Alcohol Self-Help News

News and commentary for mutual-help/self-help in the addictions

Archive for the 'Relapse' Category


Relapse to drinking

Posted by fredjoiners on May 24, 2008

Grapes and Wine may lead to alcoholism The Disease of Alcoholism

There are, and have been, many theories about alcoholism. The most prevailing theory, and now most commonly accepted, is called the Disease Model.

Its basic tenets are that alcoholism is a disease with recognizable symptoms, causes, and methods of treatment. In addition, there are several stages of the disease which are often described as early, middle, late, treatment and relapse.

While it is not essential to fully define these stages, it is useful to understand them in terms of how the disease presents itself.

This series of articles describes the signs and symptoms of each stage as well as exploring treatment options.

  1. Early or Adaptive Stage
  2. Middle Stage
  3. Late Stage
  4. Treating Alcoholism
  5. Relapse to drinking

5 - Relapse

An important and frustrating facet of treating alcoholism is relapse or a return to drinking and is common. An alcoholic often relapses due to a variety of factors including:

  • inadequate treatment or follow-up,
  • cravings for alcohol that are difficult to control,
  • failure by the alcoholic to follow treatment instructions,
  • failure to change lifestyle,
  • use of other mood altering drugs, and
  • other untreated mental or physical illnesses.

Relapses are not always a return to constant drinking and may only be a one time occurrence. However, relapses must be dealt with and seen as a sign to the alcoholic that there are areas of his or her treatment and recovery that need work. Relapse prevention is an area in the treatment field that is receiving increased attention and research. A basic part of any effective treatment program will include relapse prevention activities.

See also;

  1. Early or Adaptive Stage of Alcoholism
  2. Middle Stage of Alcoholism
  3. Late Stage
  4. Treating Alcoholism
  5. Relapse to drinking

Posted in Brain, Drugs, Relapse, alcohol, alcoholism, disease, treatment | Tagged: | No Comments »

Stress Relief Drinking

Posted by fredjoiners on May 15, 2008

Men drink for stress relief Men More Likely to Drink for Stress Relief

Depressed men are more likely than women to crave alcohol and develop alcohol-related disorder, according to researchers at Yale University.

CBC News reported May 12 that the study of 54 healthy adult drinkers studied responses to stressful events such as relationship problems and job loss.

“Men’s tendency to crave alcohol when upset may be a learned behavior or may be related to known gender differences in reward pathways in the brain,” said researcher Tara Chaplin. “And this tendency may contribute to risk for alcohol-use disorders.”

The research study was published online in the journal Alcoholism: Clinical and Experimental Research.

From Join Together Online

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Posted in Brain, Drinking days, Emotions, Relapse, Research reports, Stress, alcohol, men, women | Tagged: , , , , | No Comments »

12 Steps to Wisdom

Posted by fredjoiners on April 16, 2008

Step ladder Twelve Step recovery wisdom can benefit everyone

All of us—recovering alcoholics, addicts and non-addicts alike—can benefit from the practical wisdom of the Twelve Steps, first adopted by Alcoholics Anonymous (AA) and subsequently adapted by other groups whose members struggle with various forms of addictive behavior.

Recovering people know they are always vulnerable to relapse. That knowledge keeps them vigilant, and that’s why they take a mind, body and spirit approach to life every day to avoid slipping into behaviors that caused them and their loved ones so much pain.

The strategies those in recovery employ to keep themselves clean, sober and serene are also good prevention tools. Awareness of what behaviors or “mind games” can lead to relapse can also keep a non-alcoholic person from turning to alcohol or drugs in the first place as an escape from problems, feelings, or situations that may seem unbearable.

In his book “12 Stupid Things That Mess Up Recovery: Avoiding Relapse through Self-Awareness and Right Action”, Allen Berger talks about some self-destructive behaviors that can sabotage recovery. His straightforward advice easily translates to everyone who seeks to live a more balanced life in which individuals tap inner strengths, their higher power, and healthy resources instead of turning to destructive behaviors or mood-altering substances.

For example, Berger cautions readers to be aware of “self-erasure” and self-hate. Self-erasing, a term coined by psychiatrist and writer Theodore Isaac Rubin, is an inappropriate dependency on others and the obsessive need to be liked.

When we self-erase, we try to become invisible by avoiding conflict and rejection, by denying our own needs, and by stifling our own opinions. In short, Berger says we give way to fear and abandon ourselves, thinking others have the power to make us feel good or bad. “This leads to an avoidance of both authenticity and intimacy,” he writes.

