Should I Go Back To Rehab?


In This Article
What is a โRelapse?โ
A relapse occurs when someone with a previous addiction (usually to drugs or alcohol) starts using again. It can be a single event or repeated behavior.ย
The modern approach to recovery considers relapse a part of the recovery process. Approximately 40 to 60 percent of people with substance use disorder (SUD) relapse at least once.1
This is because addiction is a chronic medical condition. A person is never โcuredโ of an addiction, even if they never use the substance(s) again.ย
Relapse is always a risk, just as it is with other chronic diseases like asthma or high blood pressure.ย
However, relapsing is not a sign of failure. Itโs an opportunity to reassess your current treatment plan and continue to move forward in recovery.
A relapse is sometimes referred to as a lapse, slip, or slip-up. In most cases, a slip refers to a one-time return to alcohol or drug use. Whether or not a single use of a substance qualifies as a relapse varies from person to person.
For many, itโs a matter of intention. For example:
- Someone with an alcohol use disorder (AUD) who plans to take a drink, and then immediately attends a 12-step meeting to get back on track, likely had a slip.ย
- Someone who made the decision to drink, and does nothing to get sober, has relapsed.
Regardless of how you define these terms, a slip increases the risk of a complete relapse. The best way to avoid a relapse is to attend an addiction treatment program.ย
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11 Reasons Why Someone May Relapse
Several factors put someone at risk of relapse:
- Isolation
- Focusing on other peopleโs issues
- Poor eating habits
- Poor sleeping habits
- Skipping AA and NA meetings
- Abandoning the 12-steps of recovery
- Choosing not to share and/or participate during AA or NA meetings
- Drinking alcohol (doing so also increases the risk of drug relapse)
- Stress
- Being in the presence of paraphernalia
- Spending time with other people struggling with drug or alcohol use
Why is Relapsing Dangerous?ย
Despite being a common aspect of recovery, relapses are dangerous. This is because of the changes that occur in the body once you stop using substances.ย
In other words, if you start using again and take a high dose of the drug, the risk of a fatal overdose increases. This is because tolerance decreases the longer a drug is out of your system.
There is also no way to determine your tolerance level after weeks, months, or years of non-use. Even ingesting small amounts of the substance can be dangerous.ย
Youโre Not Alone: Relapse Statisticsย
- According to the National Institute on Drug Abuse, approximately 40 to 60 percent of people with SUD relapse.1
- People who entered treatment or received help for an addiction were more likely to achieve a 3-year period of sobriety.2
- Relapse rates decrease over time. Thereโs no amount of time that reduces someoneโs risk of relapse to zero. But someone 1 year out of rehab has a higher risk of relapse than someone who has been sober for 5 years.3
Should You Go Back to Rehab?
Returning to rehab is an option after a relapse. At the very least, someone who slips or experiences a relapse should attend a 12-step meeting.
Whether or not you need to return to a long-term rehab program is based on the severity of your relapse. Ask yourself:
- How long have you been using drugs or alcohol again after the initial slip?
- How often and how much are you using?
If you slip and use drugs or alcohol for only a brief time โ usually one day or less โ and you realize youโve taken a risk, rehab might not be necessary.
However, if you find yourself returning to a pattern of use for several days or weeks, relapse is likely necessary. In part, this is because youโre less likely to attend 12-step meetings and more likely to isolate once you return to a pattern of using.
If you believe your use of drugs or alcohol is only a slip, itโs still important to contact your sponsor, reach out to a counselor, attend a 12-step meeting, and avoid triggers.
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5 Signs You Should Go Back to Rehabย
Some of the signs you should return to rehab include:
1. Youโre struggling to function.
If you feel as if your coping skills are lacking and you arenโt meeting your normal obligations, it might be time to reach out for help. This includes keeping up with hygiene, household chores, going to work, attending school, caring for family, and more.
