met/cbt 5 cbt group session
Post on 10-Jan-2016
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Motivational Enhancement Therapy
MET/CBT 5
CBT
Group SessionIntroductory Training
Intros & Rapport Building
Review of Progress
Introduction & Teaching of Coping Skill
In-Session Practice Exercise
Assign Real-Life Practice Exercise
ClosingStructure of CBT Group Sessions
CBT Session 4: Enhancing Social Support Rationale: Support increases your confidence in your ability to copeProvides an additional source of helpReview potential sources of supportTeach & practice ways of asking for support
3Page 58Page 61- asking for help & supportSocial Circle DiagramEnhancing Social Support
Talking Points:Social support increases likelihood of successPeople usually dont have enough supportThere are a lot of potential people who can give supportCBT Sessions 4
4Enhancing Social Support
Group exercise cont.
What type of help will be most helpful? Help with problem solvingMoral SupportInformation about resources etcEmergency SupportCBT Sessions 4
5Enhancing Social Support
Group exercise:
Who has given you support in the past? Who are the people who have been neutral in the past?Who might become supportive when they see you making an attempt to change?Who are the people in the community who might support you?CBT Sessions 4Chemical Dependency Professional Institute, 2008
6Enhancing Social Support
Group exercise cont.
How can you get the support or help you need? Ask for what you need. Be directBe specificCBT Sessions 4
7CBT Sessions 4Type of requestResponse ExampleIndirect
Direct, but not specific
Direct & Specific
The only thing you ever want to do with me is smoke weed
Id Like to spend time with you doing stuff other than smoke weed
Id like to spend time with you without smoking weed. How about playing basketball tomorrowGroup exercise cont.
8Enhancing Social Support
Group exercise cont.Adding new supportersWho might give supportLend your support to othersHelping others opens up doors for getting supportGive your supporters feedbackLet others know when something is or isnt supportiveCBT Sessions 4
9 Social Circle DiagramCBT Sessions 4
ClientEnhancing Social Support
10Supplement to CBT Session 4: Increasing Pleasant Activities (p. 77)Review Rationale: a positive alternative to substance useDiscuss: Fun if not high?Brainstorm activitiesAsk them to commit to engage in one pleasant activity before the next session
11Page 65Steve to do demo.
Increasing Pleasant Activities
Brainstorm Exercise:
List all possible activitiesOnly limit it to safe & legal activitiesCBT Sessions 4
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