The capacity to endure pain or hardship
Tolerance
A disconnection between a person's sensory experience, thoughts, sense of self, or personal history.
Dissociation
Were entirely ready to have God remove all these defects of character.
Step 6
A skill that helps you ride out your urges, like a surfer riding a wave, until they pass
Urge-surfing
When a person relives a traumatic memory
Flashback
The process of ceasing to take an addictive drug
Withdrawal
A way of providing medical care that recognizes and responds to the impact of trauma on patients.
Trauma-informed care
Continued to take personal inventory and when we were wrong promptly admitted it.
Step 10
A practical and transformative approach that incorporates community-driven public health strategies
Harm-reduction
Loss or non-existence of that space: a client’s then becomes their now.
Re-traumatization
When you’re in this phase, you feel confident and excited about recovery.
Pink-cloud
The failure in a person's thinking to bring together the dichotomy of both perceived positive and negative qualities of something into a cohesive, realistic whole.
Splitting
Made a decision to turn our will and our lives over to the care of God as we understood Him.
Step 3
A person who has stopped drinking alcohol but still experiences the issues or behaviors that contributed to their alcohol use disorder
"Dry but not sober"
Emotional and psychological harm that results from a violation of trust. This violation can come from a variety of sources, including romantic partners, family members, friends, employers, or religious institutions. Betrayal trauma can have a profound impact on a person's life.
Betrayal Trauma
A negative emotional and cognitive response to relapsing on a substance or behavior after a period of abstinence.
Abstinence violation effect (AVE)
To go through or feel something again, often in the form of a memory or a repeated event.
Re-experiencing
Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
Step 11
The use of more than one drug.
Polysubstance use
a self-soothing skill to use when you are having a bad day or dealing with a lot of stress, overwhelming feelings, and/or intense anxiety.
Grounding
Medications for substance use disorders are administered, dispensed, and prescribed in various settings such as a SAMHSA-accredited and certified opioid treatment program (OTP) or practitioners’ offices depending on the medication.
Medication-assisted treatment
Apparent transmission of trauma between generations of a family.
Intergenerational trauma
Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.
Step 12
Patterns within close relationships that support any harmful or problematic behavior and make it easier for that behavior to continue.
Enabling
A key feature of post-traumatic stress disorder (PTSD), involving a heightened state of sensory sensitivity and alertness for potential threats.
Hypervigilance