BENEFITS OF GROUP THERAPY ENVIRONMENT

• A very safe place to share
• High accountability with Therapist and other Group Members
• Small groups - individual attention by Therapist
• Group setting is the best forum for Substance Abuse
• Exploring issues in an interpersonal context more accurately reflects real life.
• Group therapy provides an opportunity to observe and reflect on your own and others' interpersonal skills.
• Group therapy provides an opportunity to benefit both through active participation and through observation.
• Group therapy offers an opportunity to give and get immediate feedback about concerns, issues and problems affecting one's life.
• Group therapy members benefit by working through personal issues in a supportive, confidential atmosphere and by helping others to work through theirs.
• During group therapy, people begin to see that they are not alone

Some of the general topics covered in ALL groups:

 Stages of Addiction | Progressive Disease Concept | Surrender, Acceptance

Higher Power | Introduction to 12 Step Process | Addiction is Not a Moral Weakness

We are not bad people, we have a disease | Addiction philosophy | Information and

Education | The Serenity Prayer | Avoiding old People, Places, and Things

Relapse Triggers | Relapse Warning Signs | The 4 forms of Relapse

Mapping of High Risk Situations

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12 Hour - 6 Session Group Therapy Program

The 12 Hour - 6 Session Group Therapy Program provides a compact blend of psychoeducational information, psychodynamic therapy and process groups.  The emphasis on relapse prevention, and an introduction to the 12 Steps, identifying relapse triggers and family roles.  At NBD we believe that it is important to couple therapy with drug detoxification to achieve a drug free life.

12 HOUR - GROUP INFORMATION

Our groups meet on Monday, Wednesday and Friday from 6:00 PM to 8:00 PM.  This program includes (1) two hour group per week for 6 weeks.

This 6 Session Group Package is also available to those who do not need detoxification, but want the benefit of being in a healthy group environment.  The pricing for the 6 Session Group Package without detoxification is extremely affordable.

24 hour - 12 Session Group Therapy Program

The 24 hour - 12 Session Group Therapy Program component provides a blend of psychoeducational information, psychodynamic therapy, process groups and video programming.  A sample of the topics covered would be pharmacology, family systems, defensive mechanisms, relapse prevention, an introduction to the 12 Steps, identifying relapse triggers and family roles.  At NBD we believe that it is essential to couple therapy with drug detoxification to achieve a drug free life.

24 HOUR - GROUP INFORMATION

Our groups meet on Monday, Wednesday and Friday from 6:00 PM to 8:00 PM.  This program includes (2) two hour groups per week for 6 weeks.

This 12 Session Group Package is also available to those who do not need detoxification, but want the benefit of being in a healthy group environment.  The pricing for the 12 Session Group Package without detoxification is extremely affordable.

36 hour -18 Session Group Therapy Program

The 36 hour -18 Session Group Therapy Program component provides a blend of psychoeducational information, psychodynamic therapy, process groups and video programming.  A sample of the topics covered would be pharmacology, family systems, defensive mechanisms, relapse prevention, an introduction to the 12 Steps, identifying relapse triggers and family roles.  At NBD we believe that it is essential to couple therapy with drug detoxification to achieve a drug free life.

36 HOUR - GROUP INFORMATION

Our groups meet on Monday, Wednesday and Friday from 6:00 PM to 8:00 PM.  This program includes (3) two hour groups per week for 6 weeks.

This 18 Session Group Package is also available to those who do not need detoxification, but want the benefit of being in a healthy group environment.  The pricing for the 18 Session Group Package without detoxification is extremely affordable.

72 hour -36 Session Group Therapy Program

The 72 hour -36 Session Group Therapy Program component provides a blend of psychoeducational information, psychodynamic therapy, process groups and video programming.  A sample of the topics covered would be pharmacology, family systems, defensive mechanisms, relapse prevention, an introduction to the 12 Steps, identifying relapse triggers and family roles.  At NBD we believe that it is essential to couple therapy with drug detoxification to achieve a drug free life.

72 HOUR - GROUP INFORMATION

Our groups meet on Monday, Wednesday and Friday from 6:00 PM to 8:00 PM.  This program includes (3) two hour groups per week for 12 weeks.

This 36 Session Group Package is also available to those who do not need detoxification, but want the benefit of being in a healthy group environment.  The pricing for the 36 Session Group Package without detoxification is extremely affordable.

