Substance Types
Stages of Addiction
Consequences
Influences
Refusal Skills
100

At a family gathering, Alex’s older cousin offers him a glass of wine, saying, “It’s just one drink—it’s not a big deal.” What type of substance is alcohol classified as?

Depressant 
100

Maria tries vaping for the first time at a party after seeing her friends do it. What stage of addiction is this?

First Use

100

Taylor’s friends pressure him to smoke at a party, saying, “Everyone’s doing it—don’t be lame.” What type of influence is this?

A situation where someone's relationships are negatively affected.

100

Taylor’s friends pressure them to smoke at a party, saying, “Everyone’s doing it—don’t be lame.” What type of influence is this?

A situation where someone feels influenced by their friends or peers to make a choice.

100

Rachel is offered a vape at school and confidently says, “No thanks, I’m not interested.” What type of communication is this?

Assertive Communication

200

Jamie’s friend tells her about a music festival where people are using substances that “make the lights and sounds feel unreal.” What type of substance could this be?

Hallucinogens 

200

Jesse no longer feels the same effect from two beers and decides to drink four instead. What stage of addiction is this?

Tolerance

200

An ad for alcohol shows a glamorous party where everyone is having fun while drinking. What type of influence is this?

A situation where someone faces penalties due to breaking the law

200

An ad for alcohol shows a glamorous party where everyone is having fun while drinking. What type of influence is this?

An example of how advertisements, movies, or social media might shape someone’s perception or behavior.

200

While refusing a drink, Mia stands tall, maintains eye contact, and speaks in a calm tone. What type of non-verbal communication is this?

Assertive/Confident body language

300

Sara notices her classmate always drinking multiple energy drinks before class and staying restless during lectures. What type of substance are energy drinks categorized under?

Stimulants

300

Kyle feels irritable and experiences headaches when he doesn’t smoke, but feels better after he does. What stage is Kyle in?

Dependence

300

In Jake’s community, drinking alcohol is considered a rite of passage at family events. How might this influence Jake’s behavior?

A scenario where someone withdraws from social activities or is excluded by others.

300

In Jake’s community, drinking alcohol is considered a rite of passage at family events. How might this influence Jake’s behavior?

A situation where community or family values impact a person’s view or decision

300

When offered a beer, Luke says, “Let’s grab some food instead—I’m starving.” What refusal strategy is Luke using?

Change the subject or offer an alternative 

400

Michael says he feels relaxed but also more alert after using a certain substance at a party. What substance might this be?

Cannabis 

400

Anna loses her job because she cannot go a day without using a substance, even though it harms her relationships. What stage is Anna at?

Addiction

400

Kevin is diagnosed with liver disease after years of heavy drinking. What type of consequence is this?

A long-term health issue resulting from substance use.

400

Megan starts using substances to fit in with a group of friends who use them regularly. What type of influence is this?

A case where the people someone spends time with affect their behavior or choices.

400

At a party, Ben feels uncomfortable with the pressure to use drugs, so he politely excuses himself and leaves. What refusal strategy is this?

Walk Away

500

Carlos uses painkillers prescribed for his dad to manage a headache. What type of behavior is this classified as?

Misuse

500

Jordan vapes every evening while hanging out with his friends because it helps him relax. He doesn’t think it’s a big deal and considers it just part of his routine.

What stage of substance use is Jordan in?

Regular Use

500

Emma struggles to concentrate and perform basic tasks after years of substance abuse. What is Emma experiencing?

A case where someone's mental abilities, like memory or focus, are affected.

500

Sam decides not to drink at a party because he wants to stay healthy for his soccer game the next day. What is this an example of?

A scenario where someone makes a choice based on their own goals, values, or beliefs

500

Lily brings a friend who shares her values to a party, helping her confidently say no to drinking. What refusal strategy is this?

Supportive Friend