Mindful Happiness

Anthony Quintiliani, Ph.D, LADC

  • Home
  • Dr. Anthony Quintiliani
    • About
  • Mindful Happiness
  • Mindful Expressions Meditation CD
  • Contact

July 23, 2017 By Admin

Relapse Prevention Plans – Basics (T. T. Gorski) Anthony R. Quintiliani, Ph.D., LADC

Relapse Prevention Plans – The Basics

T. T. Gorski, Anthony R. Quintiliani, Ph.D., LADC

The following information about how to develop effective relapse prevention plans has been paraphrased from the Work of Terrence T. Gorski.  It is highly practical and a concrete way to develop your skills in relapse prevention interventions. Intermediate (Marlatt and Gordon) and advanced relapse prevention (MBSR, ACT) strategies will follow in future posts. The core steps are noted below.

  1. Stabilization: After detox and a few days without using substances, the core issue is WHAT do you need to do so you will not use substances today? This is very early abstinence, so best to be highly respectful, gentle, concrete, and proceed slowly with your client.
  2. Assessment of Realities: A primary rationale for assessment is to discover the client’s patterns of problems and related behaviors that most often lead to relapse.  Key areas to examine are patterns of use, recovery effort history, sources of emotional dysregulation, and details about repeated self-medication to reduce experienced suffering. You will most likely discover areas involving childhood trauma, various forms of person abuse, unhelpful familial patterns, serious losses, peer group problems, and insults to the integrity of the self.
  3. Education: Key areas of client education include that relapse is a normal part of recovery process; extremes of guilt and shame need to be combatted; identification and counteracting the progressive warning signs; and, instilling a strong sense of hope.
  4. The Warning Signs: It is important to individualize the plan for each client. Although common core categories of unpleasant life experiences leading to self-medication exist, each person’s response to them differs in the details. Your best bet for success is to include both self-help and clinical applications regarding the warning signs of relapse. Help the client take a personal inventory about their known warning signs. Some signs may not be in awareness.
  5. Dealing with Warning Signs: It is important to teach the client skills for managing their warning signs.  It is not enough to simply talk about the skills (generic talk therapy); it is important that clients practice the skills – a bit more Behavior Therapy.  Behavioral approaches help to concretize ways of being and doing that counteract automatic unhelpful sequences forming from warning signs. Often poor responses come after unhelpful thinking patterns. So it may be helpful to use some Cognitive Therapy to help client understand and counter unhelpful, automatic negative thinking. Rational Emotive Behavior Therapy may be helpful in helping clients modify self-defeating behaviors, and Mindfulness-Based Stress Reduction may be helpful in improving mind-body emotional dysregulation and behavioral urges. If you know how to do Dialectical Behavior Therapy, it can be highly effective here. Last but not least, use whatever might be helpful from AA’s 12 steps. Do not expect that one shoe fits all; do not expect that your favorite approach is the correct approach. A varied and skilled application of various approaches tends to work best.
  6. Recovery Plans: Clients will obtain the best outcomes by participating in both self-help and clinical applications of recovery and relapse planning. A concrete relapse prevention plans, founded on good personal information and scientific interventions, tend to be most successful.
  7. Personal Inventory: It is often helpful for clients to learn how to do morning and evening inventory work. This is similar but not the same as Psychosynthesis, in which people use preview to prepare to deal with expected challenges and joys of the day, and review in the evening to see what worked and what did not. If clients become anxious after evening review, they will be helped by MBSR’s body scanning technique.   It may help people enter sleep and remain  in sleep.
  8. Family Role: Supportive family involvement is strongly encouraged, but only if it is supportive in nature. Don’t try to force family roles if systemic support is lacking.
  9. Follow-Up: We need to check in with clients to see what is working and what is not working.  This should help us to monitor progress and revise relapse prevention plans as needed. A periodic urine screen may be helpful to work with both self-report and evidence of progress.

For more information refer to Gorski, T. T. (2003). How to Develop an RP Plan. At the Addictions Web Site of Terrence T.Gorski. See www.tgorski.com; www.cenaps.com; and, www.relapse.org.

Anthony R. Quintiliani, PhD., LADC

From the Eleanor R. Liebman Center for Secular Meditation in Monkton, VermontChiYinYang_EleanorRLiebmanCenter

Author of Mindful Happiness  

Mindful Happiness cover designs.indd

New Edition of Mindful Happiness in Production…Coming soon!

Filed Under: Addiction, Featured, Ideas & Practices, Meditation, MIndfulness, Prevention, Relapse Tagged With: ANTHONY QUINTILIANI, MINDFUL HAPPINESS, MINDFULNESS, PREVENTION, RELAPSE, RELAPSE PREVENTION PLAN

Twitter

Mindful Happiness -Currently in Production

Mindful Happiness Posts

Mindful Happiness:   Joy is Within Reach – It is Up to You to Choose It! We all live in a very troubled world with lots of greed, hate, warfare, and danger. Many of us use distractions (addictions, cell phone habits, eating, gathering, games, etc.) to make it through the days. This is true!  However, […]

Happiness Path  – The 14th Dalai Lama His Holiness The 14th Dalai Lama has suggested, among many other important things, that humans may experience true inner happiness by regular practice on the path to enlightenment. In his 2012 book, From Here to Enlightenment, he noted that personal happiness may be attained via specific behaviors and ways of […]

Mindfulness Practices to help Reduce Your Worry & Suffering My last post dealt with various mindfulness-based practices and skills that may help to reduce created suffering due to excessive worrying.  I will add a few more practices in this post.  First, let us go back to Roman Emperor, Marcus Aurelius, and his Meditations. In Book 2, page 14 […]

