CAADE Relapse Prevention 2 — Questions and Answers
Question 1: What are 'apparently irrelevant decisions' (AIDs) in Marlatt's relapse prevention framework?
- Decisions made under the influence of substances that seem unimportant
- Small, seemingly unrelated choices that gradually move a person toward a high-risk situation (Correct answer)
- Decisions made by a treatment team without client input
- Legal decisions that appear unrelated to substance use treatment
Correct answer: Small, seemingly unrelated choices that gradually move a person toward a high-risk situation
AIDs are a series of small, rationalized choices that cumulatively lead a person closer to a relapse situation, often without conscious awareness.
Question 2: The Transtheoretical Model (TTM) stages of change most frequently integrated into relapse prevention programs identifies relapse as occurring at which stage?
- Precontemplation
- Contemplation
- Maintenance (Correct answer)
- Preparation
Correct answer: Maintenance
Relapse is understood in TTM as a return to a previous stage from the Maintenance stage, where the person was sustaining behavior change.
Question 3: In relapse prevention, self-efficacy refers to:
- A counselor's belief in their ability to help clients recover
- A client's confidence in their ability to cope with high-risk situations without using substances (Correct answer)
- The effectiveness rating of a specific relapse prevention curriculum
- A peer's ability to support another person's recovery
Correct answer: A client's confidence in their ability to cope with high-risk situations without using substances
Self-efficacy in RP is the individual's confidence in their own ability to resist substance use in the face of high-risk situations.
Question 4: What is Terence Gorski's CENAPS model of relapse prevention primarily designed to address?
- Acute detoxification and medically managed withdrawal
- The warning signs and progressive symptoms that precede a return to use (Correct answer)
- Pharmacological interventions for craving reduction
- Group facilitation techniques for 12-step programs
Correct answer: The warning signs and progressive symptoms that precede a return to use
Gorski's CENAPS model emphasizes identifying the warning signs and bio-psycho-social symptoms that occur before an actual relapse, enabling early intervention.
Question 5: Urge surfing, as used in relapse prevention, involves:
- Using a substitute substance to reduce the intensity of cravings
- Riding out cravings by observing them as temporary waves without acting on them (Correct answer)
- Immediately calling a sponsor when any craving arises
- Engaging in intense physical exercise to overwhelm urges
Correct answer: Riding out cravings by observing them as temporary waves without acting on them
Urge surfing is a mindfulness-based technique where clients observe cravings with detachment, recognizing them as temporary sensations that will pass without acting on them.
Question 6: Which cognitive intervention is central to helping clients challenge thoughts that increase relapse risk?
- Systematic desensitization
- Motivational enhancement therapy
- Cognitive restructuring (Correct answer)
- Behavioral activation
Correct answer: Cognitive restructuring
Cognitive restructuring helps clients identify and challenge distorted thoughts (e.g., 'one drink won't hurt') that increase vulnerability to relapse.
Question 7: In relapse prevention planning, what does a 'warning sign' (or relapse warning sign) refer to?
- A physician's written caution in a medical chart about drug interactions
- A federal notice posted in a treatment facility regarding policy changes
- A behavioral, emotional, or cognitive change that indicates increasing risk of relapse (Correct answer)
- A court-issued order mandating additional treatment after a positive drug test
Correct answer: A behavioral, emotional, or cognitive change that indicates increasing risk of relapse
Relapse warning signs are identifiable internal or behavioral changes—such as isolation or romanticizing past use—that signal a person is moving toward relapse.
CAADE Relapse Prevention 2
What are 'apparently irrelevant decisions' (AIDs) in Marlatt's relapse prevention framework?