meet my stated goals, and they feel comfortable with my choice to moderate, then I may proceed with caution.

Since passing the 6-month marker with SMART, I have encountered a very powerful urge to drink on only 1 occasion- in the middle of packing up and moving to a new home. Triggers (to drink), old patterns of thinking, emotional upheaval (frustration, anger), fatigue- I threw them all together for one strong desire to get plowed. And I implemented the plan. For an hour, I drove around disputing the urge to pull into every liquor store along my section of the FL coastline. And that's a lot of disputing!! That was the worst of it- one hour. And what saved me was that I just kept telling myself that the decision TO drink was going to be as RATIONAL as the decision NOT TO drink. That's what my plan called for, that's what I had committed to, and that's what I was going with.

Of course, I never got to step # 2. Within 24 hours, I was back on track and making choices appropriate to meeting my goals. And as importantly, I carefully and thoroughly examined what happened that led me to encounter such a strong urge to drink. I was "off track". I had failed to recognize the warning signs. Somewhere I had gotten off balance and I wanted to explore that and learn from it.

As far as NEEDING this site: I am not concerned that I will make an inappropriate decision because I do not visit this board daily for I have learned skills and have the knowledge and tools to carry me towards my goals independent of this support group. However, in addition to providing me with new information, insight, and opportunities for growth, this forum reinforces what I have learned and implemented to make the wonderful changes to my lifestyle. I value my SMART friendships and find it comforting to visit here each day. Thanks for being here.

Carol

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FAST

Focused Attention-Selection Tool

Thought I'd share a little detail about how I helped increase the odds that I'd notice the opportunity to be inspired by a heron's graceful flight, as happened for me recently.

This is what I call my 'Focused Attention-Selection Tool' or 'FAST' for short. It often gets fairly fast & nice results! Without negative side-effects!

I sometimes use FAST to help myself get the most out of my thoughts, feelings, and experiences. FAST is a learned habit that directs the attention of my senses to sights or sounds that feel good and also help me get a better grasp on something I am presently learning. These sights and sounds are all around us, the trick is to notice them. For practice, pay attention whenever possible to all the different views you can get of the moon, like when it is high or low in the sky or how its colors and shape seem different one night to the next. Pay attention, also, to how you feel when you notice one or another change in the moon's appearance. (Or is it the stars that stand out to you at night? If you Focus, you'll find out.) FAST is not about 'remembering to smell the flowers,' however.

Sometimes, as you all know, it's not easy to get Thoughts, Feelings, Intentions (goals)—or Actions—all in sync. By 'in sync,' I mean, getting these aspects of 'being me' working-together to create a harmony and rhythm that I really like, that I can dance to… that I can live to. FAST can be especially beneficial at times we would really prefer NOT to stop, change, or interrupt strong feelings. Rather, we might prefer on some occasions to deeply experience and learn from emotion, feel it but not be overwhelmed or frightened by it. At times like this in the past, I myself might have chosen to drink.

After I figured out that I was not willing to pay the high costs of my drinking habit, I began seeking, discovering, and learning other ways to enhance the emotions that can happen during important or especially meaningful moments or events. I used to drink, partly at least, to protect myself from my (irrational) fear of being overwhelmed or frightened by the sheer intensity or strength of my emotions. Disputing the irrational beliefs which kept that fear alive, and discovering the benefits of Focused Attention-Selection, have worked well together, in my personal 'tool box.' Having FAST down as a good strong habit now (after lots of practice) helps to ensure that I won't miss inspiring, comforting, or empowering sights, like that heron sailing with such ease and grace over the water. FAST helps me be sure I won't miss out on the potential meaningful-ness of my emotions.

Anyone can learn to make frequent choices about where to direct your Attention. Before long, Focused Attention-Selection can become one of those automated coping tools, those processes that don't use 'much RAM' or conscious effort. In other words, FAST can become a habit. (Some habits make for health and happiness! What a deal!)

With my eyes, ears, and mind open, FAST guarantees that I won't miss out on the benefits of the best sights and sounds in the world around me. Like that heron's flight.

It helps to remember: Self-management includes much more than will-power or discipline! Self-Mangement And Recovery Training, i.e. SMART, is really as much about moving toward what we want, as it is about moving away from what we no longer want. For example, I want to continue moving toward sights, sounds, people, & experiences that are inspiring... that help me comprehend, learn from, or build upon, the meaningful-ness of my life. I have a desire to move toward opportunities. You may have similar or other desires, about what you wish to move toward in your life.

