How Relapse Happens

Relapse does not happen without warning, and it does not happen quickly. The gradual movement from abstinence to relapse can be subtle and easily explained away or denied.

So a relapse often feels as if it happens suddenly. This slow movement away from abstinence can be compared to a ship gradually drifting away from where it was moored.

The drifting movement can be so slow that you don’t even notice it.

Interrupting Relapse Drift

During recovery people do specific things that keep them abstinent. These activities can be called “mooring lines.”

People need to understand what they are doing to keep themselves abstinent.

They need to list these mooring lines in a specific way so they are clear and measurable.

These activities are the “ropes” that hold recovery in place and prevent relapse drift from happening without being noticed.

Maintaining Recovery

Use the Mooring Lines Recovery Chart (below) to list and track the things that are holding your recovery in place.

Follow these guidelines when filling out the form:

* Identify four or five specific things that now are helping you stay abstinent (for example, working out for 20 minutes, 3 times a week).

* Include items such as exercise, therapist and group appointments, scheduling activities, 12-Step meetings, eating patterns.

* Do not list attitudes. They are not as easy to measure as behaviors.

* Note specific people or places that are known triggers and need to be avoided during recovery.

You should complete your Mooring Lines Recovery Chart weekly. Place a checkmark next to each mooring line that you know is secure and record the date.

When two or more items cannot be checked, it means that relapse drift is happening.

Sometimes events interfere with your mooring lines. Emergencies and illnesses cannot be controlled.

The mooring lines disappear. Many people relapse during these times.

Use the chart to recognize when you are more likely to relapse, and decide what to do to keep this from happening.

(After 5 weeks when the chart is full, transfer the list of mooring lines to a journal or pages 12 and 13 of your Client’s Treatment Companion, and continue to check your mooring lines.)

You have learned new behaviors that keep you in recovery. These behaviors are the mooring lines that keep your recovery steady and in place.

It is important to chart the new behaviors and check every week to make sure the lines are secure.

Dropping one or more of the mooring lines allows you to drift toward relapse.

Use the chart below to list activities that are important to your continuing recovery.

If there are specific people or things you need to avoid, list those. Check your list each week to make sure you are continuing to stay anchored in your recovery.

RP 3B Mooring Lines Recovery Chart

Mooring Line Behaviors        Date Date Date Date Date
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I Am Avoiding                         Date Date Date Date Date
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See original document for other chapters, diagrams, worksheets etc:

Client's Handbook: Matrix Intensive Outpatient Treatment for People with Stimulant Use Disorder (112 page PDF)