Co-Occurring Basics
Name That Disorder
Signs & Symptoms
SUD + Mental Health
Just for Fun Riddles
100

What does co-occurring disorders mean?

Having both a substance use disorder and a mental health disorder.

100

Persistent sadness, loss of interest, low energy, and hopelessness may be symptoms of what disorder?

Depression

100

True or False: Everyone experiencing anxiety has an anxiety disorder.

False

100

True or False: Substance use can sometimes worsen mental health symptoms.

True.

100

What has hands but cannot clap?

 A clock

200

What is another commonly used term for co-occurring disorders?

Dual diagnosis.

200

Excessive fear, worry, nervousness, or feeling constantly “on edge” can be associated with what category of disorders?

Anxiety disorders

200

What term describes seeing, hearing, or sensing something that isn't actually present?

Hallucination

200

Using alcohol or drugs in an attempt to cope with emotional or mental health symptoms is sometimes called what?

Self-medication.

200

What gets wetter the more it dries?

A Towel

300

True or False: A person must develop their mental health disorder before their substance use disorder for them to be considered co-occurring.

False.

300

Episodes of depression combined with periods of unusually elevated or irritable mood and increased energy may occur with what disorder?

Bipolar disorder

300

What is a strongly held false belief that remains despite evidence that it isn't true?

Delusion

300

Give one mental health condition that commonly occurs alongside SUD.

 Examples include depression, anxiety disorders, PTSD, bipolar disorder, ADHD, schizophrenia, etc.

300

What has many keys but can't open a single lock?

A piano

400

Why can identifying co-occurring disorders sometimes be difficult?

Symptoms of substance use, withdrawal, and mental health disorders can overlap or affect one another.

400

Flashbacks, nightmares, avoidance, and feeling constantly on guard after trauma may occur with what disorder?

PTSD

400

Trouble sleeping, irritability, mood changes, or difficulty concentrating could come from mental health symptoms, substance use—or what third possibility?

Both/interaction between the two

400

Which should be treated first—the SUD or the mental health disorder?

Generally, both should be addressed together/in an integrated way rather than ignoring one condition.

400

What is so fragile that saying its name breaks it?

Silence.

500

What is an important treatment principle when someone has both a mental health disorder and SUD?

Both conditions should be addressed as part of treatment/recovery.

500

Hallucinations, delusions, and disorganized thinking can be symptoms associated with what disorder discussed in co-occurring-disorder education?

Schizophrenia

500

Why is it important not to diagnose a mental health disorder based on one symptom alone?

Symptoms can have many causes, and diagnosis requires looking at the overall pattern, duration, functioning, substance use, and other factors.

500

Finish the cycle: Mental health symptoms → substance use to cope → temporary relief → ______ → increased desire to use again.

Symptoms/problems worsen.

500

What has thirteen hearts, but no other organs?

A deck of playing cards.