Relapse Prevention
So you’ve stopped drinking, or maybe you’re just not doing it every day now, and you want to know how to prevent yourself from relapsing, or (if you want to keep it simple) how to make sure you don’t drink today.
Relapse prevention requires some planning, specifically -
- what situations might I encounter that are risky for me? (my triggers)
- how might I deal with my feelings differently?
- what behaviour can I do instead?
You need to identify your internal triggers (like boredom, frustration, loneliness, anxiety etc), and your external triggers (like arguments, bars, other people drinking etc.). Can any of these triggers be avoided? If so, plan how to do that. For those that can’t be avoided, you’ve got to learn to deal with them some other way.
So, what do these triggers mean to you? What beliefs do you hold about them that lead you to drink? A few common beliefs might be -
- “drinking helps me relax”,
- “drinking makes me more confident”,
- “everyone else drinks so that makes it all right for me to drink too”.
What thoughts go through your head when you’re exposed to these triggers? You may not even be aware of these thoughts, they’re so habitual, so you’ll have to listen carefully to your internal dialogue here.
Once you’ve got an idea what some of your automatic thoughts are, you need to learn to challenge them. So for example, the next time you’re feeling stressed and you think “a drink would relax me” you might then say to yourself “yes, it does, but it’ll make me even more nervous and stressed tomorrow”.
Relapse prevention is just knowing about your habits
Of course by the time you’ve got to this stage, you’re probably craving a drink, and you’re thinking about how to get some. You might be arguing with yourself - part of you doesn’t want to get wasted again. You’ve told yourself you’re not doing it any more (or today at least). So here’s when you might start looking for permission, to make it ok:
- “just this time won’t hurt”,
- “I’ll be able to hide it, so no-one will know”,
- “I’m not at work tomorrow, so it doesn’t matter if I’m hungover”
- “I can’t cope with this craving, so I might as well just get on with it”
As far as behaviour goes, we’ve already mentioned avoiding triggers, but another option is distracting yourself (look at our earlier article on ‘how to cope with alcohol cravings‘). Other things you might do are more general - make some new friends, find new things to do with your time, get into the habit of some exercise. Most importantly - find some support, people you can talk to about what’s troubling you.
Try going through our worksheet on Relapse Prevention Strategies.
Remember though, a lapse is not a relapse, just because you might make a mistake, try not to think “oh well, I’ve failed, so obviously I’ll never beat this, I might as well just keep drinking…”











February 27th, 2007 at 12:00 am
Thank you so much for a great series of articles. I feel they’ve helped tremendously already and am planning on reading them as often as I need to to practice my 12-steps successfully “one day at a time!”
November 4th, 2007 at 10:05 am
A brilliant site. From the first time i read some of your advice, got me to realise i had to do something about it. Have been to the doctor for some medication (librium) and have agreed to start some counselling. I know its early days, but also know i have made the right move.
thanks a million
Carolann
p.s.My only problem now is that i have lost family members through my actions, and am feeling guilty.
April 21st, 2008 at 2:01 am
I like this page very much. It is good to read it at home in privacy. Today is my first day and
all i did was cycle and run all day. I can’t believe how much energy i have. I do find though,
i don’t want to talk to anyone. I am alittle concerned about my resistance to talk about it.
Noelle
May 11th, 2008 at 10:17 pm
good site - gives me hope on kudzu
May 14th, 2008 at 11:21 am
It`a great site to be visited as it’s my first visit.Thanks again.
June 22nd, 2008 at 4:48 pm
Thank you for this site - It was empowering in the sense that it made me feel good about the positive actions I’ve taken since my last drink, 4 days ago, and gave me new strategies to deal with my boredom. Television is so boring without beer!