CHEMICAL DEPENDENCE 71 E. The client has not followed through on making amends to others who have been negatively affected by his/her pattern of substance abuse and was reminded to do so. 41. Obtain Commitment Regarding Making Amends (41) A. The client was asked to make a verbal commitment to make amends to key individuals. B. The client was urged to make further amends while working through Steps 8 and 9 of a 12-step program. C. The client was supported as he/she made a verbal commitment to make initi al amends now and to make further amends as he/she works through Steps 8 and 9 (of the 12-step program). D. The client declined to commit to making amends and was redirected to review the need to make this commitment. 42. Refer for Marital Therapy (42) A. The couple was referred to a clinician who specializes in Behavioral Marital Therapy. B. The couple was provided with Behavioral Marital Therapy. C. The couple was assisted in identifying conflicts that could be addressed using communication, conflict-resolution, and/or problem-solving skills. D. Techniques described by Holzworth-Monroe and Jacobson in “Behavioral Marital Therapy” in Handbook of Family Therapy (Gurman and Knickerson) were used to help the couple develop better communication, conflict-resolution, and problem-solving skills. 43. Teach about Coping Package (43) A. The client was taught a variety of techniques to help manage urges to use chemical substances. B. The client was taught calming strategies, such as relaxation and breathing tec hniques. C. The client was taught cognitive techniques, such as thought-stopping, positive self-talk, and attention-focusing skills (e. g., distraction from urges, staying focused, behavioral goals of abstinence). D. The client has used his/her coping pac kage techniques to help reduce his/her urges to use chemical substances; this progress was reinforced. E. The client has not used the coping package for managing urges to use chemical substances and was redirected to do so. 44. Explore Schema and Self-Talk (44) A. The client's schema and self-talk that weaken his/her resolve to remain abstinent were explored. B. The biases that the client entertains regarding his/her schema and self-talk were challenged. C. The client was assisted in generating more rea listic self-talk to correct for his/her biases and build resilience. D. The client was provided with positive feedback for his/her replacement of self-talk and biases. E. The client struggled to identify his/her self-talk and biases that weaken his/her r esolve to remain abstinent and was provided with tentative examples in this area. 