A persistent feeling of sadness or loss of interest, affecting daily life, fitting this common diagnosis.
Depression
21.5 Million
Roughly 21.5 million U.S. adults had both a mental illness and a substance use disorder in 2022.
What is a skill used to manage stress or cravings without using substances?
Healthy Coping Skill
What is a trigger?
A person, place, feeling, or situation that increases urge to use
Rock on, Gold Dust Woman
Take your silver spoon, dig your grave
Heartless challenge
Pick your path and I'll pray
Gold Dust Woman - Fleetwood Mac - Cocaine
Characterized by extreme mood swings, shifting between manic highs and depressive lows
Bipolar Disorder
1 in 4
about 1 in 4 people with a mental illness also having a substance use disorder
Name one grounding technique that helps bring attention to the present moment.
Deep breathing, 5-4-3-2-1, naming objects, cold water, etc.
What emotional trigger often comes before relapse if not addressed?
Stress, anger, loneliness, boredom, anxiety
The sky was gold, it was rose, I was takin' sips of it through my nose
I wish I could get back there, someplace back there
Semi Charmed Life - Third Eye Blind - Methamphetamines
Intense, persistent worry, fear, and physical symptoms like a racing heart, common in this broad group
Anxiety Disorders
10-15%
around 10-15% receive integrated treatment for mental health disorders and substance use disorders
This coping skill involves changing how you talk to yourself when stressed.
Positive self-talk / cognitive reframing
This is an early warning sign of relapse related to thinking patterns
Minimizing, justifying, catastrophizing, all-or-nothing thinking
When I feel the snakebite enter my veins
Never did I wanna be here again
And I don't remember why I came Candles raise my desire Why I'm so far away? No more meaning to my life No more reason to stay Freezing feeling
Breathe in, breathe in I'm coming back again
Voodoo- God Smack - Herion
A disorder where intrusive memories, nightmares, and avoidance occur after a traumatic event.
PTSD
12 X more likely
Those with co-occurring substance use and mental health disorders arrested than those without
What coping skill uses the body to release tension and calm the nervous system
Exercise, stretching, progressive muscle relaxation
What is the difference between a lapse and a relapse?
A lapse is a brief return; relapse is a full return to use patterns
she grew up tall and she grew up right
With them Indiana boys on an Indiana night
Mary Jane's Last Dance - Tom Petty - Marijuana
A severe disorder involving distorted reality, hallucinations, and disorganized thinking.
Schizophrenia
105,000 / 93%
number of OD deaths and percentage of those that were unintentional
This skill helps you say no without guilt.
Assertive communication / boundary setting
What mindset focuses on progress rather than perfection in recovery?
Growth mindset / self-compassion
Everyone smiles as you drift past the flowers
That grow so incredibly high Newspaper taxis appear on the shore Waiting to take you away
Climb in the back with your head in the clouds
And you're gone
Lucy in the Sky with Diamonds - The Beatles - LSD