Relapse Prevention
A situation that increases the likelihood of returning to substance use.
What is a trigger?
Focusing attention on the present moment.
What is mindfulness?
This practice involves writing down emotions, thoughts, and experiences to better understand patterns and process difficult feelings.
What is journaling?
Feeling unusually nervous, worried, or on edge is commonly associated with this symptom.
What is anxiety?
“I missed one meeting, so I’ve already messed up my recovery. There’s no point in trying anymore.”
What is all-or-nothing thinking?
What is black and white thinking?
The return to substance use after a period of abstinence.
What is relapse?
Riding out a craving without acting on it.
What is urge surfing?
A person recognizes that their anger is valid but decides that acting aggressively is not. This demonstrates the difference between an emotion and a _____.
What is behavior?
A sudden episode of intense fear accompanied by physical symptoms such as racing heart, sweating, or shortness of breath.
What is panic?
What is a panic attack?
“I had one bad day in treatment. I’m going to end up using again, lose everything, and probably go to jail.”
What is catastrophizing?
A strong desire or urge to use a substance.
What is craving?
A client feels overwhelmed and focuses on slowing their breathing and noticing what is happening in their body before deciding what to do next.
What is grounding?
This involves checking in with yourself and recognizing what emotion you are experiencing before deciding how to respond.
What is awareness?
What is self-awareness?
Excessive alertness or scanning the environment for potential danger.
What is hypervigilance?
What is hyperarousal?
“I messed up once, so I’m a complete failure.”
What is overgeneralization?
A written strategy identifying warning signs, coping skills, and supports.
This skill helps a person tolerate an intense emotional or physical state by using temperature, intense exercise, paced breathing, and muscle relaxation.
What is T-I-P-P?
Giving an emotion a specific name, such as anger, fear, shame, or disappointment, can reduce its intensity and increase awareness.
What is labeling?
Repeated, unwanted thoughts or images that cause distress and are difficult to control.
What is obsessions?
What is mind-reading?
The ability to acknowledge a mistake without defining yourself by it.
What is self-compassion?
This DBT skill encourages a person to pause before reacting, observe what is happening, and then choose how to respond.
What is S-T-O-P?
This process involves identifying the thoughts or beliefs that contribute to an emotional reaction and examining whether they are accurate.
What is reframing?
The loss of interest or pleasure in activities that were previously enjoyable.
What is anhedonia?
“When I get to IOP, I won’t be able to find a job.”
What is fortune-telling?