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Review Last Week
0 Create a definition of success for the whole group
   0 Identify all of the things people think they need to do or
     have to be successful.
   0 Narrow it down to 5 characteristics the whole group can
     agree on
   0 Discuss why those 5 characteristics are more important
     than the others to your group
   0 Relate those characteristics to the spiritual principles of
     the 12 steps
0 Identify one thing you can start doing to achieve each
  characteristic listed
Additional Application
0 Complete the following sentence---
   0 My child will be a success in life when he or she . . .
Objectives
0 Define Relapse
0 Identify Relapse Warning Signs
0 Identify Strengths
0 Learn about how your addiction developed
Relapse Definition
0 Relapse is the return to something that has been
  previously stopped
0 For the addict, a relapse is multidimensional
  0 Emotional
  0 Mental
  0 Physical
  0 Social
0 Review your addicted vs. sober worksheet.
0 A relapse is when you start returning to any of these
 people, places, things, behaviors or feeling states.
Emotional Relapse
0 In emotional relapse, you're not thinking about using.
  But your emotions and behaviors are setting you up
  for a possible relapse in the future.
0 Negative emotions make us uncomfortable
     0 The healthy person identifies the emotion, decides why
       they are feeling that way and takes steps to fix the problem
     0 The addict becomes stuck in the emotion, sometimes
       0 Nurturing and blowing it out of proportion
       0 Personalizing it
       0 Trying to escape from it by getting high
Preventing Emotional Relapse
0 Keep a gratitude journal
0 Avoid personalizing something that may not be about
  you
0 Remember that…
  0 Negative emotions are our mind’s way of telling us to
    get off our butts and do something—Like our car’s idiot
    light or hunger pangs
  0 Dwelling, nurturing, hiding from negative emotions
    never makes anything better
  0 You can *choose* to feel and fix or relapse and repeat
Activity
0 List 10 things that you chose to get anxious or angry
  about over the last week
0 Why did you get upset? (What was your mind telling
  you needed to be fixed)
0 Did getting upset do any good?
0 What could you do differently next time to either
  0 Change/fix the situation
  0 Change how you feel about the situation   OR
  0 Let it go
Mental Relapse
0 In mental relapse there's a war going on in your mind.
  Part of you wants to use, but part of you doesn't.
0 The signs of mental relapse are:
  0 Thinking about people, places, and things you used with
  0 Glamorizing your past use
  0 Lying to yourself and others
  0 Justifying your behaviors
  0 Minimizing the impact of one (drink/hit/bet etc.)
  0 “Screw It” attitude
  0 Paranoia
Preventing Mental Relapse
0 KISS: Keep It Simple Stupid
0 Good Orderly Direction
   0 Your life is a road map
   0 The destination is recovery and happiness
   0 Before you act, think whether that keeps you on the
     right road, or is an unplanned detour
   0 Maintain Head-Heart-Gut Honesty
Social Relapse
0 You have returned to the old people and places.
0 You have withdrawn from your sober social supports
0 You have become self-centered
0 Your life has begun to center around your “friends”
 who support your habit or you have isolated yourself
Preventing Social Relapse
0 Contact your sponsor on a daily basis for the first 3
  months
0 Keep a business card in your wallet with the names
  and numbers of 3 sober supports
0 Change your phone number (if possible) and destroy
  contact information for your “using” friends
0 Find at least one prosocial activity to do each week ---
  volunteer, church, go to the gym
Physical Relapse
0 Physical relapse is characterized by
   0 Cravings
   0 Dreams about the drug
   0 Neglecting physical health (sleep, exercise, nutrition,
     medication)
   0 Using
Preventing Physical Relapse
0 HALT
  0 Hungry--- Nourish your mind, heart and body.
  0 Angry--- Emotional relapse anyone???
  0 Lonely---
Reviewing Strengths
0 What do you do when you are not using?
0 List three ways you cope with stress besides using?
0 What activities do you like that do not involve using?
0 When you are not using, what is different? Are you…
  0 Going to meetings
  0 Working out
  0 Volunteering
  0 Spending time with your dog
  0 Other….
0 These all strengths you can use to prevent relapse
Relapse Prevention Planning
0 Include time in the morning and at night to “get
  grounded” (Can be your drive to and from work)
0 Avoid alone, idol time (Go to the library, gym…)
0 Set realistic daily goals
0 Give yourself credit for positive accomplishments

    Note: You will review and refine this plan as we go along
Homework
0 Write your autobiography
  0 Begin with your first memory
     0 Are you happy, sad, scared
     0 Who was important in your life and why
     0 Were you getting your basic needs met? Why or why not?
       0 Food, shelter, safety, love, acceptance
     0 Who were your friends?
     0 What are the three most influential things that happened
       during that time?
  0 Answer those same questions for elementary school; middle
    school; high school, early 20s, late 20s, 30s, etc up to present
    day.
  0 Now go back and identify when you started using and why
  0 Look back, before that time, and identify when you started
    developing your addictive behaviors. What were you trying to
    control or escape from?
Homework Part 2
0 Identify all of the times you tried to quit.
   0 Why you wanted to quit
   0 What you did that worked
   0 What you did that did not work
   0 What is different when you are not using
   0 What your relapse warning signs were
   0 What triggered the relapse
   0 What you can do to prevent that from happening again

