According to relapse prevention consultant Terence Gorski, relapse doesn't just happen. There is a progression of warning signs that appear before the relapse into drinking or drug abuse. By learning the signs that lead to relapse, an addict or alcoholic can build a successful relapse prevention program.
Sobriety
Addicts and alcoholics must be sober before they can begin to form the rational kind of thinking that is required to prevent a relapse. While the initial detoxification process can be over in a few days or so, the body remains toxic for up to six months and affects the brain's ability to make clear decisions. A solid recovery program such as Alcoholics Anonymous or other 12-step recovery program can help solidify the sobriety and give the addict time to get clean and clearheaded.
Self Knowledge
Knowing the history of substance abuse, what started the abuser down the path of addiction, what triggers set off relapses in the past and how the addict typically reacts to success and failure can help build a successful relapse prevention program. Addicts and alcoholics can use the assistance of a counselor and work the fourth step in the 12-step program to identify these patterns and learn to recognize them when they appear.
Identification
Addicted people should make a list of the triggers that are most likely to precipitate a relapse. Behaviors such as isolation, irritability, impatience and self-criticism may be signs of an impending relapse. In addition to making the list and reviewing it regularly, addicts and alcoholics who want to avoid relapse should let others know about the warning signs. By allowing friends, family members, counselors and 12-step sponsors know an individual's weaknesses, those close to him can point out the signs when they see them, effectively quashing the denial that is a significant symptom of the disease.
Regular Inventory
The 10th step of Alcoholics Anonymous calls for a daily inventory to stay on top of the alcoholic's thinking and behavior. Addicts and alcoholics who maintain a vigilant inventory can learn to recognize signs of a relapse and seek help to prevent it. An addict should also contemplate future situations that may be stressful or could trigger unwanted emotional responses. By considering the effects of a new job, move to another city or family gathering, a recovering person can prepare for the stress and feelings that may come up as a result of the situation and stave off any negative reactions that could lead to relapse.
