Triggers
Coping Skills
Relapse Prevention
Relationships & Boundaries
Thinking Errors
100

This type of trigger comes from within you, such as stress, boredom, or loneliness.

What is an internal trigger?

100

A simple grounding skill where you name 5 things you can see, 4 things you can feel, etc.

What is the 5-4-3-2-1 grounding method?

100

The first sign of relapse usually starts here, long before substance use happens.

What is emotional or mental relapse?

100

Telling people what you are and aren’t okay with is setting these.

What are boundaries?

100

Seeing only the negative parts of a situation while ignoring the good.

What is selective abstraction?

200

Seeing people, places, or things connected to past use are this kind of trigger.

What are external triggers?

200

This coping strategy replaces a negative thought with a realistic, balanced one.

What is cognitive reframing?

200

Creating a list of supports, numbers, and steps to take helps form this document.

What is a relapse prevention plan?

200

This communication style expresses needs clearly and respectfully.

What is assertive communication?

200

Thinking in extremes like “all good or all bad,” often found in early recovery.

What is all-or-nothing thinking?

300

This common trigger often happens when someone tries to “escape” uncomfortable feelings.

What is emotional distress?

300

This coping strategy involves calling or texting a supportive person before acting on a craving.

What is reaching out for social support?

300

This recovery skill involves feeling urges without acting on them.

What is urge surfing?

300

When someone starts isolating from loved ones due to shame or using, this is happening.

What is withdrawing / emotional isolation?

300

Assuming the worst possible outcome will happen.

What is catastrophizing?

400

This trigger happens when someone feels overly confident and thinks they “can handle just one."

What is complacency / the abstinence violation effect?

400

Writing down feelings, cravings, or urges is this coping skill.

What is journaling?

400

This strategy helps when you’re around alcohol or substances and need to leave.

What is exit planning?

400

When someone’s substance use harms trust with loved ones, this often needs rebuilding.

What is repairing trust?

400

Blaming yourself for things outside of your control.

What is personalization?

500

This acronym describes triggers tied to mood or needs: Hungry, Angry, Lonely, Tired.

What is HALT?

500

This type of coping involves engaging in enjoyable activities that bring calm or pleasure.

What are healthy distractions / behavioral activation?

500

This term describes when someone stops using coping skills and isolates before actual relapse.

What is the relapse drift (or relapse process)?

500

This term describes taking responsibility for someone else’s emotions or problems.

What is codependency?

500

Predicting the future without evidence, like “I’ll definitely relapse.”

What is fortune telling?

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