Relapse Prevention and Recovery Support Flashcards

A client in recovery reports feeling restless, irritable, and discontent but has not used substances. According to HALT-R, what additional state does the 'R' represent?

Answer: Resentment

HALT-R expands the classic HALT acronym by adding Resentment as a high-risk emotional state that can trigger cravings and relapse.

Which of the following best describes the 'abstinence violation effect' (AVE) in relapse prevention?

Answer: A client's belief that one slip means total failure, leading to continued use

The abstinence violation effect describes the cognitive-emotional response where a person attributes a lapse to personal failure and uses this as justification for continued substance use.

A client's recovery support plan should ideally include which of the following as a 'recovery capital' component?

Answer: Social, human, physical, and cultural resources that support recovery

Recovery capital encompasses the breadth and depth of internal and external resources—social networks, skills, housing, and cultural identity—available to support long-term recovery.

During a relapse prevention session, a client says, 'I can have just one drink at a wedding without it being a problem.' What cognitive distortion is this client demonstrating?

Answer: Controlled use rationalization

Controlled use rationalization is a common cognitive distortion where a client minimizes their loss of control by believing they can manage substance use socially without risk of relapse.

Which statement about peer recovery support specialists (PRSS) is most accurate in the context of relapse prevention?

Answer: PRSS provide lived experience-based support and are not bound by clinical licensure requirements

Peer recovery support specialists use their own lived experience with recovery to provide non-clinical mentoring and support, operating under different credentialing than licensed counselors.

A client has identified 'driving past the bar where I used to drink' as a high-risk situation. The most appropriate relapse prevention strategy for this specific trigger is:

Answer: Stimulus control through avoiding or altering exposure to the trigger

Stimulus control strategies in relapse prevention involve modifying the environment to reduce exposure to conditioned cues that elicit cravings.

According to the SAMHSA's four major dimensions of recovery, which dimension encompasses stable housing, meaningful daily activities, and financial security?

Answer: Purpose

The 'Purpose' dimension of SAMHSA's recovery framework includes engaging in meaningful activities such as employment, education, volunteerism, and having independence and financial stability.