The Invitation to Change Approach (ITC)

If you love someone who is misusing substances, it is likely that you want to help, and that you want things to change – but feel incredibly overwhelmed, angry, scared, or confused about where to start. You may have been told to detach, use “tough love,” or work on your “codependency”—confusing messages that can make you feel like you are the problem.

The reality is you can be a part of your loved one’s life, and you can have a positive impact. You can support them in a way that will help them change.

The Invitation to Change Approach® (ITC) challenges those stigmatizing, ineffective messages about substance use that are so prevalent. We bring evidence-based ideas together with kindness, so that you can support your loved one in a way that is genuinely helpful and feels right. We will also help you bring self-compassion and care to yourself in the process, because we know you need it to sustain you through these difficult times.

Created by psychologists at our CMC:Foundation for Change partner, each session will introduce you to a key ITC topic—like Behaviors Make Sense, Increasing Positive Behaviors, and One Size Does Not Fit All—and then help you practice with special activities.

Helping with Understanding Sessions

When dealing with your loved one’s substance use, have you ever thought they were selfish, uncaring, morally bankrupt, or crazy? Have their actions frightened, angered, or confused you? Or all of the above? Have you ever thought, “Why on earth would they do this?” Or, “How could they do this to me?” What else have you thought?

All of these are normal reactions to have, given the impact substance use has probably had on your loved one and your family. Unfortunately, these thoughts may have made it harder to help your loved one. How you understand your loved one’s behavior matters a lot, and the Helping with Understanding sessions will give you a new way to think about the problem—one that allows a lot more room for positive change!

BEHAVIORS MAKE SENSE

First, even though you can’t see it now, your loved one’s behaviors make sense in some way. People use substances because they get something out of it that’s important to them. It’s not because they’re “crazy” or “bad”—it’s because the behavior is serving a purpose. That is what keeps them going back, even as the costs pile up. While you don’t have to agree with or like their reasons for using, understanding those reasons will help you be more effective in helping promote change.

ONE SIZE DOES NOT FIT ALL

Second, one size does not fit all. Your loved one has very specific reasons why their behavior makes sense to them, and their reasons are different from the next person’s. There are also many paths to change. Understanding that one size does not fit all will help your loved one find a way to change that works for them, and help you find what you need as well.

AMBIVALENCE IS NORMAL

Lastly, ambivalence is normal. Since your loved one’s substance use makes sense to them in some way, when they try to give up those behaviors they will naturally feel ambivalent and sometimes go back to those old ways. Change is an ongoing process, and how you respond to ambivalence can help move things along or set things back.

Helping with Awareness Sessions

As you try to help, it’s likely you will have pain, anger, fear, and upset. It’s likely you also have personal values of love, hope, and a desire to be connected to your loved one.

SELF-AWARENESS

Your self-awareness, which includes awareness of your thoughts, feelings, body sensations, and reactions, along with connection to your values, will matter a lot as you try to use the skills in the ITC. With self-awareness, you can see that your values and your pain are two sides of the same coin, and you can learn to work with both (i.e., picking up the whole coin).

WILLINGNESS

Next, since helping is not a pain-free process, the willingness will help you find ways to accept this struggle instead of shutting down, withdrawing, or getting angry. Willingness will help you allow for the vulnerability that comes with caring.

SELF-COMPASSION

Last, the ITC will help you bring self-compassion to your pain and the change process. Improved self-compassion will help move away from self-blame and shame and tend to yourself better. This way, you can bring kindness and care to the learning (and stumbling) that comes with making changes in behavior, for your loved one and yourself. Plus, taking care of yourself will invite your loved one to do the same.

Helping with Action Sessions

Communication tools, or how we talk, and behavior tools, or how we act as we try to help.

COMMUNICATION SKILLS

First, how we talk can be the difference between starting the change process and stalling out. When things are rough, it’s normal to want to yell, lecture, or shut down—but it’s not likely that anything positive will come from these interactions. By learning communication skills you can speak with your loved one (and everyone else!) in collaborative ways that open them up to the possibility of changing, and that increase the connection between you instead of creating distance.

BEHAVIOR TOOLS

How we act also matters for encouraging behaviors we want and discouraging ones we don’t want. In the behavior tools section, you will learn that recognizing and rewarding positive change invites it to happen more, while allowing naturally occurring consequences and setting respectful limits makes negative behavior less likely to happen.

Practice, Practice, Practice

Behavior changes when you change behaviors.

Have you ever tried something new, like learning another language, trying a sport, playing an instrument, or swimming? How well did you do that first time? Since new behavior can’t happen without learning and practice, we’re betting that the first time was kind of awkward and clumsy. As you learn the strategies in the ITC, we encourage you to approach them like any new behavior and give yourself room to make mistakes and keep learning. We will encourage you to practice with people in your life and to notice how hard it is to change your own behaviors. We also hope you will start to see that your loved one needs the same time and space to practice making changes and that they will benefit from your patience and compassion.

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