AA
Timeline of Recovery
The Brain
Substances
Defense Mechanisms & Cognitive Distortions
100

This step involves making a decision to turn our will and our lives over to the care of God as we understood Him 

Step 3

100

This acronym stands for Post-Acute Withdrawal Syndrome

PAWS

100

This chemical is naturally produced in the brain when human connection and bonds are formed. 

Oxytocin

100

This category of substances synthetically increases chemicals in the brain related to oxytocin, or the "love hormone"

Opiates
100

This thought distortion occurs when one sees only the worst possible outcomes of a situation 

Catastrophizing

200

This step states that "Having had a spiritual awakening as the result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs"

Step 12

200

This stage of recovery primarily includes physical symptoms such as shaking, sweating, nausea, fevers, vomiting and other symptoms and lasts approximately 7 days

Detoxification or Acute Withdrawal

200

This part of the brain responds to threats of survival. If activated, it can increase adrenaline and symptoms such as sweating, increased heartbeat and can be felt physically as a rush of energy, panic, fear and more. In the evolution of humans beyond hunting/gathering, it can be triggered by ruptures in relationships and also substance withdrawal

Brain Stem

200

This category of chemicals increases the amount of norepinephrine and dopamine in the system leading to temporary increase in sense of reward and energy in the brain and body, and extreme depression, sadness, fatigue and loss when it wears off. It can effect a persons ability to focus and have energy

Amphetamines, stimulants

200

The statement "If I hadn't hoped something bad would happen to him, he wouldn't have gotten into an accident" is an example of which distortion

Magical thinking

300

These steps entail making an inventory of moral shortcomings, sharing them with God and another human, becoming ready to remove them, and asking God to remove them

Steps 4-7

300

After detox comes the Post Acute Withdrawal stage, How long can these symptoms last?

3-6 months

300

This part of the brain is where the majority of our emotional processes occur, and also our memories and attachment.

Limbic System

300

This substance increases dopamine in the brain, leading to a temporary increased sense of reward and pleasure, but a drastically decreased since of pleasure after it wears out of system

cocaine, crack

300

Unconsciously keeping unpleasant information from your conscious mind or memory by stuffing it deep down inside

Repression

400

This step is seeking, through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out. 

Step 11

400

This stage includes symptoms such as difficulty thinking clearly, managing feelings and emotions, memory problems, recognizing and managing stress, sleeping, and co-ordination.

PAWS-Post Acute Withdrawal Symptoms

400

This part of the brain regulates communication, rational thinking, logic, creative problem solving and empathy

Neocortex


400

This substance depresses activity in ones neurotransmitters making it difficult for your brain to communicate to itself, leading to less inhibition, confidence and relaxation temporarily. 

Alcohol

400

Assigning your own unacceptable feelings or qualities to others

Projection

500

This step is continuing to take personal inventory and when we were wrong promptly admitted it

Step 10

500

How long can it take the brain, nervous system and brain chemicals to balance out after abstinence begins?

6-24 months

500

This part of the brain modulates behavior and our interactions with the external world through behaviors and choices. It is not fully formed until the age 26 which can contribute to impulsivity

Pre-frontal cortex

500

This substance has been long thought to not have any addictive qualities, but actually thins the cortex and prefrontal cortex over time, impacting ones ability to think clearly, act rationally, be motivated, rewarded and the brains ability to communicate with itself

Marijuana

500

Justifying a feeling or behavior that you subconsciously believe is unacceptable, with logic

Rationalization

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