Understanding the Recovery Stages in Substance Abuse: A Comprehensive Overview

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10-1
 
10-2
 
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Stage 1: 
 
Withdrawal
(1-2 weeks)
Stage 2: 
 
Early Abstinence or “Honeymoon”
(following 1 month)
Stage 3: 
 
Protracted Abstinence or “the Wall”
(following 3-4 months)
Stage 4: 
 
Adjustment/Resolution
(following 2 months)
 
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How is the Withdrawal stage (first
1-2 weeks from abstinence)
characterized?
 
1-3
 
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Lasts 1 to 2 weeks
Craving and depression
Low energy, difficulty sleeping, increased
appetite, and difficulty concentrating,
excessive respiration, weight loss, fever,
infection, hallucination, illusion, confusion
 
10-4
 
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How is the Honeymoon stage
(following 1 month) characterized?
 
1-5
 
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Lasts about 1 month following the Withdrawal
stage
Increased energy, enthusiasm, and optimism
People often feel they are “cured” when they
reach this stage
 
10-6
 
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How is the Wall stage (following 3
to 4 months) characterized?
 
1-7
 
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Lasts about 3 to 4 months following the
Honeymoon stage
Hardest stage of recovery
Depression and irritability
Difficulty concentrating
Low energy and loss of enthusiasm
High risk of relapse
 
10-8
 
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How is the Readjustment stage
(following 2 or more months)
characterized?
 
1-9
 
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Last 2 months or longer following the Wall
stage
The person in recovery and the family begin
returning to more normal lifestyle
After extended abstinence, the person in
recovery and family members begin working
on marital, emotional, and psychological
issues that will strengthen the family
 
10-10
 
Person in recovery
Discontinue use of Shabu
Learn specific techniques for avoiding
relapse
Learn about the process of addiction and
about drug effects
Family members
Decide to be part of recovery process
Recognize that addiction is a medical
condition
 
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10-11
 
Person in recovery
Improve physical health
Identify personal triggers and relapse
justifications
Use targeted techniques to stay abstinent
Family members
Work to support recovery
Recognize and discontinue triggering
interactions
 
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10-12
 
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Person in recovery
Maintain stable abstinence from all drugs
Repair significant relationships
Develop a recovery support system outside the
treatment center
Recognize and cope with dangerous emotions
Family members
Decide whether to recommit to the relationship
Begin finding ways to enrich own lives
Practice healthy communication skills
 
10-13
 
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Person in recovery
Monitor components of successful recovery
Recognize relapse indicators and prepare responses
Clarify new roles in healthy relationships
Set goals for continuing a new lifestyle after the program
Family members
Accept limitations of living with a person in recovery
Develop an individual, healthy, balanced lifestyle
Monitor self for relapses to former behaviors
Be patient with the process of recovery
 
10-14
 
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Friends who use Shabu
Environmental cues associated with Shabu use
Severe cravings
Protracted abstinence—the Wall (for those in
outpatient treatment)
Connection between Shabu and sex
Boredom
 
10-15
 
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Common problems preceding a slip back into
old behaviors for family members are:
Fear of the person in recovery returning to
Shabu use
Fear of being alone
Lack of individual goals and interests
Inability to release responsibility for the
person in recovery
 
10-16
Slide Note

Slide 10-1—Families and Recovery (2)

We will continue to discuss families and recovery.

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Explore the different stages of recovery in substance abuse, including Withdrawal, Honeymoon, The Wall, and Readjustment. Each stage has unique characteristics and challenges, impacting both individuals in recovery and their families. Gain insights into the duration, symptoms, and emotional aspects of each stage to better support the recovery journey.


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  1. Psycho-Education for Patients and Family Members Session 10: Families and Recovery (2) 10-1

  2. Recovery Stages Stage 1: Withdrawal (1-2 weeks) Stage 2: Early Abstinence or Honeymoon (following 1 month) Stage 3: Protracted Abstinence or the Wall (following 3-4 months) Stage 4: Adjustment/Resolution (following 2 months) 10-2

  3. Question: How is the Withdrawal stage (first 1-2 weeks from abstinence) characterized? 1-3

  4. Withdrawal Lasts 1 to 2 weeks Craving and depression Low energy, difficulty sleeping, increased appetite, and difficulty concentrating, excessive respiration, weight loss, fever, infection, hallucination, illusion, confusion 10-4

  5. Question: How is the Honeymoon stage (following 1 month) characterized? 1-5

  6. Honeymoon Lasts about 1 month following the Withdrawal stage Increased energy, enthusiasm, and optimism People often feel they are cured when they reach this stage 10-6

  7. Question: How is the Wall stage (following 3 to 4 months) characterized? 1-7

  8. The Wall Lasts about 3 to 4 months following the Honeymoon stage Hardest stage of recovery Depression and irritability Difficulty concentrating Low energy and loss of enthusiasm High risk of relapse 10-8

  9. Question: How is the Readjustment stage (following 2 or more months) characterized? 1-9

  10. Readjustment Last 2 months or longer following the Wall stage The person in recovery and the family begin returning to more normal lifestyle After extended abstinence, the person in recovery and family members begin working on marital, emotional, and psychological issues that will strengthen the family 10-10

  11. Goals for Withdrawal (mainly for those in outpatient treatment) Person in recovery Discontinue use of Shabu Learn specific techniques for avoiding relapse Learn about the process of addiction and about drug effects Family members Decide to be part of recovery process Recognize that addiction is a medical condition 10-11

  12. Goals for the Honeymoon (mainly for those in outpatient treatment) Person in recovery Improve physical health Identify personal triggers and relapse justifications Use targeted techniques to stay abstinent Family members Work to support recovery Recognize and discontinue triggering interactions 10-12

  13. Goals for the Wall (mainly for those in outpatient treatment) Person in recovery Maintain stable abstinence from all drugs Repair significant relationships Develop a recovery support system outside the treatment center Recognize and cope with dangerous emotions Family members Decide whether to recommit to the relationship Begin finding ways to enrich own lives Practice healthy communication skills 10-13

  14. Goals for Readjustment Person in recovery Monitor components of successful recovery Recognize relapse indicators and prepare responses Clarify new roles in healthy relationships Set goals for continuing a new lifestyle after the program Family members Accept limitations of living with a person in recovery Develop an individual, healthy, balanced lifestyle Monitor self for relapses to former behaviors Be patient with the process of recovery 10-14

  15. Key Relapse Issues for People in Recovery Friends who use Shabu Environmental cues associated with Shabu use Severe cravings Protracted abstinence the Wall (for those in outpatient treatment) Connection between Shabu and sex Boredom 10-15

  16. Key Relapse Issues for Family Members Common problems preceding a slip back into old behaviors for family members are: Fear of the person in recovery returning to Shabu use Fear of being alone Lack of individual goals and interests Inability to release responsibility for the person in recovery 10-16

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