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Managing Your Substance Use
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Dennis C. Daley
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Managing Your Substance

Use Disorder
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T R E AT M E N T S T H AT W O R K
Editor-In-Chief
David H. Barlow, PhD
Scientific Advisory Board
Anne Marie Albano, PhD
Gillian Butler, PhD
David M. Clark, PhD
Edna B. Foa, PhD
Paul J. Frick, PhD
Jack M. Gorman, MD
Kirk Heilbrun, PhD
Robert J. McMahon, PhD
Peter E. Nathan, PhD
Christine Maguth Nezu, PhD
Matthew K. Nock, PhD
Paul Salkovskis, PhD
Bonnie Spring, PhD
Gail Steketee, PhD
John R. Weisz, PhD
G. Terence Wilson, PhD

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T R E AT M E N T S T H AT W O R K
Managing Your
Substance Use Disorder
Third Edition
CLIENT WORKBOOK
DENNIS C. DALEY
ANTOINE DOUAIHY
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Press in the UK and certain other countries.
Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America.
© Oxford University Press 2019
Second Edition published in 2006
Third Edition published in 2019
All rights reserved. No part of this publication may be reproduced, stored in
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ISBN 978–0–19–092667–0
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About T R E AT M E N T S T H AT W O R K
One of the most difficult problems confronting patients with various

disorders and diseases is finding the best help available. Everyone is aware
of friends or family who have sought treatment from a seemingly reputable
practitioner, only to find out later from another doctor that the original
diagnosis was wrong or the treatments recommended were inappropriate
or perhaps even harmful. Most patients, or family members, address this
problem by reading everything they can about their symptoms, seeking
out information on the Internet, or aggressively “asking around” to tap
knowledge from friends and acquaintances. Governments and healthcare
policy-makers are also aware that people in need don’t always get the best
treatments, something they refer to as “variability in healthcare practices.”
Now healthcare systems around the world are attempting to correct this
variability by introducing “evidence-based practice.” This simply means
that it is in everyone’s interest that patients get the most up-to-date and
effective care for a particular problem. Healthcare policy-makers have also
recognized that it is very useful to give consumers of healthcare as much
information as possible, so that they can make intelligent decisions in
a collaborative effort to improve health and mental health. This series,
TreatmentsThatWork, is designed to accomplish just that. Only the latest
and most effective interventions for particular problems are described in
user-friendly language. To be included in this series, each treatment pro-
gram must pass the highest standards of evidence available, as determined
by a scientific advisory board. Thus, when individuals suffering from
these problems or their family members seek out an expert clinician who
is familiar with these interventions and decides that they are appropriate,
they will have confidence that they are receiving the best care available.
Of course, only your healthcare professional can decide on the right mix
of treatments for you.
The ravages of substance use disorder have been documented time and
again, and the lives ruined are too numerous to count. But new treatment
programs have appeared in the last decade that have been proven to be ef-
fective in relieving the burden of substance use disorder for a large number
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of individuals. The program described in this Workbook presents the latest

version of one of the most advanced treatment programs yet developed
for substance use disorder. This program recognizes that these problems
have both biological and psychological causes, and that no single pro-
gram will work the same for everyone. Therefore it is meant to be flexibly
adapted to wherever the individual is on the long road to recovery, from
just getting started through preventing relapse. Incorporating the wisdom
of programs that have come before such as 12-step programs, cognitive-
behavioral programs, and relapse prevention approaches, this treatment
benefits from decades of development and scientific evaluation and has
been used to the benefit of thousands of individuals with these problems.
In this program you will learn skills to cope effectively with cues and
triggers that lead to use and abuse of drugs and alcohol and hopefully
master the emotional roller coaster that accompanies this condition. This
includes altering patterns of beliefs, dealing with interpersonal conflicts
that often lead to use and addiction, and building healthy social support
systems. This program is most effectively applied by working in collabo-
ration with your clinician.
David H. Barlow, Editor-in-Chief,

Treatments ThatWork
Boston, MA
Accessing Treatments ThatWork Forms and Worksheets Online
All forms and worksheets from books in the Treatments ThatWork (TTW)
series are made available digitally shortly following print publication. You
may download, print, save, and digitally complete them as PDFs. To ac-
cess the forms and worksheets, please visit http://www.oup.com/us/ttw.
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Contents
Part I Overview of Substance Use Problems and Assessment
Chapter 1 Introduction and Plan for This Workbook 3
Chapter 2 Recognizing Your Substance Use Problem 13
Chapter 3 Recognizing Consequences of Your Substance Use 19
Part II Change Issues and Strategies
Chapter 4 Treatment Settings for Substance Use Problems 25
Chapter 5 Motivation and Stages of Change 33
Chapter 6 How to Use Therapy or Counseling 39
Chapter 7 Overview of Goal Planning 51
Chapter 8 Managing Cravings and Urges to Use Substances 59
Chapter 9 Managing Thoughts of Using Substances 69
Chapter 10 Managing Emotions 75
Chapter 11 Refusing Offers to Use Substances 83
Chapter 12 Dealing with Family and Interpersonal Problems 89
Chapter 13 Building a Recovery Support System 99
Chapter 14 Mutual Support Programs and Recovery Clubs 105
Chapter 15 Medications for Substance Use Disorders 113
Part III Relapse Prevention, Progress Measurement, and Co-occurring Psychiatric Disorders
Chapter 16 Relapse Prevention: Reducing the Risk of Relapse 127

Chapter 17 Relapse Management: What to Do If You Lapse
or Relapse 135
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Chapter 18 Strategies for Balanced Living 141
Chapter 19 Measuring Your Progress 151
Chapter 20 Managing a Co-occurring Psychiatric Disorder 159
Appendix: Helpful Resources 169
Suggested Readings 173
About the Authors 177
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Managing Your Substance

Use Disorder
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1
PA R T I
Overview of Substance
Use Problems and
Assessment
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Introduction and Plan

CHAPTER 1
for This Workbook
Goals
n To become aware of current trends in substance use, misuse, and

substance use disorders
n To learn the multiple factors contributing to a substance problem
n To identify the different paths and benefits to recovery
n To understand the benefits of using this workbook in therapy or
counseling
n To learn the importance of keeping records and completing recovery
worksheets
Introduction and Overview
This recovery workbook provides you with practical information and

skills to help you understand and change your problem with alcohol, to-
bacco, or other drugs such as marijuana, cocaine or methamphetamine,
heroin or fentanyl, or nonprescribed addictive medications. It is designed
to be used in therapy or counseling and will help you focus on specific
issues involved in stopping substance use and in changing behaviors that
keep your substance use problem active. The information presented in
this workbook is derived from research, clinical and recovery literature,
and our many years of experience working with clients who have alcohol,
tobacco, and other drug problems. It discusses the most effective and
helpful recovery issues and change strategies from studies of cognitive-
behavioral treatment, coping skills training, 12- step counseling, and
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relapse prevention. These treatment approaches focus on the importance

of changing beliefs, thinking, relationships, and behaviors and learning
“skills” to help you stay sober and change your life. Such changes not
only help you initiate and sustain recovery but also improve the quality
of your life.
Your recovery change plan should be tailored to your needs and problems.
No single recovery program is for everyone. There are many paths to re-
covery. The ideas in this workbook will help you work with a therapist or
counselor to develop your personal plan for recovery based on the severity
of your substance use problem, your motivation to change, and your will-
ingness to work diligently in improving yourself.
In this workbook, we provide you with information about substance use

problems, recovery, relapse, professional treatments available, and mu-
tual support programs. When we talk about “substance use problems,”
we are referring to problems with alcohol, tobacco, or any other type of
drug. Problems may show in binge drinking, drug misuse (using illicit
drugs, using other people’s prescription drugs with addiction potential,
mixing drugs or drugs and alcohol in ways that are risky) or a substance
use disorder (SUD). Although there are differences among the various
substance use problems, there are also many similarities. Therefore, the
recovery strategies discussed throughout this workbook can be adapted
to any type of substance-related problem. The goals of this workbook
are to help you reach maximum treatment benefit by motivating you to
develop and implement a personal change plan and to provide you with
practical strategies and skills to cope with the most common problems
and challenges encountered when substance use is stopped.
This workbook includes the following topics:

n Recognizing your substance use problem and the consequences of it
n Choosing the right treatment setting
n Managing your cravings to use alcohol, tobacco, or other drugs
n Controlling thoughts of using alcohol or drugs and managing
obsessions to use
n Dealing with upsetting emotions (anger, boredom, depression,
and so on)
n Refusing offers to use substances and not giving in to social pressures
n Dealing with family and interpersonal conflicts
n Building a recovery support system to establish a “we” program
n Identifying and managing relapse warning signs to catch them early
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n Identifying and managing your unique high-risk relapse factors

n Taking action quickly if you use again to limit the severity and
damage of a relapse
n Living a balanced life so you gain pleasure and satisfaction from
nonchemical activities
n Measuring your progress
n Managing a coexisting psychiatric disorder or behavioral addiction
(e.g., gambling, internet, sex, or spending)
Extent of Substance Use Problems
A substance use problem exists when you experience any type of difficulty
related to using alcohol, tobacco, or other drugs, including illicit street
drugs or prescribed drugs such as painkillers (opioids), tranquilizers (used
for anxiety), sedatives (used for sleep), or stimulants (used for attention
deficit disorder or weight control). The difficulty can be in any area of
your life: medical or physical, psychological, family, interpersonal, social,
academic, occupational, legal, financial, or spiritual.
Extent of Substance Use and Substance Use Disorders
Surveys conducted each year by the Substance Abuse and Mental Health
Services Administration (SAMHSA) and other studies or reports found
the following:
■ In 2015, about 44.5% or 119 million adults in the United States

used one of four medications with addiction potential mentioned
earlier; the majority got these drugs from a family member or friend
or purchased these from a drug dealer.
■ After alcohol and tobacco, the most common drugs misused are
marijuana, pain pills, cocaine or methamphetamine, stimulant
medications, heroin or fentanyl, or prescribed sedatives. Rates of use
of all of these drugs—except pain medications—are rising.
■ While only about 11% of those ages 12 or older used illicit drugs,
25% of individuals ages 18–25 used illicit drugs, making this a
group at risk for substance use disorders.
■ There are more than 136 million current alcohol users in the United
States. More than 65 million had an episode of “binge” drinking (4
or more during a drinking occasion for a woman or a man over age
65; 5 or more drinks for a man under age 65); more than 16 million
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had multiple binge episodes; and 20% of young people between 12

and 20 drink alcohol.
■ More than 20 million people had a substance use disorder (SUD)
in the past year, which is about 7.5% of the population ages 12 and
above. The next chapter will provide specific symptoms of a SUD,
which refers to a “pattern of substance use” that causes problems and
distress and is characterized by up to 11 symptoms.
■ Rates of alcohol use disorder are the highest, with more than
15 million having this problem compared to 7.4 million who had a
drug use disorder.
■ Only 10.6% of those with a SUD receive treatment in specialty
addiction programs. However, in recent years, due to the opioid
epidemic, many individuals with opioid addiction are receiving
medication-assisted treatment from medical practitioners in
hospitals or primary care clinics.
■ Unfortunately, only a few percent of individuals with a SUD
believe they need help, which means that families, employers,
friends, or the legal system must influence them to get help.
Since you are in treatment, you have the opportunity to learn
strategies to manage your substance problems and improve your life
significantly.
■ Rates of death from drug overdose (OD) continue to rise each year,
with more than 64,000 dying from ODs in 2017, mainly from illicit
opioids like heroin or fentanyl, often mixed with other potent drugs
like tranquilizers.
SUDs can cause or worsen problems in any area of life. These will be
reviewed in Chapter 3 of this workbook to help you understand the
effects of your substance problem on different areas of your life.
Overcoming a Substance Problem: Paths to Recovery
The good news is that there are many paths to recovery from a substance
problem and these benefit millions of people. These paths include pro-
fessional treatment (counseling, therapy, a “program,” medications, or a
combination of these), mutual support programs, peer-assisted recovery
(peer navigators, coaches, specialists), and self-recovery. The more severe
the substance problem, the more likely professional treatment is needed
in addition to other strategies.
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A recent study published by the Harvard Research Recovery Institute

found that more than 22 million adults in the United States who once had
a SUD no longer have one. Their paths to recovery include the following:
■ 45% used mutual support programs

