Overview of MindfulnessBased Relapse Prevention MBRP Session 1 8

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Overview of Mindfulness-Based Relapse
Prevention(MBRP) Session 1 - 8
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Mindfulness-Based Relapse Prevention Delivery

• MBRP Practitioners adopt a Person-Centered,
  Rogerian approach
• MBRP Practitioners use a motivational
  interviewing style
• The MBSR (MBRP) Program is characterized by the
  qualities of authenticity, unconditional
  acceptance, empathy, humor, present moment
  experience through which both teacher and student
  experience the group process with each being
  changed as a result (Santorelli)
• MBRP Practitioners have their own ongoing
  mindfulness meditation practice similar to what
  they teach to the group
• MBRP Practitioners deliver the program according
  to the MBRP Treatment Manual, but are spontaneous
  and creative within those parameters

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Session 1- Automatic Pilot and Craving

• Theme Introduce the idea of automatic pilot
• Agenda
• Introductions (10)
• Rules for confidentiality and privacy (5)
• Orientation to the class (10)
• Basic Mindfulness Exercise (5-10)
• What is mindfulness? (10)
• Introduce MBRP (10)

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MBRP Session 1 Continued

• Break (10)
• Raisin exercise (15)
• Discuss cravings / urges, how we react to them
  (15)
• Body Scan Practice Feedback Discussion (15)
• Discussion, practice for the week worksheets
  (10)
• Distribute CDs and Session 1 handouts (2)

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Session 2-Triggers, Thoughts, Emotions Cravings

• Theme Observe thoughts, see how they affect
  emotions behavior
• Agenda
• Body Scan practice and debrief (15)
• Practice Review (15)
• Walking Down the Street Exercise / Discussion
  (30)
• Mountain Meditation (10-15)
• Discussion of Triggers (25)
• Distribute worksheets, discuss outside practice
  (10)

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Session 3- Mindfulness in Everyday Life

• Theme Increasing awareness during everyday
  activities
• Agenda
• Seeing or Hearing exercise (10)
• Practice review (15)
• Sitting Meditation and review (15)
• Breathing Space and review (10)
• Kabat-Zinn Video (45)
• Mindful Walking and review (10)
• Handouts and discussion of Home Practice (10)

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Session 4- Staying Present and Aware in High-Risk
Situations

• Theme Recognizing temptations to seek and use
  drugs
• Agenda
• Five-minute seeing or hearing exercise (5)
• Sitting Meditation (20)
• Practice review (10)
• Define high-risk situations, identifying
  individual risk scenarios (20)
• Breathing Space and review (10)
• Mindful stretching/yoga (10)
• Handouts and Home Practice (10)

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Session 5- Balancing Acceptance Change

• Theme Accepting our experience, acting with
  awareness
• Agenda
• Sitting Meditation (with Rumi poem) (20)
• Practice Review (15)
• Breathing Space (brief) (5)
• Discuss how techniques are useful in difficult
  situations (20)
• Guided Breathing Space and review (20)
• Discussion of Acceptance and Change (20)
• Handouts and Home Practice (10-15)

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Session 6- Thoughts are not Facts

• Theme Experiencing thoughts as merely thoughts,
  even when they feel like the truth
• Agenda
• Sitting meditation and discussion (20)
• Discussion of metaphors (10)
• Practice and Worksheet review (10)
• Relationship between thoughts and relapse (10)
• Lapse is not relapse and discussion of thoughts
  as triggers for relapse (20)
• Breathing Space focusing on thoughts and
  discussion (15)
• Mention preparation for end of course (10)
• Handouts, CDs and Home Practice (2)

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Session 7- How can I best take care of myself?

• Theme Building Support Networks Cope Cards
• Agenda
• Sitting Meditation (20)
• Practice review (15)
• Where does relapse begin? (25)
• Coping Cards (45)
• Handouts and Home Practice (5)

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Session 8 Balanced Living and Using What Has
Been Learned

• Theme Balance and the ability to manage
  different aspects of ones life.
• Agenda
• Body Scan Practice (15)
• Practice review (20)
• Balance Sheet Review, Ways to Develop a Support
  Network, and Barriers to Asking for Help (10)
• Looking Back Exercise (20)
• Looking Forward (20)
• Concluding meditation (15)