Stages of Relapse
What are the 3 stages of relapse?
Emotional, Mental, Physical
What’s one emotional sign that relapse may be starting?
Irritability, isolation, skipping meetings, etc.
What is the first thing you should do if you suspect someone is overdosing?
Call 911
What drug class causes pinpoint pupils and slowed breathing?
Opioids
What does Narcan reverse?
Opioid overdose
What stage includes isolation and skipping meetings?
Emotional
What risky behavior can occur in mental relapse?
Hanging out with old using friends
What is the recovery position used for?
To keep someone from choking if they are breathing but unconscious
What symptoms might you see in a stimulant overdose?
Seizures, high body temp, paranoia, fast heartbeat
Where do you spray Narcan?
In one nostril
What stage involves planning or fantasizing about using?
Mental
What is one strategy to respond when you notice mental relapse signs?
Call sponsor, journal, attend meeting
True or False: You should wait to call 911 until after giving Narcan.
False – call 911 immediately
Which drug class causes extreme drowsiness?
Depressants
How long does Narcan usually last in the body?
30–90 minutes
True or False: Relapse happens instantly with no warning signs.
False
Why is it dangerous to glamorize past substance use?
It can lead to justification and relapse
How do you recognize an opioid overdose?
Slow breathing, blue skin, pinpoint pupils, etc.
What is poly-substance use, and why is it risky?
Using multiple drugs at once, increases overdose risk
True or False: It’s dangerous to give Narcan if you’re not sure what drug was used.
False – it won’t harm them
Describe a sign from each of the 3 relapse stages.
Emotional - irritability, Mental - cravings, Physical - using)
What can help stop a relapse in the emotional stage?
Self-care, reaching out, mindfulness, honesty
What should you do if the person doesn’t respond after the first dose of Narcan?
Wait 2–3 mins, give second dose
What can happen during an alcohol overdose?
Vomiting while unconscious, slow breathing, hypothermia)
Why should you still call 911 after giving Narcan?
The person may relapse into overdose when it wears off