■ 28% used professional treatment
■ 9% used medications (e.g., for alcohol, opioid, or tobacco use
disorders)
Many people use a combination of these strategies. What is impressive is

that 29% have more than 15 years of recovery, and an additional 35% have
between 5 and 15 years of recovery. Many studies of treatment and surveys
of individuals in recovery in the United States, Australia, Canada, and the
United Kingdom show that involvement in treatment and/or recovery serv-
ices often leads to dramatic improvements in all areas of life, such as
■ Improved physical and dental health and higher engagement in

healthy behaviors
■ Improved mental health and higher engagement in mental health
treatment
■ Improved family relationships (more shared activities, much less
violence)
■ Improvement in work or school (steady employment, finishing
school, starting a business)
■ Improved financial condition (pay bills, debts, or taxes; save for the
future)
■ Fewer illegal activities, arrests, driving under the influence of alcohol
or drug episodes, less use of medical emergency room visits, and
increased rates of medical insurance
Causes of Substance Use Problems
There is no single cause of all alcohol or drug problems. These problems

are caused by a number of different biological, psychological, and social
or environmental factors that vary from one person to the next.
Biological Causes
Alcohol problems run in families, so it is thought that some individuals

have a genetic predisposition to develop an alcohol problem. Keep in
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mind that no one specific “alcohol” or “drug dependence” gene has yet
been identified. However, it is likely that there are differences in brain
chemistry and metabolism that increase the likelihood of developing an
addiction to alcohol or other substances (addiction is usually referred
to as a more severe substance use disorder). Scientists believe that these
addictive substances work on the mesolimbic dopamine pathway or “re-
ward” pathway of the brain. This is the part of the brain that makes food,
sex, and social activities pleasurable. As addiction progresses, the brain
is “hijacked” by substances. The result is that the person with addiction
relies more on substances and less on natural rewards to feel good. Even
though substance use causes many problems, it is then “reinforced” when
the person ingests alcohol or drugs. Some people with an addictive dis-
order also develop a tolerance for alcohol or other drugs, requiring an
increasing amount of alcohol or drugs to obtain the desired effect. Their
bodies seem to “need” or “want” substances, unlike people who do not
develop an addiction or dependence on substances. Also, during active
addiction, “memories” can trigger intense cravings for alcohol or drugs.
Psychological Causes
Substances are often used to reduce anxiety or tension, to relax, to cope

with other unpleasant feelings, or to escape. For some people, this eventu-
ally contributes to a SUD as they get more accustomed to using alcohol,
tobacco, or other drugs to feel normal. Others have certain personality
traits that make them more prone to using and subsequently misusing
substances. Some have a psychiatric disorder, which can increase their
vulnerability to developing a substance-related disorder.
Social or Environmental Causes
The family and social environments in which we live influence most

behaviors, including substance use behavior. A person’s decision to use
or not to use substances is affected by access to substances, pressure from
peers to use, reinforcement from peers for using, observance of role
models (e.g., parents) using or misusing substances, and standards or
values learned from the community or broader culture.
Multiple Causes
Most likely it is not one but a combination of factors that caused you
to develop a substance use problem. In cases of more severe SUDs (e.g.,
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addiction), the factors that contributed to your initial use may be dif-
ferent from those that cause you to continue using. For some people,
physical factors may be the strongest, whereas for others psychological or
social factors may be the strongest. Identifying the factors that contribute
to your substance use problem can contribute to your recovery.
Benefits of This Workbook
This workbook offers many benefits, especially when used with profes-
sional therapy or counseling:
■ First, it will help you become more educated about substance use
problems and recovery. Understanding the recovery process, for
example, makes it easier to cope with the ups and downs you are
likely to experience.
■ Second, this workbook will help you look at your particular problem
with alcohol, tobacco, or other drugs and identify how it has
affected your life and the lives of people close to you.
■ Third, it will help you learn specific skills to manage the challenges
and “nuts and bolts” problems encountered in recovery.
■ Finally, it will help you reduce the risk of a future lapse and relapse.
As a result of working a recovery program, you can experience benefits

in your physical, emotional, or spiritual health; family and social
relationships; ability to work or go to school; and legal and financial
conditions. There are many potential short-term and long-term benefits
of recovery.
Tips on Using This Workbook in Your Treatment
This interactive recovery workbook was written to be used in conjunction

with therapy or counseling. Ask your therapist or counselor for help in
choosing which topics to work on and in what sequence. The sequence
you choose should be based on your unique problems with substance
use and where you are in the recovery process. If you have any questions
about the meaning of the information presented, how it relates to your
situation, or how to use it to aid your recovery, ask your therapist. If you
try to implement some of the change strategies recommended and find
they aren’t working for you, work with your therapist to figure out why
these ideas aren’t helpful or if you need to find other strategies. Even if
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you don’t agree with what you read in this workbook, you will find it
helpful to discuss your reactions and ideas with your therapist.
This workbook can be used whether you are in individual or group

therapy, or both. An open, honest, realistic, and disciplined approach to
recovery in which you face your issues rather than avoid them will help
you make the most progress.
Abstinence from the use of substances is usually the most appropriate

goal of treatment, especially if you have a more severe SUD or addiction.
However, some people initially benefit from a harm-reduction approach
before they agree on abstinence. Harm reduction refers to a reduction in
the amount and frequency of substance use so there is a reduction in the
negative consequences such as medical, family, work, or legal problems.
However, there is always the risk that serious consequences or even death
could result if you do not stop completely.
The Importance of Records and Completing Recovery Worksheets
Throughout this recovery workbook, you will be asked to complete several

records and worksheets related to each area of recovery. These assignments
have several purposes:
1. To help you personalize the information presented so that you relate

it to your unique situation.
2. To help you become aware of the many aspects of recovery and of the
relationships among thoughts, feelings, and behaviors. We emphasize
biological, psychological, social, and spiritual aspects of recovery.
3. To help you identify internal and external triggers of substance use
and develop strategies to manage them.
4. To provide you with a reminder that you need to take an active role
in reducing or stopping alcohol and drug use and learn to cope posi-
tively with the problems experienced in recovery.
5. To help you carry out the proposed recovery change techniques and
practice them in your daily life.
6. To help you document problems as well as successes with specific
changes. Keeping track of your progress over time allows you to see
the “big picture” and put setbacks into perspective. This also provides
you with “accountability” so that you are reminded that it is up to
you to continue to work at positive changes.
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7. To help you approach your treatment in a systematic and structured

way. This allows you to take maximum advantage of your therapy
sessions because you are always working on important recovery issues
between treatment sessions.
You may photocopy worksheets and records from the workbook or down-
load additional copies from the Treatments ThatWork™ Web site at www.
oup.com/us/ttw.
This interactive recovery workbook can be used as your personal notebook

to keep track of important issues in your quest to manage your substance
use problem. You can revisit sections of this workbook as many times as
you need to help yourself develop and modify your change plan. When
you are finished with professional treatment, this workbook can serve as a
reminder for you. After a period of time, you can go back, review, and add
to it as you learn new ways to handle the problems and demands of re-
covery. We applaud you for your interest in learning strategies to manage
your substance use problem and improve the quality of your life.
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Recognizing Your Substance

CHAPTER 2
Use Problem
Goals
n To understand the different categories and symptoms of substance use

disorders
n To rate the overall severity of your substance use problem
Continuum of Substance Use Problems
The American Psychiatric Association classifies substance-related disorders

into several categories. These include intoxication, withdrawal, substance
use disorder (SUD), and substance-induced disorder.
Intoxication and Withdrawal
Intoxication refers to being “drunk,” “stoned,” “loaded,” or “under the

influence” of alcohol or other drugs. It involves physiological signs such
as slurred speech and/or incoordination with alcohol or other sedatives
or hypnotics; elevated blood pressure with cocaine or other stimulants;
or drowsiness or slurred speech with opioids. Intoxication also involves
psychological or behavioral changes such as aggressiveness, irritability, im-
paired attention, or disturbance of mood. Intoxication affects judgment
and can contribute to serious behaviors such as violence toward others,
accidents, or suicide attempts.
Withdrawal symptoms are caused by stopping or reducing the intake

of substances that produce physical dependence (e.g., alcohol, heroin).
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Specific withdrawal symptoms are discussed in Chapter 15 (which also

addresses medications used in the treatment of substance use problems).
Symptoms of Substance Use Disorder
If your pattern of substance use leads to significant impairment in your

life or to personal distress, and you meet two or more of the symptoms
listed in Worksheet 2.1: Substance Use Disorder Criteria, at the end of this
chapter, you have a “substance use disorder.” If you have 2–3 symptoms,
your disorder is considered mild; with 4–5 symptoms, it is considered
moderate; and with 6 or more symptoms, it is considered severe. As you
read these criteria, note whether or not you have experienced each of
them by placing a check mark in the appropriate box.
Worksheet 2.2: Self-Rating Scale, at the end of this chapter, can help you
rate the overall severity of your substance use problem. Also, the effects
of substance use can vary from one person to the next, from mild to
life-threatening.
Substance-Induced Disorders
The effects of alcohol and other drugs on the central nervous system can
cause substance-induced mood, anxiety, and psychotic disorders or mag-
nify personality disorders. What this means is that symptoms that look
like a psychiatric illness develop but then clear up with continued absti-
nence from alcohol or other drugs. Therefore several weeks or longer is
often needed to determine if a depression or anxiety syndrome is an inde-
pendent psychiatric disorder or is caused by the chronic use of substances.
For example, Matt felt extremely depressed and suicidal following several
weeks of using cocaine daily. However, within a week of stopping cocaine
and entering a recovery program, his mood improved significantly. On the
other hand, Shannon stopped drinking alcohol and using tranquilizers,
and the longer she was sober, the more anxious and depressed she became.
Shannon was clearly suffering from psychiatric problems in addition to
her dependence on substances. Her use of alcohol and tranquilizers was
her way of coping with her symptoms through “self-medicating.”
Homework
✎ Complete Worksheet 2.2: Self-Rating Scale.
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Worksheet 2.1
Substance Use Disorder Criteria
Criterion 1: Loss of Control □ Yes □ No

You use a greater quantity of alcohol or drugs than you intended or for longer periods of time
than you intended. Examples: Ron bought an ounce of marijuana and planned to use it over a
period of several weeks but ended up smoking it all in a few days. Lisa constantly tells herself
she’s going to have only a few drinks at parties each weekend, but she always gets drunk.
Criterion 2: Can’t Cut Down or Control Use □ Yes □ No

You have a persistent desire or unsuccessful efforts to cut down or control your alcohol or drug
use. You may quit, only to go back to using again. Examples: Dennis has quit smoking at least
10 times in the past few years for periods from several days to 3 months, but he always goes
back to smoking. Liz buys a rock of crack cocaine when she gets her check with the intention
of not smoking more than that. However, she ends up purchasing more crack and more often
than not uses her entire check to buy the drug, smoking continuously until she runs out of
drugs and money.
Criterion 3: Preoccupation or Compulsion □ Yes □ No

You spend a great deal of time on activities necessary to obtain the substance, use the sub-
stance, or recover from its effects. Examples: Sandy, a nurse, spends a considerable amount of
time figuring out ways to steal narcotic drugs at work. Stephen plans his work day so that he’s
able to use cocaine. Also, his weekends are almost entirely dedicated to getting high on drugs.
Criterion 4: Craving □ Yes □ No

You have strong desires or urges to drink alcohol or use drugs. Examples: Even though Jack has
not had a drink in several weeks, he has strong cravings nearly every day. Jessica stopped using
pain pills but still feels strong desires to get some even though she knows this will worsen her
addiction.
Criterion 5: Fail to Fulfill Major Obligations □ Yes □ No
You do not fulfill your obligations at work, home, or school. Examples: Chris’s cannabis
problem led to poor grades and dropping out of college. Megan often depends on her teenage
daughter to babysit Megan’s 8-year-old while she goes out drinking with friends, often staying
out late.
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Criterion 6: Continued Use Despite Problems □ Yes □ No
You have recurrent social or relationship problems that are caused by or worsened by substance
use. Examples: During episodes of drunkenness, Dan instigates fights in bars or at parties. He
has a reputation of being unpredictable when he drinks too much. Rebecca left her husband
because he refused to get help for his addiction. She felt like he was ruining their marriage be-
cause he was often gone and she felt she could not trust him.
Criterion 7: Psychosocial Impairment □Yes □ No
You give up or lose important social, occupational, or recreational activities because of sub-
stance use. Examples: Melissa has lost two jobs due to absenteeism caused by alcohol use. She
has also quit swimming and playing tennis. Leonard was kicked off the football team because
he tested positive for drugs on three different occasions. As a result, he also lost his scholarship
and dropped out of college.
Criterion 8: Use in Hazardous Situations □ Yes □ No
You use substances in physically hazardous situations. Examples: Raoul uses stimulants to help
him stay up while driving long distances to see a friend. Patricia drives home after joining
friends after work and having several drinks. Since she doesn’t feel drunk, Patricia thinks
driving is no problem after a few drinks.
Criterion 9: Use Despite Negative Effects □ Yes □ No
You continue to use even though you know that a physical, psychological, family, or other
problem is likely to occur as a result. Examples: Don drinks despite warnings from his physi-
cian that his liver is damaged from years of excessive drinking. Roberta smokes two packs of
cigarettes each day despite recommendations from her physician to stop because of chronic
respiratory problems.
Criterion 10(a): Increased Tolerance □ Yes □ No

