This communication style avoids conflict and often ignores one’s own needs.
passive
Boundaries are meant to control other people — true or false?
false (boundaries are about protecting yourself, not controlling others)
This substance class slows down the central nervous system.
depressants
Substances can impact mood, sleep, memory, and judgment — true or false?
true
Mental health and substance use disorders often occur together — true or false?
true (co-occurring disorders)
This style expresses needs clearly while respecting others.
assertive
Name one type of boundary.
(examples: emotional, physical, time, digital, sexual, financial)- any correct type, I will also accept examples of setting a boundary.
True or false: Prescription drugs can still be addictive.
true
What brain system is heavily affected by addiction?
the reward system (dopamine pathways)
Name one healthy coping skill.
any valid coping skill
This style often involves blaming, yelling, or intimidation.
aggressive
Saying “I’m not comfortable with that” is an example of what?
setting a boundary
What substance is commonly associated with Cannabinoid Hyperemesis Syndrome (CHS)?
cannabis/weed/marijuana/pot
Name one mental health symptom that substance use can worsen.
anxiety, depression, paranoia, mood swings, irritability, psychosis
Why is self-awareness important in recovery?
helps identify triggers, patterns, emotions, needs, and relapse warning signs
This communication style mixes indirect hostility with avoidance.
passive-aggressive
Why do people in early recovery often struggle with boundaries?
guilt, fear of rejection, people-pleasing, low self-worth, habit patterns, trauma history
Why does tolerance increase over time?
The brain adapts to the substance and needs more to get the same effect.
Why do substances often increase anxiety long-term even if they reduce it short-term?
rebound effects, nervous system dysregulation, withdrawal symptoms, sleep disruption
What’s the difference between a lapse and a relapse?
lapse = brief return to use; relapse = return to old patterns of use
note: Relapses do not always have to do with substances, sometimes people have relapses of mental health symptoms, i.e. suicidal ideation, homicidal ideation, hallucinations, delusions, etc.
Why is assertive communication especially important in recovery?
It supports honesty, boundaries, relapse prevention, and healthier relationships.
How do boundaries support sobriety or mental health stability?
reduce stress, prevent triggers, protect time/energy, support self-respect, reduce relapse risk
Why is mixing substances especially dangerous?
increased overdose risk, unpredictable interactions, and higher risk of respiratory depression
Name one non-substance way to regulate emotions.
breathing, grounding, movement, music, journaling, calling support, coping skills
How does communication impact mental health?
reduces isolation, increases support, improves emotional regulation, and helps resolve conflict