Introduction
According to the Center for Substance Abuse Treatment and the transtheoretical model of change, “for most people with substance abuse problems, recurrence of substance use is the rule not the exception” (Enhancing Motivation for Change, 1999, p. xvii). Relapse can and most likely will occur in recovery, and should be recognized as well as anticipated by substance abuse recovery counselors. The significant challenges to counselors are bringing a client successfully and securely through a relapse and eventually preventing relapse from occurring at all. For many, helping a client find faith in a higher power is an essential piece of the puzzle for overcoming addiction.
In research collaborated by Laudet, Morgan and White,
…show more content…
These situations trigger great quantities of stress, a common prompt for substance abuse and relapse.
The third and final stage of recovery is known as late recovery, and involves a client finding growth and meaning in life. In this stage, relapse may be less frequent as a sense of purpose is found. As this stage is found only by enduring great challenges, a client may not be as tempted by relapse and the act of back tracking in their recovery may seem tiresome and unworthy of their time. However, though a deep awareness of the consequences of substance abuse is profound, relapse is still possible if an addict forgets that he or she has a disease that is incurable and succumbs to the enticement of “just this one time can’t hurt” or has the thought that “I have been clean for so long. I am cured.” Bill W. stated in his book Alcoholics Anonymous that “This is the baffling feature of alcoholism as we know it-this utter inability to leave it alone, no matter how great the necessity or the wish” (pg. 34). Complete abstinence is the only choice for those with the disease of addiction, and so many recovering addicts forget this simple realization in the late recovery stage.
Addiction is a disease. Those with the disease of addiction cannot help
Substance abuse as well as addiction is a topic many people choose to ignore or tend to believe that it does not affect them. Addiction itself does not seek out certain types of people but can affect anyone, at any time, for any reason. Stress, per pressure, financial trouble, even genetics all play a role in substance abuse and addiction. Unlike others, I don’t see substance abusers as weak willed but instead in need of guidance and someone to talk to about their problems. That is why, when I decided to go to school I was very interested in becoming an Addiction Counselor. I am one of those types of people who really enjoy learning new things and coming up with solutions for myself or others. The biggest reason that I decided to go to college was to find a job that I was actually fascinated with and wouldn’t dread going to work day in and day out. The biggest concern I have for my future job is stability and job availability. One area that I don’t really find high on my priority list is the money. I want to be able to make enough that I can survive and even thrive at times but I’m not looking for a job just for the financial gain. If I’m going to spend my life in a working profession it might as well be doing something I love.
One of the most powerful factors for relapse is stress, since it triggers the sense of drug seeking and craving behavior mostly during the abstinence period. This feeling of stress at the time is predictive of the rehabilitation period. Addicted individuals comparably show increased susceptibility to stressors than others who are not addicted. Examples of relapse inducing stressors include fear, anger, or sadness. Relapse and substance abuse costs and affects the individual, the community, and family in significant ways; it is also measurable through common aspects that include un-employability, loss of productivity, and mental health issues for the user. It also reduces their quality of life as shown through the increased rate of crimes, neglect of children, increase in violence, and dependency on non-familial support systems for
Recovery is the process of participating in a group or program providing treatment and support for a longstanding psychological or behavioral problem, such as abuse, addiction, grief, or trauma (Melemis, Steven, 2015). As a non-addict it seems easy enough to make a decision to stop drinking and follow through with that decision when temptation presents itself, but for an alcoholic it is not the simple. However, an alcoholic struggles with the temptation on a daily bases. Relapse prevention begins with addressing social interactions, emotional triggers, and developing positive coping mechanisms. Recovery and relapse requires is a process that should be done with others around to support each step and each phase of the
The 12-step program gives the impression that it has the capability of helping clients through alcohol abuse in its systematic, recovery-focused, and empathetic approach. AA’s 12 steps, from having “admitted we were powerless over alcohol…” to “having a spiritual awakening as a result of these steps” helps guide a person from alcoholism to sobriety (Alcoholics Anonymous [AA], 2001, pp. 59-60). The steps are easy-to-follow ‘checkpoints’ in the steps to sobriety, and because they are verbalized at every meeting, they reinforce a recovery mindset from alcoholism. This recovery approach emphasized in AA minimizes any particular focus on past struggles and magnifies progress, and as a member described, the group’s positivity and numerous success stories encouraged them to continue being sober (Personal communication, November 15,
DATA: Today’s group has been facilitated by Kirsten again, and includes relapse, what it is, and how each client can prevent it. Being that relapse is a process, it is an ongoing situation that can be interrupted, rather than a static event that is over and cannot be changed. It involves the individual reverting to old attitudes, beliefs, values, and risk behaviors. These are part of a progressive pattern, and will worsen until the process is interrupted or changed. Relapse is not a sign of failure, and, at times, may be part of the recovery process. There are times when individuals are more vulnerable to relapse, specifically, when they are too hungry, angry, lonely, or tired (HALT), and need to be aware of this vulnerability, and take
other addiction treatments, such as Rational Recovery, fail to incorporate spirituality as a vital dimension in recovery due to the misunderstanding between religiosity and spirituality. The science community has always been at odds with religiosity and spirituality throughout history as research has shown. However, as we aim to become a more culturally competent society, looking at research that shows the importance of spiritual principles and practices in addiction recovery, should compel clinicians to incorporate it in other treatment programs besides twelve step programs. The inclusion of spirituality in addiction recovery should not be optional as it is not restricting one to a particular doctrine, but rather freeing an addict to obtain a healthy quality of life which is the ultimate goal. Arnold et. al
“Traditional… treatment approaches often conceptualize relapse as an end-state, a negative outcome equivalent to treatment failure. Thus, this perspective considers only a dichotomous treatment outcome—that is, a person is either abstinent or relapsed.” (Larimer, 1999). For a substance dependent individual like Rosa, equating abstinence to failure is counter-productive and ineffective. Considering her history of pain management, we can expect that Rosa may feel emotional and physical discomfort without her opiate and alcohol combination. A setback in treatment would be negative, but doesn’t warrant “giving up” on established treatment goals. Relapse may be anticipated with the relapse prevention model, but it is considered to be a part of “the
Relapse prevention treatment for adolescents must be addressed. However, it must be addressed in a much different way than adults. Adolescents understanding of relapse prevention takes on a totally different meaning to them than adults do. The two case studies on page 303-308 made this very clear.
