DSM- 5
Name 3 diagnostic criteria for Alcohol Use Disorder
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recovery from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent
physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of alcohol.
What does MAT stand for?
Medication Assisted Treatment
What are the 3 parts of a meeting?
before the meeting, the meeting, after the meeting
What does DBT stand for?
Dialectical Behavioral Therapy
Name 5 warnings signs of relapse
1. isolation
2. stopping medications
3. disruptions in routine/daily structure
4. lying
5. overconfidence in recovery
6. boredom
7. changes in meeting/ therapy attendance
8. changes in mood
9. impulsive behaviors
10. inability to accept feedback/defensive behavior
11. thoughts of using
12. minimizing past use
Name 4 things that can lead to addiction
The following but not limited to:
1. genetics/ family hx
2. mental health
3. trauma
4. lack of positive supports
5. chronic pain
6. quality of life
7. peer pressure
8. economic status
9. grief
Name 2 forms of MAT for Alcohol Use Disorder
Naltrexone/ Revia/ Vivitrol
Campral
Antabuse
Topamax
Finish the quote; God, grant me the serenity......
"God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference."
What does the acronym DEAR MAN stand for?
Describe
Express
Assert
Reinforce
Mindfulness
Appear Confident
Negotiate
At what time does addiction enter its remission stage?
1yr
What are 4 physical symptoms of anxiety?
1. racing heart
2. sweating
3. GI issues
4. shortness of breath
5. sleep disturbances
6. body aches
7. sweating
8. appetite changes
9. lowered immune system
10. period disruptions
True or False: MAT can be used to treat chronic pain in addition to SUD
True
Define "the pink cloud" and identify 2 risks of this mentality
"a euphoric feeling, typically in early recovery, where someone may have an overconfidence regarding their skills and abilities also considered a "honeymoon" phase in their recovery.
problems may include:
1. feelings are temporary
2. not a sustainable form of motivation
3. can create unrealistic expectations
4. can impact progress in treatment if someone stops following clinical/medical recommendations
5. may impact healthy routines which could lead to relapse
6. ignores risks and challenges associated with the recovery process
A list of enjoyable activities in DBT is called what?
A pleasant activities list
When someone is attending meetings, going to therapy, taking medications as prescribed etc. over a period of time. We can identify this as being in what stage of change?
Maintenance
Name 5 factors that put someone at risk for opiate overdose death
1. Using heroin, cocaine or marijuana* that contains unknown and dangerous substances/cutting agents
2. Combining it with other drugs
3. Using following period of abstinence
4. New dealer
5. New city/residential location
6. New route of administration
7. Having certain medical conditions
8. Age
For alcohol use disorder, MAT in addition to therapy can increase abstinence at what percentage?
for alcohol use disorder, studies suggest an abstinence rate up to 50% when used in addition to therapeutic support (MAT Effectiveness for Alcohol: 7 Data-Driven Insights (2024) — Sober Powered).
Name 3 types of recovery support groups (not including AA or NA)
1. Refuge Recovery
2. Celebrate Recovery
3. Recovery Dharma
Name all four components of DBT
1. Mindfulness
2. Distress tolerance
3. Emotion regulation
4. Interpersonal effectiveness
Name the five progressions of care from inpatient to outpatient?
detox, residential, IOP, PHP, GOP
borderline personality disorder is to serotonin, as depression is to ______
dopamine
You are spending the afternoon with family, and they say to you "MAT isn't considered sober". How do you respond?
explanation can include one or more of the following:
- education on MAT
- discussion regarding craving management
- support of clinical/ medical recommendations
- explanation on why they may choose to not respond to this question (must include verbiage to redirect the conversation)
I'm new to the area. What are two way I could identify a meeting in my town?
1. identify your nearest RCA and connect with the alumni coordinator
2. Meeting Finder
This DBT skill is used to when you want to evoke a different emotion than the one you are currently feeling
Opposite action
Addiction is a progressive and chronic disease. Name 10 ways to sustain long term sobriety.
1. MAT
2. therapy
3. peer supports
4. coping skills for emotional regulation
5. hobbies
6. health routines
7. advocacy skills
8. staying physically healthy
9. sense of spirituality
10. stable/safe home environment
11. awareness of warning signs and triggers
12. celebrate milestones
13. volunteer/ give back
14. take appropriate medications as prescribed
15. avoid high- risk situations
16. set realistic goals
17. boundaries
18. make amends
19. manage negative thought patterns
20. Accountability