What does perception mean?
The way we interpret and understand reality through our senses and thoughts.
What are boundaries?
Limits that protect our wellbeing and define what's okay or not okay.
What does HALT stand for?
Hungry, Angry, Lonely, Tired
True or False: Substances can reduce anxiety long-term
False - they often worsen it over time
What is a refusal skill?
A strategy for saying no to substances or pressure to use.
True or False: Substances can make our perception of time and reality more accurate.
FALSE - the opposite
True or False: Setting boundaries is selfish.
FALSE
What's the difference between an internal and an external trigger?
Internal = thoughts, feelings, memories; external + people, places, things
Why does anxiety often increase during withdrawal or early recovery?
The brain is recalibrating neurotransmitters; stress response is heightened.
True or False: You have to give people a full explanation when you say "no".
False
Name one way substance use can change your perception of yourself or others.
Examples: feeling more confident, paranoid, numb, or disconnected
What's one example of a boundary you can set with people who still use substances?
Examples: Not hanging out when they're using, not keeping substances in your space, etc.
Give one example of an internal trigger and one example of an external trigger.
Internal: guilt
External: being at a party
^ Examples
Racing heart, restlessness, sweating, etc.
Name one effective refusal technique.
Change the subject, use humor, leave the situation, use "I" statements, etc.
When someone is under the influence, their brain may misinterpret social cues. What kind of conflict can this lead to?
miscommunication, arguments, or physical altercations
What's one sign that someone is crossing your boundaries?
Ignoring your "no", guilting you, or disrespecting your limits.
How can being tired or hungry increase your risk of relapse?
It lowers impulse control and makes emotions harder to manage.
How can grounding or mindfulness help with substance related anxiety?
It keeps focus in the present and reduces rumination.
What's an example of a high-risk situation where you'd need to use refusal skills?
Example: Friends offering you and drink at a party.
Reflection: How has your perception of yourself or your environment changed since becoming sober or reducing use?
any answer - group can also answer
Reflection: Share one boundary that has helped you protect your recovery.
Group reflection time
Reflection: Identify one HALT area you struggle with most and one coping skill you could use to manage it.
Group Discussion piece
Reflection: When you feel anxious, what's one healthy way you can regulate yourself without using?
Group reflection piece
Reflection: What's one phrase or strategy that feels natural for you when saying no?
Group reflection piece