II. Signs: Relapse Red Flags
- Apprehension about well being
- Feeling awful about not drinking
- Denial
- Down plays prior Substance Abuse
- Adamant commitment to sobriety
- No fear about relapse
- Loneliness
-
Major Depression
- Comorbid Depression is high risk for relapse
- Aggressively manage depression in after-care
- Hasin (2002) Arch Gen Psychiatry 59:375-80 [PubMed]
- Self-fulfilling failure
- Irritation with friends, Easily angered, listlessness
- Irregular sleeping habits
- Irregular meeting attendance
- Thoughts of social drinking
III. Management
- See Alcoholism Management
- See Opioid Addiction Management
- See Methamphetamine
IV. Management: Investigational agents
- N-Acetyl Cysteine (NAC, Mucomyst)
- Tablets available in health food stores
- Appears to be effective in reducing craving and desire and interest to use
- Grant (2007) Biol Psychiatry 62(6): 652-657 [PubMed]