Introduction

1. Introduction CDS 140 Relapse Prevention

2. Definition What is �relapse�? To answer this, we have to answer �what is recovery�? Relapse means: Return of original symptoms Applies to many disease processes

3. Abstinence v. Recovery What is abstinence? What is recovery?

4. The Relapse Prone Client Traditional tx techniques are inadequate Suffering from this disease at the severest level Often have issue of guilt and shame Only alternatives seen are suicide, insanity, physical or emotional collapse, or drinking

5. The Relapse Prone Client 40-50% of people seeking recovery relapse Most relapse prone cx�s dropped out of tx before completely relapsing

6. Disease: Two Issues problems associated with the person who is still drinking problems associated with sobriety Acute withdrawal PAW State dependent learning

7. Relapse Dynamic Relapse is a process 1973 study 118 alcoholics in 23-28 day tx programs All were committed to recovery (counseling, AA, etc.) All returned to uncontrolled use Found that there are progressive and predictable signs that preceded relapse

8. Intervention Often denial has returned and judgment is impaired. Have cx�s check themselves for signs of relapse weekly Look for signs of loss of control over thought processes, emotional processes, and judgment The earlier these signs are recognized, the better chance of success

9. Definition Relapse is the absence of recovery resulting in a process of returning to old attitudes and behaviors

10. Relapse in Chronic Disease symptoms become increasingly severe over time adapt over time to changes in lifestyle and interactions on all levels (physical, social, psychological and behavioral) changes are often so subtle that we don�t even recognize them Can�t look only at the physical or behavioral components of this disease

11. Relapse in Chronic Disease Only coping skills are ones developed in response to the disease Addicts develop a relationship with their illness psychological, behavioral and social habits develop as a result of this Recovery has physical and psychological aspects that we need to help our client prepare for and deal with

12. Progression of Recovery Unregulated drinking/use Attempts to control use by cutting down Attempts to control use by changing drug Attempts to control by quitting for specific periods of time

13. Progression of Recovery Decide to stop using, but not change lifestyle Decide to use other �safe� drugs to aid is sobriety Decide to stop using permanently and change lifestyle