You need more of the substance to achieve the desired effect. Examples: John used to get high
on two or three drinks. He now often consumes six or more drinks before he feels high. Wanda
used to take two tablets of Valium per day. She now takes six and often uses other tranquilizers
and alcohol.
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Criterion 10(b): Decreased Tolerance □ Yes □ No

You experience a diminished effect with continued use of the same amount of a substance.
Examples: Delinda used to drink a pint or more of liquor every day to feel “the buzz.” Now,
when she drinks the same amount, she does not feel “the buzz” as before. Alphonso regularly
used large quantities of opiate drugs, alcohol, and tranquilizers in the past. Now, when he uses
the same quantities, he does not even feel high.
Criterion 11(a): Withdrawal Syndrome □ Yes □ No

You experience a specific withdrawal symptom when you stop using substances or cut down on
the amount you use. Examples: When Michelle stops using alcohol, she becomes nauseous and
anxious and has tremors. Russ gets stomach cramps, diarrhea, a runny nose, and goosebumps
when he stops injecting heroin or other narcotic drugs.
Criterion 11(b): Use to Avoid Withdrawal Syndrome □ Yes □ No

You use a substance, and use a similar type (e.g., you substitute Valium for alcohol) to relieve or
avoid withdrawal symptoms. Examples: Betty takes tranquilizers constantly because she’s afraid
she will get sick if she stops taking them. Dean takes a few belts of whiskey in his coffee every
morning to quell his shakes and get him settled down so he can go to work. At lunch he has a
few drinks to hold him over until after work when he can drink more freely.
Write the number of symptoms that you checked and rate the severity level
□ 2–3 symptoms (mild) □ 4–5 (moderate) □ 6 or more (severe)
17
18
Worksheet 2.2
Self-Rating Scale
Instructions: After reviewing your pattern of substance use and the consequences, rate the
current severity of your problem. Then rate your current level of motivation to quit using
substances and your confidence level to maintain your sobriety.
Severity Level of My Problem
1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

Mild Moderate Serious Extremely Severe
My Motivation Level to Quit Using Substances
1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

Definitely Don’t Some Desire Strong Desire Extremely Strong
Want to Quit to Quit to Quit Desire to Quit
My Confidence in My Ability to Stay Sober
1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

Low Confidence Some High Very High
Confidence Confidence Confidence
18
19
Recognizing Consequences
CHAPTER 3
of Your Substance Use
Goals
n To understand the consequences of your substance use and its effect

on those close to you
n To identify problems caused by your substance use disorder (SUD)
Harmful Consequences
Substance use can contribute directly and indirectly to problems in any

area of your life. SUDs raise the risk of medical, spiritual, psychological,
psychiatric, family, and economic problems. Problems may range in se-
verity from mild to life-threatening. Sometimes the effects are subtle or
hidden. For example, an attorney initially reported that her work was
not affected by her drinking. However, upon closer examination of her
drinking patterns and functioning at work, she discovered that her bill-
able hours had decreased by about 15–20% as her drinking worsened.
A father of three with a tobacco use disorder didn’t think his children were
too concerned about his smoking until they told him directly that they
were upset, worried, and angry and felt he was cheating them by putting
himself at risk for an early death due to smoking.
19
02
Effects of Substance Use Problems on the Family
Alcohol and drug problems often have a negative effect on the family.
Loss of family relationships occurs due to separation, divorce, or involve-
ment of child welfare agencies. Families feel neglected, and in some cases
their basic needs for food, shelter, and clothing are ignored. The eco-
nomic burden can be tremendous as a result of spending family income
for drugs or alcohol, lost income due to problems caused by substance
use, and costs associated with legal, medical, or psychiatric problems.
Family members often feel an emotional burden. Anger, fear, worry, dis-
trust, and depression are common. Episodes of neglect, abuse, or violence
are often associated with alcohol and other drug problems. SUDs make
it difficult if not impossible to function responsibly as a parent or spouse,
which leads to problems in family relationships. And, due to the genetic
predisposition associated with a SUD, children are vulnerable to devel-
oping their own substance use problems. These children therefore need all
the help they can get to avoid developing a substance use problem.
Problems Associated with Substance Use Disorders
Box 3.1 summarizes of some of the more common problems associated

with SUDs, as reported in recent publications by the National Institutes
of Health and based on our clinical experience. As you can see, these
problems occur in all areas of life. After you’ve reviewed the information
in this table, complete Worksheet 3.1: Harmful Effects, at the end of this
chapter.
Box 3.1 Problems Associated with Substance Use Disorders
Medical and Health: accidents; injuries; drug overdose; poor nutri-

tion; weight gain or loss; poor personal hygiene; poor dental hygiene,
lost teeth, gum disease; increased risk of liver, heart, kidney, or lung
diseases; cancers of the mouth or pharynx; gastritis; edema; high blood
pressure; sexual problems; complications with menstrual cycle, preg-
nancy, or childbirth; increased risk for sexually transmitted diseases,
HIV, or hepatitis B and C.
20
21
Emotional: anxiety; panic reactions; depression; mood swings; psy-

chosis; feelings of anger or rage; suicidal thoughts, feelings, or behaviors;
unpredictable behaviors; aggressiveness; violence; self-harm; feelings of
shame and guilt; low self-esteem.
Work/School: poor performance; lost jobs or dropping out of school;

missing work or school; being undependable and less effective; loss of
interest; ruined career; lost opportunities.
Family: lost relationships due to separation, divorce, or involvement of

child welfare agencies; family distress and conflict; inability to function
in parental role or children being raised by relatives or foster care; dam-
aged family relationships; emotional burden on the family (anger, hurt,
distrust, fear, worry, depression); poor communication; perpetuation
of substance use problems in children.
Interpersonal Relationships: lost or damaged friendships; interper-

sonal conflicts and dissatisfaction; loss of trust or respect of significant
others.
Recreational: diminished interest in or loss of important hobbies,

avocations, or other social or leisure activities.
Legal: fines; legal constraints; arrests; convictions; jail or prison time;

probation or parole.
Economic: loss of income; excessive debts; falling behind in or ignoring

financial obligations; loss of security or living arrangements; inability
to take care of basic needs for food or shelter; using up all financial re-
sources; inability to manage money; not saving for the future.
Homework
✎ Complete Worksheet 3.1: Harmful Effects.
21
2
Worksheet 3.1
Harmful Effects
Problems Caused by or Worsened by Your Substance Use
Instructions: In the sections below, list any problems that you think were caused by or worsened
by your alcohol, tobacco, or drug problem in the past year. Then rank each of the eight categories
from the most severe to the least severe, using “1” for the most severe category of problems.
Medical/physical/dental _________________________________________________
__________ _________________________________________________
_________________________________________________
Psychological or emotional _________________________________________________
__________ _________________________________________________
_________________________________________________
Work/school _________________________________________________
__________ _________________________________________________
_________________________________________________
Family _________________________________________________
__________ _________________________________________________
_________________________________________________
Interpersonal relationships _________________________________________________
__________ _________________________________________________
_________________________________________________
Recreational _________________________________________________
__________ _________________________________________________
_________________________________________________
Legal ________________________________________________
__________ _________________________________________________
_________________________________________________
Economic ________________________________________________
__________ _________________________________________________
_________________________________________________
23
PA R T I I
Change Issues
and Strategies
24
25
Treatment Settings for Substance

CHAPTER 4
Use Problems
Goals
■ To learn about the different types of professional treatments for

substance use problems
■ To work closely with your therapist or counselor to figure out your
specific goals and what steps you can take to reach them
Introduction
The American Society of Addiction Medicine (ASAM) outlines levels of

care for alcohol or other drug problems in a “stepped care” approach. The
ASAM levels are listed here, from the least to most restrictive.
■ Level 1: Outpatient treatment

■ Level 2: Intensive outpatient treatment and partial hospitalization
■ Level 3: Medically monitored intensive inpatient treatment
(residential)
■ Level 4: Medically managed intensive inpatient treatment (hospital)
You should use the least restrictive level of professional treatment possible
unless you have serious medical complications, such as liver disease or gas-
tritis, or serious psychiatric complications such as feeling suicidal, feeling
persistently depressed, or feeling paranoid. The sections that follow in
this chapter describe the various types of treatment settings and provide
some specifics for when each type of treatment is appropriate. Discuss any
questions you have about a particular level of treatment with a therapist
25
26
or a knowledgeable healthcare professional. If you try the least restrictive

level of care and find that you are unable to establish and maintain ab-
stinence from alcohol or other drugs, then you should consider a higher
level of care and discuss it with your therapist or counselor.
Levels of Care
Outpatient and Aftercare or Continuing Care Programs (Level 1)
These programs vary in length from several weeks to months or longer.

They may precede or follow detoxification or rehabilitation programs or
be used as the sole treatment. Their purpose is to help people achieve and
maintain abstinence or reduce harmful substance use, as well as to make
personal changes to minimize relapse risk. Individual, group, and family
therapy; medication management; and other services may be offered,
depending on the specific setting. Outpatient treatment is most suitable
if you are not at risk for withdrawal complications and if you have a stable
medical and mental condition, show a willingness to cooperate with treat-
ment, are able to maintain abstinence with minimal support, and have
a supportive recovery environment. Outpatient treatment can also help
you cope with your immediate environmental stresses.
Nonresidential Addiction Rehabilitation Programs (Level 2)
These short-term (2-to 6-week) programs include intensive outpatient and

partial hospital programs. These are appropriate if you do not need the su-
pervision and structure of a residential or hospital-based program. These are
sometimes used as “step-down” programs after someone has received treat-
ment in a residential addiction program or hospital-based program or as
“step-up” programs when outpatient programs haven’t helped someone get or
stay sober. These programs are appropriate if you have a minimal withdrawal
risk, have no serious medical conditions, have high enough resistance to re-
covery to require a structured treatment program, are likely to relapse without
close monitoring and support, and have an unsupportive environment.
Inpatient Hospital and Residential Rehabilitation Programs

(Levels 3 and 4)
These include both hospital-based and non–hospital-based residential

programs. Some are “generic” in the sense that if a person meets the
program’s criteria, he or she can be admitted to the program. Others are
26
27
specialized and serve specific populations based on type of and severity of

addiction, gender, family status, or ethnicity. The following sections give
a brief description of inpatient programs.
Short-Term Addiction Rehabilitation Programs
Most programs offer a variable length of stay, with many clients staying
less than 14 days. Unless you have serious medical or psychiatric problems,
non– hospital-
based programs are the first choice for rehabilitation.
Addiction rehabilitation programs are recommended if you have been
unable to get or stay sober through less intensive treatment settings such
as outpatient, intensive outpatient, or partial hospital programs. They
may also be used if your addiction is of such severity that a period of time
in a structured, residential setting is needed to break the cycle of your
addiction and help motivate you to establish a foundation for recovery.
Short-term rehab programs are also appropriate if you have a high re-
lapse potential, if your environment is considered dangerous for recovery,
or if you do not have access to outpatient rehabilitation. Rehabilitation
programs mainly focus on alcohol and drugs other than tobacco, although
some are smoke-free or offer help if someone wants to quit smoking in
addition to quitting use of other substances.
Long-Term Addiction Rehabilitation Programs
If you have a severe pattern of addiction and serious life impairment (e.g.,
little or no social support, lack of vocational skills, history of multiple
relapses, or serious problems with the legal system), you may need a long-
term program. A long-term program can help you maintain sobriety by
addressing lifestyle and personality issues that you have to change if you
are to stay sober over time. Long-term rehab programs include thera-
peutic communities, halfway houses, and specialized programs for spe-
cific populations such as men, women, women with children, specific
ethnic groups, and clients involved with the criminal justice system be-
cause of substance-related problems. The trend is toward shorter term
programs: therapeutic community programs that once were up to 2 years
long now run for several months to less than a year. Due to reduced gov-
ernment funding, fewer long-term programs are now available, and they
are harder to get into than they were in the past.
Continuing care is important after completing any of these programs.

