Stages of Change
In this stage, clients deny they have a problem?
PRE- CONTEMPLATION
Views addiction as a chronic, relapsing brain disorder.
disease model
Drugs aren’t bad, that’s just media hype.
Denial
Programs like Safe Injection Sites are examples of this approach.
HARD REDUCTION
This medication helps reduce nicotine cravings.
Wellbutrin/Zyban (Bupropion)
Stress, old friends, or boredom can all be examples of these type of triggers?
relapse triggers
A client planning to change in the next 30 days is in this stage
Preparation
Includes strategies like Safe Injection Sites and Methadone.
Harm Reduction Model
"Heroin made me thinner and more social.”
Rationalization
True or False — One single treatment works for everyone.
false, duh
True or False — Some medications assist with cravings, withdrawal, or co-occurring disorders.
TRUE
HALT stands for this in relapse prevention.
Hungry, Angry, Lonely, Tired
This stage involves active behavior modification and environmental change.
action
TRUE OR FALSE: Final Common Pathway Model: Describes multiple risk factors interacting to raise/lower risk to increase vulnerability to addiction.
true
Logical but false reasoning to excuse use.
Rationalization
True or False — Even Mandated treatment can still be effective for some
true for some
This medication causes violent illness if alcohol is consumed.
Antabuse (Disulfiram)
Deep breathing, exercise, or distraction are examples of what?
Coping strategies for cravings
Healing strategies for triggers
coping strategies for cravings
Clients weighing pros and cons of quitting are in this stage.
Combines biology, psychology, and social factors.
Biopsychosocial Model
Other people smoke heroin and they’re fine.
Minimization
True or false:
3 Months(90 days), is the amount of time in treatment clients need to fix themselves?
False. 90/3 months + seem to have the best outcomes, but not a strong correlation to length of time vs approaches
PAWS stands for this in recovery.
Post-Acute Withdrawal Syndrome
True or False — Relapse means treatment has failed.
fAlSE
FALSE
false
fAlse
False
This stage comes after Action and focuses on sustaining change.
Maintenance
Rooted in the “demon rum” temperance movement
moral model
You just want me to quit for your sake.
projection
NOT AN ADVANTAGE OF RESIDENTIAL TREATMENT
structured environment
less expensive
peer support
reduced triggers
less expensive
true or false: These medications can be used in opioid substitution therapy.
Methadone, Buprenorphine/Suboxone, Advil
false: Methadone, Buprenorphine/Suboxone
Advil? nope
PAWS can last weeks or months — what does it mean?
Post-Acute Withdrawal Syndrome
Post-Acute Withdrawal Syndrome (PAWS) = the set of lingering withdrawal symptoms that can show up weeks or months after the initial detox is over.
Early withdrawal = shakes, sweats, nausea (the “acute” part).
Post-acute = mood swings, anxiety, sleep problems, poor focus, low energy — things that come and go in waves.
👉 Easy way to think of it: PAWS is your brain and body still “resetting” after substance use, long after the worst withdrawal is done.