A brief cognitive behavioural intervention for regular amphetamine users: a treatment guide

Session 2: Coping with cravings and lapses

Page last updated: 2003

Therapist summary sheet
Detailed intervention

Therapist summary sheet

Aims

  • Reinforcing motivation to maintain abstinence/reduced level of use.
  • Coping with cravings to use.
  • Preparation for a lapse.

Materials needed for session 2

  • Blank paper and a pen
  • Craving plan or alternative
  • Urge diary or alternative for next week

Key elements of session 2

Phase 1: Session introduction

  • review week
  • review homework tasks
  • set agenda for the session

Phase 2: Introduction to coping with cravings

Phase 3: Information about cravings

Provide information about cravings and urges to use: Top of page

Phase 4: Strategies to cope with cravings

Discuss the following strategies to cope with cravings:
  • behavioural (3Ds)
  • cognitive (self-talk)
  • relaxation and imagery

Phase 5: Developing a craving plan

Phase 6: Dealing with a lapse

Use the following strategies:
  • give 'coping with a lapse' information
  • discuss steps involved in coping with a lapse
  • discuss abstinence violation effect
  • discuss how to reframe relapse as a lapse

Phase 7: Session termination

  • Set homework, including:
    • implement craving plan
    • continue cutting down
    • complete urge diary for the week
    • utilise craving plan strategies as required

Detailed intervention

Phase 1: Session introduction
Phase 2: Introduction to coping with cravings
Phase 3: Information about cravings
Phase 4: Strategies to cope with cravings
Phase 5: Developing a craving plan
Phase 6: Dealing with a lapse
Phase 7: Session termination