Limited Patterns of Thinking
Substance Use Disorder
DBT
Coping Skills
Communication
100

Seeing things in rigid, extreme categories (like success or total failure) with no middle ground.

What is Black and White Thinking

100

Something that increases the urge or desire to use substances.

What is a trigger?

100

A type of talk therapy designed to help people manage intense emotions, accept their reality, and make positive life changes.

What is Dialectical Behavior Therapy 

100

Using your senses or surroundings to reconnect with the present moment.

What is grounding?

100

Giving attention to what another person is saying.

What is listening?

200

Expecting or visualizing disaster and assuming the worst possible outcome will happen.

What is Catastrophizing 

200

When the body becomes accustomed to a substance, requiring more of it to produce the same effect.

What is tolerance?

200

Focusing attention on the present moment.

What is mindfulness?

200

Using controlled breaths to help calm the body and mind.

What is breath work?

200

Expressing your needs, feelings, or boundaries while respecting others.

What is assertiveness?

300

Blaming yourself for external events or things that are outside of your control.

What is Personalization 

300

A strong desire or urge to use a substance.

What is craving?

300

Acknowledging reality as it is.

What is acceptance?

300

Temporarily shifting attention away from distressing thoughts or emotions.

What is distraction?

300

A limit that communicates what you will or will not accept or do.

What is a boundary?

400

Drawing broad, negative conclusions from a single event.

What is Overgeneralization 

400

Physical or psychological symptoms that can occur when substance use is reduced or stopped.

What is withdrawal?

400

Acknowledging another person's feelings or experience as understandable.

What is validation?

400

Using comforting sensory experiences or activities to reduce distress.

What is self-soothing?

400

Understanding or recognizing another person's feelings or perspective.

What is empathy?

500

Focusing entirely on negative details while ignoring all positive aspects of a situation.

What is Filtering 

500

A state in which the body or brain adapts to a substance, potentially resulting in withdrawal when it is stopped.

What is dependence?

500

Emotional or psychological suffering that can feel difficult to tolerate.

What is distress?

500

A communication and boundary-setting technique used in Dialectical Behavior Therapy (DBT) to help you express your needs and handle difficult conversations effectively.

What is DEAR MAN?

500

Repeating or paraphrasing what someone has said to demonstrate understanding.

What is reflection?