A hands-on homework toolkit for mental health practitioners treating clients with substance use disorders

In the newly revised sixth edition of the Addiction Treatment Homework Planner, a team of distinguished clinicians delivers a practical and effective resource for clients who wish to keep their therapy and recovery efforts front-of-mind and incorporate them into their daily lives. The activities and homework contained within will assist clients—and the clinicians treating them—to collect real-time data, enabling practitioners to address relevant issues quickly and collaboratively.

This Homework Planner is designed as a companion manual to the sixth editions of the Addiction Treatment Planner and Addiction Progress Notes Planner. It focuses on client-centered, assessment-driven, evidence-based treatment in the field of substance use disorder psychotherapy. Each included exercise is designed to:

• Emphasize the importance of client motivation and increase the knowledge, awareness, and insight of people moving through the addiction recovery process
• Incorporate a skills component for further instruction in therapy or at home
• Be completed or processed within individual sessions or – where appropriate – within group therapy sessions and at various levels of care

An indispensable, hands-on resource for counselors, therapists, psychiatrists, psychologists, and other mental health professionals engaged in the treatment of patients with substance use disorders, the Addiction Treatment Homework Planner is a time-saving tool with the potential to improve patient outcomes and increase client engagement.

About the Downloadable Assignments xi

PracticePlanners® Series Preface xii

Preface xiv

About the Author xvi

Introduction 1

Section 1: Adult-Child-of-an-Alcoholic (ACA) Traits 4

Exercise 1.A Addressing ACA Traits in Recovery 5

Exercise 1.B Understanding Family History 9

Section 2: Anger 12

Exercise 2.A Is My Anger Due to Feeling Threatened? 13

Exercise 2.B Is My Anger Due to Unmet Expectations? 16

Section 3: Antisocial Behavior 18

Exercise 3.A Benefits of Helping Others 19

Exercise 3.B Taking Inventory of Destructive Behaviors 23

Section 4: Anxiety 25

Exercise 4.A Anxiety Triggers and Warning Signs 26

Exercise 4.B Coping with Stress 30

Section 5: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adolescent 33

Exercise 5.A Developing a Recovery Program 34

Exercise 5.B Staying Attentive and Other Negotiating Skills 38

Section 6: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adult 41

Exercise 6.A From Recklessness to Calculated Risks 42

Exercise 6.B Getting Organized 46

Exercise 6.C Self-Soothing: Calm Down, Slow Down 50

Section 7: Bipolar Disorder 53

Exercise 7.A Early Warning Signs of Mania/Hypomania 54

Exercise 7.B Mania, Addiction, and Recovery 57

Section 8: Borderline Traits 60

Exercise 8.A Forming Stable Relationships 61

Exercise 8.B Seeing That We’re All Just Human 65

Section 9: Childhood Trauma 68

Exercise 9.A Corresponding with My Childhood Self 69

Exercise 9.B Setting and Maintaining Boundaries 73

Section 10: Chronic Pain 75

Exercise 10.A Coping with Addiction and Chronic Pain 76

Exercise 10.B Managing Pain Without Addictive Drugs 80

Section 11: Conduct Disorder/Delinquency 83

Exercise 11.A How Do You Do That? 84

Exercise 11.B Trading Places 87

Section 12: Dangerousness/Lethality 90

Exercise 12.A Anger as a Drug 91

Exercise 12.B Managing Risk 95

Section 13: Dependent Traits 98

Exercise 13.A Building My Support Network 99

Exercise 13.B How Interdependent Am I? 103

Section 14: Depression–Unipolar 106

Exercise 14.A Correcting Distorted Thinking 107

Exercise 14.B Gratitude 111

Section 15: Eating Disorders and Obesity 113

Exercise 15.A Creating a Preliminary Eating and Health Plan 114

Exercise 15.B Eating Patterns Self-Assessment 118

Section 16: Family Conflicts 121

Exercise 16.A Creating Positive Family Rituals 123

Exercise 16.B Identifying Conflict Themes 127

Section 17: Gambling 130

Exercise 17.A Consequences and Benefits 131

Exercise 17.B Understanding Nonchemical Addictions 135

Section 18: Grief/Loss Unresolved 138

Exercise 18.A Am I Having Difficulty Letting Go? 139

Exercise 18.B Moving on After Loss 143

Exercise 18.C What Would They Want for Me? 148

Section 19: Impulsivity 150

Exercise 19.A Handling Crisis Without Impulsivity 151

Exercise 19.B Learning to Think Things Through 155

Section 20: Legal Problems 157

Exercise 20.A Handling Tough Situations in a Healthy Way 158

Exercise 20.B What’s Addiction Got to Do with My Problems? 162

