Emotional Literacy & Core Emotions
Emotions & Substance Use
Distress Tolerance Skills
Anger, Shame & Guilt
Healthy Emotional Expression
100

This is the first emotion we experience before reactions show up.

What are primary emotions?

100

Substances are often used to avoid or numb this.

What are uncomfortable emotions or emotional pain?

100

These skills help survive emotional pain without substances.

What are distress tolerance skills?

100

This emotion often shows up when boundaries feel violated.

What is anger?

100

Healthy expression is assertive, respectful, and this.

What is clear or honest?

200

Emotions like anger or shame can be reactions to this.

What are the underlying or primary emotions (e.g., fear, sadness)?

200

Emotional awareness can reduce this relapse risk.

What is Emotion-driven substance use?

200

Distress tolerance focuses on getting through this moment.

What is the present moment or emotional crisis?

200

This emotion is linked to beliefs about being bad or unworthy.

What is shame?

200

Avoiding emotional expression can increase this risk.

What is emotional buildup, relapse risk, or impulsive behavior?

300

Identifying emotions helps reduce this impulsive response.

What are impulsive reactions or urges?

300

Unmanaged emotions often increase this urge.

What are cravings or urges to use?

300

Using these skills can lower emotional intensity.

What is the intensity of emotions or cravings?

300

This emotion can motivate repair when managed healthily.

What is guilt?

300

Expressing emotions clearly supports this relationship skill.

What is communication and boundary-setting?

400

Naming emotions increases this recovery skill.

What is emotional awareness and regulation?

400

Recognizing emotions early supports this choice.

What are healthier coping or recovery-oriented decisions?

400

Practicing distress tolerance reduces this risk.

What is the relapse risk?

400

Unprocessed emotions often lead to this behavior.

What is substance use, avoidance, or impulsive behavior?

400

Fear of judgment often blocks this behavior.

What is healthy emotional expression?

500

Awareness of emotions can change this behavior.

What are decision-making and coping responses?

500

Emotions influence decisions and behavior by

What is shaping thoughts, urges, and actions?

500

Tolerating emotions builds this recovery strength.

What is resilience and self-efficacy?

500

Coping skills can change the outcome of these emotions by

What is reducing intensity and supporting healthier responses?

500

Healthy expression supports long-term recovery by

What is reducing emotional suppression and relapse vulnerability?