Stages of Change
Mental Health and Substance Use
Mindfulness and Meditation
Thinking Traps
Recovery Basics
100

This is the stage where someone says, “I don’t have a problem.”

What is Precontemplation?

100

This mental health condition often includes excessive worry and racing thoughts.

What is anxiety?

100

This means paying attention to the present moment without judgment.

What is mindfulness?

100

These are inaccurate or exaggerated ways of thinking that affect feelings and behavior.

What are cognitive distortions?

100

H.A.L.T.

What is "hungry, angry, lonely, and tired."

200

This stage involves thinking about change but not acting yet.

What is Contemplation?

200

Feeling very sad, low energy, and losing interest are signs of this.

What is depression?

200

Mindfulness helps you pause before you do this.

What is act or react?

200

Assuming you know what others are thinking without evidence.

What is mind reading?

200

Given that substances impact the prefrontal cortex, which is responsible for decision-making and impulse control, it is important to remember the brain continues developing until about this age.

What is "25-28?"

300

This stage is getting ready and making a plan to change.

What is Preparation?

300

Alcohol may help short-term but makes symptoms do this long-term.

What is worsen (or get worse)?

300

This is something you can focus on to calm down quickly.

What is your breathing?

300

Expecting the worst possible outcome.

What is catastrophizing?

300

This is a person you can reach out to for support in recovery.

What is a sponsor / friend / support?

400

This stage involves actively making changes in behavior.

What is Action?

400

This is one healthy way to cope instead of using substances.

What is (any coping skill)?

400

Stress activates this system.

What is fight-or-flight?

400

Seeing things as all good or all bad with no middle ground.

What is all-or-nothing thinking?

400

This is something you should avoid when trying to stay sober — people, places, or things.

This is something you should avoid when trying to stay sober — people, places, or things.

500

This stage involves maintaining progress and continuing healthy behaviors over time.

What is Maintenance?

500

Using substances to cope with emotions is called this.

What is self-medicating?

500

While not an actual aquatic activity, this tool can help you get through a craving without using.

What is Urge Surfing?

500

Thoughts lead to ______, which then lead to behavior.

What are feelings?

500

This can happen in recovery and means you should keep trying, not give up.

This can happen in recovery and means you should keep trying, not give up.