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Chapter 13
Maintenance and Relapse
Prevention
Updated by Melinda Haley, Walden University
Copyright © 2016, 2012, 2008 by Pearson Education, Inc. All Rights Reserved
Relapse Prevention for Addictive
Behaviors
Lapse
Modest breach of agreed goals
Can be a learning experience
Relapse
A more serious violation of treatment goals,
learning is not evident
Relapse Prevention
A range of therapeutic methods applied to a range
of behaviors
Plan ahead
Must be considered, planned, and implemented
Begins with brainstorming
Which strategies to use
Multiple methods of stress relief
Rehearse alternative responses to drinking
Identify strengths and resources
Psychological Trap
Temptation to break rules once set
Minor violations seem to justify major ones (already
failed)
Coping strategies can prevent the progression
Does AA’s message of powerlessness make
relapse after a single drink an inevitability? Self-
fulfilling prophecy?
Stabilization plan
Assessment
Relapse education
Identify warming signs
Identify problem solving strategies
Recovery planning
Inventory training
Family involvement
Follow up
Involvement of family
Marital relationship
System of non-using friends
Social modeling
Disengaging from using friends
Pacing is important
Don’t overwhelm client with too many
interventions at once
Set realistic goals
Go slow
Balance “shoulds” with pleasure