Relapse Prevention
Feelings, individuals, or situations that cause your brain to crave substances; if you are unaware of them they could be a factor for relapse.
Triggers
Physically addictive substances used daily can bring these uncomfortable physical symptoms
Withdrawal
The essential Inner drive, focus and desire, that brings about positive change and attainment of goals
Motivation
(2000’s) This artist was referred to as the King of Pop, died due to complications from prescription drugs in 2009
Michael Jackson
A mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations, used as a therapeutic technique
Mindfulness
Trauma response that involves detaching from the present moment
Dissociation
A state of mind where you are thankful and taking notice of the good things in your life, rather than focusing on the bad
gratitude
These thoughts are harmful in recovery and can be things we tell ourselves to talk us into using again
Relapse justification thoughts
or reservations
bonus: 100pts to anyone willing to share a time when they had a justification thought
It takes more and more of a substance to get the same effect which often fuels the desire and need for using larger amounts
Tolerance
What does the "Wall" Stage look like in the Roadmap to Recovery?
bonus question anyone can answer: describe your time in the wall stage
*third stage
*"normal" life; anhedonia; emotional swings; decreased ability to feel pleasure; "doctor shopping"; loss of motivation; secondary drug/alcohol use; breakdown of structure
This music artist had a hit pop song come out a few years before her death called 'Rehab'
Amy Winehouse, died of alcohol intoxication
The practice of taking an active role in regularly doing things that improve your well-being and happiness, in particular during periods of stress
self-care
Psychological strategies that are unconsciously used to protect a person from anxiety arising from unacceptable thoughts or feelings.
Defense Mechanisms
Refusing to admit the truth about addiction and its consequences to ourselves.
Denial
What are the three primary stages of relapse?
Emotional Relapse
Mental Relapse
Physical Relapse
What are the physical symptoms experienced after detoxification that relate to the "bodily healing" from substance abuse?
Post Acute Withdrawal Symptoms or (PAWS)
What "Stage of Change" fits the following description:
some awareness of the problem; thinking about pros/cons; some awareness of changing; going back and forth on willingness
Contemplation
(1960’s) This world famous movie star shocked the world in 1962 from a barbiturate overdose which some say was accidental, some say was suicide and others say was murder
Marilyn Monroe
What are the pros and cons of using distraction as a coping skill?
Cons: If done for too long, distraction turns into avoidance
What are the four classes of drugs?
Stimulants, Depressants, Opioids (Painkillers), Hallucinogens
What are the three styles of communication?
Passive
Aggressive
Assertive
What is the very first step in the eleven steps of the relapse process?
You have a change of attitude
*irritable; complaining about recovery activities; stop doing recovery activities...
What does the acronym HALT stand for?
Hungry
Angry
Lonely
Tired
This categorizes and includes all that is most important in your life and, what you care about the most, and what has the most worth to you
Values
(1970’s)This iconic musician is one of the top earning dead celebrities today, still earning over 50 million/year for his music despite dying from complications of prescription drug addiction back in 1977
Elvis Presley
Doing or thinking about something different when you feel yourself being triggered to use substances
Opposite Action
The best state of 'arousal' or stimulation in which we are able to function and thrive in everyday life. When we exist within this place, we are able to learn effectively, play, and relate well to ourselves and others.
Window of Tolerance
What are the steps of DEARMAN?
D- Describe; E-Express; A- Assert; R-Reinforce; M-Mindful; A-Appear Confident; N-Negotiate
*For 200 bonus points, roleplay a DEARMAN script
How could over commitment lead to relapse?
This can lead to feeling overloaded and under pressure.
increased stress that promotes escapism
encourages grandiosity and wishful thinking in high risk situations
recovery is not a race- it can set unrealistic expectations for recovery.
Using another hobby, substance, or activity to replace or substitute feelings/results that you used to get from using
cross addiction
What are the five stages of change?
Pre-contemplation; Contemplation; Preparation; Action; Maintenance
Bonus: 100 points to identify which stage they are in and why
This child star first was forced into rehab at age 13, and a mental institution for a year and a half after that. She was emancipated from her parents and declared an adult at age 14. She worked hard and stayed sober once she was away from her family.
Drew Barrymore
What are the pros and cons of "emotional release" as a coping skill?
Pros: releases the pressure of overwhelming emotions
Cons: cannot be done in every situation. some people might think you are acting crazy
What are the three stages of trauma treatment?
Stabilization
Processing
Integration
What are the six types of boundaries?
Material
Time
Physical
Emotional
Intellectual
Sexual