Checklist Of Symptoms Leading To Relapse
Relapse does not start with the first drink or drug. It has a destructive, progressive behavioral pattern. The most commonly
reported symptoms are:
Phase 1: Return of Denial
( ) 1. Concern about well being.
( ) 2. Denial of the concern.
Phase 2: Avoidance and Defensive Behavior
( ) 3. Believing "I'll never drink again".
( ) 4. Worrying about others instead of yourself.
( ) 5. Defensiveness.
( ) 6. Compulsive behavior.
( ) 7. Impulsive behavior,
( ) 8. Tendency toward loneliness.
Phase 3: Crisis Building
( ) 9. Tunnel vision.
( ) 10 More depression
( ) 11. Loss of constructive planning.
( ) 12. Plans begin to fail
Phase 4: Immobilization
( ) 13. Daydreaming and wishful thinking.
( ) 14. Feelings that nothing can be solved.
( ) 15. Immature wish to be happy.
Phase 5: Confusion and Overreaction
( ) 16. Periods of confusion.
( ) 17. irritation with friends.
( ) 18. Easily angered.
Phase 6: Depression
( ) 19. Irregular eating habits.
( ) 20. Lack of desire to take action.
( ) 21. Irregular sleeping habits.
( ) 22. Loss of daily structure.
( ) 23. Periods of deep depression.
( ) 24. Irregular attendance at 12-Step meetings.
( ) 25. Development of an "I don't care" attitude.
( ) 26. Open rejection of help.
( ) 27. Dissatisfaction with life.
( ) 28. Feelings of powerlessness and helplessness.
Phase 7: Recognition of Loss of Control
( ) 29. Self-pity.
( ) 30. Thoughts of social drinking/drug using.
( ) 31. Conscious lying.
( ) 32. Complete loss of self-confidence.
Phase 8: Option Reduction
( ) 33. Unreasonable resentments.
( ) 34. Discontinues all treatment.
( ) 35. Overwhelming loneliness, frustration, anger and tension.
Phase 9: Acute Relapse Episode
( ) 36 Loss of Behavioral Control
( ) 37. Acute relapse episode, marked by:
( ) a. Degeneration in all life areas.
( ) b. Alcohol or drug use.
( ) c. Emotional collapse.
( ) d. Physical collapse.
( ) c. Stress related illness.
( ) f. Psychiatric illness.
( ) g. Suicide attempt.
( ) h. Accident proneness.
( ) i. Disruption of social structures.
The alcoholic/addict can interrupt this pattern of behavior at any point prior to the total loss of control. He or she is responsible for all behavior and decisions that accompany relapse.
Based on "Dynamics of Relapse" by Terrance Gorski, M.A. - EAP Digest
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Phase 1: Return of Denial
( ) 1. Concern about well being.
( ) 2. Denial of the concern.
Phase 2: Avoidance and Defensive Behavior
( ) 3. Believing "I'll never drink again".
( ) 4. Worrying about others instead of yourself.
( ) 5. Defensiveness.
( ) 6. Compulsive behavior.
( ) 7. Impulsive behavior,
( ) 8. Tendency toward loneliness.
Phase 3: Crisis Building
( ) 9. Tunnel vision.
( ) 10 More depression
( ) 11. Loss of constructive planning.
( ) 12. Plans begin to fail
Phase 4: Immobilization
( ) 13. Daydreaming and wishful thinking.
( ) 14. Feelings that nothing can be solved.
( ) 15. Immature wish to be happy.
Phase 5: Confusion and Overreaction
( ) 16. Periods of confusion.
( ) 17. irritation with friends.
( ) 18. Easily angered.
Phase 6: Depression
( ) 19. Irregular eating habits.
( ) 20. Lack of desire to take action.
( ) 21. Irregular sleeping habits.
( ) 22. Loss of daily structure.
( ) 23. Periods of deep depression.
( ) 24. Irregular attendance at 12-Step meetings.
( ) 25. Development of an "I don't care" attitude.
( ) 26. Open rejection of help.
( ) 27. Dissatisfaction with life.
( ) 28. Feelings of powerlessness and helplessness.
Phase 7: Recognition of Loss of Control
( ) 29. Self-pity.
( ) 30. Thoughts of social drinking/drug using.
( ) 31. Conscious lying.
( ) 32. Complete loss of self-confidence.
Phase 8: Option Reduction
( ) 33. Unreasonable resentments.
( ) 34. Discontinues all treatment.
( ) 35. Overwhelming loneliness, frustration, anger and tension.
Phase 9: Acute Relapse Episode
( ) 36 Loss of Behavioral Control
( ) 37. Acute relapse episode, marked by:
( ) a. Degeneration in all life areas.
( ) b. Alcohol or drug use.
( ) c. Emotional collapse.
( ) d. Physical collapse.
( ) c. Stress related illness.
( ) f. Psychiatric illness.
( ) g. Suicide attempt.
( ) h. Accident proneness.
( ) i. Disruption of social structures.
The alcoholic/addict can interrupt this pattern of behavior at any point prior to the total loss of control. He or she is responsible for all behavior and decisions that accompany relapse.
Based on "Dynamics of Relapse" by Terrance Gorski, M.A. - EAP Digest
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This website is funded by CRC Health Corporation and does not accept advertisements
