Triggers/ Warning Signs
Coping Skills
Thinking Errors
Stages of Relapse
Tips for Avoiding Relapse
100

Loss of interest in these might be a red flag.

Hobbies and activities that you enjoy

100

This coping skill will involve doing something to keep your mind occupied and may include things like reading, games, cleaning, watching a movie, etc.  It will give your mind a temporary break.

Distraction

100

We use this thinking error when we try to make things seem smaller than they really are. Often, we will use words like, “just” and “only” to make what we did seem smaller.

Minimizing  

100

The three stages of relapse.

Emotional, Mental, and Physical

100

True or false: the decision to relapse is usually made long before you actually use.

True.

200

One common trigger that can often be resolved by keeping yourself busy with positive things and reaching out to positive supports.

Boredom/ isolation

200

This coping mechanism may involve specific breathing techniques and visual cues.  It may guided or alone.

Meditation

200

Linking our present situation to a disastrous conclusion/ the worst possible outcome.  We use "what-if's".

Catastrophizing

200

Warning signs of this stage of relapse may include: isolation, bottling up emotions, mood swings, etc.

Emotional

200

If you're feeling the urge to use, try waiting ___ _______.  If you distract yourself for this amount of time, your cravings will lessen in intensity and become easier to resist.

30 minutes

300

You might feel that you have overcome your addiction and tell yourself that you can have "_____ _____ _____"

"just one drink"
300

This coping skill involves using body and senses to help stop dissociation (feeling numb or disconnected) and reduces the physicality of anxiety.

Grounding

300

Statements you make to yourself about how the world ought to be and judge yourself and others based on that.  Typically seen when holding yourself to excessively high standards.

Shoulds

300

This stage is often described as "a war going on inside one’s mind"

Mental

300

Don't become _________.  Relapses can happen years after quitting use.

Complacent

400

Changes in your behavior or attitude can be considered warning signs, especially if you catch yourself acting _______ or beginning a pattern of denial.

Defensive

400

This coping mechanism requires you to be curious about your emotions, thoughts, and sensations.  It also involves being accepting and non-judgmental of these emotions, thoughts, and sensations.

Mindfulness

400

Judging your experiences as "black or white", "good or bad", etc. instead of seeing any grey area or middle ground.

Polarized Thinking or All-or-Nothing Thinking

400

Warning signs of this stage may include: lying, minimizing consequences of use, fantasizing about using, etc.

Mental

400

Create new _______.  You may need to find new ways to celebrate, take a new route home to avoid the liquor store or bar, new plans for how to spend your evenings, etc.

Routines and/ or rituals

500

Remembering only the "good times" of drinking or drug use.

Romanticizing 

500

This coping skill is great in reducing the pressure of overwhelming emotions.  It may involve journaling, allowing yourself to cry, listening to music that connects with you, yelling or screaming (not at others), etc.

Emotional Release

500

You think of a single negative event as a never-ending pattern.  You draw conclusions from on experience and extend it to all future experiences (applying one thing to the whole).  Typically uses terms like "always", "never", "everyone", etc.

Overgeneralizations

500

Self-care and support are important and helpful for which stage(s)?

All!

500
The difference between a lapse and a relapse.

A lapse represents a temporary slip or return to a previous behavior (usually a onetime occurrence), whereas a relapse represents a full-blown return to a pattern of behavior that one has been trying to moderate or quit altogether

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