Triggers
High-Risk Situations
Skills in Action
Therapies
Miscellaneous
100

This is something that increases the urge to use.

What is a trigger?

100

Being around others who are actively using.

What is a social trigger?

100

Taking slow, deep breaths to calm the body.

What is grounding (or breathing technique)?

100

This DBT state balances emotion and logic.

What is Wise Mind?

100

Not sleeping, isolating, and poor eating increase this.

What is vulnerability to relapse?

200

These triggers come from inside, like thoughts or emotions.

What are internal triggers?

200

Major life stress (loss, conflict, job issues) increases risk of this.

What is relapse?

200

Calling someone instead of using.

What is using a support system?

200

This skill stands for Stop, Take a step back, Observe, Proceed mindfully.

What is the STOP skill?

200

“This skill allows you to pause instead of react.”

What is mindfulness?

300

These triggers come from people, places, or things.

What are external triggers?

300

Celebrations or “good times” can also trigger use. This is called what type of trigger?

What is a positive trigger?

300

Replacing substance use with exercise or hobbies.

What is a healthy coping skill?

300

This skill helps you stay in the present moment.

What is mindfulness?

300

Cravings usually do this if not acted on.

What is pass or decrease?

400

You drive past a place where you used before and feel an urge.

What is an external trigger?

400

A person feels overconfident and stops using coping skills.

What is relapse risk due to overconfidence?

400

Planning ahead for triggers before they happen.

What is relapse prevention planning?

400

This distortion is seeing things as all good or all bad.

What is black-and-white thinking?

400

Isolation increases risk, while this reduces it.

What is connection?

500

This skill helps you ride out a craving without acting on it.

What is urge surfing?

500

A client has money, free time, and no accountability.

What is a high-risk environment?

500

Recognizing early warning signs before relapse occurs.

What is self-awareness (or relapse awareness)?

500

This distortion assumes you know what others are thinking.

What is mind reading?

500

Group therapy helps by providing shared experience and this.

What is belonging?

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