SMART Recovery
Addiction Facts
Mental Health
Relapse
Big Book
100
The ABCDE Model helps people consider their thinking and therefore behavior around what?
a. emotions
b. drugs
c. actions
d. instant gratification
A
The ABCDE Model that helps people mentally work through a reflection process to consider if they want or need to change their thinking and therefore their behavior around some emotions.
A= activating event
B= beliefs about event
C= emotional consequences
D= disputations (argument/case) to challenge self-defeating belief
E= effect or consequence of challenging self defeating belief
100
How much time of sobriety do you need to be in sustained remission?
12 months
100
What is comorbidity?
To have substance abuse disorder and mental illness
100
Instead of seeing relapse as a failure, relapse is a sign to adjust your
a. life
b. treatment plan
c. 12 step plan
d. thermostat
b. treatment plan
100
Who are the founders of AA?
Dr. Bob Smith and Bill Wilson
200
What does SMART recovery stand for?
Self-Management and Recovery Training
200
Drugs and alcohol interfere with _______ in the brain, which are chemicals that send signals throughout the brain and regulate several functions
a. neurotransmitters
b. neuromessengers
c. neurons
d. spinal fluid
a. neurotransmitters
200
Name three healthy coping skills
meditation, journaling, breathing techniques, waiting to respond (pausing), developing healthy hobbies (painting/dance/etc.), exercising, finding gratitude, etc.
200
What percentage of people relapse after leaving treatment?
a. 30-40%
b. 50-70%
c. 40-60%
d. 60-80%
c. 40-60%
200
What is 'the answer to all of my problems today'?
Acceptance
300
Which is NOT a point from the 4-point program SMART recovery uses?
A. Building and maintaining the motivation to change
B. Coping with urges to use
C. Making a searching and fearless moral inventory of ourselves
D. Managing thoughts, feelings, and behaviors in an effective way without addictive behaviors
E. Living a balanced, positive, and healthy life
C. This is the fourth step of the 12 steps (not SMART recovery)
300
As a person continues to use drugs, the brain adapts by reducing the ability of cells in the reward circuit to respond to it. This leads to______ or feeling less of a high than when first taking the drug.
Tolerance
300
What is codependency in a relationship? What happens that makes it imbalanced?
Codependency is a circular relationship in which one person needs the other person, who in turn, needs to be needed. The codependent person, known as ‘the giver,’ feels worthless unless they are needed by — and making sacrifices for — the enabler, otherwise known as ‘the taker.'
300
Negative thoughts are a large part of addictive thinking, which tends to lead to an _____ __ _______ mentality. This mentality is a way of seeing everything as either a success or failure. This way of thinking can push one further into relapse.
all or nothing
300
If we are planning to stop drinking, there must be what no ________ of any kind, according to the Big Book?
a. drinking
b. lying
c. reservation
d. condemnation
no reservation of any kind, nor any lurking notion, that someday we will be immune to alcohol.
400
In SMART recovery, these questions are asked to weigh pros and cons. What is this called?
- What do I enjoy about my addiction?
- What do I hate about my addiction?
- What do I think I will like about giving up my addiction?
- What do I think I won’t like about giving up my addiction?
Cost/benefits analysis
400
What have most addicts experienced in their lives that play a part in developing/continuing their addiction?
trauma
400
It's estimated that ___% of adults with substance abuse disorder also fit the criteria for ADHD
a. 40%
b. 25%
c. 65%
d. 10%
b. 25%
400
Emotional relapse is different than mental or physical relapse, and usually the first stage. Think of emotional relapse as the trigger to destructive behavior. During emotional relapse, one has not actually started to think about using drugs/alcohol again.
What are some signs of emotional relapse?
In this stage, you haven’t actually started thinking about using drugs or alcohol again. It’s just a resurfacing of negative emotions and stress that eventually lead you to contemplate drinking or using drugs again.
depression, anxiety, mood swings, anger, isolation, bad sleeping habits, bad eating habits, breaking routine (not going to meetings, hanging around old friends), refusing help, etc
400
What do we think is the root of all our troubles?
"...Driven by a hundred forms of fear, self-delusion, self seeking, and self-pity we step on the toes of our fellows and they retaliate. Sometimes they hurt us, seemingly without provocation, but we invariably find that at some time in the past we have made decisions based on self which later placed us in a position to be hurt."
Selfishness- self-centeredness.
pg. 62
500
What is an example of a core irrational belief? A core irrational belief is a belief you hold that is false/negative and effects how you see others/yourself/the world.
Example: "I must not have a hard time in life"
500
True or False, over 96,700 people die from drug overdoses in a year?
True
500
Give three examples of grounding techniques to use when dealing with panic attacks, flashbacks, traumatic memories, self harm urges, or dissociation.
Hint: these are different than everyday coping skills used for self reflection/therapy. MEDITATION/PRAYING IS NOT ONE!
Examples: putting hands in water, picking up/touching items near, breath deeply/breathing techniques, savor food/drink, take a short walk, hold piece of ice, savor a scent, move your body (stretching/exercise), listening to surroundings/noises, feeling bodily sensations, 5-4-3-2-1 method, play a memory game, think in categories, use math and numbers, recite something (book/song/etc), use an 'anchoring phrase', visualize a daily task you enjoy/don't mind doing, sit with your pet, etc.
500
Name three actions to prevent relapse.
Being aware of what situations would be high risk and staying away from them (going into the liquor store, being around old friends, etc.)
Surrounding yourself with sober/positive friends and family
Attending meetings
Taking any medication regularly/going to therapy
Develop healthy coping skills/hobbies (painting, yoga, writing, going to the gym fishing, bowling, etc.)
Service work
When feeling an urge to use, wait 15-30 minutes
500
What is a Higher Power?
Any power that is greater than oneself