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  • “What to do with a client that may have addiction issues” Part 2 – Cognitive Distortions, Stages of Change and ACE Assessments

    Cognitive Distortions

    As I interview the client, I keep in mind their language, way of talking and their perceptions. I listen for Cognitive Distortions in their conversations. Dr David Burns, author of “Feeling Good” has a list of Cognitive Distortions that comes into service here, as it can identify certain key phrases that reveal the cognitive distortions that are characteristic of an addict . I am sure you have heard these types of cognitive distortions in past interviews

    1) They didn’t show up on time, they’re completely unreliable! This is an example of All or Nothing thinking, a cognitive distortion
    2) I’ll never get that promotion/ My boss always tries to swindle me out of my commission. This is an example of Over-generalization
    3) I forgot to send that email! My boss won’t ever trust me again, then I won’t get that raise, we will loose the house to foreclosure and my wife will leave me. This is an example of Catastrophizing, which is seeing things as dramatically more or less important than they actually are.

    Identifying the Stage of Change

    My next series of assessment questions include the Annis, Schober & Kelly interview questions, to identify the stage of change the client is in . This series of interview questions are drawn from the Identifying the Stage of Change research by James Prochaska, John Norcross and Carlo DiClemente. There are six questions in this interview and the questions start out very simply:

    1. Did you drink during the last 30 days? YES or NO
    2. Are you considering quitting or reducing drinking in the next 30 days? YES or NO
    3. Did you knowingly attempt at least once, to quit or reduce your drinking during in the past 30 days? YES or NO

    At this point in my assessment work, I have to decide whether I can help this person or not. I call the Annis, Schober & Kelly assessment the “knowing when to hold them or knowing when to fold them” assessment. If in completing this assessment, the coaching client does not present that they are in the Preparation Stage or the Contemplation Stage of change, I cannot help them. I have to regretfully say I cannot help them and why.

    Adverse Childhood Experiences

    The last series of questions are from the ACE survey (Adverse Childhood Experiences) which are highly personal questions . In the executive coaching world these are not questions an executive coach would ever ask, but for a recovery coach, these are important questions. However, I still have to tread very lightly on these queries. I preface the questions with a warning that I will be getting very ‘close’ to the client with the next series of queries, and if he/she chooses not to continue with answering these questions, we can move on.
    Some examples are:

    1. Did a parent or other adult in the household swear at you, insult you, put you down or humiliate you?
    2. Did a parent or other adult in the household push, grab, slap, or throw something at you?
    3. Did you often or very often feel that no one in your family looked out for each other, no one feels close to each other, or no one supports each other?

     

    The ACE questionnaire is important in identifying behavioral addictions, primarily eating disorders or compulsive sexual behaviors, so I use it specifically for queries that may identify these addictions.

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  • Executive Coaching and the Recovering Executive “What to do with a client that may have addiction issues”

    This is a reprint in six parts of a webinar presented at the Global Coaching Conference on Oct 12.
    I am Melissa Killeen, I have been a Recovery Coach for about 5 years. In this specialized field of recovery coaching, I work mostly with executives, entrepreneurs and family business owners that are recovering from addiction. I have two degrees in Organizational Dynamics and Executive Coaching from the University of Pennsylvania, in Philadelphia, PA. I have used my years of training there to develop my book on recovery coaching, which will be published early in 2012.

    This seminar will focus on coaching the executive that may have unrecognized addiction issues. Have you ever coached a distracted, uncontainable or procrastinating client? Why aren’t the things that usually work for a client not working for this specific client? Sometimes a client’s behavior is blamed on a boss, or perhaps client never completes their homework assignments because of family issues or perhaps the executive has a bottle in their bottom drawer. As a recovery coach, I hear these ‘reasons’ and a red flag goes up. Maybe the possibility that this client is an addict is something to consider.

    What would be the clues? What kinds of things, either ways of behaviors, body language, talking traits, or other signs are evident?

    In this presentation I will attempt to expand on these questions. I will cover the following:

    1. Identify IF the addict exists
    2. Help the addict/executive/coaching client build a plan for recovery
    3. If the above has been accomplished, look around the coaching client at his/her surroundings. Is there collateral damage from the addiction?
    4. Acknowledging change, conflict and collateral damage
    5. Effectively dealing with change, conflict and collateral damage

    Prior to starting, let me explain some of my techniques and terminology. When I use the term “addict” I am discussing the alcoholic, the drug addict, the sex addict, the gambler, the over eater, the compulsive spender, anyone that has a compulsive need to adjust their perceptions of reality with a mind altering behavior, or substance. It is easier and simpler to use the word ‘addict’ to describe all of these types of people. Also, I want to further describe the recovering individual. A person in recovery could have one week or twenty years, however, for those individuals in recovery, it is an accepted fact that the addict has just one day, today. I would prefer to work with a client that has some good clean time in recovery, but alas, that is not always possible. So, I will use mouth swab alcohol tests, I will cut hair for analysis and request to have the client take HIV and STD tests and I will request to see the test results. I search hotel rooms, offices and homes, popping up suspended ceilings, emptying dresser drawers, sticking my fingers into jars of hand cream, and emptying aspirin bottles looking for contraband. Why do I do this? Because it works, I have swabbed people that swear they haven’t taken a drink in 10 days, hair tests come back for drugs the person has never used, I have found pot, pills, coke, booze, pornography, cash, just about anything. I will do everything to ensure my client is doing their best at honesty as well as recovery. I know this may seem odd, but in my ‘niche’ of coaching, we see it as saving a life, as much as getting a good return on investment. In order to do this, it takes asking some very difficult questions

    I. Identify IF the addict exists
    The hardest thing that I have to deal with in recovery coaching is denial in the addict. Usually the denial has been perfected over many years. However, when they finally recognize they are an addict, dealing with the denial was nothing compared to helping them pick up the pieces and rebuild their life. Motivational Interviewing techniques help me to unlock the years of denial, and let the client pick up the pieces he/she chooses to pick up, in order to rebuild their lives.

