Stages of Change
Growth
Substances and Harm Reduction
Recovery
Mental Health
100

Direct steps towards a goal

Action

100

the feeling we experience when we leave familiar territory.

Discomfort

100

This medication can reverse opioid overdoses if given quickly.

Narcan/Naloxone

100

the willingness to be vulnerable and believe someone will act in your best interest.

Trust

100

mental, emotional, and physical limits we set to protect our well-being

Boundaries

200

Denying or ignoring the problem

Precontemplation

200

the belief/mindset that abilities, behaviors, and emotional patterns can change through effort, learning, and persistence rather than being permanently fixed.

Growth Mindset

200

a complex condition in which there is uncontrolled use despite harmful consequences.

Substance use disorder

200

anything (internal or external) that brings up thoughts, emotions, or memories connected to substance use or distress

Trigger

200

the skill of planning, organizing, and using time effectively to achieve goals and meet responsibilities.

Time management

300

Sustaining the healthy behavior, avoiding temptation

Maintenance

300

an individual’s ability to make choices, take control of their life, and actively participate in their recovery, guided by personal values and goals.

Self determination

300

 intense, often irresistible urges to use a substance or engage in a compulsive behavior, driven by measurable changes in the brain’s reward, motivation, and memory systems.

Cravings

300

 a peer-supported fellowship designed to help individuals overcome addiction, compulsive behaviors, or related challenges through structured steps, mutual aid, and personal accountability.

12 step group (AA, NA, etc)

300

communication skill that allows individuals to stand up for their own rights or the rights of others in a calm, direct, and respectful manner without being aggressive or passive

Assertiveness

400

Experimenting with small changes, collecting information about change

Preparation

400

recognizing and taking responsibility for one’s actions, choices and wellbeing — including acknowledging how one’s behavior affects themselves and others.

Accountability

400

Some harm reduction programs offer this service to help people get tested and treated for diseases like HIV or Hep C, often at the same place they get supplies.

Screenings

400

a mindfulness-based technique that helps individuals observe and manage cravings or impulses without acting on them, allowing urges to rise and fall naturally like waves.

Urge surfing

400

faulty beliefs and perspectives we have about ourselves and/or the world around us.

Thought distortions

500

Ambivalence, conflicted emotions, uncertainty

Contemplation

500

Any statement a person makes that favors positive change. It is the language of growth, motivation, and movement toward healthier choices.

Change talk

500

the use of substances to self-administer treatment for conditions when the user is not a medically qualified professional. May use to escape, numb or avoid.

Self medicating

500

to negative attitudes, beliefs or stereotypes about people with mental health conditions or substance use disorders  

 Stigma

500

state in which you focus on the present moment intentionally and without judgment; observing your thoughts, feelings, and bodily sensations as they arise rather than reacting automatically to them

Mindfulness