This enables you to continue focusing on recovery issues while you estab-
lish a longer period of sustained recovery.
27
28
Detoxification (Levels 3 and 4)
Detoxification (“detox”) refers to the process of tapering off substance use

by using medicine to suppress or reduce withdrawal symptoms. Medical
detoxification may be provided in an addiction rehabilitation facility, psy-
chiatric hospital, or medical hospital. Medical detoxification is needed if
you have a documented history of addiction, a significant potential for or
current evidence of withdrawal complications such as seizures or delirium
tremens (DTs), or serious suicidal feelings. A hospital-based program is
appropriate if you have concurrent medical or psychiatric disorders that
need to be monitored or managed while you detox. Detoxification nor-
mally takes up to several days. Detoxification from severe addiction to
opioids or benzodiazepines may be started in a hospital or residential pro-
gram and continued during ongoing treatment in a community setting.
Outpatient detoxification is appropriate if you have a less severe form of

substance dependence, you don’t show any evidence of serious medical
or psychiatric problems, and you have support from family or other sig-
nificant people. However, be aware that many clinics and doctors do not
provide outpatient detoxification.
Detoxification involves monitoring your vital signs and withdrawal

symptoms. The detoxification process includes providing medications to
prevent or stop physical withdrawal symptoms such as nausea, cramps,
runny nose, sleep disturbance, anxiety, and agitation. Rest, nutrition, and
evaluation of your physical and mental health are other components of
detox. Note, however, that detoxification has limited value if it is not
followed by other treatments such as rehabilitation, outpatient care, and/
or participation in mutual support programs.
You should consider being detoxified under medical supervision if you
■ Cannot stop using alcohol or drugs on your own without

jeopardizing your health
■ Have a past history or current medical complications related to
withdrawal or the effects of addiction (e.g., DTs, convulsions,
elevated blood pressure, gastritis)
■ Have a psychiatric disorder (e.g., psychotic symptoms, severe
depression, suicidal feelings)
Withdrawal from alcohol or barbiturates is the most dangerous from a med-

ical standpoint. Therefore, it is best that you be evaluated for supervised
detoxification rather than quit on your own if you are dependent on these
28
29
substances. Quitting “cold turkey” can produce serious medical or psy-

chiatric complications, or the discomfort of withdrawal can cause you to
continue to use substances to self-medicate your symptoms.
Other Special Programs
Other specialized treatment programs include those designed specifically

for women with children, adolescents, people involved in the criminal
justice system, and those with co-occurring psychiatric disorders in addi-
tion to a substance use disorder.
Medication-Assisted Treatment
Methadone maintenance (MM) is used to help individuals with opioid

use disorders who have been unsuccessful in their attempts to stop using
these drugs. Provided in conjunction with education and counseling serv-
ices, MM is designed to gradually wean someone from opiates altogether
or maintain him or her on a stable dose. A person may remain on MM
for months or years. MM helps stop the use of illicit opiates and related
criminal behavior and helps recovering individuals function at work and
in the community. MM is a helpful treatment if you have been unable
to stay off heroin or other opioid drugs despite being involved in other
forms of treatment.
Buprenorphine (Subutex, Suboxone, Zubsolv, Bunavail, Probuphine,

Sublocade, or generic) is used to help individuals with opioid use dis-
order in the detox process or as a long-term treatment to reduce opioid
use and reduce the risk of relapse. Buprenorphine is being used more
and more by addiction treatment programs and physicians but is not
available in all treatment clinics because it requires practitioners to get
a special waiver from the government. The advantage of buprenorphine
over other medications like methadone is that it can be prescribed by
office-based physicians rather than having to be dispensed through a
treatment center. It is safer in overdose and less likely to be sold on the
streets compared to methadone. Naltrexone (Revia and Vivitrol) is an-
other medication that blocks the euphoric effects of opioids. It is another
option that you could consider taking to address your opioid use disorder.
Narcan is recommended to anyone with an opioid use disorder as a way
of reversing a potential drug overdose. Although you do not administer
29
0
3
this to yourself, a family member, friend, or other drug user can save your
life by administering this drug if you overdose.
Choosing Your Recovery Goals
Your goals should be based on the severity of your current substance use
problem, your motivation to change, and what you want to change about
yourself and your lifestyle.
If you are in treatment, you should work closely with your therapist or
counselor to figure out your specific goals and what steps you can take to
reach them. There may be times when your therapist doesn’t agree with
your goals. For example, if you have a severe alcohol use disorder and
choose the goal of moderating your drinking, your therapist will advise
you to work toward abstinence because moderation is not an appropriate
goal for you. Or, if you agree to the goal of stopping heroin and cocaine
use but still want to use alcohol or marijuana, your therapist will probably
advise you to work toward total abstinence because alcohol or marijuana
use puts you at risk of returning to heroin and cocaine use.
If you are not sure what goals you want to set for yourself, then your in-
itial goal can be “deciding what I want to change about myself and my
alcohol, tobacco, or drug problem.” The information in this workbook
can help you in that process. Begin by completing Worksheet 4.1: Initial
Goals for Treatment.
Homework
✎ Complete Worksheet 4.1: Initial Goals for Treatment.
30
31
Worksheet 4.1
Initial Goals for Treatment
1. Describe your primary goal for treatment at this time. ____________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. Describe what specific types of treatment you think you need at this time to reach your goal.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
3. If you have been in treatment before, describe how it helped you. ___________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
4. What can you do if you feel like leaving treatment before finishing it? ________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
31
32
3
CHAPTER 5 Motivation and Stages of Change
Goals
■ To learn the different stages you may go through in your recovery

■ To identify the immediate and long-term consequences of either
quitting or continuing to use substances
■ To learn strategies to increase your motivation for change
Research has identified different stages that you may go through as you
change a substance use problem. Although separated for purposes of dis-
cussion, you won’t necessarily go through all these stages or go through
them in an orderly fashion. It isn’t unusual to take two steps forward and
one step back when changing your alcohol or drug problem. You may
get stuck in one stage for a while, go back and forth between stages, or
revisit an early stage of change after you have progressed to a later stage.
Box 5.1 lists the stages of change. Review this material and then com-
plete Worksheet 5:1: Assessing Your Stage of Change, near the end of this
chapter.
Strategies to Develop Your Motivation
One way to help you accept your problem and develop motivation is to
review Worksheet 3.1: Harmful Effects (see Chapter 3). Another way is to
complete Worksheet 5.2: Decision-Making Matrix, found at the end of
this chapter. The information from these two exercises will help you look
at both sides of the issue—quitting or continuing to use. This information
33
34
Box 5.1 Stages of Change
1. The first stage of changing a substance problem, called precontemplation, is one in which
you aren’t aware of your problem. You are resistant to change because you don’t think you
have a problem. You are not able to admit that you have an alcohol or drug problem even
if other people can see it.
2. The second stage is called contemplation. During this stage you acknowledge that you have a
problem with alcohol or drugs, and you plan to take action within the next 6 months or so.
3. Preparation, the next stage, involves planning to do something about your alcohol or drug
problem within the next month. You usually let others know about the change you are
going to make. Even though you want to change, you still have mixed feelings about it—
part of you wants to quit using alcohol or drugs, and part of you doesn’t. Don’t expect your
motivation to be 100% at this point in the change process. You begin to think about the
advantages of change.
4. The next stage, action, involves changing your alcohol or drug problem. You make a com-
mitment to stop drinking alcohol, smoking, or using drugs. If you are physically addicted
and cannot stop using on your own, or if you have a history of complications associated
with stopping (e.g., seizure or suicidal thoughts or feelings), you should consider detox-
ification or hospitalization to help you stop using. In addition to getting sober or clean,
during this stage you being to learn more about yourself so that you can also change
your thinking, emotions, and self-image. You learn that coping with your substance use
problem requires a lot more than simply stopping your use. You address the “nuts and
bolts” issues of recovery, such as coping with thoughts about and cravings for substances;
dealing with people, places, and things that can influence you to use again; coping with
upsetting feelings; and dealing with family and relationship problems. You may become
involved in a mutual support program or other forms of social support to build structure
into your life and help you stay connected to others who care about your recovery.
5. Maintenance, or relapse prevention, is the next stage of change in which you continue to
make positive changes in yourself and in your lifestyle. You work hard to prevent a return
to alcohol or drug use and accept that there are no easy or quick solutions to your sub-
stance use problem. You learn to identify and manage relapse warning signs and high-risk
situations. You work on balancing the various areas of your life so that you increase your
chances of feeling good about yourself.
Adapted from Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Changing for good.
New York: William Morrow.
34
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blechiés. Et trop bien s’i portèrent li Franchois; mais finablement il
furent si dur combatut, et tant y sourvint de nouvelle gent sus yaux,
que il perdirent le place, et les couvint partir et rentrer en le ville à
grant meschief. Et y fu li sires de Bouberk très bons chevaliers, bien
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Jehan Camdos. Et ossi y furent pris li sirez de Brimeu, li sirez de
Sains, li sirez de Louville, li sirez de Saint Pi et pluisseur autre
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ou grant hospital, et touttes ses gens en le ville ou environ, sus une
petite rivierre. Et che meysme jour que li ville de Oisimont fu prise,
courut messires Ghodeffroy de Harcourt, à tout une cantitet de gens
d’armes et d’archiers, jusques à Saint Wallery. Et là eut une grant
escarmuche et grant hustin, car li ville et li castiel estoient bien
pourveus de bonnes gens d’armez, dont li comtez de Saint Pol et
messires Jehans de Lini estoient chief. Et n’i peurent li Englès [riens]
concquerre; si retournèrent arrierre deviers le roy englès, et le
trouvèrent à Oizimont. Liquelx roys estoit moult penssieux
coumment il poroit passer le rivierre de Somme, car bien savoit que
li roys de Franche le sieuwoit à tout très grant effort. Si en fist li roys
englès parler à aucuns chevaliers franchois qu’il tenoit pour
prisonniers. Et leur faisoit proumettre grant courtoisie, mès que il li
volsissent enssignier un passaige pour passer le Somme, liquelx
devoit y estre ens ou pays entre Vismeu et Pontieu; mais li chevalier,
pour leur honneur, s’escusoient et disoient que nul n’en y savoient.
Quant li roys englès, qui estoit logiés ou grant hospital de
Oizimont, vit che qu’il ne porroit atraire aucuns chevaliers franchois
dou pays de Pontieu et d’ailleurs qu’il tenoit pour prisonniers, affin
que il li vosissent ensseignier passage pour passer et toutte sen host
le rivierre de Somme, et tout s’escuzoient pour leur honneur, si eut li
roys englès autre advis et conseil, que il fist venir devant lui gens de
menre estat et de le droite nation dou pays de Vismeu, que il tenoit
pour prisonniers, si leur dist enssi: «Se il a chi homme nul qui me
voeil enssegnier le passage, pour passer le rivierre de Somme, et
toutte mon host, je le quitteray de se prison et avecq lui cinq ou six
de ses compaignons pour l’amour de lui, et li donray cent noblez
d’Engleterre.»
Là eut un compaignon que on clammoit Gobin Agache, qui bien
congnissoit le passaige de le Blanke Take, car il avoit estet nouris
assés priès, et l’avoit passet et rappasset pluisseurs fois. Quant il oit
le proummesse dou roy, si eut grant joie, tant pour gaegnier lez
florins que pour estre delivréz de prison; si dist ensi: «Sire, oil, en
nom Dieu, se vous me volléz tenir couvent, je vous menray demain
au matin en tel lieu là où tout vostre ost sera passéz avant tierche,
sour l’abandon de ma teste. Je say ung gués là où douze homme
passeraient bien de froncq deux foix entre jour et nuit, et n’aroient de
l’yauwe plus hault que jusques à genoulx. Car li fluns de le mer est:
en venant, il regorge la rivierre si contremont, que nuls n’y poroit
passer; mès quant chilx fluns, qui vient deux foix entre jour et nuit,
s’en est tout rallés, li rivierre demeure là endroit si petitte, que on y
passe bien aise à piet et à cheval. Che ne fait on nulle part que là,
fors au pont à Aubeville, qui est forte ville et grande et bien garnie de
gens d’armes. Et à ce passage, sire, que je vous di, a gravier de
blanke marle, forte et dure, que on y puet seurement chariier, et pour
ce le appell’on le Blancque Take.»
Quant li roys oy les parolles dou varlet, il n’ewist mies estet ossi
liés qui li ewist donnet vingt mil escus; et li dist, s’il le trouvoit en
veritet, qu’il quitteroit tous sez compaignons pour l’amour de lui, et li
amenderoit son couvent. Et Agace li respondi: «Sire, oil. Ordonnés
vous sour ce, et pour y estre là sus le rivierre, devant soleil levant.»
Dist li roys: «Vollentiers.» Puis fist savoir par tuit son host que
chacuns fust armés et appareilliéz au son de le trompette, pour
mouvoir et departir de là pour aller ailleurs. Fº 92.
—Ms. de Rome: Ce jour que li rois d’Engleterre se departi
d’Arainnes et que il vint à Oizemont, li rois Phelippes de France se
departi de la chité d’Amiens et prist le cemin de Arainnes. Et estoit li
intension de li, quel part que il trouveroit le roi d’Engleterre et les
Englois, il les combateroit. Et avoit envoiiet devant, pour garder le
pas à la Blance Taqe grant fuisson de gens d’armes, des quels
messires Godemars dou Fai estoit chapitains, car on avoit enfourné
le dit roi que les Englois ne pooient avoir autre passage que par là.
Qant li rois de France vint à Arainnes, les Englois en estoient parti
dou matin. Encores trouvèrent les François biau cop de lors
pourveances, les pains ou four, et les chars ens ès hastiers, de quoi
les pluisseurs se disnèrent. Li rois de France se tint à Arainnes.
Gens d’armes et arbalestriers geneuois le sievoient de toutes
costés. Encores estoient à venir li contes Amé de Savoie et messires
Lois de Savoie, ses frères, et amenoient bien cinq cens honmes
d’armes. Li bons rois de Boesme et mesires Carles, ses fils, et leurs
routes sievoient le roi de France, et se logoient au plus priès de li
que il pooient. Tant de peuple venoient de tous lés que mervelles
seroit à penser; tous les camps estoient couvers de gens et de
charoi, qui poursievoient le roi. On disoit au roi: «Sire, cevauchiés
par ordenance. Les Englois sont enclos: il ne pueent avoir nullement
le pasage de la Blanqe Taqe si apparilliet, avoecques ce que
mesires Godemars dou Fai et grant gent d’armes sont par de delà la
rivière de Sonme, qui le garderont et deffenderont; et vous et li
vostre, lor venrés d’autre part au dos. Comptés ensi: il sont vostre,
car il ne sont que une puignie de gens ou regart des vostres. A celle
fois chi, en auerés vous raison; il ne vous pueent fuir ne escaper, se
il ne mucent en terre.» Fº 116.
P. 159, l. 18: voir Sup. var. (n. d. t.)
P. 159, l. 19: Gobin.—Mss. A 11 à 14: Colin. Fº 136.—Mss. A 20 à

