Relapse Red Flags
Accountability Check
Emotions & Coping
Recovery Relationships
Real-Life Recovery
100

What can happen when someone stops going to meetings, isolates, and believes they no longer
need support?

Complacency or disengagement from recovery

100

What means accepting responsibility for your choices without blaming others?

Accountability.

100

What can you do before reacting when you feel very angry or upset?

Pause, breathe, or use the STOP skill

100

What do we call limits that protect our time, safety, and recovery?

Boundaries.

100

What do we call a regular daily schedule that supports healthy habits?

Routine or structure.

200

What type of relapse can begin before a person actually uses a substance?

Emotional or mental relapse

200

“Everyone else does it, so why can’t I?” is an example of what?

Rationalization or justification.

200

What four states does HALT stand for?

Hungry, Angry, Lonely, Tired

200

What is it called when someone repeatedly puts another person’s needs ahead of their own
recovery to please or rescue them?

Codependency or people-pleasing.

200

What helps you keep doing recovery activities even when you do not feel motivated?

Consistency or discipline

300

“I can hang around people who are using and be fine.” What warning sign does this suggest?

Overconfidence or minimizing relapse risk

300

What shows accountability better than repeatedly saying “I’m sorry”?

Consistently changing behavior and following through

300

What is it called when someone uses substances to avoid sadness, stress, or anger?

Emotional avoidance or self-medication

300

Someone pressures you to skip treatment. What communication skill can help?

Assertive communication and setting boundaries.

300

Name two things someone can do when a stressful day triggers a craving.

Examples: call a sponsor, attend a meeting, use coping skills, leave a risky setting

400

What is it called when someone remembers the “good times” of using but ignores the
consequences? 

Glorifying or romanticizing past substance use

400

 Someone attends every service but refuses to participate or practice skills. What is missing?

Meaningful engagement or application of recovery skills

400

What DBT skill means accepting reality without having to like it?

Radical acceptance

400

 “If my partner relapses, I have to relapse too.” What is wrong with this belief?

It makes personal recovery dependent on another person’s choices

400

 “Once I have a job and an apartment, I won’t need to work on recovery.” What is missing from this
thinking?

Recovery also requires ongoing coping, support, and internal change

500

Name three warning signs of relapse and one action to take when you notice them

Examples: isolation, secrecy, rationalizing, skipping support, romanticizing use. Action: contact support and follow a relapse-prevention plan

500

How can someone take responsibility after a relapse without getting stuck in shame?

Acknowledge what happened, identify warning signs, seek support, and take corrective action. 

500

Name two healthier ways to respond to the thought “I can’t handle this feeling without using.”

Examples: grounding, urge surfing, calling support, movement, breathing, or challenging the thought

500

A friend keeps crossing your boundaries. Name two healthy responses

Clearly state limits; follow through, seek support, or create distance when needed

500

You get unexpected money, see an old using friend, and argue at home. Name three steps to
protect recovery.

Recognize triggers; set boundaries/leave risky situations; contact support and use a coping plan