October 24, 2024

1016-Preventing Relapse in Addiction, Anxiety, and Depression

1 hour

IntroductionUnderstanding Relapse

Definition of Relapse:

Relapse is the return to a problematic behavior or symptom that was previously under control or in remission.

It can occur in various contexts, including psychosis, mood disorders, addictions, and chronic pain.

Multi-Dimensional Nature:

Relapse can occur physically (e.g., fatigue, pain), interpersonally (e.g., unhealthy relationships), emotionally, cognitively, environmentally, and spiritually (e.g., loss of meaning).

Warning Signs and Vulnerabilities

Early Signs:

Relapse begins long before the behavior or symptom reappears; early signs may include stress, sleep deficits, nutritional deficiencies, and HPA axis dysregulation.

Vulnerabilities:

Factors like sleep deprivation, poor nutrition, chronic pain, and interpersonal conflicts increase vulnerability to relapse.

Emotional vulnerabilities include dysphoria, anger, grief, and even euphoria (which can lead to overconfidence and neglect of recovery behaviors).

Preventing Physical Relapse

Mindfulness:

Regular self-check-ins are crucial to recognize early signs of relapse and address them before they escalate.

Evening mindfulness helps reflect on the day, acknowledge successes, and learn from challenges.

Healthy Habits:

Maintaining physical health through proper sleep, nutrition, exercise, and medication adherence is vital to prevent relapse.

Avoiding environments or triggers that are linked to past episodes is essential for relapse prevention.

Interpersonal and Emotional Relapse

Interpersonal Dynamics:

Returning to unhealthy relationships or isolating from supportive ones can signal interpersonal relapse.

Emotional relapse may involve negative emotional states like anger or overconfidence, leading to poor decision-making.

Addressing Emotional Triggers:

Identifying and managing triggers for emotional distress (e.g., unresolved anger, anxiety) is key to preventing relapse.

Developing emotional intelligence and distress tolerance skills helps manage emotions more effectively.

Cognitive and Environmental Relapse

Cognitive Distortions:

Cognitive relapse includes unhelpful thinking patterns like all-or-nothing thinking, personalization, and pessimism.

Addressing these thoughts early through cognitive restructuring can prevent a downward spiral.

Environmental Factors:

Reintegrating into environments or situations that triggered past issues (e.g., keeping alcohol at home for someone recovering from alcoholism) can lead to relapse.

It's important to create and maintain a supportive environment that reinforces positive behaviors.

Developing a Relapse Prevention Plan

Daily Mindfulness:

Incorporating mindfulness into daily routines, both in the morning and evening, helps manage vulnerabilities and stay grounded.

Identifying Strengths and Weaknesses:

Reflecting on past relapses can provide insights into what triggered them and how to prevent future ones.

Focusing on strengths and building resilience through positive experiences and realistic goal-setting are key to long-term success.

Conclusion

Chapters:

00:00:00 - Relapse Prevention for Mental Health and Addictive Issues

00:06:16 - Vulnerabilities in Recovery

00:12:48 - Physical Health and Relapse Warning Signs

00:19:37 - Coping Strategies for Depression

00:26:28 - The Importance of Asking for Help

00:33:28 - Preventing Interpersonal Relapse

00:40:13 - Emotional Relapse and Pain Management

00:46:59 - Managing Negative Emotions and Cognitive Relapse

00:53:27 - Coping with Stress and Preventing Relapse

01:00:03 - Importance of Hydration for Mental Health

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By Dr. Dawn-Elise Snipes

4.7

576576 ratings