BRIGHT ESSENTIALS Your Thoughts and Mood Are Connected Substance Abuse 1 Key Points BRIGHT Session Outline Key Points Welcome Welcome the group and introduce new group members. Group Rules Go over the group rules. Announcements Make announcements if there are any and ask if group members have any announcements. Introductions Do this section if new group members are present. You will provide your contact information to your group and group members will introduce themselves to each other and mention something unique about themselves. What is Depression? Help group members understand the symptoms of depression, triggers, and what can help depression. You’ll remind group members to contact you if they have thoughts of suicide. What is CBT? Help group members understand what CBT is and what they can expect to experience in the CBT group. How Does CBT Treat Depression? Use the CBT circle to help group members understand the CBT model. How Have You Been Feeling? During the 1st and 3rd sessions of each module you will ask group members to fill out the PHQ­ 9 form. Group members will learn the PHQ-9 is used to track their depression. Review New Topic: Your Mood and Substance Abuse are Connected How Does Your Mood Affect Your Use of Drugs or Alcohol? • Review the group members’ Quick Mood Scales. Remember to ask followup questions in the manual that are related to the previous session. • Review group members’ practice of their plan for meeting somebody new. If a group member hasn’t done their practice, address this immediately. • Review key messages from last module. This new topic will be the theme of this session. The following exercises are designed to help group members understand this topic. What is the goal? Your goal is to help group members learn the connection between depression and their use of drugs and alcohol. What is the process? You will ask group members to recall a time when they used drugs or alcohol, and then identify the thoughts and feelings they had before they used. Lead the group to discuss how their 1 BRIGHT ESSENTIALS Your Thoughts and Mood Are Connected Substance Abuse 1 Key Points harmful thoughts and depressed feelings led them to use substances. Tips for Success BRIGHT 1) Review the definition of thoughts: Remind group members that thoughts are sentences we tell ourselves. This can help group members who find it challenging to distinguish thoughts and feelings. 2) Review the definition of feelings: Remind group members that a feeling is an emotion or mood. It may be hard for some group members to identify their feelings right away, so allow group members enough time to identify their feelings. You also can refer them to the images of feelings in their workbook to help them identify how they were feeling. Be especially aware of the new group members’ responses or lack of participation and be prepared to provide them with further explanation if necessary. 3) Point out that positive mood can also lead to substance abuse: Emphasize that even positive feelings can sometimes be associated with thoughts that do not seem harmful at first glance, but may lead to harmful behaviors such as using drugs or alcohol. 4) Be familiar with common harmful thoughts associated with using drugs or alcohol: Review this list of harmful thoughts to allow you to be better able to assist your group members in identifying their thoughts. “My life is already so messed up, it doesn’t matter if keep using.” “An ice cold beer will really hit the spot.” “Using right now will really take the edge off.” “Just one time won’t hurt me.” “I’ll be able to party all night if I start with a few lines of coke.” “My buddies and I will have more fun if I smoke.” “I’m starving for a hit.” “I’ll meet cool people if I use drugs.” “If I don’t smoke, I’ll be seen as an outsider.” “If I don’t use, my friends will think I’m a wimp.” How Does Using Drugs or Alcohol Affect Your Guide the group members to see that using drugs or alcohol is often eventually followed by 2 BRIGHT ESSENTIALS Your Thoughts and Mood Are Connected Substance Abuse 1 Key Points Mood? BRIGHT Notice Your Thoughts feelings of sadness and other symptoms of depression. Introduce what thoughts are and help group members be mindful about the thoughts. Key Messages Go over the key messages in the manual. Ask group members if they have questions or comments. Practice You will assign group members one practice exercise: Tracking their mood using the Quick Mood Scale. Feedback Encourage the group members to comment on the session. Looking Ahead Briefly introduce what group members will learn in the next session. Praise group members for attending and encourage them to attend the next session. 3