Stages of Change
Triggers & Cravings
Coping Skills
Values & Recovery
Support Systems
100

Recognizing a problem but feeling unsure about change

What is the Contemplation Stage of change – awareness of a problem with ambivalence about change?

100

Internal experiences like thoughts or emotions that increase urges

What are internal triggers?

100

Pausing and focusing on the present moment

What is Mindfulness?

100

Personal values

What guides decision-making and reflects what matters most?

100

Individuals who provide encouragement and accountability

What are support persons? (family, peers, sponsors, providers).

200

Actively making changes to support recovery

What is the Action Stage of change – actively engaging in recovery behaviors?

200

Triggers involving people, places, or situations

What are external triggers?

200

Changing the environment to reduce cravings

What are environmental coping strategies?

200

Substance use often interferes with living in alignment with

What are values?

200

Peer support can reduce this common relapse risk

What is isolation?

300

Consistently practicing recovery skills

What is the Maintenance Stage of change – sustaining behavior change over time?

300

Strong emotions, such as stress or anger, acting as triggers

What are emotional triggers?

300

Calling a support person

What is social support coping?

300

Recovery strengthens the connection to

What are personal values and life direction?

300

Therapy, groups, and treatment programs are examples of

What are professional supports? 

400

Stage marked by ambivalence and mixed feelings

What is the Contemplation Stage of change?

400

Being tired, hungry, or overwhelmed increases vulnerability to

What are cravings and relapse risk?

400

Healthy coping skills reduce this relapse-related risk

What are urges and cravings?

400

Identifying values can increase this

What is motivation for change?

400

Having a support system increases this

What are protective factors?

500

Stage focused on sustaining change and preventing relapse

What is the Maintenance Stage of change?

500

Awareness of triggers helps reduce this recovery risk

What is relapse risk?

500

Consistent coping skill practice builds

What is self-efficacy and recovery resilience?

500

Taking action aligned with values supports

What is long-term recovery?

500

Asking for help demonstrates this recovery skills

What are strength, insight, and accountability?

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