22: Robin. Fº 205 vº.
P. 159, l. 19: Agace.—Mss. A 20 à 22: Agache. Fº 205 vº.—Mss. A
1 à 6, 11 à 14: Agathe. Fº 142.
P. 159, l. 22: passet.—Ms. B 6: le plus grosse nefs d’Espaigne y
passeroit. Fº 314.
P. 160, l. 15: cent nobles.—Mss. A 15 à 17: cent nobles d’or.
Fº 143.
P. 160, l. 19 et 21: voir Sup. var. (n. d. t.)
§ 269. P. 160, l. 22: Li rois d’Engleterre.—Ms. d’Amiens: Li roys ne

dormy mies gramment celle nuit, ains se leva à le mienuit, et fist
sounner le tronpette. Chacuns fu tantost appareilliéz, sommiers
tourssés, chars cargiés. Si se partirent, sour le point del jour, de le
ville de Oizemont, et chevauchièrent sour le conduit de ce varlet et
de ses compaignons, parmy le pays que on claimme Vismeu, tant
qu’il vinrent à soleil levant assés priès de che gués que on claimme
à le Blancque Take; mès li fluns de le mer estoit adonc tous plains: si
ne peurent passer. Ossi bien couvenoit il au roy atendre sez gens
qui venoient apriès lui. Si demoura là endroit jusques apriès prime,
que li fluns s’en fu tous rallés. Et ainssois que li fluns s’en fuist rallés,
vint d’autre part messires Godemars dou Fay à grant fuisson de
gens d’armes, envoiiéz de par le roy de Franche, si comme vous
avés oy. Et avoit li dis messires Godemars rassamblet grant fuisson
des gens dou pays à piet et à cheval avoecq les siens, qui tantost se
rengièrent sour le pas de le rivierre pour deffendre le passage. Mais
li roys englès ne laissa mies à passer pour che; ains coummanda à
ses marescaux tantost ferir ou gués et sez archiers traire fortement
as Franchois. Là commença ungs fors hustins, car messires
Godemar et li sien deffendoient vassaument le passaige. Là y eut
aucuns chevaliers et escuyers franchois d’Artois et de Pikardie et de
le carge monseigneur Godemar, qui, pour leur honneur avanchier, se
freoient ou dit gués et venoient d’encontre jouster as Englès. Là eut
mainte belle jouste et maintez bellez appertisses d’armes faittes. Et
vous di que li Englès eurent là ung mout dur encontre, car tout ceux
qui estoient avoecq monseigneur Godemar envoiiet pour garder et
deffendre le passage de le Blancque Taque, estoient gens d’eslite, et
se tenoient bien rengiet et sus le destroit dou passage de le rivierre:
dont li Englès estoient dur rencontré, quant il venoient à l’yssue. Et y
avoit Geneuois qui dou tret leur faisoient mout de maux; mais li
archier d’Engleterre traioient si fort et si ouniement qu’à merveillez,
et entroez qu’il ensonnioient les Franchois, gens d’armes passoient.
Et sachiés que li Englès se prenoient bien priès de bien yaux
combattre, car il leur estoit dit que li roys de Franche les sieuwoit à
plus de cent mil hommes. Et jà estoient aucun compaignon coureur
de le partie des François venus jusques as Englès, et qui en
reportèrent vraies enssaingnes au roy dez Franchois, si comme
vous oréz dire. Fº 92 vº.
—Ms. de Rome: Or retourrons au roi d’Engleterre, qui estoit en la
ville d’Oisemont, à quatre lieues priès d’Abeville, et avoit entendu,
par auquns prisonniers que ses gens avoient pris, que li rois de
France, à grant poisance, estoit venus à Arainnes et le sievoit
fortement. Li rois d’Engleterre desiroit à avoir passet la rivière de
Sonme, avant que li François venissent sur lui. Et fu ordonné, la nuit
que il se loga à Oisemont, que, tantos apriès mienuit, on se
deslogeroit, et fu conmandé que on sievist les banières des
marescaus. Tout ensi que il fu ordonné, il fu fait; et sonnèrent les
tronpètes des mareschaus tantos apriès mienuit. Toutes manières
de gens, au son des tronpètes, sallirent sus et se resvillièrent et
armèrent; au secont son des tronpètes, on toursa et apparilla, et se
missent toutes gens en ordenances des batailles, ensi que il
devoient estre et aler. Au tier son, tout montèrent à ceval et se
departirent et prissent le cemin, et jà estoit l’aube dou jour apparant,
et se missent sus les camps; et ne laissièrent nulle cose derrière, et
esqievèrent le cemin pour aler à Abeville, et prissent celi de la
Blanqe Taqe. Si bien se esploitièrent que, sus le point de solel
levant, le flun estoit tous plains; et qant il vinrent au pas, il trouvèrent
que la mer weboit et se mettoit au retour. Donc dissent il: «Vechi
bonnes nouvelles: avant que l’arrière garde soit venue, li avantgarde
passera.» Messires Godemars dou Fai et sa carge estoient d’aultre
part la rivière de Sonme. Et avoient les gens d’armes requelliet et
assamblet parmi tout le pais et fait venir avoecques euls, et avoient
les arbalestriers d’Amiens, d’Abeville, de Saint Riqier et tous les
arbalestriers des villes là environ et les honmes de deffense aussi.
Et estoient bien douse mille, et quidoient bien garder le pasage,
mais non fissent, ensi que je vous recorderai; mais avant je vous
parlerai un petit dou roi de France.
Qant ce vint le joedi au matin, li rois de France, qui logiés estoit à
Arainnes, se desloga et envoia ses coureurs devant pour descouvrir
le pais, et pour avoir nouvelles des Englois. Et vinrent à Oizemont, et
trouvèrent encores grant apparel de chars en hastiers, à moitié
quites, là laissies, et des pastés grant plenté ens ès fours, et des
chars en caudrons et en caudières sus le feu, qui n’estoient point
quites. Et disoient li auqun François: «Les Englois sont malescieus.
Il ont tout volentiers laissiet ces pourveances en cel estat, à la fin
que nous nos i ataqons. Il n’i a gaires que il se departirent de chi.»
Les nouvelles vinrent au roi de France, là où il cevauçoit entre
Arainnes et Oisemont, et mesire Jehan de Hainnau en sa
compagnie, et li fut dit et nonchiet le couvenant des Englois. Adonc
fist li rois haster ses gens, et vint à Oisemont ensi que à heure de
tierce; et entra en la ville et descendi à l’ostel des Templiers, et là
s’aresta, et toute li hoos aussi. Et destoursèrent les sonmiers et les
pourveances, et burent et mengièrent un petit, et puis tantos
retoursèrent et missent à voiture. Et fu adonc conmandé que tout
voiturier et charoi et sonmiers presissent le cemin de Abbeville et
tournaissent celle part, et toutes gens d’armes et de piet sievissent
les banières des marescaus. Ensi conme il fu ordonné, il fu fait. Tout
se departirent de Oizemont, et n’i arestèrent li François, depuis que il
i furent venu, que une heure; et se missent tout au cemin en
ordenance de bataille et en grande volenté de trouver les Englois, à
ce que il moustroient. Les Englois, qui estoient venu sus le pas de
Blanqe Taqe pour passer oultre, n’eurent aultre espasce de loisir que
ce que li François missent à venir de Oizemont à la Blanque Taque,
où il puet avoir de cemin environ cinq lieues. Or vous recorderai
conment la besongne se porta celle journée que les Englois vinrent
pour passer la rivière de Sonme.
Mesires Godemars dou Fai et sa poissance estoit d’aultre part
l’aige, ens ou pais de Pontieu; et les François estoient avoecques
lui, tout rengiet et ordonné en bataille sus le rivage. Li rois
d’Engleterre et ses gens estoient en Vismeu: ensi se nonme le pais
où il se tenoient. Et bien veoient François et Englois l’un l’autre; et
atendirent là les Englois tant que la rivière fu bien ravalée. Mais les
Englois, qui desiroient à passer, le prissent moult vert, car bien
sçavoient que les François les poursievoient, et si veoient lors
ennemis d’aultre part la rivière. Et avint que pluisseur chevaliers et
esquiers, qui se desiroient à avancier et à faire armes, brochièrent
cevaus des esporons, les lances ens ès poins et les targes au col, et
entrèrent en la rivière. D’aultre part, chevaliers et esquiers françois,
qui veoient les Englois venir, se vorrent aussi avanchier et se
boutèrent contre euls en la rivière. Et i ot fait des joustes au plat de
la rivière... abatus et bien moulliés et noiiés, qui ne les euist rescous.
Finablement toutes manières de gens se missent au pasage et en
haste de passer. Là couvint que Englois fuissent bonnes gens
d’armes et de grande ordenance; car les François, qui estoient
d’aultre part, les empeçoient et ensonnioient ce qu’il pooient. Fos
116 vº et 117.
§ 270. P. 162, l. 21: Sus le pas.—Ms. d’Amiens: Sus le pas de le

