Metacognitive Training
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IntroductionIdentify your fire
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Choose your own adventure
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Self-Esteem & StigmaIntroduction
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What are self-esteem and stigma?
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Self-esteem, stigma and substance use
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Activity 1- Communication tools
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Activity 2- Creating a positive self-concept
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Activity 3- Focusing on your strengths
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Summary
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Quiz
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Explaining SituationsIntroduction
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What are attributions?
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Attributional styles and substance use
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Activity 1- Balanced explanations Part 1
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Activity 2- Balanced explanations Part 2
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Activity 3- Practicing explanations
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Summary
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Quiz
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Worrying & CopingIntroduction
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What is rumination?
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Worrying and substance use
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Activity 1- Observe your thoughts
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Activity 2- Postpone rumination
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Activity 3- Shift your attention
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Activity 4- Sensory grounding
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Activity 5- Relaxed breathing
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Summary
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Quiz
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Attention & thinkingIntroduction
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Terms are related to thinking and memory
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Attention and substance use
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Activity 1- Card games
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Activity 2
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Activity 3- Problem Solving
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Summary
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Quiz
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RelapseIntroduction
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What is relapse?
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Cravings, triggers, and relapse
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Activity 1- Managing triggers
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Activity 2- Alternative strategies
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Activity 3- Emergency plan
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Activity 4- Learning from each relapse
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Summary
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Quiz
Activity 1- Balanced explanations Part 1
Instructions: In this activity, you will practice creating balanced explanations for a negative event. Here is an example of a negative event:
Joyce is really proud of herself for not using drugs for six months now. Even though she is making great new friends at her support group meetings, she misses her friends that she used to do drugs with. After a particularly stressful day, she gets an invitation to go to a party with her old friends. Joyce knows it might be hard to resist using, but she goes. Sometime that night, she ends up using drugs again.
Now that you have read the case story:
- Think of the pros and cons of each attributional style (self, others, circumstance) for this negative event.
- Come up with a balanced explanation for this event which includes the self, others, and circumstances.
Here is how Joyce might complete this exercise:
Explanation | Pros and Cons | Balanced Explanation |
1. Explanation = self (It was my fault for using again, I can’t control myself) | Pros: takes responsibility for own actions
Cons: decreases self-confidence, may give up | I should have had a better plan in place to not use again, but given the environment and all the people around having fun it was too hard to resist. My friend also should not have asked me to go to that party since they knew I was trying to get clean. |
2. Explanation = Others (It was my friend’s fault for asking me to go to that party) | Pros: self-confidence is maintained, better mood
Cons: doesn’t take responsibility, may be more likely to use again in future | |
3. Explanation = Circumstances (The party seemed so fun and I saw so many other people doing drugs and drinking) | Pros: self-confidence maintained, don’t give up hope, better mood
Cons: doesn’t take responsibility, may be more likely to use again in future, may not take steps to avoid similar situations in the future |