Awareness
Terms and Skills
Stinkin' Thinkin'
Triggers and Cravings
PAWS
100
What are three things you feel in your body when you are stressed?
Headaches, muscle aches, upset stomach, fast heartbeat, having a "short fuse", concentration issues
100
What does "HALT" stand for?
Hungry, Angry, Lonely, and Tired
100
What is jumping to conclusions?
Assuming we know what someone is thinking or feeling; where we make decisions based on our assumptions over what is true.
100
What do they mean when they say "internal" and "external" triggers?
Internal: thoughts, emotions, and sensations that spark a desire to engage in problem behavior.
External: people, places, things, and situations that spark a desire to engage in problem behavior.
100
Occurring right after use to about 15 days, what is the first stage of PAWS?
Withdrawal stage
(Increased need for sleep, difficulty concentrating, depression, hostility, behavioral inconsistency, cravings for drugs / alcohol, anxiety, confusion, etc.)
200
How would you define "proactive thinking"?
Planning for challenging situations ahead of time to better manage issues if/when they come up.
200
What is a trigger?
Internal or external events that quickly spark a desire in us to return to behaviors we are trying to learn to live without.
200
What is minimizing?
Downplaying the good things to make them appear less fun than they actually are.
200
Fix this sentence:
It's normal to experience triggers but not cravings, especially in early recovery.
It's normal to experience triggers AND cravings, especially in early recovery.
200
Post-acute withdrawal is both a ______ and a ________ response following the sudden discontinuation of substances.
Post-acute withdrawal is both a mental and a physical response...
300
What is a core belief?
Healthy or unhealthy thoughts and beliefs we accept as true -- often coming from childhood.
300
What is a craving?
A mental process that tries to convince us that returning to old behaviors is a good idea.
300
What is magnifying?
Focusing on the bad things / "making a mountain out of a molehill".
300
What are three ways you manage / have successfully managed cravings?
Support groups (NA, AA), supportive and sober friends, mentors, sponsors, family, clergy / faith-based supports, physical exercise, mindfulness exercise, reading, guided meditation, painting, being near calming people / places / things.
300
One risk factor in long-term recovery is cross-addiction, which happens when...
... Someone with an addiction replaces their current addiction for another one (often a sober activity).
400
This is an image of a...
Wellness Wheel
400
Finish this chart (assuming this person does not use their skills for each step).
400
What is emotional reasoning?
Listening to our feelings as facts alone.
400
What is a Cravings Tracker and why is it useful?
Learning more about our urges and cravings lets us use more planning and prevention tools to keep us out of trouble.
400
What PAWS stage is associated with rehearsing relapse, about three months of sobriety, "euphoric recall" (remembering the positives of using), and devaluation of progress during recovery?
The Wall Stage (46-120 days)
500
What is a Thinking Report / what does it do?
A way of seeing the relationship between, and tracking: events, thoughts, feelings, behavior, core beliefs, alternative thoughts, alternative behaviors, thinking distortions, thinking patterns, and tactics.
500
Two helpful coping skills to manage external triggers are _________ and _________.
Avoidance and awareness
500
What is extreme thinking?
The always and never talk, "black and white" statements about how things might be if you make a change.
500
What is "urge surfing"?
A coping skill used to "ride out" a craving by staying above water -- remember, cravings begin, peak, and start to come down in about 20 minutes.
500
Many people reach the Resolution Stage after this much time in recovery.
180+ days