PowerPoint Presentation - Relapse Prevention

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					Thinking About Relapse

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      Relapse Prevention Program                                                                 1
What We’re Going To Do Today
• Talk about relapse prevention
• Share knowledge and experience
  concerning mental illness
• We’re going to share things that are
  personal, and perhaps even painful
• We are going to increase wellness levels

                Relapse Prevention Program   2
 How Do I Know About Mental
 Illness and Relapse Prevention?
• I’ve studied and researched it
• But mostly I know about it the same way that you
  know about it
• All of us in this room have close knowledge, if not
  first hand experience, with mental illness
• I know about it because of the experiences of
  some of my family members, and because I have
  struggled with depression

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   What is Relapse Prevention?

• It is a type of psychoeducational training
• It teaches techniques to prevent recurrences
  of psychiatric illnesses
• It is a tool that empowers consumers

                 Relapse Prevention Program      4
   Why Is It Important to Learn
   about Relapse Prevention?
• It’s important because many psychiatric
  conditions are:
   – Chronic
   – Cyclical
   – Episodic
• It can help people have fewer and shorter episodes
  of acute illness

                   Relapse Prevention Program      5
    Relapse Prevention is Important
• People can and do achieve wellness
• People can and do maintain wellness
• Sometimes relapses do occur
• Consumers are are often afraid they’ll
  become acutely ill again
• Multiple relapses increase the odds of
  permanent disability
• Relapses can be prevented
                 Relapse Prevention Program   6
               Research Tells Us
• Relapse prevention helps end “the revolving door
• Provides familiarity with wellness levels
   – Unstable:
      • symptoms interfere with daily life
   – Stable:
      • medications are working, activities can be conducted
   – Actualized:
      • symptoms move to the background, do not interfere

                        Relapse Prevention Program             7
   What You Can Learn from
  Relapse Prevention Education
• That early action at the first sign of symptoms
  (during the prodromal phase) CAN stop a relapse
  from happening before symptoms become
• Techniques to SHORTEN the length of an acute
• Having a clear plan will help you get back on your
  feet faster if you do experience a set back

                   Relapse Prevention Program      8
    What We’re Going To Explore
• General psychiatric symptoms
• Identify specific symptoms you have experienced
• Learn how recognize signs of relapse
• Develop ways to lessen symptoms
•  Explore feelings and events that might “trigger”
• Develop personalized goals to achieve, maintain
  and, enhance wellness
• Complete a personalized plan should relapse occur
                  Relapse Prevention Program      9
     Why Talk About Relapse
       Prevention Now?
• Because you are experiencing wellness now
• And that’s when it’s easiest to do this kind
  of hard work
• By doing it together we’ll all be able to
  learn from each other
• The more that you know, the less likely you
  are to experience a relapse

                 Relapse Prevention Program   10
      What Causes Mental Health
• Specific conditions:
   – Depressive disorder
   – Schizophrenia
   – Bipolar Disorder
   – Obsessive Compulsive Disorder
• Imbalances in neurotransmitter systems
• Hormonal Imbalances (like in the thyroid)
• Genetic Predisposition (it runs in families)
• Trauma
   – Abuse
   – PTSD
   – Deprivation
   – Brain injury
                           Relapse Prevention Program   11
    What Does It Feel Like to
• Depression
  – Hopeless
  – Helpless
  – Useless

     • Let’s add to this list

                     Relapse Prevention Program   12
    What Does It Feel Like to
• Mania
  – Racing thoughts
  – Like you could do anything
  – Speedy

     • Let’s add to this list

                     Relapse Prevention Program   13
    What Does It Feel Like to
• Psychotic Symptoms
  – Voices were talking to you
  – People were looking at you
  – You saw things that others didn’t

     • Let’s add to this list

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  How Did You Feel While You
    Were Having Symptoms?
• Scared and Nervous
• Like you knew things other people didn’t
• Like there was something wrong with you
• You enjoyed these feelings

     • Let’s add to this list

                     Relapse Prevention Program   15
    What Did You Experience Before Your
     Symptoms Became Troublesome?
•   Withdrawal from friends and activities
•   Sleeping too much
•   Not sleeping enough
•   Negative or hostile attitude

       • Let’s add to this list

                       Relapse Prevention Program   16
 How Might You Feel If You Were
 To Experience Symptoms Again?
• Worried
• Embarrassed
• Like there’s nothing you can do about it

     • Let’s add to this list

                     Relapse Prevention Program   17
     What Can You Do If You Have
       Troublesome Symptoms?
•   Call Your Therapist
•   Get a Physical
•   Have a Med Check
•   Seek out friends
•   Avoid Negative and Critical People

    – Let’s add to this list

                        Relapse Prevention Program   18
  What Must You Do If You’re
Experiencing Troubling Symptoms?
• Admit that you’re having difficulty
• Be honest and clear about what is
  happening, and about what hurts
• Take steps to eliminate Harmful Thoughts

                Relapse Prevention Program   19
   What Are Harmful Thoughts?
• All or nothing (polarized) thinking
   – Everything’s Good
   – Everything’s Bad
• Believing someone else is responsible for your
• Blaming others
• Catastrophizing
• Mind reading

      • Let’s add to this list
                         Relapse Prevention Program   20
    Dealing With Harmful Thoughts
•   Identify them as negative
•   Describe them
•   Refute them
•   Substitute positive thoughts
•   List your accomplishments

        • Let’s add to this list

                           Relapse Prevention Program   21
     What Should You Be On the
           Lookout For?
•   Having trouble thinking or concentrating
•   Becoming preoccupied about your health
•   Feeling sad, anxious or irritable
•   Feeling like you can do anything
•   Hearing voices

       • Let’s add to this list

                          Relapse Prevention Program   22
     What Else Should You Be
          Watching For?
• Isolating behaviors
   – Avoiding people
   – Not going to activates
• Increased alcohol or drug use

     • Let’s add to this list

                     Relapse Prevention Program   23
 More Things To Watch Out For
• Neglecting Yourself
   – Bad Hygiene
   – Not caring about your appearance
   – Not eating
   – Not doing housekeeping chores

      • Let’s add to this list:

                              Relapse Prevention Program   24
            Identifying Triggers?
•   Family Stress
•   Worrying about getting or keeping a job
•   Alcohol or drug use
•   Moving
•   Relationship changes

       • Let’s add to this list

                          Relapse Prevention Program   25
     Ways To Increase Wellness
• Believe that you have the ability to get well
  and stay well
• Continue taking prescribed medications
• Stop smoking

     • Let’s add to this list

                          Relapse Prevention Program   26
More Ways To Increase Wellness
• Improve your diet: more fruits and
  vegetables, less junk food
• Exercise
• Create satisfying social interactions

                Relapse Prevention Program   27
       If You Do Have Severe
• Contact your support people
• Accept help
• Understand that it’s not anyone’s fault
  – Even healthy people get colds
• Follow your personalized Relapse Plan
• Be prepared to Get Back in the Saddle

                 Relapse Prevention Program   28
    Getting Back in the Saddle
• Understand that even even people who do
  everything right still sometimes relapse
• At the first sign of symptoms take action
• Follow your healthy lifestyle plan
• Take your prescribed medicines

     • Let’s add to this list

                     Relapse Prevention Program   29
         Your Personalized Plan
•   Specified Hospital
•   Name of Person to be spokesperson
•   Names of your doctors
•   Current medications
•   Medications you’re willing/not willing to take
•   Treatments you’re willing/not willing to allow

                    Relapse Prevention Program       30

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