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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