Refocusing on recovery and further relapse prevention with a care team is crucial. Most physical relapses are considered relapses of opportunity, meaning that they occur when an individual feels they will not get caught. If a person is in therapy during emotional relapse, the focus of therapy may pivot towards reinforcing the importance of self-care. Learning various acronyms can help a person identify when they need to improve their self-care, such as HALT (Hungry, Angry, Lonely, Tired). Substance abuse relapse occurs when a person who has attempted to stop using a substance begins to use it again. Relapse can occur very soon after attempting sobriety, or after several years of sustained sobriety.
The Different Types of Relapse: Slips, Lapses, and Full Relapses
It’s treatable, but if untreated, it can lead to serious destruction and even death. Emotions may prompt thoughts of using but so can external cues or stimuli. It not only involves the body and our behavior, but also our emotions and our thoughts. Some research has found that 40% to 60% of people dealing with substance abuse disorders relapse within a year. In fact, experts consider relapses part of the recovery process.
Avoid high-risk environments and people
The negative thinking that underlies addictive thinking is usually all-or-nothing thinking, disqualifying the positives, catastrophizing, and negatively self-labeling 9. These thoughts can lead to anxiety, resentments, stress, and depression, all of which can lead to relapse. Cognitive therapy and mind-body relaxation help break old habits and retrain neural circuits to create new, healthier ways of thinking 12,13. These setbacks do not even necessarily mean that you need to reenter intensive addiction treatment. However, a slip or relapse does indicate that something is missing in your recovery plan or resources. Admitting to a person or people who you know can provide support–especially clinical support–is one of the first steps.
Common Alcohol Relapse Triggers to Look Out For—And How to Overcome Them
With a relapse, the situation can become dire because of the shame and guilt, particularly if it’s not dealt with early on. Groups such as Alcoholics Anonymous (AA) offer regular meetings and a supportive environment for sharing experiences and strategies. We specialize in compassionate, evidence-based care tailored to your needs. Whether you’re seeking help for yourself or a loved one, we’re here to guide you every step of the way. Inpatient rehab PT provides intensive, personalized therapy to restore mobility, function, and independence after serious injuries or illness.
It forces people to reevaluate their alcoholic relapse lives and make changes that non-addicts don’t have to make. Probably the most important thing to understand about post-acute withdrawal is its prolonged duration, which can last up to 2 years 1,20. It is not unusual to have no symptoms for 1 to 2 weeks, only to get hit again 1. This is when people are at risk of relapse, when they are unprepared for the protracted nature of post-acute withdrawal.


Unfortunately, relapse represents a common thread among people who overcome alcohol problems. An alcoholic relapse event does not represent hope in itself, of Substance abuse course. But the fact that many recovering alcoholics have gotten past relapse events shows a path forward. When a person relapses, they will often feel guilty and ashamed about what they have done.
Denied users will not or cannot fully acknowledge the extent of their addiction. Denied users invariably make a secret deal with themselves that at some point they will try using again. Important milestones such as recovery anniversaries are often seen as reasons to use. Alternatively, once a milestone is reached, individuals feel they have recovered enough that they can determine when and how to use safely. It is remarkable how many people have relapsed this way 5, 10, or 15 years after recovery. Individuals use drugs and alcohol to escape negative emotions; however, they also use as a reward and/or to enhance positive emotions 11.

Types of Relapse: Emotional, Mental, and Physical
A single factor does not cause relapse; rather, it results from the accumulation of multiple risk factors over time. The causes of alcohol relapse after recovery are psychological, social, environmental, and biological factors. These interconnected causes increase the vulnerability to alcohol relapse, and each factor makes long-term sobriety more challenging. Physical relapse doesn’t occur suddenly; it is a culmination of internal and external struggles that build up over time. Immediate treatment, re-engagement, and professional help are important in preventing further harm and supporting the individual through this phase of recovery. These emotional and behavioral changes increase relapse vulnerability, even in the absence of cravings.
Identify your triggers
- However, research done specifically on relapse rates shows that individuals who did not get help were less likely to achieve three-year remission.6 These individuals were also more likely to relapse overall.
- Its symptoms also tend to be similar for most addictions, unlike acute withdrawal, which tends to have specific symptoms for each addiction 1.
- Especially in the early days of recovery, it is important to avoid such places and find new locations to get together with friends.
- During the recovery process, you are likely to encounter many triggers that may cause you to think about drinking again.
- As their tension builds, they start to think about using just to escape.
More broadly speaking, I believe that recovering individuals need to learn to feel comfortable with being uncomfortable. They often assume that non-addicts don’t have https://ecosoberhouse.com/ the same problems or experience the same negative emotions. Therefore, they feel it is defensible or necessary to escape their negative feelings.
- If you’ve been in a program, immediately connect with your counselor, therapist, support group, or mentor.
- They may isolate themselves, bottle up their feelings, or neglect self-care.
- Physical relapse tends to occur when the individual has passed through both emotional relapse and mental relapse, and it marks the return to active drinking.
- UKAT aspires to deliver the highest quality care across all our centres and clinics.
- Be supportive until they feel comfortable enough to regroup and seek the help they need.
The Recovery Village Columbus
Other goals of abstinence include personal self-care and development. It is also common for PAWS and relapse to occur during this stage. Despite its importance, self-care is one of the most overlooked aspects of recovery. Without it, individuals can go to self-help meetings, have a sponsor, do step work, and still relapse. Self-care is difficult because recovering individuals tend to be hard on themselves 9.
They think it is almost embarrassing to talk about the basics of recovery. They are embarrassed to mention that they still have occasional cravings or that they are no longer sure if they had an addiction. 3) Clients feel they are not learning anything new at self-help meetings and begin to go less frequently. Clients need to understand that one of the benefits of going to meetings is to be reminded of what the “voice of addiction” sounds like, because it is easy to forget.