Most common addiction across the nation...
Alcohol
In 2025, 25.7 million had an alcohol use disorder (SAMHSA, 2025).
Feelings of worry, uneasiness, or dread...
Anxiety
What does 'DBT' stand for?
Dialectical Behavioral Therapy
What is the Serenity Prayer?
"God, grant me the serenity to accept the things I cannot change, courage to change the things I can, and wisdom to know the difference."
What does HALT stand for?
What is HUNGRY, ANGRY, LONELY, TIRED?
True or False: A relapse prevention plan should not be revised and re-evaluated
False. A relapse prevention plan should be continually looked at and re-evaluated to ensure that it fits current feelings, situations, etc.
Substance with a high death rate in the U.S., higher than suicide...
Fentanyl
Last year, synthetic opioids—primarily fentanyl—accounted for about 70,600 deaths; accounting for nearly 64% of all U.S. drug overdose deaths in that timeframe (CDC, 2025).
Feelings of extreme sadness, shame, guilt and/or dispair...
Depression
A____ is always necessary for an individual to take control of their future sobriety and avoid future relapse. This involves identifying personal triggers and helpful coping skills.
What is a Relapse Prevention Plan
List the four core components of DBT skills
Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness
What is the answer to all our problems today?
Acceptance
The four types of trauma responses are...
fight, flight, freeze, fawn
What is the difference between a lapse and a relapse?
A lapse is a brief return to use; a relapse is a full return to the pattern of use. **Some people define a true lapse as when you honestly admit to using and "tell on yourself."
With continued substance abuse the brain will stop producing this brain chemical that enables pleasure..
Dopamine
This term describes the physical and psychological discomfort experienced in early sobriety as the brain adjusts to functioning without substances...
Post-Acute Withdrawal Syndrome (PAWS)
What does the 'Wise Mind' combine?
Reasonable Mind and Emotional Mind
Something greater than themselves in recovery
Higher power
This coping skill involves calming your body's stress response through techniques like deep breathing, grounding, and movement, which signal to this system that you are safe and can shift out of 'survival mode.'
Regulating your nervous system
This treatment approach uses medications to reduce cravings, block the effects of substances, or manage withdrawal symptoms, and is often combined with counseling and behavioral therapies.
Is the most easily addicting substance...
Nicotine
Nicotine has a 67.5% dependence probability, giving it one of the highest addiction rates of any substance—surpassing alcohol, cocaine, and cannabis (NIH, 2017).
TRUE or FALSE? Treating mental health and addiction cannot happen at the same time. It is important to treat the addiction first and then the mental health.
FALSE! Although it may be important to stabilize and demonstrate sobriety prior to participating in treatment, mental health can and SHOULD be addressed at the same time as addiction!
The SMART goal-setting framework reminds us how to set effective goals: What does SMART stand for?
Specific, Measurable, Achievable, Relevant, and Time-bound
This DBT skills is an acronym that we can use to get our wants and needs met, to say no, and to set boundaries. This skill is the DBT version of practicing assertiveness.
DEAR MAN
(Describe, Express, Assert, Reward, Mindful, Appear confident, Negotiate)
A realization period for someone suffering from addiction. It’s a stage where they will look outside of themselves, or inside of themselves, and find a newfound perspective or purpose.
Spiritual Awakening
Why is it important to have more than one coping skill that works for you?
Different situations require different tools; having options increases success in managing stress and cravings
This trauma-focused therapy uses bilateral stimulation, such as guided eye movements or tapping, to help the brain process distressing memories and reduce their emotional charge.
EMDR (Eye Movement Desensitization and Reprocessing)
Very commonly consumed legal substance that causes dopamine release, urges and cravings, and withdrawal symptoms ...
hint: not alcohol
What is the 'Window of Tolerance'?
The zone in which a person can manage emotions without becoming overwhelmed or shutting down
Pre-contemplation; Contemplation; Preparation; Action; Maintenance
What kind of skill is grounding (which core concept) and what is an example?
Mindfulness;
Ex: 5-4-3-2-1; temperature shock; body scan; categories game; object description.
It works if...
you work it!
Identify an example of one internal trigger and one external trigger.
Internal: Any negative thought or feeling
External: People, places, activities, objects, and situation
What is the difference between guilt and shame
Guilt focuses on a specific behavior ("I did a bad thing")
Shame targets your entire identity or self-worth ("I am bad")