Cognitive Distortions
Gratitude vs. Complaining
Radical Acceptance
DBT Distress Tolerance Skills
Family Dynamics & Recovery
100

Q: What distortion is it when someone sees things as all good or all bad?

A: All-or-Nothing Thinking.


100

Q: Complaining makes small problems feel ______.

A: Huge.


100

Q: Radical Acceptance does not mean approval. True or False?

True

100

Q: What DBT skill encourages you to focus only on the current task instead of worrying about everything at once?

A: One-thing-at-a-time (mindfulness).


100

Name one common family role found in addiction-impacted families.

A: Hero, Scapegoat, Lost Child, Mascot, Caretaker, Addicted Person (any one).


200

Q: What do we call it when someone jumps to the worst possible outcome right away?

A: Catastrophizing.


200

Q: Gratitude increases which two “feel-good” brain chemicals?

A: Dopamine and Serotonin.


200

Q: What’s the difference between pain and suffering, according to the lesson?

A: Pain is what happens; suffering is resisting what happens.


200

Q: What DBT skill uses the five senses to calm down?

A: Self-soothing.


200

Q: What is the family behavior called when one person tries to “fix” everyone else’s problems?

A: Caretaking (or over-functioning).


300

Q: What distortion happens when someone blames themselves for things they didn’t cause?

A: Personalization.

300

Q: Gratitude helps shift your focus from what’s missing to what’s ______.

A: Present (or available).



300

Q: Name one thing that is outside your control, according to the Circle of Control exercise.

A: Others’ behavior, past mistakes, cravings that arise, weather, timing of opportunities (any one).


300

Q: What is one physical action you can take to quickly lower intense emotion?

A: Deep breathing (or cold water, movement, etc.).


300

Q: What is a common challenge people face when changing old family patterns?

A: Feeling guilty or uncomfortable.


400

Q: What distortion happens when someone decides they know what others are thinking without proof?

A: Mind Reading (a form of Jumping to Conclusions).


400

what does gratitude do to your nervous system?

Activates the calming system (reduces stress and anxiety).

400

Q: What is one common obstacle to radical acceptance?

A: Believing acceptance means giving up, emotional overwhelm, perfectionism, or “I should be fine by now” thinking (any one).

400

Q: What is one communication skill that means repeating back what someone said to show you understood them?

A: Active listening.


400

Q: What is one common reaction families have when someone in recovery starts changing?

A: They feel confused or unsure how to adjust (or they resist the change).


500

Q: “I FEEL like a failure, so I must be one.” Which distortion is this?

A: Emotional Reasoning.

500

Q: What emotion usually increases when people complain repeatedly?

A: Stress.


500

Q: When someone keeps saying “This shouldn’t be happening,” what are they resisting?

A: Reality.


500

Q: What communication style is clear, respectful, and honest — not aggressive or passive?

A: Assertive communication.


500

Q: What is one benefit of understanding how your family role affected you growing up?

A: You gain awareness to break old patterns and choose healthier behaviors.