5/5/15
Understanding the Relapse process
Stages of change
Relapse prevention
Maslow's Hierarchy of Needs
100

Preoccupied with use, increase in tolerance and frequency of use.

Powerlessness

100

Negativity about your recovery, sponsor, support groups, friends in recovery, counselor, or doctor, not caring about sobriety or recovery plan; becoming negative about recovery or life in general, believing you do not need support from others. 

Attitude Changes

100
  1. First stage of change 

  1. Precontemplation: In this stage, individuals are not yet considering change. They may be unaware of the problem or in denial about its severity. Motivation for change is typically low.

100

What strategy involves reaching out to a trusted individual for support and guidance in times of need, often someone who has experience in recovery and can provide insight and encouragement?

Call a sponsor

100

What is the first level of basic needs (give examples)?

Physiological Survival needs: food, water, shelter, sleep, oxygen).

200

Loss of ones responsibilities in Life; Loss of ability to take care of personal affairs. (hygiene, graduations, taxes, chores, overdrawing bank accounts, vehicle maintenance).

Unmanageability 

200

Belief that you deserve alcohol or drugs, thinking a few (drinks, pills, hits, or snorts) wont hurt; deciding that you can use substances as long as its not your main DOC (e.g., substituting cocaine for marijuana, heroine for alcohol). HINT (It stinks).

Changes in Thinking

200

Second stage of change 

  1. Contemplation: Individuals in this stage are aware of the problem and considering the possibility of change. They may weigh the pros and cons of changing their behavior but have not yet committed to taking action.

200

Inability to manage feelings such as anger, anxiety, boredom, depression, emptiness, loneliness, guilt, and shame are the most common factors contributing to relapse. Staying sober and sustaining recovery depends on your ability to use active _____ to manage your feelings rather than letting them lead you to drink or use drugs.

Active coping strategies 

this refers to proactive and constructive methods individuals use to manage stress, challenges, or difficult situations. These strategies involve taking direct action to address the problem or alleviate the stressor, rather than passively enduring or avoiding it. Active coping is characterized by engagement, problem-solving, positive reframing, assertiveness, and seeking social support when needed.

200

What is the second level of needs? 

Physical Safety: to feel safe from in the world from personal danger and threats. Being deprived of this leads to fear. In order for a persona to develop fully as a human there must be freedom from personal attack (especially in ones own home). 

300

Diseases, Overdoses, health issues, paranoia, depression, legal issues, debt, suicidal thoughts and additional trauma. 

Consequences

300

changes in negative _____ that you find hard to handle such as anger, anxiety, boredom, depression, emptiness, loneliness, or guilt and shame. 

Changes in Feelings or Emotions

300

what are the 3rd and 4th stages of change?

3.Preparation: In this stage, individuals are ready to take action. They may have made plans to change their behavior in the near future and may be actively seeking support and resources to facilitate change.

4.Action: Individuals in this stage are actively modifying their behavior to address the problem. They may be implementing specific strategies, such as attending therapy, joining support groups, or making lifestyle changes to support their recovery.

300

What action entails contacting a trusted friend or support person who can help hold one accountable for staying sober and making healthy choices?

Call an accountability partner/peer or sober support/ emergency contact.

300

What is the third need? 

Love and Belonging: the need and hunger to belong to a group, family, religion, town, or class. Acceptance and understanding, loving and affection, We need both to get and give love. 

400

What is the 2nd step of AA?

The second step of Alcoholics Anonymous (AA) involves coming to believe that a Power greater than oneself can restore sanity. It emphasizes the recognition of the need for help beyond one's own abilities in overcoming alcoholism or addiction. This step encourages individuals to develop faith or openness to the possibility of a higher power or spiritual force that can support them in their recovery journey. It serves as a foundation for the subsequent steps, which involve surrendering to this higher power and seeking its guidance and support in achieving sobriety.

400

Cutting down or stopping 12 step or other mutual support groups or counseling with out first discussing this with a counselor or sponsor. Putting yourself in high risk situations such as going to bars, parties, or socializing with others actively using; increased episodes of arguing, for no apparent reason, and increased lying dishonesty; increase in smoking more cigs or eating more food than usual-are what kind of change? 

Behavioral Changes 

400

What is the 5th stage of change?

5.Maintenance: Once individuals have successfully changed their behavior, they enter the maintenance stage. In this stage, they work to sustain the changes they have made and prevent relapse. This may involve ongoing efforts to manage triggers, build coping skills, and maintain a supportive network.

400

Daily Double 

What approach prioritizes activities like sleep, healthy eating, and engaging in physical and emotional well-being to reduce stress and support recovery? 

What activity involves participating in gatherings with other individuals in recovery to share experiences, gain support, and learn coping skills to prevent relapse?

1)What is practicing self-care?

2) Attend AA meetings 

400

What is the fourth need? hint: helps you learn to feel better about your self despite flaws or others negative opinions. 

Self-esteem needs. 

500

How is Powerlessness defined in AA?


In Alcoholics Anonymous (AA), powerlessness is defined as the inability to control one's drinking or substance use once it has begun. This concept is central to the understanding of alcoholism and addiction as diseases characterized by a loss of control over substance use despite negative consequences. AA teaches that admitting powerlessness over alcohol or drugs is the first step towards recovery, as it allows individuals to recognize the need for help and to seek support from a higher power, the fellowship of AA, and other resources to achieve and maintain sobriety.

500

Daily Double: What are 4 relapse warning signs that indicate movement away from recovery towards relapse?

Relapse warning signs may be in your behavior, attitude, changes in thinking, and changes in feelings or emotions or a combination of these.

500

What is the last stage of change?

6.Termination: In some models of change, termination is considered an additional stage where individuals have fully integrated the new behavior into their lives, and the risk of relapse is minimal. Not all models include this stage, as for some behaviors, such as addiction recovery, the risk of relapse may always be present to some extent.

500

(Daily Double)

What strategy includes setting achievable milestones in recovery to provide motivation and reduce feelings of overwhelm?

What involves steering clear of situations where substance use is prevalent, such as parties or social gatherings?

Answer: What are setting realistic goals and avoiding high-risk situations?

500

Daily Double

What is the benefit of having these needs met? Hint: its the last stage of the Hierarchy of Needs.

What are possible consequences of unmet needs from infancy and child hood to adulthood?


1) Maslows theory of human motivation in 5 stages are believed to be necessary for human existence, a sense of purpose, and life satisfaction. The benefit is Self-fulfillment (self actualization)-this is the highest level of needs and psychological development, where a person begins to recognize their full potential after basic body and ego needs are met. (key words: full potential, self-transcendence, motivation, drive, talents, self-actualization).

2)When our needs are unmet in childhood it opens us up to unhealthy coping and relapse. Consequences include: addiction and compulsions among 52 other issues commonly treated in therapy; also leads to mental health issues.


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