II. Signs: Relapse Red Flags

  1. Apprehension about well being
    1. Feeling awful about not drinking
  2. Denial
    1. Down plays prior Substance Abuse
  3. Adamant commitment to sobriety
    1. No fear about relapse
  4. Loneliness
  5. Major Depression
    1. Comorbid Depression is high risk for relapse
    2. Aggressively manage depression in after-care
    3. Hasin (2002) Arch Gen Psychiatry 59:375-80 [PubMed]
  6. Self-fulfilling failure
  7. Irritation with friends, Easily angered, listlessness
  8. Irregular sleeping habits
  9. Irregular meeting attendance
  10. Thoughts of social drinking

III. Management

IV. Management: Investigational agents

  1. N-Acetyl Cysteine (NAC, Mucomyst)
    1. Tablets available in health food stores
    2. Appears to be effective in reducing craving and desire and interest to use
    3. Grant (2007) Biol Psychiatry 62(6): 652-657 [PubMed]

V. Resources

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