Substance Abuse Treatment and Group Therapy Based on TIP 41
Dr. Dawn-Elise Snipes PhD, LMHC, CRC,
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Objectives
Review the advantages of group therapy
Define types of therapy groups
Explore how each type of therapy group might be useful as an intervention
Review basic concepts of adult learning theory
Discuss ways to optimize diverse groups of people
Advantages of Group Therapy
Cost-effective for K.S.A.
Provides useful information knowledge
Allows for application of, or practice with, new knowledge
Group feedback
Positive peer support and pressure both in and out of group
Members observe/discuss coping skills
Help clients learn how to develop and maintain healthy relationships
Instills hope
Group Therapy and Treatment
Treatment plans can be organized around
Knowledge
Skills
Abilities
7 Types of Groups
Psychoeducational
Skills Development
Cognitive-Behavioral
Problem Solving
Support
Interpersonal Process
Blended
Psychoeducational Groups
Especially helpful in early stages of readiness for change
Provides information about the issues(s)
Helps families understand the person and what is needed of them
Helps clients and families learn about resources
Provides social support in and out of group
Key feature is to effectively provide information and help the client incorporate it
Types of Psychoeducational Groups
Depression Awareness
Pharmacology
Addiction Theory
Relapse Prevention
The Addicted Family
Coping Skills and Defense Mechanisms
Mental Health Awareness
Depression, anxiety, PTSD
Implementing Psychoeducational Groups
Parts of learning
Reception
Conceptualization
Emotion
Learning Styles
Auditory (hear it), Visual (see it), Kinesthetic (Apply it)
Active (Extrovert) vs. Reflective (Introvert)
Global (abstract) vs. Sequential (piece by piece)
Assimilation (Borg) or accommodation
Skills Development
Teach skills to address deficits which lead to the presenting problem
Social
Refusal
Communication
Anger Management
Stress Management
Time Management
Techniques
Rehearsal
Role Reversal
Observation
CBT Groups
Uses the A-B-C-D-E format to address thoughts, beliefs, decisions, opinions and assumptions
Activating Event/Action
Beliefs
Consequences
Disputing Beliefs
Evaluating Reactions
Active Roles
Present and Future Focus
Key Contributors
Albert Ellis’ irrational thoughts
Aaron Beck’s cognitive distortions
Irrational Thoughts
I must be loved or approved of all the time
I must be competent at everything
I am bad and must be punished
I must get my own way
I have no control over what happens
Anything scary must be avoided
It is easier to avoid difficulties
The past will always impact me
Maximum happiness can be achieved by inaction
Cognitive Distortions (Aaron Beck)
All or nothing
Overgeneralization
Magnification of the negative
Ignoring/minimization of the positive
Jumping to conclusions
Personalization
Mental Filtering
Problem Solving Groups
Combine a bit of psychoeducation with skills
Focused on a specific issue
Led by a facilitator
Support Groups
Geared around a particular issue or behaviour
May be problem/solution focused or emotionally/interpersonally focused
More interpretation/less direction
Types
Grief
Trauma
Addiction
Divorce
Parenting
And many, many more.
Interpersonal Process Groups
Monitors
Psychological functioning of each group member
How people relate to each other
How the group functions as a whole
Focus on the present
Alert to recreations of the past in the group
Transference issues
Ineffective communication (i.e. shutting down or running away)
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