WHAT IS INTENSIVE OUTPATIENT TREATMENT?

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1 1 WHAT IS INTENSIVE OUTPATIENT TREATMENT? By staying in the environment of use while receiving therapy, you do stay close to family and work, but you also stay close to temptation, triggers to use, and access to drugs and alcohol; and during the initial days and weeks of sobriety it can be very tough to resist this.

2 2 Taking treatment for the sake of family members or just to get rid of the constant pressure from near dear ones is not going to help an alcohol addict in any way. The first and foremost step is to make up your mind that you want to rid yourself of this vice. It is only when the decision comes from within that you will work towards getting rehabilitated. SEPARATE YOURSELF FROM YOUR FAMILY. By staying in the environment of use while receiving therapy, you do stay close to family and work, but you also stay close to temptation, triggers to use, and access to drugs and alcohol; and during the initial days and weeks of sobriety it can be very tough to resist this. You cannot just walk into any INTENSIVE OUTPATIENT TREATMENT PROGRAM AND CONTINUE YOUR CURRENT DAILY ROUTINE. First get in touch with THE REALITY THAT WHAT YOU HAVE BEEN DOING HAS NOT WORKED. You have been entwined in the responsibilities of daily living. Now you need to be entwined only in taking control of your alcoholic problem. YOU CANNOT WEAR SEVERAL HATS, so hang up all the other hats and wear only the hat of the sincere recovering alcohol addict.

3 3 PREPARE TO TAKE TIME OFF FOR 12 WEEKS Addiction is considered a mental illness. Though you may be concerned about how your employer may react when he discovers you re an alcoholic, chances are you ll be pleasantly surprised. Your employer would rather see you recover and return to your position than spend the time and money to find, hire and train someone else who may not be as experienced as you. Furthermore, your boss will probably feel some amount of compassion for your situation. Tie Up Financial Loose Ends Aside from securing the funds to pay for your alcohol IOP program, you ll also need to make sure your bills are paid and your family provided for in your absence. Your spouse or other family members can help with this.

4 4 Talk to Your Loved Ones Your spouse and others who are close to you may already know that you re entering an alcohol INTENSIVE OUTPATIENT program, but make sure you discuss the particulars with everyone who needs to know. This includes your children. Keep the conversation age-appropriate, but let them know where you re going and why. Get Domestic Help If you have a family with young children at home, get domestic help while you re away. You can hire a nanny or housekeeper, or simply ask neighbors, friends or relatives to pick up some of your slack while you re in your alcohol INTENSIVE OUTPATIENT PROGRAM program. This way the burden on adult loved ones you leave behind won t be too great.

5 5 WHAT ABOUT ONLINE CLASSES? You will have to isolate yourself from family, friends, newspapers, movies, TV, sport events, and responsibilities of daily life for 8 weeks. After 8 weeks the counselor will help you integrate into the reality of your daily responsibilities. If your monies are limited, and you decide to use online counseling, it is necessary for you to find a new location and isolate yourself for 8 weeks. You have the need of a counselor in direct conversation for a minimum of two hours per day for the first 8 weeks. The remainder of time is needed for reading and processing the content of material to change your mind and your life. NO ONE can do this for you, you must acquire information to change your mind and then process the information. The next step is putting this information into daily living. And then it is practice, practice. Every day that you work the program, this will strengthen your mind and extend your sobriety.

6 6 Whether you are doing classes on line or attending facility counseling sessions, consider a local rehab campus. Some rehab houses will furnish you food, room, and group sessions for approximately $ per month. You will be constantly in touch with peers that are journeying through the same challenges that you are experiencing. Bottom line, house yourself away from your family or roommates for 8 weeks. It is necessary that you become aware of what interaction with family, friends and co-workers triggers your drinking. If you never take the time away, then you will never know. The vicious cycle will continue and you will be sitting there wondering why the things you do toward being sober are not working. You have been thinking things would change and you are still out-of-control with your drinking.

