Recovery Stages
Challenges
Solutions
Risk Factors
The 4th Stage
100

The first stage of recovery which begins when a person first stops using drugs and alcohol and from lasts one to two weeks. This stage is characterized by physical detoxification and intense cravings for the drug.

What is Withdrawal?

100

People and places that are associated with drug use and should be avoided.

What is a Trigger?

100

The part of the Trigger-Thought-Craving-Use sequence where interruption should occur after and the easiest place to interrupt the sequence.

What is Thought?

100

Concern about weight gain, low energy and fatigue, interpersonal conflict, loss of motivation, insomnia, and paranoia are all types of this, which are common during the protracted abstinence stage of recovery.

What are relapse risk factors?

100

These begin to occur less often and feel less intense by the adjustment and resolution stage of change.

What are cravings?

200

The second stage of recovery usually lasts about four weeks. It is characterized by difficulty concentrating, mood swings, intense feelings, and the inability to prioritize. It is sometimes known as the "Honeymoon" or "Pink Cloud" stage.

What is Early Abstinence?

200

The type of trigger that includes friends, drug dealers and sexual partners.

What is People?

200

It is a type of thought-stopping that involves imagining actually moving a switch or lever from on to off.

What is visualization?

200

A very important thing to practice, particularly regular exercise, along with the understanding and support of family members can greatly help a person negotiate difficult phases of recovery.

What is good self-care?

200

A faulty premise is that people in recovery have no _____ about whether to use drugs or remain in recovery.

What is choice?

300

This stage (sometimes called the "Wall") lasts about three to four months and is often characterized by apathy, depression, and anhedonia, while continuing to make positive changes and beginning to reap the benefits of recovery.

What is Protracted Abstinence?

300

The type of trigger that can include a drug dealer's home, bars and clubs, work, or certain street corners.

What are places?

300

It is worn on the wrist and used in thought-stopping to "snap" your attention away from thoughts of using drugs or alcohol.

What is a rubberband?

300

Drugs other than those that someone considers to be their primary problem drug or alcohol, which can often lead to relapse.

What are secondary drugs?

300

This a critical task for the adjustment and resolution stage and in the future. It is necessary to sustain ongoing abstinence and sobriety and it will look different for everyone when it is optimal.

What is balance?

400

A way recovering people can learn to interrupt the trigger-thought-craving-use sequence.

What is Thought Stopping?

400

The type of trigger that includes drug paraphernalia, money, music associated with use, and the use of another drug.

What are things?

400

A process that can relieve feelings of hollowness and heaviness by breathing in deeply and slowly breathing out, preparing the process three times, and focusing on the body.

What is relaxation?

400

The part of the human brain responsible for rational decision-making, which becomes less active when using substances.

What is the prefrontal cortex?

400

Emerging or reemerging emotional or relationship issues may cause this and a desire to use drugs or alcohol.

What is distress?

500

The stage where a person is well past physical withdrawal and often feels very accomplished, which can result I a false sense that life can return to pretreatment normal. To remain successful in this stage requires a new definition of "normal."

What is Adjustment and Resolution?

500

Type of trigger that includes anxiety, depression, and boredom.

What are emotional states?

500

Tasks that require full concentration and can be used when thought-stopping works, but the thoughts frequently keep coming back, such as exercise, 12-step meetings, meditation or prayer, or eating or sleeping.

What are Non-trigger activities?

500

A gradual letting go of the structure, including treatment activities and mutual help groups, and other behavioral changes that a person has worked hard to achieve.

What is a behavioral drift?

500

Occur when the addicted brain attempts to provide a seemingly rational reason for behavior that moves a person in recovery closer to a slip.

What is a relapse justification?

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