CAADE Relapse Prevention 1 — Questions and Answers
Question 1: What is the primary goal of relapse prevention therapy in substance use treatment?
- To eliminate all cravings permanently through medication
- To teach clients to identify high-risk situations and develop coping strategies (Correct answer)
- To require clients to attend 90 meetings in 90 days
- To enforce abstinence through legal consequences
Correct answer: To teach clients to identify high-risk situations and develop coping strategies
Relapse prevention therapy focuses on teaching clients to recognize high-risk situations and build coping skills to maintain sobriety.
Question 2: Who is credited with developing the cognitive-behavioral model of relapse prevention?
- William Miller
- Terence Gorski
- G. Alan Marlatt (Correct answer)
- Carl Rogers
Correct answer: G. Alan Marlatt
G. Alan Marlatt developed the cognitive-behavioral model of relapse prevention, introducing key concepts like the abstinence violation effect and high-risk situations.
Question 3: In relapse prevention, what does the acronym HALT stand for?
- Hopeless, Apathetic, Lonely, Tired
- Hungry, Angry, Lonely, Tired (Correct answer)
- Honest, Accepting, Loving, Thankful
- High-risk, Avoidant, Lapse, Trigger
Correct answer: Hungry, Angry, Lonely, Tired
HALT (Hungry, Angry, Lonely, Tired) identifies four physical and emotional states that increase vulnerability to relapse.
Question 4: Which of the following is considered a high-risk situation in Marlatt's relapse prevention model?
- Attending a structured outpatient therapy session
- Experiencing negative emotional states such as frustration or depression (Correct answer)
- Completing a 12-step step work assignment
- Participating in a psychoeducation group
Correct answer: Experiencing negative emotional states such as frustration or depression
Marlatt identified negative emotional states as one of the most common high-risk situations that can precipitate relapse.
Question 5: In relapse prevention terminology, what distinguishes a 'lapse' from a 'relapse'?
- A lapse involves a different substance than the one of primary dependence
- A lapse is a brief, initial return to use while a relapse is a full return to previous patterns (Correct answer)
- A lapse occurs only with alcohol while a relapse applies to illicit drugs
- A lapse requires hospitalization while a relapse does not
Correct answer: A lapse is a brief, initial return to use while a relapse is a full return to previous patterns
A lapse is a brief, isolated episode of use after a period of abstinence, whereas a relapse represents a full return to prior addictive use patterns.
Question 6: The Abstinence Violation Effect (AVE) in relapse prevention refers to:
- A legal consequence for violating probation drug testing requirements
- The physical withdrawal symptoms that occur after stopping substance use
- The guilt and cognitive dissonance a person feels after a lapse that increases the risk of full relapse (Correct answer)
- A scheduled medication taper to prevent withdrawal
Correct answer: The guilt and cognitive dissonance a person feels after a lapse that increases the risk of full relapse
The AVE describes the internal conflict and self-blame following a lapse, which can paradoxically increase the likelihood of continuing to use.
Question 7: Which coping strategy is considered most effective when a client encounters a high-risk situation for relapse?
- Avoiding all social contact until the urge passes
- Active behavioral and cognitive coping responses specific to the situation (Correct answer)
- Waiting passively for the craving to subside without taking action
- Increasing the frequency of AA meetings only
Correct answer: Active behavioral and cognitive coping responses specific to the situation
Active coping responses—both behavioral (leaving the situation) and cognitive (challenging thoughts)—are the most effective strategies for navigating high-risk situations.
CAADE Relapse Prevention 1
What is the primary goal of relapse prevention therapy in substance use treatment?