7 7 NO WALK IN THE PARK Sobering up won t be a frolic through a flowery spring meadow, but it s what you need to do for your own well-being and that of those who love you. Realize that you need to commit to recovery for the long term and even if you relapse, you ll have to pick yourself up and start again. If you re ready to quit drinking and commit to a life of sobriety, we can help. It will be necessary that you commit to the program. It is similar to making a cake from a recipe. You take the correct ingredients and step by step combine into a cake mixture. Then there is the time T I M E---for the batter to become solid by baking for 30 to 45 minutes. Then you see a revision in the original ingredients. You will see a new you in control of your life.

8 8 Just remember only you can quit this habit and there is no one or anybody who can force you. Make up you mind and then don't just look back...life is beautiful, grab the opportunity to change and make the most of it. Take your alcohol rehabilitation step by step. First make up your mind, then meet a doctor or health representative. Find yourself an outpatient treatment center that suits you. Join the classes and make it a point not to miss those classes. After you finish practice all that you have learned and never grab a bottle of alcohol for the sake of anybody or anything

9 9 LET THE PROGRAM BEGIN. WELCOME TO OUR PROGRAM STRATEGIES FOR CONTROLLING MY LIFE. You have been selected to take part in our program that will take you on a journey of change. You may have been sent to this program because you were told that it is part of your overall plan of correcting and your past involvement in criminal conduct. You where also seen having an alcohol or other drug use problem. Most of all you enrolled into this program because you are concerned about your past alcohol and drug problems.

10 10 AMBIGUOUS?? We know that part of you does not want to be in this program. Change hurts. Change is not easy. However, there is a part of you that wants to change to a new lifestyle. You are just plain tired. You are sick and tired. We see you as a person who wanted to change the direction your life is going. To start, we want you to tell us about the part of you that does not want to do the program. We want to understand your thoughts and feelings. We also want you to tell us about the part of you that wants to change the direction of your life. That is the part of you that we want to support and help grow.

11 11 As many as 60 to 75% of people in the criminal justice system have alcohol and drug problems. As many as 80% of those who are locked up for robbery, burglary or assault did those crimes when using alcohol or other drugs. So, it is clear that AOD use and crime go hand-in-hand. We will be discussing how alcohol and drug use are a magnet for criminal behavior and/or criminal thinking. Those of you coming into this program will come from different parts of our criminal justice system. Some of you will be on probation. Some of you will be on parole. And the lucky other ones will have no current crime record. But all of you will have a common history of different stages of alcohol and drug use. Mrs. Gregory has been Non-Contract Provider for Parole and Probation in Texas since Her counseling recovery rate is 95% with intensive individual sessions. This research is based on the follow-up on clients-30 days - 60 days -1 yr. - 3 years. In fourteen years, she has only had two clients to die from overdose after leaving treatment. Both were in their the acting out stage of their behavior cycle. Both clients left treatment Against Medical advice.

12 12 WHAT IS OUR APPROACH? CBT Cognitive behavioral therapy is a common type of mental health counseling (psychotherapy). With cognitive behavioral therapy, you work with a mental health counselor (psychotherapist or therapist) in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. Cognitive behavioral therapy can be a very helpful tool in treating mental disorders or illnesses, such as anxiety or depression. But not everyone who benefits from cognitive behavioral therapy has a mental health condition. It can be an effective tool to help anyone learn how to better manage stressful life situations.

13 13 Cognitive behavioral therapy can be a very helpful tool in treating mental disorders or illnesses, such as anxiety or depression. But not everyone who benefits from cognitive behavioral therapy has a mental health condition. It can be an effective tool to help anyone learn how to better manage stressful life situations. CBT is thought to be effective for the treatment of a variety of conditions, including mood, anxiety, personality, eating, substance abuse, tic, and psychotic disorders. Many CBT treatment programs for specific disorders have been evaluated for efficacy; the health-care trend of evidence-based treatment, where specific treatments for symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments.

