Stages of Relapse
What are the Three Stages of Relapse
Emotional, Mental, & Physical
Signs of emotional relapse are also the symptoms of PAWS
True
Name the process of craving.
Trigger, thought, craving.
What are three people/places that you can go to get support in recovery?
Meetings, sponsors, healthy family, healthy friends, group members, church, etc.
True or False: A relapse prevention plan should not be revised and re-evaluated
False. A relapse prevention plan should be continually looked at and re-evaluated to ensure that it fits current feelings, situations, etc.
What are Coping Skills?
A set of skills that someone uses in order to avoid and deal with triggers and cravings.
What are self-defeating thoughts?
Cognitive Distortions
What type of relapse is the act of using alcohol or another drug
Physical Relapse
Relapse prevention involves focusing on the early stages when it's still easier to do something
True
What are internal triggers?
A thought or a feeling that can create a craving to use.
Talking to someone, learning to ask for help, and practicing honesty can be examples of?
Relapse prevention skill or coping skill
It is referred to as an inability to maintain behavior change over time.
Relapse
Name two coping skills
Talking to someone, grounding techniques, deep breathing, meditation, distraction activity, etc.
What Cognitive Distortion does this describe?
Your coworker was a saint until she ate your sandwich. Now, you cannot stand her.
Polarization or All-Or-Nothing Thinking
Thinking about yourself and the world in an "all-or-nothing" way.
What type of relapse is fantasizing about using, lying, looking for opportunities to use, etc.
Mental Relapse
The key to relapse prevention is to understand that it happens gradually
True
What are external triggers?
People, Places, and Things
In order to increase ___ you may need to find new goals, engage in exciting events, exercise, and eat more protein.
Dopamine
Returning to undesirable behaviors despite consequences; often after rehabilitation.
Recidivism.
What are two benefits from having and using healthy coping skills?
Raised self-esteem, better mental health, decrease in cravings/urges, prevents relapse, etc.
What Cognitive Distortion is this an example of?
You feel insecure about your relationship. So, when you see your partner looking serious you assume they might be losing interest in you.
Jumping to Conclusions
When you jump to conclusions, you interpret an event or situation negatively without evidence. Then you react to your assumption.
This is a brief return to use prior to regaining sobriety and engaging in your sobriety network.
Lapse
Relapse prevention involves saying no just before you are about to use.
False. Saying "no" is the final and most difficult stage to stop, which is why people relapse.
These types of Triggers focus on Depression, Anxiety, Anger, and other emotions
Internal Triggers
What is cross addiction?
When we replace our main drug/activity of choice with another unhealthy activity.
Name 5 Recovery Support Meetings.
Alcoholics Anonymous, Narcotics Anonymous, SMART Recovery, Dharma Recovery, Health Realization, Al-Anon, CMA, SA, etc.
What are cognitive restructuring techniques?
Strategies that focus on challenging and replacing negative thoughts with positive, supportive ones.
What Cognitive Disorder does this example describe?
I know they don't really want to help me, that is why I won't ask for any help.
Mind-Reading
Beginning to isolate, become complacent, avoiding own problems or emotions are an example of what kind of relapse?
Emotional Relapse
Bargaining, lying, seeing old friends and minimizing the consequences are a part of physical relapse.
False (mental relapse)
A reluctance in connecting with your support system or reaching out for help.
Isolation
What are three possible signs that a relapse may be approaching?
Interacting with old friends, engaging in cross addiction, going to old using places, irritation, poor emotional control, isolation, stop going to meetings, not talking to sponsor, etc.
You should "H.A.L.T." when you feel triggered, and check for these feelings. What does H.A.L.T. stand for?
Hunger, anger, loneliness, and tiredness
This DBT skill refers to the start, crescendo, and decrease of the intensity of cravings or emotion.
Urge Surfing/Wave Surfing
What Cognitive Distortion is this an example of?
What if my alarm doesn't go off? What if then I'm late for the important meeting? What if I get fired after I've worked so hard for this job?
Catastrophizing
You jump to the worst possible conclusion in every scenario no matter how improbable it is.