Relapse Prevention
Identify the best tool for time management when first starting your recovery?
What is Scheduling
True or False: People, places and things are internal triggers
False. These are external triggers
Name 3 types of services that VOA-Outpatient offers to clients
What is Substance use services, mental health, domestic violence / interpersonal recovery, gambling, case management, domestic violence resources for survivors, residential (MRC), Homebased Recovery, Spanish-speaking Homebased Recovery, medication management & NUMN
Which two substances require medical detox intervention after chronic use?
What is the name of breathing technique that includes 4 seconds to inhale, 4 second hold, 4 second to exhale, 4 seconds to hold?
What is Box Breathing or Deep Breathing
What is an example of a warning sign that may lead to a relapse/setback?
Skipping therapy or support group meetings, Isolating from loved ones, Romanticizing past substance use (“I was more fun back then”), Increased irritability or mood swings, Losing interest in self-care or hobbies, dishonesty
Name 1 internal trigger
Internal triggers occur from within such as emotions, thoughts and memories and physical sensations
What street is Volunteers of America-Outpatient Services on?
What is Washington Street
What is the primary neurotransmitter that plays a role in substance use disorders?
Dopamine
True or False: If a coping skill does not work for me the first time, it will never work
What is false
What is the name of the plan that you might create with your substance use counselor that you can refer to in Early Recovery?
Relapse Prevention Plan
What might someone in recovery experience right after a trigger occurs?
What is Urge or Craving
What is the name of the gambling counselor at VOA-Outpatient?
What is John Ackley
True or False: Substances alters brain wiring after chronic use
True
What is the name for focusing entirely on the present moment without judgment allows you to step back from distressing thoughts and prevents overthinking the future ?
What is Mindfulness
What might be a threat to my relapse prevention?
A) Living with a family who uses substances
B) Hanging out with old friends
C) Not having a support system
D) All of the above
What is D. All of the above
Living with a family who uses substances
Hanging out with old friends
Not having a support system
Often referred to as "CBT," what is the type of evidenced based therapy that can help address and cope with triggers?
What is Cognitive Behavioral Therapy
Name 1 person who works at the front desk at VOA - Outpatient
Suzy, Alexis, Vincent, Shannon, Michael, (sometimes Riley)
Which two parts of the brain does substances affect in terms of storing memory and pleasure seeking?
Amygdala (Processing Emotions)
Hippocampus (Memory)
What is "Urge Surfing?"
What is a mindfulness technique that helps you ride out cravings and impulsive urges without acting on them
SMART goals are goals that are ....
What is Specific, Measurable, Attainable, Realistic, Time Oriented
What are three ways that you can do when you experience a trigger?
What is Call sponsor/family/friend, cold shower, box breathe, walking away, Play the Tape, identify what the trigger is, journal, etc.....
What year was Volunteers of America created?
What is 1896
What is the most common substance use disorder in the United States?
Alcohol Use Disorder (National Institute of Health, 2025).
Explain the 5-4-3-2-1 grounding technique for emotion regulation?
Name 5 things you see, 4 things you hear, 3 things you are feel/touch, 2 you smell, 1 thing you taste