1 Integrated Relapse Prevention Is avoiding relapse twice as difficult in Dual Recovery?
Jan 01, 2016
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Understanding Relapse as . . .
. . . the PROCESS of returning to substance use and/or active symptoms after a period of abstinence / stability
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Understanding Relapse as . . .
. . . ALWAYS a risk when dealing with two, co-occurring “chronic, relapsing conditions”
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Relapse “Clues”
Behavior changesDecreasing what
helps; Increasing risk-
taking, or what doesn’t help
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Relapse “Clues”
Changes in thinkingRationalizationJustificationDenial “Stinkin’ thinkin’”Deprivation /
entitlement Irrational thoughtsDelusional thoughts
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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.)
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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
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Managing High-Risk Situations
Individualized (different for everyone)Write down a planShare the plan with
others Identify gaps in skills
/opportunitiesProblem-solve and fill
gaps
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Building a LONG-TERM Dual Recovery Plan
Can be looked at as “aftercare” following a treatment episode, or as “maintenance” of existing gains
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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 ?
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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
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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
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Relapse Response Planning
Some important pieces . . .STOP IMMEDIATELYReach out to “safe” peopleGet crisis care if necessary
(Detox, PES, CRS, Hospital ER)
Get back to doing what worksConduct a Relapse Autopsy,
and adjust recovery plan
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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?
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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 . . .
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Back to our initial question . . .
Q. Is avoiding relapse twice as difficult in Dual Recovery?
A. _______________________________
_______________________________