SUBSTANCES & THE BRAIN
COPING SKILLS
RELAPSE PREVENTION
EMOTIONS & RECOVERY
Recovery Basics
100

What organ is most affected by addictive substances?

The brain.

100

Name one healthy activity you can do when experiencing stress.

Walk, exercise, listen to music, journal, meditate, talk to someone, etc.

100

What is a trigger?

Something that can cause an urge or desire to use.

100

True or False: It's okay to experience difficult emotions during recovery.

True.

100

What does "one day at a time" mean?

Focusing on what you can do to stay healthy and sober today rather than becoming overwhelmed by the future.

200

True or False: Addiction can change the way the brain's reward system works.

True

200

What breathing technique can help calm your body during stress?

Slow, deep breathing.

200

Name one type of trigger.

People, places, things, emotions, memories, stress, or situations.

200

Name one emotion that can become a trigger for substance use.

Anger, sadness, loneliness, anxiety, shame, boredom, frustration, etc.

200

What does accountability mean?

Taking responsibility for your choices and actions.

300

What neurotransmitter is strongly associated with the brain's reward and motivation system?

Dopamine.

300

If you're having a craving, what is usually more helpful: isolating yourself or reaching out to someone supportive?

Reaching out.

300

True or False: Having a craving means you have already relapsed.

False.

300

What is the difference between reacting and responding?

Reacting is often automatic or impulsive; responding involves pausing and choosing how to handle the situation.

300

True or False: Recovery looks exactly the same for everyone.

False.

400

Why can someone experience cravings even after they stop using a substance?

The brain has learned associations between substances, rewards, people, places, emotions, and behaviors.

400

What does mindfulness involve?

Paying attention to the present moment without immediately judging or reacting to it.

400

What does "playing the tape forward" mean?

Thinking through the likely consequences of using instead of focusing only on the immediate feeling or reward.

400

What does emotional regulation mean?

Being able to recognize, manage, and respond to emotions in healthier ways.

400

What is one major difference between abstinence and recovery?

Abstinence means not using a substance; recovery also involves building healthier behaviors, relationships, coping skills, and a meaningful life.

500

True or False: Once someone stops using, the brain immediately returns to exactly how it functioned before addiction.

False. Brain recovery takes time, and recovery can involve gradual changes in thinking, emotions, reward processing, and impulse control.

500

Name five healthy coping skills you could use without leaving your treatment program.

Examples include journaling, walking, exercising, talking to staff, attending groups, deep breathing, meditation, reading, drawing, music, or grounding exercises.

500

You suddenly find yourself thinking, "I can use just one time." What is one thing you should do?

Recognize the thought as a warning sign, reach out for support, leave the situation if necessary, and use your relapse-prevention plan.

500

Why can learning to tolerate uncomfortable emotions be important in early recovery?

Because substances may previously have been used to escape or numb emotions, so recovery requires learning healthier ways to experience and manage them. 

500

What does "HALT" stand for?

Hungry, Angry, Lonely, Tired.

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