Assisting Others In Breaking The Cycle Paul Mavrogeorge M. A. LMFT Mavrogeorge Consulting With input from Alan H. Siggelkow, MSW.

Assisting Others In Breaking The Cycle

Paul Mavrogeorge M. A. LMFTMavrogeorge ConsultingWith input from Alan H. Siggelkow, MSW

Repentance Model 1. Listen Give the courage to confess 2. Speak Specific Law 3. Listen to contrition 4. Speak the Gospel 5. Speak Absolution *6. Fruits of Repentance*

Speak the Law as a Guide Motivate with the Gospel Deal with changes and tools to help

overcome addiction problems A process of Sanctification

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Key Points

Addiction Paradigm Common Beliefs Treatment Stages Intervention : Breaking the Cycle Application of the model…cases?

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Addiction Paradigm

Addiction is a unhealthy attachment to objects, behaviors, or people

The purpose of this attachment is to bring temporary comfort or security during a period of deprivation

Individuals will attach to unhealthy object in order to avoid the pain of emotional deprivation

Common Beliefs

How we think and the shame that binds us!

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Belief System

Self-image—I am a flawed and unworthy person.

Relationships: If people knew me, they wouldn’t love me.

Needs: They will never be met if I have to count on others.

Hurts, habits, and hang-ups: ______ is my most important need.

INTERVENTIONS

BREAKING THE CYCLE

Original Material by Paul Mavrogeorge

Adapted by Alan Siggelkow

Acting OutCycle

UnhealthyFunctioning

Triggers Ongoing

Susceptibilities

Outcomes Acting Out

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

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Ongoing Susceptibilities

Childhood abuse (sexual, physical, emotional)

Emotionally rigid or detached family Development of shame based thinking

through childhood Negative core beliefs about oneself and

relationships Unhealthy attachment

Ongoing Susceptibilities

Core beliefs I am unworthy If you really knew me, you would not love me No one will care for my needs but me

These are areas that will be addressed in therapy

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

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Unhealthy Functioning

H.A.L.T violated (Hungry-Angry-Lonely-Tired)

Depression/Anxiety increase “Ongoing Susceptibilities” are touched Intense anxiety leads to the desire for relief Reason and sanity begin to decrease “All or nothing” thinking styles STINKING THINKING

Unhealthy Functioning

Help them identify behavior patterns that are unhealthy

Identify the behaviors that contribute to their pattern

Identify their key warning signs Thoughts Feelings Physical responses Behaviors

Unhealthy Functioning

What are the lifestyle choices that contribute to their unhealthy functioning

Identify the key choices that must happen to move out of unhealthy functioning

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

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Triggers

People Places Things Stimulus “The pull to act out”

Triggers

What are the specific things that activate their desire to engage in their destructive behavior

Indicators Thoughts Feelings Actions Physical Reactions

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

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Acting Out Begins with ongoing thinking of acting out Behavior spirals out of control (Engage in

acting out behaviors)

May involve: Behaviors that are unhelpful and must be

stopped to avoid acting out Behaviors that individual said they would

not do again Behaviors that could cause one to lose a

job or primary relationship Behaviors that risk physical safety

Acting Out

Assist individual in identifying when thinking starts

Key questions When did the thoughts first enter your mind

Identify their key warning signs Thoughts Feelings Physical responses Behaviors

Acting Out

Understanding the intensity is critical Green Light

Thoughts are normal Yellow Light

Thoughts have started Drifting into dangerous territory Now is the time to reach out

Red Light Obsessive thinking Locked onto obtaining relief May require external intervention

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

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Outcomes

Positive Short term gain Pay-off for the use Must be identified

Negative Long term impact Counting the cost

Spiritually Earthly

Outcomes

Identification of the payoff is critical The short term gain is what can drive them In many cases the payoffs meets a deeper need Identify their key responses

Thoughts Feelings Physical responses Behaviors

Acting OutCycle

UnhealthyFunctioning

TriggersOngoing

Susceptibilities

Outcomes Acting Out

Start

Fruits of RepentanceGospelLaw

Fruits of Repentance

Probably needto refer to a Mental HealthProfessional