14 14 CBT was primarily developed through an integration of behavior therapy (the term "behavior modification" appears to have been first used by Edward Thorndike) with cognitive psychology research, first by Donald Meichenbaum and several other authors with the label of cognitive behavior modification in the late 1970s. This tradition thereafter merged with earlier work of a few clinicians, labeled as Cognitive Therapy (CT), developed by Aaron Beck, and Rational Emotive Therapy (RET) developed by Albert Ellis. While rooted in rather different theories, these two traditions have been characterized by a constant reference to experimental research to test hypotheses, both at clinical and basic level. Common features of CBT procedures are the focus on the "here and now", a directive or guidance role of the therapist, a structuring of the psychotherapy sessions and path, and on alleviating both symptoms and patients' vulnerability. CBT is thought to be effective for the treatment of a variety of conditions, including mood, anxiety, personality, eating, substance abuse, tic, and psychotic disorders. Many CBT treatment programs for specific disorders have been evaluated for efficacy; the health-care trend of evidence-based treatment, where specific treatments for symptom-based diagnoses are recommended, has favored CBT over other approaches such as psychodynamic treatments.

15 15 Mainstream cognitive behavioral therapy assumes that changing maladaptive thinking leads to change in affect and behavior, but recent variants emphasize changes in one's relationship to maladaptive thinking rather than changes in thinking itself. Therapists or computer-based programs use CBT techniques to help individuals challenge their patterns and beliefs and replace "errors in thinking such as overgeneralizing, magnifying negatives, minimizing positives and catastrophizing" with "more realistic and effective thoughts, thus decreasing emotional distress and self-defeating behavior" or to take a more open, mindful, and aware posture toward them so as to diminish their impact. Mainstream CBT helps individuals replace "maladaptive coping skills, cognitions, emotions and behaviors with more adaptive ones", by challenging an individual's way of thinking and the way that he/she reacts to certain habits or behaviors, but there is still controversy about the degree to which these traditional cognitive elements account for the effects seen with CBT over and above the earlier behavioral elements such as exposure and skills training.

16 16 STARTING. We will start with some simple questions. What has happened in your life to bring you to where you are now? What have been the problems that you have had with alcohol and drugs? What involvement have you had in criminal behavior? Is this change necessary? Who is responsible for what you do? Who is in control of what happens to you in the future? Now is the time to look within---this is called process. Take one hour with each of the questions; one question each day for six days. Dig deep answer the question and send your answers in an to: The structure part is being responsible and working the process as the counselor request. That is a step on the road of recovery.

17 17 If what you do depends upon your thoughts, feelings and beliefs, then this means that you can control what goes on in your mind and change your behavior. But remember your thoughts, feelings and actions will tend to affect each other. THOUGHT>>+FEELINGS>>=ACTIONS=DESTINY SO WHERE ARE YOU GOING?

18 18 WHEEL OF LIFE SPIRITALITY Mental ABILITIES EMOTIONAL SELF PHYSICAL ABILITIES SOCIAL SELF c2005evagregorycounselingonline

19 19 PREPARE YOUR WHEEL OF LIFE Things I will STOP doing, reprioritize or delegate Things I will START doing to regain balance in my life

20 20 WHAT ARE WE LOOKING AT? What is it that we will look at in order to change your mind and your mental world? We will look at just a few of the things about your mental world that you want to understand and change. We will look at what you expect. These are called your expectations. Your expectations have a lot to do with how you behave. If you expect drugs to make you feel good, then you will use drugs. You will evaluate yourself, what happens to you and what you do. We call these appraisals. Often, how you appraise or evaluate yourself will make a difference in your behavior. Sometimes these mental judgments about yourself and the situation come so quickly that you are not aware that the thoughts are happening. We call these automatic thoughts. When things don t work out for you, the automatic thought might be Nothing ever goes my way. That is an error in your thinking and you are feeding this stinking thinking to yourself.

21 21 WHAT S NEXT? Next we will look at why you believe things happen to you. We call these attributions. When something bad happens to you, do you say its somebody s fault? Do you play the blame game? That game is as old as the Garden of Eden. Adam said that woman you gave me, gave me the apple. Eve said the serpent gave it to me and said we would not die. If God didn t buy it from Adam and Eve, do you think HE is going to buy it from you? Who is going to buy your blame game? ARE YOU CONTROLLING YOUR LIFE OR IS SOMEONE ELSE CONTROLLING YOU?

