Relapse
This earliest stage of relapse can include poor sleep, isolation, irritability, and neglecting self-care even when the person is not consciously thinking about using.
What is emotional relapse?
This skill involves recognizing that a craving rises, peaks, and eventually falls rather than trying to immediately make it disappear.
What is urge surfing?
Hunger, anger, loneliness, and tiredness make up this common recovery acronym.
HALT
Fight, flight, freeze, and this fourth response are common automatic reactions to perceived threat or stress.
What is fawn?
Changing unhealthy people, places, and what.
What are things?
Fantasizing about past use, bargaining, romanticizing substances, and thinking about people or places connected to use are signs of this stage.
What is mental relapse?
Meetings, sponsors, sober friends, therapists, family members, and treatment providers are examples of this recovery resource.
What are support systems?
This skill involves examining whether there is evidence supporting a negative or automatic thought instead of immediately believing it.
What is reframing / cognitive restructuring?
A person says "this is our house and you are not using here" this is an example of what?
What is a boundary
Giving money to your partner even though you suspect they will use it to get high is an example of what
What is enabling
The worst cravings come at 6 p.m. on an empty stomach after a fight with their partner. Name the four-item comfort check.
HALT
Calling a sponsor, going for a walk, taking a shower, exercising, or playing a game during a craving are examples of this part of the 3 D’s.
What is Distract?
“I messed up one thing, so I ruin everything” is an example of this type of distorted thinking.
What is all-or-nothing thinking/ overgeneralization?
Symptoms that can last for several months after quitting drugs/alcohol
What is PAWS
What you see here and hear here stays here.
What is anonymity
When you use once on a Saturday and get back on track the next day.
What is a lapse?
Someone is having a desire to use, how long should the activity be to allow the urge to pass?
What is 10-20 minutes?
What is the A in SMART goal?
What is attainable?
The stage of change when you are still actively using and not ready to quit.
What is precontemplation
Doing the right thing when no one is looking is?
What is integrity
"One time won't hurt" or "I can do it in moderation" is an example of what?
What is rationalizing
A person says, “The craving is so strong that I know I’m eventually going to use.” Identify the faulty assumption and give the recovery principle that challenges it.
What is feelings are not facts?
A client thinks, “My friend hasn’t answered me, so they must be angry with me.” What thinking error are they most likely using?
What is mind reading or jumping to conclusions
Someone notices a racing heart, tense muscles, rapid thoughts, and an urge to escape before recognizing that they are anxious.
What is physiological symptoms
The family member that fixes everything and seeks to control situations in a family dynamic?
What is the manager