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Relapse Prevention

Relapse Prevention
🛡️ Mastery 🏃 Behavior

End-phase work that prepares the client to maintain gains and respond early to setbacks. The client identifies warning signs, high-risk situations, skills that helped and a written plan for what to do if symptoms return.

Step-by-step guide

  1. Review what changed during therapy.
  2. Identify early warning signs of relapse.
  3. List high-risk situations.
  4. Create a coping plan for each warning sign.
  5. Review the client's most useful skills.
  6. Plan booster sessions or self-review.
  7. Normalize setbacks as signals for action, not failure.

When to use

  • Final phase of therapy
  • Depression relapse risk
  • Panic or OCD after improvement
  • Clients ending treatment or reducing session frequency

Key phrases

Relapse prevention is not pessimism. It is how we protect the work you have already done.

Follow-up questions

What are your earliest warning signs?
Which skills helped most?
What will you do in the first week if symptoms return?

Alternative phrasings

A setback is not starting from zero.
Let's write the plan now, while things are clearer.

Warnings

  • ⚠️ Do not leave relapse prevention to the last five minutes of the final session.
  • ⚠️ Plans must be concrete, not motivational slogans.
  • ⚠️ Include risk and support resources where needed.

Source: Beck et al. 1979; Marlatt & Gordon, 1985

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Materials are informational and educational and summarize publicly available scientific sources. They are not medical or psychological advice, are not intended for self-diagnosis or self-treatment, and do not replace consultation with a qualified professional.