1.2  Cognitive Distortions
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Session 1.2 · Cognitive Behavioral Therapy

Cognitive Distortions in Addiction and Recovery

Session 1.1 taught you to catch a thought. This one hands you a way to sort what you caught — and then narrows in on the three thoughts that actually sit at the decision.

By the end of this lesson you will be able to

  • Name eight cognitive distortions and the form each one takes in recovery.
  • Explain how a permission-giving thought differs from a craving, and why only one of the two can be argued with.
  • Trace a use episode backward to the thought that closed the decision.
  • Judge whether a painful thought is a distortion or an accurate appraisal — and say which.

Start the lesson

One

These are habits, not lies

Read this part first. It changes what the rest of the lesson means.

A distortion is not a lie and not a delusion. It is a shortcut that is partly true, arrives at speed, and gets applied to a situation it does not fit.

The word “distortion” invites you to hear you are making things up. That is not what this is. The thought is one available reading of the situation that has been promoted to the only reading. It is bias, not falsehood.

Today the job is sorting, not correcting. You are not going to argue with any of these thoughts in this lesson. Session 1.3 has the procedure for that. Knowing that in advance is worth something — most people spend the first ten minutes of this material braced for a debate that is not coming.

One rule, and it holds for the rest of the week. You label your own thoughts. Nobody else’s. This list becomes a weapon within a day if that rule is not held, and the person it gets used on is usually the one having the hardest time.

Two

The eight

Turn each card over. The example underneath is the form this one takes on a unit like this one.

Most people find two or three of these that are unmistakably theirs, and the rest do not land. That is the expected result, not a sign you did it wrong. Pick your hottest one and keep it in mind for the next section.

Three

Sort these

Four thoughts, said on a unit like this one. Name the habit each one is running.

Four

The three that do the most damage

The eight above run in the background. These three sit at a decision point.

Permission-giving thoughts close the decision to use. Euphoric recall supplies the reason. The abstinence violation effect turns one lapse into a return. Almost everybody recognises all three the moment they are named, and almost nobody catches them while they are running — because years of use have made each one feel like clear thinking rather than craving.

The permission-giving thought

The last cognitive event before use, and the only one in the chain that is reliably interruptible. It is always short. Everyone has one and it is usually about four words long.

Mechanism
Supplies the licence the decision needs.
Sounds like
“I’ve earned this.”  “Just today.”  “I’ll stop again Monday.”
Counter-move
Name it out loud as permission, then delay fifteen minutes.

This is not a craving. A craving is a physical event and you cannot argue with it; you wait it out. A permission-giving thought is a sentence, and a sentence can be answered. That is the whole reason this one gets its own section.

Five

Play the tape forward

The correction for euphoric recall, one step at a time. Step through it with a night of your own in mind.

Step through the night

1 of 5

Do this one when you are steady, not when you are activated. Running the tape forward reliably raises craving before it lowers it. If you are already having a hard hour, come back to this section later or do it with someone.

Six

Distortion, or true?

This is the judgement that matters most, and the one people get wrong in both directions.

Not every dark thought is a thinking error. Some of what you are afraid of has already happened. If the evidence supports the thought, the work is not restructuring — it is problem solving, and sometimes grief. Calling an accurate appraisal “catastrophizing” is both wrong and the fastest way to lose someone’s trust.

Seven

What to leave with

Between now and the next group: label the distortion in three of your own caught thoughts from 1.1. One label each, plus one sentence on why. Sorting only — no arguing with them yet.

End of lesson 1.2

Next session takes the thoughts you have sorted here and gives you the procedure for working them: 1.3 Thought Records and Cognitive Restructuring.

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