Stages of Relapse
Relapse Autopsy
Stinking Thinking
Relapses
Celebrity Deathmatch
100

This is the first stage of relapse and is characterized by feelings and behaviors that increase risk, even when a person is not thinking about use.

What is Emotional Relapse

100

This exercise today helps identify vulnerabilities, patterns, and choices that contribute to a relapse.

What is a Relapse Autopsy?

100

This ego defense (cognitive distortion) involves making excuses that sound reasonable.

What is rationalization?

100

In RELAPSES Autopsy, this refers to this area of life that can create distress when it changes too quickly.

What are routines?

100

She was an American actress and singer. She played one of her first roles as a child on soap operas One Life to Live and Guiding Light, and in the mid-2006s the first season of the show “Heroes” was based  around her character—save the cheerleader, save the world. She had a daughter with Ukranian boxer, and experienced a public look at post-partum depression, which lead to her daughter’s father having custody of their child. Overdose by fentanyl in 2026.

Who is Hayden Panetterie?

200

This stage often includes cravings, bargaining, and thoughts of returning to substance use.

What is mental relapse?

200

According to what we talked about today, an autopsy helps identify what a person may have used to make their relapse risk make sense to them.

What are cognitive distortions (ex. minimizing, justifying, blaming, etc)?

200

This defense involves convincing yourself the behavior is acceptable.

What is justification?

200

The "A" in RELAPSES stands for evaluating these unresolved emotional burdens.

What are resentments?

200

He was an American musician and actor the south. Began playing in 1950’s. Famous moves and gyrations too controversial and sexual for the times. King of Rock and Roll. Las Vegas. More impersonators of him than anyone else. “Blue Suede Shoes”. Died at age 42, in Graceland, cause of death methaqualone, codeine, barbiturates, cocaine (& heart)

Who was Elvis Pressley?

300

This stage occurs when a person actually returns to drinking or drug use.

What is physical relapse?

300

A relapse autopsy examines events occurring immediately before, the day of, the week before, and this additional time period.

What is two weeks or more before the relapse?

300

This defense involves downplaying the seriousness of the problem.

What is minimization?

300

The "P" warns against this attitude that says the rules don't apply to you.

What is Pride or Narcissism?

300

He was an American actor, comedian, musician. His brother is still acting today. One of the original comedians on sketch comedy show SNL. Played music alongside Dan Aykroyd playing blues wearing suits, black hats and black sunglasses. “Animal House”. Cause of death, cocaine and heroin.

Who is John Belushi?

400

Relapse is not an event...but rather THIS type of process.

What is a gradual process?

400

This question asks clients to identify information, situations, experiences or thoughts the deliberately withheld from others.

What secrets did you keep?

400

This neurotransmitter is responsible for pleasure seeking, and contributes to wanting to use, drink or engage in possibly risky behaviors.

What is dopamine?

400

The second "E" refers to avoiding suffering by engaging in these types of behaviors.

What is Pleasure-Oriented Behaviors?

400

Grammy award winning multi-platinum selling hip hop artist. Artis Leon Ivey, Jr. Birth name. Hair braids in different directions. Kenan & Kel show intro. From Compton. Died at 59. Before rap stardom he was a firefighter in San Bernadino Mountains. He described what paradise looked for a gangsta. Cause of death heroin and methamphetamines.

Who is Coolio?

500

Name the three stages of relapse, in order.

What are emotional, mental and physical relapse?

500

Relapse Autopsy states that understanding vulnerabilities allows a person to do this to their recovery.

What is fortify defenses or protect their recovery?

500

This term describes the process of thinking akin to "eff it". It's an all-or-nothing approach where a person is more likely to feel overwhelmed and abandon long-term goals in favor of short-term relief.

What is Abstinence Violation Effect?

500

A person in recovery has stopped attending meetings, become increasingly isolated, is holding onto anger toward a family member, believes they no longer need help, and only remembers the "good times" associated with using. Name at least four components of the RELAPSES model present in this scenario.

What are Look at Relationships, Assess Resentments, Pride, and Selective Memory? (Stinking Thinking could also be accepted.)

500

She was an American professional wrestler, body builder, adult film actress, Joanie Laurer. Raven haired. Dated “Triple H”, “9th Wonder of the World”. Dead at 45. Cause of death diazapam, oxycodone, oxymorphone, tamazepam, alcohol.

Who is Chyna?