Slick Recovery Worksheet The Voice of Addiction Worksheet

This worksheet is designed to help you consider what, if any, relationship changes you need to make to support your recovery. In column #1 list all th...

128 downloads 3333 Views 827KB Size
Slick Recovery Worksheet

The Voice of Addiction Worksheet

How has my drug or alcohol use hurt key areas in my life? It’s helpful to watch the video “Who is Slick” on the slickrecovery.com website before completing this form. Slick & Denial: Below list the various things Slick has told you to encourage denial and keep using despite numerous harmful consequences. Example: “Your not as bad as a bunch of your friends — so you don’t have a problem!” 1) 2) 3) 4) Slick & Relapse: If you have in the past tried to cut down or quit everything, Slick has probably tried convincing you to return to chemical use. List below things Slick has said designed to get you to return to using once you have decided to stop. Example: “If you just do it once, nobody will know” 1) 2) 3) 4) Resisting Slick: Slick will certainly try to get you to return to using; when he does so, what thoughts or behaviors can you do to resist him? Example: I will keep a picture of my kids in my pocket and if I’m tempted to relapse I will look at it to remind me how returning to using will hurt my kids. 1) 2) 3) 4)

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Consequences of Using

How has my drug or alcohol use hurt key areas in my life?

For best results fill this form out with people who know you well and will be honest. Area of Importance

How has my drug or alcohol use negatively impacted this area in my life?

What has “Slick” said to help me ignore or minimize this problem?

Relationships - Conflicts with family - Avoiding family - Neglecting family - Resentments - Lost friends - Other

Work - Lost jobs - No motivation to work - Conflicts with boss - Conflict with workers - Missed time - Other Finances - Debt - Unpaid bills - Stealing, - Other Health - Car accidents - Medical problems - Other

Emotional - Depression, - Anxiety/fear - Anger/resentment - Sadness, - Other Legal - DUI - Divorce - Assault - Possession - Distribution - Other Spiritual - Violating values - Avoiding religion/God - Guilt/Shame - Anger at God - Other

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Consequences of Using Drugs & Alcohol Observed by my Family and Friends

From_____________________ To ________________________ Dear _______________ I am trying to honestly examine if my drug or alcohol use has hurt me or others and considering if I would be better off giving up drugs and alcohol permanently. Would you please complete this form as honestly as possible and return it to me. Feel free to use additional paper if you think that would be helpful. Relationship Consequences: How has my using negatively impacted my relationships? Examples might be, conflicts, avoiding, neglecting, resents, lost relationships etc, etc. Work/Employment Consequences: How has my using impacted my employment? Examples might be lost jobs, missed work, conflicts with employers or co-workers, lost advancement opportunities, unable to drive to work due to license suspension, etc. Financial Consequences: How has my using impacted my finances? Examples might be debt, financial dependence on others, unpaid bills, stealing, etc. etc. Health/Medical Consequences: How has my using impacted my finances health? Examples might be illness, accidents etc. Emotional/Mental Health Consequences: How has my emotions or mental health? Examples might be depression, anxiety, anger, resentment, poor impulse control, sadness, etc Legal Consequences: How has my using impacted my legal issues? Examples might be DUI, divorce, assault, possession, dealing, etc. Spiritual Consequences: How has my using impacted my spiritual life. Examples might be violating values, shame/guilt, anger at God, avoiding religion, etc. Other Consequences List any other problems you have observed due to my using drugs or alcohol

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Why I Like Getting High

Learning new ways to cope without drugs and alcohol For each drug you use check in the appropriate boxes what reasons you use it, (alcohol is a drug) Reasons I like using

Alcohol

Pot

Speed Meth Cocaine

Opiates Pain Meds

Sedatives Like xanax

All Other Drugs

To fit in with friends – this is what my friends do so I want to “fit in” Reduce Boredom: It makes my life less boring. To Have Fun: It makes fun stuff more fun. For Social Comfort: I like it because it helps me relax and speak up in social situations To Relax & Reduce Stress – after a long day it helps me relax To Sleep- I have difficulty sleeping without it. To Reduce Physical Pain – I need to cope with pain To Reduce Emotional Pain – to cope with fear, hurt, anger, depression etc Physical Addiction – I use to avoid withdrawal symptoms Energy – it gives me the energy to get things done. Weight Loss – It helps me lose weight Focus – It helps my attention stay focused Sexual Pleasure – it helps me perform or enjoy sex Courage – Assertiveness – I say things I might not always have the courage to say Excuse Bad Behavior – It lets me do things I typically would feel too guilty to do To reduce worry & anxiety: It helps me not worry about problems To function normally: I need it to work, and do life. List you own reasons:

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Why I Like Getting High - page 2 Learning new ways to cope without drugs and alcohol

This section is designed to help you to consider how to develop healthy ways to address the positive things your drug or alcohol use provided.

Circle the items below that you checked on page one

List alternate ways you can begin to address this area without drug and alcohol use.

