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Relapse prevention and future

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Transcription Relapse prevention and future


Acceptance of relapse as part of the learning process

At the end of therapy, it is critical to adjust expectations about the future. A state of permanent "enlightenment" is not promised where the client will never again merge with his or her thoughts or avoid his or her emotions.

In fact, the opposite is guaranteed: you will fall again. You will again get lost in your mind, you will again scream when you want to be quiet, you will again stay on the couch when you wanted to go out.

We are creatures of habit and the primitive mind is persistent. The goal is not perfection, but resilience. The metaphor used is that of "falling asleep and waking up."

In life, we inevitably "fall asleep" at the wheel (lose consciousness, go into autopilot, merge).

Success is not in never falling asleep, but in the speed and kindness with which we "wake up" and correct our course.

Before therapy, you may have spent months "asleep" in destructive patterns. Now, the goal is for you to become aware in hours or days.

The client is trained so that, when he/she notices that he/she has relapsed into old habits, he/she does not use it as an excuse to whip him/herself ("I'm a disaster, therapy didn't help"), but as a signal to apply the tools learned: "Ah, I'm hooked again.

Okay, I notice the trial, drop the anchor, remember my values and get back on track." Relapse is not the end of the road, it is part of the road.

Building long-term behavioral patterns

Maintaining therapeutic gains depends on building sustainable patterns of action.

Psychological flexibility is like physical fitness: you don't have it, you maintain it. You can't go to the gym for three months and expect to be fit for the rest of your life without training again.

Similarly, ACT skills (defusion, acceptance, presence) must be continually practiced.

The client leaves therapy with a "psychological hygiene" plan that includes formal (such as brief moments of mindfulness) and informal (regularly asking "where am I moving to?") practices. The importance of "value habits" is emphasized.

Instead of relying on grand heroic gestures, one seeks to integrate small, valuable actions into the daily routine.

If the value is creativity, perhaps it is not about painting a picture a month, but spending 10 minutes a day drawing in a notebook.

These micro-commitments are what build a new identity over time.

In addition, it prepares the client for times of future crisis, reminding them that when life hits hard (which it will), they will have tools to not get swept away in the storm.

It's not about avoiding the waves, but knowing


relapse prevention and future

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