What does a step one look like?

For those unfamiliar with step work, or what on earth anyone means by “taking a step one”. Step One is usually always split up into two parts,  powerlessness and unmanageability. Step one is about dispelling denial around the inability to control

“We cannot change what we can’t accept” Step one is about dispelling denial around addiction.

Here is an example of the kind of work that a person who is undertaking work around the 12-Step method of overcoming addiction might look like.

 

 

STEP 1 – THE PROBLEM – POWERLESSNESS       

 

Implications:

  1. a) A LACK OF POWER
  2. b) THE INABILITY TO CONTROL
  3. c) I AM NOT IN CONTROL

 

 

Give examples of:

 

  1. Loss of control due to addictive behavior.

 (2 examples)
eg: blackouts, overdose, fits, collapse, memory loss, vomiting etc

 

 

 

 

 

 

  1. How many other examples of loss of control could you have written about?

 

 

 

 

 

  1. Attempts to control or stop that were unsuccessful. (2 examples)
    eg: detoxes, cutting down, moving areas or countries, attempted rationing.

 

 

 

 

 

  1. How many other examples of failing to control could you have written about?

 

 

 

 

 

  1. Accidents and/or dangerous situations.

 (2 examples)
eg: crashes, falling accidents, passing out, risky sex or drug-use      

 

 

 

 

Give examples of:

 

  1. Broken promises to family, friends, employers, self. (2 examples)
    eg: to stop using, to show up, to pay debts, to be more: honest, responsible

 

 

 

 

  1. What self help or mainstream treatments have you tried unsuccessfully?

 

 

 

 

  1. Have you blamed yourself for being weak willed and inadequate?

 

 

 

 

  1. Where, despite your best intention and resolve, have you been unable to live up to required standards and ethics as a health professional?

 

 

 

 

 

  1. How do you feel about “having a lack of power”

 

 

 

 

 

  1. Have you considered that there could be other areas of your life where you may be powerless. Where might that be?

 

Published by Dylan Kerr BA ACAT FDAP DipHE MBABCP

Mr Dylan Kerr Addictions Counselor Bachelors in Clinical Counseling (Hons) Advanced Certified Addictions Therapist Member of the British Association for Behaviour and Cognitive Psychotherapist Member of the Federation of Drug and Alcohol Practitioners HeDip Health-care HeDip Psychology of Addiction Dip Counselling Diploma in Arts Therapy Diploma in Transactional Analysis CSAT III Dylan Kerr is a Certified Substance Abuse Therapist who is qualified in Counseling, Psychology of addiction from Leeds University and Healthcare from Birmingham City University. Dylan Kerr has been a senior Therapist at the River Rehab, Lead Therapist at Lanna Rehab in Chiang Mai and Head Counselor of Hope Rehab in Siracha. As well as working in Thailand for 7 years, Dylan has also been the on-tour counsellor for the the Rock band ‘The Libertines’. Dylan is now resident counsellor at an Asian rehab. Dylan has experience of working within the music industry supporting acts in therapeutic needs. As well as working around the world Dylan has over 13 years experience delivering substance use disorder treatment at various agencies around the UK. He is skilled in motivational interviewing, CBT, RET and guidance around 12 step philosophies. Dylan has worked with a broad client base and establish the rapport needed to effect change and sustainable progression. Dylan wishes to start this blog to help educate people on his observations within this field and debate the nature of work in the addictions field.

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