Recovering from addiction presents you with challenges to say the least. You have to give up your drug of choice, which can be scary, literally painful, and sometimes, even sad. It’s the sadness, or rather the emotional side of addiction that I want to address here.
Substance abuse disorders are common in our society. It is a disorder that each one of us will most likely experience through a family member, friend, or our self. I felt very drawn to this topic due to the fact that I have a family that has background of substance abuse and I myself have battle the demon. Not until I struggled with my own addiction did I become more tolerable and understanding to those that have a substance abuse disorder. Substance abuse is not something anyone wants to have; it is a disorder that takes control of a person’s life. It is a beast that tears a person apart; from their being to the lives of their loved ones. This disorder is not biased in anyway; rich or poor, male or female, employed or unemployed, young or
Despite the higher cost, a high-end substance abuse treatment center does not constitute better treatment. The support of therapists, counselors, family, friends, and peers can all be important factors in the recovery process. The most significant factor for an individual in the recovery process is a desire and a willingness to change. Many options exist for individuals that want to recover from addiction. These options include substance abuse rehabilitation centers and support groups such as Alcoholics Anonymous and SMART Recovery. These programs all have the same goal but use different techniques that at times even contradict other programs. Although the approach of the programs may vary, they have all been proven to work for certain
Substance abuse and addiction have become a social problem that afflicts millions of individuals and disrupts the lives of their families and friends. Just one example reveals the extent of the problem: in the United States each year, more women and men die of smoking related lung cancer than of colon, breast and prostate cancers combined (Kola & Kruszynski, 2010). In addition to the personal impact of so much illness and early death, there are dire social costs: huge expenses for medical and social services; millions of hours lost in the workplace; elevated rates of crime associated with illicit drugs; and scores of children who are damaged by their parents’ substance abuse behavior (Lee, 2010). This paper will look at
Alcohol abuse is a serious problem, driving while drunk or under the influence of drugs is an even bigger problem that shouldn’t be taken lightly. Abusing either one of these substances can lead to the death of you or the death of someone else or even cause a major change in their life like Jacqueline’s story, her whole life has been changed because of another person’s ignorance and carelessness. Therefore, you should know the facts about drug and alcohol abuse before you do something you may regret for the rest of your life.
Addiction is a “chronic disease characterized by drug seeking and use that is compulsive, or difficult to control, despite harmful consequences.” The initial decision to take drugs is voluntary for most individuals, but frequent drug use can lead to brain alterations that challenge an addicted person’s self-control and interfere with their ability to resist intense urges to take drugs. These brain alterations can be persistent, which is why drug addiction is considered a "relapsing" disease. People in recovery from drug use disorders are at increased threat for returning to drug use even after years of not taking the drug. It's common for an individual to relapse, but relapse doesn't mean that treatment doesn’t work. As with other chronic health conditions, treatment should be constant and should be adjusted based on how the patient answers. Treatment plans need to be reviewed often and modified to fit the patient’s changing desires.
“Stress arises when individuals perceive that they cannot adequately cope with the demands being made on them or with threats to their well-being” (Lazarus, R.S.) There are many aspects of emotions in one’s life that can trigger the motivation to abuse addictive substances. Stress experiences can be emotionally challenging and activate a variety of different stress responses. Examples of emotional stressors can include personal conflicts, chronic illness, financial burdens, relationship conflicts, or experiencing the loss of a loved one. In many instances these emotional stressors become overbearing where individuals are unable to find coping methods and turn to substances that lead to addiction.