What causes anxiety?
Biological and Psychological factors
This term describes how substances require more and more to feel the same effect.
Tolerance?
The stage of change where a person actively maintains sobriety and implements relapse prevention strategies is called this.
maintenance stage
This type of plan outlines warning signs, coping strategies, and support systems to prevent a return to substance use.
Relapse Prevention Plan
The belief that you are worthy of love and respect is called this.
What is self-worth?
What is a safety behaviors
The practice of staying in the present moment is called this.
Mindfulness
This neurotransmitter is primarily responsible for reward, motivation, and pleasure.
Dopamine
Chronic substance use can overstimulate this neurotransmitter system, causing the brain to downregulate receptors and making natural rewards—like food, social connection, or hobbies—less pleasurable, which contributes to cravings and relapse.
What is the brain’s dopamine reward system?
People with healthy self-esteem are more likely to set these in relationships
Boundaries
What is a natural and easy way to produce serotonin in your body?
Stand like a top lobster
A return to old behaviors that can become a learning opportunity.
What is relapse?
Long-term alcohol use can shrink this part of the brain, which is responsible for decision-making, impulse control, and regulating emotions, often contributing to poor judgment and emotional instability.
Prefrontal Cortex
Imagine stress is a character. Act out what stress would look or sound like.
:)
Celebrating your achievements is a form of this.
Self-recognition or self-appreciation?
What does avoidance do to anxiety?
The long term result is more overwhelming to confront
This is the first stage of relapse, which often begins in a person’s thoughts and emotions.
Emotional Relapse
What is step 4?
Made a searching and fearless moral inventory of ourselves.
This type of self-care involves managing stress and practicing relaxation techniques.-- DOUBLE JEOPARDY
What is emotional self-care?
Negative thoughts that are exaggerated or unrealistic are known as these.
cognitive distortions
What is the fight or Flight response?
The fight-or-flight response, or acute stress response, is an automatic, hardwired survival mechanism that prepares the body to confront or flee from perceived danger. Triggered by the amygdala and hypothalamus, it releases adrenaline and cortisol, causing rapid heart rate, heightened senses, and increased energy to handle threats, whether physical or psychological.
What is urge surfing
Stop- Drop- Delay
This evidence-based cognitive-behavioral technique involves recognizing negative thought patterns, challenging distorted thinking, and replacing it with balanced, constructive thoughts to reduce stress and prevent relapse.
What is cognitive restructuring?/CBT
Name 15 Self Care habits
:)
What is step 12?
Having had a spiritual awakening as the result of these Steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs. (giving back)