Relapse prevention

An initial setback or lapse may translate into either a return to the previous problematic behavior, known as relapse,[4] or the individual turning again towards positive change, called prolapse.[5] Relapse is thought to be multi-determined, especially by self-efficacy, outcome expectancies, craving, motivation, coping, emotional states, and interpersonal factors.Such a nonlinear dynamical system is believed to be able to best predict the data witnessed, which commonly includes cases where small changes introduced into the equation seem to have large effects.The uniqueness of the model is the sustainment of change by developing service users and carers as 'experts' – following RP as an educational process and graduating as Relapse Prevention Practitioners.In the relapse prevention model, patients and clinicians work together to develop strategies that target these high-risk situations, using both cognitive and behavioral techniques.
cognitive-behavioralrelapseunhealthy substance useobesityalcohol use disorderalcohol dependenceself-efficacyexpectanciescoping skillsaffectsocial supportsupportive psychotherapyinterpersonal therapymeta-analysispolysubstance useKatie WitkiewitzG. Alan Marlattsystems theorycomplex systemnonlineardynamical systemNational Health Servicesubstance use disordermajor depressive disorderMindfulness-based cognitive therapyantidepressantgroup sessionsCognitive-behavioral therapyCognitive behavioral therapyAcceptance and commitment therapyBehavior therapyBehavioral activationCognitive analytic therapyCognitive behavioral analysis system of psychotherapyCognitive therapyCommunity reinforcement approach and family trainingCompassion-focused therapyContingency managementDesensitizationExposure therapyDirect therapeutic exposureExposure and response preventionFloodingProlonged exposure therapySystematic desensitizationDialectical behavior therapyFunctional analytic psychotherapyHabit reversal trainingInference-based therapyMetacognitive therapyMethod of levelsMultimodal therapyRational emotive behavior therapyReality therapySchema therapySelf-control therapy