233:, and upon reviewing 26 studies, concluded that RP was successful in reducing substance use and improving psychosocial adjustment. RP seemed to be most effective for individuals with alcohol problems, suggesting that certain characteristics of alcohol use are amenable to the RP. Miller et al. (1996) found the GORSKI/CENAPS relapse warning signs to be a good predictor of the occurrence of relapse on the AWARE scale (
33:
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use. In the relapse prevention model, patients and clinicians work together to develop strategies that target these high-risk situations, using both cognitive and behavioral techniques. By increasing coping skills and confidence, patients learn to handle challenging situations without turning to alcohol. or drugs, thus increasing their self-efficacy.
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techniques to help patients and their clinicians identify and manage situations that increase the risk of relapse. These situations can include both internal experiences, such as automatic thoughts related to substance use, and external cues, like people or places that are associated with substance
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is believed to be able to best predict the data witnessed, which commonly includes cases where small changes introduced into the equation seem to have large effects. The model also introduces concepts of self-organization, feedback loops, timing/context effects, and the interplay between tonic and
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Relapse is seen as both an outcome and a transgression in the process of behavior change. An initial setback or lapse may translate into either a return to the previous problematic behavior, known as relapse, or the individual turning again towards positive change, called prolapse. A relapse often
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that focuses on changing dysfunctional attitudes, enhancing memories of positive experiences and helping patients to develop personal relapse prevention strategies. Preventive cognitive therapy has been found to be equally effective in preventing a return of depressive symptoms as antidepressant
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Kuyken, Willem; Warren, Fiona C.; Taylor, Rod S.; Whalley, Ben; Crane, Catherine; Bondolfi, Guido; Hayes, Rachel; Huijbers, Marloes; Ma, Helen; Schweizer, Susanne; Segal, Zindel; Speckens, Anne; Teasdale, John D.; Van
Heeringen, Kees; Williams, Mark; Byford, Sarah; Byng, Richard; Dalgleish, Tim
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users and carers over the past ten years to transfer RP theory into the field of adult mental health. The uniqueness of the model is the sustainment of change by developing service users and carers as 'experts' – following RP as an educational process and graduating as
Relapse Prevention
782:"Effectiveness of preventive cognitive therapy while tapering antidepressants versus maintenance antidepressant treatment versus their combination in prevention of depressive relapse or recurrence (DRD study): a three-group, multicentre, randomised controlled trial"
289:
Terence Gorski MA has developed the CENAPS (Center for
Applied Science) model for relapse prevention including Relapse Prevention Counseling (Gorski, Counseling For Relapse Prevention, 1983) and a system for certification of Relapse Prevention Specialists (CRPS).
779:
Bockting, Claudi L H; Klein, Nicola S; Elgersma, Hermien J; van
Rijsbergen, Gerard D; Slofstra, Christien; Ormel, Johan; Buskens, Erik; Dekker, Jack; de Jong, Peter J; Nolen, Willem A; Schene, Aart H; Hollon, Steven D; Burger, Huibert (May 2018).
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Relapse prevention techniques can include having booster sessions with a therapist, being vigilant for and trying to prevent or avoid high risk situations, and being ready to re-apply previously used therapies if a disturbance does occur.
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occurs in the following stages: emotional relapse, mental relapse, and finally, physical relapse. Each stage is characterized by feelings, thoughts, and actions that ultimately lead to the individual's returning to their old behavior.
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is commonly used and was found to be effective in preventing relapse, especially in patients with more pronounced residual symptoms. Another approach often used in patients who wish to taper down
176:
Relapse is thought to be multi-determined, especially by self-efficacy, outcome expectancies, craving, motivation, coping, emotional states, and interpersonal factors. In particular, high
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Morgenstern, J. & Longabaugh, R. (2000). "Cognitive-behavioral treatment for alcohol dependence: A review of evidence for its hypothesized mechanisms of action. 95(10), 1475–1490".
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medication use alone in the long-term treatment of major depressive disorder. In combination with pharmaceuticals, it was found to be even more effective than antidepressant use alone.
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217:. conducted a review of 24 other trials and concluded that RP was more effective than no treatment and was equally effective as other active treatments such as
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732:"Continuation of Antidepressants vs Sequential Psychological Interventions to Prevent Relapse in Depression: An Individual Participant Data Meta-analysis"
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657:"Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse: An Individual Patient Data Meta-analysis From Randomized Trials"
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Practitioners. The work has won many national awards, been presented at many conferences, and has resulted in many publications.
