chapter  12
11 Pages

Session 9

Seemingly Irrelevant Decisions and Direct Experiencing of Emotion
ByPaul R. Stasiewicz, Clara M. Bradizza, Kim S. Slosman

This chapter corresponds to Session 9 of Emotion Regulation Treatment of Alcohol Use Disorders. In this session, the therapist and client discuss the concept of seemingly irrelevant decisions seemingly irrelevant decisions (SIDs). These are the small, everyday decisions that people make that can result in a higher risk of relapse to alcohol use. The therapist and client work on an in-session exercise to identity SIDs with the goal of minimizing high-risk drinking situations. The third of four direct experiencing of emotion sessions is conducted with an emphasis on the repeated presentation or portions of scenes that involve “hot spots” or high levels of negative affect or urge to drink. Post-exposure processing is conducted and focuses on assessing changes in the client’s experience of the high-risk drinking situation as well as the client’s self-efficacy for managing similar situations in the future. At the end of the session, between-session skill practice is assigned.