Substance Use Disorders
The intense desire or urge to use substances that can be triggered by various factors.
What are cravings?
What does the acronym HALT stand for?
What is Hungry, Angry, Lonely, Tired?
What does "Dialectical" mean in DBT?
- Two opposites can be true at the same time
- Two truths can exist at once.
- Seeing situations from multiple angles
- I'm doing my best AND I can try harder
List 3 factors that can make it hard to regulate your emotions.
- Biology (lack of sleep, feeling hungry, feeling sick, using substances)
- You don't know what to do to regulate your emotions
- Your environment reinforces you when you're highly emotional
- Moodiness
- You are overloaded/overwhelmed by your emotions
- Emotion myths (emotions are bad/weak, certain emotions should be avoided, extreme emotions are necessary, extreme emotions are a part of who you are)
A person in recovery who encourages, motivates, and supports a peer who is seeking to establish or strengthen their recovery.
What is a sponsor?
This refers to the risk of returning to substance use after a period of abstinence or recovery.
What is relapse?
This category of triggers includes places, events, or situations that were associated with substance use in the past.
What are Situational Triggers?
List 1 way you can use the Self Soothe Skill using the sense of touch.
Hug a loved one, curl up in a soft blanket, pet a dog or cat, take a hot bath/shower, put on your favorite clothes, apply moisturizer, massage your neck or shoulders, put clean sheets on your bed, put a cold compress on your forehead, sit into a comfortable chair.
List 3 ways you can regulate your emotions by taking care of your body.
- Accumulate Positive Emotions
- Build Mastery
- Cope ahead
- Treat Physical Illness
- Balanced eating
- Avoid mood-altering substances
- Balanced sleep
- Get exercise
A document that highlights triggers, and/or people/place/things to avoid in order to maintain long-term recovery.
What is a relapse prevention plan?
What are some symptoms of withdrawal?
- alcohol: sweating, hand tremor, nausea, vomiting, anxiety, insomnia
- opioids (heroin, fentanyl): nausea, vomiting, muscle aches, sweating, insomnia, fever, dysphoric mood
- cocaine: fatigue, sleeping too much or too little, vivid unpleasant dreams, increased appetite
- cannabis: irritability, anger, aggression, nervousness, anxiety, restlessness, sleep disturbances (insomnia, nightmares), shakiness, chills, headache
- tobacco: irritability, frustration, anger, difficulty concentrating, increased appetite, restlessness, depressed mood, insomnia
- caffeine: headache, fatigue, drowsiness, irritability, depressed mood, flu-like symptoms, difficulty concentrating
These triggers are related to experiencing sadness, stress, anger, and other negative feelings.
What are emotional triggers?
What are the three states of mind?
What are Wise Mind, Emotion Mind, and Reasonable Mind?
The skill of bringing one's awareness to the present moment and the contents of one's own mind, body, and surroundings.
What is mindfulness?
Improves over time and can last 6 months to 2 years during recovery.
What is PAWS (Post-Acute Withdrawal Syndrome)?
What is the pleasure chemical of the brain?
What is dopamine?
These triggers involve encountering people or social settings were substance use is prevalent.
What are social triggers?
What are the three parts of building positive emotions in the short term?
- Build positive experiences now
- Be mindful of positive experiences
- Be unmindful of worries
A planned, structured, and repetitive physical activity with the goal of improving or maintaining physical fitness that also improves mental health.
What is exercise?
*bonus question*: What chemical does this release in the brain?
List the 5 stages of change.
1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
This potentially life-threatening condition can occur 48-72 hours after abruptly stopping alcohol use and is characterized by confusion, hallucinations and seizures.
What is Delirium Tremens
These triggers are internal cues such as thoughts, memories, or cravings that can lead to the desire to use substances.
What are internal triggers?
List at least 1 step you can take when Checking the Facts.
1. What is the emotion I want to change?
2. What is the event prompting my emotion
3. What are my interpretations, thoughts, and assumptions about the event?
4. Am I assuming a threat?
5. What's the catastrophe/worst case scenario?
6. Does my emotion/it's intensity actually fit the facts?
Each person in the team, list 3 coping skills you have used this week.
Some examples include:
- Mindfulness and breathing exercises
- Taking care of your physical health
- Cognitive reframing, checking the facts
- "One day at a time", finding meaning (journaling, prayer, poetry, expressive art)
- Relying on support systems
- Engaging in fun/meaningful activities
Common symptoms of ____ include: drug cravings, mood swings, irritability, pain, discomfort, fatigue, and insomnia.
What is PAWS (Post-Acute Withdrawal Syndrome)?