Surprise
What does SAMHSA refer to as the "catalyst of the recovery process?"
Hope
What are the 4 main communication styles?
Passive, Aggressive, Passive-Aggressive, and Assertive
Radical acceptance means you approve of or agree with a painful situation
False, acceptance is not approval, endorsement, or liking a situation. It means acknowledging what is true or what happened without fighting reality
This distortion involves thinking in extremes, such as "If I have one slip, I’m a total failure and my recovery is completely ruined
All-or-nothing-thinking
According to ACT, ____________ means acknowledging what is present or has already occurred without adding denial, avoidance, or an unnecessary struggle with reality
Acceptance
What does HALT stand for? When can it be used?
Hungry, Angry, Lonely, Tired
a self-care, mindfulness, and relapse-prevention tool to help people pause and check in with their basic physical and emotional needs before reacting impulsively
No, don't worry about helping me clean up. I'm used to doing everything around here anyway.
If this response is not assertive, rewrite it to be in an assertive style
Passive aggressive
Gratitude journaling increases dopamine and serotonin and helps rewire neural pathways to look for positive experiences
True
Reframe this thought: Having cravings or urges makes me weak
Craving a substance is a normal part of recovery, not a sign of weakness
What is assertive communication?
Clearly expresses thoughts, feelings, needs, and boundaries while respecting others.Uses honesty without hostility. Allows individuals to advocate for themselves while maintaining accountability and respect
These types of statements (e.g., "When you do X, I feel Y...") help you communicate boundaries without sounding accusatory.
"I" Statements
You never listen to me. You're completely impossible to talk to
If this response is not assertive, rewrite it to be in an assertive style
Aggressive
Post-Acute Withdrawal Syndrome (PAWS) symptoms can cyclically appear and disappear for up to two years after acute detox
True, it can begin 1 to 3 weeks after acute detox ends and last anywhere from 6 months to 2 years as the brain gradually recovers from substance use
Reframe this thought: I can't picture myself being sober a year from now, so there's no point in trying
I don't have to stay sober for a year today, my only job right now is to stay sober for today (or this hour)
What is emotional granularity?
The ability to identify and label your feelings with high precision, rather than more broad and vague terms
My choices
Conversations
Uncertainty
My effort
Relationships
The past
What can in this list can you control, what can you influence, and what might you need to accept?
control: my choices, my effort
influence: conversations, relationships
accept: the past, uncertainty
Sure, I can probably look into that later if nobody else wants to... it's fine, whatever you guys think is best
If this response is not assertive, rewrite it to be in an assertive style
Passive
Cravings usually last for a few hours at peak intensity if you don't give in to them
False, cravings usually last about 15-20 minutes
Reframe this thought: Everyone must think I'm a failure
Some relationships may take time to repair, but I cannot know what everyone thinks
Because anger often kicks in rapidly to protect us from deeper, more vulnerable feelings, it is classified as this type of emotion.
Also, name one emotion that may be beneath anger.
Secondary emotion
What does it mean to have an external anchor of identity vs. an internal anchor of identity?
External: A reliance on outside validation to define and sustain who one is
Internal: A self-sustaining sense of identity rooted in internal criteria such as personal values and core beliefs
Formulate an assertive response to this scenario:
The Setup:
You are three months sober. To protect your recovery, you attend a specific peer support group every Tuesday at 6:00 PM. Your boss walks over to your desk on Tuesday afternoon and says: "Hey, I need everyone to stay late tonight until 7:00 PM to finish up this project."
The Goal:
Decline the late shift to protect your recovery meeting without over-explaining your medical history or becoming hostile.
I understand the project is important, but I have a prior personal commitment tonight at 6:00 that I cannot move. I can stay late tomorrow, or come in early tomorrow morning to help finish it
Structural stigma is when a person begins applying negative beliefs or labels to themselves.
False, structural stigma is policies or systems that create barriers or unequal treatment.
Reframe this thought: I ruined my whole life because of my addiction
I've made choices with serious consequences, and I'm working to change my behavior.
What is cognitive defusion and what situations can it be used in?
Stepping back from thoughts and viewing them as simple words or images, rather than as facts or commands.