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Sit quietly for a minute or two,
and focus on where we are now.
Quiet Time
Check- in
Exploring personal relationship with
substances
What does a healthy relationship with
a substance look like?
The Continuum - What does an
unhealthy relationship with
substance look like?
Where is YOUR line? – discussion
 Name
 Feeling
 Last use
 12-step meetings? What happened?
 Who attended a meeting?
 If you did not attend a meeting
 • Did you think about it?
 • What prevented your attendance?
 • What can you do differently this week?
 Success with last week’s recovery tool?
(binders)
 To understand that our
relationships with alcohol and
other drugs progress along a
continuum.
To personalize and classify our
own relationships with various
substances
of a Healthy
Relationship with a Drug
Knowledge
Benefits
No negative “side effects”
Freedom to choose
 Recognition that the substance you
are using is a drug and awareness
of what it does to your body
Examples of drugs that people don’t
realize they are using
Read info from pharmacy?
Experience of a useful effect
of the drug over time.
 To treat disease
 To alter moods
 To escape boredom and despair
 To promote and enhance social interaction
 To enhance sensory experience and pleasure
 To stimulate artistic creativity and performance
 To improve physical performance
 To rebel
 To go along with peer pressure
 To aid religious practices
 To explore the self
 To establish an identity
 Freedom from adverse effects on health or behavior
Possible effects
 Uncertainty of Dose and Quality
 Mixing Drugs
 Medical Problems
 • Acute problems (i.e. overdosing & allergic reactions;
injuries)
 • Chronic problems (i.e. irritate & damage body
systems; lifestyle can influence self-care like diet, sleep,
hygiene & exercise)
 • Pregnancy complications
 • Misdiagnoses due to drugs changing or masking
symptoms
 • Drug induced/aggravated psychiatric disorders
 Social and Behavioral Problems
 Relational
 Altered Inhibitions
 Diminished Ability to Process Social Cues
 Distortion of Emotional Experience
 Family
 Employment
 School
 • Life Threatening Social Situations
 Developmental Problems
 Impaired mental development
 Impaired emotional development
 Impaired physical development
 Legal Problems
 DWI
 Assault & Domestic Violence
 Possession & Distribution
 Dependency & Addiction
 Physiological
 Psychological
 Limits Personal Freedom!
 Ease of separation from the use of
the drug.
 Withdrawal
 • Psychological or Physical
 • The Substitution Syndrome
 Tolerance
• More of the same drug for benefit
• Stronger drug for benefit
Add relationship with drugs hand
out one way and 2 way street.
 Where are you in your relationship
with your drug of choice?
If you think you are still on a two-way
street, does your relationship meet all
our criteria of a healthy relationship?
Have you passed the point of no
return?
Week 5 Women in Recovery Defining your Relationship w/Drugs

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Week 5 Women in Recovery Defining your Relationship w/Drugs

