Coping with Urges
Relapse Prevention Basics
Warning Signs
High-Risk Situations
Distraction & Delay Skills
100

What is urge surfing?

A technique where you “ride out” the urge like a wave instead of giving in to it.

100

What does relapse mean in recovery?

Returning to substance use after a period of abstinence; it’s part of the recovery process, not failure.

100

Name one common change in mood that signals a warning sign.

Anger, anxiety, boredom, or depression.

100

What is a high-risk situation?

A situation where you’ve used substances before and that increases relapse risk.

100

Name one activity that can distract you from an urge.

Going for a walk, listening to music, reading, or calling a friend/sponsor.

200

How do you “ride the wave” of an urge?

By acknowledging the urge, observing it without judgment, and knowing it will pass.

200

What are the “Three A’s” for managing relapse warning signs?

Awareness, Acceptance, Action.

200

Give an example of a change in behavior that is a warning sign.

Skipping meetings, isolating from others, or neglecting self-care.

200

What percent of people relapse due to social pressure?

~20%

200

Why does delaying your response to an urge help?

It gives the urge time to weaken and reduces the chance of acting on it.

300

Name three strategies from the 14 basic coping strategies.

Avoid triggers, distract yourself, call on social support. (Many others possible)

300

Why is relapse considered a process, not an event?

Because relapse usually develops over time with warning signs and high-risk situations before use.

300

What is the difference between warning signs and high-risk situations?

Warning signs are internal changes before relapse; high-risk situations are external environments that increase risk.

300

Name two examples of high-risk situations related to emotions.

Negative emotions and positive emotions (like celebrating).

300

List two physical activities that can serve as distractions.

Walking, yoga, running, swimming...

400

What are the key reminders when practicing urge surfing?

Urges are temporary, discomfort is normal, urges don’t have to be acted on.

400

What does acceptance mean in the Three A’s model

Seeing the warning signs without judgment and accepting the situation as it is.

400

What personal warning signs might be unique to someone?

Increased dishonesty, depression during holidays, or other unique behaviors.

400

How can lifestyle factors increase relapse risk?

Being around people who use or buying substances in risky locations.

400

Name two arts or crafts that can be used as distraction.

Painting, knitting, scrapbooking, woodworking.

500

How can role models and social support help with coping urges?

They provide encouragement, advice, and motivation from experience.

500

How can learning from past relapses help prevent future ones?

It helps you recognize patterns and develop better coping plans to avoid future relapse.

500

What should you do if you identify a warning sign?

Use the Three A’s: be aware, accept without judgment, and take action to manage it.

500

What is a “test personal control” high-risk situation?

When someone uses to see if they can control their use without relapse.

500

What is an example of a social activity that helps delay urges?

Attending a support group meeting or inviting a friend out.