Behavioral therapy may include an initial assessment of the user’s drug history, mental status, current drug use and relationships with family members. Next, they may be asked to attend small group therapy, one on one counseling sessions and 12-step groups. Here they will learn life skills such as assertiveness, self-esteem, how to manage cravings, and relapse prevention. Other groups may focus on spirituality or family support. It is extremely important that the user understand their addiction and the situations, or triggers that may cause them to use. Once the triggers are identified, they can learn new ways of coping with them. Therapy will encourage the user to see beyond the positive effects of using to the negative consequences that follow. Regardless of how severe their addiction has become, it is possible to recover.