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/ Instagram: AllCEUs Pinterest: drsnipes Use the DREAM acronym to help clients remember what needs to be done to maintain a recovery lifestyle

1. Relapse Prevention
for Co-Occurring Disorders
Part of the Co-Occurring Disorders Recovery Coaching Series
Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC, NCC
Executive Director, AllCEUs
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

2. Objectives
 Define Relapse
 Explore the acronym DREAM
 Define and identify vulnerabilities
 Define and identify exceptions
 Develop a relapse prevention plan
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

3. Why I Care/How It Impacts Recovery
 Relapse indicates that the old behaviors have
returned either because
 New skills were ineffective
 Old behaviors were more rewarding
 Recovery involves understanding what triggers
each individual person’s relapse
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

4. Dare to DREAM
 Determination
 Resilience
 Exceptions
 Awareness of vulnerabilities
 Motivation
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

5. Determination
 Recovery is not easy
 People need a high level of tenacity to get
through the rough points
 In their addicted selves, people behave
impulsively.
 Recovery involves being able to forgo the easy or
immediate reward to achieve longer term goals
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

6. Resilience
 The ability to bounce back
 Part of resilience is hardiness
 Commitment can be considered motivation
 Control
How much control is rewarding?
How can too much or too little control be unmotivating?
 Challenge
Why is it rewarding when something is challenging?
Why are things that are easy not as rewarding?
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

7. Resilience
 Qualities of Resilience
 Self-Awareness and Self-Care
Healthy Habits (Vulnerability Prevention)
Distress tolerance
Rational, accurate cognitive habits
 Social Engagement
Generosity
Integrity
Authenticity
Humility/Compassion
Identifying as a survivor, not a victim
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

8. Resilience
 Qualities of Resilience
 Meaning
Purpose
Gratitude
Hope
Optimism
 Attention and Focus
Curiosity
Flexibility
Persistence
Problem Solving Skills
Here and Now focus
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

9. Exceptions
 Nothing is done all the time
 Exceptions are what people are doing when they
are NOT engaging in the target behavior
 To identify exceptions, ask questions like…
 Before this problem started
What was different?
How did you deal with stress?
 In the past 6 months when you were not [engaging in
the target behavior]
What was different?
How did you deal with stress?
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

10. Exceptions
 Once you identify exceptions, help the client
 Strengthen those
 Do those things more
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

11. Awareness of Vulnerabilities & Relapse
Warning Signs
 Strengths/Vulnerabilities
 Sleep
 Nutrition
 Medication
 Chronic pain
 Hormones
Estrogen
Testosterone
 Social Supports
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

12. Awareness of Vulnerabilities & Relapse
Warning Signs
 Relapse warning signs are the way people act
when relapse is imminent
 Have people describe their addicted and sober selves
 When the behaviors of their addicted selves start to
emerge it is a warning that
Current strategies are not working
Current skills and strategies are not being used in lieu of
old behaviors
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

13. Motivation
 People do the most rewarding
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum
Benefits to the Target
Behavior
Benefits to the New
Behavior
Drawbacks to the Target
Behavior
Drawbacks to the New
Behavior

14. Motivation is Multidimensional
 Motivation differs for each behavior
 Example: Depression, Addiction, Relationship
 Dimensions
 Emotional
 Cognitive
 Physical
 Social
 Environmental
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

15. Motivation is Changeable
 Stages of Readiness for Change
 Precontemplation
 Contemplation
 Preparation
 Action
 Maintenance
 Relapse*
 Motivation is not linear
 Mindfulness will help people identify when their
motivation is waning
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

16. Relapse Prevention Planning
 Develop a plan that
 Minimizes vulnerabilities
 Incorporates mindfulness
 Contains an emergency response plan
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

17. Apply It
 Identify 3 ways you could have used this information in
the past week.
 What was the situation?
 What did you do?
 How effective was that for you?
 Short term
 Long Term
 If you would have had this new information, what could you
have done differently?
 How would that have changed the outcome?
 How can you start integrating this knowledge into your routine
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum

18. Summary
 People in recovery have
 Determination
 Resilience
 Exceptions (understanding of)
 Aware of their vulnerabilities and relapse warning signs
 Motivated to live a recovery lifestyle
 Relapse Prevention planning
 Minimizes vulnerabilities
 Incorporates mindfulness
 Contains an emergency response plan
Recovery & Resilience International in partnership with AllCEUs.com
Co-Occurring Disorders Recovery Coaching Curriculum