Blancque Take fu la bataille dure et forte, et mout bien gardée et
deffendue des Franchois; et maintes belles appertisses d’armes y
eut ce jour fait, d’un lés et de l’autre. Mais finablement li Englès
passèrent oultre, à com grant mesaise que ce fuist, et se traissent
sus lez camps. Depuis qu’il eurent gaegniet le pas de le rivière et
qu’il furent sur lez camps, li Franchois furent tantost desconffis. Et y
eut là grant occision et maint homme mort de Abbeville, de Saint
Rikier, de Rue, de Monstroel, dou Crotoi et dou pays de Pontieu, qui
là estoient tout assamblet. Et s’en parti messires Godemars
durement navrés et aucuns chevaliers et escuiers de se routte, et en
laissièrent pluisseurs mors et pris. Quant li Englès, qui premiers
estoient passet, furent oultre, il fissent voie as darrains et à leurs
charoy et à leurs pourveanches. Encorrez n’estoient il mies tout
oultre, quant aucun escuier as seigneurs de Franche qui aventurer
se volloient, especiaulment de chyaux de l’Empire, dou roy de
Behaingne et de monseigneur Jehan de Haynnau, vinrent sur yaux,
et concquissent aucuns chevaux et harnas et tuèrent des Englès
sour le rivaige, qui mettoient painne à passer, affin qu’il fuissent tout
oultre. Les nouvellez vinrent au roy Phelippe de Franche, qui
chevauchoit fortement celle matinée, et estoit partis de Arainnes,
que li Englès avoient passet le Blancque Taque et desconfit messire
Ghodemar et se routte. De ces nouvellez fu li roys moult
courouchiés, car il quidoit bien trouver là les Englès sus le passage.
Si demanda se il poroit passer à le Blancque Take: on li respondi
que nenil, car li fluns de le mer commençoit jà à remonter. Dont eut
conseil li roys de venir passer le rivierre de Somme au pont à
Abbeville, et retourna mout courouchiéz, et s’en vint ce joedi jesir à
Abbeville. Et toutte sen host sieuwy ce train, et vinrent li seigneur
logier en le ditte ville et ou pays environ, car tout n’y pooient mies y
estre logiéz, tant estoient grant fuison. Fº 92 vº.
—Ms. de Rome: Et avant que li Englois fuissent tout passet, il i ot
grande escarmuce et maint homme reversé. Toutes fois, li Englois
passèrent oultre, à quel mescief que ce fust; et ensi que il passoient,
il prendoient terre et s’ordonnoient sus les camps. Sitos que ces
bonhonmes dou pais, que messires Godemars avoit amené pour li
aidier à garder et à deffendre le pasage, sentirent les saiettes de ces
archiers, et que il en furent enfillé, il se desroutèrent tout, et ne
tinrent point de ordenance et de conroi, mais tournèrent les dos et
laissièrent les gentils honmes combatre et faire ce que il pooient. Se
les Englois euissent aussi bien entendu au cachier et au prendre
prisonniers, que il entendirent à lor charoi et sonmiers à metre hors
de la rivière, il euissent porté plus de damage assés les François
que il ne fissent. Qant messires Godemars dou Fai vei le grant
mescief qui tournoit sus euls, et que tout li Englois estoient oultre, et
que, de sa poissance, ce n’estoit riens, car moult de ses honmes
fuioient et se sauvoient, si s’apensa que il se sauveroit aussi, car
point n’i avoit de recouvrier. Si prist les camps et fist retourner sa
banière avoecques lui. Et me fu dit que chils qui le portoit, le bouta
en un buisson, car elle l’ensonnioit au brocier son ceval, et que là
elle fu trouvée en ce jour meismes des Englois. Messires Godemars,
tous desconfis et desbaretés, et auquns chevaliers de sa route, s’en
vinrent à Saint Riqier en Pontieu, et là se tinrent pour aprendre des
nouvelles et où li rois de France estoit. Or, vous parlerons dou roi
d’Engleterre, conment il persevera depuis que il ot conquis le
pasage. Fº 117.
P. 162, l. 30: desconfit.—Ms. B 6: Toutefois les Englès vinrent sy

enforchiement que il conquirent la rivière et prirent terre et
desconfirent tous les Poulyés et Normans qui là estoient. Et y fut pris
le conte de Dreus, le sire de Castillon, le sire de Pois, le sire de
Briauté, le sire de Cresecque, le sire de Bourbourc, messires
Hectors Kierés et grant foison de chevaliers et d’escuiers. Et en y
eult mors, que d’un que d’autre, bien six mille. Et s’eufuy messires
Godemars et se sauva. Fº 315.
P. 163, l. 6: de Rue.—Mss. A 30 à 33: d’Arras. Fº 186 vº.
P. 163, l. 6: Saint Riquier.—Mss. A 20 à 22: Saint Richier.
Fº 206 vº.
P. 163, l. 7: plus d’une grosse liewe.—Mss. A 20 à 22: plus de
deux grosses lieues. Fº 206 vº.
§ 271. P. 164, l. 5: Quant li rois.—Ms. d’Amiens: Or parlerons dou

roy englès coumment il persevera depuis qu’il fu passés à le
Blancque Take, et qu’il eult desconfi monseigneur Godemar dou Fay
et lez Franchois. Il s’aroutèrent et se missent en ordonnance si
comme il avoient fait par devant en venant jusques à là, et
chevauchièrent tout bellement et à leur aise. Quant il se trouvèrent
en Pontieu et le rivierre de Somme à leur dos, si en loa li roys englès
ce jour Dieu par pluisseurs foix, qui tel grasce li avoit fait, et fist venir
avant le varlet qui le passaige li avoit enssaigniet, et li quitta se
prison et à tous ses compaignons pour l’amour de lui, et li fist
delivrer cent noblez et un bon ronchin: de celui ne say jou plus
avant. Mais li Englès chevauchièrent tout souef et tout joyant, et
eurent che jour empensset de logier en une bonne et grosse ville
que on claimme Noyelle, qui priès de là estoit; mès quant il seurent
que [elle estoit à] la comtesse d’Aubmarle, qui estoit serour à
monseigneur Robert d’Artois, qui trespassés estoit, il assegurèrent le
ville et le pays appertenans à le damme pour l’amour de lui, de quoy
elle remerchia mout le roy et les marescaux. Si allèrent logier plus
avant ens ou pays en aprochant la Broie. L’endemain au matin,
chevauchièrent li marescal englès et vinrent jusquez au Crotoy, qui
est une bonne ville et marcande et bon port de mer; si le gaegnièrent
à peu de fait, car elle n’estoit point fremmée: si le pillièrent et
robèrent enssi qu’il veurent. Et puis s’en revinrent au soir deviers
leur host, et amenèrent grant fuisson de buefs, de vaches, de pors et
de brebis, et ossi grant fuison de bons vins de Poito et de
Gascoingne, qu’il avoient trouvet en le ville dou Crotoy, car elle en
estoit bien pourveue. Ceste nuit se tinrent tout aise, et à l’endemain,
se deslogièrent et tirèrent pour venir deviers Crechi en Pontieu; si
chevauchièrent che venredi jusquez à heure de miedi. Et se loga
adonc toutte li os par le coummandement dou roy, assés priès de
Crechi. Fº 93.
—Ms. de Rome: Qant li rois d’Engleterre et ses gens furent oultre,
et que il eurent mis en cace et desconfi lors ennemis et delivré la
place, et que il ne veoient ne trouvoient mais qui lor veast le cemin, il
se traissent bellement et ordonneement ensamble et aroutèrent tout
lor charoi, et cevauchièrent, banières desploiies, li avant garde des
marescaus premiers, le roi et son fil le prince apriès, et l’arrière
garde tout derrière. Et cevauçoient ensi, par ordenance que il
avoient fait ou païs de Vexin et de Vismeu, et ne se esfreoient de
riens, puis que il sentoient la rivière de Sonme derière euls. Il
n’avoient mais que la rivière de Qance à passer, qui court desous la
ville de Monstruel, et orent intension d’aler veoir Noielle et asallir le
chastiel et logier dedens la ville. Mais qant il sceurent que elle estoit
à madame d’Aumale, serour à mesire Robert d’Artois, qui
trespassés estoit, il tournèrent d’aultre part et asegurèrent le castel
et toute la ville. Mais li marescal cevauchièrent jusques au Crotoi et
prissent la ville et le ardirent, mais il ne fissent riens au chastiel, car il
est trop fors; et chevauchièrent viers Saint Esprit de Rue, et prissent
la ville et le ardirent. Et se logièrent les Englois là environ la Broie, et
orent grant fuisson de bons vins, qui furent trouvé au Crotoi des
marceans de Saintonge et de la Rocelle, qui là gissoient à l’ancre. Et
le venredi il ceminèrent tant que il vinrent à Creci en Pontieu et là se
arestèrent, et se requellièrent toutes les trois batailles des Englois
ensamble. Fº 117.
P. 164, l. 23: Noielle.—Mss. A 1 à 6: Norle. Fº 143 vº.—Mss. A 11
à 14: Nocle. Fº 137 vº.—Mss. A 18, 19: Noile. Fº 147.
P. 164, l. 25 et 26: sereur à monsigneur Robert d’Artois.—Ms. B 6:
nièche à messire Goddefroy de Harcourt. Fº 316.
P. 164, l. 30: la Broie.—Mss. A 1 à 6: la Voie. Fº 143 vº.—Mss. A
11 à 22: la Voye. Fº 137 vº.—Mss. A 8, 9: la Boye. Fº 129 vº.
P. 165, l. 15: de Saint Esperit de Rue.—Mss. A 20 à 22: de Saint
Esprit et de Rue. Fº 207.
§ 272. P. 165, l. 20: Bien estoit infourmés.—Ms. d’Amiens: Bien

savoit li roys englès et estoit emfourmés que li roys Phelippez de
Franche le sieuwoit à tout son grant effort, et avoit grant desir de
combattre à lui, si comme il appairoit, car il l’avoit vistement
poursieuwi jusquez à le Blancque Take et estoit retournés arrierre à
Abbeville. Si dist adonc li roys englès que jammais n’yroit plus avant,
si aroit veus et attendus ses annemis, et que il estoit sus son bon
hiretaige de Pontieu, qui estoit à madamme se mère et li avoit estet
donnés en mariaige, pour tant avoit il mieux cause et raison de là
atendre ses ennemis que ailleurs, et de prendre l’aventure et le
fortune telle que Dieux li envoieroit. Or savoit il bien que il n’avoit pas
si grant gens de six fois comme estoient si annemy: pour tant avoit il
plus grant mestier, ou cas que combattre se volloit, de regarder à
son conroy et aviser le marce et le pays et d’entendre à son
avantaige. Si fist touttez mannierrez de gens logier très ce venredi,
et leur dist et fist dire par son connestable et ses marescaux, que
chacuns se pourveist et appareillast endroit soy, si comme pour
attendre le bataille, car, se li Franchois venoient, il seroient combatu.
Adonc entendi chacuns à se besoingne che venredi toutte jour à
rebourbir leurs armures, et remettre tout leur harnoy en bon point et
à yaux fortefiier. Et regardèrent et advisèrent li doy marescal et
messires Renaux de Gobehem et messires Richart de Stanfort terre
et plache pour ordounner leur batailles et atendre leurs ennemis.
Fº 93.
—Ms. de Rome: Bien estoit enfourmés li rois d’Engleterre que son
adversaire, li rois de France, le sievoit à tout son grant effort, si
ques, qant li rois d’Engleterre se vei à Creci en Pontieu, il dist à ses
gens: «Prenons chi place de terre, et attendons nostres ennemis qui
nous poursievent. Je sui sus mon droit hiretage, qui me vient de par
madame de mère. Si le vodrai deffendre et calengier contre ceuls
qui le me vodront debatre.» Donc se logièrent les Englois sus les
camps et missent en bonne ordenance, et avoient vivres et
pourveances assés, qui les poursievoient; et aussi li fourageur en
trouvèrent assés, qant il orent passet la rivière de Sonme. Et fist li
dis rois aviser et regarder par ses chevaliers les plus usés d’armes,
le lieu et la place de terre, où il ordonneroit ses batailles et atenderoit
ses ennemis. Ce furent li contes de Warvich, mesires Renauls de
Gobehen, mesire Godefroi de Harcourt et le conte de Sufforc. Chil
quatre baron, le samedi au matin, avisèrent et considerèrent bien la
place de terre et raportèrent au roi: «Sire, à nostre avantage, nous
attenderons chi nostres ennemis.» Et li rois respondi: «Ce soit, ou
nom de Dieu et de saint Gorge!» Ensi se portèrent les ordenances.
Or parlons un petit dou roi Phelippe de France, liquels poursievi le
joedi, qant il se departi de Oizemont, les Englois jusques moult priès
de la Blanqe Taqe. On li dist sus le cemin: «Sire, les Englois sont
oultre, et li flos de la mer conmence à retourner. Vous ne poés
passer par là: il vous fault revenir à Abeville, et là passerés vous la
rivière de Sonme à pont et toutes vostres aussi.» Li rois crei ce
consel et retourna à Abeville, et toutes ses gens, et se logièrent: ce
fu le joedi; et le venredi aussi, il se tint là tout le jour, attendans ses
gens, car il en i avoit grant fuisson derrière. Fº 117 vº.
§ 273. P. 167, l. 3: Le venredi.—Ms. d’Amiens: Che venredi tout le

