Relapse in the Recovery Process

NOTE TO READERS

It is important to note that throughout this blog, we use the word “relapse,” as it remains a commonly used term in the recovery community. We understand, however, that this term can be associated with a stigmatizing view of recovery. However, we want to make it easy for people seeking help for themselves or a loved one to find the information in this blog. Therefore, using the term “relapse” increases the likelihood that those looking for lifesaving resources will find this blog. At Buena Vista Recovery, we believe the most successful paths are ones in which each person determines their own goals and is supported and encouraged throughout each stage of their recovery. We recognize that framing a “relapse” as a “setback” or “return to use” can be a less stigmatizing way of viewing this frequently experienced part of recovery. This blog uses a mixture of terminology to reach all perspectives.

RELAPSE IN THE RECOVERY PROCESS

Buena Vista Recovery uniquely answers the question, “What is Relapsing?” To us, relapse is not a failure, but a temporary setback in the recovery process. Addiction and relapse are common – in 2023, an estimated 48 million Americans had reported battling a substance abuse disorder in the previous year, and up to 85% of those people experienced a return to use. Many individuals recovering from substance abuse disorders will experience these setbacks, as addiction is a chronic condition. Yet, despite its prevalence, many people do not know about the relationship between recovery, addiction, and relapse. Providing thoughtful, well-researched answers to common questions about setbacks and recovery can help foster understanding and reinforce that relapse is a part of recovery. With that said, this blog will explore answers to important questions around setbacks, their role in the recovery journey, and strategies for maintaining recovery. With the right support system and coping skills, individuals can get back on track and continue their road to recovery.

UNDERSTANDING RELAPSE

Setbacks are not a sign of failure but a recognized challenge in the recovery journey, often triggered by stress, cravings, or lack of a strong support system. Recognizing return to use as a risk in the treatment program helps individuals develop coping skills to prevent future setbacks and, if adequately reframed, form deeper connections with their support system.

What Is Relapse?

What is relapsing, exactly? It is the return to drug or alcohol use after a period of abstinence. While some may experience a brief slip—using once and immediately recommitting to recovery—others may fall into a full relapse, returning to regular substance use. Understanding this difference is crucial in the recovery process, as a slip can be a learning opportunity, while a full relapse may require renewed addiction treatment or additional support groups. Recognizing the early signs can help prevent a minor setback from becoming a major obstacle.

How Common Is Returning to Use?

Returning to use is a well-documented part of the recovery journey, with studies showing upwards of 85% of individuals with addictions experience a setback sometime after receiving treatment. Because roughly 75% of people with addictions are actively recovering, the prevalence of relapse reinforces that relapse is a part of recovery for many. Rather than viewing these setbacks as a failure, they should be seen as an opportunity to adjust coping skills and strengthen one’s support system. Long-term recovery is achievable with the right treatment program and strategies for preventing relapse.

Stages of Relapse

Relapse happens in stages, often beginning long before someone drinks or uses drugs. Emotional relapse comes first, marked by anxiety, isolation, and mood swings, often due to poor coping skills or a weakened support system. Next is mental relapse, where a person struggles with cravings and thoughts of using, battling an internal conflict. Finally, physical relapse occurs when they return to drug or alcohol use. Recognizing these early stages early can help in preventing relapse and improve chances of staying on the road to recovery.

Why People Return to Use (Why Relapse Happens)

Why do people relapse? Setbacks can occur for many reasons, including stress, cravings, and exposure to environmental reminders that trigger a relapse. Without strong coping skills and a reliable support system, individuals may struggle to resist the urge to drink or use drugs. Understanding why people relapse helps in developing strategies for maintaining long-term recovery.

Common Triggers for Relapse

Stressful life events – Major challenges like job loss, relationship issues, or family conflicts can increase the risk for relapse, especially without proper coping skills
Exposure to high-risk situations – Being around people who drink or use drugs or revisiting places associated with past substance use can trigger a relapse
Lack of a strong support system – Without support groups, family members, or access to an effective treatment program, individuals may struggle to stay sober and navigate the recovery process

Underlying Factors

Unresolved mental health issues – Conditions like anxiety, depression, or trauma can make individuals more vulnerable to addiction and relapse, especially without proper treatment.
Lack of coping skills – Without effective strategies for managing cravings and stress, the risk for relapse increases significantly.
Unrealistic expectations – Overconfidence or believing that recovery is a quick fix can lead to a false sense of security, making it harder to recognize warning signs in the recovery journey.