Summary of Group Therapy Curriculum

Session 1

Psycho-Educational and Process: addiction is not a moral weakness, a character defect, patients are not bad people, but have a disease / 5 components of Holistic Disease (emotional, spiritual, psychological, physical and biological) / stages of addiction / progressive disease concept

Wrap-up: patients share where they are in recovery / patients report on progress of detoxification

Session 2

Psycho-Educational and Process:  role play / denial and effects of drugs and alcohol on body / pharmacology

Wrap-up: patients share where they are in recovery

Session 3

Psycho-Educational and Process: surrender, acceptance, self will vs. Higher Power / the concept of H.A.L.T is taught. (4 areas of life where we need to remain balanced - Hungry, Angry, Lonely, Tired) / “Tooth Brush Therapy”- the (5) things to do everyday to stay sober. (go to meetings, talk to other addicts/alcoholics, read fellowship literature, pray, make gratitude list)

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 4

Psycho-Educational and Process: introduction to 12 Step philosophy / the role of individual therapy in early recovery / 12 Step information and education

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 5

Psycho-Educational and Process: AA/NA slogans such as “Easy Does it”, “Think, Think, Think”, “One Day at a Time” etc. / how to communicate and resolve conflict with friends, family without losing sobriety / The Serenity Prayer

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 6

Psycho-Educational and Process: avoiding old people, places, and things /relapse triggers / relapse warning signs, 4 forms of relapse / mapping of high risk situations

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 7

Psycho-Educational and Process: Step 2 is covered / willingness / being teachable / Rule 2 - "Don't Take Your Self Too Seriously" / Step 3 / “We Agnostics” / “Higher Power” concept

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 8

Psycho-Educational and Process:  meetings, “Where and When” / 90 meetings in 90 days / sponsorship / home group / self-centeredness / the book “King Baby" is distributed and discussed / discussion of self-centered traits

Wrap-up: patients share where they are in recovery / detoxification related issues discussed / patients are asked if they are able to integrate what they have learned

Session 9

Psycho-Educational and Process: anger management / feelings - what are they? / where and what are mine? / properly communicating feelings / “King Baby" book review

Process-Role Play: "I" statements” / listening skills 

Wrap-up: patients share where they are in recovery / patients are asked if they are able to integrate what they have learned

Session 10

Psycho-Educational and Process: relational issues / relationships / making decisions in relationships / getting professional help in your relationships

Wrap-up: patients share where they are in recovery / sponsorship in program re-assessed / patients are asked if they are able to integrate what they have learned

Session 11

Psycho-Educational and Process:  resentments - as outlined in the AA Big Book / importance of addressing resentments in recovery / Fear - "An Evil and Corroding Thread" 

Material Handouts:  Resentments and Fears in Recovery

Wrap-up: patients share where they are in recovery / Detoxification related issues discussed / patients are asked if they are able to integrate what they have learned

Session 12

Psycho-Educational and Process:  spiritual bankruptcy in addiction / list beliefs, values, attitudes / how have you deviated from your own values and beliefs? / final thoughts and recommendations

Material Handouts: various take home materials

Wrap-up: patients share where they are in recovery and future recovery goals

OTHER MATERIAL COVERED IN GROUPS

Addiction is a DISEASE, not a lapse in character or a lapse in morals.  Addiction is a holistic disease that affects all 5 human functioning areas.  These areas are defines as PHYSICAL, EMOTIONAL, GENETIC, PSYCHOLOGICAL and PSYCHIATRIC.  Other common psychiatric illnesses are discussed.

Symptoms of addictions are defined such as DENIAL, TOLERANCE and WITHDRAWAL.  PROGRESSION is defined and discussed.  PROGNOSIS is defined and discussed.  Stages of addiction are defined as EARLY USING stage where there is a psychological relief from using drugs, the PRODRAMAL stage or the warning stage, the CRUCIAL stage where there is a loss of control, AND the CHRONIC stage where daily usage is apparent.  The JELLNICK curve is also studied.  This curve illustrates a time line that shows the progression of the disease of addiction.

The definition of DENIAL and it's 12 different forms are reviewed.  These forms are INTELLECTUALIZATION, JUSTIFICATION, MINIMIZATION, RATIONALIZATION, WITHDRAWAL/ISOLATION, BLAMING, DIVERSION, BARGAINING, HOSTILITY, REPRESSION, DISSASSOCIATION, GEOGRAPHIC ESCAPES and PASSIVITY.  Can you identify with any of these attributes?

Addiction and it's effect on the body is studied.  Mood altering substances such as alcohol and other drugs and their affect on the kidneys, the lungs, and the liver are reviewed.  The affects of cocaine and opiates on the body are also studied. 

The therapeutic aspects of addiction are defined including the fact that ACCEPTANCE is essential for recovery.  Spiritual principles are discussed.  Setting personal, physical and emotional boundaries are discussed.  Feelings including facts about feelings are discussed at length.  Self esteem, how to value yourself and lastly, conflict resolution and the fact that there will always be conflicts.

Deals with Family Dynamics of Addiction: Identification of Family Roles (e.g. Hero child, scapegoat, mascot, etc.) Family Communication Styles, Family Power Struggles. Client participants in Gestalt techniques  such as role playing, and "empty chair" exercises.

The need for 12 step recovery groups and different types of recovery meetings are outlined.  Components of 12 step recovery such as going to meetings, sponsorship and working the 12 steps plus each of the 12 steps are outlined and discussed at length.

Relapse Prevention (Using the Relapse Model by Terence T. Gorski) Identification of 

Presenting Problems, Warning Sign Analysis, Identifying Triggers, Mapping out High

 Risk Situations, Feeling Management, and many other Relapse characteristics. 

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