Triggers
Four D's
Coping Skills
Relapse Prevention
Warning signs
100
A "thing" or an event or time or time period that has been associated with substance use in the past
What is a trigger?
100
Since cravings rise and fall like waves, if you can _______ a relapse decision for 20 minutes you’ll generally find the cravings dissipate on their own.
What is delay
100
Name 3 positive coping skills
Exercise, going for a walk, hiking, talking to a friend, drawing, art activity, journaling, and many more
100
______ includes both verbal and nonverbal pressure from friends or people in your social circles. This pressure may seem harmless, such as being around people who are using drugs, or it may be direct, such as a friend teasing you about not using. Any social situation where drugs are being used makes it easy for you to relapse—avoid them at all costs.
What is social pressure
100
I feel like hanging out with my old friends who are drinking and drugging. I convince myself that I can have a good time with them and get my mind off things. They seem to understand and support me. It seem seems no one else does
What is hanging out with old friend
200
Something you think about or feel that makes you want to use
What is an internal trigger
200
Craving time passes more quickly when engaged in this tupe of activity for a few minutes.
What is distracting
200
True or False all stress is out of your control
False
200
Weddings, sporting events, graduations, and other special events— generally viewed as positive activities, yet ones that are often associated with alcohol or other substance use and may therefore play a large role in relapse. You may have used drugs to celebrate or to enhance positive feelings, so be aware of this as another risk factor in relapse.
What is celebrating positive events
200
When people point out problems that I don't want to see. I get ____, scared, and angry. I blame them for making me feel bad. I take the focus off myself by criticizing them, instead of honestly looking at my own problems.
What is getting defensive
300
People, places and things that may cause an urger to use
What is external triggers
300
_______ exercises help you maintain calm and purpose when cravings hit, keeping you from making rash decisions. For example "belly breathing"
What is deep breathing exercises
300
​The ability to apply _____ allows people to assess their choices, anticipate how people will react, and follow their intentions. ______ is about imagining the upsides and downsides of our actions.
What is consequential thinking
300
Name 2 major life events (which we discussed in JE's group) which can lead to relapse?
Illness, family issues, low self esteem
300
Things keep going wrong. I overreact to or mismanage each problem in a way that creates new and bigger problems. No matter how hard I try nothing seems to work. I feel like nothing is going my way and that there's nothing I can do to solve them.
What is crisis building.
400
Feeling anxious is an example of this kind of trigger
What is an internal trigger
400
In the midst of a craving it's easy to get caught up in panicky 'end of the world' type thinking, like "I can't take it any longer." Or, "I'm never going to succeed so I might as well get high now." Don't let inaccurate catastrophic thoughts guide your actions. Challenge your thoughts and when necessary, reframe them into more accurate notions, like, "This is really uncomfortable, but at least my withdrawal symptoms will go away within a few days."
What is de-catasrophize
400
Name 2 coping skills taught in 12 step meetings?
Call a sponsor, get to a meeting, call your network.
400
Identifying your own needs and taking steps to meet them. It is taking the time to do some of the activities that nurture you. ______ is about taking proper care of yourself and treating yourself as kindly as you treat others.
What is self care
400
I feel bad. I try to make the bad feeling go away by telling myself everything is ok.
What is lying to myself
500
What is romanticizing using behaviors and forget about negative consequences.
What is euphoric recall
500
Going jogging is an example of
What is distraction?
500
A phrase used to describe thinking about all the events, consequences and outcomes, not just the good times
What is playing the tape through to the end
500
What are signs of a mental relapse?
Thinking about people, places, and things you used with Glamorizing your past use Lying Hanging out with old using friends Fantasizing about using Thinking about relapsing Planning your relapse around other people's schedules
500
Pulling away from sober friends or your support network. Keeping to yourself.
What is isolating
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