STAGES OF RELAPSE
These are the three stages of relapse.
What are emotional relapse, mental relapse, and physical relapse?
H.A.L.T. stands for these four things.
What are Hungry, Angry, Lonely, and Tired?
This coping skill involves imagining where using will lead you — playing the full scenario out in your mind.
What is "play the tape forward"?
A one-time slip and a learning opportunity — this is the difference between a relapse and this.
What is a lapse?
According to the presentation, relapse develops this way — not suddenly.
What is gradually (in stages, long before use occurs)?
This stage of relapse happens before a person has any conscious thoughts about using substances.
What is emotional relapse?
H.A.L.T. is described as this type of tool/coping that reminds people in recovery to check in with their basic physical and emotional needs.
What is a mindfulness tool/coping?
When a craving hits, this strategy suggests waiting this amount of time for it to pass.
What is 15–30 minutes (distract for 15–30 minutes)?
This is the estimated relapse rate within one year for alcohol use disorder.
What is 40–60%?
A morning check-in, a midday pause, and an evening reflection are all parts of building this into your recovery.
What is a daily routine (or structure)?
During this stage, a person experiences cravings, romanticizes past use, and thinks "just once" won't hurt.
What is mental relapse?
If you skipped lunch, feel shaky, and a coworker frustrates you, H.A.L.T. would say you are experiencing this state.
What is Hungry?
Removing triggering social media connections and avoiding triggering environments are examples of this recovery skill.
What is setting boundaries?
This percentage of individuals relapse at least once during recovery from a substance use disorder.
What is 87%?
fter a slip, these two emotions are described as the biggest threats to continued recovery.
What are shame and guilt?
Poor sleep, not eating consistently, bottling emotions, and isolation are all warning signs of this stage.
What is emotional relapse?
It's Saturday night, you have no plans, and you're scrolling through old contacts — H.A.L.T. would identify this as your risk state.
What is Lonely?
Name 2 of the seven coping skills listed on the "Coping Skills That Help Prevent Relapse" slide.
Play the tape forward, Distract for 15–30 minutes, Change environment, Reach out to someone, Attend a support meeting, Challenge unhelpful thoughts, Avoid high-risk places
The five-year relapse rate for stimulant use disorders without support.
What is 75%?
These are the four steps to get back on track after a slip: be honest, reach out immediately, identify what led to it, and do this.
What is adjust your plan?
This stage often happens quickly once the internal struggle has intensified, especially if support and coping strategies weren't used earlier.
What is physical relapse?
According to the H.A.L.T. slide, when you feel lonely the first suggested action is to do this with someone in recovery.
What is text someone in recovery?
The "Setting Boundaries" slide lists five types of boundary changes. Name 1.
Changing people, places, and things, Limiting or ending relationships that encourage substance use, Avoiding triggering environments, Setting home/environment boundaries, Removing triggering social media connections
This is the estimated relapse rate for opioid use disorder without MAT (medication-assisted treatment).
What is 80–90%?
Accountability in recovery is not about this — it's about support.
What is punishment?