People, Places and Things: Triggers

Triggers are social, environmental or emotional situations that remind people in recovery of their past drug or alcohol use. A recovering addict may suffer from drug or alcohol cravings when exposed to certain situations – familiar places or environments, like sounds and smells, or people they knew during their active addiction.

External triggers are people, places, activities and objects that lead to thoughts or cravings associated with substance use. Individuals in recovery can stay away from the dangers of external triggers by developing plans to avoid triggers that remind them of past drug use.

Some examples are: seeing someone use on a TV show or movie, or even just an image of your drug of choice. A song that plays on the radio that reminds you of using. Passing through a neighborhood. Being around certain people, such as an old using buddy or dealer. Even family members: family members may not realize that having a drink around someone in recovery is a trigger. This is why it’s important that when an addict comes out of treatment for the family members to be educated on what not to do around them.

Internal triggers are more tricky. They stem from emotions, feelings and thoughts relating to substance abuse. This could be a feeling you formerly used drugs to numb, anxiety, depression, shame, guilt, anger or even boredom. This can also be an issue during a time of celebration, or a holiday. Major life events such as the death of a loved one, starting a new job, starting or ending a relationship can also lead to emotions associated with internal triggers. It is important for people in recovery to be aware of the triggers they struggle with the most and have a plan and support system when needed. Triggers do not mean someone is going to use right away. The brain creates reasons to use despite knowing the consequences.

One person may have a very long list of triggers while another may seem to have only a few. Triggers might be difficult to identify, especially early in recovery. Paying close attention to the people, places, things, and feelings associated with substance use is a good place to start.

Another method to identify triggers is to look back on past use and ask yourself: Where was I when I used? Who was I with? When did I use? How did I feel before and after? Avoidance of these things and maintaining healthy behaviors is crucial. Eating healthy, exercise, or hobbies that you enjoy are just a few examples of healthy behaviors, along with practicing meditation, listening to calming music, and attending support group meetings.

Addiction treatment can help to teach healthy coping skills for triggers through individual therapy sessions and group therapy by identifying triggers and ways to avoid risk of relapse.