Many people have the expectation of themselves, or of others, that one bad day, or decision or incident means they return to square one and start over. This way of thinking is particularly strong in dealing with substance problems. In fact, some people say that one episode of old behavior (e.g., a slip or a lapse) equals a return to “day one”. This is not true in how we think of the learning process in any other area. A bad day at the foul line is just a bad day. When we do poorly on a midterm exam, it doesn’t mean we have forgotten everything we learned. If your spouse is working hard in therapy to learn life skills that will help her to not drink and she has a lapse to drinking, it doesn’t mean she starts over at square one. It is more likely that she has learned many things, but they were not enough to hold her in that moment. A lapse to old behavior does not translate into losing all that she has learned. If we act like people must go back to square one, we will be piling on the discouragement they are already feeling.
Slip, but don’t Fall!
January 10, 2013



Jeff Foote, PhD
Dr. Jeff Foote, PhD, is Co-Founder of the Center for Motivation and Change (CMC) in Manhattan, as well as CMC:Berkshires. Dr. Foote is a nationally recognized clinical research scientist who has received federal grant funding for his work on motivational treatment approaches and substance abuse treatment research, focused on the implementation of evidence-based treatments. Dr. Foote was also Psychologist for the NY Mets for 11 years, and continues in sports psychology as an independent performance consultant to professional athletes. Before co-founding CMC in 2003, Dr. Foote was the Deputy Director of the Division of Alcohol Treatment and Research at Mt. Sinai Medical Center in NYC, as well as Senior Research Associate at The National Center on Addiction and Substance Abuse at Columbia University (CASA) in NYC. Dr. Foote also served as Chief of the Smithers Addiction Treatment and Research Center as well as Director of Evaluation and Research between 1994 and 2001.
He is co-author of the award-winning book Beyond Addiction: How Science and Kindness Help People Change, a practical guide for families dealing with addiction and substance problems in a loved one, based on principles of Community Reinforcement and Family Training (CRAFT). He is also a contributor to two workbooks combining strategies from CRAFT and Motivational Interviewing: The Parent’s 20 Minute Guide and The Partner’s 20 Minute Guide, which offer specific tools and practice in evidence-based strategies for helping a loved one change.