Biological and Psychological Factors

Addiction alters the brain’s reward and stress systems, making it difficult for individuals to resist cravings and stay sober. The brain becomes conditioned to associate drug or alcohol use with pleasure, which can lead to a heightened response to triggers, such as stress or emotional distress. These changes increase the risk for relapse, as the brain’s reward system seeks out the same sense of relief or reward that substances once provided. Understanding how addiction affects the brain can help individuals better manage their recovery journey and strengthen their coping skills.

Relapse as Part of the Recovery Process

Is relapse a part of recovery? Relapse is often viewed as a setback, but it can actually be a critical learning experience in the recovery journey. By reframing it as a part of the process rather than a failure, individuals can embrace it as an opportunity to grow stronger. Self-compassion and accountability are key to using setbacks as stepping stones, not an endpoint.

Reframing Relapse
Returning to use doesn’t mean failure; it can be an opportunity to assess and refine the treatment program. Practicing self-compassion and acknowledging the struggle while holding oneself accountable helps rebuild confidence and commitment to stay sober.
What Relapse Teaches
Relapse reveals personal triggers and weak points in the recovery plan, allowing individuals to address areas of vulnerability. It provides an opportunity to strengthen coping skills and lean into the support system, ensuring that the next phase of recovery is more resilient.
Setbacks Do Not Erase Progress
- Recovery is a journey, and setbacks are natural parts of the process. One slip relapse doesn’t erase the hard work already put in.
- Resilience is key—recognizing that each day sober counts and setbacks can provide valuable information about any adjustments that need to be made in current in the recovery maintenance plan. Any relapse can be overcome with determination and the right personalized recovery plan, which may include formal treatment programs, support groups, and additional mental health resources.

Steps to Take After a Setback

A setback in recovery can be a difficult experience, but it offers an opportunity to reflect and adjust for a stronger future in recovery. The following steps can help individuals navigate their way forward:

Acknowledge the Relapse
- It’s important to be honest with oneself and reflect on the return to use without harsh self-judgment.
- Taking responsibility for the setback and seeking help from a therapist or support system is crucial for moving forward.
Seek Support
- Reaching out to therapists, sponsors, or support groups can provide guidance and reassurance during this time.
- Engaging family members or trusted friends ensures that a strong network is in place, offering emotional support and encouragement.
Reevaluate the Recovery Plan
- Identifying areas of weakness in the recovery plan, such as coping strategies or insufficient treatment programs, is essential to long-term success.
- Collaborating with professionals can help adjust the plan to be more effective and tailored to the individual’s needs.
Recommit to Recovery Goals
- Refocusing on long-term recovery goals and finding renewed motivation can reignite the commitment to sustained recovery maintenance sobriety.
- Incorporating new tools and strategies learned from the setback helps prevent relapse in the future and strengthens resilience.

Preventing Future Setbacks

Preventing relapse is about building a resilient foundation in recovery. By recognizing early warning signs, strengthening coping skills, and engaging in ongoing therapy, individuals can significantly reduce their risk of returning to substance use.

Recognize Warning Signs
- Emotional and mental signals, such as increased stress, irritability, or isolation, may indicate vulnerability to relapse. Early recognition can prompt intervention before a setback occurs.
Strengthen Coping Skills
- Techniques like mindfulness, stress management, and developing a self-care routine can help individuals manage cravings and triggers. These skills are crucial for maintaining sobriety in challenging moments.
Engage in Ongoing Therapy
- Relapse prevention therapy helps address the triggers that may lead to substance use and strengthens resilience. Regular therapy sessions support emotional well-being and help refine coping mechanisms.
Build a Strong Support System
- Consistent participation in support groups and recovery networks is vital for a successful recovery journey. A strong support system provides accountability and a sense of belonging, making it easier to stay committed to recovery.

Conclusion

Setbacks are a common part of the recovery process, and understanding the complicated factors present in the relationship between addiction and relapse—whether it’s emotional stress, triggers, or unresolved mental health issues—is essential for long-term success. It’s important to remember that relapse is a part of recovery, providing valuable insights into what needs to be strengthened in one’s recovery plan. With the right support system, coping skills, and treatment options, it’s possible to make a return to use as part of a continuing recovery journey. Contact Buena Vista Recovery today for professional guidance and resources to help you stay on the path to your personal recovery goals through any setbacks.

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Relapse in the Recovery Process

NOTE TO READERS