One of the core goals of behavioral therapy in a drug rehabilitation program is preventing relapse. When the risk of relapse is reduced, a person is better able to focus on their family, work, school, friends, and overall health. Creating a relapse prevention action plan during rehabilitation helps to decrease the likelihood of relapse after treatment.
Relapse has long had moral implications during addiction treatment. But, it is important to know that if you or a loved one relapse, it is not a moral failing or a sign of poor willpower. Relapse, in terms of addiction as well as other chronic illnesses, means a return of symptoms associated with the underlying disease. Since addiction is a chronic disease like diabetes, hypertension, and asthma, relapsing back into compulsive behaviors simply means that you should return to treatment.
The National Institute on Drug Abuse (NIDA) reports that rates of relapse among several chronic illnesses are similar to relapse rates for addiction.
When someone with asthma gets treatment, their doctor will work with them on a long-term treatment plan that includes medication and lifestyle changes. This plan will work for a certain amount of time and then symptoms may return. When symptoms of the underlying condition return, people with asthma do not blame themselves for a lack of willpower; they go back to the doctor to change their treatment plan.
This approach works well for addiction treatment as well. When medications are available, they are prescribed. Behavioral therapy through outpatient or inpatient rehabilitation helps to change compulsive behaviors. If a relapse occurs, the person should return to an addiction specialist to adjust their treatment plan.
Part of rehabilitation involves therapists helping their clients learn how to write a relapse prevention action plan. While relapse is part of the underlying disease of addiction, you can learn to recognize behaviors that may lead to relapse, employ daily approaches to manage stress, attend support groups, and take other steps that help you prevent relapse. This can all help you to recognize when you should return to addiction treatment before a relapse takes hold.
The American Society of Addiction Medicine (ASAM) lists six dimensions of multidimensional assessment for addiction treatment and recovery. One of these dimensions explores the individual’s unique relationship with attempts to quit and subsequent relapse in the past. Knowing if someone has been through treatment before and had a relapse, or has tried more than once to quit on their own and were not able to stop abusing substances, can help clinicians determine the next steps in treatment, including how to prevent relapse later.
The concept of relapse prevention is part of the approach of cognitive-behavioral therapy to understand the causes of behaviors and make positive changes to those behaviors. Over the past several decades, relapse prevention has become an umbrella term for most types of therapy that focus on developing better coping mechanisms to avoid compulsive behaviors.
A plan to prevent relapse focuses on understanding a potentially high-risk situation and applying an effective coping response. This leads to a sense of increased self-efficacy and decreases the probability of relapse. For example, after completing an alcohol rehabilitation program, you may find yourself at a holiday party where people are drinking. Learning how to say “no” if offered a drink can empower you to avoid alcohol in this situation, which reduces your risk of relapse. Several studies have shown that this approach to preventing relapse is very effective for most people.
A relapse prevention plan may include the following sections:
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The above items are examples of things to include in your relapse prevention plan, and they may work for you. When it’s time to write your plan, speak with your therapist or support group to identify the specifics for your personal plan. There may be personal touches you can add, like a commitment to a certain amount of daily exercise, meal planning lists, or a therapy calendar, among other options. Aim to create the most supportive plan for you, so you are ready if any of your triggers pop up.There are several elements to addiction treatment that each play an integral role. But, it may often be difficult to navigate them all. If you’ve been crushed under the weight of addiction, don’t fear, Ocean Breeze Recovery is here. Call 844-554-9279 or contact us online today to learn how you can pursue a life of recovery.
(July 2018) Treatment and Recovery. National Institute on Drug Abuse. from https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery
(January 2018) How Effective Is Drug Addiction Treatment? National Institute on Drug Abuse. from https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-effective-drug-addiction-treatment
What Is the ASAM Criteria? ASAM: The American Society of Addiction Medicine. from https://www.asam.org/resources/the-asam-criteria/about
(July 19, 2011) Relapse Prevention for Addictive Behaviors. BioMed Central: Substance Abuse Treatment, Prevention, and Policy. US National Library of Medicine National Institutes of Health. from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163190/
Relapse Prevention Plan. Wyoming State Board of Nursing from https://nursing-online.state.wy.us/Resources/Relapse%20Prevention%20Plan%20Example.pdf