Motivational Interviewing
Coping Skills
Brain Disease
CBT
DBT
Acronyms/terms
AA/12-step
100

Name the five stages of change.

Pre-contemplation, contemplation, preparation, action, and maintenance.

100

Name one healthy coping skill you can use instead of using substances.

Examples include:

  • Walking
  • Journaling
  • Calling a support person
  • Exercise
  • Meditation
  • Listening to music
  • Deep breathing
100

This brain chemical is heavily involved in reward and motivation.

What is dopamine?

100

CBT teaches that our thoughts, feelings, and these are connected.

What are behaviors?

100

The STOP skill begins with the letter "S," which stands for...

What is Stop?


100

What does HALT stand for?

What is HUNGRY, ANGRY, LONELY, TIRED?

100

The first step in many 12-step programs begins with admitting a lack of control over this.

What is the substance/behavior and its impact on one's life?

200

What is the stage of change where individuals are unaware of or deny the problem?

Precontemplation

200

Name three grounding techniques.

Examples:

  • 5-4-3-2-1
  • Deep breathing
  • Progressive muscle relaxation
  • Holding ice
  • Naming objects in the room
200

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

What is the prefrontal cortex?

200

This CBT skill involves looking for evidence for and against a thought.

What is cognitive restructuring (or thought challenging)?

200

A client says, "I accept that this happened, but I don't like it." What DBT concept does this demonstrate?

What is radical acceptance?

200

PAWS stands for...

What is Post-Acute Withdrawal Syndrome?

200

Name two benefits of attending recovery meetings.

Answer: Examples:

  • Social support
  • Accountability
  • Learning coping strategies
  • Hope
  • Reducing isolation
  • Building sober relationships
300

Name a pro of recovery and a con of substance use.

So many options!

300

What's the difference between healthy coping and avoidance?

Healthy coping helps manage emotions while still addressing problems; avoidance delays or escapes them.

300

Repeated substance use strengthens these pathways, making cravings stronger.

What are reward pathways (or neural pathways)?

300

Name one common cognitive distortion.

Examples:

  • Catastrophizing
  • All-or-nothing thinking
  • Mind reading
  • Overgeneralization
  • Personalization
  • Emotional reasoning
300

Identify all parts of the TIPP skill.

What is Temperature, Intense Exercise, Paced Breathing, or Paired Muscle Relaxation?

300

Finish the phrase: "The opposite of addiction is ______."

What is connection?

300

This person supports someone by sharing experience, strength, and hope while helping them work the steps.

What is a sponsor?

400

What is a tool in which we can consider the benefits or consequences of making a decision or behavior change?

Cost-benefit analysis.

400

Demonstrate the 5-4-3-2-1 technique.

5 things we see, 4 things we hear, three things we touch, 2 things we smell, 1 thing we taste.

400

Name two ways addiction affects brain functioning.

Examples:

  • Increased cravings
  • Reduced impulse control
  • Poor judgment
  • Tolerance
  • Withdrawal
  • Emotional regulation difficulties
400

Change this thought into a balanced one: "I relapsed, so I'm a complete failure."

Example: "A relapse is a setback, not the end. I can learn from it and continue my recovery."

400

This DBT skill involves paying attention to the present moment without judging it.

What is mindfulness?

400

Finish the phrase: "This too shall ______."

What is pass?

400

AA meetings often begin and end with this well-known prayer.

What is the Serenity Prayer?

500

Why is it important to know someone's stage of change?

Because interventions should match the person's readiness and motivation for change.

500

Explain why avoiding all uncomfortable emotions can actually increase relapse risk.

What is because avoidance prevents learning that emotions can be tolerated and managed without substances?

500

Clue: Explain the difference between tolerance and withdrawal.

  • Tolerance: Needing more of a substance to get the same effect.
  • Withdrawal: Physical or emotional symptoms when reducing/stopping use.
500

Explain the difference between a thought and a fact.

Thoughts are interpretations or beliefs; facts are objective information that can be verified.

500

Explain the difference between Emotion Mind, Reasonable Mind, and Wise Mind.

  • Emotion Mind: Driven by feelings
  • Reasonable Mind: Driven by facts/logical thinking
  • Wise Mind: Balance of both 
500

This recovery phrase encourages people to imagine the long-term consequences of a choice before acting.

What is "Play the tape forward"?

500

This step involves taking a personal inventory of thoughts, behaviors, and past actions.

What is Step 4: Moral Inventory?