In addiction, relapse happens when a person resumesdrug or alcohol useafter a period ofsobriety.
Recovery is about more than not using drugs or alcohol.
It’s about creating a lifestyle that can help a person maintain their recovery goals.
Verywell / Jiaqi Zhou
Read more to learn about types and stages of relapse in addiction, as well as relapse prevention strategies.
Verywell / Jiaqi Zhou
What Is a Relapse?
Relapse can occur very soon after attempting sobriety, or after several years of sustained sobriety.
Relapse requires a conscious decision to abandon the recovery process.
No one is perfect, and managing addiction is challenging.
For many, relapse is an unfortunate part of recovery.
Why Does a Relapse Happen?
Addiction is a disease that causes imbalances in the brain’sneurotransmitter(chemical messenger) systems.
Affected neurotransmitter systems include theserotonin, opioid, anddopaminesystems.
Stages of Relapse
Relapse is a gradual process.
It can begin with an emotional relapse, followed by mental and then physical relapses.
Mental Relapse
Cravings are a normal part of recovery.
Therapy may focus on identifying high-risk situations and learning ways to avoid them.
It may also involve normalizing occasional thoughts and relapse, and learning methods to let go of them quickly.
Physical Relapse
Physical relapse pops up if a person starts using again.
Once this happens, it may not be easy to control behavior or stop using.
Some relapses start with lapses that become more prolonged or frequent until the individual returns to uncontrolled substance use.
Upon relapse, some individuals may require inpatient treatment to stop using and managesymptoms of withdrawal.
How Long Does It Take to Get Over a Relapse?
This may vary from person to person and be influenced by things such as extent and length of use.
Research shows that social support indicates long-term success, while peer pressure and unsupportive relationships can lead to relapse.
Identifying Your Personal Triggers
Risk factors for relapse differ from person to person.
Viewing relapse as a failure is one perspective.
However, relapse can be an opportunity to reset, develop clear needs and goals, and continue.
Relapse should always be taken seriously.
Refocusing on recovery and further relapse prevention with a care team is crucial.
If you are experiencing a medical emergency and need immediate care, call911.
Summary
Relapse is a return to a state of substance use.
It often begins with a person’s emotional and cognitive state.
A relapse doesn’t mean failure.
Menon J, Kandasamy A.Relapse prevention.Indian J Psychiatr.
2015;88(3):325-332.
National Institute on Drug Abuse.Can addiction be treated successfully?.
2022 May;10(5):1192. doi:10.3390/biomedicines10051192
National Institute on Drug Abuse.Introducing the human brain.
2019 Jul;54(13):2144-2155. doi:10.1080/10826084.2019.1638406
Mass.gov.Opioid overdose risk factors.
