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

2. 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

3. All written material copyright@ Paul Mavrogeorge M.A.
Key Points
Addiction Paradigm
Common Beliefs
Treatment Stages
Intervention : Breaking the Cycle
Application of the model…cases?
All written material Paul Mavrogeorge M.A.

4. All written material copyright@ Paul Mavrogeorge M.A.
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
All written material Paul Mavrogeorge M.A.

5. How we think and the shame that binds us!
Common Beliefs
How we think and the shame that binds us!

6. All written material copyright@ Paul Mavrogeorge M.A.
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.
All written material Paul Mavrogeorge M.A.

7. INTERVENTIONS BREAKING THE CYCLE Original Material by Paul Mavrogeorge
Adapted by Alan Siggelkow
Here and following I think you are talking about the continuing struggle: Romans 7 – Old Man vs. New Man

8. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

9. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

10. 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
All written material Paul Mavrogeorge M.A.

11. 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

12. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

13. 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
All written material Paul Mavrogeorge M.A.

14. 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

15. 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

16. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

17. All written material copyright@ Paul Mavrogeorge M.A.
Triggers
People
Places
Things
Stimulus
“The pull to act out”
All written material Paul Mavrogeorge M.A.

18. Triggers
What are the specific things that activate their desire to engage in their destructive behavior
Indicators
Thoughts
Feelings
Actions
Physical Reactions

19. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

20. All written material copyright@ Paul Mavrogeorge M.A.
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
All written material Paul Mavrogeorge M.A.

21. 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

22. 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

23. Acting Out Cycle Unhealthy Functioning Triggers Outcomes Ongoing
Susceptibilities
Outcomes

24. All written material copyright@ Paul Mavrogeorge M.A.
Outcomes
Positive
Short term gain
Pay-off for the use
Must be identified
Negative
Long term impact
Counting the cost
Spiritually
Earthly
Add: Counting the cost – earthly; counting the cost -- spiritually
All written material Paul Mavrogeorge M.A.

25. 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

26. Acting Out Cycle Unhealthy Functioning Probably need to refer to a
Triggers
Ongoing
Susceptibilities
Outcomes
Probably need
to refer to a
Mental Health
Professional
Fruits of
Repentance
Fruits of Repentance
Gospel
Law
Start