Co-Occurring Basics
Mental Health Matters
Substance Use & Recovery
Coping Skills
Life Skills & Wellness
100

This term describes having both a mental health disorder and a substance use disorder at the same time

What are co-occurring disorders?

100

This mental health condition often includes persistent sadness, low energy and loss of interest.

What is depression?

100

This word describes a strong urge or desire to use substances

What is a craving?

100

This grounding skill uses your five senses to regulate emotions.

What is 5-4-3-2-1?

100

This basic need has a huge impact on mood and recovery stability

What is sleep?

200

This happens when someone uses substances to try and manage emotional pain or mental health symptoms

What is self-medication?

200

This condition includes excessive worry, racing thoughts, and physical tension.

What is anxiety

200

This increases as you continue to drink/use, requiring you to need more of your substance to reach the desired feeling.

What is tolerance?

200

In CBT, this comes first: Thought, Feeling or Behavior?

What is thought

200

This daily structure reduces chaos and improves stability.

What is a routine?

300

It is estimated that ___% of adults in the United States live with a mental illness.

What is 23.1%?

300

Name one warning sign that mental health symptoms are getting worse.

What are isolation, sleep changes, hopeless thoughts, irritability?

300

Name one trigger that might increase the risk of use. 

What are stress, conflict, boredom, certain people, heightened emotions?

300

This skills involves replacing "I can't handle this" with a more balanced thought.

What is cognitive restructuring?

300

Name one 'non-negotiable' recovery habit.

What are recovery meetings, medication management, therapy, sleep, boundaries?

400

True or False:

You must fix your mental health completely before working on substance use.

False

400

True or False:

Skipping medication can increase relapse risk.

True
400

This recovery principle reminds us that progress matters more than perfection.

What is progress not perfection? 

400

Name one healthy coping strategy for anxiety.

What is deep breathing, walking, journaling, calling support, TIPP, checking the facts?

400

This protective factor reduces relapse risk by reducing isolation. 

What is a support system?

500

What is the name of the therapeutic approach that focuses on changing or reframing negative thought patterns and modifying behaviors? 

What is Cognitive Behavioral Therapy (CBT)

500

This is a healthy daily habit that supports mental health stability. 

What is consistent sleep?

500
True or False:

A relapse means recovery is over. 

False

500

This type of coping helps your body calm down physically. 

What is somatic coping? (breath work, body scans, progressive muscle relaxation, bilateral tapping (butterfly taps))

500

A detailed outline of how to positively respond and cope with situations where there is temptation to engage in substance use or other risky behaviors.

What is a relapse prevention plan?

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