Substance Use Disorders
What does "tolerance" mean?
Tolerance is needing more of the substance for the same effect.
Name one healthy coping skill you can used when stressed.
(ANYTHING GOES).
What does "accountability" mean in recovery?
taking responsibility for one's actions
What is a boundary?
A limit you set to protect yourself.
What is a trigger?
What is the difference between DEPENDENCE and ADDICTION?
Dependence is physical. Addiction is behavioral WITH loss of control.
What is the difference between a "coping skill" and a "distraction"?
coping skills help process and manage.
distractions avoid issues temporarily.
Name one way group members hold each other accountable.
showing up, honesty, calling out behavior, etc
Name one sign of a healthy relationship.
respect trust communication
What is the difference between a "thought" and a "feeling"?
thought = belief; feeling = emotion
Name 2 criteria for SUD in the DSM-5.
Impaired Control
Risky Use
Social Impairment
Withdrawal/Tolerance
What is one grounding technique?
box breathing
5-4-3-2-1
meditation
Why are drug screens used in treatment?
increase honesty, track progress, external accountablity
What is the power and control wheel used to identify?
patterns of abuse and control in relationships
Is this a fact or a story: They didn't text me back so they must hate me.
Story.
Why is addiction considered a brain disease and not a choice?
dopamine and reward systems change, impulse control, decision-making impacted.
What does "urge surfing" mean?
riding out a craving without acting on it
What is the difference between "support" and "enabling"?
Support helps growth. Enabling just removes consequences.
Why do people in recovery often need to change people, places, and things?
triggers, relapse risk, environmental influences
What is the 3rd option: Control, Accept, or _____?
Adapt
Name three risk factors that increase someone's likelihood of developing a substance use disorder.
Genetics, trauma, mental illness, early use, family history, peer influences, chronic stress, adverse childhood experiences (ACEs), etc.
You are triggered, angry, and want to use. What are 3 things you can do before you make a decision?
pause, reach out, change environment, grounding exercise, etc.
Someone keeps relapsing but says "it's not my fault". What is missing in their recovery?
ACCOUNTABILITY
A friend asks to borrow money after telling you they just relapsed. You want to help. What's the healthiest boundary?
offer support without giving money that could enable substance use (examples: ride to treatment, food, meeting, emotional support).
Why are automatic negative thoughts dangerous to recovery?
lead to negative emotions -> lead to negative behaviors -> relapse cycle