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Relapse Management / Relapse Prevention

Lapse and relapse management isn’t just important for substance misuse work. Any time a client has learned a new coping strategy and is attempting to put it into practice they are vulnerable to relapsing and using other (less adaptive) coping strategies. Relapse management can be used to reinforce use of the new coping strategy. Note the term relapse management rather than relapse prevention—when relapse occurs then ‘prevention’ indicates failure whereas ‘management’ promotes the idea of coping.
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Therapy tool

ABC Model

ABC is an acronym for Antecedents, Behavior, Consequences. It is used as a tool for the assessment and formulation of problem behaviors and is useful ... https://www.psychologytools.com/resource/abc-model/

Worksheet

Avoidance Hierarchy

Avoidance and safety-seeking behavior serves to maintain anxiety, and exposure to the fear stimuli/situation is an effective treatment for anxiety. Th ... https://www.psychologytools.com/resource/avoidance-hierarchy/

Exercise

Cognitive Behavioral Model Of The Relapse Process (Larimer, Palmer, Marlatt, 1999)

Marlatt’s (1985) cognitive behavioral model of relapse conceptualizes relapse as a “transitional process, a series of events that unfold over ... https://www.psychologytools.com/resource/cognitive-behavioral-model-of-the-relapse-process-larimer-palmer-marlatt-1999/

Information Handout

Developing Psychological Flexibility

Developing Psychological Flexibility is a client information handout which can be used to familiarize clients with the ACT model. ... https://www.psychologytools.com/resource/developing-psychological-flexibility/

Information Handout

Lapse And Relapse Management

Recovery has a fluctuating course and so Lapse And Relapse Management is necessary when learning any new skill. It is applicable to most CBT work, as ... https://www.psychologytools.com/resource/lapse-and-relapse-management/

Worksheet

Modifying Rules And Assumptions

Assumptions are often considered dysfunctional if they are inflexible, rigid, or lead to counterproductive behaviors. Modifying Rules And Assumptions ... https://www.psychologytools.com/resource/modifying-rules-and-assumptions/

Worksheet

Positive Belief Record

Some cognitive change can happen quickly – for example challenging negative automatic thoughts. Other cognitive structures such as schemas are m ... https://www.psychologytools.com/resource/positive-belief-record/

Worksheet

Problem Solving

Problem Solving is a structured worksheet which encourages solution-focused thinking. Clients are encouraged to identify a problem, identify multiple ... https://www.psychologytools.com/resource/problem-solving/

Exercise

Safety Plan

The collaborative development of a safety plan is a brief psychosocial intervention for suicidal patients. The intent of a safety plan is to help ... https://www.psychologytools.com/resource/safety-plan/

Exercise

Stages Of Change

The Stages Of Change model is helpful for conceptualizing the mental states of individuals at different stages of their change journey. This informati ... https://www.psychologytools.com/resource/stages-of-change/

Information Handout

Therapy Blueprint

Since the publication of this version of the therapy blueprint we have also developed a more sophisticated version: Therapy Blueprint (Universal) A th ... https://www.psychologytools.com/resource/therapy-blueprint/

Worksheet

Therapy Blueprint (Universal)

A therapy blueprint is CBT tool which summarizes the work a therapist and patient have completed together. It represents the past (the problems, what ... https://www.psychologytools.com/resource/therapy-blueprint-universal/

Worksheet

Therapy Blueprint For OCD

A therapy blueprint represents the past (the problems, what maintained them), the present (the therapy itself, new knowledge learned and skills develo ... https://www.psychologytools.com/resource/therapy-blueprint-for-ocd/

Worksheet

Therapy Blueprint For Panic

A therapy blueprint represents the past (the problems, what maintained them), the present (the therapy itself, new knowledge learned and skills develo ... https://www.psychologytools.com/resource/therapy-blueprint-for-panic/

Worksheet

Therapy Blueprint For PTSD

A therapy blueprint represents the past (the problems, what maintained them), the present (the therapy itself, new knowledge learned and skills develo ... https://www.psychologytools.com/resource/therapy-blueprint-for-ptsd/

Worksheet

Therapy Blueprint For Social Anxiety

A therapy blueprint represents the past (the problems, what maintained them), the present (the therapy itself, new knowledge learned and skills develo ... https://www.psychologytools.com/resource/therapy-blueprint-for-social-anxiety/

Worksheet

Intervention

Presentations

Recommended Reading

  • Larimer, M. E., Palmer, R. S., Marlatt, G. A. (2000). Relapse prevention: An overview of Marlatt’s cognitive-behavioural model. Alcohol Research and Health, 23(2), 151-160  download archived copy
  • Marlatt, G. A., & George, W. H. (1984). Relapse prevention: Introduction and overview of the model. Addiction79(3), 261-273 download  archived copy
  • Marlatt, G. A., Parks, G. A., & Witkiewitz, K. (2002). Clinical guidelines for implementing relapse prevention therapy. Addictive Behaviors Research Center, Departament of Psichology, University of Washington. download archived copy
  • Parks, G. A., Anderson, B. K., & Marlatt, G. A. (2004). Relapse prevention therapy. The essential handbook of treatment and prevention of alcohol problems, 87  download  archived copy