1. Behavioral Signs
Skipping therapy sessions or support group meetings.
What is avoidance?
Feeling more irritable or easily angered than usual.
What is irritability?
Changes in sleeping patterns, like insomnia or oversleeping.
What is disrupted sleep?
Difficulty concentrating or focusing
What is impaired concentration?
Spending more time with people who use substances.
What is associating with high-risk peers?
Neglecting daily responsibilities like work or chores.
What is decreased motivation?
Experiencing sudden mood swings or emotional ups and downs.
What is emotional instability?
Noticeable changes in appetite or weight.
What is appetite or weight change?
Forgetting important commitments or appointments.
What is forgetfulness?
Avoiding social events that support sobriety.
What is social avoidance?
Isolating oneself from family and friends.
What is social withdrawal?
Increasing feelings of anxiety or panic.
What is heightened anxiety?
Experiencing headaches or stomachaches with no clear cause.
What is psychosomatic symptoms?
Negative thinking patterns or self-doubt.
What is cognitive distortions?
Returning to places associated with past substance use.
What is environmental cue exposure?
Engaging in risky behaviors like driving under influence.
What is reckless behavior?
Feeling hopeless or overwhelmed by emotions
What is despair or emotional overwhelm
Increased fatigue or low energy.
What is exhaustion or fatigue?
Feeling mentally “foggy” or confused.
What is brain fog?
Financial problems related to substance use behaviors.
What is financial instability?
Increasing use of substances or old addictive behaviors.
What is escalation?
Experiencing intense cravings or urges.
What is craving?
Trembling, sweating, or other withdrawal symptoms
What is physical withdrawal symptoms?
Obsessing over past use or substance-related thoughts.
What is rumination or preoccupation?
Increased conflict or arguments with loved ones.
What is interpersonal conflict?
Hiding or lying about substance use or behaviors.
What is denial or deception?
Feeling numb or disconnected from emotions.
What is emotional numbness or dissociation?
Experiencing restlessness or inability to stay still.
What is psychomotor agitation?
Underestimating risks or consequences of relapse.
What is minimization or denial?
Losing support from family or friends.
What is social isolation or alienation?
Losing interest in hobbies or activities once enjoyed
What is anhedonia (loss of pleasure)?
Feeling guilty or ashamed about recent behaviors.
What is guilt or shame?
Physical illness or weakened immune system.
What is health deterioration?
Having unrealistic plans or overconfidence about staying clean.
What is grandiosity or overconfidence?
Neglecting to plan or maintain a safe environment.
What is poor environmental management?