This document discusses elements of an effective relapse prevention plan. It begins by outlining the warning signs that indicate a relapse is approaching, including changes in emotions, thoughts and behaviors. It emphasizes that relapse is a process, not a single event. It then discusses developing a warning signs document during treatment to help monitor recovery. The document outlines key components of an effective relapse prevention plan, including routine, balance, accountability, and finding wise counsel and aftercare support through groups. It stresses the importance of structure, testing, and not making major life decisions without input from one's wise counsel.
This is a talk given to third year parents of La Salle Academy, Iligan City, Philippines on October 3, 2009 during their Parent-Child Dialogue Level Day.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
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/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
Examines codependency in terms of its function to help the codependent survive, identifies common cognitive pitfalls and proposes some basic interventions to get people started addressing their codependency issues.
We all have emotions. By being aware of what triggers yours you can aim to increase positive emotions by IMPROVING the moment, and decrease distress by preventing things that make you more vulnerable to anxiety, depression and irritability.
SMART Recovery is a science-based mutual-help group that helps individuals recover from all types of addictions, including substances like alcohol, drugs and tobacco as well as behavioral addictions such as gambling.
The ABC is an REBT-based component of the SMART Recovery Toolbox. SMART Recovery participants use the ABC tool as part of the SMART Recovery 4-Point Program which focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
(MBRP) is a treatment approach developed at the Addictive Behaviors Research Center at the University of Washington, for individuals in recovery for addictive behaviors.
MBRP is designed to bring practices of mindful awareness to individuals suffering from the addictive trappings of the mind. These practices are intended to foster increased awareness of triggers, destructive habitual patterns, and “automatic” reactions that seem to control many of our lives. The mindfulness practices in MBRP are designed to help us pause, observe present experience, and bring awareness to the range of choices before each of us in every moment. We learn to respond in ways that serves us, rather than react in ways that are detrimental to our health and happiness. Ultimately, we are working towards freedom from deeply ingrained and often catastrophic habits.
MBRP is designed as an aftercare program integrating mindfulness practices and principles with cognitive-behavioral relapse prevention. It is best suited to individuals who have undergone initial treatment and wish to maintain their treatment gains and develop a lifestyle that supports their well-being and recovery.
Josue Guadarrama, MA Presentation at 2016 Science of HOPE
Description
Developed within a coherent theoretical and philosophical framework, Acceptance and Commitment Therapy (ACT) is a unique, empirically based psychological intervention that uses acceptance and mindfulness strategies, together with value driven commitment and behavior change strategies, to increase psychological flexibility. ACT uses three broad categories of techniques: mindfulness, including being present in the moment and defusion techniques; acceptance; and commitment to values-based living. Participants in this seminar will learn mindfulness as a way of observing ones experience, in the present moment, without judgment and “defuse,” or distancing oneself from unhelpful thoughts, reactions and sensations. Aside from a didactic approach, there will be video examples, and skill practice. Audience participation is highly encouraged.
This is a talk given to third year parents of La Salle Academy, Iligan City, Philippines on October 3, 2009 during their Parent-Child Dialogue Level Day.
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
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/
Patreon: https://www.patreon.com/CounselorToolbox
Pinterest: drsnipes
Examines codependency in terms of its function to help the codependent survive, identifies common cognitive pitfalls and proposes some basic interventions to get people started addressing their codependency issues.
We all have emotions. By being aware of what triggers yours you can aim to increase positive emotions by IMPROVING the moment, and decrease distress by preventing things that make you more vulnerable to anxiety, depression and irritability.
SMART Recovery is a science-based mutual-help group that helps individuals recover from all types of addictions, including substances like alcohol, drugs and tobacco as well as behavioral addictions such as gambling.
The ABC is an REBT-based component of the SMART Recovery Toolbox. SMART Recovery participants use the ABC tool as part of the SMART Recovery 4-Point Program which focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
(MBRP) is a treatment approach developed at the Addictive Behaviors Research Center at the University of Washington, for individuals in recovery for addictive behaviors.
