Name that Distortion
CBT Triangle
Reframe it
Relapse Risk Thinking
Recovery Skills
100

“I made one mistake at work. I always mess everything up.”

What is all-or-nothing thinking (or overgeneralization)?

100

Thought: “I can’t handle this.”
Likely emotion?

What is anxiety (or fear)?

100

“I blew it. I ruined everything.”

What is “I made a mistake, but I can get back on track”?

100

This distortion makes small slips feel like total failure.

What is all-or-nothing thinking?

100

What is the first step in changing distorted thinking?

What is awareness?

200

“They didn’t text me back. They must be mad at me.”

What is mind reading (or jumping to conclusions)?

200

Emotion: Shame
Common behavior that might follow?

What is isolation (or avoidance, or using)?

200

“They think I’m weak.”

What is “I don’t actually know what they’re thinking”?

200

This distortion predicts negative outcomes without evidence.

What is fortune telling?

200

This technique asks: “What is the evidence for and against this thought?”

What is cognitive restructuring (or evidence testing)?

300

“I feel like a failure, so I must be one.”

What is emotional reasoning?

300

Behavior: Skipping meetings
Likely thought pattern behind it?

What is “I don’t need this” (minimization) or “It won’t matter”?

300

“I should be further along by now.”

What is “Recovery happens at different speeds”?

300

This distortion ignores progress and focuses only on flaws.

What is disqualifying the positive?

300

Name one behavior that can interrupt negative thought spirals.

What is going to a meeting, calling support, journaling, exercising, etc.?

400

“I’ve been sober 6 months, but that’s nothing compared to other people.”

What is minimization (or disqualifying the positive)?

400

Which comes first: emotion or behavior?

What is “It depends — they influence each other”?

400

“I never do anything right.”

What is “Sometimes I struggle, but I also succeed”?

400

This distortion assumes you caused someone else’s mood.

What is personalization?

400

True or False: Feelings are facts.

False

500

“If I am this stressed, I’m definitely going to relapse.”

What is catastrophizing (or fortune telling)?

500

Explain how a cognitive distortion could lead to relapse using the thought → emotion → behavior cycle.

Catastrophizing → anxiety → avoidance or using to cope.

500

“If I have cravings, I’m failing.”

What is “Cravings are normal in recovery”?

500

Name one distortion that increases shame.

What is emotional reasoning, magnification, or all-or-nothing thinking?

500

What is the goal in recovery thinking: perfect thoughts or flexible thoughts?

Fixable thoughts