Cognitive Distortions
Four Horsemen and their Antidotes
Coping Skills
True/False
Consequences of Substance Use
100

You assume that your negative emotions necessarily reflect the way things really are: 'I feel terrified about going on airplanes. It must be very dangerous to fly.' Or 'I feel guilty. I must be a rotten person.' Or 'I feel angry. This proves I'm being treated unfairly.' Or I feel so inferior. This means I'm a second-rate person.' Or 'I feel hopeless. I must really be hopeless.'

What is emotional Reasoning. 

100

This occurs when the listener withdraws from the interaction. The antidote is to practice physiological self-soothing. The first step of physiological self-soothing is to stop the conflict discussion.

What is Stonewalling. 

100

A set of simple strategies to detach from emotional pain (e.g., drug cravings, self-harm impulses, anger, sadness). Distraction works by focusing outward on the external world, rather than inward toward the self. You can also think of it as “distraction,” “centering,” “a safe place,” “looking outward,” or “healthy detachment.”

What is grounding. 

100

Can Recreational Use Cause Abuse?

What is True. 

100

These are all symptoms of what?

  • Nausea and vomiting
  • Increased heart rate
  • Clammy skin
  • Mood swings
  • Loss of appetite

What is withdrawal. 

200

You see things in black and white categories If a situation falls short of perfect, you see it as a total failure. When a young woman on a diet ate a spoonful of ice cream, she told herself, 'I've blown my diet completely.' This thought upset her so much that she gobbled down an entire quart of ice cream!

What is all or nothing thinking. 

200

“You always talk about yourself. You are so selfish.” What is this an example of?

What is criticism. 

200

This helps you work through difficult thoughts and emotions. It can allow you to focus on the present moment, to observe your internal experiences, and to accept them without judgment or negativity.

What is meditation. 

200

Caffeine is not the most used Drug. 

What is False. 

200

Substance abuse can cause permanent_______damage. 

What is brain damage. 

300

You pick out a single negative detail and dwell on it exclusively, so that your vision of all of reality becomes darkened, like the drop of ink that discolors a beaker of water. Example: You receive many positive comments about your presentation to a group of associates at work, but one of them says something mildly critical. You obsess about his reaction for days and ignore all the positive feedback.

What is a mental filter. 

300

This is defined as self-protection in the form of righteous indignation or innocent victimhood in attempt to ward off a perceived attack. The antidote is to accept responsibility, even if only for part of the conflict.

What is defensiveness. 

300

Rather than internalizing your feelings, your demons, your fears and your thoughts, put them down on paper. Get them out. This can be a great way to release and work out any thoughts that you are struggling with.

What is journaling. 

300

Drugs affect you mentally and physically. 

What is True. 
300

Substance abuse can cause permanent________issues. 

What is medical issues. 

400

When a woman received a note that her child was having difficulties at school, she told herself, 'this shows what a bad mother I am,' instead of trying to pinpoint the cause of the problem so that she could be helpful to her child. When another woman's husband beat her, she told herself, lf only I were better in bed, he wouldn't beat me.' What is this an example of?

What is personalization and blame. 

400

Statements that come from a relative position of superiority. Some examples of displays of contempt include when a person uses sarcasm, cynicism, name-calling, eye-rolling, sneering, mockery, and hostile humor. The antidote is building a culture of appreciation and respect. 

What is contempt. 

400

This is one of the most important and empowering coping skills you can have. As you work through your struggles, remember others who are struggling. Remember who supports you and remember what makes you feel happy. 

What is finding gratitude. 

400

There is only one way to get sober when dealing with drug addiction.

What is false. 

400

WILD CARD

______________ is quite common among substance abusers as they do not eat well and are only interested in taking drugs or drinking alcohol, making them susceptible to infections and diseases. 

500

You see a single negative event, such as a romantic rejection or a career reversal as a never-ending pattern of defeat by using words such as 'always' or "never" when you think about it. A depressed salesman became terribly upset when he noticed bird dung on the windshield of his car. He told himself, 'Just my luck! Birds are always crapping on my car!'

What is overgeneralization. 
500

Antidote: “I’m feeling left out by our talk tonight. Can we please talk about my day?” What is this an anitdote of?

What is criticism.  

500

This is a set of rules or guidelines you have for yourself and are part of your identity. It is being comfortable saying no to others and yourself, and also gives you permission to prioritize and let go of things that are not working for you.

What is setting boundaries. 

500

Drugs affect men and women equally.

What is false. Women absorb and metabolize many substances, including drugs, differently than men. Women with drug use disorders have higher rates of other health problems than the average, like for example, HIV/AIDS and co-occurring mental health disorders. Globally, access to health services is more limited for women with drug use disorders.

500

The feeling of __________ that results from drug use contributes to addiction. 

What is pleasure. 
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