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Life After Treatment: Navigating Hidden Traps That Can Sabotage Your Recovery Jonathan Grayson, PhD, and Shala Nicely, LPC 2019 IOCDF Conference #1: Self-punishment as a ritual The antidote: self-compassion as ERP Obsession: You are bad


  1. Life After Treatment: Navigating Hidden Traps That Can Sabotage Your Recovery Jonathan Grayson, PhD, and Shala Nicely, LPC 2019 IOCDF Conference

  2. #1: Self-punishment as a ritual

  3. The antidote: self-compassion as ERP Obsession: You are bad Shame/ Discomfort from self- being kind to hatred oneself ERP: Self- compassion

  4. Develop a self-compassion statement • Mindful awareness of feelings • I’m feeling guilty and frustrated because I ritualized instead of doing exposure. • Common humanity • I bet other people in recovery from OCD don’t always do their maintenance exposure perfectly. • Self-kindness • I’m not going to beat myself up. Instead, I’m going to recognize recovery is an imperfect process, and it’s ok to mess up every now and then. (Neff, 2011)

  5. Why use self- compassion?

  6. #2: Being overly nice • Affirmation that I’m still good • Not good enough to deserve anything so I do what everyone else wants • Trying to prove to others I’m not bad

  7. Being overly nice: people pleasing Accept Not caring what Caring too much uncertainty you people think what people don’t have control think over what others think, and that’s Disconnected People pleasing from others ok.

  8. Don’t ask “how are When in a public restroom with Steal candy from you?” when you see others, blatantly don’t wash babies…. J someone. hands Not say “thank you” Casually use profanity in public Leave a gathering without saying Don’t smile at the “goodbye” grocery store clerk Don’t hold the door for people Interrupt people Tip less

  9. #3: Micro-monitoring your recovery

  10. You’re going to have symptoms. Yes, even you sitting in the back….

  11. #4: Afraid of your emotions

  12. !

  13. Self-compassionate care of your emotions! “I’m feeling ___________.I can handle feeling like this. My feelings are like the weather, and it’s ok to feel ____________ right now.”

  14. Guilt

  15. #5: Perfectionism Why do you want to be perfect?

  16. Take a black marker Typos in emailz or Put a book in upside down and make a mark on texts msgs on a bookshelf something new you bought Clean the dishes really quickly (miss Don’t finish chores some spots) and put Don’t play as a before….[going out, them away. completionist at having fun...] video games Wear mismatched socks Randomize/ ! S A E D unorganize closet I R Run your hands through your U O Y hair before leaving without looking in a mirror

  17. #6: The world needs to make sense

  18. Expect the world won’t make sense! Work on rolling with the punches.

  19. #7: You have a target on your back

  20. Put your shoulders back and act as though you have a great life! Let yourself enjoy!

  21. #8 BONUS! Excuses to slip • “I’ll just do it this once.” • “I’m too upset now to handle exposure right now.”

  22. • Value and trust yourself • Feel like you’re good enough • Flexibly manage life • Develop self- compassion and self-acceptance • Cultivate emotional stability Strong Recovery • Ability to enjoy the process of life Foundation

  23. Handouts will be on the app!

  24. Life After Treatment: Navigating Hidden Traps That Can Sabotage Your Recovery Jonathan Grayson, PhD, and Shala Nicely, LPC 2019 IOCDF Conference

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