Recovery
DAILY DOUBLE
Every group member share a goal that they want to accomplish in the next 3 years
"If you yell at me, I will leave the conversation"
Boundary
Why do milestones in recovery sometimes trigger relapse?
Rationalizations and minimalizations. Sometimes people believe that once they hit certain milestones they can now handle their use and go back to old behaviors.
What does STOP mean? How can it help in recovery?
STOP (Stop, take a step back, observe, proceed)
Using stop skills can be beneficial for controlling impulses, helping our relationships, and gives us time to assess a situation before over reacting.
Which neurotransmitter system is most strongly associated with the brains reward-learning pathway and reinforcement of drug taking behavior?
Dopamine
List all 5 stages of change
Precontemplation, contemplation, preparation, action, maintenance.
"You aren't allowed to talk to your ex"
Attempt to control another persons behavior
Why do positive events sometimes trigger a relapse?
Positive emotions can become associated with substance use and celebrations or social situations can activate those learned cues.
At what stage of change are you aware of your need for help with your addiction but aren't ready to ask for it yet?
Contemplation
Why do some people experience intense cravings months or years after stopping a substance despite no longer experiencing acute withdrawal (PAWS)
Conditioned cues can reactivate learned reward associations and craving through changes in reward, stress, and memory circuitry
What is step 7 in the 12 steps?
"humbly ask your higher power to remove your shortcomings, making it possible to recover from alcohol abuse"
"If you are using I will not stay in the house"
Boundary
"I don't have a drinking problem. Everyone at my job drinks"
What defense mechanism is this person using?
Denial
What are the four high risk situations that lower our frustration tolerance?
H.A.L.T.
Hungry, angry, lonely, tired.
A person used a substance repeatedly and eventually needs substantially more of it to produce the same effect. What neuroadaptation explains this phenomenon?
Tolerance, resulting from compensatory neuroadaptations that reduce the drugs effects
What does the C stand for in C.L.E.A.R?
Center yourself
"If you really loved me you would stop using"
Manipulation/emotional pressure
What is the difference between physical dependence and addiction?
Physical dependence involves physiological adaptation and withdrawal when the substance is stopped.
Addiction involves compulsive use despite harmful consequences
Describe urge surfing
Observing a craving without acting on it recognizing that urges rise, peak, and eventually decline
What brain structure is primarily responsible for detecting threats and assigning emotional significance to stimuli, and can become hyperactive in trauma?
The amygdala
What are the consequences for cross talk in group?
Why is it important to have consequences for cross talk in group?
It takes away from the therapeutic environment and is disrespectful to the person sharing. It is important to keep this a healthy environment that fosters vulnerability.
What is the fundamental difference between a boundary and a rule imposed on another adult?
A boundary defines what I will do to protect myself, a rule attempts to dictate what another person must do
What is the abstinence violation effect?
When someone in recovery experiences a craving, uses, feels ashamed, and decided that they have already ruined their recovery, leading to continued use.
What are the three types of boundaries someone can have?
Which type of boundary is the most common for people who have an addiction?
Most people with addiction have porous boundaries, causing them to have a harder time saying no to people, places, and things.
What substance blocks opioids from activating opioid receptors in the brain?
Naloxone