Relapse Prevention
Communication
Cognitive Distortions
Mindfulness
The Four Agreements
100

What is relapse prevention?

A set of strategies used to help individuals maintain positive behavior change by identifying and managing situations, thoughts, and emotions that increase the risk of returning to previous problematic behaviors (such as substance use or unhealthy habits).

100

This communication behavior includes honesty, eye contact, and respectful tone.

Healthy communication skills

100

What are cognitive distortions?

Inaccurate or exaggerated patterns of thinking that can negatively influence emotions and behaviors.

100

This practice involves paying attention to the present moment without judgment.

Mindfulness

100

Following these four principles can support emotional growth and healthier relationships.

The Four Agreements

200

What are triggers?

Internal or external cues that increase the urge to return to a previous behavior, such as substance use or other unhealthy habits.

200

This type of listening focuses on understanding the speaker without interrupting or judging.

Active listening

200

Name the Cognitive Distortion:

“If I feel this stressed, everything is going to fall apart.”

Catastrophizing

200

This mindfulness skill helps people notice cravings or emotions without acting on them.

Urge surfing

200

This agreement focuses on effort rather than perfection.

“Always do your best”

300

What are coping skills?

Healthy strategies people use to manage stress, emotions, cravings, or difficult situations without returning to harmful behaviors.

300

This skill involves clearly expressing your needs, feelings, and boundaries without aggression.

Assertive communication

300

Name the cognitive distortion:

“I messed up once, so I’ve failed completely.”

All-or-nothing thinking

300

This simple mindfulness exercise focuses on slow, deep breaths to calm the body and mind.

Deep breathing

300

This agreement helps reduce misunderstandings by encouraging curiosity instead of assumptions.

“Don’t make assumptions”

400

This daily structure helps reduce idle time, manage triggers, and support long-term recovery.

Healthy Routine

400

This communication tool helps prevent blame by focusing on personal feelings and experiences.

“I” statements

400

Name the cognitive distortion:

“I should be stronger than this.”

Should statements

400

This mindfulness technique helps reduce stress by focusing on physical sensations.

Body scan

400

This agreement reminds us not to assume others’ actions or words are about us.

“Don’t take anything personally”

500

Give 3 examples of healthy coping skills for relapse prevention

Deep breathing or relaxation techniques, Talking to a trusted person or support group, Problem-solving and planning ahead, Distracting activities (exercise, hobbies, music), Positive self-talk and mindfulness, etc

500

Open and honest communication with this group helps build accountability and support in recovery.

Support system (or support network)

500

Name the cognitive distortion:

“Staying sober for a month doesn’t really count.”

Minimizing positives

500

In recovery, this mindful habit helps people pause before reacting to triggers.

Responding instead of reacting

500

This agreement encourages speaking with honesty, kindness, and integrity.

“Be impeccable with your word”