Respond Consistently to Problematic Behaviors
Develop a clear understanding (it may even be written) of the realistic consequences of recurring, problematic, destructive behaviors such as episodes of alcohol and drug abuse, physically self-damaging acts, and excessive spending and gambling. Also, agree beforehand on how best to respond to threats and acts of self-harm.
These and other problematic behaviors are often triggered by stressful events that need to be identified, and a clear plan developed for handling these events and situations more appropriately and effectively in the future. Such a plan is best developed with the help of the patient’s primary clinician.