jour se tint li roys Phelippez de Franche en Abbeville, attendans sez
gens, et faisoit ossi passer oultre les aucuns pour estre plus
appareilliet quant li bataille se feroit. Et avoit li dis roys de Franche
envoiiet devant ses marescaux, monseigneur Carle seigneur de
Montmorensi et le seigneur de Saint Venant, pour aprendre et savoir
le couvenant des Englès. Si raportèrent li dessus dit au roy à heure
de vespres que li Englèz estoient logiet assés priès de Crechi en
Pontieu, et moustroient, seloncq leur ordounanche, qu’il atenderoient
là le roy. De ces nouvelles fu li roys de Franche moult liés, et dist, se
il plaisoit à Dieu, que à l’endemain il seroient combatu. Si pria au
soupper dalés lui, che venredi, les haux prinches qui adonc estoient
dedens Abbeville, telx que le roy de Behaingne, le comte
d’Alenchon, son frère, le comte de Blois, son nepveu, le duc de
Loerainne, le comte de Flandres, monseigneur Jehan de Haynnau,
le comte de Namur, le comte de Salebruche, l’arcevesque de Roem,
l’arcevesque de Rains, l’arcevesque de Sens, l’evesque de Laon, le
comte d’Auçoire, le comte de Halcourt et pluisseurs autres. Et fu che
soir en grant recreation et en grant parlement d’armes, et pria à tous
les seigneurs que il fuissent amit et courtois, sans envie, sans
orgoeil et sans haynne li uns as autrez, et chacun li eut en couvent.
Encorres atendoit li roys le comte de Savoie et monseigneur Loeys
de Savoie, son frère, qui devoient venir à bien mil lanches, Savoiiens
et de le Dauffinet; car enssi estoient il mandet et retenut et paiiet de
leurs gaiges pour trois mois tous pleniers. Or vous conterons dou roy
englèz et de son couvenant, et coumment il ordounna ses batailles,
et puis si retourons as Franchois. Fº 93.
—Ms. de Rome: Ce venredi, envoia li rois descouvrir sus les
camps, pour aprendre le couvenant des Englois. Et raportèrent chil
qui envoiiet i furent, que les Englois avoient pris place et pièce de
terre au dehors de la ville de Creci en Pontieu. Et fu dit ensi au roi:
«Sire, à ce que il moustrent et sont ordonné, il vous atenderont, et
auerés la bataille.» De ces nouvelles fu li rois Phelippes tous resjois,
et conmanda à ses marescaus et au mestre des arbalestriers que il
regardaissent que toutes gens fuissent prest et ordonné, car le
samedi on iroit combatre les Englois. Chil obeirent au
conmandement dou roy, et se apparillièrent li signeur de France et
lors gens de tous poins. Là estoient logiet dedens Abbeville et venu
pour servir le roi, premierement li rois de Boesme, messires Carles
de Boesme son fils, rois d’Alemagne, li contes de Alençon, li contes
de Flandres, li contes de Blois, li dus de Lorainne, li contes de
Harcourt, li contes de Namur, li contes d’Aumale, li contes de Forois,
li contes d’Auçoire, li contes de Sansoire, le daufin d’Auvergne, le
conte de Boulongne et tant de nobles et hauls signeurs que la
matère en seroit trop longe au prononchier et au nonmer. Et estoit la
ville de Abbeville, qui est une ville grande et estendue et bien
logans, si raemplie de gens d’armes que tout estoit plain et pris, et
encores tous les villages de là environ. Mesires Godemars dou Fai
se tenoit en la ville de Saint Riquier, et n’osoit venir à Abeville
deviers le roi Phelippe, car il le sentoit trop crueuls, pour tant que,
sus sa garde et carge, li rois d’Engleterre et les Englois estoient
passet oultre à la Blanqe Taqe. Et de ce il estoit bien consilliés, car
voirement se il fust venus avant deviers le roi, entrues que il estoit
en son aïr, il euist fait le dit messire Godemar dou Fai pendre, jà ne
l’en euist respité ne deporté. Et en avoit parlé moult hault li dis rois
sus celle fourme, là où mesires Jehans de Hainnau estoit presens.
Encores atendoit li rois de France le conte de Savoie et mesire Lois
de Savoie son frère, qui venoient à bien mil lances de Savoiiens et
de Geneuois. Par especial, la poisance dou roi de France estoit trop
grande enviers ceste des Englois, car li rois de France avoit bien
vingt mil honmes d’armes et soissante [mil] honmes de piet des
conmunautés dou roiaulme de France et bien vingt mil Geneuois
arbalestriers; et li rois d’Engleterre, quatre mil honmes d’armes et
douze mil archiers. Nous retournerons au roi d’Engleterre et
parlerons de son couvenant. Fos 117 vº et 118.
P. 167, l. 20: au souper.—Ms. B 6: à l’abeie Saint Pière. Fº 318.
P. 167, l. 22: premierement.—Le ms. B 6 ajoute: messires Charles
de Behaingne, ses filz, qui jà avoit enchergiet les armes, le roy de
Navare. Fos 318 et 319.
§ 274. P. 168, l. 8: Ce venredi.—Ms. d’Amiens: Che venredi, si

comme je vous ai dit, se loga li roys englès à plains camps à toutte
son host, et se aisièrent bien de ce qu’il avoient: che fu assés, car il
avoient trouvet le pays moult cras de vins et de touttez autres
pourveances. Si donna à soupper che venredi tous lez baronz et le
plus des chevaliers de son host, et leur fist moult grant chière, et
puis leur dounna congiet d’aller reposer, si comme il fissent. Ceste
meysme nuit, ensi que jou ay oy depuis recorder, quant touttes ses
gens furent parti de lui et qu’il fu demourés dallés les chevaliers de
son corps et de sa cambre, il entra en son oratore et fu là en genoulx
et en orisons devant son autel, en priant à Dieu que il le laiast partir
de le besoingne à honneur. Environ mienuit il alla couchier, et se
leva l’endemain assés matin par raison, et oy messe et s’acumenia,
et ses fils li prinches de Gallez ossi, et en tel mannière li plus de
l’host. Et oïrent tout li seigneur messe et s’acumeniièrent et
confessèrent et se missent en bon estat.
Apriès les messes, li roys commanda à touttes gens armer et yssir
de lor logeis et à traire sus les camps, et fist faire un grant parck
priès d’un bois de tous les chars et charettez de l’host, liquelx pars
n’eut qu’une seule entrée, et fist mettre tous les chevaux dedens che
parck, puis ordounna trois bataillez bellement et sagement. S’en
dounna la premierre à son aisnet fil le prinche de Gallez à tout douze
cens armures de fier, quatre mil archiers et quatre mil Gallois de son
pays, et mist son fil en le garde dou comte de Warvich, dou comte
de Kenfort, dou comte de Kent, de monseigneur Godeffroy de
Halcourt, de monseigneur Renaut de Gobehen, de monseigneur
Richart de Stanfort, de monseigneur Jehan de Biaucamp, de
monseigneur Thummas de Hollandes, de monseigneur Jehan
Camdos et de pluisseurs autres bons chevaliers et escuiers. Et
donna la seconde bataille au comte de Norhantonne, au comte de
Sufforch, à l’evesque de Durem, à monseigneur Loeis de Biaucamp,
au seigneur de le Ware, au seigneur de Willebi et as pluisseurs
autres bons chevaliers et escuiers, à tout douze cens armures de
fier et trois mil archiers. Et la tierche il retint pour lui, qui devoit estre
[entre] ces deux batailles, à tout quinze cens ou seize cens armurez
de fier et quatre mil archiers et le remannant de pietons. Et sachiés
que tout estoient Englès ou Gallois: il n’y eult miez plus hault que six
chevaliers d’Allemaingne, desquelx fu li ungs messire Rasses
Masurez, je ne say lez autrez noummer, et messires Oulphars de
Ghistellez, de Hainnau.
Quant li roys eut enssi ordonné sez batailles par l’avis de ses
marescaux en un biel plain camp devant son parck deseure dit, là où
il n’avoit fraite ne fosset, et tout estoient à piet, il alla tout autour de
renck en renck, et leur amonestoit de si bonne chière, en riant, de
chacun bien faire son devoir, que ungs homs couars en deuwist
hardis devenir. Et coummanda sour le hart que nuls ne se meuvist
ne desroutast de son renck pour cose qu’il veist, ne alast au gaaing,
ne despouillast mort ne vif, sans son congiet, coumment que li
besoingne tournaist; car, se li fortune estoit pour yaux, chacuns
venroit assés à tamps et à point au gaaing; et, se li fortune estoit
contre yaux, il n’avoient que faire de gaegnier. Quant il ot tout
ordonnet et coummandé ensi comme vous avéz oy, il donna congiet
que chacuns alast boire et reposer jusqu’au son de le trompette, et
quant li trompette sonneroient, que chacuns revenist à son droit
renck, desoubz se bannierre, là où ordonnéz estoit. Si fissent touttez
gens son coummandement, et s’en allèrent boire et mengier un
morsiel et rafreschir pour y estre plus nouviel, quant il besongneroit.
Fº 93 vº.
—Ms. de Rome: Ce venredi, ensi que je vous ai dit, se loga li rois
d’Engleterre à plains camps o toute son hoost, et se aisièrent de ce
que il orent. Il avoient bien de quoi, car il trouvèrent le pais cras et
plentiveus de tous vivres, de vins et de viandes, et estoient bien
pourveu sus lors sonmiers, car il en avoient grant fuisson trouvé en
Normendie, ou Vexin et en Vismeu. Ce venredi, donna li rois
d’Engleterre à souper tous les barons et les capitainnes de son
hoost, et lor fist bonne chière et lie, et puis lor donna congiet d’aler
reposer, si com il le fissent. Ceste meismes nuit, qant toutes ses
gens furent departi de li, et que il fu demorés avoecques les
chevaliers de sa cambre, il entra en son oratore, et fu là en genouls
et en orisons devant un autel que ses cambrelens avoient fait, ensi
que on fait et ordonne pour un roi, qant il est logiés as camps, et
reconmenda à Dieu toutes ses besongnes, et li pria affectuesement
que il peuist, à son honnour, retourner en Engleterre, et puis ala
couchier. Le samedi au matin, il se leva et apparilla, et li princes de
Galles, son fils, et aussi fissent tout chil de l’hoost. Et oïrent messe
et se confessèrent li rois et ses fils, et la grignour partie de ceuls de
l’hoost, et se aqumeniièrent et missent tout en bon estat, car bien
sçavoient que point ne partiroient dou jour sans bataille. Qant tout ce
fu fait, il fu heure de mengier et boire un cop, et puis entendre à li
ordonner et à mettre en ordenance de bataille. Qant il eurent
mengiet et beu à lor aise, et il se furent armé et mis en ordenance, il
se traissent tout sus les camps en la propre place que il avoient le
jour devant aviset.
Et fist faire li rois un grant parc priès d’un bois derrière son hoost,
et là mettre et retraire tous chars, carettes et sonmages, et fist
encores tous les cevaus entrer dedens ce parc, et demorèrent tout
honme à piet; et n’avoit en ce parc que une seulle entrée. Encores là
presentement il fist faire et ordonner par son connestable le conte de
Herfort et de Norhanton et ses marescaus, trois batailles. Et fu mis
et ordonnés en la première Edouwars, son fil, li princes de Galles. Et
dalés le prince furent esleu à demorer, pour li garder et consillier, li
contes de Warvich, li contes de Kentfort, mesires Godefrois de
Harcourt, mesires Renauls de Gobehen, mesires Tomas de
Hollandes, messires Richars de Stanfort, li sires de Manne, li sires
de le Ware, li sires de Felleton, messires Jehans Candos, mesires
Bietremieus de Brouhes, mesires Robers de Noefville, mesires
Thomas Clifors, mesires Guillaumes Penniel, mesires Jehans
Hacconde, li sires de Boursier, mesires James d’Audelée, mesires
Pières d’Audelée, li sires de Basset, li sires de Bercler, li sires de
Ponnins, li sires de Moulins et pluisseurs aultres, lesquels je ne puis
pas tous nonmer. Et pooient estre en la bataille dou prince environ
douse cens honmes d’armes et quatre mille archiers et mille Gallois,
trop apertes gens. Si se mist la bataille dou prince en ordenance
moult proprement, tout signeur desous sa banière ou son pennon.
En la seconde bataille furent li contes de Herfort et de Norhantonne,
li contes d’Arondiel, li sires de Roos, li sires de Lussi, li sires de
Persi, li sires de Noefville, li sires de Braseton, li sires de Helinton, li
sires de Multon, li sires de Fil Watier, li sires de Fil Warin, et
pluisseurs aultres et tant que il furent douse cens hommes d’armes
et quatre [mille] archiers. La tierce bataille ot li rois pour son corps et
pluisseurs bons chevaliers et esquiers; et estoient en sa bataille
environ quinse cens hommes d’armes et siis mille autres hommes
parmi les archiers.
Qant ces batailles furent ordonnées et mises à lor devoir, et que
casquns sçavoit quel cose il devoit faire, on amena le roi une petite
blance hagenée: il monta sus, et puis cevauça autour des batailles
en priant et en amonestant ses hommes que casquns vosist
entendre à bien faire son devoir, et que tout i estoient tenu; et
retenoit sus son corps et se ame que pour son hiretage et son bon
droit, que Phelippes de Valois li ostoit et perseveroit en ce, il avoit
passet la mer et atendoit l’aventure de la bataille. Tout respondirent
à lui, chil qui ses paroles entendirent, que loiaument il s’aquiteroient,
tant que tout i aueroient honnour, et il lor en saueroit gré. De ces
responses les remercia li rois, et puis revint à sa bataille, et descendi
de sa hagenée, et se mist à piet avoecques ses gens et manda son
fil, le prinche. On li amena et fu adestrés de quatre chevaliers de son
corps qui sont nonmé ensi: mesires Jehans Candos, mesires
Bietremieus de Bruhes, mesires James d’Audelée et mesires
Guillaumes Penniel. Li enfes se engenoulla devant son père: li rois
le prist par la main et le baisa et le fist chevalier, et puis le renvoia en
l’ordenance de sa bataille, et pria et enjoindi as quatre chevaliers
desus nonmés que il en fesissent bonne garde; et il respondirent en
inclinant le roi, que tout en feroient lor devoir. Qant ces batailles
furent toutes apaisies et mises en pas et en ordenance, ensi que
vous avez oï, on ordonna de par les marescaus que casquns
s’aseist à terre et mesist son arc ou son bacinet devant lui, pour
estre plus frès, qant on asambleroit. Tout ensi que il fu ordonné, il fu
fait. Et se reposèrent et rafresqirent les Englois par la fourme et
manière que dit vous ai. Or retournons à l’ordenance dou roi de
France et des François qui estoient logiet dedens Abbeville. Fº 118.
P. 169, l. 14 et 15: Stanfort.—Mss. A 1 à 6: Pontchardon. Fº 145.

