External Triggers
Internal Triggers
Risk Patterns
Setback Coping Skills
The Big Picture
100

These are the people outside our family who we allow to get close to us: They can either lift you up or lead you into trouble, depending on who you choose to associate with.  

Friends

100

A powerful yet very common emotion that can mask hurt feelings, fuel aggression, trigger relapse, or motivate change—depending on how we manage it  

Anger

100

- This avoidant behavior might seem easier at first, but it’s actually a warning sign that someone is pulling away from support.

Isolating/Isolation

100

Because setbacks are often part of the process of recovery from substance use and mental health challenges, developing this powerful quality helps us to be able to “bounce back” and keep moving forward  

Resilience

100

Every word needs to have one to avoid being nonsense and every life needs this to avoid being empty

Meaning

200

This useful device almost everyone has can be a quick way to contact a positive support, but make sure to remove drug dealers, back stabbers, and drama starters from it if you want to stay on a positive path  

Cell Phone
200

This triggering and often sad emotion is closely associated with losing someone or something or the anniversary of the loss  

Grief

200

People often make these up in their own minds to sound like explanations or reasons, but they’re really just empty ways to avoid the truth or dodge responsibility

Excuses

200

While how we speak to others matters, but changing for the better often depends on learning to speak more positively to this special person— the one we’re always around.  

 Self/Ourselves (Positive Self Talk)

200

This is not one of the main five senses but when you make a positive connection with a group of people you feel a sense of __

Belonging

300

These special days that come up several times per year are often associated with family traditions and parties which can be challenging to deal with especially early in recovery

Holidays/Anniversaries

300

This can be experienced physically in our body or emotionally in our mind, and in either case, it can trigger the urge to self-medicate as a way to escape.  

Pain

300

This common but avoidable state of mind often creeps in when there’s nothing to do, and can lead people to chase excitement or relief in unhealthy ways, especially during early recovery

Boredom

300

Whether you call it mindfulness or insight, this ability to look inward with honesty helps us understand who we really are—and stay aligned with our goals, motives, and values.

Self-Awareness

300

A meaningful life has this, but spell it a bit differently it is a sea creature like a dolphin that starts with letter P

Purpose/Porpoise

400

We need this to survive in this world and almost everyone wants more of it, but when you get a lot of it at once it can this be a huge trigger

Money

400

A negative and critical inner voice fueled by past trauma, stigma, or unmet expectations often speaks through this toxic emotion.

Shame

400

This common behavior often begins with small lies or half-truths to avoid consequences in the moment—but over time, it can damage trust, hurt relationships, and prevent personal progress especially when the truth eventually comes out.

Dishonesty

400

Coping with substance use and mental health challenges is never about perfection—what truly matters is striving for a little more of this positive change each day  

Progress

400

This is not an auditory hallucination rather it’s positive silent voice in your head guiding you in which way you should go

Conscience

500

Common objects a person associates with substance use that can be triggering such as straws, razors, spoons, pipes  

Paraphernelia

500

This dangerous mindset makes people believe they’re past the danger, ignoring warning signs and thinking they’ve got it all under control— even when they don’t.

Overconfidence/Cockiness

500

This risky pattern of behavior bypasses thinking, planning, and self-control—leading straight into action, often followed by consequences like regret, setbacks, trouble, or relapse  

 Impulsivity/ Impulsiveness

500

When emotions start to spiral or anxiety takes over, this coping skill helps bring us back to the present moment by using our senses or focusing on what’s around us or even what is directly beneath our feet  

 Grounding

500

TWO ANSWERS:  You’ve got to give these to get these and when you have these for yourself you show these to others

Love and Respect

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