After a couple years of abstinence, I no longer think like I used to, about how to get away from drinking and its hurtful consequences. Now, like many others, I think mostly about how to move toward that which enhances my life.

So, if you're ever struggling with DISPUTEs or ABCs or CBAs, you might take a moment to Focus, so you can quickly scan the world around you, and then shift your Attention to where you like it. Hold it there for a long moment. Now enjoy the results, as you return to whatever you were about.

You'll soon learn where to look or listen, how to turn your senses to that which is most soothing or inspiring or exciting (whichever you're most needing will stand right out for you, with only a little practice). Result? You'll probably have more success with your efforts to make SMART tools and the 4-Point concepts work for you. And... more and more you'll find yourself focusing on your freedom to create the life of your dreams.

Enjoy!

Kate
your K8PA :-)

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How To Deal With Backsliding

Accept your backsliding as normal- as something that happens to almost all people who at first improve emotionally and then fall back. See it as part of your human fallibility. Don't make yourself feel ashamed when some of your old symptoms return, and don't think that you have to handle them entirely by yourself and that it is weak for you to seek some additional help from others about your renewed problems.
When you backslide, look at your self-defeating behavior as bad and unfortunate, but refuse to put yourself down for engaging in this behavior. Us the highly important REBT principle of refraining from rating your self or your being and of measuring only your acts, deeds, and traits. You are always a person who acts well or badly- and never a good?or bad?person. No matter how badly you fall back and bring on your old disturbances again, work at fully accepting yourself with this unfortunate or weak behavior, and then try- and keep trying- to change your behavior.

Go back to the ABC of REBT and clearly see what you did to fall back to your old symptoms. At A (Activating Events) you usually experienced some failure or rejection. At rational belief B, you probably told yourself that you didn't like failing and didn't want to be rejected. If only you had stayed with the rational beliefs, you would have only felt merely sorry, regretful, disappointed, or frustrated. But if you felt disturbed, you probably then went on to some irrational beliefs (IBs) such as: I must not fail! It's horrible when I do!?I have to be accepted? If you reverted to these IBs, you probably felt, at C (emotional consequences) once again depressed and self-downing. Use the ABC process as illustrated throughout much of our literature, reading material, and demonstrated live at online meetings to dispute (D) these IBs and form new effective beliefs (E).

Keep looking for, finding, and actively and vigorously disputing your irrational beliefs to which you have once again relapsed and that are now contributing to your feeling anxious or depressed. Keep doing them over and over, until you build intellectual and emotional muscle.
Ellis says No matter how clearly you see that you upset yourself and make yourself needlessly miserable, you rarely will improve except through work and practice- yes, considerable work and practice- to actively change your disturbance-creating Beliefs and to vigorously (and often uncomfortably) act against them.?

Don't fool yourself into believing that if you merely change your language you will always change your thinking. Again Ellis: If you mildly Dispute your irrational Beliefs (iBs) you may not change them and keep them changed. Therefore, you had better powerfully and persistently argue against them and persuade yourself that they are false. You may for a while find it easy to change your feelings. But you're better keep working, working, working to maintain your gains.?

Convince yourself. Here's where the real work begins. It would be short sighted to believe that one or two exposures to a concept could totally make it yours. A long-time Smartie once told me the number one cause of relapse is lack of coping skills?If you have only a brief acquaintance with the skills presented here rather than a solid understanding built thorough study and repetition, how can you expect them to come to your aid when you need the most? Coping skills are learned like any other skills: first, learning them, then by practice and repetition until they become ingrained. Keep working on your disputes and coping skills until you are thoroughly convinced, not just mildly believing.

The hard work mentioned by Ellis can include:


a.. Written Work: The first exercise suggested by most here is the Cost Benefit Analysis (CBA). OK, you know that. But, do you really have one written down? Have you looked at it more than once or twice? This can be a powerful tool when it is utilized in the manner suggested. It should be an ongoing work that is revised, added to, and referred to in the face of temptation. Just having a general outline in your mind is not nearly as powerful as seeing your thoughts take form on paper. It can truly be illuminating.

