Thinking Errors
Boundaries
12 Step Principles
Mental Health Conditions
Odyssey House Lingo
Medical
100

The inability to see shades of gray. Everything is viewed in terms of extremes.

What is all or nothing?

100

These refer to personal space and physical tough. These boundaries may be violated if someone touches you when you don’t want them to, or if they invade your personal space, such as rummaging through your bedroom.


What are physical boundaries?

100

We admit that we are powerless over alcohol and that our lives had become unmanageable.


What is the first step in the 12-step program?

100

Racing thoughts, nervousness, irritability, poor sleep, increased heart rate, muscle tension and sense of impending danger.


What are the Symptoms of Generalized Anxiety Disorder?


100

A drop in a level of treatment.


What is a bust back or a demotion?

100

Suboxone, Methadone, Vivitrol and Sublocade.

What are drugs used for medically assisted treatment? (MAT).


200

When a person assumes they know what someone else is thinking.


What is mind reading?

200

These refer to thoughts and ideas. These boundaries include respect for others’ ideas and an awareness of appropriate discussion. These boundaries are violated when someone dismisses or belittles another person’s thoughts or ideas.


What are intellectual boundaries?

200

Bill Wilson and Dr. Bob Smith.


Who are the co-founders of Alcoholics Anonymous? 

200

Poor time management, sloppy work, continually misplacing things, extreme impatience, can’t focus, and interrupting others.


What are the symptoms of Attention Deficit/Hyperactivity Disorder?


200

To bypass a level in the structure to get your needs met without an encounter or bridge.


What is jumping structure?

200

Track marks, infections, abscesses, bloodborne pathogens, such as Hep C and HIV.

What are signs of IV drug use?


300

When we accept our emotions as fact. It is often described as “I feel it; therefore, it must be true.”

What is emtional reasoning?

300

These refer to a person’s feelings. These boundaries include limitations on when to share, and when not to share, personal information. These boundaries are violated when someone criticizes, belittles, or invalidates another person’s feelings.


What are emotional boundaries?

300

A person who guides and supports another member through the steps.


 Who is a sponsor in 12-step programs?

300

Sluggishness, feeling worthless, sadness, loss of pleasure, change in appetite and sleep, decreased concentration, headaches and thoughts of suicide.


What are symptoms of Major Depressive Disorder?


300

The facility and the people living in it.


What is the house?

300

Symptoms and signs that begin and worsen quickly.

What is an acute condition?


400

Taking everything personally or assigning blame to oneself.


What is personalization?

400

These refer to the emotional, intellectual, and physical aspects of human sexuality. These boundaries can be violated with unwanted sexual touch, pressure to engage in sexual acts, leering, or sexual comments.

What are sexual boundaries?

400

The Big Book


What is the title of the foundational text for Alcoholics Anonymous?

400

Nightmares, flashbacks, detachment from others, anger outbursts, hypervigilance, negative beliefs and self-destructive behaviors.


What are the symptoms of Post-Traumatic Stress Disorder?


400

A full structured meeting to gather facts from a client.


What is an inquest group?

400

Liver or heart failure, pancreatitis, stroke, cancer, and brain damage.

What are potential health risks related to substance use?

500

When positive experiences are rejected. 


What is disqualifying the positive?

500

These refer to money and possessions. These boundaries involve setting limits on what you will share, and with whom. These boundaries are violated when someone steals or damages another person’s possessions, or when they pressure them to give or lend them their possessions.


What are material boundaries?

500

 A spiritual entity that members turn to for strength and guidance.


What is the concept of a "Higher Power" in 12-step programs?

500

Fear of germs, excessive hand washing, needing things symmetrical, can’t tolerate uncertainty, repeatedly checking, and thoughts of losing control.


What are the symptoms of Obsessive Compulsive Disorder?


500

To deep clean all living spaces and common areas thoroughly.


What is General Inspection? (GI)

500

Symptoms that last at least a year, need ongoing medical attention and limits activities of daily living.

What is a chronic condition?


600

Giving less weight to positive things and more weight to negative things.

What is minimization?

600

Avoids intimacy and close relationships, unlikely to ask for help, has few close relationships, very protective of personal information, may seem detached, even with romantic partners and keeps others at a distance to avoid the possibility of rejection.

What are the characteristics of someone with rigid boundaries?

600

To take a personal inventory and promptly admit when we are wrong.

What is the focus of Step 10?

600

Mood Swings, unusually high energy levels, engaging in risky activities, difficulty concentrating, lack of interest in activities, trouble focusing or making decisions changes in sleep patterns, grandiosity, social withdrawal, and thoughts of self-harm or suicide.

What are the symptoms of Bipolar Disorder?


600

Senior level residents, Navigator and Discovery.

What is upper house?

600

Frequent urination, thirst, fatigue, hunger, weight loss, blurred vision, dry skin, tingling feet and hands.

What are the symptoms of Diabetes?


700

Expecting the worst possible outcome in any situation.

What is catastrophizing?

700

Over-shares personal information, difficulty saying “no” to the requests of others, over-involved with others’ problems, dependent on the opinions of others, accepting of abuse or disrespect and fears rejection if they do not comply with others.

What are the characteristics of someone with porous boundaries?

700

"One day at a time." "Let go and let God." "Easy does it." "Progress, not perfection." "Keep it simple." "This too shall pass."

What are common 12 step slogans?

700

Limited emotions and facial responsiveness, lack of motivation to initiate activities, limited verbal communication, reduced social interactions, visual and auditory hallucinations, delusions and paranoia.

What are the symptoms of Schizophrenia?

700

When a client refuses to take ownership for their behavior during a group.

What is running the group around.

700

No insurance, poor mobility, high copays/deductibles, doctor unavailability and no transportation.

What are barriers to healthcare?


800

Holding rigid rules about how you or others should behave.

What are should statements?

800

This happens when someone ignores or repeatedly pushes past your limits.

What is a boundary violation?

800

Narcotics Anonymous (NA), Over-Eaters Anonymous (OA), Gamblers Anonymous (GA) and Cocaine Anonymous (CA).

What are other types of 12-step programs other than AA?

800

Caregiver frequently presents a child with unexplained medical issues. Symptoms appear to be fabricated or exaggerated by the caregiver. Child undergoes numerous medical tests and procedures without clear diagnosis. Child's symptoms improve when separated from the caregiver.



What are the symptoms of Munchausen by Proxy

800

A period of time intended to help a client focus on issues by journaling and only talking with appropriate structure.

What is treatment refocus?

800

Hospital discharge reports, immunizations records, lab test results, current medication list and medical procedures completed.

What is medical documentation?