115 -Relapse Prevention for Addiction and Mental Health Issues
Counselor Toolbox for Mental Health...

00:00 / 58:54

Relapse Prevention

CEUs can be earned for this presentation at https://www.allceus.com/member/cart/index/product/id/574/c/

Dr. Dawn-Elise Snipes PhD, LMHC, LPC
~    Define Relapse
~    Identify Relapse Warning Signs
~    Identify Strengths
~    Learn about how your issue developed
Relapse Definition
~    Relapse is the return to something that has been previously stopped
~    Relapse is multidimensional
~    Emotional
~    Mental
~    Physical
~    Social
~    A relapse is when you start returning to any of these people, places, things, behaviors or feeling states.
Activity: Distress vs. Happiness Worksheet

In your Unhappiness
~    Emotionally
~    Mentally
~    Physically
~    Socially

When you are Happy
~    Emotionally
~    Mentally
~    Physically
~    Socially
~    Triggers are stimuli that set off an event.
~    Triggers can prompt positive or negative event as
~    Triggers can be
~    Visual
~    Auditory
~    Tactile
~    Olfactory
~    Cognitive
~    Temporal (Time or location)

Emotional Relapse
~    In emotional relapse, your emotions and behaviors become negative and unpleasant.
~    You start finding it difficult to experience pleasure
~    What triggers your negative emotions (Anger/resentment/jealousy/guilt; anxiety/fear/stress; depression)
~    Things/Media
~    People
~    Places
~    Events
Emotional Relapse
~    Negative emotions make us uncomfortable
~    Identify the emotion, explore why you are feeling that way and take steps to fix the problem
~    You can become stuck in the emotion, sometimes
~    Nurturing and blowing it out of proportion
~    Compounding it with other emotions like anger and guilt
~    Personalizing it
~    Trying to escape from it
~    Remember that emotions are just cues like a stoplight.
~    You feel how you feel in the moment
~    You can choose to change or improve the next moment
Preventing Emotional Relapse
~    Practice mindfulness
~    Increase positive experiences (real and guided imagery)
~    Keep a gratitude journal
~    Avoid personalizing something that may not be about you
~    Remember that…
~    Negative emotions are the mind’s way of telling us to get off our butts and do something—Like our car’s idiot light or hunger pangs
~    Dwelling on, nurturing, avoiding or hiding from negative emotions never makes anything better
~    You can *choose* to feel and fix, or relapse and repeat
~    Identify and put in place triggers for positive emotions

~    List 10 things that you chose to get anxious or angry about over the last week
~    Why did you get upset?  (What was your mind telling you needed to be fixed)
~    Did holding on to the upsetness do any good?
~    What was your initial reaction, and was it helpful?
~    What could you do differently next time to either
~    Change/fix the situation (Improve the next moment)
~    Change how you feel about the situation  (Walk the middle path)
~    Let it go (Radical Acceptance)
Mental Relapse
~    In mental relapse there's a war going on in your mind.
~    Part of you wants to stay positive, but part of you is struggling with tolerating the distress.
~    The signs of mental relapse are:
~    Focusing on the negative
~    Having a pessimistic/helpless/hopeless attitude
~    If you had an addiction, you may also be:
~    Thinking about people, places, and things you used with
~    Glamorizing your past use
~    Lying to yourself and others
~    Justifying your behaviors
~    Minimizing the impact of one (drink/hit/bet etc.)
~    “Screw It” attitude

Mental Relapse
~    What types of things trigger negative thoughts?
~    Things/Media
~    People
~    Places
~    Events
~    What thoughts do you have that make you feel
~    Angry/irritated/resentful
~    Guilty
~    Envious
~    Scared/Anxious/Worried/Stressed

Identifying Unpleasant Thoughts
Preventing Mental Relapse
~    KISS:  Keep It Simple Stupid
~    Trying to change too many things at once can lead to failure
~    Often some of simplest things can have the greatest impact
~    Prevent and address vulnerabilities that can make you focus on negative or have a strong, negative emotional reaction
~    Good Orderly Direction
~    Your life is a road map
~    The destination is recovery and happiness
~    Before you act, think whether that keeps you on the right road, or is an unplanned detour
~    Maintain Head-Heart-Gut Honesty (Rational, Emotional, Wise Mind)

