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
Identify your fire
Use this table to think about your own life and experiences. What are some difficulties you experience that need targeting?
You | Fire metaphor | SUD |
Predisposition (your personality, upbringing) | Fuel | E.g. parent also used substances, traumatic experiences in childhood |
Trigger (A significant event) | Spark | E.g. Stress (work, relationship); other particular stress factors, like trouble finding housing |
Factors leading to increase and perpetuation (Factors that continue use) | Fire accelerant | E.g. discontinuing medication against medical advice, irregular sleep, ruminating, unstable living environment |
Breakdown | Wildfire | E.g. Drug use, relapse, depression |
Consequences | Fire damage and restoration | E.g. Overdose, withdrawal, unemployment, loneliness |
Intervention and resources | Fire extinguisher | Medication, psychotherapy, relaxation techniques, exercise
Resources: Motivation for therapy/treatment, good social network |