  • 1.
  • 2. Sit quietly for a minute or two, and focus on where we are now.
  • 3. Quiet Time Check- in Exploring personal relationship with substances What does a healthy relationship with a substance look like? The Continuum - What does an unhealthy relationship with substance look like? Where is YOUR line? – discussion
  • 4.  Name  Feeling  Last use  12-step meetings? What happened?  Who attended a meeting?  If you did not attend a meeting  • Did you think about it?  • What prevented your attendance?  • What can you do differently this week?  Success with last week’s recovery tool? (binders)
  • 5.  To understand that our relationships with alcohol and other drugs progress along a continuum. To personalize and classify our own relationships with various substances
  • 7. Knowledge Benefits No negative “side effects” Freedom to choose
  • 8.  Recognition that the substance you are using is a drug and awareness of what it does to your body Examples of drugs that people don’t realize they are using Read info from pharmacy?
  • 9. Experience of a useful effect of the drug over time.
  • 10.  To treat disease  To alter moods  To escape boredom and despair  To promote and enhance social interaction  To enhance sensory experience and pleasure  To stimulate artistic creativity and performance  To improve physical performance  To rebel  To go along with peer pressure  To aid religious practices  To explore the self  To establish an identity
  • 11.  Freedom from adverse effects on health or behavior Possible effects  Uncertainty of Dose and Quality  Mixing Drugs  Medical Problems  • Acute problems (i.e. overdosing & allergic reactions; injuries)  • Chronic problems (i.e. irritate & damage body systems; lifestyle can influence self-care like diet, sleep, hygiene & exercise)  • Pregnancy complications  • Misdiagnoses due to drugs changing or masking symptoms  • Drug induced/aggravated psychiatric disorders
  • 12.  Social and Behavioral Problems  Relational  Altered Inhibitions  Diminished Ability to Process Social Cues  Distortion of Emotional Experience  Family  Employment  School  • Life Threatening Social Situations  Developmental Problems  Impaired mental development  Impaired emotional development  Impaired physical development  Legal Problems  DWI  Assault & Domestic Violence  Possession & Distribution  Dependency & Addiction  Physiological  Psychological  Limits Personal Freedom!
  • 13.  Ease of separation from the use of the drug.  Withdrawal  • Psychological or Physical  • The Substitution Syndrome  Tolerance • More of the same drug for benefit • Stronger drug for benefit
  • 14. Add relationship with drugs hand out one way and 2 way street.
  • 15.
  • 16.  Where are you in your relationship with your drug of choice? If you think you are still on a two-way street, does your relationship meet all our criteria of a healthy relationship? Have you passed the point of no return?

Editor's Notes

  1. Getting intouch with the body. Noticing feelings and sensations. Breathe into the nose blow out slowly through the mouth. Calm down and just be. Acknowledge your level of commitment and pat yourself on the back for showing up and choosing to become an active participant in reclaiming and redesigning your life.
  2. Emphasize that people need to pick one of the feelings off the feeling chart or another word that actually describes a specific emotion. Emphasize that “I’m feeling okay” or “I’m feeling tired” are vague descriptions and are inadequate. Learning to identify their feelings is the first step in emotional management, which will be taught later. They do not need to explain their feelings at this time. All they need to do is identify them. Emphasize the difference between this. Ask them to keep check-in brief. If they need to talk at length about an issue they can make an individual appointment or talk with a sober friend.
  3. During this discussion program we talk about participants’ relationship with a drug, not whether they are alcoholics or addicts. This is surprising for some participants, but may work to reduce defensiveness. Ask them to listen closely because they will be quizzed on it later. For instance, they will need to know the four characteristics of a healthy relationship with a drug for next week’s discussion. Before break, ask participants to begin thinking about where they might be in their own relationship with their drug of choice (a.k.a. primary drug). Instruct participants to come back from break ready to discuss their location on the drug relationship continuum.
  4. These four characteristics are modified from the book, “From Chocolate to Morphine: Everything You Need to Know about Mind-Altering Drugs” by Andrew Weil. (1993. New York: Houghton Mifflin)
  5. Weil. (1993). From Chocolate to Morphine: Everything You Need to Know about Mind-Altering Drugs. New York: Houghton Mifflin
  6. Have some black and white copies of the Continuum to hand out for participants to make notes. Keep one for yourself to indicate where each participant has identified themselves, and where staff may estimate the participant may be currently. Participants should have a color copy in their binder. If they think they are still on a two-way street, ask them “does your relationship meet all the criteria of a healthy relationship with a drug?” Have two or three participants compare their drug use with all four criteria. This will help all participants learn how to determine where they are on the continuum. Often, responses range from abuse to toxic for their primary drug. This discussion can be a “round robin,” where each participant in turn identifies their own place in the continuum. It also works to use a “popcorn” style for this discussion, allowing participants to volunteer information on their personal continuum. If you have time, have them identify their relationship with a variety of drugs, legal and illegal, to develop competency in using the continuum model.
  7. This discussion can be a “round robin,” where each participant in turn identifies her own place in the continuum. It also works to use a “popcorn” style for this discussion, allowing participants to volunteer information on their personal continuum. If you have time, have them identify their relationship with a variety of drugs, legal and illegal, to develop competency in using the continuum model.