Step 1
Addiction Neuroscience
Higher Power
Triggers and Cravings
Spiritual Principles
100

What are the first three words of Step One?

“We admitted we…”

100

What chemical in the brain is most associated with the “reward” feeling from drugs?

Dopamine.

100

What does “Higher Power” mean in recovery terms?

Any power greater than ourselves that can help restore sanity or direction.

100

What is a “trigger”?

A person, place, thing, or emotion that makes you think about or want to use.

100

What is a spiritual principle?

A value or behavior that reflects recovery-based living, like honesty or humility.

200

What two things do we admit in Step One?

That we are powerless and that our lives have become unmanageable.

200

What part of the brain is known as the “decision-maker” and is weakened by addiction?

The prefrontal cortex.

200

True or False: Your Higher Power has to be religious.

False. It can be anything that brings strength, hope, or guidance.

200

What’s 2 physical sign of a craving?

Restlessness, racing thoughts, or tightness in the chest or stomach.

200

Which principle is most connected to Step One?

Honesty.

300

What does “powerless” mean in the context of addiction?

That we cannot consistently control our use or predict our behavior once we start.

300

What happens to dopamine levels over time with repeated drug use?

The brain produces less naturally, leading to tolerance and emotional numbness.

300

What’s one way someone can begin to connect with their Higher Power daily?

Through prayer, meditation, gratitude lists, or quiet reflection.

300

What’s the best immediate response to a craving?

Pause, call a support person, use grounding skills, and wait it out.

300

What principle helps us show compassion and patience toward others?

Love or tolerance.

400

What does “unmanageability” often look like in daily life?

Chaos, broken relationships, legal trouble, emotional instability, and loss of control.

400

Why do people in early recovery often feel flat or unmotivated?

Their brain’s reward system is healing and hasn’t yet restored natural dopamine balance.

400

How can trusting a Higher Power reduce anxiety in recovery?

By relieving the pressure to control everything and fostering acceptance of what we cannot change.

400

Why do triggers feel stronger early in recovery?

Because old associations between cues and using behaviors are still active in the brain.

400

Which principle helps us admit mistakes and make amends?

Humility.

500

Why is admitting powerlessness considered a sign of strength, not weakness?

Because it’s the first step toward honesty and willingness to change, allowing help to enter our lives.

500

How does the brain’s “habit loop” reinforce addiction?

A cue triggers craving, which leads to use, which brings temporary relief—reinforcing the loop through repetition.

500

In Step Two and Three, what spiritual principle connects directly to the idea of a Higher Power?

Hope and Faith.

500

How can identifying “people, places, and things” help prevent relapse?

It builds awareness of high-risk situations and allows you to make proactive, healthy choices.

500

What does practicing spiritual principles in all our affairs mean?

Applying recovery values—like honesty, patience, and service—to every part of life, not just meetings.