External Triggers
(Influences and situations outside of ourselves that can impact our decisions)
Internal Triggers
(What comes from within our own body, mind, and heart that can influence us)
Risk Patterns
(Decisions, thoughts, attitudes, and behaviors that can lead us in a dangerous direction)
Setback Coping Skills
(Strategies to avoid problems associated with substance use and related mental health issues)
Struggling Celebrities
(Famous People with substance use issues who have had a public struggle with relapse)
100

These are the people outside our family who we allowed to get close to us they can either lift you up or lead you into trouble depending on who you choose to associate with.

Friends

100

A powerful yet very common emotion that can mask hurt feelings, feel aggression, trigger relapse, or motivate change depending on how we manage it.

Anger.

100

This avoidant behavior might seem easier at first, but it's actually a warning sign that someone is pulling away from support.

Isolating/Isolation

100

Because setbacks are often part of the process of recovery from substance use and mental health challenges, developing this powerful quality helps us to be able to bounce back and keep moving forward. 

Resilience.

100

Oops, she did it again. This pop star faced highly public struggles with bipolar disorder and substance use in the 2000s including multiple rehab stays and a court ordered conservatorship.

Britney Spears. 

200

This useful device almost everyone has can be a quick way to contact a positive support, but make sure to remove drug dealers backstabbers and drama starters from it if you want to stay on a positive path.

Cell phone.

200

This triggering and often sad emotion is closely associated with losing someone or something, or the anniversary of the loss.

Grief.

200

People often make these up in their own minds to sound like explanations or reasons, but they're really just empty ways to avoid the truth or dodge responsibility. 

Excuses 

200

While how we speak to others matters, but changing for the better often depends on learning to speak more positively to this special person. The one we are always around.   

Ourselves/Self (Positive self talk)  

200

This Detroit born hip hop icon nearly died of overdose in 2007 after a long struggle with addiction (has since maintained sobriety as of 2008) but has spoken about relapsing prior to that point.

Eminem 

300

These special days that come up on several times per year are often associated with family traditions and parties which can be challenging to deal with, especially early in recovery.

Holidays/Anniversaries

300

This can be experienced physically in our body or emotionally in our mind and in either case it can trigger the urge to self medicate as a way to escape.

Pain.

300

This comment, but avoidable state of mind often creeps in when there's nothing to do and can lead people to chase excitement or relief in unhealthy ways, especially during early recovery. 

Boredom 

300

Whether you call it mindfulness or insight, this ability to look inward with honesty helps us understand who we really are and stay aligned with our goals, motives and values. 

Self awareness 

300

This six time Grammy winning vocalist sold over 200 million records but had intermittent periods of sobriety and struggled with relapse for many years until she was sadly found dead in her bathtub with drugs in her system in 2012.

Whitney Houston  

400

We need this to survive in this world. And almost everyone wants more of it. But when you get a lot of it at once, it can be a huge trigger.

Money.

400

A negative and critical inner voice fueled by past trauma, stigma or unmet expectation often speaks through this toxic emotion.

Shame 

400

This common behavior often begins with small lies, or half truths, to avoid consequences in the moment. But over time, it can damage trust, hurt relationships and prevent personal progress, especially when the truth eventually comes out. 

Dishonesty 

400

Coping with substance use and mental health challenges is never about perfection. What truly matters is striving for a little more of this positive change each day. 

Progress  

400

This actor and movie star was once on one of the biggest shows in TV, making almost 2 million per episode until he was fired due to his drug use and erratic behavior in 2011 and then later eventually contracted HIV due to his risky lifestyle.

Charlie sheen 

500

Common objects to a person associates with substance use that can be triggering such as straws, razors, spoons, pipes.

Paraphernalia.

500

This dangerous mindset makes people believe they're past the danger, ignoring warning signs and thinking they've got it all under control, even when they don't.

Overconfidence/Cockiness.

500

This risky pattern of behavior bypasses, thinking, planning and self control leading straight into action often followed by consequences like regret setbacks, trouble or relapse. 

Impulsivity, Impulsiveness 

500

When emotions start to spiral or anxiety takes over, this coping skill helps bring us back to the present moment by using our senses or focusing on what's around us or even what is directly beneath our feet. 

Grounding. 

500

This actor won the Academy Award for Best Actor in 2005 and was sober for over twenty years before relapsing and then dying of an overdose in 2014 just prior to the release of one of the Hunger Game movie sequels he starred in. 

Philip Seymour Hoffman 

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