Top 5 Causes of Addiction Relapse
There are a million reasons why someone relapses, but addiction specialists agree that avoiding triggers-the situations and emotions that make drugs attractive-is half the battle. According to Elizabeth Hartney, a leading addiction specialist, the top 5 reasons that those struggling with addiction relapse are:
- Stress: Stress is one of the top causes of relapse. While one can’t avoid all forms of stress, making lifestyle, relationship, and priority changes can help the recovering addict to avoid situations that spark tension and other negative emotions associated with relapse.
- People or Places Connected to the Addictive Behavior: Being around people and places associated with one’s addiction can often push a person to relapse. For example, going back to a favorite bar may tempt an individual to pick up the bottle again. It’s better to avoid these temptations, especially in the early phases of recovery.
- Negative or Challenging Emotions: While negative emotions are a normal part of life, those struggling with addiction often cite frustration, anger, anxiety, and loneliness, as triggers for relapse. Therefore, usually as a part of therapy, it’s essential to develop effective ways of managing, these feelings.
- Seeing or Sensing the Object of Your Addiction: In recovery, even a slight reminder of the object of the addiction, such as seeing a portrayal of addictive behavior on television, can lead to relapse. While it is impossible to avoid such reminders forever, developing skills for managing any urges or cravings can aid in preventing relapse.
- Times of Celebration: Most situations that can trigger relapse are perceived as negative. However, sometimes positive situations such as times of celebration, where alcohol or drugs are present, are just as risky. Avoiding such events or bringing along a trusted friend can assist in preventing relapse.
Recognizing Triggers
An easy way to look at triggers is to think of them as synonymous with temptation. While you may not always be able to control whether you experience a trigger or a tempting thought, you do have power over whether you succumb to them. In other words, just because you’re tempted to do something you know is bad for your sobriety doesn’t mean you’ll blindly follow through on the urge. Learning to trust your ability to say no and surrounding yourself with people and situations that support you help to build the “muscle” of sobriety.Triggers can include people, places and things; in general, anything that you associate with substance abuse and/or the compulsive behavior can be a trigger. This can include seeing or hearing something on TV about drinking or gambling; the sound of ice cubes hitting a glass as a family member gets ready to pour a refreshing soda; the smell of pot at a public venue; being around too many people, or being alone; not taking your medication and many, many more sights, smells, sounds, tastes, words, music — the list of possible triggers can seem endless sometimes.
Many self-help support groups use the acronym “H.A.L.T.” to describe certain triggers. The letters stand for Hungry, Angry, Lonely or Tired; for many, these are common situations that make it more likely you’ll use or drink.
What serves as a trigger for you may be completely different for someone else. However, these are some common triggers, according to the Substance Abuse and Mental Health Services Administration.
- The anniversary dates of losses or trauma
- Frightening news events
- Too much to do; feeling overwhelmed
- Family friction
- The end of a relationship
- Spending too much time alone
- Being judged, criticized, teased or put down
- Financial problems; getting a big bill
- Physical illness
- Sexual harassment
- Being yelled at
- Aggressive-sounding noises or exposure to anything that makes you feel uncomfortable
- Being around someone who has treated you badly
- Certain smells, tastes or noises that remind you of your drug of choice
And remember to share what you’ve learned with others in self-help support groups or group therapy. There’s great collective wisdom in the rooms of recovery and many opportunities to provide and receive suggestions for excellent coping techniques for triggers.
Signs You’re About to Relapse
How do I know if I’m slipping? If you’re asking yourself this question, it could be that you already suspect your recovery might be in jeopardy. Or you might just be a bit cautious. Either way, knowing the signs of relapse can give you the time to take proactive steps to avoid slipping back into using.
Here are 10 common signs of an impending relapse; you don’t need to experience all of them to be at risk. For some, a single trigger can signal relapse is on the way. The key is learning how to recognize the warnings and reaching out for support at the first sign of trouble.
10 Warning Signs of Relapse
- Negative thinking. You find yourself regarding daily life as bleak and the tasks you need to do as burdensome. You feel like you have a great weight on your shoulders. Increasing feelings of hopelessness or negativity should alert you that you could be in danger of relapsing.
- Easily angered or annoyed. It’s as if your nerves are on hair-trigger sensitive. You become mad, even furious, often without warning and increasingly over small things. This isn’t like you, but you can’t seem to pull out of it. Getting into arguments with loved ones and family members more frequently is another clear sign that you could be on the verge of relapse.
- Complacency or overconfidence. After being in recovery for a while, it starts to seem like you’ve got it all down. You know what to do and begin to feel like you can handle any situation. As a result, you may let some of your regular recovery to-do items slide, for example, attending 12-step meetings or practicing self-care habits like healthy eating or exercising. If you find yourself becoming complacent or overly confident about your sobriety, you may need to reassess and reinvest in your recovery program.
- Increased stress. Without the comfortable crutch of alcohol, drugs or a problematic behavior to smooth over daily aggravations or unexpected situations, you may find your stress level is at the breaking point. Worries about finances, performance at work and how your recovery may be affecting your loved ones can all take a dramatic toll, wearing you down and increasing the likelihood of relapse.
- Skipping meetings. Not everyone needs to attend self-help support group meetings as part of their recovery. But if you’ve been in recovery for a period of time and you have found meetings helpful, after a while it may begin to seem tedious and unnecessary to keep going. Maybe you feel that you don’t need the regularity of meetings to keep you on course and that you’re perfectly fine on your own. That may in fact be true, but it’s worth paying attention to this tendency, as some may find it’s a short distance from cutting back or skipping recovery meetings to sliding into relapse.
- Putting yourself in risky situations. If you find that you’re going back to your old haunts and hanging out with friends you used to use with, that’s a precarious situation — and one likely full of old triggers. So guard against thoughts of revisiting the people, places and things you associate with using.
- Denial. Questioning whether you ever really had a problem or denying to others that you have a problem are both signs that you could be in danger of relapse. If others notice and comment on a difference in you, yet you continue to insist that you’re on top of your recovery, it may be time to slow down and reflect before you slip back into addictive patterns.
- Isolation. Holing up in the house, refusing to see friends and keeping your distance from family members are troublesome signs of relapse. When you’re in recovery, you need sober, supportive people in your life who reinforce this positive path you’re taking. If you feel depressed, disheartened or angry or alone, instead of sitting home and feeling miserable, get out and surround yourself with people (or at least one person) you trust and with whom you can share some time, even if you’re not ready to open up about how you’re feeling.
- Loss of interest in family, friends and activities. When problems start to mount and you feel like everything’s about to come crashing down on you, you may notice in yourself a tendency to withdraw from people and activities you once enjoyed. To safeguard your hard-won recovery, it’s important to talk about what’s bothering you, either with a trusted loved one, your sponsor, your therapist or counselor or a member of the clergy.
- Losing hope. When life looks completely black and you feel a sense of hopelessness and despair, this is a critical warning sign of impending relapse. Take such feelings seriously and get help right away.
Source: Internet