Identifying Pleasant Thoughts
Social Relapse
~    Symptoms
~    You have returned to the old people and places who co-sign on your b.s.
~    You have withdrawn from your social supports
~    You have become self-centered
~    You have withdrawn
~    What triggers your social relapse
~    People
~    Places
~    Things
~    Events
Preventing Social Relapse
~    Contact your social support(s) on a daily basis for the first 3 months
~    Keep a business card in your wallet with the names and numbers of 3 social supports
~    Change your phone number (if possible) and destroy contact information for people who might trigger a relapse
~    Find at least one prosocial activity to do each week —volunteer, church, go to the gym
~    What triggers can you put in your environment to remind you to use these tools?
Physical Relapse
~    Physical relapse is characterized by:
~    Fatigue
~    Increased anxiety
~    Difficulty sleeping
~    Neglecting physical health (sleep, exercise, nutrition, medication)
~    If there was also addiction…
~    Cravings
~    Dreams about the drug

Preventing Physical Relapse
~    HALT
~    Hungry
~    Nourish your body with proper nutrition
~    Nourish your mind with activities and things that increase “happy chemicals”
~    Angry/Anxious
~    Reduce chronic stress
~    Lonely
~    Nurture social supports to buffer stress
~    Be willing to ask for help
~    Tired
~    Get sufficient quality sleep
~    Address issues such as sickness and pain that prevent quality sleep
Review Strengths
~    What is life like when you are happy?
~    What is different?
~    What is the same?
~    List three ways you cope with stress.
~    What activities do you like to do?
~    What are your positive qualities and strengths?
Review Prior Relapses
~    What was happening before the relapse?
~    What triggered the relapse?
~    Relapses occur when old behaviors are more rewarding or stronger than new ones.
~    What became more rewarding than your recovery program?
~    Before you relapse, what changes in
~    Your emotions
~    Your thoughts
~    Your behaviors
~    Your interactions with others?
~    What have you learned?
Creating the Plan
~    Why do you want to change
~    What are the most common pitfalls for your relapse
~    What you can do to prevent that from happening again
~    What has worked in the past

~    Create a schedule including
~    Recovery activities
~    Work
~    Reflection time
~    Positive health behaviors including nutrition, exercise, sleep
~    Nurturing positive relationships
The Forgotten Parts
~    Two main things people forget when they try to make a change plan
~    We do what we do for a reason, and any substitution MUST fulfill the same function to the same degree
~    You would not go on a diet and replace chocolate with celery
~    It is as more about living a healthier lifestyle, guided by purposeful action, than “removing” any one behavior
~    If you remove the behavior without an adequate replacement you will relapse
~    If you remove the behavior, but are still around the same PPTs, you may relapse
~    If you are immersed in positive activities, you will have less time to make the wrong choices
Tips for Increasing Motivation
~    Decisional Balance Exercises
~    Increase/Strengthen these
~    The benefits of the new behavior
~    The drawbacks to the old behavior
~    Decrease/Mitigate these
~    The benefits of the old behavior
~    The drawbacks to the new Behavior
~    Find meaning in everything…After you do any activity or read any literature, ask yourself…
~    What was in it for me?
~    What is one thing I can take away from this (even if it only that you were reminded how much you do not want to use again)
Bucket Lists
~    In our unhappiness we often forget what makes us happy, or neglect things we love.
~    All work and no play puts you at risk, even if a lot of the work is on your recovery.
~    Make a list of …
~    Things you enjoy doing  (Scrabble, gardening, exercise, baking…)
~    Things you would like to do or try (hiking, cooking class, playing in a band, reading…)
~    Is there anyone you knowwith similar interests? If not, where would you find them?
~    Do at least 5 per week

Relapse Prevention Planning Highlights
~    Include time in the morning and at night to use mindfulness skills to “get grounded”
~    Identify and prevent or mitigate vulnerabilities each day
~    Avoid alone, idol time if your mind tends to wander to dark places
~    Incorporate positive experiences each day
~    Set realistic daily goals
~    Give yourself credit for positive accomplishments

~    Relapse triggers can be emotional, mental, physical or social
~    For each trigger you identified, describe at least 1 way you can deal with it
~    Practice mindfulness each day can help you become aware of your personal, daily vulnerabilities for relapse
~    For each general category, identify 3 things you can do to continue on your journey toward happiness

By continuing to use the site, you agree to the use of cookies. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.