Sobriety Agreement Form

A number of procedures can make a couple aware of the benefits of the relationship and how often spouses notice, recognize and initiate pleasant or caring behavior on a daily basis. Tell the couple that caring behaviors are «behaviors that show you`re caring for the other person,» and do homework called «Catch your partner to do something nice» to help couples recognize daily caring behaviors. To do this, each spouse must record a daily care behavior of the partner on sheets that you make available to him (see Figure 3). The couple reads the caring behavior recorded last week in the next session. Next, model the recognition of caring behavior («I liked it when you ____ a sincere and pleasant tone; And only positive feelings. Each spouse then trains to recognize the caring behavior of their daily list for the previous week. A medication to support healing is often part of BCT. Drugs include naltrexone for heroin-dependent or alcoholic patients and antabuse (disulfiram) for alcoholic patients. Antabuse is a drug that produces extreme nausea and illness when the person taking it drinks. As such, it is an option for drinkers for the purpose of abstinence. Traditional treatment of antabuse is often not effective because the drinker stops taking it.

The Antabuse contract, which is also part of the Community Reinforcement Approach, significantly improves compliance with the drug and increases abstinence rates. In the Antabuse contract, the drinker agrees to take Antabuse every day while the spouse observes. The spouse, on the other hand, agrees to positively strengthen the drinker for taking antabuse, to record the observation in a calendar that you provide him, not to mention past consumption or fear of drinking in the future. Any spouse should view the agreement as a cooperative method of rebuilding lost trust and not as a forced control. Before negotiating such a contract, make sure that the drinker is ready and medically authorized to take antabuse, and that the drinker and spouse have been fully informed and informed about the effects of the drug. This is done by the prescribers, but check the couple`s understanding of it. Crisis interventions for substance use are an important component of the BCT. Episodes of drink or drug use occur during BCT as with any other treatment. BCT works best if you intervene before the substance consumption lasts too long. At a BCT meeting, negotiate an agreement for one of the couple to call you in case of substance use or if they are worried that it is imminent.

Once substance use has appeared, try to stop it and see the couple as soon as possible to use the relapse as a learning experience. During the couple session, you need to be extremely active to defuse hostile or depressive reactions to substance use. Emphasize that drinking or using drugs is not a total failure, that inconsistent progress is the rule rather than the exception. . . .

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