MBRP is designed to bring practices of mindful awareness to individuals suffering from the addictive trappings of the mind. These practices are intended to foster increased awareness of triggers, destructive habitual patterns, and “automatic” reactions that seem to control many of our lives. The mindfulness practices in MBRP are designed to help us pause, observe present experience, and bring awareness to the range of choices before each of us in every moment. We learn to respond in ways that serves us, rather than react in ways that are detrimental to our health and happiness. Ultimately, we are working towards freedom from deeply ingrained and often catastrophic habits.
MBRP is designed as an aftercare program integrating mindfulness practices and principles with cognitive-behavioral relapse prevention. It is best suited to individuals who have undergone initial treatment and wish to maintain their treatment gains and develop a lifestyle that supports their well-being and recovery.
Josue Guadarrama, MA Presentation at 2016 Science of HOPE
Description
Developed within a coherent theoretical and philosophical framework, Acceptance and Commitment Therapy (ACT) is a unique, empirically based psychological intervention that uses acceptance and mindfulness strategies, together with value driven commitment and behavior change strategies, to increase psychological flexibility. ACT uses three broad categories of techniques: mindfulness, including being present in the moment and defusion techniques; acceptance; and commitment to values-based living. Participants in this seminar will learn mindfulness as a way of observing ones experience, in the present moment, without judgment and “defuse,” or distancing oneself from unhelpful thoughts, reactions and sensations. Aside from a didactic approach, there will be video examples, and skill practice. Audience participation is highly encouraged.
Cognitive distortions are the everyday errors that we make in translating the thoughts, ideas, and things we see around us, using words. These are 10 of the top cases of distorted thinking that we have all made, at one time or another. melaniecgallo.com
Non 12 Step Addiction Treatment * Addiction * Recovery * Mental Health
This presentation on addiction and recovery explores the SMART Recovery approach to self-empowering recovery from addiction.
If you or a loved one are in need of help for an addiction, visit our website at www.practicalrecovery.com.
Gottman Presentation Philosophy & Implementation of Couples InterventionsRod Minaker
John Gottman’s philosophical assumptions towards couples therapy interventions is most closely realized in the Collaborative Couples Therapy model of Dan Wile. It is the intent of this presentation to show how.
This presentation discusses the use of cognitive behavioral therapy and mindfulness in treating addiction.
By Tony Pacione, LCSW, CSADC
Harborview Recovery Center
Saint Joseph Hospital
Chicago, IL
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
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/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
Learn about adolescent anxiety, including risks, warning signs, how anxiety can affect the body and well-being, and how cognitive behavioral therapy (CBT) can help your child better cope with life's stresses.
Therapist and other direct service providers who work with trauma survivors may themselves be impacted. This is described as compassion fatigue, or secondary traumatic stress
Acceptance and Commitment Therapy as a Web-based Intervention for Depressive ...Tejas Shah
To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control
condition.
Explore how chronic conditions can cause a traumatizing loss of a sense of independence, hope or self and how to use CPT tools to help people accept what is and still live a rich and meaningful life
SMART Recovery is an abstinence-based mutual-help group for dealing with all types of addiction including alcohol abuse, substance abuse, smoking, gambling and other addictions and compulsive behaviors.
SMART Recovery's 4-Point Program focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
This was released as Episode 373 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
A newcomer to recovery needs to have the tool box filled. Here is one great tool in preventing relapse. Play the tape through to the end. Read here about putting this into action.
Cognitive distortions are the everyday errors that we make in translating the thoughts, ideas, and things we see around us, using words. These are 10 of the top cases of distorted thinking that we have all made, at one time or another. melaniecgallo.com
Non 12 Step Addiction Treatment * Addiction * Recovery * Mental Health
This presentation on addiction and recovery explores the SMART Recovery approach to self-empowering recovery from addiction.
If you or a loved one are in need of help for an addiction, visit our website at www.practicalrecovery.com.
Gottman Presentation Philosophy & Implementation of Couples InterventionsRod Minaker
John Gottman’s philosophical assumptions towards couples therapy interventions is most closely realized in the Collaborative Couples Therapy model of Dan Wile. It is the intent of this presentation to show how.
