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  1. December 16, 2015

    I agree exploring the ancbinetse violation effect, coping responses, social support structures, and self-efficacy are all vital to preventing this lapse turning into a relapse. Although self-blame and perceived loss of control is a natural reaction to breaking one’s own rules, it is important that the client is aware that a lapse is a probable part of the recovery process. Per the Dennis et al. article, the risk of relapse is most problematic during the first 3 years of ancbinetse and never completely disappears. I would uncover what coping skills the client has, which have been successful in the past, and suggest new ones to utilize, specifically the Cocaine Risk Response Test since research shows this measure of coping leads to significant improvements on CBT type coping skills. Furthermore, I would ask questions regarding her support system: has a significant event or change occurred in her family, friends, employment, housing, health, etc. Understanding what triggered the lapse and instilling coping strategies is a start to building one’s self-efficacy. Instead of having rules, I would establish realistic goals so every time the client achieves a goal she will have more positive feelings about herself, and hopefully this will increase her motivation to continue her recovery.

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