Cravings and Triggers
Coping Skills
12 Steps
Emotions
Relapse Prevention
100

 What is a trigger?

Anything that sparks thoughts, feelings, or urges to use substances.

100

What is one healthy coping skill you can use in the moment of a craving?

Deep breathing, calling a friend, journaling, going for a walk.

100

What is Step 1?

What is Step 1?

100

What is the purpose of emotions?

They signal our needs and motivate us to act.

100

True or False: Relapse is always a part of recovery.

False. It is common, but not required.

200

Name one common internal trigger.

Stress, loneliness, anger, boredom, or sadness.

200

What does the acronym HALT stand for?

Hungry, Angry, Lonely, Tired.

200

Which Step involves making amends?

Step 9.

200

True or False: Ignoring emotions makes them go away.

False. Ignoring them often makes them stronger.

200

Name one early warning sign of relapse.

Isolation, skipping meetings, romanticizing use, increased irritability.

300

How long does a craving last without focusing on them?

True or False: Cravings usually last forever.

300

Name one mindfulness technique used in recovery.

Meditation, grounding (5-4-3-2-1), or urge surfing.

300

Which Step is about turning your will and life over to a Higher Power?

Step 3.

300

What physical signs might you notice when you feel anxious?

What physical signs might you notice when you feel anxious?

300

What’s the first thing you should do if you feel close to relapse?

 Reach out for support (sponsor, peer, counselor).

400

What’s an example of an external trigger?

 People, places, or things associated with past use (like bars, old friends, or music).

400

How can exercise help with recovery?

Reduces stress, improves mood, and releases natural endorphins.

400

What is the purpose of Step 4?

To make a searching and fearless moral inventory of ourselves.

400

What is the difference between primary and secondary emotions?

Primary emotions are immediate, natural responses (like fear or joy); secondary emotions are reactions to primary emotions (like shame about feeling sad).

400

What is one healthy way to handle romanticizing past use when it comes up in your mind?

Challenge the thought by remembering the negative consequences, talk it out with a sponsor or peer, or replace it with gratitude for sobriety.

500

What brain chemical is often linked to craving and reward?

 Dopamine.

500

What is “opposite action” in DBT?

Choosing the opposite behavior of the unhelpful urge (example: calling a sponsor instead of isolating).

500

Step 12 talks about having a spiritual awakening and carrying the message. What does this mean in practice?

Step 12 talks about having a spiritual awakening and carrying the message. What does this mean in practice?

500

What is one healthy coping strategy for regulating intense emotions?

Deep breathing, journaling, grounding techniques, talking with someone supportive, or mindfulness.

500

 What is the difference between a slip and a relapse?

A slip is a red flag for a relapse: relapse is a use of substance

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