Stages of Change
Feeling sad, tired, and out of control characterize this stage.
The withdrawal stage (#1)
Everything is going great! My day is free, I chill all day, and have few responsibilities or activities. What do I need to do?
What is the correct name of this stage (#3)?
"The Wall"
What is the name of the fourth stage?
The Adjustment Stage
What does PAWS stand for?
Post-Acute Withdrawal Syndrome
The Wall (#3)
"I don't want to use right now and I 100% guarantee I will never use drugs again." What is this term and what is the suggested action?
Overconfidence, learn about addiction
"Running, riding my bike, doing yoga, and beating my punching bag when I feel sluggish or depressed." What is the suggested action?
Exercise
The adjustment stage usually takes place between days __ and __ of recovery.
121 and 180
Name three different PAWS symptoms:
Inability to think clearly, memory problems, emotional overreactions or numbness, sleep disturbances, physical coordination problems, stress sensitivity.
The stage in which the body has made most repairs and people usually feel great.
The Honeymoon Stage (#2)
"Every now and again I have a craving to use. So far I have used the power of my will to not give into the cravings." What is the suggested action?
Thought-stopping techniques
What is the 'hallmark' of this stage?
Boredom and Fatigue
The adjustment stage starts after this number of months of abstinence.
Four months
In PAWS, symptoms can reoccur within _____ or ______.
Months or years
This stage begins as your energy and mood improves.
The adjustment stage (#4)
"It's 4am and I still can't fall asleep. I guess I just have more energy now that I'm not using." What is the suggested action?
Exercise
What is the key to making it through 'the wall'?
____ helps individuals cope with boredom with sobriety during the adjustment stage.
Starting new activites
What is the difference between PAWS and withdrawal?
The withdrawal symptoms associated with the first detox stage, called acute withdrawal, are primarily physical.
Unlike acute withdrawal, post-acute withdrawal symptoms are mostly psychological and emotional symptoms.
Exercise helps to avoid complacency and inactivity during this stage.
The Resolution Stage (#5)
"I'm starting to feel a little lonely and bored with all my free time. Maybe one of my old friends wants to hang out?" What is the suggested action?
Identify 2 of the 6 common problems and 2 suggested solutions that were mentioned during the stages of recovery discussion.
Problems: sluggishness, depression, relapse justification, thinking about using, unfocused activity, loneliness, boredom, or family problems.
Solutions: exercise, identify relapse justification, thought-stopping, schedule time, group involvement, family therapy.
What are three examples of suggested actions during this stage?
Relationship counseling, group involvement, goal-setting, school counselling, and starting new activities.
What causes PAWS (in the brain)?
It’s caused by an imbalance of neurotransmitters in the brain. As it tries to reach equilibrium, it causes brain chemicals to fluctuate until they’re stable.