Relapse Prevention
Triggers
The Brain & Addiction
Coping Skills
Window of Tolerance
100

These are people, places, or things that can make you want to use again.

What are Triggers?

100

Feeling hungry, angry, lonely, or tired are all examples of this recovery acronym.

What is HALT?

100

This chemical is known as the “feel-good” or reward neurotransmitter.

What is Dopamine?

100

Writing down thoughts and feelings to process emotions is this coping tool.

What is Journaling?

100

These emotions describe this type of arousal outside of the window- “heart racing, can’t sit still, anger, anxiety.”

What is Hyperarousal?

200

his is the first thing you should do if you experience a slip.

What is reach out to soomeone for support?

200

This type of trigger comes from your thoughts or emotions.

What is an Internal Trigger?

200

After stopping substance use, the brain’s reward and decision-making systems can take this long to fully stabilize.

What is Up to 2 years?

200

This breathing technique involves inhaling, holding, exhaling, and holding again — each for a count of four.

What is Box Breathing?

200

These emotions describe which state of arousal outside of the window of tolerance- “numb, disconnected, tired, hard to think.”

What is Hypoarousal

300

This plan helps you prepare for high-risk situations by identifying triggers and coping responses ahead of time.

What is Relapse Prevention Plan?

300

This type of trigger comes from situations, people, or environments.

What is External Trigger?

300

Recovery helps create new brain connections through healthy habits — a process called this.

What is Neuroplasticity?

300

When cravings hit, watching a funny video, calling a friend, or cleaning your space are examples of this coping strategy to stop yourself from thinking about it?

What is Distraction?

300

A coping skill that can help bring you down from the hyperarousal state where your heart is racing and you feel out of control?

What is box breathing, movement, art, etc?

400

Most cravings only last this long before they fade on their own — if you can ride them out.

What is 15 minutes?

400

Seeing, smelling, or hearing something that reminds you of using can spark this automatic reaction.

What are Cravings or Urges?

400

This part of the brain is responsible for emotions, memory, and cravings.

What is the Amygdala?

400

This grounding activity uses your five senses — naming what you can see, hear, feel, smell, and taste — to stay present.

What is the 5-4-3-2-1 technique?

It activates the parasympathetic nervous system (the body’s relaxation response), grounding you in the here and now instead of future worry or past regret. For people in recovery, it’s especially useful to “ride out” cravings or emotional overwhelm.

400

Substance use, stress, and trauma can do this to the window of tolerance?

What is shrink it?

500

Because the brain can need this long to fully heal, people in recovery are encouraged to keep strong supports and routines even after the first year.

What is Up to 2 years?

500

One of the most common relapse emotional triggers?

What are lonliness, anger, feeling deprived, or stress?

500

This part of the brain helps control impulses and decision-making.

What is the Prefontal Cortex?

500

Externalizing and interacting with our thought avatar can take this away from them

What is Power?

500

The zone where our nervous system feels safe enough for us to think clearly, make decisions, and connect with others.

What is window of tolerance?