CBT or Random?
What is the main goal of cognitive behavioral therapy (CBT) in addiction recovery?
A. To eliminate every uncomfortable feeling B. To prove that negative thoughts are always wrong C. To identify connections between thoughts, feelings, and behaviors and develop healthier responses D. To avoid all situations that cause stress
C. To identify connections between thoughts, feelings, and behaviors and develop healthier responses
Which statement best represents a personal value rather than a short-term goal?
A. Attend a support meeting on Thursday
B. Save $50 this week
C. Be honest and dependable in my relationships
D. Call my sponsor before dinner
C. Be honest and dependable in my relationships
What is cognitive restructuring?
A. Avoiding every negative thought
B. Replacing every thought with a positive affirmation
C. Proving that emotions are always wrong
D. Examining an unhelpful thought and developing a more balanced alternative
D. Examining an unhelpful thought and developing a more balanced alternative
A person thinks, “If I am not perfect, I am a total failure.” Which distortion is this?
A. Personalization
B. Mind reading
C. Minimization
D. All-or-Nothing thinking
D. All-or-Nothing thinking
What does CBT stand for?
A. Cognitive Balance Training
B. Clinical Behavior Treatment
C. Cognitive Behavioral Therapy
D. Controlled Brain Therapy
C. Cognitive Behavioral Therapy
In the 1999 sci-fi classic The Matrix, which iconic color pill does Morpheus offer Neo to wake up and see the truth of the real world?
A) Blue
B) Green
C) Red
D) Yellow
C) Red
What is the difference between a value and a goal?
A. Values are punishments, while goals are emotions
B. Values are ongoing guiding principles, while goals are specific outcomes or actions
C. Values never influence behavior
D. Goals are always more important than values
B. Values are ongoing guiding principles, while goals are specific outcomes or actions
Which question is most useful for examining an automatic thought?
A. Why does everything happen to me?
B. What evidence supports or contradicts this thought?
C. How can I make everyone agree with me?
D. Why can't I stop having feelings?
B. What evidence supports or contradicts this thought?
A person assumes their friend is upset without checking and believes they know exactly what the friend thinks. Which distortion is most directly involved?
A. Mind reading
B. Minimization
C. Magnification
D. Blaming
A. Mind reading
Which three areas are connected in the CBT model?
A. Thoughts, feelings, and behaviors
B. Money, relationships, and work
C. Memories, dreams, and instincts
D. Rules, punishments, and rewards
A. Thoughts, feelings, and behaviors
In Netflix’s hit sci-fi series Stranger Things, what is the name of the terrifying predatory monster from the Upside Down named after a Dungeons & Dragons creature?
A. Demogorgon
B. Mind Flayer
C. Vecna
D. Xenomorph
A. Demogorgon
A person values honesty but wants to lie about missing a recovery meeting. Which response best aligns with that value?
A. Blame the meeting organizer
B. Avoid discussing the absence
C. Acknowledge the missed meeting honestly and make a plan to reconnect with support
D. Promise never to make another mistake
C. Acknowledge the missed meeting honestly and make a plan to reconnect with support
A person thinks, “I had a craving, so my recovery is failing.” Which is the best balanced alternative?
A. “I should never have another craving.”
B. “Having a craving does not erase my progress; I can use my coping skills and seek support.”
C. “Cravings prove that treatment does not work.”
D. “I must ignore every craving.”
B. “Having a craving does not erase my progress; I can use my coping skills and seek support.”
A person receives positive feedback from a counselor but says, “That doesn't count. I haven't accomplished anything.” Which distortion is most evident?
A. Fortune-telling
B. Discounting the positive
C. Personalization
D. Mind reading
B. Discounting the positive
True or false: Experiencing a craving automatically means a person will relapse.
A. True, because cravings always lead to substance use
B. True, unless the craving disappears immediately
C. False, but only after a year of recovery
D. False, because cravings are always harmless
E. False, because a craving does not determine what a person does next
E. False, because a craving does not determine what a person does next
4. A person says, “I feel guilty, so I must be a bad person.” Which distortion does this best illustrate?
A. Emotional reasoning
B. Mind reading
C. Overgeneralization
D. Magnification
A. Emotional reasoning
Can a person act according to their values while experiencing anxiety, anger, or shame?
A. Yes. Feelings can be present while a person chooses a values-aligned action
B. No. Values matter only when someone feels happy
C. No. Difficult emotions make responsible decisions impossible
D. Yes, but only if the emotion disappears first
A. Yes. Feelings can be present while a person chooses a values-aligned action
Which statement is a fact rather than an interpretation?
A. “My friend has not replied to my message.”
B. “My friend hates me.”
C. “Everyone is judging me.”
D. “My family will never forgive me.”
A. “My friend has not replied to my message.”
A person says, “I messed up once, so I always ruin everything,” while ignoring several recent successes. Which pair best fits?
A. Mind reading and personalization
B. Overgeneralization and mental filtering
C. Magnification and control fallacy
D. Emotional reasoning and blaming
B. Overgeneralization and mental filtering
A person feels anxious before a recovery meeting, thinks everyone will judge them, and decides not to attend. Which answer correctly identifies the CBT pattern?
A. Thought: anxiety; feeling: avoidance; behavior: judgment
B. Thought: attending; feeling: judgment; behavior: anxiety
C. Thought: everyone is supportive; feeling: confidence; behavior: attendance
D. Thought: everyone will judge me; feeling: anxiety; behavior: avoiding the meeting
D. Thought: everyone will judge me; feeling: anxiety; behavior: avoiding the meeting
To taste their food, butterflies surprisingly use this specific body part.
A) Wings
B) Antennas
C) Eyes
D) Feet
D) Feet
A person values health, family connection, and responsibility. After a stressful day, they want to isolate and avoid recovery support. Which response best integrates their values?
A. Ignore the stress and pretend nothing happened
B. Wait until motivation returns
C. Contact a trusted support person and take one manageable step toward connection
D. Decide that needing support means they have failed
C. Contact a trusted support person and take one manageable step toward connection
A person thinks, “I made a mistake, so I might as well give up.” Which response best demonstrates cognitive restructuring?
A. “I should feel ashamed until I change.”
B. “The mistake proves that recovery is impossible.”
C. Identify the thought, examine the evidence, consider a balanced alternative, and choose a helpful next action
D. Ignore the mistake and refuse to discuss it
C. Identify the thought, examine the evidence, consider a balanced alternative, and choose a helpful next action
A person says, “Everyone else caused my problems; I have no responsibility for my choices.” Another believes they must control every event to stay sober. Which pair is correct?
A. Blaming and control fallacy
B. Emotional reasoning and magnification
C. Comparison thinking and mind reading
D. Fortune-telling and minimization
A. Blaming and control fallacy
15. A person thinks, “I should be further along in recovery by now. Everyone else is doing better than me.” Which pair of distortions is most evident?
A. Mind reading and blaming
B. Personalization and minimization
C. Fortune-telling and control fallacy
D. Should” statements and comparison thinking
D. Should” statements and comparison thinking