    To begin with the first meeting, as in all executive coaching contracts, an assessment is the first order of business. I use LIFO , Life Orientations Survey, but other recovery coaches may use MBTI, Enneagrams or Disc, whatever works for you. To identify characteristics of an addict, I go one step further. In the interviewing process, either before or after the behavioral or personality assessment, I ask the addict to tell me their story. Everything, from age 1 to the present time, including the first time they used or were abused. I request the story be written before our next meeting, I ask the client to read it to me as well as to forward me a written copy for my files. This story telling process was suggested by Carl Jung to Bill Wilson in 1932, when Bill W was first beginning AA. This concept has been around and working for quite a few years. Telling of one’s story builds trust. As the client reads his/her story I take notes. My familiarity with a multitude of addictions, I compile a series of questions to ask after I hear their story.

    Some of my clients come directly from an extended stay at a treatment center, so the assessment for drugs/alcohol/compulsive behaviors and adverse childhood experiences has been made and I am usually privy (with client authorization) to the results. However, if I have been hired by an Employee Assistance Program, or been contracted directly by the client, after hearing their story, I will start with a series of questions. Depending on their answers, I branch out in several directions, drawing from the following assessments:
    1. 12-questions from AA, 40 questions SLAA, and/or 20 questions from NA
    2. Cognitive distortions survey
    3. Annis, Schober and Kelly Interview
    4. ACE- Adverse Childhood Experiences
    During these questions, I decide whether I will give the entire assessment to the individual or just ask a few clarifying questions from the assessments.

    In all assessments, I find there is a bit of overlap between addictions, life experiences and accompanied disorders, this is commonly called co-occurring disorders. One of the most frequent co-occurring disorders is ADD/ADHD. Coaching adults with ADD/ADHD has come into the forefront of life coaching recently. Let me take a moment here to define that I am NOT a coach for adults with ADD/ADHD. If ADD/ADHD presents itself as the most important problem for a client, not addiction, I suggest the individual seek help from a specialist. Often adults with ADD/ADHD will mask, or self medicate with drugs, alcohol or other compulsive behaviors to alleviate the pain of dealing with ADD/ADHD.
    So, you might ask, how do I differentiate between addiction and ADD/ADHD?
    I ask:
    “Do you mask, or self medicate with drugs, alcohol or other compulsive behaviors to alleviate the pain of dealing with:
    1. Physical and mental health problems
    2. Work and financial difficulties.
    3. Emotional difficulties
    4. Disorganization and forgetfulness
    The client’s answer to these straight forward questions will lead me further to my conclusions about the existence of any addiction.

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  • Global Coaching Conference October 10 th to 14th, 2011 Featuring: Melissa Killeen, MS, MPhil, MK Recovery Coaching / Speaking on: Executive Coaching and the Recovering Executive – What to do with a client that may have addiction issues?

    Global Coaching Conference
    October 10 th to 14th, 2011

    Featuring:
    Melissa Killeen, MS, MPhil: MK Recovery Coaching
    An Executive Coach for Recovering Leaders

    Speaking on:
    Executive Coaching and the Recovering Executive – What to do with a client that may have addiction issues?

    On:
    Wednesday, October 12 at 3:00pm (EST)

    Description of the session, content and outcomes:
    “Executive Coaching and the Recovering Executive-What to do
    with a client that may have addiction issues?”

    This seminar will focus on coaching the executive that may have unrecognized addiction issues or is in recovery and needs to repair some relationships at work. Melissa will discuss assessments, establishing the stage of change, self disclosure, formulating a recovery plan for work and boosting the tools the executive can use to repair the damage the addiction has created in the business environment. Melissa blends a healthy dose of the 12 steps and the 12-principals with the tools that an executive coach uses to further leadership development.
    A fair amount of time will be spent on questions and answers that coaches may have when they encounter an addicted client. Often the reaction is “Flight or Fight”! This seminar will assist the coach to find the right direction in approaching a client’s addiction, how to introduce the 12 steps as well as how to rebuild damaged relationships in the workplace.

    Global Coaching Conference
    Dialing-In Guide For Guests

    1) On Wednesday October 12 at 2:55pm (EST) , call
    (410) 454-9994 in the USA

    2) Use the GUEST conference password ID: 547418#
    (BY ALL MEANS EVERYONE CAN USE THESE NUMBERS, SO PASS IT ON!)

    3) Now they can hear you, and each other
    Guests: Press *6 to mute your phones, then press *7 to un-mute
    and just in case, if the lines are busy, try this back-up number:
    (704) 804-5068 – password ID: 547418#

    http://www.globalcoachconference.com/

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    To register as an attendee on the Global Coach Conference website.
     Click on http://www.globalcoachconference.com/
    and you will be linked to the GCC registration page!

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    Gottenborg , Sweden 41506

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