To Fit In With Friends Reduce Boredom To Have Fun For Social Comfort To Relax & Reduce Stress To Sleep To Reduce Physical Pain To Reduce Emotional Pain Physical Addiction Energy – Weight Loss – Focus – Sexual Pleasure – Courage – Assertiveness Excuse Bad Behavior To Reduce Worry & Anxiety To Function Normally List Your Own Reasons

What is Slick saying to you as you complete this worksheet?

Slick

Video’s, Counseling, Interventions, Worksheets by Saul Selby MA LADC webisite: www.slickrecovery.com / phone: 651-253-6818 / e-mail: [email protected]

Slick Recovery Worksheet

Relationships & Recovery

Do I need to change my relationships with using friends of family? This worksheet is designed to help you consider what, if any, relationship changes you need to make to support your recovery. In column #1 list all the people you used drugs or alcohol with, n column #2 indicate the type of relationship you had with the person, in column # 3 indicate what if any changes you thing you need to make in this relationship, and in column # 4 indicate if you need to send them a letter describing your intention to avoid using people and using settings. 1-Names of People You Used Drugs or Alcohol With List the names of the people you used drugs or alcohol with

Slick

2-Type of Relationship

3-Setting Boundaries – changes I need to make.

Friend, Associate, Dealer, 1) Avoid Entirely Family Member, Signifi- 2) See only in sober setting cant Other 3) Make no changes at all 4) Other – indicate what you mean

4– Communication of Boundary How will you inform this person that your relationship with them needs to end or change. Options are none, phone, letter, face to face.

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Stages of Change By Drug

Moving Through The Stages Toward Recovery Directions: List dates you were in each stage for each drug used (see sample column on right) Then answer questions on the bottom on the back of the form or and uses separate paper if needed. Alcohol

Stages of Change

Pot

Speed Opiates Sedatives Meth Pain Like Cocaine Meds xanax

All Other Drugs

Sample Column

Pre-Contemplation — I don’t have a problem and I don’t need to stop using this drug

3/1998 To 6/2002

Contemplation — I’m confused, a part of me wants to stop using and a part of me wants to keep using.

6/2002 To present

Determination/Preparation — I have become convinced that I need to stop using this drug.

not yet

Action — My determination to quit is being demonstrated by a number of behaviors like going to recovery meetings, changing friends, avoiding triggers.

Not yet

Maintenance —I have successfully been abstinent from this drug for a period of time and I’m fine-tuning ways to insure on-going success. Questions: answer questions on the back and separate paper. 

How did Slick keep us stuck in early stages — what did he say?



What happened that caused you to move from one stage to the next. Were there consequences or just new insights?



What is Slick telling you now to keep you from moving to action for all the drugs you use?



What would have to happen to help you move toward the Action stage for drugs you have not yet reached action?

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Relapse Prevention Planning Identifying Slick Triggers Circle Emotions That Slick Might Use To Nurture Relapse Shame

Guilt

Anger

Resentment

Depression

Self-Pity

Boredom

Rejection

Fear

Anxiety

Loneliness

Joy

Stress

Sadness

Grief

List Others → Circle Activities or Places That Slick Might Use To Nurture Relapse Payday

Weekends

Sex

Conflicts

Seasonal Changes

Types of Music

Smells

Smoking

Bars or Restaurants

Anxiety

Concerts

Trips out of town

Being on Vacation

Being Alone

With Using People

List Others



Names of People Slick Might Use to Trigger You

Type of Relationship

How Will I Manage or Change This Relationship

Slick Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Relapse Prevention - Trigger Journal Coping with Triggers & Slick Date of Craving

What Triggered The Craving

What Did Slick Say To Encourage Relapse

How I Coped With This Trigger/Craving

Slick Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Amends — Seeing the damage my addiction has caused From_____________________ To ________________________ Dear _______________ I know that my drug/alcohol use has hurt you and damaged our relationship. If possible, I want to improve our relationship and make amends for the different ways I have hurt you. Would you be willing to complete this form and return it to me so that I can work toward making amends? If not, I understand. However if you do complete this form and return it to me I will use it to develop a plan to “make amends” and contact you within a week to describe my “amends plan”. Ways my using/drinking has negatively impacted you (that I am aware of)

How has my using/drinking negatively impacted our relationship? (circle the areas to the left and describe details in box)

Financial harm Emotional hurt Physical hurt Dishonesty Other

What can I do to improve our relationship and make amends?

Slick

Slick worksheets and videos can be viewed at: www.slickrecovery.com

Slick Recovery Worksheet

Proposed Amends Plan From_____________________ To ________________________ Dear __________________ thank you for taking the time to complete my amends form. Based on the information you provided I have developed the “amends plan” listed below. Please let me know what you think of the plan. Thanks again _________________________ Type of Harm Done

Slick

Proposed Amends Plan

Slick worksheets and videos can be viewed at: www.slickrecovery.com