P. 169, l. 15: Manne.—Mss. A 1 à 6, 11 à 14, 18, 19: Mauni,
Mauny. Fº 145.
P. 169, l. 15: de le Ware.—Mss. A 18, 19: de Ware. Fº 148 vº.
P. 169, l. 16: Chandos.—Ms. B 6: qui estois tenus pour ung moult
vaillant homme d’armes et saige; et estoit delés le banière du
prinche, laquelle messires Thomas Ourduwich portoit. Là estoit le
sire de le Ware, le sire de la Poule, le sire de Basset et plus de deux
mille hommes d’armes et quatre mille archiés. En la seconde
bataille, estoit le conte de Norhantonne, le conte de Herfort, le conte
d’Arondel, le sire de Manne, messires Hues de Hastinges, le sire de
Willeby, messires Thomas Bisse et pluiseurs aultres qui estoient
douze cens lanches et deus mille archiers. En la tierche bataille
estoit le roy bien acompagniés de barons, de chevaliers et de
aultres. Sy estoit delés luy le conte de Sallebrin, le conte d’Arezelles,
le conte de Cornuaille, le sire de Lusy, le sire de Persy, le sire de
Neufville, le sire de Ros, le sire de Felleton, messire Thomas de
Hollande et messire Jehan de Hartecelle. Fos 319 et 320.
P. 169, l. 16: Broues.—Ms. A 7: Bruues. Fº 138 vº.—Mss. A 1 à 6,
15 à 17, 20 à 33: Brunes. Fº 145.—Mss. A 8, 18, 19: Brubbes.
Fº 130 vº.—Mss. A 11 à 14: Brubles. Fº 138 vº.
P. 169, l. 17 et 18: Cliffors.—Mss. A 1 à 6, 8, 18 à 22: Clisors.
Fº 145.
P. 169, l. 18: de Boursier.—Mss. A 23 à 29: le Boursier. Fº 164.
P. 169, l. 18: Latimiers.—Mss. A 15 à 17: le Latimier. Fº 145 vº.—
Mss. A 11 à 14: Latiniers. Fº 138 vº.—Mss. A 18, 19: de Latiniers.
Fº 148 vº.
P. 169, l. 21: huit cens.—Mss. A 20 à 22: huit mille. Fº 209.
P. 169, l. 26: d’Arondiel.—Les mss. A 20 à 22 ajoutent: de Labreth.
Fº 209.
P. 169, l. 27: Ros.—Mss. A 30 à 33: Rooz. Fº 187.
P. 169, l. 27: Luzi.—Mss. A 30 à 33: Ligy. Fº 187.
P. 169, l. 27: Willebi.—Mss. A 20 à 22: Willebri. Fº 209.
P. 169, l. 29: Tueton.—Mss. A 1 à 6, 11 à 14, 18, 19: Tuecon.
Fº 145.—Mss. A 20 à 22: Turcon. Fº 209.
P. 169, l. 29: li sires de Multonne.—Mss. A 15 à 17: Loys de
Multonne, monseigneur de la Haze. Fº 145 vº.
P. 169, l. 29: Multone.—Mss. A 1 à 6, 11 à 14: Mulsonne. Fº 145.
—Mss. A 18, 19: Mulconne. Fº 148 vº.—Mss. A 20 à 22: Mulcon.
Fº 209.
P. 169, l. 29: Alassellée.—Mss. A 23 à 29: de la Selée. Fº 164.—
Mss. A 30 à 33: de la Selle. Fº 187.
P. 170, l. 2: cinq cens.—Mss. A 15 à 17: six cens. Fº 145 vº.—
Mss. A 20 à 22: huit cens. Fº 209.
P. 171, l. 1 et 2: poissance.—Les mss. A 15 à 17 ajoutent: ainsi
qu’il fist. Fº 146.
§ 275. P. 171, l. 3: Ce samedi.—Ms. d’Amiens: Che samedi au

matin que li roys englès eult ordounné ses bataillez, si comme vous
avés oy, se parti li roys de Franche de Abbeville, qui sejourné y avoit
le venredi tout le jour, atendans ses gens, et chevaucha, bannierrez
desploiiées, deviers les ennemis. Adonc fu biel veoir ces seigneurs
noblement montéz et acemés et cez rices paremens et ces
bannierrez venteler et ces conrois par ces camps chevauchier, dont
tant en y avoit que sans nombre. Et sachiés que li hos le roy de
Franche fu extimés à vingt mil armurez de fier, à cheval, et à plus de
cent mil hommes de piet, desquelx il y avoit environ douze mil que
bidaus, que Jeneuois. Et li roys englès en avoit environ quatre mil à
cheval, dix mil archiers et dix mil Gallois, que sergans à piet. Quant li
roys de Franche se fu très sus les camps et eslongiet Abbeville
environ deux petittez lieuwez, il ordounna ses bataillez par l’avis de
ses marescaux. Et toudis alloient et chevauçoient ses gens avant,
bannierres desploiiées, et ossi le sieuvoient il, car li routte estoit si
grande que il ne pooient mies chevauchier, ne aller tout d’un froncq.
On faisoit les geneuois arbalestriers à leur aise aller tout devant et
porter sus chars leurs arbalestres et leur artillerie, car on volloit de
yaux coumenchier le bataille et assambler as Englès. Et cilz qui se
tenoit che jour le plus prochains dou roy, c’estoit messires Jehans de
Hainnau, car li dis roys l’avoit retenu dalléz lui pour deviser et
ordounner par son conseil en partie de ses ennemis. Quant li roys
de France eut ordounnet ses bataillez et ses conrois, il fist
cevauchier avant delivrement pour raconsuir lez Englèz, et si envoya
devant pluisseurs appers chevaliers et compaignons pour veoir là où
on les poroit trouver ne raconssuiwir, car bien penssoit qu’il
n’estoient mies loing. Et toudis alloit li hos avant et li roys ossi.
Ainchois qu’il ewist esloingniet Abbeville quatre lieuwez, revinrent li
chevalier qui envoiiet y avoient estet, et li dissent qu’il avoient veut
les Englèz et qu’il n’estoient mies plus hault de trois lieuwez en
avant.

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Managing Your Substance Use

Disorder: Client Workbook 3rd Edition

Managing Your Substance

David H. Barlow, PhD

Scientific Advisory Board

Anne Marie Albano, PhD

Gillian Butler, PhD

David M. Clark, PhD

Edna B. Foa, PhD

Paul J. Frick, PhD

Kirk Heilbrun, PhD

Robert J. McMahon, PhD

Peter E. Nathan, PhD

Christine Maguth Nezu, PhD

Matthew K. Nock, PhD

Paul Salkovskis, PhD

Bonnie Spring, PhD

Gail Steketee, PhD

John R. Weisz, PhD

G. Terence Wilson, PhD

One of the most difficult problems confronting patients with various

of individuals. The program described in this Workbook presents the latest

David H. Barlow, Editor-in-Chief,

Accessing Treatments ThatWork Forms and Worksheets Online

Part I Overview of Substance Use Problems and Assessment

Chapter 1 Introduction and Plan for This Workbook 3

Chapter 2 Recognizing Your Substance Use Problem 13

Chapter 3 Recognizing Consequences of Your Substance Use 19

Part II Change Issues and Strategies

Chapter 4 Treatment Settings for Substance Use Problems 25

Chapter 5 Motivation and Stages of Change 33

Chapter 6 How to Use Therapy or Counseling 39

Chapter 7 Overview of Goal Planning 51

Chapter 8 Managing Cravings and Urges to Use Substances 59

Chapter 9 Managing Thoughts of Using Substances 69

Chapter 10 Managing Emotions 75

Chapter 11 Refusing Offers to Use Substances 83

Chapter 12 Dealing with Family and Interpersonal Problems 89

Chapter 13 Building a Recovery Support System 99

Chapter 14 Mutual Support Programs and Recovery Clubs 105

Chapter 15 Medications for Substance Use Disorders 113

Chapter 16 Relapse Prevention: Reducing the Risk of Relapse 127

Chapter 18 Strategies for Balanced Living 141

Chapter 19 Measuring Your Progress 151

Chapter 20 Managing a Co-​occurring Psychiatric Disorder 159

Appendix: Helpful Resources 169

Suggested Readings 173

About the Authors 177

Managing Your Substance

Introduction and Plan

n To become aware of current trends in substance use, misuse, and

Introduction and Overview

This recovery workbook provides you with practical information and

relapse prevention. These treatment approaches focus on the importance

In this workbook, we provide you with information about substance use

This workbook includes the following topics:

n Identifying and managing your unique high-​risk relapse factors

Extent of Substance Use Problems

Chapter 20 Managing a Co-occurring Psychiatric Disorder 159

n Identifying and managing your unique high-risk relapse factors

The American Psychiatric Association classifies substance-related disorders

✎ Complete Worksheet 2.2: Self-Rating Scale.

□ 2–3 symptoms (mild) □ 4–5 (moderate) □ 6 or more (severe)

1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

1 ________ 2 ________ 3 ________ 4 ________ 5 ________ 6 ________ 7

Work/School: poor performance; lost jobs or dropping out of school;