Relapse Prevention
AA/NA Topics
Defense Mechanisms
Coping Skills
Codependency and manipulation
100

Feelings, people, or situations that cause the brain to want to use substances. If you're not aware of them, they can cause you to relapse.

Triggers 

What are/were your triggers

100

Someone who helps guide a newcomer through the processes of NA or AA

A Sponsor *Do you have your sponsor? Share about your experience

100

Changing the target of an emotion while the feelings remain the same.  (Angry about a bad day at work and you go home and kick the dog.)

Displacement 

Have you used displacement? Give an example.

Ask a group member about their experience with this defense mechanism.

100

A mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations, used as a therapeutic technique.

Mindfulness

100

Manipulation involving exploiting interactions between two people who are not communicating directly.

Triangulation

Give an example of how you used this in your addiction or in your recovery.

200

This state of mind can be fatal for recovery! It's characterized by being too comfortable or not feeling motivated to continue doing the work.

Complacency

Have you ever been complacent? How did you figure out that you were complacent?  How did you respond to the complacency?

200
Two steps that involve reflecting within oneself and the past for the purpose of breaking the cycle of shame Feelings of shame and inadequacy.


Steps 4 and 5

Share with the group your experiences with going through these steps.

200

Consciously removing an idea or feeling from consciousness.

Suppression 

200

A practice pertaining to spirituality/religion that can be utilized daily.  Address a solemn request or expression of thanks to a higher power. 

Prayer 

If you are willing to share, what is something that you've prayed about this week?

200

In a healthy relationship it is always important establish and maintain healthy ____________! (Personal limits that individuals set for themselves to protect their well-being, values, and sense of self within a relationship.)

Boundaries.


What is a boundary you've set within recovery. 

*Ask two group members this question.

300

A phenomenon where an individual looks back at their addiction and thinking that their addiction as not being as bad as it was.

Minimization

Give an example where you've used minimization

300

Refers to an individual who has stopped drinking alcohol but continues to exhibit the same behaviors and attitudes associated with their previous drinking habits. This term, coined by the founder of Alcoholics Anonymous.

Dry Drunk

Have you experienced this in yourself or others? What were the behaviors or attitudes?  

* Feedback from one group member

300

Returning to an earlier stage of development.

Regression

300
Utilizing sight, sound, etc... as a means to achieve mindfulness which can also be accompanied by breathing exercises.

5 Senses Grounding Technique.

300

Contributing factors for why people may be codependent include.....

1. Upbringing and past experiences

2. Learned behavior 

3. Denial/minimization

4. Low self esteem 

5. Need for control

400

Identifying and writing down triggers, coping skills, people, and activities that can help prevent a relapse

Relapse Prevention Plan    *Raise your hand if you have a relapse prevention plan

400

A common phrase repeated in AA/NA as an important part of recovery relating to the aspect of control and this saying may assist a person with accepting certain life circumstances as they are.  

Can't change people, places, or things.

How has this saying helped you?

400

Channeling of one's emotions or urges into something more useful or safe, such as a person leaning into sports as a way to release stress and aggression.

Sublimation

Have you used this defense mechanism.  If yes elaborate.


400

Getting professional support from a neutral person who can help with mental health and addiction concerns 

Therapy/Counseling

400

Ability to directly state your feelings and needs in a respectful manner.

 Assertive/Effective Communication

Give an example of when you've used this communication and when you've used the other types of communication (passive, aggressive, or passive-aggressive)

500

Convincing yourself that it's okay or that you have to use substances/engage in addictive behaviors

Relapse Justification

Have you ever used relapse justification. How?

Ask someone in the group this question.

500

Topic is covered in page 417 of the AA Big Book.

Acceptance.   

Read section in the book.

What are you having difficulty accepting OR what have you had difficulty accepting in the past? 

*Two follow up questions from group members


500

Attributing one's own thoughts, feelings, or behaviors onto another person.  

Example:  You are being unfaithful to your spouse and suspecting or accusing them of infidelity.

Projection

Have you ever used this defense mechanism?

500

This written method of coping can help an individual process and reflect on themselves and their recovery.

Journaling

500

The practice of psychologically manipulating someone into questioning their own sanity, memory, or powers of reasoning.

Gaslighting 

Ask a group member if they've used this and have them give an example.