Review
What does IOP stand for?
Intensive outpatient program (treatment)
What stage of change is this?
Unaware that there is a problem, in denial, doesn't feel the need to change, lack of insight
Precontemplation
_____ is the pleasure chemical in our brains that plays a major role in substance abuse and addiction
Dopamine
How many ASAM dimensions are there?
6
What is the most commonly abused substance in the US?
Alcohol
True or false: Napping during the day helps you sleep better at night
False
What does SMART goals stand for?
Specific, Measurable, Attainable, Relevant/Realistic, Time-bound
What stage of change is this person in?
Sober for 9 months, completed treatment, committed to their recovery, actively going to meetings, continuing to set goals and following through
Maintenance
Typically, how long do cravings last?
~ 10 - 30 minutes
(around 15-20)
What does ASAM stand for?
American society of addiction medicine
Give an example of a healthy coping skill and an unhealthy coping skill
breathing techniques, exercise, healthy eating, self-care, mindfulness, contacting support, etc
over/undersleeping, drug abuse, isolating, not asking for help, taking stress out on others, etc
True or false: Consuming caffeine or nicotine before bed helps you fall asleep faster.
False
What does CBT stand for?
Cognitive Behavioral Therapy
In what stage of change might someone weigh out the pros and cons of their addiction?
Contemplation
What does HALT stand for?
Hungry, Angry, Lonely, Tired
Dim 3: Emotional, Behavioral, Cognitive Conditions Name the two most common types of mental health conditions
Anxiety disorders, depressive disorders
True or false: substance use disorders are considered to be curable
False -- while not considered "curable", a person with SUD can go into remission if they stop experiencing symptoms after a certain amount of time.
early remission: between 3 and 12 months
sustained remission: 12+ months
About how many hours of sleep should an adult get?
Around 6-8 hours
Name 3 different examples of peer support meetings (self-help groups)
12-step (NA, AA, CMA, etc.), Celebrate Recovery, Peer Wellness, Recovery Dharma, SMART Recovery, Newform (Phoenix Gym), etc.
What is ambivalence?
Having mixed feelings, wanting to change but not wanting to/feeling resistant at the same time
What are triggers?
internal emotions or environmental cues (people, places, things, etc) that initiate a craving response that may cause relapse
Dimension 1: Intoxication and Withdrawal
What substances have the most severe and dangerous withdrawal symptoms?
Alcohol, benzodiazepines, opioids
(Alcohol and benzo withdrawal can be fatal if untreated)
What is the difference between internal and external motivation?
external - elements outside of us in the form of incentives, consequences, or support
internal - comes from within, internal drive/desire, connected to personal values, what is important to us
Name things someone can do to practice good sleep hygeine
Dark room, not watching tv or eating before bed, no caffeine/nicotine/alcohol before bed, avoid napping, comfortable, cold room, waking up and going to bed at the same time each day, etc
Name 4 elements of a relapse prevention plan
Warning signs & triggers (people places things etc.), coping skills, sober activities, supportive people, safe places, motivators, affirmation, crisis support
Name each stage of change
Precontemplation, contemplation, preparation, action, maintenance
Name one of the medications that helps with cravings (some help with withdrawal)
Naltrexone, also Suboxone, Methadone
(Antabuse is a deterrent that causes a physical reaction after alcohol is consumed)
Dim 3: What is it called when a person has a substance use disorder and a mental health disorder at the same time?
Co-occurring disorders/ dual diagnosis
__________ happens when a person in recovery replaces one addictive behavior or substance with another
Cross addiction
When the body adjusts to a drug and needs more to produce the desired effects
Tolerance