Mental Health
Substance use
Emotion Regulation & Distress Tolerance
Opposite Action
100

This mental health issue makes a person feel sad for a long time, very tired, and lose interest in hobbies.

What is depression?

100

This is the highly addictive chemical found in vapes, Juuls, and cigarettes.

What is nicotine?

100

 The main goal of Distress Tolerance skills is to get through a bad situation without doing this.

What is making it worse?

100

Toby feels so depressed he wants to stay in bed all day in the dark. Instead of staying isolated, the opposite action would be to do this.

What is get out of bed?

200

Negative experiences that can cause flashbacks, nightmares, and avoidance behaviors. 

Trauma/traumatic experiences

200

This happens when your body gets used to a drug, so you need more of it to feel the same effect.

What is tolerance?

200

The ABC skill helps you feel better over time. The "A" stands for Accumulating Positive Experiences, which means doing things that bring you this.

What is joy/positive/happiness?

200

Sam feels intense social anxiety about a school party and wants to hide in his room. To practice opposite action, Sam should do this instead of staying home.

What is go to the party?

300

This word means the shame or bad stereotypes that stop people from asking for mental health help.

What is stigma?

300

These are the painful or sick feelings a person gets when they suddenly stop using a drug they are addicted to.

What is withdrawal?

300

In the TIPP skill, the "P" stands for paced breathing, and the other "P" stands for relaxing these.

What are muscles? (Paired Muscle Relaxation).

300

Cameron feels an urge to scream and throw something because she is incredibly angry at her sister. Instead of attacking, her opposite action should be to walk away and do this to her body.

What is relax, deep breaths, or relax body.

400

When you get anxious, your heart races and you sweat. This is your body's automatic emergency reaction.

What is the fight-or-flight response?

400

This is the bad habit of using drugs or alcohol to try and escape difficult feelings.

What is self-medicating?

400

This means completely accepting reality as it is right now, even if you do not like it.

What is Radical Acceptance?

400

Chloe feels overwhelming shame and guilt after a minor argument, wanting to hide from her friends forever. The opposite action for shame would be to do this instead of hiding.

What is talk to them?

500

What is the BEST way to cope with feelings of frustration and anger?

A) Throw/break objects
B) Engage in opposite action
C) Yell at others around you
D) Ball your fists up

Opposite action

500

Using drugs can hurt this specific front part of a teenager's brain, which handles decision-making.

What is the prefrontal cortex?

500

The PLEASE skill focuses on taking care of your body to stay emotionally strong. The "S" in PLEASE stands for getting enough of this.

What is sleep?

500

Anxious about an upcoming test, Leo has an urge to avoid it entirely and skip class. His opposite action would be to attend class and do this to the problem.

What is face it/take the test/study?