External Triggers
Internal Triggers
Risk Patterns
Setback Coping Skills
Struggling
Celebrities
100

These are the people outside our family we allow to get close to us: They can either lift you up or lead you into trouble, depending on who you associate with.

Friends

100

A powerful yet very common emotion that can mask hurt feelings, fuel aggression, trigger relapse or motivate change- depending on how we manage it.

Anger

100

This avoidant behavior might seem easier at first, but it's actually a warning sign that someone is pulling away from support. 

Isolating/Isolation

100

Because setbacks are often part of the process of recovery from substance use and mental health challenges, developing this powerful quality helps us to be able to bounce back and keep moving forward.

Resilience

100

This pop star faced highly public struggles with bipolar disorder and substance use in the 2000s, including multiple rehab stays and a court ordered conservatorship.

Brittney Spears

200

This useful device almost everyone has can be a quick way to contact a positive support, but make sure to remove dealers, back stabbers and drama starters from it if you want to stay on a positive path.

Cell phone

200

This triggering and often sad emotion is closely associated with losing someone or something or the anniversary of loss. 

Grief

200

People often make these up in their own minds to sound like explanations and reasons, but they're really just empty ways to avoid the truth or dodge responsibility. 

Excuses

200

While how we speak to others matters, but changing for the better often depends on learning to speak more positively to this special person- the one we are always around.

Ourselves

200

This Detroit born hip hop icon nearly died of an overdose in 2007 after a long struggle with addiction. Has since maintained sobriety but has spoken of many relapses up until that point.

Eminem

300

These special days come up several times a year and are often associated with family traditions and parties which can be challenging when in early recovery. 

Holidays

300

This can be experienced physically in our body or emotionally in our mind, and in either case, it can trigger the urge to self-medicate as a way to escape.

Pain

300

This common but avoidable state of mind often creeps in when there's nothing to do and can lead people to chase excitement or relief in unhealthy ways, especially during early recovery.

Boredom

300

Whether you call it mindfulness or insight, this ability to look inward with honesty helps us understand who we really are- and stay aligned with our goals, motives, and values.

Self-Awareness

300

This six-time grammy winning vocalist sold over 200 million records but had intermittent periods of sobriety and struggled with relapse for many years until she was sadly found dead in her bathtub with drugs in her system in 2012.

Whitney Houston

400

We need this to survive in the world and almost everyone wants more of it, but when you get ahold of a lot of it at once it can be a huge trigger.

Money

400

A negative and critical inner voice fueled by past trauma, stigma, or unmet expectations often speaks through this toxic emotion.

Shame


400

This common behavior often begins with small lies or half-truths to avoid consequences in the moment- but over time, it can damage trust, hurt relationships, and prevent personal progress especially when the truth eventually comes out.

Dishonesty

400

Coping with substance use and mental health challenges is never about perfection- what truly matters is striving for a little more of this positive change each day.

Progress

400

This actor and movie star was once on one of the biggest shows in tv, making almost 2 million per episode until he was fired due to his drug use and erratic behavior in 2011 and then later eventually contracted HIV due to his risky lifestyle. 

Charlie Sheen

500

Common objects that a person associates with substance use that may be triggering.

Paraphernalia.

500

This dangerous mindset makes people believe they're past the danger, ignoring the warning signs and thinking they've got it all under control- even when the don't.

Overconfidence/Cockiness

500

This risky pattern of behavior bypasses thinking, planning, and self-control- leading straight into action, often followed by consequences like regret, setbacks, trouble, or relapse.

Impulsivity/Impulsiveness

500

When emotions start to spiral or anxiety takes over, this coping skill helps bring us back to the present moment by using our senses or focusing on what's around us or even what is directly beneath our feet.

Grounding

500

This actor won the academy award for best actor in 2005 and was sober for over 20 years before relapsing and then dying of an overdose in 2014 just prior to the release of one of the Hunger Games movie sequels he starred in. 

Philip Seymour Hoffman