This presentation discusses the use of cognitive behavioral therapy and mindfulness in treating addiction.
By Tony Pacione, LCSW, CSADC
Harborview Recovery Center
Saint Joseph Hospital
Chicago, IL
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
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/
CEs can be earned for this presentation at https://www.allceus.com/member/cart/index/search?q=family+dynamics
Pinterest: drsnipes
YouTUBE: https://www.youtube.com/user/allceuseducation
Nurses, addiction and mental health counselors, social workers and marriage and family therapists can earn continuing education credits (CEs) for this and other course at:
View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES at check out
AllCEUs has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6261. Programs that do not qualify for NBCC Credit are clearly identified. AllCEUs is solely responsible for all aspects of the programs.
AllCEUs is also approved as an education provider for NAADAC, the States of Florida and Texas Boards of Social Work and Mental Health/Professional Counseling, the California Consortium for Addiction Professionals and Professions. Our courses are accepted in most states through those approvals.
Family Dynamics of Addiction
Objectives
Define the Family
Examine how addiction impacts the family
Emotionally
Socially
Physically
Spiritually
Why I Care/How It Impacts Recovery
The identified patient does not exist in isolation
As the IPs behaviors/problems developed, the family’s behaviors changed to try and maintain stability
When the IP begins to change in recovery, that disrupts the balance.
When the IP did _____ the family members always reacted with ____
Example:
When John was late coming home from work….
When Sally started sleeping late and going to bed early…
When Jane starts cleaning a lot and getting irritable…
The family needs to
Understand the impact of the IPs behavior on the family
What the function of the IPs behavior was
How to examine old behaviors in a new context
Learn about adolescent anxiety, including risks, warning signs, how anxiety can affect the body and well-being, and how cognitive behavioral therapy (CBT) can help your child better cope with life's stresses.
Therapist and other direct service providers who work with trauma survivors may themselves be impacted. This is described as compassion fatigue, or secondary traumatic stress
Acceptance and Commitment Therapy as a Web-based Intervention for Depressive ...Tejas Shah
To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control
condition.
Explore how chronic conditions can cause a traumatizing loss of a sense of independence, hope or self and how to use CPT tools to help people accept what is and still live a rich and meaningful life
SMART Recovery is an abstinence-based mutual-help group for dealing with all types of addiction including alcohol abuse, substance abuse, smoking, gambling and other addictions and compulsive behaviors.
SMART Recovery's 4-Point Program focuses on Increasing Motivation, Coping with Urges, Problem Solving, and Lifestyle Balance.
http://www.smartrecovery.org
This was released as Episode 373 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
A newcomer to recovery needs to have the tool box filled. Here is one great tool in preventing relapse. Play the tape through to the end. Read here about putting this into action.
The Culture of Addiction and the Culture of RecoveryDawn Farm
"The Cultures of Addiction and Recovery" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC, Coordinator of the Dawn Farm Huron Street program; and Quintin Williams, BS, CAC-M; Dawn Farm Huron Street therapist. This program discusses the cultural elements of addiction and recovery, explores the role of “cultures” in addiction and recovery, and describes how the symptoms and behaviors of culturally enmeshed alcoholics and addicts change as the individual moves from the culture of addiction to the culture of recovery. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Have you heard some things about rehab that make you not want to go? Some people think that rehab is boring, or that others will judge them. This is simply not true.
We debunk these and other top myths about rehab in this slideshow.
www.recovery.org
Drug accountability: an important aspect of clinical researchTrialJoin
Drug accountability is an interesting topic related to clinical research, both for the CRAs and for the clinical research sites. Even though drug accountability isn’t a task that should be performed by the CRA, he or she is still responsible for monitoring and making sure that the site is correctly performing every task related to this field.
The topic of drug accountability is especially important in regards to quality data as well as for patient safety. For this reason, we’ll give you an in-depth explanation of everything that drug accountability entails.
