Relapse Prevention Strategies
Maintaining Change Principles
Relapse Prevention Terminology
True or Fale
Relapse Chain
100

PPT stands for this. 

What is People, Places and Things? 

100

It's important NOT to be this when helping our clients set their goals for change. 

What is overly directive?

100

A ______ is an uncontrolled return to substance use following competent treatment or a substantial period of sobriety. 

What is a relapse? 

100

You should just give a client a relapse prevention plan without discussing it. 

What is false? 
100

This is usually the first link in the relapse chain. 

What is buildup or onset of stress?

200

In this method, clients are provided with a list of situations where they rate their confidence to avoid a relapse. 

What is direct observation?

200

This is any situation that threatens a client's sense of self-control and could lead to relapse and should be examined in treatment. 

What are high-risk situations? 

200

A ________ is neither catastrophic nor regressive, it is a temporary occurrence of substance use and does not have to be damaging in itself. 

What is a slip? 

200

Relapse is does not have to be part of recovery but is common in SUD treatment. 

What is true?

200
It is said that this happens before the physical act of relapse ever occurs. 

What is overly negative thoughts/moods/stinkin' thinkin?'

300

Providing clients with training on managing difficult emotions, relaxation, decision making skills and communicating skills would examples of providing this. 

What are coping skills? 

300

This can happen when a traumatic situation builds into a relapse, or in which clients treat themselves for good behavior with their previous addiction. Could also be called the "F-Its." 

What is the Abstinence Violation Effect?

300

These are symptoms that can manifest for 6 months to 2 years. 

What are PAWS? 
300

Clients can go through multiple stages of change when making a behavior change. 

What is true? 
300
A client can find themself in this type of situation, that may lead to relapse, if they have ignored the build up of stress and the negative thoughts and denied the seriousness of current stressor. 

What is a high-risk situation? 

400

This is skill that all clients require practice with as it's part of life and can be a common trigger for substance use. 

What is stress management? 

400

Treatment usually stops at this stage, according to Gorski, which can be challenging as it limits time to get to deeper issues that may influence substance use. 

What is early recovery? 

400

At a deeper level, this technique asks that someone consider where they are experiencing lack, who or what has violated them, where do they need support, what has caused them to be discouraged? 

What is HALT? 

400

Brain dysfunction occurs during substance use and can cause short term and long-term withdrawal symptoms. 

What is true? 

400

Confronting a high-risk situation with awareness and honesty with oneself can help increase this.  

What is self-efficacy? 

500

This involves imagining yourself refusing a drink at a holiday work party or completing a task without the use of a stimulant, and building confidence with which to do so. 

What is efficacy-enhancing imagery technique?
500

These are the three areas that Gorski states we must work with clients in to achieve competent functioning. 

What are work, friendships and intimate relationships?
500

In this technique, the client may say “I’m experiencing a conditioned response that manifests itself as craving. If I experience the feeling and do not give in to it, it will pass, and eventually the frequency of these feelings will decrease greatly.”

What is labeling and detaching? 
500

All people with substance use disorders will experience difficult withdrawal symptoms and require professional treatment to manage these. 

What is false?

500

Considering driving by your ex-partner's house where you spent a significant amount of time engaging in substance use just to "see who might be hanging out" is an example of this.  

What is an apparently irrelevant decisions?