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Iop part 8 relapse prevention part 1

  • 1.
  • 2. Review Last Week 0 Create a definition of success for the whole group 0 Identify all of the things people think they need to do or have to be successful. 0 Narrow it down to 5 characteristics the whole group can agree on 0 Discuss why those 5 characteristics are more important than the others to your group 0 Relate those characteristics to the spiritual principles of the 12 steps 0 Identify one thing you can start doing to achieve each characteristic listed
  • 3. Additional Application 0 Complete the following sentence--- 0 My child will be a success in life when he or she . . .
  • 4. Objectives 0 Define Relapse 0 Identify Relapse Warning Signs 0 Identify Strengths 0 Learn about how your addiction developed
  • 5. Relapse Definition 0 Relapse is the return to something that has been previously stopped 0 For the addict, a relapse is multidimensional 0 Emotional 0 Mental 0 Physical 0 Social 0 Review your addicted vs. sober worksheet. 0 A relapse is when you start returning to any of these people, places, things, behaviors or feeling states.
  • 6. Emotional Relapse 0 In emotional relapse, you're not thinking about using. But your emotions and behaviors are setting you up for a possible relapse in the future. 0 Negative emotions make us uncomfortable 0 The healthy person identifies the emotion, decides why they are feeling that way and takes steps to fix the problem 0 The addict becomes stuck in the emotion, sometimes 0 Nurturing and blowing it out of proportion 0 Personalizing it 0 Trying to escape from it by getting high
  • 7. Preventing Emotional Relapse 0 Keep a gratitude journal 0 Avoid personalizing something that may not be about you 0 Remember that… 0 Negative emotions are our mind’s way of telling us to get off our butts and do something—Like our car’s idiot light or hunger pangs 0 Dwelling, nurturing, hiding from negative emotions never makes anything better 0 You can *choose* to feel and fix or relapse and repeat
  • 8. Activity 0 List 10 things that you chose to get anxious or angry about over the last week 0 Why did you get upset? (What was your mind telling you needed to be fixed) 0 Did getting upset do any good? 0 What could you do differently next time to either 0 Change/fix the situation 0 Change how you feel about the situation OR 0 Let it go
  • 9. Mental Relapse 0 In mental relapse there's a war going on in your mind. Part of you wants to use, but part of you doesn't. 0 The signs of mental relapse are: 0 Thinking about people, places, and things you used with 0 Glamorizing your past use 0 Lying to yourself and others 0 Justifying your behaviors 0 Minimizing the impact of one (drink/hit/bet etc.) 0 “Screw It” attitude 0 Paranoia
  • 10. Preventing Mental Relapse 0 KISS: Keep It Simple Stupid 0 Good Orderly Direction 0 Your life is a road map 0 The destination is recovery and happiness 0 Before you act, think whether that keeps you on the right road, or is an unplanned detour 0 Maintain Head-Heart-Gut Honesty
  • 11. Social Relapse 0 You have returned to the old people and places. 0 You have withdrawn from your sober social supports 0 You have become self-centered 0 Your life has begun to center around your “friends” who support your habit or you have isolated yourself
  • 12. Preventing Social Relapse 0 Contact your sponsor on a daily basis for the first 3 months 0 Keep a business card in your wallet with the names and numbers of 3 sober supports 0 Change your phone number (if possible) and destroy contact information for your “using” friends 0 Find at least one prosocial activity to do each week --- volunteer, church, go to the gym
  • 13. Physical Relapse 0 Physical relapse is characterized by 0 Cravings 0 Dreams about the drug 0 Neglecting physical health (sleep, exercise, nutrition, medication) 0 Using
  • 14. Preventing Physical Relapse 0 HALT 0 Hungry--- Nourish your mind, heart and body. 0 Angry--- Emotional relapse anyone??? 0 Lonely---
  • 15. Reviewing Strengths 0 What do you do when you are not using? 0 List three ways you cope with stress besides using? 0 What activities do you like that do not involve using? 0 When you are not using, what is different? Are you… 0 Going to meetings 0 Working out 0 Volunteering 0 Spending time with your dog 0 Other…. 0 These all strengths you can use to prevent relapse
  • 16. Relapse Prevention Planning 0 Include time in the morning and at night to “get grounded” (Can be your drive to and from work) 0 Avoid alone, idol time (Go to the library, gym…) 0 Set realistic daily goals 0 Give yourself credit for positive accomplishments Note: You will review and refine this plan as we go along
  • 17. Homework 0 Write your autobiography 0 Begin with your first memory 0 Are you happy, sad, scared 0 Who was important in your life and why 0 Were you getting your basic needs met? Why or why not? 0 Food, shelter, safety, love, acceptance 0 Who were your friends? 0 What are the three most influential things that happened during that time? 0 Answer those same questions for elementary school; middle school; high school, early 20s, late 20s, 30s, etc up to present day. 0 Now go back and identify when you started using and why 0 Look back, before that time, and identify when you started developing your addictive behaviors. What were you trying to control or escape from?
  • 18. Homework Part 2 0 Identify all of the times you tried to quit. 0 Why you wanted to quit 0 What you did that worked 0 What you did that did not work 0 What is different when you are not using 0 What your relapse warning signs were 0 What triggered the relapse 0 What you can do to prevent that from happening again