There are many myths surrounding drug addiction, such as 'all drug users are addicts' or 'only hard drugs are dangerous'. In this slideshow, we bust these myths and provide the truth around drug addiction.
www.drugabuse.com
"Relapse Prevention" was presented by Robin Edison, M.Ed., LPC, NCC, CAAC; Dawn Farm Downtown Program coordinator. This program discusses the dynamics of relapse, the warning signs that lead the chemically dependent person into a relapse, and strategies to prevent relapse and help handle high-risk situations. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Whether working in the field on a global grant project or
collaborating with marginalized communities at home,
Rotarians often confront challenging circumstances that
can take a toll on their well-being. Rotary Peace Fellow
Hanna Schubert will provide tools to help you cope with the
stress of these situations. Learn how to take care of yourself
so you can better help the community you’re serving.
This guide explains the Stress Diaries Set of books that helps you eliminate Stress in 28 Days. A complete stress solution for Corporate, group or individual use. How to make effective use of the Stress Diaries is fully explained here.
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Falcon stands out as a top-tier P2P Invoice Discounting platform in India, bridging esteemed blue-chip companies and eager investors. Our goal is to transform the investment landscape in India by establishing a comprehensive destination for borrowers and investors with diverse profiles and needs, all while minimizing risk. What sets Falcon apart is the elimination of intermediaries such as commercial banks and depository institutions, allowing investors to enjoy higher yields.
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
Company Valuation webinar series - Tuesday, 4 June 2024FelixPerez547899
This session provided an update as to the latest valuation data in the UK and then delved into a discussion on the upcoming election and the impacts on valuation. We finished, as always with a Q&A
Kseniya Leshchenko: Shared development support service model as the way to ma...Lviv Startup Club
Kseniya Leshchenko: Shared development support service model as the way to make small projects with small budgets profitable for the company (UA)
Kyiv PMDay 2024 Summer
Website – www.pmday.org
Youtube – https://www.youtube.com/startuplviv
FB – https://www.facebook.com/pmdayconference
B2B payments are rapidly changing. Find out the 5 key questions you need to be asking yourself to be sure you are mastering B2B payments today. Learn more at www.BlueSnap.com.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
1. How to capture video testimonials that convert from your audience 🎥
2. How to leverage your testimonials to boost your sales 💲
3. How you can capture more CRM data to understand your audience better through video testimonials. 📊
Recruiting in the Digital Age: A Social Media MasterclassLuanWise
In this masterclass, presented at the Global HR Summit on 5th June 2024, Luan Wise explored the essential features of social media platforms that support talent acquisition, including LinkedIn, Facebook, Instagram, X (formerly Twitter) and TikTok.
Recruiting in the Digital Age: A Social Media Masterclass
Fes relapse prevention
1.
2. TODAYS DISCUSSION
Today we will touch briefly on the relapse process
highlighting the fact that relapse does not just happen.
We will discuss the warning signs that indicate that a
relapse is approaching leading into a brief overlook at
the warning signs document which the residents
construct prior to leaving treatment.
We will look quite closely at the relapse prevention
plan highlighting important elements to an effective
relapse prevention plan.
3. THE RELAPSE PROCESS
Relapsing on substance is never a spur of the moment,
“oh it just happened”, event.
It is a process that starts way before the individual
relapses on substance which can be seen in changes in
thoughts, attitudes, emotions, behaviour and
obviously lifestyle and choices.
One is always able to, in hind-sight, see where things
went wrong way before any relapse occurred.
An important factor of developing the graduation
documents (Life-plan, Relapse prevention plan and
warning signs) is to allow the individual and their
supporters the ability to constantly monitor their
progression in recovery.
4. An important principle of recovery is that if you are
not moving forward you are moving backward. It
means that if we are not paying attention to our
recovery and not doing things to contribute to our
recovery process we may be unconsciously moving
toward relapse.
There are certain warning signs of relapse that appear
that make relapse both predictable and preventable.
Please take note of the fact that relapse is predictable
and therefor preventable.
5. WARNING SIGNS OF RELAPSE
Irritation, frustration and anger are often good indicators
that there has been a shift in attitude and thought, that the
recovering addict is moving away from personal
responsibility and heading toward blame.
These “emotions” are often caused by craving cycles and
therefor need to be monitored closely and if present
addressed immediately. Should a craving cycle not be
identified it can spiral out of control leading the addict to
attempt to externally justify their emotions.
