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Relapse Self Test

Here is a simple list of questions that indicate relapse symptoms. Perhaps you might like to review these questions and check each one off when your life is not going like you feel it should.

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Relapse Self Test:
1.

Do you feel you have a lack of personal confidence to remain clean/sober or abstinent?

No  Yes
2.

Are you in denial?

No  Yes
3.

Do you find yourself trying to convince yourself or others that you will never ever drink or use again?

No  Yes
4.

Do you start imposing recovery on other people?

No  Yes
5.

Do you become defensive when talking about your problem in recovery?

No  Yes
6.

Have compulsive behaviors appeared, or have you adopted a non-structured lifestyle?

No  Yes
7.

Do you over-react, or are impulsive behaviors beginning to appear?

No  Yes
8.

Are you experiencing periods of loneliness?

No  Yes
9.

Have you begun to focus on one certain area in your life, and are you unwilling to shift your focus? (TUNNEL VISION)

No  Yes
10.

Are you experiencing periods of minor depression?

No  Yes
11.

Are you experiencing a loss in the ability to plan constructively where attention to details lessen and wishful thinking begins?

No  Yes
12.

Are your plans beginning to fail?

No  Yes
13.

Do you find yourself daydreaming more often and is the "if only" syndrome entering into your daily routine?

No  Yes
14.

Do you feel that nothing can be solved?

No  Yes
15.

Are you vocalizing the immature wish to be happy, while feeling that you do not know what happiness is?

No  Yes
16.

Are you experiencing periods of confusion?

No  Yes
17.

Are you behaving irrationally with friends and family?

No  Yes
18.

Are you easily angered?

No  Yes
19.

Do you have irregular eating habits?

No  Yes
20.

Do you feel you have an inability to concentrate, feel full of anxiety, or have feelings of being trapped?

No  Yes
21.

Has there been a progressive loss of daily structure?

No  Yes
22.

Are you experiencing periods of deep depression?

No  Yes
23.

Have you had increasingly irregular attendance at recovery meetings?

No  Yes
24.

Have you developed an "I do not care" attitude?

No  Yes
25.

Are you openly rejecting help?

No  Yes
26.

Are you becoming dissatisfied with life?

No  Yes
27.

Do you have feelings of powerlessness and helplessness?

No  Yes
28.

Do you spend time wallowing in self pity?

No  Yes
29.

Are you having thoughts of social drinking/using?

No  Yes
30.

Are you experiencing conscious lying?

No  Yes
31.

Do you have a complete loss of self-confidence?

No  Yes
32.

Are you harboring unreasonable resentments?

No  Yes
33.

Have you discontinued attendance at Recovery Meetings altogether?("Developed an I do not need them attitude")

No  Yes
34.

Do you feel overwhelming loneliness, frustration, anger and tension?

No  Yes
35.

Have you started "controlled" drinking and using?

No  Yes
36.

Are you feeling a loss of control?

No  Yes
Please write a description of your present feelings about recovery:

 
 
Gorski Center of Excellence Relapse Prevention Dual Diagnosis