Perception on stimulants
Healthy Boundaries
Triggers and HALT
Anxiety and Substances
Refusal Skills
100

What does perception mean?

The way we interpret and understand reality through our senses and thoughts.

100

What are boundaries?

Limits that protect our wellbeing and define what's okay or not okay. 

100

What does HALT stand for?

Hungry, Angry, Lonely, Tired

100

True or False: Substances can reduce anxiety long-term

False - they often worsen it over time

100

What is a refusal skill?

A strategy for saying no to substances or pressure to use.

200

True or False: Substances can make our perception of time and reality more accurate.

FALSE - the opposite

200

True or False: Setting boundaries is selfish. 

FALSE

200

What's the difference between an internal and an external trigger?

Internal = thoughts, feelings, memories; external + people, places, things

200

Why does anxiety often increase during withdrawal or early recovery?

The brain is recalibrating neurotransmitters; stress response is heightened. 

200

True or False: You have to give people a full explanation when you say "no".

False

300

Name one way substance use can change your perception of yourself or others.

Examples: feeling more confident, paranoid, numb, or disconnected

300

What's one example of a boundary you can set with people who still use substances?

Examples: Not hanging out when they're using, not keeping substances in your space, etc. 

300

Give one example of an internal trigger and one example of an external trigger.

Internal: guilt

External: being at a party 


^ Examples

300
Name one physical symptom of anxiety.

Racing heart, restlessness, sweating, etc.

300

Name one effective refusal technique.

Change the subject, use humor, leave the situation, use "I" statements, etc.

400

When someone is under the influence, their brain may misinterpret social cues. What kind of conflict can this lead to?

miscommunication, arguments, or physical altercations

400

What's one sign that someone is crossing your boundaries?

Ignoring your "no", guilting you, or disrespecting your limits. 

400

How can being tired or hungry increase your risk of relapse?

It lowers impulse control and makes emotions harder to manage.

400

How can grounding or mindfulness help with substance related anxiety?

It keeps focus in the present and reduces rumination. 

400

What's an example of a high-risk situation where you'd need to use refusal skills?

Example: Friends offering you and drink at a party.

500

Reflection: How has your perception of yourself or your environment changed since becoming sober or reducing use?

any answer - group can also answer

500

Reflection: Share one boundary that has helped you protect your recovery. 

Group reflection time

500

Reflection: Identify one HALT area you struggle with most and one coping skill you could use to manage it. 

Group Discussion piece

500

Reflection: When you feel anxious, what's one healthy way you can regulate yourself without using?

Group reflection piece

500

Reflection: What's one phrase or strategy that feels natural for you when saying no?

Group reflection piece