Stages of Relapse
What are the three stages of relapse?
mental, emotional, and physical
True or False: Feelings always mean something bad is happening.
What is false?
What does “cognitive reframing” mean?
Looking at a situation in a new or more positive way.
What brain chemical is highly linked with motivation?
Dopamine
Recovery is only about stopping drugs or alcohol.
False
True or false: emotional relapse involves lying or being secretive and fantasizing about using.
False. Mental relapse.
True or False: Feeling uncomfortable emotions means recovery isn’t working.
What is false?
If you fail a test and think, “I’m dumb,” what would be a healthier way to reframe that thought?
“I didn’t do well this time, but I can study differently and try again.”
This part of the brain, shaped like a seahorse, stores memories and can trigger cravings when reminded of past substance use.
the hippocampus
About what fraction of people who need treatment for substance use actually receive it?
A- 1 in 8
B- 1 in 10
C- 1 in 4
C- 1 in 4
true or false: someone that thinks they can control their substance use, but has not started using yet is in a mental relapse stage
true
What emotion often shows up as anger in early recovery?
What is anxiety, fear, or sadness?
Why is reframing helpful when we feel upset?
It helps us calm down, see solutions, and not get stuck in negative thinking.
This almond-shaped brain structure is linked to emotions like fear, stress, and anxiety that can fuel relapse.
the amygdala
After 5 years in recovery, does the risk of relapse go up, stay the same, or go down?
It goes down significantly
Skipping meetings falls under what stage of relapse
emotional
What is one way to interrupt anxious thinking?
What is grounding, breathing, distraction, or challenging the thought?
True or False: Reframing means pretending bad things don’t exist.
False. It means looking at them in a healthier way.
Tolerance and withdrawal happen because repeated substance use changes these brain connections.
Neural pathways or synapses
What percentage of people relapse within the first year of recovery
A—10–20%
B-40–60%
C-80–90%
B-40-60%
True or false: Not practicing proper self-care or taking care of yourself is a part of a mental relapse.
False. Emotional
What do we call the ability to notice and name our feelings?
What is emotional awareness?
What is one benefit of practicing reframing every day?
It makes positive thinking a habit and helps us handle stress better.
This part of the brainstem controls breathing and heart rate, which can be slowed dangerously by opioids.
Medulla
About what percentage of people who once had a problem with drugs or alcohol say they are now in recovery?
A-45%
B-62%
C-70%
C-about 70%