For those of you that have the book, make sure you don't just skip over the "ACTION" sections in each chapter like I did the first time I read it. AVRT is a learned skill, like riding a bicycle, and the learning curve can seem steep at first, particularly if you've had extensive exposure to addiction treatment or recovery groups. The exercises will give you some practice with AVRT, and once you get over the initial learning curve, it quickly builds momentum.