12 Step
What is our primary purpose in AA?
To stay sober and help other alcoholics achieve sobriety.
The first benzodiazepine was?
*HINT* It is commonly prescribed to a patient in the hospital to help safely withdraw from alcohol.
Librium
Which organ is most sensitive to the ACUTE effects of alcohol?
The Brain
Which Neurotransmitter is associated with feelings of anxiety, depression, impulsivity and aggression?
Serotonin
Recite the serenity prayer?
God, grant me the serenity to accept the things I cannot change. Courage to change the things I can, and the wisdom to know the difference.
What are the names of the AA co-founders?
Bill Wilson & Dr. Bob Smith
What is the main cause of the hepatitis C infection?
Sharing Needles.
The removal of alcohol from the body begins as soon as alcohol is absorbed in the bloodstream. How do un-metabolized amounts of alcohol leave the body?
*Hint* there are 3 ways.
Through sweat, urine and breath.
Post-acute withdrawal syndrome (PAWS) is the persistence of subtle yet significant emotional and psychological problems that can last for _______ into recovery and can trigger relapse.
3-6 Months.
3rd step prayer.... finish the sentence:
"Relieve me of the ______ ____ ______"
Bondage Of Self
Name the 4 horsemen.
1. Terror
2. Bewilderment
3. Frustration
4. Despair_____ depresses the overall functioning of the central nervous system causing sedation, muscle relaxation, drowsiness, and if used to excess, coma.
DOWNERS
Why are women who are heavy drinkers at a greater vulnerability to liver disease than heavy drinking men?
1. Women have less gastric ADH than men.
2. Women have more fat and less water in their bodies than men.
3. Less alcohol is metabolized in the stomach for women, so more alcohol is passed into the small intestine.
_______ results from the biological adaptation of the body due to prolonged use of a psychoactive drug (yes that includes alcohol). The body compensates by resetting normal homeostatic levels and altering homeostatic mechanisms to withstand chemical stressors.
Tissue Dependence.
This creates an altered state of balance that maintains the stability of biological systems by the continued exposure to drugs. Certain drugs change the body so much that tissues and organs become dependent on the drug simply to stay functional. One of the signs that tissue dependence has developed is the appearance of WITHDRAWAL SYMPTOMS when the drug use has stopped.
"The promises" of Alcoholics Anonymous are connected to which step?
Double points if you can recite the promises.
Step 9.
1. If we are painstaking about this phase of our development, we will be amazed before we are half way through.
2. We are going to know a new freedom and a new happiness.
3. We will not regret the past nor wish to shut the door on it.
4. We will comprehend the word serenity and we will know peace.
5. No matter how far down the scale we have gone, we will see how our experience can benefit others.
6. That feeling of uselessness and self-pity will disappear.
7. We will lose interest in selfish things and gain interest in our fellows.
8. Self-seeking will slip away.
9. Our whole attitude and outlook upon life will change.
10. Fear of people and of economic insecurity will leave us.
11. We will intuitively know how to handle situations which used to baffle us.
12. We will suddenly realize that God is doing for us what we could not do for ourselves
What is the number 1 offender?
Resentment
Which diagnosis has the greatest impact on society?
Chemical dependency
The work of what researcher is considered to be the catalyst for the reframing of alcoholism from a defect to an illness?
E.M. Jellinek.
A statistician whose research helped reframe societies views on alcoholism.
These are the major symptoms of __________.
1. Unclear thinking and cognitive Impairment.
2. Memory Problems
3. Emotional overreaction and mood swings.
4. Sleep disturbances.
5. Motor coordination and dizziness problems.
6. Difficulty managing stress.
Post-Acute Withdrawal Syndrome (PAWS)
Yes, it is normal to not feel 100%. Be gentle on yourself for some time.
Name 4 Mindfulness practices.
1. Yoga
2. Guided meditations. Youtube has tons and Kaiser clients get the Calm app for free. Check it out.
3. Breathing exercises.
4. Sound healing/Meditation.
5. Body Scanning.
6. Journaling.
7. Focused Attention.
8. Tai Chi.
Remember, mindfulness is a journey, not a destination. Be patient with yourself and enjoy the process of cultivating a more present and peaceful state of mind. Practice regularly and often for optimum benefits.
According to the big book of Alcoholics Anonymous-- what do we think is the root of our troubles?
Selfishness--Self-centeredness
What percentage (5% margin of error) of pills tested by the DEA contained Fentanyl?
42% of pills tested contained roughly 2mg of Fentanyl which is considered a lethal dose.
________ is a chronic brain disorder that causes memory loss, confusion, and difficulty learning new information. It's usually caused by a deficiency of thiamine, also known as vitamin B1 as a result of alcohol use disorder.
Wernicke-Korsakoff Syndrome
or
Wet Brain
__________is the inability to feel pleasure. It's a common symptom of depression as well as other mental health disorders and common in people with a substance use disorder.
Anhedonia
Most people understand what pleasure feels like. They expect certain things in life to make them happy. Maybe you enjoy riding your bike, listening to the sounds of the ocean, or holding someone's hand. But some people lose the ability to feel joy. The things that once made them content are no longer fun or enjoyable. That's anhedonia.
What step is prayer and meditation connected with?
Step 11.
Sought through prayer and meditation to improve our conscious contact with god as we understood him, praying only for the knowledge of his will for us and the power to carry that out.