Triggers
What is a Trigger?
Something that encourages a person to want to use or makes them think about using
What is the coping skill when you focus on something else called?
Distraction
What are the dosing hours vs clinic hours?
Dosing hours are M-F 6am - 12 noon
Clinic hours M-F 5:30 - 2:30
What is Mindfulness?
Mindfulness is the act of focusing on your surroundings to let you control your thoughts instead of them controlling you.
What are side effects of Methadone?
Increased sweating, constipation, itchy skin, slow breathing, sexual problems, restlessness
What kinds of triggers are there?
Internal and external
give examples of both
What is an example of a distraction coping skill?
Watching TV, listening to music, talking a walk, spending time with positive people, cooking....
What are behaviors that can get you discharged from the program?
Violence at the program, threatening a staff member, dealing drugs at the program... not dosing for 14 days, disregard for the rules of the program.
Where can you practice Mindfulness?
Anywhere! All you need if your mind!
How long does it take your body to fully absorb your methadone dose?
7-13 minutes
When should you use a coping skill?
When I am feeling any emotion that is causing me distress or I am thinking about doing something I might regret later.
Example, when feeling angry, depressed, triggered to use, manic happiness....
What happens if you miss 3 or more days of dosing?
Must meet with nursing. Dose will be dropped. Nursing will then bring you back to the lobby where you can get a number and get in line for dosing.
How can Mindfulness help your mental health?
Decrease Anxiety, depression,
Increase mood regulation, anger regulation, empathy...
Why do you need an EKG on Methadone?
Methadone slows down your heart a small amount, so they want to ensure there are no other heart issues already there.
What coping skills can you do daily to prevent urges to use?
Prevention: Sleep 8 hours, Go to a meeting, talk about your feelings, exercise, practice mindfulness...
What happens if you forget your lockbox on a holiday weekend?
You will be sent home to get a lockbox.
Name 4 kinds of mindfulness practice
Grounding, meditation, Body Scan, Mindful eating, yoga, exercise, gratitude...
What happens if I forget an exception take home bottle.
You will not receive your next take home. The chart is noted that the bottle was not returned, and the issue is reported to your counselor and could result in the permanent loss of take-home doses.
What is the something you can do to be prepared when you experience a trigger to prevent use?
Develop a structured schedule.
Fill your schedule.
Attend AA/NA or support group meetings.
Volunteer somewhere
Find a hobby you like and join a group.
What is an opposite action coping skill?
An act that creates the opposite emotion of what you are feeling.
For example, When Sally wants to punch a wall, she looks at happy pictures of her family. She feels angry, but does something that makes her feel happy instead.
What is an MDT?
This is a meeting with the multi disciplinarian team. Usually your counselor, a representative from medical and another person from leadership will conduct a meeting to iron out issues that may be occuring.
How does mindfulness benefit your physical health?
It lowers blood pressure,
lower cortisol levels (stress hormone),
increases immune function (get sick less often),
Increases Empathy for others
Lowers Heart rate
Lower Anxiety
What's the difference with between Methadone and Suboxone?
Suboxone makes you go into withdrawal if you use opiates.
Methadone is a full agonist and Suboxone is a partial agonist. Both block the euphoric feelings of the opiate.