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Wawa vs Sheetz
100

True or False: Addiction is only caused by poor choices, not genetics or environment.

What is False?

100

What does ASAM stand for in terms of an "ASAM intake" or "ASAM assessment"


American Society of Addiction Medicine

100

HALT stands for these four body-mind states that can masquerade as cravings.

 What are Hungry, Angry, Lonely, Tired?

100

What is Ambient Anxiety and how can it be treated?

???

100

This therapy style focuses on mindfulness, emotion regulation, and distress tolerance.

What is DBT (Dialectical Behavior Therapy)?

100

These medications for opioid use disorder are evidence-based and reduce overdose death.

What are methadone and buprenorphine?

100

Quote: “My pop was real big. He did like he pleased. That's why everybody worked on him. The last time I seen my father, he was blind and diseased from drinking. And every time he put the bottle to his mouth, he didn't suck out of it, it sucked out of him until he shrunk so wrinkled and yellow even the dogs didn't know him” 

Also said by the same character in the same movie: “Mmmm. Juicy fruit.”

Name the film.

What is One Flew Over the Cuckoos Nest? (Spoken by “Chief”)

200

This brain chemical is the “that felt good, do it again” messenger that gets over-recruited in addiction.  

 What is dopamine?

200

Anything that sparks craving or “just one won’t hurt” is called this.

called this.What is a trigger?

200

True or False: Chronic stress can change brain chemistry.

What is True?

200

True or False: There is an age limit to Neuroplasticity

FALSE

  • Children and adolescents have the highest degree of plasticity, which helps them learn new skills quickly.
  • Adults and even older adults still retain significant capacity for plastic change. Modern neuroscience shows that the adult brain can continue rewiring itself through consistent stimulation, focused attention, and meaningful repetition.

Examples:

  • Stroke patients regaining lost abilities
  • Older adults learning new languages or instruments
  • People developing new habits after long-term patterns
200

This therapy helps you spot thought traps and swap in realistic ones.

What is CBT?

200

After a nonfatal opioid overdose, starting this medication class is linked with sharply lower risk of another fatal overdose.

What is buprenorphine treatment?

200

The wise know when they know this

Nothing

300

What is one warning sign that a relationship may be enabling substance use?      

What is covering up, making excuses, or providing money for use?

300

What is the term for rebuilding trust and accountability after addiction has strained relationships?

What is reconciliation or making amends?

300

True or False: Codependency means both people are addicted.

What is False?

300

These are things that promote neuroplasticity in recovery:

  • Therapeutic engagement: Cognitive-behavioral therapy, DBT, MI, and mindfulness-based interventions all activate frontal-lobe circuits that regulate impulse control and emotional awareness.
  • Physical activity: Aerobic exercise increases brain-derived neurotrophic factor (BDNF), which supports neuron growth and repair.
  • Adequate nutrition and sleep: These allow neurons to regenerate and consolidate learning.
  • Social connection and purpose: Relationships and meaningful activities release oxytocin and dopamine in healthy ways, reinforcing non-drug reward pathways.
300

What substance is often considered to be have caused the most harm in society?

What is alcohol?

300

This monthly shot blocks opioid effects and can support alcohol use disorder too

What is extended-release naltrexone?

300

This unhealthy psychological habit can stop people from ever even getting started, prevent continued learning, create ongoing unnecessary anxiety, and can seriously disrupt productivity. It can be alleviated by having more confidence, understanding you are human, letting go of unrealistic ideal, recognizing the learning process includes "failure" and taking some small actions toward the goal.

What is perfectionism?

400

This unhealthy boundary type that is too open and relaxed, at times allowing toxic influences to easily infiltrate and disrupt a person's well-being and potential lead to relapse or other unhealthy behaviors

What is a porous boundary?

400

Open-ended...These are three benefits of attending an  IOP program?

What is structure/routine, social interaction, satisfying courts, accountability, psychoeducation, group and individual therapy

400

Finish this phrase: “Recovery is not about perfection, it’s about ___.”    

  What is progress?

