Relapse of substance use disorder and its prevention among persons with co-occurring disorders.
This article summarizes the scientific literature on the relapse process, describes the basic principles of relapse prevention treatment, highlights the major empirical studies, and offers suggestions for future research and application, especially in terms of ongoing care for persons with co-occurring disorders. Relapse prevention treatments have a well-established efficacy and effectiveness for persons with substance use disorders. Key ingredients include reducing exposure to substances, fostering motivation for abstinence, self-monitoring, recognizing and coping with cravings and negative affect, identifying thought processes with relapse potential, and deploying, if necessary, a crisis plan. Relapse prevention approaches may be best suited for persons in the action of maintenance stages of treatment or recovery. Further research is needed to examine relapse prevention therapies as a key component to continuing care for persons with co-occurring substance use and psychiatric disorders.
McGovern
Mark P
MP
Department of psychiatry of Dartmouth Medical School, 2 Whipple Place, Suite 202, Lebanon, New Hampshire 03766, USA. mark.p.mcgovern@dartmouth.edu
Wrisley
Bonnie R
BR
Drake
Robert E
RE
D000223:Adaptation, Psychological; D001714:Bipolar Disorder / Q000453:epidemiology* / Q000628:therapy; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D008605:Mental Health Services / Q000600:supply & distribution; D055502:Secondary Prevention; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000517:prevention & control*