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Definitions of Relapse p A recurrence of symptoms of a disease after a period of improvement (Webster) A breakdown or setback in an attempt to change or modify a target behavior (Marlatt) An unfolding process in which substance use is the last event in a long series of maladaptive responses to internal or external stressors or stimuli (NIDA) 10
Causes and Effects of Lapse/Relapse Many factors contribute to lapse or relapse • Interpersonal p (relationships ( p with family, y, friends, , etc.) ) • Intrapersonal (thoughts, feelings or emotions) • Can occur suddenly or gradually • Severity of relapse will vary Ignoring g g relapse p warning g signs g Inability to manage high risk situations Family Family, social, social lifestyle issues Poor adherence to treatment 11
Page 1 and 2: Relapse Prevention Dennis C. Daley,
Page 3 and 4: GAlanMarlatt G. Alan Marlatt, PhD 1
Page 5 and 6: Recovery y Process Process of f ma
Page 7 and 8: 2: Understanding Relapse in Addicti
Page 9: Key Terms Addiction treatment: •
Page 13 and 14: Relapse Situations Among Alcoholics
Page 15 and 16: Relapse Curves for Individuals Trea
Page 17 and 18: 3. Evidenced-based Evidenced based
Page 19 and 20: Efficacy of Multi-Site NIAAA Trial:
Page 21 and 22: % Days Abstinent A Mean Percent Day
Page 23 and 24: "Stop fighting and surrender, Jones
Page 25 and 26: 024 0.24 0.22 0.20 0.18 0.16 014 0.
Page 27 and 28: Family Intervention Studies di (Lid
Page 29 and 30: 4. Relapse Prevention Therapy or Co
Page 31 and 32: Relapse Prevention MModels d l Mar
Page 33 and 34: Relapse Prevention Counseling (Dale
Page 35 and 36: MATRIX Model Individual, group, fa
Page 37 and 38: 5. Systems Strategies to Reduce Rel
Page 39 and 40: S#1: Incorporate Strategies to Impr
Page 41 and 42: Abstinence Rates at 1-Year Follow-U
Page 43 and 44: Mean Number of Drinks Mean Drinks r
Page 45 and 46: S#3: Use Motivational Incentives S
Page 47 and 48: S#4: Offer Medication-Assisted Medi
Page 49 and 50: FDA Approved Medications Vivitrol
Page 51 and 52: S#5: Involve the Family or Concerne
Page 53 and 54: S#6: Provide Integrated Care for Co
Page 55 and 56: 6. Counseling Interventions to Redu
Page 57 and 58: Identify Triggers and Cues Identif
Page 59 and 60: Strategies to Manage Cravings Reco
Page 61 and 62:
Cognitive Factors Interacting on Re
Page 63 and 64:
Negative Thinking Mark Twain Said.
Page 65:
C#3: Identify and Manage Warning Si
Page 68 and 69:
Learning g from a Relapse p What w
Page 70 and 71:
C#4: Identify and Manage High High-
Page 72 and 73:
Relapse p Precipitants p Negative
Page 74 and 75:
Primary Negative Emotions Related t
Page 76 and 77:
C#6: Identify and Manage Social Pre
Page 78 and 79:
Examples of Different Ways to Condu
Page 80 and 81:
Asking g for Help p Think of a time
Page 82 and 83:
Improve Interpersonal and Social Sk
Page 84:
Contents Understanding addiction
Page 87 and 88:
“Guess what?! I think Jones has f
Page 89 and 90:
C#9: Assess and Address Lifestyle I
Page 91 and 92:
Lifestyle Changes PParticipate ti
Page 93 and 94:
C#10: Stopping a Lapse or a Relapse
Page 95:
Coping p g with a Lapse p St Stop,
Page 98 and 99:
Mark Your Calendar August 10 • C
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