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Mistaken
Beliefs About Relapse
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By: Terry Gorski with additions by: Lee Jamison Mistaken
Belief #7: Relapse can be avoided by willpower and self-discipline. Fact: Self-discipline and willpower alone will not prevent relapse.
Relapse is the process by which an addicted person returns to their problematic
old behavior. This relapse process can lead to alcohol or drug use. Alcohol
or drug use happens because there is something missing in the recovery
program. There are problems or conditions that are not being effectively
managed or treated. There is something the recovering person needs to
do, or needs to learn, or needs to stop doing. Without appropriate treatment
and an effective sobriety program, self-discipline and willpower will
not help. Willpower alone does not prevent
relapse with chemical dependency any more than it prevents relapse for
a diabetic, a heart patient, or an arthritic. Chronic diseases require
behaviors that keep symptoms under control. Chemical Dependency is a chronic
disease. Attempting to prevent relapse by willpower only increases stress
that intensifies the pain and problems that can lead to the progression
of the relapse warning signs. Recovering persons who think
relapse can be prevented by willpower will try to tough it out
when problems hit. They will believe they need to go it alone. The tendency
will be to blame themselves for being weak rather than to acknowledge
that they need special help. As a result they will not get the help that
they need. Jack grew up believing that
he could accomplish anything if he tried hard enough. He was always a
high achiever, making good grades in school and excelling in sports. He
became a successful salesman and was able to achieve high sales in spite
of his drinking. When he developed alcoholic hepatitis, his doctor told
him that he had to quit drinking. With the help of AA he did and he made
a firm commitment to sobriety. It was not uncommon to hear Jack say, Now
that I know that drinking could kill me, I will never drink again.
But Jack did not know anything
about sobriety-based symptoms so he did not know what was happening when
he began overreacting to what was going on around him. He became so stressed
that sometimes he was barely able to work. His sales performance was worse
when he was drinking. Out of desperation he drank. He felt very guilty,
sobered up, and resolved that it would never happen again. His resolve
was sincere, but after a period of time he began experiencing the same
sobriety-based symptoms and ultimately he drank again. By willpower, he
was able to keep himself sober for a period of time, but relapsed so often
that he was termed a binge drinker. He was really a relapse-prone alcoholic
who believed that willpower could keep him sober.
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