BRENDA S. LENZ, MS, is a licensed professional counselor and certified substance abuse counselor with extensive experience assessing and treating clients with co-occurring issues in a wide variety of settings. She specializes in prevention, assessment, early intervention, and the treatment of substance use disorders in college-aged clients. ARTHUR E. JONGSMA, JR., PHD, is Series Editor of the bestselling PracticePlanners®. He has over five decades experience providing mental health services to inpatient and outpatient clients. He has authored or co-authored over fifty books. JAMES R. FINLEY, MA, is a mental health and addictions therapist who has conducted individual, couples, family, and group therapy with adults, adolescents, and children in outpatient treatment, foster care, residential, and correctional settings. He is the author of Integrating the 12 Steps into Addiction Therapy and coauthor of The Addiction Counselor’s Documentation Sourcebook, Second Edition, and the Veterans and Active Duty Military Psychotherapy Homework Planner.

• About the Downloadable Assignments xiPracticePlanners® Series Preface xiiPreface xivAbout the Author xviIntroduction 1Section 1: Adult-Child-of-an-Alcoholic (ACA) Traits 4Exercise 1.A Addressing ACA Traits in Recovery 5Exercise 1.B Understanding Family History 9Section 2: Anger 12Exercise 2.A Is My Anger Due to Feeling Threatened? 13Exercise 2.B Is My Anger Due to Unmet Expectations? 16Section 3: Antisocial Behavior 18Exercise 3.A Benefits of Helping Others 19Exercise 3.B Taking Inventory of Destructive Behaviors 23Section 4: Anxiety 25Exercise 4.A Anxiety Triggers and Warning Signs 26Exercise 4.B Coping with Stress 30Section 5: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adolescent 33Exercise 5.A Developing a Recovery Program 34Exercise 5.B Staying Attentive and Other Negotiating Skills 38Section 6: Attention-Deficit/Hyperactivity Disorder (ADHD)—Adult 41Exercise 6.A From Recklessness to Calculated Risks 42Exercise 6.B Getting Organized 46Exercise 6.C Self-Soothing: Calm Down, Slow Down 50Section 7: Bipolar Disorder 53Exercise 7.A Early Warning Signs of Mania/Hypomania 54Exercise 7.B Mania, Addiction, and Recovery 57Section 8: Borderline Traits 60Exercise 8.A Forming Stable Relationships 61Exercise 8.B Seeing That We’re All Just Human 65Section 9: Childhood Trauma 68Exercise 9.A Corresponding with My Childhood Self 69Exercise 9.B Setting and Maintaining Boundaries 73Section 10: Chronic Pain 75Exercise 10.A Coping with Addiction and Chronic Pain 76Exercise 10.B Managing Pain Without Addictive Drugs 80Section 11: Conduct Disorder/Delinquency 83Exercise 11.A How Do You Do That? 84Exercise 11.B Trading Places 87Section 12: Dangerousness/Lethality 90Exercise 12.A Anger as a Drug 91Exercise 12.B Managing Risk 95Section 13: Dependent Traits 98Exercise 13.A Building My Support Network 99Exercise 13.B How Interdependent Am I? 103Section 14: Depression–Unipolar 106Exercise 14.A Correcting Distorted Thinking 107Exercise 14.B Gratitude 111Section 15: Eating Disorders and Obesity 113Exercise 15.A Creating a Preliminary Eating and Health Plan 114Exercise 15.B Eating Patterns Self-Assessment 118Section 16: Family Conflicts 121Exercise 16.A Creating Positive Family Rituals 123Exercise 16.B Identifying Conflict Themes 127Section 17: Gambling 130Exercise 17.A Consequences and Benefits 131Exercise 17.B Understanding Nonchemical Addictions 135Section 18: Grief/Loss Unresolved 138Exercise 18.A Am I Having Difficulty Letting Go? 139Exercise 18.B Moving on After Loss 143Exercise 18.C What Would They Want for Me? 148Section 19: Impulsivity 150Exercise 19.A Handling Crisis Without Impulsivity 151Exercise 19.B Learning to Think Things Through 155Section 20: Legal Problems 157Exercise 20.A Handling Tough Situations in a Healthy Way 158Exercise 20.B What’s Addiction Got to Do with My Problems? 