Signs and Symptoms of Alcohol or Drug Relapse

Relapse, the return to substance use after a period of sobriety, is a common challenge in recovery. Recognizing the signs and symptoms of potential relapse can help individuals take necessary steps to prevent it.

Signs and Symptoms of Alcohol or Drug Relapse:

1. Changes in Attitude:

   • Minimizing the significance of staying sober or feeling "cured."
   • Expressing a desire to use substances again.
   • Rationalizing substance use, making excuses or justifications.

2. Increased Stress:

   • Feeling overwhelmed, pressured, or stressed.
   • Using substances as a coping mechanism to manage stress.
   • Neglecting healthy stress-reduction strategies.

3. Reactivation of Denial:

   • Convincing oneself that substance use can be controlled or is not a problem.
   • Minimizing the negative consequences of substance use.
   • Dismissing or rationalizing relapse warnings.

4. Recurrence of Withdrawal Symptoms:

   • Anxiety, depression, insomnia, or cravings reappear.
   • Physical symptoms associated with substance use re-emerge.

5. Changes in Behavior:

   • Isolating oneself from social situations or support systems.
   • Engaging in risky sexual behaviors or neglecting responsibilities.
   • Spending excessive time or money on substance use.

6. Social Breakdown:

   • Withdrawing from friends, family, and support groups.
   • Avoiding activities or places associated with recovery.
   • Neglecting recovery-related activities or commitments.

7. Loss of Structure:

   • Abandoning daily routines or schedules.
   • Neglecting personal hygiene or appearance.
   • Skipping meals or neglecting physical health.

8. Loss of Judgment:

   • Making poor decisions or taking unnecessary risks.
   • Feeling overwhelmed or unable to cope with stress.
   • Inability to control impulses or urges to use substances.

9. Loss of Control:

   • Difficulty stopping substance use once started.
   • Using more substances than intended or for longer periods.
   • Continuing substance use despite negative consequences.

10. Relapse:

    • Engaging in continued substance use, potentially leading to physical, psychological, and social harm.

Action Steps to Prevent Relapse:

1. Seek Professional Support: Talk to a therapist, counselor, or sponsor about relapse prevention strategies.
2. Attend Support Group Meetings: Regular participation in support groups can provide encouragement and accountability.
3. Develop Healthy Coping Mechanisms: Learn and practice strategies to manage stress and difficult emotions without resorting to substance use.
4. Avoid Triggers: Identify and avoid situations, people, or places that may trigger substance use.
5. Practice Self-Care: Prioritize physical and mental health by maintaining a balanced diet, getting enough sleep, and engaging in regular exercise.
6. Stay Connected to Recovery Resources: Maintain contact with support systems, attend recovery-related events, and participate in continuing care programs.
7. Stay Positive and Patient: Recovery is an ongoing journey, and setbacks are possible. Embrace setbacks as opportunities for growth and learning.

Remember, relapse is common in the recovery process. However, recognizing the signs and symptoms of potential relapse can help individuals take proactive steps to prevent it. With proper support, strategies, and persistence, individuals can successfully navigate the challenges of recovery and maintain sobriety.