Section 21: Living Environment Deficiency 165

Exercise 21.A Assessing My Environment 167

Exercise 21.B What Would My Ideal Life Look Like? 170

Section 22: Medical Issues 173

Exercise 22.A Coping with Addiction and Other Medical Problems 174

Exercise 22.B Physical and Emotional Self-Care 178

Section 23: Narcissistic Traits 181

Exercise 23.A Being Genuinely Altruistic 182

Exercise 23.B Getting Outside of Myself 185

Section 24: Nicotine Use/Dependence 187

Exercise 24.A Assessing Readiness and Preparing to Quit 188

Exercise 24.B Addressing Relapse Triggers 192

Exercise 24.C Use of Affirmations for Change 196

Section 25: Obsessive-Compulsive Disorder (OCD) 199

Exercise 25.A Interrupting Compulsive Thoughts and Urges 201

Exercise 25.B Reducing Compulsive Behaviors 206

Section 26: Occupational Problems 210

Exercise 26.A Interest and Skill Self-Assessment 211

Exercise 26.B Workplace Problems and Solutions 215

Section 27: Opioid Use Disorder 218

Exercise 27.A Values Clarification and Consistency Check 219

Exercise 27.B Starting Again, Not Over 223

Section 28: Oppositional Defiant Behavior 226

Exercise 28.A Analyzing Acting-Out Behavior 227

Exercise 28.B Learning to Ask Instead of Demand 230

Section 29: Panic Disorder 233

Exercise 29.A Persistence in Spite of Panic 234

Exercise 29.B Mastering Positive Feedback to Face Fears 239

Section 30: Parent–Child Relational Problem 242

Exercise 30.A Am I Teaching My Child Addictive Patterns? 243

Exercise 30.B What Do I Want for My Children? 247

Section 31: Partner Relational Conflicts 250

Exercise 31.A Communication Skills 251

Exercise 31.B Relationship Assessment 257

Section 32: Peer Group Negativity 260

Exercise 32.A Creating Recovery Peer Support 261

Exercise 32.B What Do I Need and How Do I Get It? 264

Section 33: Posttraumatic Stress Disorder (PTSD) 267

Exercise 33.A Coping with Addiction and PTSD 268

Exercise 33.B Safe and Peaceful Place Meditation 272

Section 34: Psychosis 275

Exercise 34.A Coping with Addiction and Schizophrenia Spectrum Disorders 276

Exercise 34.B Planning a Stable Life 280

Section 35: Readiness to Change 283

Exercise 35.A Addressing Readiness and Motivation 284

Exercise 35.B Problem Identification: Is It Addiction? 288

Section 36: Relapse Proneness 291

Exercise 36.A Early Warning Signs of Relapse 292

Exercise 36.B Identifying Relapse Triggers and Cues 296

Exercise 36.C Relapse Prevention Planning 302

Section 37: Self-Care Deficits—Primary 305

Exercise 37.A Assessing Self-Care Deficits 306

Exercise 37.B Relating Self-Care Deficits to My Addiction 310

Section 38: Self-Care Deficits—Secondary 312

Exercise 38.A Filling in Self-Care Gaps 313

Exercise 38.B Working Toward Interdependence 317

Section 39: Self-Harm 319

Exercise 39.A Understanding Self-Harm and Addiction 320

Exercise 39.B Self-Harm Risk Factors, Triggers, and Early Warning Signs 324

Section 40: Sexual Abuse 327

Exercise 40.A It Wasn’t My Fault 329

Exercise 40.B Internal and External Resources for Safety 333

Section 41: Sexual Promiscuity 335

Exercise 41.A Is It Romance or Is It Fear? 336

Exercise 41.B Working Through Shame 340

Section 42: Sleep Disturbance 342

Exercise 42.A Assessing Sleep Problems 343

Exercise 42.B Improving Sleep Hygiene 347

Section 43: Social Anxiety 349

Exercise 43.A Understanding Thoughts, Worries, and Fears 351

Exercise 43.B Action Plan to Address Social Anxiety 356

Section 44: Spiritual Confusion 359

Exercise 44.A Understanding Spirituality 360

Exercise 44.B Finding a Higher Power That Makes Sense 364

Section 45: Substance-Induced Disorders 367

Exercise 45.A Using My Support Network 369

Exercise 45.B Exploring Treatment and Recovery Options 372

Section 46: Substance Intoxication/Withdrawal 375

Exercise 46.A Coping with Postacute Withdrawal (PAW) 376

Exercise 46.B Using Books and Other Media Resources 379

Section 47: Substance Use Disorders 381

Exercise 47.A Consequences of Continuing Addictive Lifestyles 382

Exercise 47.B Alternatives to Addictive Behavior 385

Exercise 47.C Personal Recovery Planning 388

Exercise 47.D Taking Daily Inventory 394

Exercise 47.E Making Change Happen 397

Exercise 47.F Balancing Recovery, Family, and Work 401

Section 48: Suicidal Ideation 404

Exercise 48.A Problem Solving and Safety Planning 405

Exercise 48.B Why Do I Matter and Who Cares? 409

Appendix A: Alternate Assignments for Presenting Problems 411

Appendix B: Suggested References by Select Chapters/Areas of Clinical Focus 436

Appendix C: Alphabetical Index of Exercises 446