Causes / Effects Of Relapse / How To Help People Change Flashcards
What are some of the effects of relapse
Therapeutic relapse
Fatal relapse
Dependent on the amount types length of use and health
Why do people relapse?
A multitude of reasons with no simple answers
What would be some affective reasons for relapse
Common emotional states contributing to relapse (anger, loneliness, depression, anxiety, boredom)
Not the emotional state that causes relapse, but client’s ability to cope
What are some behavioral reasons for relapse
Poor social skills and ability to deal with everyday problems
Better behavioral skills allows for better recovery
What are some cognitive reasons for relapse?
Attitudes/beliefs towards recovery
Belief in ability to maintain sobriety
What are some environmental and relationship reasons for relapse?
Type of surroundings and support dictates level of sobriety
Poor support systems have family members struggle with addictions
Don’t blame them, but recognize effect it can have on recovery
What are some Physiological reasons for relapse?
Cravings and brain chemistry
Narcotics to treat pain can lead to relapse
What are some Psychological reasons for relapse?
Motivation and learned behaviors
What are some spiritual reasons for relapse?
Emptiness left after getting clean and sober can increase risk of relapse
What are some treatment reasons for relapse?
May take too long to be seen by physician
What are the 3 types of interventions when using relapse prevention for substance use disorders?
1 - Program focusing on relapse issues and the maintenance stage of treatment
2 – Individual or group treatment to stop substance use and reduce risk of relapse
3 – Medication-assisted treatment (MAT)
What are the 3 cognitive factors that interact with the relapse process?
self-efficacy,
outcome expectancy, and
attribution of causality.
What is Self-efficacy?
The client’s judgment about how well they deal with difficult, stressful, or high-risk situations.
What are Outcome expectancies?
The anticipated outcomes of a given behavior.
If a client expects the outcome of substance use to be positive, the probability of relapse increases.
What is the Attribution of causality in relation to relapse prevention?
The client’s perception of whether substance use was caused by internal or external factors.
This has an impact on subsequent behavior.
What model do we use to help facilitate change?
Transtheoretical Model (TTM) is used to guide one through change
Various stages of change exist in this model
Developed by Prochaska and DiClemente (1984)
What are the 5 stages of the Transtheoretical Model (TTM)?
Precontemplation – not considering change or seeing a problem
Contemplation - seeing a problem and considering whether to act
Preparation—making concrete plans to act soon
Action— doing something to change
Maintenance—working to sustain the change
When you relapse in the TMM do you start over?
No, it’s not linear you can move back to any stage.
What are the two main types of the 10 processes of change?
Experiential Processes
Behavioral Processes
What do Experiential Processes represent in the change process? When are they most relevant?
The person’s thoughts, feelings, and experiences regarding the problem behavior
Most relevant in the early stages of change
What do Behavioral Processes represent in the change process? When are they most relevant?
The action and behavior modification strategies
more important in the later stages of change
What is Decisional balance in relapse prevention?
Refers to how a person weighs the pros and cons of engaging in or changing a behavior
The scales of change
