Cognitive Distortions
Impulse Control & Triggers
Relapse Prevention
MAT
Coping Skills
100

This term refers to automatic thoughts that feel true but are often inaccurate.

What are cognitive distortions?

100

Impulse control means the ability to pause before doing this.

What is acting

100

Relapse prevention focuses on stopping use before this happens.

What is a relapse?

100

True or False: Medication-Assisted Treatment (MAT) for opioid addiction is not considered "real recovery." 

What is false? MAT is an evidence-based treatment that improves long-term recovery outcomes.

100

Coping skills are tools used to manage this.

What is stress

200

This distortion involves seeing things as all good or all bad, with no middle ground.

What is all-or-nothing thinking?

200

Triggers can be emotional, environmental, or this type.

What are cognitive (thought-based) triggers?

200

This term refers to situations that increase the chance of relapse.

What are high risk situations

200

This medication contains buprenorphine and naloxone and is used to treat opioid use disorder.

Buprenorphine/Naloxone (Suboxone)

200

Taking slow, deep breaths is an example of this type of coping skill.

What is grounding or relaxation?

300

This distortion sounds like, “I always mess things up” after one mistake

What is overgeneralization?

300

Feeling overwhelmed, angry, or lonely are examples of this type of trigger.

What are emotional triggers?

300

Isolation, secrecy, and stress are examples of these warning signs.

What are relapse warning signs

300

Medication used for the treatment of opioid use disorder that can also be used for the treatment of alcohol use disorder

Naltrexone (Vivitrol)

300

Calling a sponsor or trusted person is an example of this coping strategy.

What are social supports

400

This distortion involves attaching a negative name to yourself based on past behavior.

What is labeling?

400

Impulses are often driven by the desire for this.

What is immediate relief?

400

Mapping short- and long-term outcomes is called this relapse prevention tool.

What is consequences mapping?

400

This medication blocks opioid effects and alcohol cravings and is often given as a monthly injection.

Naltrexone (Vivitrol)

400

This coping skill involves doing something active to change your emotional state.

What is behavioral activation?

500

This distortion ignores progress and focuses only on failures.

What is mental filtering or discounting the positive?

500

This early recovery challenge makes impulse control weaker at first.

What is brain healing / dysregulated reward system?

500

Reaching out for help instead of isolating is an example of this.

What are protective factors

500

What is the success rate of MAT?

Studies indicate that MAT can reduce the risk of death from substance abuse by more than 50%

500

Writing down thoughts to challenge them is a CBT coping skill called this.

What is cognitive restructuring?

600

This distortion assumes the worst possible outcome and treats it as fact.

What is catastrophizing?

600

One impulse-control strategy that involves waiting before acting.

What is delay? 

600

Shame increases relapse risk because it increases this.

What is emotional overwhelm / impulsivity?

600

 MAT stands for this phrase.

What is Medication-Assisted Treatment?

600

Coping skills are most effective when used at this stage of a trigger.

What is early—before the urge peaks?

700

In recovery, cognitive distortions increase this emotional state, which raises relapse risk

What is shame

700

Impulse control improves most through this, not willpower alone.

What is practice and repetition?

700

Relapse prevention is strongest when clients focus on this time orientation.

What is the future / next right choice?

700

his medication reduces cravings and withdrawal by activating opioid receptors in a controlled way.

What is methadone?

700

healthy coping reduces relapse risk by improving this recovery skill.

What is impulse control

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