400

A dysfunctional relationship dynamic in which one individual prioritizes another person’s needs, choices, or emotional state to the point that their own identity, boundaries, and self-care become compromised. It frequently appears in families affected by addiction, but can occur in any close relationship.

What is Codependency?

400

This plan helps people know who to call and what to do if they feel close to relapse.


What is a relapse prevention plan / safety plan?

400

This has been ranked as the substance that has caused the most damage to the public

What is alcohol

400

Name up to 8 types of gaslighting...the side who can name the most gets the points

What is projection, sabotage, denial, put-downs, threats, distraction, ignoring/avoidance, minimization/trivializaion

500

To this day, it is the only amendment ever repealed by another amendment and the only one ratified by state conventions instead of state legislatures.

What is the 18th Amendment?

500

What are the 6 dimensions measured by an ASAM assessment? (Name as many as you can, you can describe them in general terms, 2 correct will count)

  • Acute Intoxication and/or Withdrawal Potential – risk of withdrawal or current intoxication.

  • Biomedical Conditions and Complications – physical health concerns that could impact treatment.

  • Emotional, Behavioral, or Cognitive Conditions and Complications – co-occurring mental health symptoms or conditions.

  • Readiness to Change – the client’s motivation and stage of change.

  • Relapse, Continued Use, or Continued Problem Potential – risk of returning to use or worsening symptoms.

  • Recovery/Living Environment – stability and supportiveness of the person’s living situation.

500
These are common Cognitive Distortions (name at least 4)

1. All-or-Nothing Thinking (Black-and-White Thinking)
Seeing situations in extremes with no middle ground.
Example: “If I’m not perfect, I’m a failure.”

2. Overgeneralization
Drawing broad, negative conclusions based on a single event.
Example: “I messed up once, so I’ll always mess up.”

3. Mental Filtering
Focusing only on the negative details and ignoring positives.

4. Discounting the Positive
Rejecting or minimizing good things as if they don’t count.
Example: “They said I did well, but they were just being nice.”

5. Catastrophizing
Expecting the worst case scenario or blowing problems out of proportion.

6. Mind Reading
Assuming you know what others are thinking without evidence.

7. Fortune Telling
Predicting the future negatively and treating it as fact.
Example: “I know the interview will go horribly.”

8. Emotional Reasoning
Believing something is true simply because it feels true.
Example: “I feel worthless, so I must be worthless.”

9. Should Statements
Rigid rules about how you or others must act.
Example: “I should never feel anxious.”

10. Labeling
Using global, negative labels for yourself or others.
Example: “I’m a loser,” “They’re useless.”

11. Personalization
Taking responsibility for things outside your control or blaming yourself excessively.

12. Blaming
Assigning responsibility to others for your feelings or circumstances.

13. Control Fallacies
Believing you are either completely responsible for everything or powerless over your life.

14. Magnification and Minimization
Exaggerating the negatives or shrinking the positives.

15. Comparison (or “Fairness” Distortion)
Chronic, unhelpful comparing of oneself to others or believing life should always feel fair.

500

This emotion, symbolized by the green character in Inside Out, can be used productively to identify unhealthy people, places, things and substances, and even can build confidence.

What is "disgust"

500
A common process of intentionally exchanging symbolic, information-encoded soundwaves between two brains without using machines.

What is talking with someone in-person?

500

Nancy receives mostly positive feedback, with one minor critique.

"It's always the same-I mess up everything. I don't even know why I try."

Pam receives mostly positive feedback with one critique.

"That's helpful. The critique was constructive. It's part of growing.


What Cognitive Distortions are being demonstrated by Nancy?

What is Disqualifying the Positive, Catastrophizing


500

“What walks on four legs in the morning, two legs at noon, and three legs in the evening?”

Answer: A human being.

Explanation:

  • Morning of life: As a baby, a person crawls on four limbs.

  • Noon of life: As an adult, they walk upright on two legs.

  • Evening of life: In old age, they use a cane, so effectively walk on three legs.

That is the famous riddle Oedipus solves in the myth of Oedipus and the Sphinx.

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