Presented by Joan E. Huss; LIMHP, LADC Associate Director of Clinical Services Catholic Charities - JOURNEYS
Relapse is the progressive process of becoming so dysfunctional in recovery that self-medication with alcohol or drugs seems like a reasonable choice. Definition: a reactivation of the symptoms of addiction after those symptoms have gone into remission ◦ Irrational thoughts ◦ Unmanageable feelings ◦ Destructive behaviors
In order to relapse, you first have to be in recovery ◦ Understand addiction ◦ Apply knowledge to self ◦ Accept the painful feelings due to addiction ◦ Stop using ◦ Work a recovery program
Relapse is a process not an event Relapse is unconscious and automatic Either relapse or recovery Relapse is common and predictable Relapse is preventable ◦ Rule of thirds Relapse stages are cumulative and progressive
Sobriety vs. abstinence Brain studies on relapse Role of choice Role of motivation Role of will power and self- discipline Hitting “rock bottom”
1. Internal Change 2. Denial 3. Avoidance and Defensiveness 4. Crisis Building 5. Immobilization 6. Confusion and over-reaction 7. Depression 8. Loss of Control 9. Realization of Loss of Control 10. Option Reduction
Increased stress Change in thinking Change in feelings Change in behavior
Concern about well-being Denial of the concern
Believing that I will never use again Worry about others instead of myself Defensiveness Compulsive behavior Impulsive behavior Tendencies towards loneliness
Tunnel vision Minor depression Loss of constructive planning Plans begin to fail
Daydreaming and wishful thinking Feeling that nothing can be solved Immature wish to be happy
Difficulty in thinking clearly Difficulty in managing feelings and emotions Difficulty in remembering things Periods of confusion Difficulty managing stress Irritation with others Easily angered
Irregular eating habits Lack of desire to take action Difficulty sleeping restfully Loss of daily structure Periods of deep depression
Irregular attendance at recovery activities I don’t care attitude Open rejection of help Dissatisfaction with life Feelings of powerlessness and helplessness
Self-pity. Thoughts of social drinking. Conscious lying. Complete loss of self- confidence.
Unreasonable resentment. Discontinues all treatment activities Overwhelming loneliness, frustration, anger and tension. Loss of behavioral control.
Initial use (the lapse). Shame and guilt. Helplessness and hopelessness. Complete loss of control. Bio-psycho-social damage.
Terence Gorski GORSKI-CENAPS model