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In instance of relapse or multiple relapses, we focus on four key areas in developing an individualizcd treatment plan.
Areas of focus include:
- Evaluation of personality disorders. These may involve antisocial personality and resistance to society norms;
passive-aggressive traits or inability to express anger dircctly; narcissism. which leads patients to underestimate
their addiction and overestimate their progress in recovery.
- Has the patient created a "substitute" addiction? (i.e., work, gambling, sex, or switching drug of choice.)
- Exploring the person's view of recovery. Was their concept too narrow, and did it provide for total life change?
- Did the individual ignore warning symptoms? Did they make choices leading back to active addiction, such as
seeing old friends, old hangouts, or stop going to meetings?
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