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Relapse Symptom Checklist Place an “X” in front of the signs and symptoms of relapse you have experienced in the past and/or imagine what will be red flags in your own recovery. PHASE 1 DENIAL _______ “I don’t know if I can make it.” _______ “No big deal, I’m just fine.” _______ “What if I have a slip? PHASE 2 AVOIDANCE _______ “I’ll never use again.” _______ “As long as I stay clean, that’s all that matters.” _______ “ I don’t need meeting anymore.” _______ “I’m doing great, why can’t other people get it together?” _______ “I don’t feel like talking about my problems.” _______ “I don’t need anymore help.” _______ “I don’t need to call or be in touch with AA/NA people as much.” PHASE 3 CRISIS BUILDING _______ “It’s OK if I miss a meeting or two.” _______ “If this doesn’t work out, I don’t know what I’ll do.” _______ “Life is a drag.” _______ “There's are no alternatives left.” _______ “If things could only be the way I want them to be, life would be great.” _______ “Reality sucks!” PHASE 4 STUCK _______ “If only.....” _______ “The program isn’t working.” _______ “Life is all messed up.” _______ “It will never get any better.” _______ “I think God or somebody ought to do something about this situation.” PHASE 5 CONFUSION AND OVERREACTION _______ “I’m confused.” _______ “It’s not my fault.” _______ “This pisses me off.” _______ “You’re screwing everything up!” PHASE 6 DEPRESSION _______ “Who cares?” _______ “So what.” _______ “It doesn’t matter.” _______ “No big deal if I’m not eating or sleeping right.” PHASE 7 LOSS OF CONTROL OVER BEHAVIOR _______ “I can skip a meeting tonight.” _______ “I don’t care.” _______ “Don’t help me.” _______ “I can’t get it together.” PHASE 8 RECOGNIZE LOSS OF CONTROL _______ Self- Pity _______ Fantasize about using _______ Lying _______ Lose self-confidence PHASE 9 NO WAY OUT _______ Anger _______ Stop meetings completely _______ Loneliness _______ Frustration _______ Resentment _______ Start hanging out with people who use drugs PHASE 10 LOSE CONTROL _______ School, family, relationships, car, home job, etc ....... fall apart _______ Use drugs _______ Suicide _______ Death “natural cause” reprinted with permission from the North Carolina PRN CLIENT NEWSLETTER |
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