Stages of Relapse
Stages of Change
Terminology
MISC
100

The first stage of relapse, and it occurs before someone in recovery even begins to consider using again, (The individual usually starts to experience negative emotional responses, such as anger, moodiness and anxious feelings).

Emotional relapse 

100

The cost of the problem behavior (such as drug use) are not yet recognized. The individual is in denial and is not seriously considering changing their behavior.

Precontemplation 

100

An excessive emotional or psychological reliance on a partner, typically a partner who requires support due to an illness or addiction.

Codependency 

100

A tool used to assist you when struggling with a stressor or trigger? 

Coping Skill

200

The second stage of the process is often a time of internal struggle for a person in recovery, as part of them wants to remain on the road to long-term sobriety; however, that part of them is embattled in a tug-of-war of sorts with another side that wants to return to using.

Mental relapse

200

Significant steps are taken to end the problem behavior. The individual might be avoiding triggers, reaching out for help, or taking other steps to avoid temptations. 

Action

200

A powerful and strong desire for a substance. It's also a symptoms of the abnormal brain adaptions that result from addiction.

Cravings

200

**DOUBLE POINTS**

What are the names of the two men who started AA?

Bill Wilson and Bob Smith

300

The third stage occurs when a person consumes the substance, breaking their sobriety. Using just one time can result in intense cravings to continue to use, and the potential to enter back into consistent substance abuse is prevalent.

Physical Relapse

300

The individual is experiencing ambivalence about change. They can see reasons to change their behavior, but they are still hesitant. 

Contemplation

300

A chemical produced naturally by the body and found in the brain. It functions as a neuortransmitter- a chemical released by neurons.

Dopamine

300

What are at least 5 of the 12 steps?

1. Admitting powerlessness; 2. Power greater than ourselves; 3. Action; 4. Moral inventory; 5. Nature of our wrongs; 6. Ready to remove; 7. Remove shortcomings; 8. Making a list or amends; 9. Making amends; 10. Personal inventory; 11. Meditation to improve; 12. Having a spiritual awakening  

400

Name at least 5 signs of a possible relapse.

Negative body language, lack of interest, disengagement, anxiety, avoiding coping skills, "I don't see the point of this", isolating 

400

The individual has decided to change their behavior, and they begin to think about how to do so. During this stage they will begin to make minor changes to support their goal, but they might not have completely ended the unwanted behavior.

Preparation

400

H.A.L.T 

Hungry Angry Lonely Tired

400

When a person perceives the threat of harm—whether emotionally or physically—their body will automatically initiate a survival response.

The Fight-or-Flight Response

500

What is one way of preparing for a possible relapse?

Relapse Prevention Plan

500

The changes made during the action stage or maintained. The individual may continue to face challenges, but at this point they have successfully changed their behavior for a significant period of time.

Maintenance 

500

A plan for how you can prevent a relapse or a return to drug use after a period of abstinence.

Relapse Prevention Plan

500

The slang term for the book Alcoholics Anonymous

Big Book

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