Relapse Prevention for Counseling 720p-HD

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• published: 09 Mar 2012
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Unlimited Counseling CEUs for $59 https://www.allceus.com/ Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/ Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/ Instagram: AllCEUs Pinterest: drsnipes Relapse Prevention Stages of Readiness for Change Preparation Counselor can Clarify goals and strategies Offer menu of options Action-Counselor can Negotiate action plan Acknowledge difficulties and support attempts Identify risky situations and coping strategies Help client find new reinforcers Support perseverance ("Sticking to the plan") Stages of Relapse Emotional Anxiety Intolerance Anger Defensiveness Mood swings Isolation Mental Thinking about people, places, and things you used with Glamorizing your past use Lying Hanging out with old using friends Physical Intense cravings Use Relapse Pitfalls H.A.L.T. Physical, psychological, social hunger Anger and irritability Lonliness and an inability to be by yourself Tired due to lack of sleep, irritability, or just being "over it." Identify triggers and relapse traps in the past Devise at least 3 healthy ways of dealing with them Incorporate a healthy lifestyle into the plan Plan for upcoming triggers and traps (i.e. Holidays) Review weekly Principles of Relapse Prevention Principle 1: Self-Regulation Stabilization Detoxification from alcohol and other drugs Solving the immediate crises that threaten sobriety Learning skills to identify and manage Post Acute Withdrawal and Addictive Preoccupation Establishing a daily structure that includes Proper diet Exercise Stress management Regular contact with treatment personnel and self-help groups. Principle 2: Integration Self-Assessment Taking a detailed reconstruction of the presenting problems and the alcohol and drug use history. Identifying critical issues that can trigger relapse. find the sequence of warning signs that led back to drug or alcohol use. Principle 3: Understanding Relapse Education Learning accurate information about what causes relapse and what can be done to prevent it. This information should include, but not be limited to Common "stuck points" in recovery Complicating factors in relapse Warning sign identification Relapse warning sign management strategies Effective recovery planning Principle 4: Self-Knowledge Warning Sign Identification Learning to identify the sequence of problems that has led to alcohol and drug use When patterns of addictive thinking that justify relapse are reactivated, a return to using alcohol and drugs occurs. Principle 5: Coping Skills Warning Sign Management Learning how to manage or cope with their warning signs as they occur. Management on three distinct levels. #1 is the situational-behavioral level. Patients are taught to avoid situations that trigger warning signs, and how to modify their behavioral responses when needed #2 is the cognitive/affective (thoughts and feelings) level, where patients challenge their irrational thoughts and deal with their unmanageable feelings when triggered #3 is the core issue level, where patients are taught to identify the core addictive and psychological issues that initially create the warning signs Principle 6: Change Recovery Planning Development of a schedule of recovery activities that will help patients recognize and manage warning signs as they develop Reviewing each warning sign on the final warning sign list and ensuring that there is a scheduled recovery activity for each. Principle 7: Awareness Inventory Training Completing daily inventories to monitor compliance with the recovery program and check for the emergence of relapse warning signs. Principle 8: Significant Others Involvement of Others Individuals cannot recover alone. Family members, 12-step program sponsors, counselors, and peers are just a few of the many recovery resources available. Principle 9: Maintenance Relapse Prevention Plan Updating Updated on a monthly basis for the first 3 months, quarterly for the remainder of the first year, twice a year for the next 2 years, annually thereafter Nearly two thirds of all relapses occur during the first 6 months of recovery. Less than one quarter of the variables that actually cause relapse can be predicted during the initial treatment phase. A relapse prevention plan update session involves the following: A review of the original assessment, warning sign list, management strategies, and recovery plan. An update of the assessment with progress or problems since the previous update. Incorporation of new warning signs and management strategies for them Elimination of activities that are no longer needed. Relapse Prevention Summary Look at the past to identify reasons for past use Plan for future stressors Assist patient in developing sober social support system