RP: Lesson 1: Understanding Relapse

More than 75% of patients with alcoholism relapsed within 1 year of treatment. Relapse, the process of returning to symptomatic behaviour after a period of symptom remission, is the most widely noted outcome following treatment for substance abuse disorders.

Relapse Prevention

β€œRelapse prevention” was a phrase coined in the late 1970s to describe a theoretical
model and to provide an umbrella term for a set of cognitive-behavioural
intervention strategies that were designed to reduce the likelihood and severity of relapse following cessation or reduction of substance use apart from prevent the progression from lapse to relapse.

Relapse prevention involves a comprehensive approach aimed at identifying, addressing, and mitigating the risk factors that could lead to a return to addictive behavior or substance use. It goes beyond the mere avoidance of substances and encompasses a holistic understanding of the individual’s physical, emotional, and social well-being. By defining the concept of relapse and exploring its common triggers, individuals in recovery gain insight into the factors that may threaten their progress. Moreover, understanding the need for relapse prevention emphasizes that setbacks are a natural part of the recovery journey and that there are proactive strategies to navigate and overcome these challenges. This primer sets the stage for a deeper exploration of the relapse process, its stages, and the statistical and practical importance of implementing effective prevention strategies in maintaining lasting well-being.

In Lesson 1 we will gain insight about the following: Concept of Relapse, stages and process of relapse, precipitants and determinants of relapse, statistics and Importance of Relapse Prevention, Models of Relapse and factors contributing to Relapse.

Further reading

  1. Jhanjee S. Evidence based psychosocial interventions in substance use. Indian J Psychol Med. 2014;36(2):112-8.doi: 10.4103/0253-7176.130960
  2. Menon J, Kandasamy A. Relapse prevention. Indian journal of psychiatry. 2018 Feb 1;60(Suppl 4):S473-8. Full text link

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