Self-Pity is another good indicator that the relapse process
is underway. Self-pity is an indicator that the recovering
addict is setting up justifiable reasons for relapse.
6. Denial and defensiveness are tell tale signs that relapse
is imminent. Recovering addicts start to outright deny
the truth about themselves, they do not accept the
need to change their lifestyle and start to question the
fact that they are actually addicts.
They begin to reject all possible help and start
ignoring and avoiding crucial recovery activities.
When questioned they become argumentative and all
the indicators of denial start to appear – rationalizing,
minimizing, blaming, justifying, deflecting, excuse
making etc.
Action should be taken before it is too late.
7. Overconfidence reflects the belief that we have cured
the incurable, that we have conquered our addiction
and have nothing more to worry about. We begin to
believe that “we have got this” and begin to neglect the
small things. We become quick to advise others but are
unable to receive criticism or acknowledge any faults
in our own recovery process.
Change in routine and structure is highlighted by
routines becoming haphazard, sleeping patterns
irregular, missing appointments and having too much
idle time. It reflects that the priority of our recovery
has dropped and that we have slipped into a place of
complacency.
8. THE WARNING SIGNS DOCUMENT
Toward the end of the treatment process the resident
does step 4 – A searching and fearless moral inventory
of themselves.
In step 4 they address resentments, relationships, self-
obsession, shame and guilt, times they have felt
victimized and their fears.
This work is then processed with their counsellor in a
step 5 – We admitted to God, ourselves and another
human being the exact nature of our wrongs.
9. This process allows the counsellor to highlight and draw
attention to patterns of behaviours, flawed thinking and
beliefs and other warning signs.
This feedback then gets translated into the warning signs
document by the resident. A document that highlights,
with explanation, the different warning signs that the
individual is prone to display or use as a defence
mechanism.
A good warning signs document will also explain under
each warning sign what that possible causes are and what
the action of rectification is.
10. There are usually between 50 and 100 warning signs
highlighted and explained within the document. Don’t
panic if your child has more or less.
This document helps with the evaluation of the
recovery process and helps to highlight relapse
behaviour before it is too late.
It is strongly advisable that you get to know this
document well. You are most likely the one person that
will be able to identify these signs when you do
challenge them.
HEAL or your support group is good at identifying
these signs and addressing them – be honest in your
feedback.
11. THE RELAPSE PREVENTION PLAN
The relapse prevention plan is a document which outlines
the lifestyle the recovering addict needs to develop.
It defines the boundaries in which the recovering addict
needs to operate within and…
…recovery principles the recovering addict needs to
remember/ adhere to.
It is a document which outlines the accountability measure
put in place for the recovering addict (testing, finances etc)
as well as outlining…..
…..consequences for certain transgressions and more
importantly for relapse bearing in mind that the
consequence is more often than not a precautionary
measure to protect the addict from themselves.
12. BASIC PRINCIPLES OF RPP
All points need to take into account the principle of
necessity verses accessory (careful decision needs to be
made with regards to access to vehicles, cell phones and
cash taking into account the risk and asking the question –
Is it really necessary?).
All points to the best of your ability needs to be practical
and measureable with levels of accountability and
consequences applied to them.
The relapse prevention plan is a measuring tool and a form
of accountability itself. It is designed by the residents as a
blueprint to a successful long term recovery and should not
be negated.
13. The resident and sponsors need to sign into the
document, therefor the sponsor needs to have input in
the document.
It is recommended should the resident be returning to
stay with the sponsor/ family that they send house rules
to be added to the relapse prevention plan.
The relapse prevention plan needs to be seen as a legally
binding document that all parties are agreeing to and are
stating, by signing, that they will enforce.
Should the Relapse prevention plan need to be altered it
should be done in conjunction with your support group
and/or the centre.
Regular family meeting should be held to go over these
documents.
14. YOU KNOW THERE IS TROUBLE WHEN….
…..the resident upon returning disregards the relapse
prevention plan stating that they only signed it to get out.
