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Mistaken
Beliefs About Relapse
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By: Terry Gorski with additions by: Lee Jamison Mistaken
Belief #4: Relapse occurs because addicts drop out of treatment or stop
going to AA/NA meetings Fact: Most people stop going to treatment or AA/NA because they are
already in the process of relapse. Discontinuing treatment and AA/NA is
often the result of the relapse
process rather than the cause. For relapse prone persons,
treatment and AA/NA do not always work. In the AA Big Book
it says in chapter 5, Those
who do not recover are people who cannot
(italics ours) or will not completely give themselves to this simple program,
usually men and women who are constitutionally incapable of being honest
with themselves. There are such unfortunates. They are not at fault.
It is likely that these unfortunates drop out of treatment
and stop going to AA/NA meetings because the relapse symptoms become so
severe that it becomes impossible for them to participate in treatment
or AA/NA. Relapse prevention does not substitute for but supplements AA/NA.
Relapse prevention planning must begin long before AA/NA and treatment
is discontinued. We call this the AA/NA plus approach AA/NA, professional
counseling, and relapse prevention planning. Barbara became very upset
when she heard someone at a Relapse Prevention workshop say that discontinuing
AA/NA attendance did not cause relapse. She knew many people who had returned
to using alcohol or drugs when they stopped attending meetings. It was
impossible to convince her that these people may have been in a process
of relapse before they stopped going to meetings or that the relapse progression
may have been the reason that they stopped attending. As long as
I keep going to meetings, she said, I wont relapse.
Barbara continued to go to meetings, but she never learned to manage the
sobriety-based symptoms of addiction and she never learned to interrupt
her relapse-warning signs. She never drank, but she did have a nervous
breakdown with tragic consequences for herself and her family. If you see the return to alcohol
and drug use as a result of discontinued meetings, you will tend to blame
yourself rather than seeking out new possibilities for help. You may continue
to go to meetings but do nothing else to interrupt the relapse process.
You will continue to try what has already failed repeatedly in the past.
You will not leave yourself open to new possibilities, or go to
any lengths to maintain your sobriety. If you begin to use addictively
in spite of going to meetings you will believe that you are hopeless.
This should work. If it does not work it is my fault. There is nothing
else I can try; so, therefore, I must be hopeless.
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