22 22 WHAT DOES YOUR BELIEVE HAVE TO DO WITH YOU BEING AN ADDICT? We will also look at what it is that you really believe. It is your belief that really makes the difference. If you believe people are out to get me, your actions will be different from those you would take if you felt safe and believed that most people want to treat you in a good way. It is what we call your false beliefs, or your irrational beliefs, that can lead to bad feelings or actions that lead to a problematic lifestyle. Steve was 25 years old and was sent to us on a possession of marijuana. Steve had been sipping out of his Dad s and Papa s beer can since he was a toddler. His Dad and Papa always had a joint in their hand. Steve was court ordered to come to treatment. Do you think Steve would ever change? What would Steve have to change first? You are correct. Steve would have to change his belief that drinking and smoking weed was okay. After all Dad and Papa were still married and didn t have a criminal record. They were at work every day. They had a beer can and a joint in their hand all day. What s the problem?

23 23 1. What is your belief about drugs? LOOKING AT YOUR BELIEF There are three family cultures. The first culture members are called teetotalers. They will not drink either because of religious convictions or they do not want to deal with the negative results from drinking. They abstain from using any alcohol or any non-prescription drugs. Their doctors have problems with these folks taking their needed hypertension medication. The second family culture drink in moderation. They will socially drink; however they will never let themselves become intoxicated. They do not appreciate people who binge drink or let themselves become intoxicated. The third family culture is the good old boys. They believe in doing whatever makes you feel good. They get stinking drunk anytime and any where. There is no problem with being drunk even if the negative circumstances occur. It is just a way of life for them to live through negative consequences, criminal records and broken relationships. Their belief is that it is okay to be drunk.

24 OUR PROGRAM TEACHES YOU CHOOSE TO BECOME AN ADDICT. We as human beings have a free will. You choose to become an addict. How do you do that? First, your substance abuse is learned. You believe that if you use alcohol or drugs that you will feel better. And when you choose to use, you do feel better until what you consume processes out of your body. You feel less tense and you have a false perception that you can cope and handle your problems better. I have many clients who are heavy marijuana users and they speak of spiritual awakenings. Many clients state that they can really understand the scriptures if they first get high on marijuana. And when the pain of life goes, it makes you want to use again and you begin to lean heavily upon your alcohol or drugs. This is how you choose and learn to become addicted to substances. Then comes the cravings and desires for the drugs. Those urges. It is in your mind and you can change them, yet you choose to continue using. As a result of using substances, you get into trouble. Maybe in trouble with the law, troubled in mind, trouble with your body, trouble in relationships and maybe problems at work. 24

25 25 SELF-IMPROVEMENT PROGRAM This is a self-improvement program. Just as you had skills to learn how to become an addict, you will use the same skills to teach yourself how to live daily life sober. You will learn how to reach within yourself and your faith when you cannot cope with daily living. It is necessary that you deal with your beliefs and expectations that cause you to use drugs. And when we say drugs that includes alcohol. Alcohol is a drug. You will teach yourself how to deal with self-defeating thoughts. You will learn how to let go of deep-seated beliefs that are harmful to you. You will learn how to deal with your urges. One technique is called surfing your urge. Riding that wave when that urge comes into your mind. An urge will only last a period of time and then it will wane off and disappear. Now you will learn what triggers bring on those overwhelming urges. Think of yourself as a surfer catching a wave. Ride that wave out.

26 26 WHAT DOES THE PROGRAM GIVE YOU? This program will help you by introducing skills that you will learn to manage your thoughts and your urges. Skills to manage the situations in your life. You will learn to live life on life s term. Instead of setting up certain expectations of how your life must be, you will learn to be grateful of what each day of your life brings to you. You will do your best and then Let go and let God. With these skills you will learn how to handle those people, places and things that are apt to lead you to using. You will learn how to let go of those toxic people in your life. Those high-risk people and places that pull you down will become a vapor disappearing out of your life without any grief. What it all boils down to is that this program will give you self-control. This program will help you take ownership of your life. Through self-control you can improve yourself and your life. You can change. You can become the Champion that is in you.