[_] - Where there is evidence of resistance to change, roll back to Motivational Work.

It is important to avoid over-reaching expectations, in a brief intervention - shifting through the Stages of Change from Pre-contemplation to Making plans for change may be a realistic goal to work towards. In such situations

[_] - Continue CognitiveBehavioural for SUD-Rx.

[_] - Review the ABC Diary-keeping that was the Training Challenge from SUD-Rx Session 3
[_] - Target behaviours and cognitions as they arise, using Rating Scales to set targets and measure change.
[_] - Look for opportunities to build positive Contingencies (rewards) for reduced use or abstinence.

[_] - FamilyWork for SUD-Rx offers ways to enlist the family in developing such contingencies, and potentially negative Contingencies such as the reduction of an allowance, or temporary removal of priviledges, etc

Not uncommonly comorbid Anxiety or low mood/depression will reveal itself. If necessary use

[_] - Progressive Muscle Relaxation or Re-breathing to develop coping skills and Self-efficacy