Brain Chemistry
Relapse Prevention Basics
Recognize & Reduce Stress
Terms & Definitions

What does H.A.L.T stand for?

What is "Hungry, Angry, Lonely, and Tired"?


Dopamine, serotonin, and norepinephrine are examples of __________?

What is Neurotransmitters?


True or False: Stopping drinking alcohol and using drugs means that the addiction is over.

What is False?


True or False: Stress can be positive or negative.

What is true?


An opioid antagonist used for the complete or partial reversal of opioid overdose, including respiratory depression.

What is Naloxone/Narcan?


True or False: the relapse process often occurs right before a person is using or drinking again. 

What is false?


Alcohol and heroin are examples of depressants, while methamphetamines and cocaine are examples of ________?

What is stimulants?


Name the 4 common high-risk situations.

Hint: These are broad situations that can lead to triggers and cravings, and are then specified depending on the individual. 

What is People, Places, Things, and Feelings?

(200 points for each situation you got correct!)

Provide a factor that contributes to stress.

What is daily hassles (chores, work problems, lack of sleep), major life changes (separation or divorce, death of loved one), life circumstances (financial problems, disability, chronic illness)?


Something more powerful than themselves or their addiction.

What is a Higher Power?


This emotion is called a secondary emotion. There are several emotions that may precede this emotion, including hurt, sadness, fear, and insecurity. 

What is anger?


List 3 ways substances may impact the brain or body.

What is disrupt natural chemicals in the brain, decrease health of organs, weaken heart, blurred vision, tremors, impaired memory, high blood sugar, etc.


Give an example of something you can do to prevent a trigger from leading to relapse.

What is call a support, attend a meeting/support group, utilize coping skill/healthy alternative.


Name 3 symptoms of stress.

What is sleep issues, anxiety, irritability, headaches, stomach issues, fatigue, poor concentration, etc. ?


Projection, denial, minimization, and rationalization, are all examples of...

What is Defense Mechanisms?


This is an emotion you may feel when you've made a mistake or let someone down. This emotion may teach you and make you want to improve or make things right.

What is guilt?


Antidepressant medications and other psychiatric medications are designed to ______ levels of neurotransmitter activity. 

What is balance?


Addiction is a process that involves: 1) compulsion to ______, 2) a loss of _____ over drinking alcohol or using drugs, and 3) continued drinking or drug use despite _________.

What is "drink alcohol or use other drugs", "control", and "negative consequences"?


List 2 ways to decrease stress.

What is time management and balance, self care, exercise, saying No, meditation, prayer, writing, etc.?


This term refers to the coexistence of both a mental illness and a substance use disorder. 

What is Co-Occurring Disorders/Dual Diagnosis?


Name 3 ways to cope with negative emotions.

What is writing, meditation, exercise, mindfulness, talk it through with a support, etc.?


This substance easily penetrates into nearly every organ and tissue in the body, which can lead individuals vulnerable to diseases like cancer.

What is alcohol?


What are the 3 stages of relapse?

What is emotional, mental, and physical?

Bonus points if you can give me an example of these stages (100 points for each stage).


Stress management techniques may include: Changing _____ thinking to _____ thinking, Sharing ____ and ____ with others, and achieving a ____ between work-rest-play.

What is negative, positive, thoughts, feelings, balance?

100 points for each correct answer!


This second stage of detox occurs as the brain re-calibrates after active addiction. Symptoms are primarily psychological and emotional symptoms, and can last around 1 to 2 years. 

What is Post-Acute Withdrawal Symptoms (PAWS)?

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