Are you interested in moderating or cutting back your drinking? Many individuals are! Here are two books which provide everything you need to know about moderate drinking. Responsible Drinking: A Moderation Management Approach for Problem Drinkers This book, by Rotgers, F., Kern, M. & Hoeltzel, R. (CA: New Harbinger Publications, 2002) is the basic text of Moderation Management (MM), a support group which helps individuals moderate drinking, or abstain. The first two authors are addiction experts who also volunteer on MM’s Board of Directors. The final author was successful in the MM program. MM offers a summary of its program on its website, and you might wish to start there: www.moderation.org. This book, which provides in-depth coverage of MM’s rationale, the scientific rese...

(This 3-part series on building good habits, finding balance and working toward good health is adapted from chapter 12 of “Sex, Drugs, Gambling and Chocolate,” by Tom Horvath, Ph.D, ABPP) The Six Pillars of Building Good Habits “You can build a new life that is even more satisfying than life with your addiction.” - Tom Horvath So you’ve gotten through the acute withdrawal phase of recovery, dealt with immediate craving issues and have decided to take your recovery to the next level. Now what? Well, it’s time to rebuild your life. Just leaving the addiction behind isn’t enough – it’s time to start looking at how you can fill the void – that empty space that was once filled by addiction. For some, this may be exciting; a new life by design. For others, this may feel a little overw...

by Devon Berkheiser, Psy.D. No matter how motivated you are to make changes in your life, you are likely to experience periods of time when you feel like giving up. This is certainly true in recovery. Perhaps you aren’t seeing the progress that you had hoped for, or you’ve had a few unanticipated setbacks. Or maybe you’re just having the kind of day when nothing seems to be going right. Whatever the reason for your lagging motivation, there are some steps that you can take to get through such a time. Remember it’s Temporary First of all, remember that the way you’re feeling now is only temporary. While you may not be able to make this feeling of frustration or hopelessness go away, you can learn to tolerate it. Try distracting yourself with an enjoyable or comforting activity, or u...

Adapted from Pages 32 and 34 of the SMART Recovery Handbook, 3rd Edition With so many people on day two of their 2015 New Year’s resolutions, it seems appropriate to offer some basic strategies for coping with urges that tempt us to give into habits. Whether you’re trying to stop drinking, quit smoking, eat better, spend less, or change any other unwanted behavior, here are 14 basic strategies designed to help you cope with the urges in the days, weeks, months (and sometimes even years) ahead! Avoid – Learn what triggers your desire to act on your habit, and avoid the triggers that lead to urges. Escape – If you are presented with a trigger, escape immediately. Distract Yourself – Try not to focus on the urge. Remember that urges are time-limited, and if you can find something to d...

by Devon Berkhesier, Psy.D. Stress goes hand in hand with change; when we have to adapt to some type of change, we experience stress. Although we typically think of stress as harmful, it can, in fact, be beneficial by providing the motivation that we need to succeed. But when stress becomes chronic or overwhelming, it can cause significant health problems. Stress can affect virtually every system in the body, causing a wide range of physical ailments such as tension headaches, hypertension, stomach pain, and insomnia. Sometimes the effects of chronic stress are less immediate. For example, did you know that stress can suspend tissue repair, potentially resulting in osteoporosis and susceptibility to fractures? Stress can also worsen pre-existing conditions such as diabetes, chroni...

by Reya Ingle, Psy.D. Providing a Safe Place for Women to Heal Practical Recovery’s newest residential treatment home, The Restoration Inn, opened in late September this year to provide substance misuse treatment for women in a safe and supportive environment. The Inn maintains Practical Recovery’s signature non 12 step approach and commitment to individualized, self-empowering treatment for substance misuse and co-occurring disorders including relationship issues and trauma. The Restoration Inn is purposefully small with only four beds to allow for a true homelike environment. The small size of the home and the individualized focus remove the possibility of unobserved lack of true engagement in treatment as might occur in a large facility. At The Restoration Inn, client motivatio...

Updated November 9, 2021 by Devon Berkheiser, Psy.D. Self-esteem is important. When we feel good about ourselves, it’s easier to engage in positive and healthy activities. Self-esteem also prevents us from beating ourselves up when we make mistakes, thus allowing us to get back on track quickly, rather than being overwhelmed by shame and self-hatred. Here are a few tips on how to improve your self-esteem: 1. Challenge negative self-talk We all engage in self-talk. It’s simply the running dialogue that happens in our heads. Unfortunately, not all self-talk is positive, and negative thoughts about the self can be damaging to self-esteem. So be aware of your self-talk and “catch” negative thoughts. For example, if you find yourself saying, “I’m a total failure” when you make a mist...

Originally posted on the Reunion San Diego blog on June 2, 2013 For a long time, addiction treatment programs have used the word “relapse” to describe a return to drinking or drug use following a period of voluntary abstinence by people with drug and alcohol problems. Often the words “lapse” or “slip” are used to distinguish a brief period of “using again” from a return to more extended and long-term use. At Practical Recovery, we’re joining hands with a number of experts in the field who want to do away with the use of the word “relapse” because we think it has negative connotations. As addiction scholar William White, M.A., author of Slaying the Dragon: The History of Addiction Treatment and Recovery in America, points out, the terms lapse and relapse actually have their ...

By Dan Galant, PhD "The Abstinence Violation Approach" - This ominous sounding term from the relapse prevention literature is perhaps one of the most useful concepts to understand in addiction treatment. I often have clients tell me years after our last therapy session that this was the singular most helpful idea to keep them on track! So what’s it all about – and how can it help you? The Abstinence Violation Effect (AVE – think the abbreviation for avenue to help you remember it) is what happens when an individual deviates from his/her plan – and then continues to remain off that path due to frustration, shame, guilt, etc. Think of the problem drinker who has chosen to abstain from alcohol. When that person takes even one drink (”violating” their abstinence), the tendency is to t...

“There were many terrible things in my life and most of them never happened.” – Michel de Montaigne Worrying can be useful since it can motivate us to be prepared. However, too much worry can be problematic and can lead to sleep problems, irritability, poor concentration, and overwhelming feelings of anxiety and stress. Worrying can also be a waste of time and energy. Often, the things that we worry about are beyond our control and no amount of worrying will guarantee a positive outcome. Here are some quick tips for managing worry: 1. Challenge your thoughts – when we worry, we tend to overestimate the likelihood of a negative outcome. So ask yourself how likely that worst case scenario really is and consider other options that may be more realistic and easier to handle. 2. Use...