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Alcohol and Drug Counselor Relapse Prevention Flashcards

7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Alcohol and Drug Counselor Relapse Prevention flashcards as text

  1. According to Gorski's CENAPS model, relapse is best understood as:

    Answer: A process beginning with warning signs before substance use resumes

    Gorski defined relapse as a progressive process starting with dysfunctional thinking, feeling, and behavioral warning signs that precede the return to substance use.

  2. The HALT acronym used in relapse prevention stands for which combination of states?

    Answer: Hungry, Angry, Lonely, Tired

    HALT stands for Hungry, Angry, Lonely, and Tired — four states that increase vulnerability to relapse when left unaddressed.

  3. Which of the following best illustrates an 'apparently irrelevant decision' (AID) in relapse prevention?

    Answer: Agreeing to meet a sober friend at a bar 'just for coffee'

    AIDs are seemingly harmless choices that cumulatively move a person toward a high-risk situation, such as voluntarily entering an environment associated with substance use.

  4. Post-acute withdrawal syndrome (PAWS) is clinically significant in relapse prevention because:

    Answer: It can persist for months and sustain ongoing vulnerability to relapse

    PAWS involves prolonged symptoms including mood instability, cognitive difficulties, and sleep disturbances that can last months and significantly elevate relapse risk.

  5. Urge surfing, a relapse prevention technique developed by Marlatt, involves:

    Answer: Observing cravings as temporary waves that rise and fall without acting on them

    Urge surfing teaches clients to experience cravings mindfully as passing sensations rather than demands that must be acted upon, reducing relapse likelihood.

  6. In Marlatt's relapse prevention model, negative emotional states are classified as:

    Answer: One of the most common high-risk situations associated with relapse

    Marlatt's research identified negative emotional states such as anger, anxiety, and depression as among the most frequent triggers associated with relapse episodes.

  7. The abstinence violation effect (AVE) can escalate a lapse into a full relapse by:

    Answer: Triggering shame, guilt, and all-or-nothing thinking that promotes continued use

    The AVE produces guilt and self-blame following a lapse; combined with cognitive distortions such as 'I've already ruined my sobriety,' it can lead to a full relapse.