analysis can be used to better understand, and then change, any problematic behavior. The module ‘coping with craving’ teaches skills associated with recognizing craving for drugs and alcohol and multiple coping strategies (urge surfing, monitoring, relaxation), but also emphasizes that these same strategies can be used to help tolerate any strong feeling without impulsive responding (i.e., affect tolerance). The ‘refusal skills’ module focuses on refusing offers of drugs or alcohol, but makes explicit links with assertive responding, persisting with goals under stress, and effective interpersonal functioning. The module on ‘problem solving skills’ provides multiple examples of applying basic problem solving strategies to issues commonly reported by individuals with substance use disorders, but the various practice exercises demonstrate how these basic steps are applicable to almost any scenario or problem. The module on recognizing and changing thoughts uses examples related to cognitions commonly associated with drug use, but relates this to negative thoughts as well and their relationship to strong affect and behavior. The module on decision making skills, or ‘seemingly irrelevant decisions’, uses the classic example of a man unexpectedly confronting a high risk situation (Marlatt & Gordon, 1985), but also includes exercises on the need to anticipate consequences of
