Twin Town
Your girlfriend calls Twin Town to try and get ahold of you to tell you something important. Staff answer the phone and tell your girlfriend that "we cant' confirm or deny whether we have a client by that name". Staff is likely giving this response because they don't have a __________ in place for you.
Release of Information (ROI).
A powerful desire or urge to use a drug.
Craving
Addiction in some people is lifelong. Some schools of thought say that addiction is ___________, or only gets worse over time.
Progressive
Feelings of persistent sadness, emptiness, feelings of worthlessness, and behavioral changes such as loss of appetite, sleeping too much or too little, and social withdrawal are all signs/symptoms of _____________?
Depression or MDD
Before we can begin the journey through the steps, there must be a fundamental admission made which has the person admit they cannot control their use once they start, they have developed an "obsession of the mind" or the illusion that they can control their use despite entirely conflicting evidence that is not the case. To begin the person must take Step ___?
Step One - We admitted we were powerless over drugs/alcohol and that our lives were unmanageable.
When you are a client at Twin Town, you have two staff members that are assigned to you. One is of course your primary counselor and the other one is your assigned ______________.
Mental Health Professional (MHP).
You are at a meeting and notice someone you used to use drugs with is at the meeting. You don't say anything but after the meeting you notice an unexpected craving to use. This person is an example of a _________.
Trigger
Cocaine, Methamphetamine, and Caffeine are all considered to be in the class of drugs called ________________?
Feeling nervous or on edge, overthinking, difficulty concentrating, and physical symptoms such as sweating, increased heart rate, tension, and shortness of breath are all symptoms of ______________?
Anxiety or GAD
In addiction we lose our values, integrity, and lose trust in those who care about us. Through years of deceit, manipulation, secretiveness, and being demanding, we break the connections with those we care about most. This step aims at mending the repairing the damage we have caused others in our addictions.
Step Nine- We made direct amends to such people wherever possible, expect when to do so would injure them or others.
You must be in this "phase" of the Twin Town client phase system to attend outside meetings or make store runs with staff?
Phase II or the "Building" phase.
Rather than relapse, it is recommended that when you are experiencing a craving or trigger to use, you should instead use _________________ to fight the temptation and avoid using.
Coping Skills or Coping Strategies
When drugs/alcohol are being metabolized by the body and the drugs/alcohol are leaving the body, there are often uncomfortable effects known as withdrawal. After the more intense withdrawal symptoms occur, the person enters the second stage of withdrawal, the psychological withdrawal known as ______-_________ withdrawal.
Post-Acute withdrawal -
Irritability, difficulty sleeping, memory problems, anhedonia, cravings, low energy, difficulty focusing,
PTSD Post-Traumatic Stress Disorder
Step ________ involves examining character flaws, resentments, fears, harmful behaviors and requires facing difficult truths about yourself. This step helps you see who you truly are, the good, the bad, and can only be accomplished if you are fearless and honest.
A staff member says something that you find disrespectful and you feel they said it as a way to make you upset. The appropriate way to handle the situation is to ask for and complete a _____________.
Grievance or grievance process
Relapse is not an event, its a process. The process begins often long before the actual drug/alcohol use occurs. The first stage of relapse is the emotional relapse where old emotions and behaviors return that are more in line with how the person was in addiction versus recovery. After the emotional relapse phase comes the ________ relapse phase.
Mental Relapse - fantasizing about using, planning how the person could use without consequences, bargaining (thinking of scenarios where it would be acceptable to use), looking for using opportunities, and a return to minimizing and glamorizing past use.
Needing more of the drug to get the effect your want or using the same amount without the effect you want is called ________________?
When someone displays a pattern that is persistent and includes deceitfulness, impulsivity, aggression, lack of remorse/empathy, and a blatant and repetitive disregard for laws, rules, and authority, the person may actually have _____________ personality disorder.
Antisocial personality disorder
This step involves surrendering. It requires the person to release the burden of self-reliance through relying not on oneself, but a power that is greater and the person.
Step Three - We made a decision to turn our will and our lives over to the care of God as we understood Him.
If you are unable to follow client guidelines and rules, your counselor may end up placing you on a __________ contract.
Behavior
Another area which can warn an individual that they are headed towards relapse is a shift or change in their ____________ towards recovery. The person will often find recovery does not seem as important as it used to and the person feels they no longer have to take action to protect their sobriety.
Attitude - A way of thinking and/or feeling about something or someone
The stage of addiction where an individual experiences an intense and compulsive mental focus on obtaining and using a substance is called _____________
Preoccupation
A history of unstable relationships, frantic efforts to avoid real or imagined separation or abandonment, unstable self-image, and intense fluctuating moods, are all symptoms of _____________ personality disorder.
Borderline Personality Disorder or BPD
This step encourages maintenance of the spiritual growth obtained in the previous steps. This step aims at strengthening and maintaining a connection to a higher power.
Step 11- We sought through prayer and meditation to improve our conscious contact with God as we understood him, praying only for his knowledge of His will for us and the power to carry that out.