Overview of Session 1: Reviewing the PFR

Total Time: 1 hour, 30 minutes

Delivery Method: MET-focused individual therapy

Materials (all forms except the PFR are at the end of this section):

• Two copies of client’s completed PFR (form AS8 from the assessment session)

Learning New Coping Strategies (form 1A)

A Guide to Quitting Marijuana (form 1B)

• A blank copy of the Quit Agreement (form 1C)

Goals for This Session:

• To present the data gathered during the assessment session concerning marijuana use, its consequences, and the likely benefits and costs of stopping or reducing use

• To facilitate the client’s candid reflection on consequences of marijuana use

• To explore the client’s attitudes about change, including ambivalent attitudes

• To acknowledge the client’s expressions of readiness for change, help set goals, and identify change strategies

Session Outline:

1. Assess the client’s readiness to proceed

• Ask client for his or her feelings and thoughts about the assessment session

• Ask whether any changes have occurred since the last meeting

• Reinforce expressions of motivation

2. Review the PFR

• Age of onset

• Comparison of use patterns to the national average

• Problems caused by use

• Tolerance level

• Reasons for quitting

• Risk factors

3. Summarize the PFR review

4. Elicit and reinforce client’s readiness to change

5. Assist the client in preparing for change

• Ask him or her to select a stop date (if the client has not already stopped using)

• Discuss

— Whether the client will stop “cold turkey”

— What the client will do with current marijuana supply and paraphernalia

— How the client will disclose plans to family and friends

— How the client will address problems in maintaining abstinence

6. Help the client identify specific behavior change strategies

• Discuss Learning New Coping Strategies (form 1A) and A Guide to Quitting Marijuana (form 1B)

• Discuss barriers to quitting and vulnerabilities to slipping

— Managing general stress (HALT)

— People, situations, and thoughts that increase vulnerability

— Significant life changes likely to produce stress

— Supportive people who will provide help

• Review previous successful experiences at quitting to identify useful strategies

7. Assign between-session exercises

• Prepare Quit Agreement (form 1C)

• Review Learning New Coping Strategies (form 1A)

• Review A Guide to Quitting Marijuana (form 1B)

8. Ask client to invite a supporter to next session

9. Review and conclude session