Brain & Biology
Cravings & triggers
DBT &CBT Skills
Stages of change
Identity & Purpose
100

This neurotransmitter is known as the brain’s ”feel-good” Chemical?

What is dopamine

100


Cravings can feel ______, ______, and ______.



What are physical, mental, and emotional?


100


CBT focuses on how ______ affect feelings and behaviors.



What are thoughts?


100


This stage is when a person doesn’t yet see their behavior as a problem.



What is precontemplation?


100


Addiction often replaces a person’s identity with this single label.


What is “I’m an addict”?


200

The prefrontal cortex is responsible for these two functions.

what are decision making and impulse control

200


Give one example of an internal trigger.



What are boredom, anxiety, depression, excitement, or loneliness?


200


DBT combines mindfulness, emotion regulation, interpersonal skills, and ______.



What is distress tolerance?


200


This stage is when a person is “on the fence” — aware of the problem but ambivalent.



What is contemplation?


200

Name one personal role someone might want to reclaim in recovery.


What are parent, partner, worker, friend, community member, etc.?


300

This area of the brain stores emotional memories and triggers stress and cravings

what is amygdala 

300


Give one example of an external trigger.



What are people, places, smells, money, or celebrations?


300


This CBT tool involves identifying and replacing irrational thoughts.



What is cognitive restructuring?


300


This stage is when someone begins planning concrete steps to change.



What is preparation?


300

According to Dr. Walter Ling, long-term recovery is about building this kind of life.


What is a sane and meaningful life?


400

Name 3 stages of the addiction cycle in the brain

binge/intoxication, withdrawal/negative affect, preoccupation/anticipation

400


This term describes how the brain reacts with dopamine to cues even before using.



What is cue-reactivity?


400


In DBT, DEAR MAN is a skill used for this purpose.



What is assertive communication / interpersonal effectiveness?


400

Name two common relapse prevention tools used in the maintenance stage.


What are monitoring, support groups, CBT/DBT skills, relapse prevention plan, etc.?


400

This therapy approach helps clients “rewrite” their personal stories.


What is narrative therapy?


500


Addiction rewires this brain system, which normally reinforces survival behaviors like eating and bonding.



What is the mesolimbic reward pathway?


500


Name two coping strategies for handling cravings.



What are mindfulness, delay techniques, support systems, grounding, etc.?


500


Name one distress tolerance skill that helps a person endure crisis without making it worse.



What are self-soothing, distraction, pros/cons, or radical acceptance?


500


True or False: Relapse is a failure.


What is false? (It’s part of the process for many, and an opportunity to recommit.)


500

Name two core values that can guide recovery.


What are integrity, love, perseverance, compassion, resilience, honesty, etc.?