Stopping the Cycle of Relapse

Ethan O. Bryson; Christine E. Boxhorn

doi:10.1017/9781009256551.019

13 - Stopping the Cycle of Relapse

from Part IV - Recovery

Published online by Cambridge University Press: 07 October 2023

Ethan O. Bryson and

Christine E. Boxhorn

Show author details

Ethan O. Bryson: Affiliation:
Icahn School of Medicine at Mount Sinai, New York
Christine E. Boxhorn: Affiliation:
Medical College of Wisconsin, Milwaukee

Book contents

Get access

Summary

Relapse is a common phenomenon, and therefore relapse prevention plays a signficant part in addiction treatment. To effectively prevent relapse, it is important to understand how relapse happens and who is most susceptible to it. We now recognize relapse as a multi-stage process occuring over time, rather than a singular event. Multile intrapersonal and interpersonal factors have been identified that influence the risk of relapse. When creating a relapse prevention plan, these factors must be taken into consideration in order for the individual to be successful.

Keywords

relapse lapse MOUD dual-diagnosis Marlatt abstinence violation effect emotional relapse mental relapse physical relapse Narcotics Anonymous Melemis motivation DiClemente self-efficacy prevention relapse prevention plan

Type: Chapter
Information: The Opioid Epidemic
Origins, Current State and Potential Solutions
, pp. 165 - 177

DOI: https://doi.org/10.1017/9781009256551.019 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References and Further Reading

Clark, RE, Baxter, JD, Aweh, G, et al. (2015). Risk factors for relapse and higher costs among Medicaid members with opioid dependence or abuse: Opioid agonists, comorbidities, and treatment history. Journal of Substance Abuse Treatment 57: 75–80.CrossRef Google Scholar PubMed

DiClemente, CC, Holmgren, MA, Rounsaville, D (2010). Relapse prevention and recycling in addiction. In Johnson, B (ed.) Addiction Medicine. Springer, New York, NY.Google Scholar

Douaihy, A, Daley, D, Marlatt, A, Donovan, DM (2014). Relapse prevention: Clinical models and intervention strategies. In Ries, RK, DA, Fiellin, SC, Miller, Saitz, R (eds.) The ASAM Principles of Addiction Medicine, 5th ed. Philadelphia, PA: Wolters Kluwer, pp. 553–565.Google Scholar

Kakko, J, Alho, H, Baldacchino, A, et al. (2019). Craving in opioid use disorder: From neurobiology to clinical practice. Frontiers in Psychiatry 30(10): 592.Google Scholar

Kelly, JF, Greene, MG, Bergman, BG, White, WL Hoeppner, BB (2019). How many recovery attempts does it take to successfully resolve an alcohol or drug problem? Estimates and correlates from a national study of recovering U.S. adults. Alcohol Clinical and Experimental Research 43(7): 1533–1544.CrossRef Google Scholar PubMed

Larimer, ME, Palmer, RS, Marlatt, GA (1999). Relapse prevention: An overview of Marlatt’s cognitive–behavioral model. Alcohol Research and Health 23(2): 151–160.Google Scholar PubMed

Melemis, SM (2015). Relapse prevention and the five rules of recovery. Yale Journal of Biology and Medicine 88: 325–32.Google Scholar

Menon, J, Kandasamy, A (2018). Relapse prevention. Indian Journal of Psychiatry 60(Suppl 4): S473–8.Google Scholar

Smelson, DA, Kline, A, Marzilli, A, Tripp, J (n.d.). The MISSION Consumer Workbook. www.umassmed.edu/contentassets/58c9d438c9ef4f7f8a4a44e9452d471a/mission-consumer-workbook.pdf.Google Scholar

Smyth, BP, Barry, J, Keenan, E, Ducray, K (2010). Lapse and relapse following inpatient treatment of opiate dependence. Irish Medical Journal 103(6): 176–179.Google Scholar