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Chapter 8.Relapse

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    Sections

    Discussion of the Clinical Case | Suggestions for Treatment | Suggestions for Teaching and Supervision | Movie: The War of the Roses | Multiple-Choice Questions | References

    Excerpt

    Relapse or recycling (i.e., reentering the cycle of the stages of change) comes about frequently in working with patients who have a history of substance abuse and can be challenging for both patient and clinician. Although many patients graduate from the maintenance stage of change to termination (i.e., remain symptom-free without any further professional help), a significant number of our patients relapse. When a patient resumes substance use after a period of sobriety, treatment can be interrupted and the patient may not return. In many cases, however, he or she does return for help and the opportunity emerges to restart treatment work together.

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