2. You have a lack of motivation.
Motivation to remain sober is often high right after release. If you feel your motivation waning as time passes, it might be time to return to rehab. You donโt need to feel a high sense of motivation every single day, but if youโve noticed a decline in motivation over time, rehab can help.
3. Youโre using substances.
Even if you havenโt returned to your substance of choice, rehab might be a good idea if you turn to other substances to cope.
4. You find yourself considering whether or not a return to rehab is a good idea.
Essentially, if you have to ask, the answer is probably yes. Maybe you arenโt ready to admit a return to rehab is needed. But itโs important to seek help before you experience a complete relapse and no longer have the ability to reason through your decision.
5. Youโve slipped and your guilt or shame is overwhelming.
For many, an occasional slip isnโt a big deal. Itโs just an indication that a 12-step meeting is needed. For others, even a small slip can bring on intense feelings of failure, including guilt and shame. Professional support and guidance for dealing with those feelings are an important part of avoiding a relapse.
Why Didnโt Rehab Work The First Time?
One of the first questions you might ask when you experience a relapse is โwhy didnโt rehab work?โ
The truth is, it might have. Relapse is a normal part of recovery.ย
And just because you relapse, doesnโt mean rehab wasnโt helpful. It just means you need to adjust your treatment plan or relapse prevention plan.
Rehab gives you the tools you need to reduce the risk of relapse. It also teaches you how to respond if and when a relapse occurs.
Some of the things you should consider if you relapse and believe an adjustment to your treatment plan is warranted include:
You didnโt participate in the program.
If you arenโt attending 12-step meetings or making recovery a part of your daily life, the plan is likely to fail. The same is true of therapy sessions and counseling.
Alcohol and drug addiction is a chronic illness and requires ongoing maintenance and care.ย
You got out of a drug rehab program too quickly.
For some people, a week or even 30 days in an intensive program is not enough to prepare them for long-term recovery.
You enrolled in a program that wasnโt right for you. E
ven the most successful rehab programs arenโt right for everyone. The best treatment center graduates plenty of people who eventually relapse. If you relapse, you might want to consider different treatment options.
You didnโt get enough support.
Having a strong support system is an important part of a successful, long-term recovery.
If you believe your support system is lacking, consider speaking to a counselor about what you can do to improve support from those around you.
You didnโt get enough aftercare support.
Itโs important to remember that cravings for drugs or alcohol continue long after the detox and withdrawal phases. Long-term aftercare support programs โ including 12-step programs and group and individual therapy โ are essential parts of long-term sobriety.
Before treatment, discuss with your specific treatment center what they offer in terms of aftercare.
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Other Steps You Can Take Besides Rehabย
There are things you can do other than return to rehab in response to relapse. For example:
- Contact your AA or NA sponsor
- Speak to a counselor or therapist
- Avoid locations where youโre likely to use
- Get rid of all drug and alcohol paraphernalia
- Avoid people that encourage you to use or continue to use drugs or alcohol
- Attend a 12-step meeting
- Accept that relapse might be a part of your recovery journey
- Create a plan for what youโll do if a relapse occurs
ย
What's Next?
- โTreatment and Recovery.โ Drugabuse.gov, 2018.
- ย Moos, Rudolf H., and Bernice S. Moos. โRates and Predictors of Relapse after Natural and Treated Remission from Alcohol Use Disorders.โ NCBI, 2006.
- Melemis, Steven M. โRelapse Prevention and the Five Rules of Recovery.โ The Yale Journal of Biology and Medicine, 2015.
- โRelapse Prevention Training.โ Center for Practice Transformation.
- โRecovery Is Possible: Treatment for Opioid Addiction.โ Centers for Disease Control and Prevention.
- Eastwood, Brian, et al. โEffectiveness of Inpatient Withdrawal and Residential Rehabilitation Interventions for Alcohol Use Disorder: A National Observational, Cohort Study in England.โ Journal of Substance Abuse Treatment, May 2018.
- Kelly, John F., et al. โAlcoholics Anonymous and Other 12โStep Programs for Alcohol Use Disorder.โ

