Confidential


Substance Abuse


Chemical Dependence


Mental Health


Workplace Issues

American Society

for the

Prevention of Suicide:

800-273-8255

Anesthetists in Recovery

Hotline:

800-654-5167

Recovering Health Care Professional Support Forum

Jack's Top Ten Relapse Dangers.

1. Being in the presence of drugs or alcohol, drug or alcohol users, or places where you used or bought chemicals...ESPECIALLY in the first 12 - 18 months after "formal" treatment.

2. Feelings we perceive as negative, particularly anger; also shame, sadness, loneliness, guilt, fear, and anxiety. Share these with recovering friends. It helps dissipate the negative component of the emotion.

3. Positive feelings that make you want to celebrate. (We can't effectively handle too much of a good OR bad thing.)

4. Boredom.

5. Using ANY mood altering drug recreationally.

6. Physical pain.

7. Listening to war stories from when we were using (most dangerous in the first 12 - 18 months after professional treatment) and just dwelling on getting high.

8.Winning the lottery (any sudden, unexpected financial "windfall")

9. Using prescription drugs that can get you high without appropriate controls (like having your sponsor or significant other keep them between doses).

10. Believing that you no longer have to worry (complacent). That is, you are no longer stimulated to crave drugs/alcohol by any of the above situations, or by anything else – and therefore maybe it’s safe for you to use occasionally.

Relapse Attitudes and Behaviors.

SOBRIETY IS BORING

I’LL NEVER DRINK/USE AGAIN

I CAN DO IT MYSELF

MY PROBLEMS AREN'T BECAUSE I DRINK/USE...THEY ARE WHY I DRINK/USE

I WISH I WAS HAPPY

I DON’T CARE

IF NOBODY ELSE CARES, WHY SHOULD I?

THINGS HAVE CHANGED

THEY DON’T KNOW WHAT THEY ARE TALKING ABOUT

I CAN’T CHANGE THE WAY I THINK

IF I MOVE, EVERYTHING WILL CHANGE (The "geographical" cure)

I LIKE MY OLD FRIENDS (who still drink and use drugs)

I CAN DO THINGS DIFFERENTLY

NOBODY NEEDS TO KNOW (or cares) HOW I FEEL

I’M DEPRESSED

I SEE THINGS MY WAY ONLY

I FEEL HOPELESS

I CAN HANDLE IT

IF I HIDE BEHIND EVERYONE ELSE’S PROBLEMS, I WON’T HAVE TO FACE MY OWN

I CAN’T DO IT

WHY TRY?

Dual Diagnosis Relapse Prevention