…..the resident already starts to negate the points prior to
leaving over the phone….. “mom they going to tell you I
can’t drink, that is what they have to say because most
residents here have hectic drinking problems but you know
me, alcohol was never my problem”…….
NA says it perfectly when they say “there is one thing above
anything else that will defeat us in our recovery, that is an
attitude of intolerance and indifference to recovery
principles”.
15. DEVELOPING THE RPP
Following are a few points which should be discussed
and included in the relapse prevention plan.
Remember that all plans are personalized to suite the
individual needs in accordance to their environment
and support structure.
The stricter you can be on yourself (as the resident)
the better. The resident and the family know the
persons addiction best of all and should attempt to
pre-empt how the addiction will resurface and put
measures in place to prevent that.
16. Routine and structure
One needs to outline the potential routine and
structure to your day to day living – this should be
defined by developing a “mock schedule” – weekly
scheduling should also form part of the relapse
prevention plan to take care of principles of proper
prior planning and to enforce accountability.
Elements of physical, mental and spiritual components
of recovery needs to be present and balanced and the
weekly commitments (church, support group, quiet
time etc) need be feasibly achievable.
17. Balance
It is all about balance.
Balancing spiritual, psychological and physical
components of recovery.
Balancing family time, quiet time, social time, work
time, recovery time, relaxation time and on and on.
The minute your balance starts to topple so does your
recovery – there are times that this is inevitable you
need to monitor and rectify as quickly as possible.
If you feel your recovery is becoming flat – change the
structure, change the routine and realign the balance –
BASICS.
18. Boredom
Please note that boredom is NOT a bad thing in fact we as
addicts need to learn to be bored.
Addiction is full of excitement – nothing is going to excite
us quite like our addiction specifically not on the daily/
hourly basis like our addiction.
Boredom is combatted by effective weekly planning. When
you are bored is not the time to start looking for things to
do- it will only disappoint.
If you plan ahead you should be fine. Be aware that you
should plan your social activities a week in advance to avoid
seeking things that will combat your boredom.
19. Testing and medication
Testing is none-negotiable. It is not a matter of trust but of
standard protocol. Testing should be done regularly
irrespective of whether things are going good or bad.
Testing is only effective if done properly if the resident is
able to cheat the test become invalid.
If the resident is on prescribed medication I would advise
that the taking of such medication be monitored along
with the daily taking of anta-buse.
There are certain medications that should not be taken as
they will produce a false positive on test results and may
also induce cravings.
20. Cars and cell phones
This is a big area where the principle of accessory
verses necessity should be applied.
Does the resident need a cell phone, if so, does it need
to have all the gadgets and internet access – the
simpler the safer.
Unlimited access to the residents vehicle should be
avoided and the resident should be slowly introduced
to using his or her vehicle.
Vehicles should be fitted with a tracker however please
do not use the tracker as an accountability tool.
21. Finances
Residents should not have access to funds (Necessity verse
accessory).
Bank accounts should be avoided (Income should be paid
into sponsors accounts where possible).
Creating of debt should be avoided for the first two years.
Cash books with receipts need to be managed on a weekly
basis with budgets and cash requests given weekly
(maximum amounts of request needs to be defined).
Principles of paying back debts needs to be addressed and
principles of saving and budgeting.
22. Social networking
On the basis that residents should give up their old friends
and social networks access to things like Facebook should
be prohibited while the Resident develops new friends and
social networks.
Making use of apps like BBM and Whatsapp are dangerous
as we often find residents spend a large portion of their
spare time chatting away to who knows who – this is clearly
not healthy and often leads the resident to temptation.
Boundaries become weaker and fraternisation and
unhealthy alliances start to develop.
It takes anywhere from 6 months to 1 year to start to see
new relationships and social networks developing.
23. Friends with recovering addicts
A very dangerous affair and should be avoided or
managed effectively especially for the first two years.
Friends from SCRC who have been in treatment with
you more so – the relationship has been developed in
an unnatural environment.
If the chance of relapse is so high, then the more
recovering addicts that band together the greater the
chance of them all taking each other down.
They also end up “counselling” each other forming
their own support group and not making use of groups
like HEAL effectively.
