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Assisting Others In Breaking The Cycle
Paul Mavrogeorge M. A. LMFTMavrogeorge ConsultingWith input from Alan H. Siggelkow, MSW
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
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 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
Common Beliefs
How we think and the shame that binds us!
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.
INTERVENTIONS
BREAKING THE CYCLE
Original Material by Paul Mavrogeorge
Adapted by Alan Siggelkow
Acting OutCycle
UnhealthyFunctioning
Triggers Ongoing
Susceptibilities
Outcomes Acting Out
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
All written material copyright@ Paul Mavrogeorge M.A.
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
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
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
All written material copyright@ Paul Mavrogeorge M.A.
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
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
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
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
All written material copyright@ Paul Mavrogeorge M.A.
Triggers
People Places Things Stimulus “The pull to act out”
Triggers
What are the specific things that activate their desire to engage in their destructive behavior
Indicators Thoughts Feelings Actions Physical Reactions
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
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
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
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
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
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
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
Acting OutCycle
UnhealthyFunctioning
TriggersOngoing
Susceptibilities
Outcomes Acting Out
Start
Fruits of RepentanceGospelLaw
Fruits of Repentance
Probably needto refer to a Mental HealthProfessional