We used to talk about homework around here but it is a topic that has fallen away in recent days. I would not propose to be anyone's schoolmaster but you can, yourself, start your own written analysis of the IB's that are particular to you. As you dispute those, continued emotional discomfort on your part might signal other IB's that you still have to unearth. The written disputes of today might be forgotten 6 months from now and having a written record of these can help you from starting all over again.


b.. REI: Rational Emotive Imagery is another underutilized tool that is so powerful, if practiced for a regular period of time (Ellis suggests at least 30 days). Ellis provides a dramatic, live demonstration at his seminars. You can learn more about this technique in most any Ellis book. The key concept in REI is practicing cooler?thoughts. Sort of sounds like our PPP. (Practice, Patience, and Persistence).

c.. Taped Disputes: One powerful way to do highly powerful, vigorous disputing is to use a tape recorder and to state one of your strong irrational beliefs into it. Figure out several disputes to this IB and present them strongly on this same tape. Listen to your disputing on tape. Do it over in a more forceful and vigorous manner and listen again, listening until you get better and better disputes. Keep listening to it until you see that you are able to convince yourself that you are becoming more powerful and more convincing.

Reading and Owning the material: It is said numerous times in the meetings: to think rationally, rather than irrationally. Yes, you can look up the definitions of the two words, but does that really give you much more than a general help? If I weren't already in the habit of thinking irrationally, I wouldn't be here in the first place. How can I learn to think more rationally? Learning how to think?is a skill. If you haven't read any of the authorities recommended in the suggested reading material, who could blame you for not being too adept at spotting thinking disorders? An excellent book that points this out is "Feeling Good?by David D. Burns. He refers to 10 Cognitive Distortions and give lots of examples and exercises on how to recognize them. It is also the list that I have seen Betty recently utilize. You might have read the list at one time, but do you own the material?well enough to spot faulty thinking in your everyday thoughts?
If you still feel like you don't really have a grasp on a lot of the basics, or these concepts just don't come to your rescue when you need them, one should ask themselves, What resources have I invested in to help make this material mine? Do you have the Smart Manual in your library? Do you have a resources library? (Not demanding, just suggesting. )

Topics: Pat (Skywiz) has been a real mentor to myself and many others here too. His knowledge of REBT and related topics and his grasp of how it all fits together is sometimes astounding. How did that man get to be so Smart? I know that he has read and continues to read every book he can get his hands on to learn as much as he can about this subject and all related topics. As you start to explore and learn, you realize that getting sober is just the first step. The implications and applications of REBT and a balanced life-style can become an on-going search leading you from topic to topic. Other topics of interest that intertwine with REBT may be:


a.. USA (Unconditional Self Acceptance). Surprisingly it is not the same as self-esteem. Pat has an excellent piece on his website (www.skysite.org) on USA.

b.. Guilt- A topic brought up in most every meeting I have attended. An excellent book is Woulda, Coulda, Shoulda.. Overcoming regrets, mistakes, and missed opportunities? Dr. Arthur Freeman and Rose DeWolf.

c.. Urges- Do you know the four common misconceptions about urges? The pamphlet available from Smartrecovery (for only $4.95!) the Pocket Therapist?gives you 20 Tips To Defeat Urges, 10 Ways to Prevent Relapses, What To Think When an Urge Hits. Now WHO couldn'tuse that!

d.. Anger- For many of us, when we don't get our way, we get angry. Useful IB's and disputes about this subject abound in the book "How to control your anger before it controls you? Ellis and Raymond Chip Tafrate.

e.. Semantics- You will notice a distinct concentration (some say nit-picking) about ones choice of words around here. The subject of semantics delves into how our language says so much about what we think. Having trouble unearthing your IBs? What you say might help you zero in on them. That is why you might have seen the ATW (Automatic Thought Warning) that we have employed form time to time. A useful device to make us more aware of what we are saying.

I have only touched on a few topics and the field is open to wherever it leads you. It reminds me of websurfing. I start out researching one topic, see another interesting topic and surf over there, and hours later find myself 6 or 7 topics away! Anyone having trouble coming up with a Vital Consuming Interest (VCI)?

In conclusion, backsliding isn't the end of the world. It is quite natural. Rather than the awful, terrible?event that we so often portray it to be, it could be the impetus for us to get back to some much needed personal work. It can even help us to go back to some areas that we originally glossed over the first time around. With this attitude of healthy disappointment for our behavior, (rather than unhealthy attitudes that stifle growth) we can get back to the basics of the ABCs and REBT that helped us in the first place. We can keep looking for and vigorously disputing our irrational beliefs. We won't fool ourselves that we have done the work?by only mildly believing but we will continue working hard until we are thoroughly convinced of the truth of our disputes and the rational choices we have chosen to make. Learning and ?aking our own?the basic concepts of REBT will help us avoid the kind of thinking errors that caused the incident of backsliding for the future.

(Portions of this article were taken from the Ellis Article Maintain and enhance your rational emotive behavior gains) submitted by Ali on SMART REC

 

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