Phase I: Adjustment Difficulty

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Phase I Adjustment Difficulty

• Discomfort With A Drug Free Image
• Experience an Identity Crisis
• Have Worked to Develop An Image Consistent With
  Addiction Street Culture

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Phase I Adjustment Difficulty

• Dont Know Who They Are
• Fail To Develop A Fit in New Lifestyle
• Return of Euphoric Recall
• Get Back With Old Peers To Show Im Still Down

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Phase I Adjustment Difficulty

• Will Experience Depression and Confusion
• Feelings of Despair Begin To Surface
• Lethargic Loss of Energy, Defocused, Moping
  About

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Phase I Lack of Confidence In Ability to Be
Successful

• Confused and Overwhelmed By Demands/Expectations
  of Abstinence
• Minimal Experience at Being/Doing Good
• Have Underdeveloped Decision Making Skills

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Phase I Lack of Confidence In Ability to Be
Successful

• Try To Solve All Their Problems
• Second Guess Themselves
• Become Anxious
• Stifled By Fear
• Its Too Much
• The Eyes and Words of Adults Echo in Their
  Minds

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Phase I Lack of Confidence In Ability to Be
Successful

• Become Afraid and Uncomfortable With Feelings
• Pre-Occupied With Problems at Home and School
• Feel Recovery is Lame Stupid

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Phase I Failure To Develop Appropriate Social
Supports

• Aware of Poor Social Skills
• Under The Influence Have Very Few Fears
• Histories of High Risk Behavior With Little
  Regard For Safety
• Counselor Should Have Knowledge of State Learning
  Theory

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Phase I Failure To Develop Appropriate Social
Supports

• Recovery is Viewed as A Burden
• Begins To Dwell on Treatment Experience
• Starts to Romanticize About The Drug Using
  Lifestyle

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Phase I Do Not Feel The Rewards of Abstinence

• View Recovery in Terms of What They Have To Give
  Up
• Stuck in Past and Future Avoid Present
• Disenchanted With Family

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Phase I Do Not Feel The Rewards of Abstinence

• Angry About Addiction and The Need For Recovery
• In Contact With Issues Drugs Have Allowed Them To
  Avoid

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Phase I Unable To Acknowledge Conflicts

• Become Intolerant Judgmental of Others
• Intolerant of Relapses Slips
• Has A True Desire To Get High
• Loses Touch With Sponsor or Support Group

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Phase IIEmotional and Behavioral Crises

• Failure To Thrive
• Must Feel Productive
• Struggling With Balance Structure
• Difficulty Establishing a Routine

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Phase II Emotional and Behavioral Crises

• Become Fanatical, Perfectionists Overly
  Zealous
• School, Work Recovery
• No FUN

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Phase IIEmotional and Behavioral Crises

• Symptoms
• Recovery Plan Falls Apart
• Return of Old Behaviors, Lying, Manipulation,
  Hanging Out, Absentminded, Truancy
• Feel They Are Going Nowhere
• Increase of Family/Social Conflict

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Phase IIEmotional and Behavioral Crises

• Symptoms
• Self Esteem is Suffering Unkempt Appearance,
  Grooming Suffers, Lethargic
• Blows Off Responsibilities

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Phase II Anger

• Increase in Unhappiness About Being an
  Addict
• Resentments Are Building
• Blame Others Externally Focused

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Phase II Emotional Crisis

• Locked in Crisis Behavior
• Loss of Ability To Problem Solve
• Fake It Til You Make It Has Worn Thin

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Phase II Emotional Crisis

• Feels Panicky
• Frustrated Irritable
• Feelings of Depression and Confusion
• Becomes Pre-Occupied With Getting High
• Problems At Home

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Phase III Setting Up The Relapse

• I Was Just Testing Myself
• I wanted To See If I Could Be Around It And Not
  Get High
• I Dont Have To Change My Lifestyle

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Phase III Lose Respect For Illness

• Avoids Reference People Who Will Confront
  Them
• Begin or Have Begun To Cut Down On Meetings
• Begins A Series of Rationalizations To Make Use
  Okay

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Phase IV Active Relapse

• Tell Someone Try To Get Back On Track
• Not Tell Struggle To Get On Track Alone
• Not Tell Move To Full Blown Relapse

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Phase IV Active Relapse

• Make Excuses For Use
• Its Not As Bad As Last Time
• I Quit For Three Months, Six Months, etc
• If It Gets Bad Ill Quit Again

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Phase IV Active Relapse

• Drop Out of AA/NA
• Drop Out of Aftercare
• Lose Touch With Recovering Friends

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Phase V Total Relapse

• Return To Heavy Use
• Return of The Dysfucntion Due To Use
• Return To Old Peers and Lifestyle

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Phase V Total Relapse

• Loss of Control
• Feel Shame
• Suicidal Ideation
• Truancy From Home
• Self Defeating Attitude