“If we are self-erasing, we are sabotaging our life. Any life based on a rejection of or alienation from self is doomed to failure.”

He says self-hate starts when we don’t live up to the person we think we should be. “When we don’t live up to our ’shoulds,’ we despise ourselves,” says Berger, leaving us to feel unworthy of help, joy, happiness, success, freedom or love, and making us vulnerable to addiction or relapse.

The Twelve Steps encourage people to take an honest look at themselves and, by practicing spirituality and humility, place “self” within a larger and more realistic framework. “We must accept that life can be difficult and that most of the time the path of least resistance isn’t the best one,” says Berger. “We need to quit trying to get other people to yield to our demands so that we can feel better about ourselves.”

At AA meetings, members are often reminded that they are “as sick as their secrets.” The more honest we are with ourselves and with others, the more genuine our lives and our relationships will be. Abandoning our false selves leads us to a solid place of integrity, which Berger defines as “wholeness: a process in which we are committed to respecting our true or spiritual self.”

Recovery is called a “process” or “journey” because those in recovery know it is an unending endeavor that requires daily diligence. For instance, recovering people don’t just “make amends” one time for hurts they have caused others. They understand that they are imperfect humans who will make more mistakes. Instead of excusing themselves or blaming others for harmful or inappropriate behavior, they learn to acknowledge their own mistakes when they occur and try to repair any damage they have done. This practice, although difficult, can benefit everyone because it strengthens humility, lessens anger and resentment, and improves relationships.

You don’t have to be a recovering alcoholic to benefit from the volumes of sound advice those in recovery have to share.

AA has been with us since 1935, and the principles on which it was founded are timeless for some very good reasons: they make sense and they work.

Alive & Free is a health column that offers information to help prevent and address addiction and substance abuse problems. For more resources check the Web site at www.hazelden.org.

See also;

          12 Stupid Things That Mess Up Recovery: Avoiding Relapse Through Self-Awareness and Right Action
by Allen Berger Ph.D.

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Posted in Alcoholics Anonymous, Higher Power, Recovery, Recovery books, Relapse, addiction, alcoholism | Tagged: , , , , , , , | No Comments »

Top Posts March ‘08

Posted by fredjoiners on April 14, 2008

Posted in ACOA, Al-anon, Alateen, Alcoholics Anonymous, Cannabis, Co-dependency, Doctors, Drugs, Eating Problems, Emotions, Families, Gambling, Higher Power, Marijuana, Money Problems, Recovery, Relapse, Relationships, Sexuality, Youth, addiction, alcohol, alcoholism, disease, men, spiritual, treatment, women | Tagged: , , , , , , , , , , , | No Comments »

Alcohol Abstinence Saves Lives

Posted by fredjoiners on March 19, 2008

Thinking drinking A long-term follow-up study of alcohol-treatment graduates found that those who stayed sober a year after treatment were much more likely to be alive 15 years later than those who reverted to drinking, Reuters reported.

Researchers led by Christine Timko of the Veterans Affairs Health Care System in Menlo Park, Calif., tracked 628 people who entered alcohol treatment, checking on them a year after completing the program and again 15 years later.

They found that 68 percent of the clients had died of alcohol-related causes within a decade-and-a-half, a rate 40 percent higher than would have been expected in the general population.

Patients who had spent three weeks or longer in inpatient care were more likely to have died, probably because they had more serious drinking problems to begin with, Timko said. Other high-risk groups included older patients, those with more symptoms of alcohol dependence, and those who were not married.

However, patients who had been abstinent one year after treatment were less likely to have died, as were those who spent eight weeks or more in outpatient care, or four months or longer attending Alcoholics Anonymous meetings.

Timko said the findings highlight the importance of persistence in getting alcoholics into treatment. “Our data indicate that treatment will reduce the chances of dying from alcohol-related problems, but it’s up to the programs to measure how well the patients are doing in treatment, and if they’re not responding, they need to continue to try to help those people,” Timko said.

Research Reference: Timko, C., et al. (2006) Predictors of 16-Year Mortality Among Individuals Initiating Help-Seeking for an Alcoholic Use Disorder. Alcoholism: Clinical and Experimental Research.

From Join Together Online

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Posted in Alcoholics Anonymous, Relapse, Research reports, alcoholism, treatment | Tagged: , , | No Comments »