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are expected to predict positive outcome. Craving has not historically been shown to serve as a strong predictor of relapse.
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medication is preventive cognitive therapy, an 8-week psychological intervention program delivered in individual or
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Breedvelt, Josefien J. F.; Warren, Fiona C.; Segal, Zindel; Kuyken, Willem; Bockting, Claudi L. (2021-05-19).
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Witkiewitz, K. & Marlatt, G.A. (2004). "Relapse
Prevention for Alcohol and Drug Problems".
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Relapse prevention: Maintenance strategies in the treatment of addictive behaviors
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Relapse prevention is a specific intervention modality in the treatment of
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in improving substance use outcomes. Irvin and colleagues also conducted a
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with the goal of identifying and preventing high-risk situations such as
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Rami
Jumnoodoo and Patrick Coyne, in London UK, have been working with
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of RP techniques in the treatment of alcohol, tobacco, cocaine, and
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319:, several approaches and intervention programs have been proposed.
422:(2). National Institute on Alcohol Abuse and Alcoholism: 151–160.
160:. This model founding is attributed to Terence Gorski's 1986 book
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Larimer, Mary E.; Palmer, Rebekka S.; Marlatt, G. Alan (1999).
26:
452:"What is Alcohol Addiction: What Causes Alcohol Addiction?"
618:– via doi: 10.1046/j.1360-0443.2000.951014753.x.
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Cognitive behavioral analysis system of psychotherapy
706:"Voorkom Depressie – Preventieve Cognitieve Therapie"
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Community reinforcement approach and family training
148:, obsessive-compulsive behavior, sexual offending,
57:. Unsourced material may be challenged and removed.
266:, conceptualize relapse as a multidimensional,
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454:. Medical Bug. 6 January 2012. Archived from
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529:"Relapse Prevention in the Treatment of OCD"
807:1871.1/617d4a96-3306-4ff5-8233-9fb1f9b84d0c
579:Marlatt, G. A. & Gordon, J. R. (1985).
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117:Learn how and when to remove this message
543:"Rami's enthusiasm was truly inspiring"
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302:that focuses on developing skills and
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608:10.1046/j.1360-0443.2000.951014753.x
55:adding citations to reliable sources
984:Mindfulness-based cognitive therapy
568:CENAPS (Center for Applied Science)
503:"Relapse Prevention & Comeback"
321:Mindfulness-based cognitive therapy
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994:Rational emotive behavior therapy
959:Functional analytic psychotherapy
873:Acceptance and commitment therapy
315:For the prevention of relapse in
932:Exposure and response prevention
748:10.1001/jamapsychiatry.2021.0823
673:10.1001/jamapsychiatry.2016.0076
630:"Relapse Prevention (RP) (MBRP)"
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42:needs additional citations for
188:following treatment, positive
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798:10.1016/s2215-0366(18)30100-7
954:Dialectical behavior therapy
857:Cognitive behavioral therapy
342:Cognitive-behavioral therapy
1055:Substance-related disorders
927:Direct therapeutic exposure
634:Recovery Research Institute
583:. New York: Guilford Press.
250:General prevention theories
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947:Systematic desensitization
942:Prolonged exposure therapy
908:Compassion-focused therapy
888:Cognitive analytic therapy
389:10.1037/0003-066X.59.4.224
254:Some theorists, including
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507:Ambrosia Treatment Center
317:major depressive disorder
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969:Inference-based therapy
964:Habit reversal training
710:www.voorkomdepressie.nl
283:National Health Service
262:, borrowing ideas from
146:unhealthy substance use
913:Contingency management
347:Substance use disorder
300:substance use disorder
294:Substance use disorder
168:Underlying assumptions
974:Metacognitive therapy
883:Behavioral activation
786:The Lancet Psychiatry
377:American Psychologist
245:Prevention approaches
223:interpersonal therapy
1014:Self-control therapy
509:. September 15, 2016
412:"Relapse Prevention"
304:cognitive-behavioral
154:alcohol use disorder
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66:"Relapse prevention"
51:improve this article
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1004:Relapse prevention
989:Multimodal therapy
704:Bockting, Claudi.
416:Alcohol Res Health
278:phasic processes.
158:alcohol dependence
130:Relapse prevention
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353:References
311:Depression
200:Techniques
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