Stages & Processes of Change
Cause & Effects of Relapse
ASAM 4th Edition
Cognitive Distortions
Miscellaneous
100

An individual does not think they have a problem in this stage of change.

What is the precontemplation stage?

100

An initial episode of substance use following a period of sobriety?

What is a lapse?

100

This dimension is person centered considerations.

What is dimension 6?

100

Seeing things as either one extreme or the other, and
not in terms of “degrees”.

What is black & white or dichotomous thinking?

100

An opioid agonist that is taken orally once or twice per day used to treat heroin abuse.

What is methadone?

200

An individual's belief in their ability to accomplish a desired outcome.

What is self-efficacy? 

200

The anticipated outcome (positive or negative) one has from using drugs or alcohol.



What is outcome expectancy?



200

This dimension looks at psychiatric and cognitive conditions.

What is dimension 3?

200

Expecting the worst outcome.


What is catastrophizing? 

200

A partial opioid agonist used to treat opioid abuse.

What is Suboxone?


*Buprenorphine is acceptable 

300

The belief in one’s ability to change and acting on that belief by making a commitment to alter behavior.

What is self liberation?

300

This occurs when the person attributes the cause of the initial lapse to internal, stable, and global factors within.

What is abstinence violation effect (AVE)?

300

This is clinically managed high-intensity residential level of care.

What is level 3.5?

300

Reaching an end judgment without knowing all
the facts.

What is jumping to conclusions?

300

The MI counseling style known as PACE.

What is partnership, acceptance, compassion, evocation?

400

This stage of change is not part of Prochaska and DiClemente's original Stages of Change.

What is the termination stage?

400

This specific type of relapse ends in death.

What is a "fatal" relapse?

400

This is medically managed inpatient level of care.

What is level 4?

400

Exaggerating problems and turning minor difficulties
into major problems.

What is awfulizing?

400

The MI acronym for change talk known as DARN.

What is desire, ability, reasons, need?

500

This is the stage of change one cannot go back to after relapsing.

What is the maintenance stage? 

500

This model is designed to help clients deal with inevitable lapses and avoid full-blown relapse and proposes that self-control is a finite resource.

What is the Self-Control Strength model?



500

This is high-intensity outpatient (HIOP) level of care?

What is level 2.5?

500

Assuming that if something is true in one instance, it
applies to any similar situation.

What is over-generalizing?

500

This is another term used for "outpatient" treatment programs.

What is an "ambulatory" program?

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