Communication
Self-Reflection
Barriers
Boundaries
Co-Occurring Disorders
100

This term refers to the exchange of information, emotions, thoughts, and needs between people.

What is communication?

100

When stressed, some people do this; withdrawing or shutting down instead of expressing themselves.

What is avoiding communication?

100

This painful emotion from past behaviors can create walls that make openness difficult.

What is shame?

100

These “invisible lines” define what is acceptable and protect your well-being.

What are boundaries?

100

Depression may cause this communication pattern, making it hard to express needs.

What is withdrawal?

200

Communication is described as this type of process, meaning it involves both giving and receiving.

What is two-way process?

200

This communication style involves being unclear or indirect about needs and feelings.

What is passive communication?

200

People may withhold feelings because they fear this — being misunderstood or criticized.

What is judgment?

200

Saying “I can listen, but I can’t fix this for you” is an example of this type of boundary.

What is an emotional boundary?

200

Anxiety can make people fear speaking up, leading to this communication barrier.

What is fear of expression or fear of communicating?

300

Open communication helps reduce this emotional state that often leads to isolation in recovery.

What is loneliness?

300

Effective listening requires managing these internal reactions, such as judgment or emotional triggers.

What are distractions or emotional reactions?

300

Feeling “not good enough” can weaken this essential ability to speak up for oneself.

What is self-advocacy?

300

Protecting your meeting schedule is an example of this type of boundary.

What is a time boundary?

300

PTSD can cause hypervigilance and emotional reactivity, which often leads to this interpersonal problem.

What is miscommunication?

400

Talking openly about struggles promotes this quality, which reduces secrecy and supports recovery.

What is accountability?

400

Many people in recovery notice this type of change in their communication; sometimes progress, sometimes setbacks.

What is growth or evolution in communication?

400

Trauma responses like fight, flight, freeze, or fawn can interfere with this interpersonal skill.

What is healthy communication?

400

Saying “I don’t feel safe talking when I’m being yelled at” is an example of this boundary category.

What is a communication boundary?

400

Many people used substances to numb emotions they didn’t feel safe enough to do this with.

What is communicate or talk about them?

500

Honest communication helps process these three difficult emotional experiences often tied to substance use history.

What are trauma, grief, and shame?

500

This skill involves expressing needs, limits, and feelings clearly and respectfully.

What is assertive communication?

500

Emotional dysregulation — intense anger, fear, or sadness — can impair this ability to communicate thoughtfully.

What is emotional regulation?

500

Boundaries help prevent burnout, resentment, and triggers; all of which support this major recovery goal.

What is relapse prevention?

500

Managing dual diagnoses requires this essential skill — expressing needs around therapy, medication, and support.

What is self-advocacy?

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