Relapse in Alcohol Addiction - Phases of Relapse

Treating alcohol addiction is much more than just quitting the substance or attending meetings. The most important change happens in the way of thinking and reacting, because that's where relapse can be triggered. During therapy, the patient learns to recognize signals from the body, emotions, tension, and situations that previously led to drinking. Paradoxically, one element of real prevention is allowing yourself to think that a relapse in alcohol addiction can happen. Not to live in fear, but to have an action plan and stop symptoms faster before a full return to drinking occurs.

Relapse in Alcohol Addiction: Symptoms. What Triggers Activate Alcohol Cravings?

Triggers that can lead to relapses in alcohol addiction are most often divided into internal and external. They act individually, but the mechanism is often similar: tension or a familiar stimulus appears, along with a thought about alcohol, which over time can turn into growing cravings.

Internal Triggers

Internal triggers are emotional states and the way the patient reacts to everyday life. Most commonly these are:
  • anger,
  • fear and anxiety,
  • loneliness and sadness,
  • chronic stress,
  • excitement and euphoria,
  • excessive self-confidence.

External Triggers

External triggers are specific people, places, and situations associated with drinking. These can be:
  • people with whom alcohol was previously consumed,
  • places associated with drinking (bars, clubs, etc.),
  • situations and times when the patient usually drank (e.g., weekends, after work, payday, social gatherings).
The effect of these triggers depends on the specific person and their current mental state. Negative emotions and the association of a given situation, place, or people with drinking can trigger cravings that grow if not stopped quickly.

Relapse in Alcohol Addiction Symptoms – Warning Signs

After a trigger is activated, the patient may experience signals indicating an increasing risk of relapse in alcohol addiction. They don't always mean an immediate return to drinking, but they are an important message that a quick response is needed. In the body, it's often first visible that tension is growing. The patient may notice:
  • trembling, increased sweating,
  • sleep problems,
  • more frequent headaches,
  • appetite fluctuations,
  • an increasingly clear desire to drink alcohol,
  • dreams about alcohol.
In emotions and mood, changes may appear that previously led to drinking:
  • irritability and lower stress tolerance,
  • mood swings, tension, depression,
  • feeling of monotony and fatigue from everyday life,
  • escaping into fantasies about alcohol.
If the patient notices several of these signals simultaneously, it's worth treating this as an alarm and not staying alone with it. A quick consultation (therapeutic or medical) and organizing an action plan often allow stopping the relapse before it turns into a return to drinking. At Nasz Gabinet, you can discuss the risk of alcohol relapses and select specific support steps tailored to your situation.

What to Do When Symptoms of Relapse in Alcohol Addiction Appear?

If the patient notices the first symptoms of relapse in alcohol addiction, the most important thing is to stop its progression as early as possible. In many cases, quick contact with a supportive person, therapist, or another person in recovery who understands how addiction works helps. This is especially important when there's withdrawal from therapy or a return to risky behaviors. The faster the patient names the problem and asks for help, the greater the chance that the relapse won't turn into a permanent return to drinking. The general quality of life also often underlies relapses. Maintaining abstinence is easier when the patient has a sense of meaning and stability in important areas: relationships, work, health, rest, sexuality, and the sphere of values. It's not about a perfect life, but one that doesn't require escape into alcohol as a way of regulating emotions.

Phases of Relapse in Alcohol Addiction

Relapse in alcohol addiction rarely appears overnight. Most often it builds up in stages, and the patient may function seemingly normally for a long time while simultaneously losing vigilance and distancing from actions that supported abstinence. It's worth remembering that the phases of relapse don't always progress perfectly in order. They can mix or repeat, but the pattern is often similar.

Denial

The patient may begin to minimize risk and warning signals. Thoughts appear like: "it's just a bad week," "I'm exaggerating," "I'm not addicted anymore."

Avoidance – Defensive Behavior

There's a growing tendency to withdraw from conversations, therapy, meetings, and confrontation with emotions. The patient avoids topics related to sobriety to avoid feeling uncomfortable.

Crisis

Mental tension can increase over time. Often stress is added, conflicts, overload with responsibilities, or sleep problems. Alcohol cravings may appear more frequently and strongly.

Loss of Sense of Control

The patient may feel they have no influence on their wellbeing and situation. Instead of an action plan, resignation often appears at this moment.

Disorientation

Also characteristic is chaos in thoughts and decisions, decreased concentration, and difficulty maintaining routine. The patient may lose clarity about what is safe and what is risky.

Depression

There may be lowered mood, feeling of emptiness, hopelessness, shame, or guilt. This is a stage where alcohol begins to be perceived as quick relief.

Loss of Control

At this stage, risky behaviors usually return: contact with alcohol, testing situations, being in places and with people associated with drinking.

Awareness of Lack of Control

The patient notices that the situation is getting out of control or that thoughts about alcohol dominate everyday life. This is a very important moment because a quick reaction can stop the relapse.

Treatment of Alcohol Addiction and Relapse Prevention at Nasz Gabinet

Many people try to cope independently, relying on strong will. In practice, however, alcohol addiction works in such a way that defense mechanisms and cravings can quickly take away control, even after a long period of sobriety. Therefore, support from specialists should be a constant element of treatment. At Nasz Gabinet, treatment is conducted on an outpatient basis, selecting appropriate support: medical consultations, addiction treatment and therapy, and a relapse prevention plan tailored to your situation. If pharmacological methods are considered (for example, support using disulfiram), they always require medical qualification and discussion of contraindications. Psychotherapy helps change reaction patterns, beliefs, and habits that previously led to drinking. If you're struggling with alcoholism or are in treatment and fear relapse, don't leave this to yourself alone. Talk to a specialist about what exactly triggers cravings and how to create a response plan that will help you maintain sobriety.
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