CHEMICAL DEPENDENCE 73 50. Differentiate between Lapse and Relapse (50) A. A discuss ion was held with the client regarding the distinction between a lapse and a relapse. B. A lapse was associated with an initial and reversible return of symptoms or urges to use substances. C. A relapse was associated with the decision to return to regul ar use of substances. D. The client was provided with support and encouragement as he/she displayed an understanding of the difference between a lapse and a relapse. E. The client struggled to understand the difference between a lapse and a relapse and w as provided with remedial feedback in this area. 51. Discuss Management of Lapse Risk Situations (51) A. The client was assisted in identifying future situations or circumstances in which lapses could occur. B. The session focused on rehearsing the manag ement of future situations or circumstances in which lapses could occur. C. The client was asked to identify how family and peer conflict contribute to his/her stress levels. D. The client was reinforced for his/her appropriate use of lapse management sk ills. E. The client was redirected in regard to his/her poor use of lapse management skills. 52. Identify Relapse Triggers (52) A. The client was assisted in developing a list of potential relapse signs and triggers that could lead him/her back to subst ance abuse. B. The client was requested to identify specific primary psychotic symptoms that affect his/her desire for substances. C. The client was supported for identifying specific primary psychotic symptoms and how these increase his/her desire for s ubstances. D. The client was assisted in developing a specific strategy for constructively responding to his/her substance abuse relapse triggers. E. The client was reinforced for his/her successful implementation of the coping strategies for the substan ce abuse relapse triggers. F. A review was conducted regarding the client's pattern of relapse subsequent to failing to use constructive coping strategies in a trigger situation. 53. Encourage Routine Use of Strategies (53) A. The client was instructed t o routinely use the strategies that he/she has learned in therapy (e. g., cognitive restructuring exposure). B. The client was urged to find ways to build his/her new strategies into his/her life as much as possible. C. The client was reinforced as he/she reported ways in which he/she has incorporated coping strategies into his/her life and routine. D. The client was redirected about ways to incorporate his/her new strategies into his/her routine and life. 