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Relapse prevention (RP) is a cognitive-behavioral approach to relapse with the goal of identifying and preventing high-risk situations such as unhealthy substance use, obsessive-compulsive behavior, sexual offending, obesity, and depression. [1] It is an important component in the treatment process for alcohol use disorder, or alcohol dependence.
The attitude of the therapist is an important factor in enabling sustained recovery. While not downplaying the dangers of relapse, the therapist must "show empathy, concern, and a positive problem-solving attitude that reframes relapses as avoidable mistakes, not tragic failures.
Relapse treatment is somewhat of a misnomer because relapse itself is a treatment failure; however there exist three main approaches that are currently used to reduce the likelihood of drug relapse. These include pharmacotherapy , cognitive behavioral techniques , and contingency management .
Those attitudes dissipated as addicts and doctors saw that using buprenorphine did not simply mean replacing one drug with another — it worked. “Buprenorphine became the first-line treatment,” Auriacombe said, adding that the medication has helped to change public and law enforcement perceptions about addicts.
Relapse anxiety can be paralyzing Even as some of my physical symptoms started to fade, I was always on high alert for a possible relapse. Every time I pushed myself a little harder, I worried ...
Attributions of causality refer to an individual's pattern of beliefs that relapse to drug use is a result of internal, or rather external, transient causes (e.g., allowing oneself to make exceptions when faced with what are judged to be unusual circumstances). Finally, decision-making processes are implicated in the relapse process as well.
Cue reactivity is predictive of relapse and reinstatement of dependence, which is empirically and theoretically supported. [4] [17] Even after extended periods of abstinence (i.e., years) cues are reported as preceding relapse. [3] Moreover, the degree of cue-reactivity may predict individual differences in relapse risk. [2]
Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has developed within the individual from psychoactive substance consumption that results in the experience of withdrawal and that necessitates the re-consumption ...