PAWS
At what point in recovery do you begin to experience PAWS?
BONUS 100 PTS: What does PAWS stand for?
A couple of weeks to months after detox
BONUS: Post Acute Withdrawal Syndrome
What is one benefit of using dreams?
They help you gage where you are within your recovery
They show you areas of your recovery that you may need to go back and re-address
Name the FIVE stages of change IN ORDER
Precontemplation
Contemplation
Preparation
Action
Maintenance
What is the purpose of a CHANGE PLAN?
It helps identify the areas that I need to work on and helps me plan a way to make those changes happen as well as identify the things that could interfere with my change process
What is something you can do when you are struggling to make a decision?
HINT: it is an exercise we have done here in group
Identifying the PROS AND CONS
Name 3 symptoms of PAWS
Vivid dreams, short attention span, irritation, restless sleep patterns, inability to focus, fatigue, urges and cravings, anhedonia (inability to feel pleasure), fine motor coronation problems
Which of the four parts of the brain that are impacted by substance use is described below?
"Using drugs/alcohol begins to establish the effects of the drugs/alcohol as a _____. After repeated use, even cues such as the sight of the drug paraphernalia or a beer advertisement can activate small sports of a chemical called dopamine. This causes the brain to crave more of the drug."
Reward
Name THREE characteristics of the precontemplation stage
not thinking of quitting
feeling as though things are fine as they are
not seeing my use as a problem
What is the purpose of a RELAPSE PREVENTION plan?
This helps me prepare to take on and defeat my triggers, cravings and emotionally distressing situations that try to encourage me to go back out and relapse.
"Most often we have __________ that are not accurate reflections of what is actually going to happen, however, it is hard for us to accept that and make better choices."
EXPECTATIONS
What side effect of PAWS is the number one reason for relapse?
Intense urges to use
Which of the four parts of the brain that are impacted by substance use is described below?
"Over time, substance use can alter the functioning of the brain in a way that conditions the brain to react strongly to drug cues and leads to compulsive drug use."
Memory and Learning
Name THREE characteristics of the ACTION stage
No longer using
Actively avoiding and identifying
asking others for support
Name THREE parts that are necessary within a CHANGE PLAN
Identifying the change I want to make
Identifying the reasons I want to make this change
The ways people can help me make this change
The steps I can take to make this change
How I will know if my plan is working
Identifying things that could interfere with my plan
What I will do if my plan does not work
What is the name of the model that is used to depict the process of active addiction through recovery?
The Jellinek Curve
Fill in the blank
"PAWS is just a __________ set of symptoms, which you can accept, knowing that it is merely evidence that your brain is healing."
Temporary
Name the FOUR parts of the brain impacted by substance misuse
Reward, Motivation, Memory and learning, Inhibition
Name THREE characteristics of the MAINTENANCE STAGE
no use in a long time
accepting myself and my disease
helping others who are still in active use
Name THREE people that you should share your relapse prevention plan with
my sponsor
my clinical team
my family members
my friends
sober support within support meetings
Which stage on The Jellinek Curve consists of the following things?
"promises and resolutions fail"
"memory blackouts increase"
"family and friends are avoided"
The Crucial Phase
What is a helpful practice that aids in combatting PAWS?
Mindfulness Awareness Practice, urge-surfing
Name 5 behavioral strategies that you can use when you have a craving
(answers can vary)
Make a 5 minute contract with myself
Find a way to distract myself
Practice my coping skills
Go to a safe space
Call a friend or sponsor
BONUS 200 PTS: Each team member must name the stage of change they are in and explain why they feel they are in that stage by identifying characteristics of that stage that they relate too
have a plan to quit
may have to "cut down"
can see the benefits of quitting
BONUS 400 PTS: THREE MEMBERS MUST SHARE THEIR ENTIRE RELAPSE PREVENTION PLAN
Identifying your triggers
Identifying your protective factors
Identifying you sober coping strategies for stress
Identifying your emergency contacts
Establishing your action plan
Name the FIVE phases depicted on the Jellinek Curve
BONUS 100 PTS: Name the piece of the Jellinek Curve that is NOT a phase but is an ESSTENTIAL PIECE to completing the curve.
Progression, Crucial Phase, Chronic Phase, Rehabilitation, and Recovery
BONUS: THE CHOICE