Coping Skills
Triggers
Relapse Prevention
Relapse Justifications
Other
100
Describe three positive coping skills.
Exercise, Reading, Yoga, Deep Breathing, Tapping, Talking to someone, Playing the tape through, etc.
100
Identify and describe three triggers.
Seeing people using, Being in places you used or picked up, Objects that helped with use such as spoons or needles, Hanging out with using friends, Media, etc.
100
What are the three stages of relapse?
1. Emotional Relapse 2. Mental Relapse 3. Physical Relapse
100
What is the definition of a relapse justification?
Relapse justification is a process that happens in people’s minds. A person may have decided to stop using, but the person’s brain is still healing and still feels the need for the substances. The addicted brain invents excuses that allow the person in recovery to edge close enough to relapse situations that accidents can happen.
100
What does P.A.W.S. stand for?
Post-Acute Withdrawal Syndrome
200
True or False. “Instant Fixes” for stress exist?
False
200
What does H.A.L.T. stand for?
Hungry, Angry, Lonely, Tired
200
Describe what happens during an emotional relapse.
The signs of emotional relapse are: Anxiety, Intolerance, Anger, Defensiveness, Mood swings, Isolation, Not asking for help, Not going to meetings, Poor eating habits, Poor sleep habits
200
Give an example of a relapse justification that puts blame on another person.
It was offered to me. What could I do?; An old friend called, and we decided to get together.; I was cleaning my house and found some drugs that I had forgotten about.; I had friends come for dinner and they brought wine.; I was in a bar and someone offered me a beer.; Etc.
200
Name three recovery support groups.
AA, NA, SMART Recovery, Rogers Aftercare group, Al-Anon, Nar-Anon, Celebrate Recovery
300
True or False. Taking time for yourself each day is essential to recovery?
True
300
What is the biggest trigger for relapse?
Stress
300
The signs of emotional relapse are similar to symptoms of what other thing experienced in recovery?
The signs of emotional relapse are also the symptoms of post-acute withdrawal. If you understand post-acute withdrawal it's easier to avoid relapse, because the early stage of relapse is easiest to pull back from. In the later stages the pull of relapse gets stronger and the sequence of events moves faster.
300
Describe three catastrophic events that could lead to relapse justifications.
End of a relationship, Injury, Illness, Loss of a job, Death, Anniversary, Divorce, etc.
300

This is a secondary emotion.

Anger.

400
List three people you can talk to when you are struggling.
Family members, Sober Friends, A Sponsor, A Therapist, A Doctor, AA/NA Members, etc.
400
What are the three stages of the cycle of relapse.
Trigger-Craving-Use
400
Describe signs of a mental relapse.
The signs of mental relapse are: Thinking about people, places, and things you used with, Glamorizing your past use, Lying, Hanging out with old using friends, Fantasizing about using, Thinking about relapsing, Planning your relapse around other people's schedules
400

Describe an example of a specific purpose relapse justification.

I can't have fun at parties if I don't use, It's easier to meet people if I am high, I can't sleep/eat without substances, etc.

400

_________ is the most wildly used drug, but often is left untreated.

Alcohol.

500
What are the benefits of having good coping skills? List three benefits.
Ability to decrease symptoms of mental health, Ability to manage cravings, Better management of emotions, Improvement in mood, Higher Self-Esteem, Etc.
500
You are at an event and get triggered. What are three things you should do after you recognize a trigger?
Call a friend/sponsor, leave the event, go to a meeting, have a safe ride, use coping skills, verbalize the trigger, etc.
500
Describe three things you can do to avoid a relapse.
Practice self-care, Wait 15-30 minutes, Do your recovery one day at a time, Tell someone that you're having urges to use, Distract yourself, Use coping skills, Make relaxation part of your recovery, Play the tape through, etc.
500
Give an example of a time you relapsed. Identify what relapse justification you used. Discuss what you should have done differently to avoid relapse.
Correct if all components of the question are answered.
500

What times in sobriety does P.A.W.S. hit?

7-14 days into sobriety and can last for up to 24 months.

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