The Brain
Relapse Prevention
Relapse Prevention
Cont.
Stages of Relapse
General
100

What is the pleasure neurotransmitter that is affected by substance use?

Dopamine

100

What is the first step in recovery? 

Admitting the Problem/Honesty

100
These help to effectively manage triggers of substance use. 

Coping Skills

100

Name the first stage. 

Sobriety

100

What is it called when you experience negative symptoms after ceasing use of a substance? 

Withdrawal

200

What is it called when the emotional/stress response overtakes the cognitive function of the brain? 

Flip the Lid/Fight or Flight Response

200

What is something that causes us to what to use? 

Trigger

200

What does HALT stand for? 

Hungry, Angry, Lonely, Tired

200

Name the stage that includes panic, feeling overwhelmed, and seeking substances.

Exhaustion

200

What is the name of the center circle in the Circles of Sobriety, and what does it stand for? 

Inner

Establishing internal motivation and purpose for staying sober

300

What is the name of the stress detector/emotion processor part of the brain? 

Amygdala

300

Name an internal trigger.

Any emotion or thinking error. 
300

Name an external trigger.

Any event or situation that causes you to what to use.

300

Name a symptom displayed in Stage Three.

Any Negative Emotion/Thinking Error

300

Describe the RAIN Dance Skill

Recognize, Accept, Investigate, Nurture

400

What is the name of the logic center/cognitive processor part of the brain? 

Prefrontal Cortex

400

What is the most common trigger for substance abuse? 

Stress

400

What is the difference between intimate and general accountability?

Intimate Accountability includes close individuals (counselor, close family, sponsor, etc.) that are directly supporting your sobriety, both prevention and recovery.

General Accountability includes those who are aware of your pursuit of sobriety and provide encouragement, but they are not your first line of defense in recovery (i.e any group members, maybe some family members/friends) 

400

Name the stage that includes dishonesty, procrastination, and overconfidence. 

Forgetting Priorities

400

What did the Vietnam Veteran study highlight about addiction? 

Healthy Community and Environment are key components of sobriety. 

500

Describe the effect over time of unnatural dopamine on our brains.

Our lows feel lower and our highs no longer feel as high, causing us to seek more and more use (tolerance). It also causes negative emotion (depressed mood, greater anxiety, anger)

500

In the Circles of Sobriety, name the first/outer circle and why is it the first/outer circle.

Environment

When we first begin in sobriety, we need to learn and build our relapse prevention skills in a safe environment where we are not constantly triggered to use. 

500

What are two key aspects of an effective relapse prevention plan?

Triggers (Internal/External)

Specific Coping Skills/Accountability Individuals

Reasons for Staying Sober

A plan for recovery after relapse

500

After relapse, what is the only way to get back into sobriety? 

Honestly admitting relapse and taking personal responsibility. 

500

What are the 4 aspects of maintaining Sobriety, according to the Stages of Relapse? 

Keeping Commitments

Identifying and Managing Negative Emotion/Thinking Errors

Increasing Important Relationships

Actively Following a Sobriety Action Plan