The Ol' Trigger and Cravings Column
Something that increases urge to use
What is a trigger?
Technique of paying attention to thoughts without judgment
What is Mindfulness?
These are limits someone will place to show how they would like to be treated by others. These limits are for the person and not for others.
WHAT IS BOUNDARIES?
Relapse begins before any substance use. This statement reflects what concept?
What is relapse as a process?
A memorable cast member of a long running sketch comedy show, shown Saturday nights, he was a rotund comedian who was best friends with castmate, David Spade. His characters include a man who said "in a van, down by the river," and was also a lunch lady. Adam Sandler still misses him dearly. Cocaine and morphine were found in his toxicology.
Who is Chris Farley?
A person, place, or thing linked to past use
What is an external trigger?
After feeling stressed, Taylor reminds herself, “This will pass and I have control.” This is an example of what coping skill?
What is positive self-talk or cognitive reframing?
These statements start with “I feel…” and help express feelings without blaming others.
What are I-statements?
Irritability, isolation, and poor sleep appear before cravings. What relapse stage is this?
What is emotional relapse?
She was known for her soulful sound, black beehive hairdo and winged eyeliner. The public was completely aware of her addiction, as evidenced by her most famous song about not wanting to go to rehab. She passed away to alcohol poisoning after being clean for a period of time.
Who is Amy Winehouse?
A craving occurs after a stressful argument. This is best classified as what type of trigger?
What is an internal (emotional) trigger?
This skill helps someone recover after a mistake without giving up their progress completely.
What is recovery resilience?
This communication style combines respect for self and others.
What is assertive communication?
What is the clinical difference between lapse and relapse in trajectory modeling?
What is lapse is isolated event; relapse is return to pattern of use?
She was an American model, actress, TV personality. Vickie Lee Hogan. Playboy model. Blonde, curvy. Married a geriatric billionaire in 1994 right before he died and created a family feud over the estate. Borderline Personality Disorder. Her 20 year old son died in the hospital room that she had just delivered a baby in—which in itself was a complete media frenzy and controversy that multiple men could have fathered. She had her own TV show depicting her as white trash. Died in 2007 at the age of 39.
Who is Anna Nicole Smith?
This term describes resisting a craving without acting on it.
What is coping with urges?
This skill means recognizing situations that might lead to relapse before they happen.
What is identifying high-risk situations?
A client maintains sobriety but refuses all emotional support, stating, ‘If I let people in, I’ll lose control again.
What is this client's boundary style?
What is Rigid?
What is the order of the relapse stages?
What is emotional → mental → physical relapse?
He was an American “Friend” actor. History of substance abuse in the media. Best friends to “Joey”. Died at age 54 in 2023, of Ketamine overdose.
Who is Matthew Perry?
This brain process reinforces cravings when a substance is repeatedly used.
What is reinforcement?
This is the process of replacing automatic negative behaviors with intentional healthier responses.
Example- replacing alcohol with exercise.
What is behavioral substitution learning? (replacement behavior)
A client reconnects with a high-risk friend from their using days because they feel bad ignoring their messages, despite knowing it threatens sobriety.
What is this type of boundary style?
What is porous?
Jack is actively negotiating with themselves about using, but has not yet contacted a dealer, used, or fully committed to relapse.
What is mental relapse?
She was an American Jazz and swing music singer from the 30’s. Spent her childhood in Baltimore. Beautiful hair adorned with big flowers. “Lady Day”. “Strange Fruit” Arrested for narcotics violation in 1947 and spent a year in rehabilitation. She passed away due to heart failure and cihorrisis of the liver in 1959.
Who is Billie Holiday?