Review
What are triggers?
internal emotions or environmental cues (people, places, things, etc) that initiate a craving response that may cause relapse
What stage of change is this?
Unaware that there is a problem, in denial, doesn't feel the need to change, lack of insight
Precontemplation
About how many hours of sleep should an adult get?
6-8 or 7-9 hours
How many ASAM dimensions are there?
6
True or false: substance use disorders are considered to be curable
False -- while not considered "curable", a person with SUD can go into remission if they stop experiencing symptoms after a certain amount of time.
early remission: between 3 and 12 months
sustained remission: 12+ months
The classic 1877 novel “Black Beauty” is about what kind of animal?
Horse
What does SMART goals stand for?
Specific, Measurable, Attainable, Relevant/Realistic, Time-bound
What stage of change is this person in?
Sober for 9 months, completed treatment, committed to their recovery, actively going to meetings, continuing to set goals and following through
Maintenance
_____ is the pleasure chemical in our brains that plays a major role in substance abuse and addiction
Dopamine
Dim 3: What is it called when a person has a substance use disorder and a mental health disorder at the same time?
Co-occurring disorders/ dual diagnosis
What is the most commonly abused substance in the US?
Alcohol
Actor Steve Carell plays what memorable character in the popular TV series “The Office”?
Michael Scott
What does CBT stand for?
Cognitive Behavioral Therapy
In what stage of change might someone weigh out the pros and cons of their addiction?
Contemplation
Name one of the medications that helps with cravings (some help with withdrawal)
Naltrexone, also Suboxone, Methadone
(Antabuse is a deterrent that causes a physical reaction after alcohol is consumed)
Dimension 1: Intoxication and Withdrawal
What substances have the most severe and dangerous withdrawal symptoms?
Alcohol, benzodiazepines, opioids
(Alcohol and benzo withdrawal can be fatal if untreated)
What does HALT stand for?
Hungry, Angry, Lonely, Tired
What is the longest river in the world?
The Nile
Name 3 different examples of peer support meetings (self-help groups)
12-step (NA, AA, CMA, etc.), Celebrate Recovery, Peer Wellness, Recovery Dharma, SMART Recovery, Newform (Phoenix Gym), etc.
What is ambivalence?
Having mixed feelings, wanting to change but not wanting to/feeling resistant at the same time
When the body adjusts to a drug and needs more to produce the desired effects
Tolerance
Dim 3: Emotional, Behavioral, Cognitive Conditions Name the two most common types of mental health conditions
Anxiety disorders, depressive disorders
What is the difference between internal and external motivation?
external - elements outside of us in the form of incentives, consequences, or support
internal - comes from within, internal drive/desire, connected to personal values, what is important to us
What is the only type of bird that can fly backwards?
The hummingbird
Name 4 elements of a relapse prevention plan
Warning signs & triggers (people places things etc.), coping skills, sober activities, supportive people, safe places, motivators, affirmation, crisis support
Name each stage of change
Precontemplation, contemplation, preparation, action, maintenance
How does drug use impact the reward system of the brain?
Using a drug establishes effects of the drug as a reward (to the brain). Repeated use can cause cues to activate small spurts of dopamine, increasing cravings
Drugs over-activate this circuit, producing the euphoria of the drug high. But with repeated exposure, the circuit adapts to the presence of the drug, diminishing its sensitivity and making it hard to feel pleasure from anything besides the drug. (override and deplete dopamine, makes it harder to obtain dopamine from events that naturally produce it)
What does ASAM stand for?
American society of addiction medicine
__________ happens when a person in recovery replaces one addictive behavior or substance with another
Cross addiction
What are the colors of the Olympic Rings?
Blue, yellow, black, green, and red