Stages of Change
Vocabulary
Substance
Relapse Justifications
Triggers
100

Third stage of change

Preparation 

100

Tolerance

Physiologic effect where user needs more than the usual dose to achieve the same effect

100

Active ingredient in Marijuana

THC

100

Catastrophic Event

One unlikely major event that is the only reason you would use. There was no reason to stay clean.


100

Stress

Stress could possibly be the number-one addiction relapse trigger because of its broad range of effects on the mind and body.

200

Fourth stage of change

Action

200

Process Addictions

Compulsive behaviors that serve to reduce anxiety

200

Derived from the poppy plant

Opium

200

Accidentally or Other People

Your brain tries to convince you that you have no choice or that an unexpected situation caught you off-guard.


200

Over-confidence

Becoming over-confident in recovery puts you at risk for relapse. Having self-confidence is necessary, but becoming over-confident to the point of complacency crosses a line from healthy confidence to over-confidence and relapse risk.

300

First stage of change

 Precontemplation

300

Dependence

Physiologic need for a substance that client cannot control

300

Speed up the central nervous system

Stimulants

300

For a Specific Purpose


Your addicted brain suggests that using a certain drug or alcohol is the only way to accomplish anything.


300

Social isolation

Reluctance to reach out to others, or form a sober support system through AA or another recovery group, can lead to social isolation and loneliness. The more you become socially isolated, the easier it is to rationalise drug or alcohol use to yourself.

400

Second stage of change

Contemplation

400

Co-dependency 

Maladaptive behaviors exhibited by significant others of an addict that serves to enable & protect the abuse at expense of living a full & satisfying life

400

Slows down the central nervous system

Depressant 

400

Addiction is Cured


Your addicted brain tries to convince you that you can use just once or just a little.


400

Mental or physical illness

Depression, anxiety, and other underlying mental illnesses can trigger drug or alcohol relapse. Physical illness and pain can also put you at risk for relapsing, as your body is stressed.

500

Fifth stage of change

Maintenance 

500

Active substance found in tobacco 

Nicotine 

500

Celebration

The addicted brain and other people may encourage you to reward yourself. 


500

Reminiscing about or glamorising past drug use

Reminiscing can lead to your addictive brain taking over once again. Talking about past use can lead to thinking about future use, and quickly turn into action.

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