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