7- 1 Session 7: Roadmap for Recovery (1) - PowerPoint Presentation

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Session 7:Roadmap for Recovery (1)

Psycho-Education for Patients and Family Members

Recovery Stages

Stage 1: Withdrawal (1-2 weeks)Stage 2: Early Abstinence or “Honeymoon”(following 1 month) Stage 3: Protracted Abstinence or “the Wall”(following 3-4 months)Stage 4: Adjustment/Resolution(following 2 months)7-2

Question:

After stopping substance use, how have your feelings and physical conditions changed over time?1-3

Stage 1: Withdrawal (1-2 weeks)

Physical detoxificationCravingsDepression/anxietyLow energyIrritabilityExhaustionInsomniaParanoiaMemory problemsIntense hunger7-4

Characteristics

Stage 1: Withdrawal (1-2 weeks)

Powerful cravingsParanoiaDepressionFear of withdrawal symptomsDisordered sleep patternsUnstructured timeProximity of triggers7-5Relapse Risk Factors (for those in outpatient treatment)

Stage 2: Early Abstinence or “Honeymoon” (following 1 month)

Increased energy and optimism Overconfidence Difficulty concentratingContinued memory problemsConcern about weight gainIntense feelingsMood swingsOther substance useInability to prioritizeMild paranoia7-6Characteristics

Tiredness and stress due to “Workaholism”Discontinuation of structure (including treatment)Overconfidence

Secondary drug or alcohol useResistance to behavior change7-7Relapse Risk Factors (for those in outpatient treatment)Stage 2: Early Abstinence or “Honeymoon” (following 1 month)

Stage 3: Protracted Abstinence or “the Wall” (following 3-4 months)

Low energyReturn of cravingsReturn to old behaviorsContinued lifestyle changesPositive benefits from abstinenceAnger and depressionEmotional swingsParanoia or suspicionUnclear thinkingIsolationWeight gainFamily adjustment and conflict8-8Characteristics

Increased emotionalityBreakdown of structureBehavioral “drift”

Interpersonal conflictDecreased ability to feel pleasureLoss of motivationInsomniaLow energy/fatigueParanoiaSecondary drug useRelapse justification8-9

Stage 3: Protracted Abstinence or “the Wall”

(following 3-4 months)

Relapse Risk Factors (for those in outpatient treatment)

Stage 4: Adjustment and Resolution (following 2 months)

Feelings of accomplishmentContinued lifestyle and relationship change

People in this stage need to shift from learning new skills to:

Maintaining a balanced lifestyle

Monitoring for relapse signs

Accepting that recovery is a life-long process

Developing new areas of interest

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Characteristics

Secondary drug or alcohol useFeeling “cured” and relaxing vigilance for relapse signsRelaxation of structure

Return to relationships with people who use substancesNeglect recovery activities, losing the momentum of recoveryNeglect exercise and other self-care activities8-11

Stage 4: Adjustment and Resolution

(following 2 months)

Relapse Risk Factors

Necessary Lifestyle Balance

WorkSleepRecovery ActivitiesLeisureRelationships

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Stage 4: Adjustment and Resolution

(following 2 months)

Question:

Why is it important to have a structured lifestyle in the process of recovery?1-13

Structured Lifestyle

Self-designed structure:Helps eliminate avoidable triggersMakes the concept of “one day at a time” concreteReduces anxietyCounters the drug-using lifestyleProvides a basic foundation for ongoing recovery7-14

Building Blocks of Structure

Treatment Activities

Recreational/Leisure

Activities

12-Step/Self-Help Meetings

School

Sports

Activities With Friends

Who Are Drug Free

Activities With Friends Who Are Drug Free

Time Scheduling

Exercise

Exercise

Work

Family-Related Events

Community Activities

Spiritual Activities

Island Building

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Structured Lifestyle

Scheduling Pitfalls

Unrealistic schedulesUnbalanced schedulesImposed schedulesNo support from significant othersHolidays, illness, and other changes7-16

Structured Lifestyle