PAWS
Relapse Prevention
12 Steps
Boundaries
Drugs & Health
100

What does PAWS stand for?

Post-Acute Withdrawal Syndrome

100

A person, place, feeling, or situation that brings on an urge to use is called this.

What is a trigger?

100

Step One involves admitting powerlessness over alcohol or addiction and recognizing that our lives had become this.

What is unmanageable?

100

These personal limits help protect your time, energy, safety, and recovery.

What are boundaries?

100

Opioid overdose can cause this life-threatening condition, meaning breathing becomes dangerously slow or stops.

What is respiratory depression?

200

PAWS can make it hard to fall asleep or stay asleep, causing problems with this basic need.

What is sleep?

200

HALT reminds you to check whether you are hungry, angry, lonely, or this.

What is tired?

200

Step Nine involves making these directly to people we harmed, except when doing so would injure them or others.

What are amends?

200

This communication style allows you to state your needs clearly and respectfully without threatening or putting others down.

What is assertive communication?

200

Cocaine can restrict blood flow to the brain and increase clotting, causing this emergency even in younger people.

What is a stroke?

300

Trouble concentrating and remembering things during PAWS is often described by this two-word term.

What is brain fog?

300

Calling a sober friend, taking a walk, and practicing deep breathing are examples of these.

What are coping skills?

300

This step calls for a “searching and fearless moral inventory” of ourselves.

What is Step Four?

300

“If substances are being used at the gathering, I will leave” is a boundary because it focuses on this person’s actions.

Who is myself?

300

Methamphetamine can cause this condition, meaning dangerously elevated body temperature.

What is hyperthermia?

400

PAWS symptoms can come and go. Stress and poor sleep can make them do this.

What is worsen or flare up?

400

Isolating, skipping treatment, and romanticizing past substance use can be examples of these signals that relapse risk is increasing.

What are warning signs?

400

Step Six focuses on becoming ready to have defects of character removed. Step Seven adds this action.

What is humbly asking a Higher Power to remove our shortcomings?

400

Covering up someone’s substance use or repeatedly protecting them from consequences can cross the line from support into this behavior.

What is enabling?

400

Severe alcohol withdrawal can cause this medical emergency involving profound confusion, agitation, and sometimes hallucinations.

What is delirium tremens, or DTs?

500

When PAWS symptoms increase cravings, reaching out to sober supports and using coping skills helps reduce the risk of this.

What is relapse?

500

After a lapse, thinking “I’ve already messed up, so I might as well keep using” describes this effect, which can turn a lapse into continued substance use.

What is the abstinence violation effect?

500

Step Eight involves listing those we harmed and becoming willing to make amends. Step Nine involves making them. This step asks us to continue taking personal inventory and promptly admit when we are wrong.

What is Step Ten?

500

Saying, “I care that you’re upset, but I’m not responsible for fixing your feelings,” sets this type of boundary.

What is an emotional boundary?

500

When cocaine and alcohol are used together, the body produces this additional psychoactive substance.

What is cocaethylene? 

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