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Integrated Relapse Prevention

Integrated Relapse Prevention. Is avoiding relapse twice as difficult in Dual Recovery?. Understanding Relapse as . . . . . . the PROCESS of returning to substance use and/or active symptoms after a period of abstinence / stability. Understanding Relapse as . . .

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Integrated Relapse Prevention

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  1. Integrated Relapse Prevention Is avoiding relapse twice as difficult in Dual Recovery?

  2. Understanding Relapse as . . . • . . . the PROCESS of returning to substance use and/or active symptoms after a period of abstinence / stability

  3. Understanding Relapse as . . . • . . . ALWAYS a risk when dealing with two, co-occurring “chronic, relapsing conditions”

  4. Relapse “Clues” • Behavior changes • Decreasing what helps; • Increasing risk-taking, or what doesn’t help

  5. Relapse “Clues” • Attitude changes • Negativity • “Not caring” • Disowning personal responsibility

  6. Relapse “Clues” • Mood changes • Moodiness • Anger • Boredom • Mania • Depression

  7. Relapse “Clues” • Changes in thinking • Rationalization • Justification • Denial • “Stinkin’ thinkin’” • Deprivation / entitlement • Irrational thoughts • Delusional thoughts

  8. Identifying High-Risk Situations • Individualized (different for everyone) • Negative feelings, attitudes, thoughts, behaviors • Social pressures • Treatment-related problems • Relationship problems • Urges / Cravings / Temptations / “Teasing the addict” • Others (boredom, weekends, $$, physical pain, holidays, etc.)

  9. Managing High-Risk Situations • Individualized (different for everyone) • Analyze the risk factors • Identify “precursors,” the steps leading up to the high-risk situation • Strategize for recovery success

  10. Managing High-Risk Situations • Individualized (different for everyone) • Write down a plan • Share the plan with others • Identify gaps in skills /opportunities • Problem-solve and fill gaps

  11. Building a LONG-TERM Dual Recovery Plan • Can be looked at as “aftercare” following a treatment episode, or as “maintenance” of existing gains

  12. Building a LONG-TERM Dual Recovery Plan • May include many things: • Counseling • Medication / seeing a psychiatrist • AA / NA / DRA meetings, other groups • Working with a sponsor / mentor • Daily reading of recovery literature • Halfway / ¾-house, long-term housing • Antabuse • Educational / vocational efforts • ?

  13. Emergency Recovery Card • Designed to be carried in wallet or purse • Contains a list of names and phone numbers of people supportive of your dual recovery • May include professional treatment providers, natural supports, AA / NA / DRA contacts

  14. Relapse Response Planning • “Progress, not perfection” (although, “Progress not permission” as well!) • Dialectical approach, need to not let guilt / shame be an obstacle to getting back on track

  15. Relapse Response Planning • Some important pieces . . . • STOP IMMEDIATELY • Reach out to “safe” people • Get crisis care if necessary (Detox, PES, CRS, Hospital ER) • Get back to doing what works • Conduct a Relapse Autopsy, and adjust recovery plan

  16. Daily Relapse Prevention Inventory • At the end of each day, take the time to review these questions: • Were there any clues today that indicate movement toward relapse of substance use or re-activated symptoms? • Were there any high-risk situations today that could trigger a relapse of substance use or symptoms?

  17. Daily Relapse Prevention Inventory • If “yes” is the answer to either of these questions, make a plan to do the necessary adjusting to support dual recovery moving forward . . .

  18. Back to our initial question . . . Q. Is avoiding relapse twice as difficult in Dual Recovery? A. _______________________________ _______________________________

  19. THE END Until next time . . .

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