162Section 21: Living Environment Deficiency 165Exercise 21.A Assessing My Environment 167Exercise 21.B What Would My Ideal Life Look Like? 170Section 22: Medical Issues 173Exercise 22.A Coping with Addiction and Other Medical Problems 174Exercise 22.B Physical and Emotional Self-Care 178Section 23: Narcissistic Traits 181Exercise 23.A Being Genuinely Altruistic 182Exercise 23.B Getting Outside of Myself 185Section 24: Nicotine Use/Dependence 187Exercise 24.A Assessing Readiness and Preparing to Quit 188Exercise 24.B Addressing Relapse Triggers 192Exercise 24.C Use of Affirmations for Change 196Section 25: Obsessive-Compulsive Disorder (OCD) 199Exercise 25.A Interrupting Compulsive Thoughts and Urges 201Exercise 25.B Reducing Compulsive Behaviors 206Section 26: Occupational Problems 210Exercise 26.A Interest and Skill Self-Assessment 211Exercise 26.B Workplace Problems and Solutions 215Section 27: Opioid Use Disorder 218Exercise 27.A Values Clarification and Consistency Check 219Exercise 27.B Starting Again, Not Over 223Section 28: Oppositional Defiant Behavior 226Exercise 28.A Analyzing Acting-Out Behavior 227Exercise 28.B Learning to Ask Instead of Demand 230Section 29: Panic Disorder 233Exercise 29.A Persistence in Spite of Panic 234Exercise 29.B Mastering Positive Feedback to Face Fears 239Section 30: Parent–Child Relational Problem 242Exercise 30.A Am I Teaching My Child Addictive Patterns? 243Exercise 30.B What Do I Want for My Children? 247Section 31: Partner Relational Conflicts 250Exercise 31.A Communication Skills 251Exercise 31.B Relationship Assessment 257Section 32: Peer Group Negativity 260Exercise 32.A Creating Recovery Peer Support 261Exercise 32.B What Do I Need and How Do I Get It? 264Section 33: Posttraumatic Stress Disorder (PTSD) 267Exercise 33.A Coping with Addiction and PTSD 268Exercise 33.B Safe and Peaceful Place Meditation 272Section 34: Psychosis 275Exercise 34.A Coping with Addiction and Schizophrenia Spectrum Disorders 276Exercise 34.B Planning a Stable Life 280Section 35: Readiness to Change 283Exercise 35.A Addressing Readiness and Motivation 284Exercise 35.B Problem Identification: Is It Addiction? 288Section 36: Relapse Proneness 291Exercise 36.A Early Warning Signs of Relapse 292Exercise 36.B Identifying Relapse Triggers and Cues 296Exercise 36.C Relapse Prevention Planning 302Section 37: Self-Care Deficits—Primary 305Exercise 37.A Assessing Self-Care Deficits 306Exercise 37.B Relating Self-Care Deficits to My Addiction 310Section 38: Self-Care Deficits—Secondary 312Exercise 38.A Filling in Self-Care Gaps 313Exercise 38.B Working Toward Interdependence 317Section 39: Self-Harm 319Exercise 39.A Understanding Self-Harm and Addiction 320Exercise 39.B Self-Harm Risk Factors, Triggers, and Early Warning Signs 324Section 40: Sexual Abuse 327Exercise 40.A It Wasn’t My Fault 329Exercise 40.B Internal and External Resources for Safety 333Section 41: Sexual Promiscuity 335Exercise 41.A Is It Romance or Is It Fear? 336Exercise 41.B Working Through Shame 340Section 42: Sleep Disturbance 342Exercise 42.A Assessing Sleep Problems 343Exercise 42.B Improving Sleep Hygiene 347Section 43: Social Anxiety 349Exercise 43.A Understanding Thoughts, Worries, and Fears 351Exercise 43.B Action Plan to Address Social Anxiety 356Section 44: Spiritual Confusion 359Exercise 44.A Understanding Spirituality 360Exercise 44.B Finding a Higher Power That Makes Sense 364Section 45: Substance-Induced Disorders 367Exercise 45.A Using My Support Network 369Exercise 45.B Exploring Treatment and Recovery Options 372Section 46: Substance Intoxication/Withdrawal 375Exercise 46.A Coping with Postacute Withdrawal (PAW) 376Exercise 46.B Using Books and Other Media Resources 379Section 47: Substance Use Disorders 381Exercise 47.A Consequences of Continuing Addictive Lifestyles 382Exercise 47.B Alternatives to Addictive Behavior 385Exercise 47.C Personal Recovery Planning 388Exercise 47.D Taking Daily Inventory 394Exercise 47.E Making Change Happen 397Exercise 47.F Balancing Recovery, Family, and Work 401Section 48: Suicidal Ideation 404Exercise 48.A Problem Solving and Safety Planning 405Exercise 48.B Why Do I Matter and Who Cares? 409Appendix A: Alternate Assignments for Presenting Problems 411Appendix B: Suggested References by Select Chapters/Areas of Clinical Focus 436Appendix C: Alphabetical Index of Exercises 446