Relapse Prevention
True or False: Risk of relapse is most dangerous when individuals are returning to the community from jail or inpatient treatment.
True
True or False: PAWs stands for post-alcohol withdrawal symptoms and lasts about 5 to 7 days.
False: Post-acute withdrawal syndrome can last long into recovery and include some of the following: cravings, mood swings, problems with sleep, difficulty concentrating, and more.
True or False: Reading, taking a walk, exercising, and meditation are examples of cognitive coping skills.
False: Distraction based coping skills.
Describe what it means if an individual has a co-occurring diagnosis.
Individual has a substance use challenge and a mental health condition.
On April 20, 2024, ________ celebrated 16 years of sobriety—a significant milestone that resonated with the rapper’s many fans and friends in the music industry This rap icon struggled with prescription drug addiction and experienced an overdose as well as relapse in his recovery journey.
Eminem
A key part of relapse prevention is investigating the 5 W's (Who, What, Where, When, Why) to learn from a ________.
Lapse and/or Relapse
This is used to reverse an opioid overdose.
Narcan
Describe the role of a sponsor.
True or False: Mindfulness is useful with anxiety as it brings your thoughts and awareness to the present moment.
True
This actress who was most well known for playing Princess Leia has spoken out about having bipolar disorder and was in recovery from cocaine and prescription drug misuse.
Carrie Fisher
Cravings are time-limited and visually are described as which of the following? A. Mountain B. Valley, C. Wave D. Volcano
C. Wave
Alcohol, benzos, and opioids are considered to be _________ because they slow down breathing, reduce heart rate, and decrease blood pressure.
Depressants and/or 'Downers'
Thoughts drive _________ which in turn impact behaviors.
Emotions
True or False: According to SAMHSA’s 2024 National Survey on Drug Use and Health (NSDUH), approximately 2 million adults had a co-occurring mental illness and substance use disorder.
False approximately 21.2 million adults had a co-occurring mental illness and substance use disorder.
The singer songwriter of Piano Man struggled with alcohol abuse for years before entering rehab.
Billy Joel
What does H.A.L.T. stand for
Hungry, Angry, Lonely, Tired
The central nervous system (CNS) is significantly impacted by substances and includes the ______ as well as the ______. (Hint: Parts of the body)
Brain and Spinal Cord
Medication assisted treatment (MAT) and therapy is the most effective treatment for these 2 substances.
Alcohol and Opioids
Describe how long-term and heavy alcohol use could impact a person diagnosed with depression.
Alcohol is a depressant ('downer') which with long-term use will most likely increase low mood and depression symptoms.
This author, who wrote books such as Carrie and The Green Mile struggled with alcohol and prescription drug addiction for years.
Stephen King
Name at least 4 things you might see on a relapse prevention plan.
Triggers, High-Risk Warning Signs, Support People w/Phone Numbers, Plan to Get Back on Track, Safe Coping Skills, Feelings that Could Lead to Relapse, Identification of Old People/Places/Things, Risky Behaviors, Long-Term Goals, Short-Term Goals, Self-Help Meeting Details
High addictive potential and have no medical purpose
Name the defense mechanism from the following scenario. Susie decides that she can have several glasses of wine tonight as it was a very stressful year and she deserves it!
Rationalization
People who are experiencing mental health difficulties sometimes _________ with drugs or alcohol. That is, they turn to substances to help them deal with their mental health difficulties. For example, people who experience anxiety may seek refuge in alcohol. People may also use drugs to elevate their mood or use drugs or alcohol to make them feel mellow and relaxed. However, ________ is often ineffective and can lead to other life and mental health issues such as getting into trouble with the law or becoming depressed after repeated use of alcohol to calm one’s nerves. (Hint: Same word for both blanks and is a reason for use)
Self-medicate/Medicating
Marilyn Monroe died tragically at the age of 36 due to a substance from what class of drugs (Hint: Examples of classes such as opioids, benzodiazepines, etc.)
Barbiturate Overdose