1. FADAA and FCCMH Presents Relationship Detox: Helping Chemically Dependent Clients Develop Healthy Relationships in Recovery Presenter Mark Sanders, LCSW, CADC

2. www.onthemarkconsulting25.com

3. Website Features Free articles Inspirational/Informational Blog Bookstore Private Practice www.onthemarkconsulting25.com

6. Iceberg Model Addiction Co-dependence Toxic Shame Abandonment/Trauma John Freil

7. Guilt vs. Shame Guilt Shame Behavior Your being “I’ve done wrong” “There is something wrong with me” “I’ve done bad” “I am bad” “I made a mistake” “I am a mistake” “

8. Shame The belief that I am unlovable and unworthly of belonging. Brene Brown, Ph. D.

9. Iceberg Model Addiction Co-dependence Toxic Shame Abandonment/Trauma John Freil

10. Co-dependence An over involvement with things outside of us and an underinvolvement with things inside of us. Left untreated codependence can lead to addiction. John Friel

11. Marilyn Monroe

12. Billie Holiday

13. Iceberg Model Addiction Co-dependence Toxic Shame Abandonment/Trauma John Freil

14. Addictive Relationship Styles 1.Lots of drama 2.Smothering

15. 1 ∕ 2 + 1 ∕ 2 = 2 ∕ 4 = 1 ∕ 2

16. Addictive Relationship Styles Continued 4.Extreme jealousy 5.The relationship is based primarily on romantic fantasies rather than reality 6.Lots of arguments and break-ups followed by sex 7.Abuse 8.You abandon relatives and friends whenever you are in a relationship

17. Addictive Relationship Styles Continued 9.You experience withdrawal symptoms when alone 10.You tend to leave one addictive relationship and enter another 11. You tend to stay in these relationships despite adverse consequences

18. Characteristics of Healthy Relationships 1.Both partners are whole 2.Each is growing and encouraging the other to grow 3.Each has a separate life outside of the relationship 4.Each is able to spend time alone 5.Minimal jealousy 6.No abuse 7.Ability to argue in the present 8.The relationship is based upon reality not just romantic fantasies

19. Adult Children of Alcoholics We tend to fear people in authority We tend to lie when it’s easier to tell the truth We are approval seekers We have a tendency toward perfection

20. Adult Children of Alcoholics Continued We are extremely loyal, even when there is evidence that the loyalty is undeserved We either marry alcoholics, become one, or choose some other compulsive personality We tend to put the needs of others ahead of our own needs We are addicted to excitement We tend to fear abandonment

21. The Therapeutic Relationship As A Model For Helping Clients Develop Healthy Relationships In Recovery

22. The Engagement Phase Punctuality Joining—small talk Making sure the client has a voice The use of humor

23. Counseling Phase Experiencing a new way of relating o Listening o Inviting solutions from the client Modeling healthy boundaries

24. Types of Boundaries Loose – no one is aware of what’s going on with anyone else in the family Enmeshed – family members are too involved in each other’s lives Healthy, clear – the necessary distinction between the various subsystems are present; members are allowed the 5 freedoms

25. The goal is to help clients differentiate

26. Emotional cutoff – Creating distance in relationships by fleeing A.Homelessness B.Psychosis C.Prison D.Drug use E. F.Joining the military G.Joining a gang, cult or addictive relationship H.Suicide

27. Helping clients recover from negative core beliefs

28. Negative Core Beliefs – Stage Two Recovery 1.“I will never get my needs met if I have to depend upon other people.” 2.“What other people think of me is more important that what I feel.” 3.“God is going to get me.” 4.“I have to be perfect.”

29. Negative Core Beliefs Continued 5.“ I am ugly.” 6.“There’s only one right way to do things –my way.” 7.“You should never do anything for yourself; if you do, you’re selfish.” 8.“I am unworthy of love.” (Some clients in Stage Two Recovery report that they are able to find their “soul”)

30. Termination Phase A.Denial Bring up termination Expect and explain regression If the client disappears, reach out

31. B.Anger Allow open expression of anger Try not to personalize the client’s anger

32. C.Sadness Allow open expression of sadness Express feelings of your own

33. D.Release Discuss client accomplishments Discuss work that is yet to be done Discuss your relationship Express confidence in the client