Insights – Vipassana Mediation There will be future, more advanced vipassana meditations posted on the site. For now, however, we will end this series with a final post about the insights often experienced via vipassana meditation. We learn via experience about impermanence, suffering and its causes, no-self, emptiness and many other things – or, perhaps, […]

Using Lectio Divina to Enhance Your Happiness Lectio Divina is an ancient Christian (Benedictine) meditation; it is a form of meditative prayer called “sacred  seeing.”   We  will use a modified version of the process here.   Follow the steps noted below. Sit  quietly  in meditative form, calmly abiding yourself here now.   After a […]

Essential Knowledge for Clinical Supervisors This post will include information and skills dealing with research on role induction practices, quality of clinical supervision, psychodynamics of alliance, and progress measurement.  Since the information and skills for all these topics is complex, I will do my best to keep it as clear as possible. This information aims […]

Gurdjieff’s The Fourth Way to Consciousness: Background A core teachings is that there are three ways of being: the fakir (master of the physical body); the monk (master of faith and feeling); and, the yogi (master of mind development).  A key goal is to KNOW yourself at the deepest levels.  To KNOW is to be, […]

Polyvagal Interventions for Anxiety S. Porges and his Polyvagal Theory may provide innovative interventions for both anxiety and depression. Many people become trapped in ruminating about the past or worrying about the future; they cannot seem to keep their mind and body in the present moment.  Some strong, fear-based, bodily defenses may not respond well to […]

A Tribute to Ram Dass (Richard Alpert) Recently Ram Dass died at his home in Maui. He was 88 years old.  He was born into a well-off Boston family, and enjoyed materialism in his early professional years.  When completing a Ph.D. in Psychology at Stanford University he was still into material things. His spiritual awakening […]

In The Dhammapada the Buddha includes an important section on the topic of happiness.  How to be happy in a life of changing joy, suffering, and neutrality? How to be happy in a world of attachment/craving for desired pleasures and avoidance of all suffering?  Attachment, impermanence and unhelpful experiences – all cause suffering.  It is quite […]

Mindfulness Based Contemplations Best to practice both of these contemplations using the lectio divina method, that is each time you contemplate the content of the two messages concentrate a bit more, go a bit deeper into your mind. Concentrate! Concentrate! Concentrate! Go deeper into your mind to discover your answers. Contemplation 1 – Who Am I? If I […]

Mindfulness in the NFL Yes, mindfulness as part of sports psychology programming is being used in the NFL.  Yes, big and physically tough football players are being helped via a mindfulness component of sports psychology. There are some important roots here. Dogen, the famous ancient Japanese Buddhist meditation master, brought Chan Buddhism from China to […]

Mindfulness Skills and Psychotherapy Outcomes There are at least ten good reasons why mindfulness training and regular practice may improve psychotherapy outcomes. These reasons assume the training is presented by a well-trained clinician-mindfulness practitioner. Of course improved outcomes also depend upon the client’s motivation and energy to actually practice mindfulness skills on a regular basis. […]

Mindful Happiness Explores – The Miracle of Mirror Neurons Between 1996 and 2000 researchers (Gallese and Rizzolatti) at the University of Parme in Italy discovered what are now called mirror neurons. Neuroscientists speculate that mirror neurons (reportedly in the Broca’s area of the prefrontal cortex) activate perceptual responses for internal motor-emotional responses.  Thus mirror neurons […]

Anahata – Heart Chakra Meditation Practice Rumi noted that to reach the sky we must use our hearts. The Heart Chakra is a very popular focus of meditation practice.  Here we will simply review some characteristics and then move on to a meditation practice. Specific characteristics: Green color, YAM sound (say at least three times […]

Basic Self-Compassion Process Practice: To practice self-compassion as needed, follow these specific self-compassion steps. Sensitize your mindfulness skills to become aware of your immediate experience of suffering. Hold a strong intention to respond with self-kindness. Use self-talk to be kind to yourself. Begin by softening your body. Relax your muscles, tendons, joints. Hold a natural […]

More on Yoga Nidra Yoga nidra is sometimes called yoga sleep or yoga relaxation. It is a very powerful mindfulness technique that allows one to relax the body and limbic brain area, while holding mental control for deeper relaxation and projective practices without falling asleep. For some it may be like lucid dreaming, but a […]

Stress in America – On the Rise – The American Psychological Association recently completed its national survey on stress in America.  Stress in America for adults is on the rise! I will review below a selection of reported percentages from the 2015 survey (published in 2016). 1)  Younger people are more stressed; Xers and Millennials […]

Stress In America – How to Deal with it Effectively The American Psychological Association just released the results of its annual stress survey for 2014.  This comprehensive study of stress in America has some serious implications for our health and happiness.  Although self-reported stress levels in many categories are lower than in 2013, the overall […]

Many Benefits of Mindfulness and Vipassana Meditation The Dalai Lama (Gyatso, Tenzin), the world leader of Tibetan Buddhism, and Paul Ekman, the world famous Psychologist of human emotions, have teamed up to discuss how to use mindful emotional awareness skills to become more emotionally balanced and compassionate. These two highly skilled practitioners have listed 21 […]

Mindful Categories

Mindful Happiness Pages

  • About
  • Contact
  • Dr. Anthony Quintiliani
  • Mindful Expressions Meditation CD
  • Mindful Happiness
  • Site Map

Copyright © 2023 · Mindful Happiness