24. Romantic relationships
This is a big controversial subject here at South Coast
Recovery Centre.
The Resident should not get involved in a romantic
relationship for at least 1 year after leaving treatment.
Should the Resident already be in a relationship then
the dynamics and patterns of this relationship need to
be changed which is done through careful structuring
around the management of that relationship.
Getting involved in a romantic relationship
prematurely is often a major contributing factor to
relapse.
25. Accountability
This is crucially important. As addicts we cannot trust
ourselves, or nicely put, our addiction. We cannot trust our
motives or decision making ability as the subconscious
current of addiction continues under the surface.
The set up to relapse comes unknowingly. Often we are not
aware that we are manipulating or setting ourselves up (we
will discuss this shortly under wise counsel).
We need to be held accountable to the commitments we
make in the relapse prevention plan (that is what points
need to be practical and measurable).
We need to be drug tested, we need to prove where we have
spent money, that where we say we are and whom we are
with is actually true
26. If we taking Anta-buse it needs to be witnessed
otherwise it is pointless.
We need to be smart here for example it is no good to
have a bank account with thousands of Rand’s in and
say it is ok because I do not have the card – we can
always walk into the bank.
Accountability should be carefully chosen and the
right people need to hold us accountable for the right
things.
Remember this is not about trust or mistrust, these
measures should be in place when things are going
well.
27. Aftercare and support
This is another non-negotiable.
You cannot expect to continue growth in recovery, to
maintain focus on your recovery as a priority in your
life, if you are not attending a weekly support group.
AA and NA are wonderful formats however they very
seldom hold accountable to your actions.
The beauty about support structures like HEAL and
Might Wings is that the group format is interactional,
confrontational and really push you toward self-
betterment.
28. From a parent perspective you too need to be in a
support group.
The support group helps you deal with your recovery
process and empowers you and equips you with the
tools and confidence to support your “addict”.
You too need a platform that can guide you and
provide wise counsel and of course hold you
accountable to your part in the recovery process.
HEAL and Might Wings provide this platform for you
specifically providing education and support through
the treatment process and empowering you thereafter.
I was “born” in SCRC and Bread in HEAL.
29. Finding a church and getting involved in a cell group
affiliated to that church is another important aspect.
Remember yesterday when we talked about forming
new social networks.
While attending NA or AA daily may work for some it
does not promote a life of balance.
Please note that in order for these structures to provide
effective aftercare support they need to know exactly
who you are, where you come from and better have a
copy of your graduation documents.
Please note that you may need to shop for churches.
30. Wise counsel
If I can never cure the incurable disease, if there is in
deed a subconscious current of addiction waiting for
an opportunity to surface or better yet trying to set up
an opportunity for relapse then surely I need a base
that can monitor my decision making – I need a wise
counsel.
This point here has saved my life, has saved my family
and my marriage many many many times. I would not
be working at SCRC if it were not for this.
31. A wise counsel comprises of at least three individual
“units”, preferably with a good understanding of
addiction, having 5 units is also good.
Your parents are one unit, your support group is 1 unit
(1 vote), you sponsor/ facilitator, your pastor and
sometime SCRC.
You should submit yourself to this counsel in any and
all major life decisions. Propose your idea, your
intention and then let them decide – a unanimous vote
is what you are looking for, anything less and you
should walk away.
32. Be sure to choose people that are going to tell you what
you do not want to hear they are usually the ones that
are right.
You can always manipulate one or two people, three to
five not so much especially when there is a group on
your counsel.
Parents if you are going to be advising your children or
spouses your better halves the you too should have a
wise counsel.
Please be sure that if SCRC is one that you maintain
regular feedback and not just call 6 or 7 months later
asking for advice.
33. Consequences
First and foremost consequences are not a punitive
measure but a protective measure.
When things are not going well, start to limit access to
cash, to vehicles, tighten up on the routine etc.
Some consequences are put in place to remind the
addict of humility, gratitude, giving back etc.
It is important that you decide what is going to happen
in the event of a relapse – remember that this is an
emotionally charged situation and there needs to be a
clear cut plan.