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Denial Management Counseling (DMC) – Clinical Exercises

Table Of Contents (TOC)

Introduction

Mini-education Sessions

Denial Check  

DMC Exercise #1Understanding Denial As A Part Of The Human Condition

DMC Exercise #2Understanding The Principles Of Denial Management

DMC Exercise #3Recognizing Your Denial Patterns

DMC Exercise #4Managing Denial

DMC Exercise #5Stopping Denial As You Think About Your Life History

DMC Exercise #6Stopping Denial As You Think About Your Life History

DMC Exercise #7Stopping Denial As You Think About Your Addiction Symptoms

DMC Exercise #8Stopping Denial As You Decide What To Do Next

DMC Exercise #9Evaluating Your Denial Management Skills

DMC Exercises - Introduction
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The Denial Management Counseling (DMC) has been organized into nine clinical exercises that can be used in individual therapy, problem solving group therapy, or psychoeducation programs.  Each exercise explains some basic information about denial or denial management and then asks a series of questions to help clients to apply that information to their current situation. 

These nine clinical exercises form the basis of The Denial Management Counseling (DMC) Workbook.  This workbook is an excellent tool for giving client homework assignments that accelerate the therapy process. 

You don’t need to use the workbook to do Denial management Counseling.  Once you understand the principles underlying you can integrate the steps of each exercise into your clinical style and adapt the exercises creatively as needed in your clinical practice. 

This section briefly describes each of the Denial Management Clinical Exercises in words that I would use if describing them to a client going through the process.  This will help you to see how I would phrase and explain points of information and how I would ask questions.  For these exercises to work for you, you will need to personalize them so that they reflect you clinical style.
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Mini-education Sessions
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In the following exercise I have used the concept of Mini-Education Sessions to explain the basic information that clients need to understand. These Mini-Education Sessions are followed by a series of questions to help the client apply the information to themselves.  Each question needs to be processed using active listening.

Denial Check
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Each exercise ends with the following questions, called a denial check, to see if the client’s denial was activated while answering the questions.  I'll list the questions here.  In describing the other exercises I will simply note that you need to complete a Denial Check at this point.  The questions in the denial are:  

(1)  Did your stress go up as you talked with me about these questions?  (Denial is normally activated by sensitive questions that activate a “hot response” in the client.); 

(2)  Did an inner conflict or argument start in your head as you talked with me about these questions?  

(3)  Did you feel an urge to avoid answering the questions or to tell lies or half truths?  Tell me about that.

 

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