ACT (Acceptance and Commitment Therapy)
DBT (Dialectical Behavior Therapy)
12 Spiritual Principles
Neurobiology of Addiction
Tolerance/Withdrawal & Uncommon Grief
100

Clue: This ACT metaphor illustrates the futility of relying on the same harmful solutions, comparing it to using a tool that only makes the situation worse.

  • Answer (Question): What is the “hole in a shovel” metaphor?


100

Clue: This skill focuses on consciously choosing flexibility over stubbornness in the face of challenges.

  • Answer (Question): What is willingness (as opposed to willfulness)?


100

Clue: Described as “doing the right thing, even when no one is watching,” this core principle is a bedrock of many recovery programs.

  • Answer (Question): What is integrity?


100

Clue: This neurotransmitter is central to the reward pathway and highly implicated in addictive behaviors.

  • Answer (Question): What is dopamine?

100

Clue: On a typical graph of substance use over time, this line represents normal functioning before substance involvement.

  • Answer (Question): What is the baseline?


200

Clue: In ACT, this process means allowing thoughts and feelings to be present without trying to control or suppress them.

  • Answer (Question): What is acceptance?


200

Clue: In DBT Emotion Regulation, this technique involves doing the opposite of what your intense emotion urges you to do.

  • Answer (Question): What is the opposite action skill?
200

Clue: Often paired with honesty, this principle means staying receptive to new ideas or input.

  • Answer (Question): What is open-mindedness?


200

Clue: Known as the brain’s “pleasure center,” this region is key in motivation and reinforcement learning.

  • Answer (Question): What is the nucleus accumbens?


200

Clue: Needing higher doses to achieve the same effect is known by this term.

  • Answer (Question): What is tolerance?


300

Clue: A common ACT strategy that helps separate you from your thoughts is called this, sometimes done by "thanking your mind" or singing your thoughts.

  • Answer (Question): What is cognitive defusion?


300

Clue: A Distress Tolerance skill using the acronym "STOP" helps you pause before reacting. The “S” stands for this.

  • Answer (Question): What is “Stop”?


300

Clue: Recognizing one’s own limitations and flaws for personal growth is at the heart of this principle.

  • Answer (Question): What is humility?


300

Clue: Abbreviated VTA, this area is a vital source of dopamine neurons projecting to the nucleus accumbens.

  • Answer (Question): What is the Ventral Tegmental Area?


300

Clue: Physical or psychological discomfort when the substance is reduced or stopped describes these.

  • Answer (Question): What are withdrawal symptoms?


400

Clue: ACT is an acronym for these three core terms.

  • Answer (Question): What is Acceptance and Commitment Therapy?


400

Clue: DBT distinguishes these two concepts: one is inevitable and a normal part of life, while the other occurs when we resist or prolong our distress.

  • Answer (Question): What are pain and suffering?


400

Clue: A principle that involves letting go of resentment or anger toward someone who has wronged you.

  • Answer (Question): What is forgiveness?
400

Clue: This brain region, critical for forming new memories, also plays a role in craving and triggers associated with substance use.

  • Answer (Question): What is the hippocampus?

400

Clue: Excessive substance use can heighten the likelihood of these conditions, including anxiety and depression.

  • Answer (Question): What are mental health issues?


500

This diagnosis is categorized by uncomfortability when not at the center of attention, rapidly changing emotions, seductive behavior, and theatrically level of emotions.

What is histrionic personality disorder?
500

Clue: This core word in DBT’s name reflects the idea of balancing opposing perspectives—acceptance and change.

Answer (Question): What is “dialectical”?

500

Clue: Maintaining dedication to a value or belief, especially through adversity, exemplifies this recovery principle.

Answer (Question): What is commitment?

500

Clue: Prolonged substance use can alter the prefrontal cortex, impairing this ability to plan, make decisions, and control impulses.

Answer (Question): What is executive function?

500

Clue: Losses such as divorce, retirement, or estrangement can trigger this type of mourning, which differs from typical bereavement.

Answer (Question): What is an uncommon grief experience?

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