Treatment Ladder
True or False: Everyone must complete every level of the treatment ladder in exactly the same order.
What is false?
This stage is the transition between being awake and being asleep.
What is N1/light sleep?
In our hand model, this part—the fingers—represents planning, judgment, decision-making, and impulse control.
What is the prefrontal cortex?
In our hand model, the thumb represented this brain structure—the brain's alarm system.
What is the amygdala?
True or False: Once substance use has changed the brain, the brain cannot change again.
What is false?
This level of care focuses primarily on safely managing withdrawal and medical stabilization.
What is detox?
This stage is especially important for physical restoration, tissue repair, immune functioning, and restoring energy.
What is N3/deep sleep?
What is the responsibility of the reptile brain?
What is basic functioning such as eating, sleeping, breathing, etc.
Anger, arguing, or aggression are examples of this survival response.
What is fight?
•relationships.
True of false, With repeated use, ordinary rewards may feel less motivating while drug-related cues become more powerful.
What is true?
This level provides 24-hour structure and support after detox for people who need continued treatment.
What is residential treatment?
This stage is associated with dreaming and plays an important role in memory, learning, and emotional processing.
What is REM sleep?
In our hand-brain model, this area represented emotion, reward, motivation, memory, and learning.
What is the palm/middle brain?
Leaving, avoiding, or escaping are examples of this survival response.
What is flight?
People, places, smells, music, money, routes, emotions, and routines can all become these, causing the brain to associate them with substance use.
What are cues/triggers?
Put these in order from more intensive to less intensive: Aftercare, Residential, detox, IOP, PHP.
What is Detox, Residential → PHP → IOP → Aftercare?
This substance may make someone fall asleep faster but can fragment sleep later in the night and interfere with REM.
What is alcohol?
Name two of the four neurotransmitters we discussed.
What are GABA (brake), glutamate (gas), serotonin and dopamine.
Shutting down, isolating, or feeling stuck are examples of this survival response.
What is freeze?
This term means the brain can change in response to experience and repeated behavior.
What is neuroplasticity?
Name three activities referred to as aftercare.
Attending a meeting, getting a sponsor, therapy, psychiatry, faith based activities, others may apply.
These substances commonly interfere with sleep while being used and may be followed by a crash/excessive sleep followed by disrupted sleepwhen use stops.
What are Methamphetamine and cocaine?
Name three factors we discussed that can affect how quickly or completely someone's brain recovers from substance use.
What are substance used, duration/intensity, age of first use, genetics, overall health, sleep, nutrition, smoking, stress, co-occurring conditions, or social support? Any 3.
Constantly trying to keep others happy or please them to reduce conflict or feel safe is this fourth survival response.
What is fawn?
What are three reasons given in class to continue treatment beyond detox?
Being removed from your drug of choice, opportunity to learn and apply coping skills, opportunity to build a sober community, engaging in therapy, to create new neuropathways, others may apply.
Daily Double:
Name FIVE behaviors discussed this week that can improve sleep quality.Keeping a consistent bedtime and wake time