THE PHASES AND SYMPTOMS OF RELAPSE

BY T. GORSKI AND M. MILLER

Phase 1: Internal Changes 1. Increased stress 2. Changes in thinking 3. Changes in feeling (euphoria/depression) 4. Changes in behavior Phase IV: Crisis Building 1. Tunnel vision 2. Minor depression 3. Loss of constructive planning 4. Failure of plans

Phase II: Denial 1. Worry 2. Denial of worry

Phase V: Immobilization 1. Daydreaming and wishful thinking 2. Feeling overwhelmed 3. Immature wish to be happy

Phase VII: Depression 1. Irregular eating habits 2. Lack of desire to take action 3. Difficulty sleeping restfully 4. Loss of daily structure 5. Periods of deep depression Phase X: Option reduction 1. Unreasonable resentments 2. Discontinue all treatment and meetings 3. Overwhelming loneliness, frustration, anger, and tension 4. Loss of behavioral control

Phase VIII: Behavioral loss of control 1. Irregular attendance at meetings and treatment 2. I don’t care attitude 3. Reject help 4. Dissatisfaction with life Phase XI: Alcohol and drug use 1. Attempting controlled use 2. Disappointment, shame, guilt 3. Loss of control 4. Life and health problems

Phase III: Avoidance and Defensiveness 1. Belief-I’ll never use again 2. Worry about others, not self 3. Defensiveness 4. Compulsiveness 5. Impulsiveness 6. Loneliness Phase VI: Confusion and Overreaction 1. Difficulty thinking clearly 2. Difficulty managing emotions 3. Difficulty remembering 4. Periods of confusion 5. Difficulty in managing stress 6. Irritation with others 7. Easily angered Phase IX: Recognition of loss of control 1. Difficulty with physical coordination and accidents 2. Self-pity 3. Thoughts of social use 4. Conscious lying 5. Complete loss of self-confidence

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