PSYC 437 Lecture Notes - Lecture 14: Naltrexone, Partial Agonist, Naloxone

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7 May 2018

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I. Relapse

A. What factors are associated with relapse?

1. Abstinence doesn’t guarantee improvement in social, occupational, etc functioning

2. Relapse rates (12 mo. post treatment) following alcohol and tobacco cessation

~80-90%

B. Warning signs

1. Stop taking medications

2. Around high-risk people

3. Cravings

4. Romanticizing use

5. Uncomfortable thoughts/emotions

6. Withdraw/isolation from others

7. Angry outbursts

C. Pro-lapse vs. re-lapse

1. Prolapse: may have a setback, but it doesn’t undo the work done/progress made

2. Relapse: revert back to behavior; usually guilt associated

D. Revised cognitive-behavioral model of relapse

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