Overview of Session 4: Skill Topic 2, Understanding Marijuana Use Patterns

Total Time: 1 hour

Delivery Method: CBT-focused individual therapy

Materials (all forms except form 1A, which is in Section V, are at the end of this section):

Marijuana Use Self-Awareness Record (form 4A)

Learning New Coping Strategies (form 1A)

Future-Self Letter (form 4B)

Pleasant Activities (form 4C)

Relaxation Training (form 4D)

Boredom Management (form 4E)

Goals for This Session:

• To introduce the client to the reasoning behind coping skills training

• To examine the client’s high-risk situations and coping strategies

Session Outline:

1. Explore the development of addictive patterns

• Give examples of how marijuana can change how one feels; ask client how these examples fit with his or her experience

• Give examples of environmental triggers for use; ask client for other triggers he or she has experienced

• Give examples of beliefs or automatic thoughts people may have about marijuana; use examples provided by the client; and ask the client for more examples

• Suggest that the client start the process of change by understanding his or her behavior; ask, Does this make sense to you?

2. Assess high-risk situations

• Ask client about

— Typical use situations (places, people, activities, time, days)

— Triggers for use

— A recent use situation

— Thoughts and feelings at use times (tense, bored, stressed, etc.)

• Complete Marijuana Use Self-Awareness Record (form 4A) and summarize the list

3. Build coping strategies

• Emphasize the importance of coping strategies

• Reintroduce Learning New Coping Strategies (form 1A)

• Ask client to identify strategies he or she has tried and those that might work best

4. Assign between-session exercises

• Give client a blank copy of the Marijuana Use Self-Awareness Record (form 4A) to document episodes of craving/desire between sessions

• Choose additional assignments based on the client’s current needs

— Writing a Future-Self Letter (form 4B)

Pleasant Activities (form 4C)

Relaxation Training (form 4D)

Boredom Management (form 4E)

5. Review and conclude session