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from
Part I
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Preparation, Gaining Perspective, and Heightening Awareness of Your BFRB
Suzanne Mouton-Odum, Psychology Houston, PC-The Center for Cognitive Behavioral Treatment, Texas,Ruth Goldfinger Golomb, Behavior Therapy Center of Greater Washington, Maryland,Charles S. Mansueto, Behavior Therapy Center of Greater Washington, Maryland
This chapter assists the reader in identifying their specific High-Risk situations (situations which put them at risk of pulling or picking). In addition to identifying these trigger environments, they also explore why they engage in their BFRB. Antecedents, Behaviors, and Consequences in these specific contexts are explored to help them understand the function that their BFRB serves in their life. With this understanding, they then are able to consider some alternate ways to get these needs met. Readers also identify some possible emotional and cognitive barriers that may get in the way of achieving their goals. Finally, the concept of relapse prevention is introduced to the reader, laying the groundwork for future struggles with adherence to the plan and, hopefully, avoiding a relapse.
High-risk situations can be understood as events and situations that, if not effectively managed, pose a potential risk for relapse. What is important to note is that it is chiefly the individual’s subjective perception of “risk” that plays a significant role in whether a situation is high risk or not. A high-risk situation poses a threat to one’s perceived ability (what psychology calls “self-efficacy”) to handle the challenging situation at hand. Therefore, by developing more effective coping skills, thereby increasing perceived self-efficacy, one can learn to manage a high-risk situation without defaulting to substance use. This chapter provides practices that enables the reader to effectively deal with high-risk situations. The focus of this workbook is not to provide an exhaustive set of relapse prevention skills and tools but to help the reader to unlock their innate resilience through developing a Recovery Resilience Practice, so that they can effectively apply them.
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