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Coping with Stuck Points
A Presentation of Relapse Prevention
Skills by
David Houke LMSW, LCDC
La Hacienda Treatment Center
What is a Stuck Point
• Basically it is anything that has potential to
interfere with you working your program.
• It is different from a Trigger because Stuck
Points tend to be more subtle.
• A Stuck Point can be anything from Eating
Pizza to the death of a Family member.
Were Does Relapse Begin?
Relapse Begins with How You Deal
or Don’t Deal with Stuck Points
You Have Two Choices
• Denial and Evasion
or
• Recognition and Problem Solving
DENIAL and EVASION
• You deny that a Problem Exists
DENIAL and EVASION
• You deny that a Problem Exists
• Stress Builds (PAW)
DENIAL and EVASION
• You deny that a Problem Exists
• Stress Builds (PAW)
– 1. Difficulty in thinking clearly
– 2. Difficulty in managing feelings and emotions
– 3. Difficulty in remembering things
– 4. Difficulty in sleeping restfully
– 5. Difficulty in managing stress
– 6. Difficulty with physical coordination
DENIAL and EVASION
• You deny that a Problem Exists
• Stress Builds (PAW)
• Compulsive Behavior
DENIAL and EVASION
• You deny that a Problem Exists
• Stress Builds (PAW)
• Compulsive Behavior
• Avoid Others
DENIAL and EVASION
• You deny that a Problem Exists
• Stress Builds (PAW)
• Compulsive Behavior
• Avoid Others
• New Problems
DENIAL and EVASION
• You Deny that a
Problem Exists
• Stress Builds (PAW)
• Compulsive Behavior
• Avoid Others
• New Problems
• Evade/Deny the New
Problems
Recognition and Problem
Solving
• Recognize that a Problem Exists
Recognition and Problem
Solving
• Recognize that a Problem Exists
• Accept that it’s ok to have the Problem
Recognition and Problem
Solving
• Recognize that a Problem Exists
• Accept that it’s ok to have the Problem
• Detach to Gain Perspective
Recognition and Problem
Solving
• Recognize that a Problem Exists
• Accept that it’s ok to have the Problem
• Detach to Gain Perspective
• ASK FOR HELP!!!
Recognition and Problem
Solving
• Recognize that a Problem Exists
• Accept that it’s ok to have the Problem
• Detach to Gain Perspective
• ASK FOR HELP!!!
• Respond with Action
It’s Your Choice
The Road to Relapse or
The Road to recovery
• You Deny that a
Problem Exists
• Stress Builds (PAW)
• Compulsive Behavior
• Avoid Others
• New Problems
• Evade/Deny the New
Problems
• Recognize that a
Problem Exists
• Accept that it’s ok to
have the Problem
• Detach to Gain
Perspective
• ASK FOR HELP!!!
• Respond with Action
OK, Now How Does That Fit in
with the STEPS???
• This method is just a
shorter-situational
applied version of
working the steps.
• This works on any
stuck point and keeps
you on the road to
recovery.
RADAR vs THE STEPS
• Recognize that a
Problem Exists
• Steps 1 & 2
RADAR vs THE STEPS
• Recognize that a
Problem Exists
• Accept that it’s ok to
have the Problem
• Steps 1 & 2
• Step 3
RADAR vs THE STEPS
• Recognize that a
Problem Exists
• Accept that it’s ok to
have the Problem
• Detach to Gain
Perspective
• Steps 1 & 2
• Step 3
• Steps 4 & 5
RADAR vs THE STEPS
• Recognize that a
Problem Exists
• Accept that it’s ok to
have the Problem
• Detach to Gain
Perspective
• ASK FOR HELP!!!
• Steps 1 & 2
• Step 3
• Steps 4 & 5
• Steps 6 & 7
RADAR vs THE STEPS
• Recognize that a
Problem Exists
• Accept that it’s ok to
have the Problem
• Detach to Gain
Perspective
• ASK FOR HELP!!!
• Respond with Action
• Steps 1 & 2
• Step 3
• Steps 4 & 5
• Steps 6 & 7
• Steps 8, 9, 10, 11, &
12

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Coping with stuck points

  • 1. Coping with Stuck Points A Presentation of Relapse Prevention Skills by David Houke LMSW, LCDC La Hacienda Treatment Center
  • 2. What is a Stuck Point • Basically it is anything that has potential to interfere with you working your program. • It is different from a Trigger because Stuck Points tend to be more subtle. • A Stuck Point can be anything from Eating Pizza to the death of a Family member.
  • 3. Were Does Relapse Begin? Relapse Begins with How You Deal or Don’t Deal with Stuck Points
  • 4. You Have Two Choices • Denial and Evasion or • Recognition and Problem Solving
  • 5. DENIAL and EVASION • You deny that a Problem Exists
  • 6. DENIAL and EVASION • You deny that a Problem Exists • Stress Builds (PAW)
  • 7. DENIAL and EVASION • You deny that a Problem Exists • Stress Builds (PAW) – 1. Difficulty in thinking clearly – 2. Difficulty in managing feelings and emotions – 3. Difficulty in remembering things – 4. Difficulty in sleeping restfully – 5. Difficulty in managing stress – 6. Difficulty with physical coordination
  • 8. DENIAL and EVASION • You deny that a Problem Exists • Stress Builds (PAW) • Compulsive Behavior
  • 9. DENIAL and EVASION • You deny that a Problem Exists • Stress Builds (PAW) • Compulsive Behavior • Avoid Others
  • 10. DENIAL and EVASION • You deny that a Problem Exists • Stress Builds (PAW) • Compulsive Behavior • Avoid Others • New Problems
  • 11. DENIAL and EVASION • You Deny that a Problem Exists • Stress Builds (PAW) • Compulsive Behavior • Avoid Others • New Problems • Evade/Deny the New Problems
  • 12. Recognition and Problem Solving • Recognize that a Problem Exists
  • 13. Recognition and Problem Solving • Recognize that a Problem Exists • Accept that it’s ok to have the Problem
  • 14. Recognition and Problem Solving • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective
  • 15. Recognition and Problem Solving • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • ASK FOR HELP!!!
  • 16. Recognition and Problem Solving • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • ASK FOR HELP!!! • Respond with Action
  • 17. It’s Your Choice The Road to Relapse or The Road to recovery • You Deny that a Problem Exists • Stress Builds (PAW) • Compulsive Behavior • Avoid Others • New Problems • Evade/Deny the New Problems • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • ASK FOR HELP!!! • Respond with Action
  • 18. OK, Now How Does That Fit in with the STEPS??? • This method is just a shorter-situational applied version of working the steps. • This works on any stuck point and keeps you on the road to recovery.
  • 19. RADAR vs THE STEPS • Recognize that a Problem Exists • Steps 1 & 2
  • 20. RADAR vs THE STEPS • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Steps 1 & 2 • Step 3
  • 21. RADAR vs THE STEPS • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • Steps 1 & 2 • Step 3 • Steps 4 & 5
  • 22. RADAR vs THE STEPS • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • ASK FOR HELP!!! • Steps 1 & 2 • Step 3 • Steps 4 & 5 • Steps 6 & 7
  • 23. RADAR vs THE STEPS • Recognize that a Problem Exists • Accept that it’s ok to have the Problem • Detach to Gain Perspective • ASK FOR HELP!!! • Respond with Action • Steps 1 & 2 • Step 3 • Steps 4 & 5 • Steps 6 & 7 • Steps 8, 9, 10, 11, & 12