Co-Occurring Basics
This term describes having both a mental health disorder and a substance use disorder at the same time
What are co-occurring disorders?
This mental health condition often includes persistent sadness, low energy, and loss of interest.
What is depression?
This word describes a strong urge or desire to use substances.
What is a craving?
This grounding skill uses your five senses to regulate emotions.
What is the 5-4-3-2-1 technique?
This basic need has a huge impact on mood and recovery stability
What is sleep?
This happens when someone uses substances to try to manage emotional pain or mental health symptoms
What is self-medication?
This condition includes excessive worry, racing thoughts, and physical tension.
What is anxiety?
This stage of relapse includes thinking about using but not yet doing it.
What is mental relapse?
In CBT, this comes first: Thought, Feeling, or Behavior?
What is thought?
This daily structure reduces chaos and improves stability
What is a routine?
This type of treatment addresses both mental health and substance use together instead of separately.
What is integrated treatment?
Name one warning sign that mental health symptoms are getting worse.
What are isolation, sleep changes, hopeless thoughts, and irritability?
Name one trigger that might increase the risk of use.
What are stress, conflict, boredom, certain people, and emotions?
This skill involves replacing “I can’t handle this” with a more balanced thought.
What is cognitive restructuring?
Name one "non-negotiable" recovery habit
What are medication, meeting attendance, therapy, sleep, boundaries?
This cycle includes symptoms, substance use, temporary relief, and then worsening symptoms.
What is the co-occurring cycle?
This is a healthy daily habit that strongly supports mental health stability.
What is consistent sleep?
This recovery principle reminds us that progress matters more than perfection.
What is progress not perfection?
Name one healthy coping strategy for anxiety.
What is deep breathing, walking, journaling, calling support?
This protective factor reduces relapse risk by reducing isolation
What is a support system?
True or False.
You must fix your mental health completely before working on substance use.
False
True or False:
Skipping medication can increase relapse risk.
True or False
A relapse means recovery is over
What is false?
This type of coping helps your body calm down physically.
What is somatic coping?
This concept means balancing mental, physical, emotional, and social health
What is wellness balance?