10 Relapse Triggers You Need to Know

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An upset woman smoking a cigarette fights a relapse trigger

The article outlines the three stages of addiction relapse—emotional, mental, and physical—and identifies ten common triggers, including stress, negative emotions, social situations, and isolation. It stresses that understanding personal triggers and developing a robust support system with healthy coping strategies is essential for preventing relapse and sustaining long-term sobriety.

Navigating recovery is a journey of strength, resilience, and continuous self-discovery. But like any journey, it has its potential pitfalls. Understanding addiction relapse and how to prevent relapse is crucial. One of the most effective ways to safeguard your sobriety is to be aware of recovery triggers. Knowing your triggers empowers you to navigate challenges and maintain long-term recovery.

Read on to learn more about common relapse triggers in addiction recovery, offering actionable strategies to help you stay on track. Whether you’re newly sober or have years of recovery experience, understanding these triggers is essential for continued success.

What Exactly Is a “Trigger”?

In the context of recovery, a trigger is anything, such as a person, place, emotion, situation, or even a smell. These can spark a craving or the urge to use substances. Trigger warnings are valuable because they help you prepare mentally for potentially challenging situations. It’s important to remember that triggers are highly personal. What affects one person deeply might not affect another at all. This is why self-awareness is so critical.

Triggers can be obvious, like seeing old using buddies, or subtle, like a wave of anxiety on a stressful day. Recognizing both types is key.

The Three Stages of Relapse: Understanding the Process

Before diving into the triggers, it’s vital to understand that relapse doesn’t happen overnight. It’s a process that unfolds in stages:

Emotional Relapse

This stage begins long before actual substance use. You might start neglecting self-care, isolating from your support network, or bottling up emotions. You’re not actively thinking about using, but your behaviors are setting the stage for it.

Identifying Mental Relapse Triggers

This is where the internal battle begins. You experience cravings, think about past use, and start rationalizing potential scenarios where using “might be okay.”

Physical Relapse

This is when substance use actually occurs. Remember, even a single “lapse” can quickly spiral into a full relapse.

Recognizing these stages allows you to intervene early, ideally during the emotional or mental phases, where course correction is most effective.

1. Stress and High-Pressure Situations

Stress is one of the most significant emotional relapse triggers you should know. Whether it’s work, finances, or family issues, high stress levels can create a powerful urge to self-medicate. This is because your brain remembers using substances as a way to cope.

How to cope with sobriety triggers related to stress? Develop a multi-pronged approach. Exercise is a fantastic stress reliever. Mindfulness meditation can help you regulate your nervous system. Therapy can equip you with problem-solving skills to address the root causes of your stress.

2. Exposure to Drug-Related Environmental Cues and Contexts

Environmental cues, such as places, objects, smells, or even times of day associated with past use, can be potent triggers. Seeing a beer bottle at a bar where you used to drink heavily can be far more triggering than seeing the same bottle at home.

Managing these triggers involves both avoidance and, potentially, controlled exposure later in recovery. During early recovery, avoid people, places, and things associated with past use whenever possible.

3. Social Situations, Peer Pressure, and Encountering Drug-Using Individuals

Social situations can be tricky. While positive social connections are vital for recovery, settings where substances are present or where using friends encourage use can be risky.

Signs of drug addiction relapse often include changes in social behavior. Have a plan before attending social events. Bring a supportive friend, arrive early, leave early, and have your sponsor’s number handy. Learn to set boundaries and say “no” without guilt.

4. Negative Emotions and Challenging Psychological States

Negative emotions like sadness, anger, guilt, shame, anxiety, and depression are significant emotional relapse triggers you should know. Many people turn to substances to numb these feelings.

Are certain emotions considered relapse triggers? Absolutely. Anger, anxiety, depression, and loneliness are common culprits. Develop a toolkit of healthy coping skills. Therapy, mindfulness, exercise, and creative pursuits can all help you manage difficult emotions.

5. Interpersonal Conflict, Relationship Problems, and Unresolved Family Issues

Conflict with loved ones can trigger feelings of rejection or hopelessness. Substance use often occurs within troubled relationships, creating a vicious cycle.

Family therapy and couples counseling can help repair damaged relationships. Learn assertiveness, boundary-setting, and conflict resolution skills.

6. Isolation, Loneliness, and Disconnection from Support Systems

Isolation is a sneaky trigger. It often starts with missing a few meetings or declining social invitations. When you isolate, you cut yourself off from the very support that sustains your recovery.

If you wonder, “Why do I keep getting triggered in recovery?” isolation might be a key factor. Commit to regular participation in support groups, therapy, or other recovery-oriented communities.

7. Overconfidence, Complacency, and Loss of Vigilance

As life improves, some people become overconfident in their sobriety, leading to complacency. They might think they’ve “conquered” their addiction and no longer need to be as vigilant.

Prevent relapse by maintaining realistic expectations. Remember that addiction is a chronic condition requiring ongoing management. Continue attending support groups and reviewing your relapse prevention plan.

8. Sleep Disturbances, Physical Illness, and Chronic Pain

Sleep disturbances can significantly impair executive functioning and impulse control, making you more vulnerable to relapse.

Physical illness and chronic pain can also be triggers, especially if pain medication is prescribed. Communicate with healthcare providers about your recovery and request non-addictive pain management options.

9. Financial Stress, Employment Problems, and Economic Instability

Financial stress and unemployment can create feelings of desperation and hopelessness.

Managing financial stress involves vocational training, career counseling, and financial counseling. Recognize that financial instability is a risk factor and take proactive steps to address it.

10. Anniversary Dates, Trauma Reminders, and Seasonal Factors

Anniversary reactions that surround the dates of traumatic events with heightened emotional responses can be powerful triggers.

Avoiding relapse during the holidays is a specific challenge. Plan ahead, create new traditions, and maintain a connection with your support system.

How Can I Prevent a Relapse After Sobriety?

Understanding your personal relapse risk profile is crucial. What specific situations, emotions, or circumstances trigger you the most?

Building and maintaining a robust support system is essential. If you’re thinking, “What should I do when I feel a trigger?” reach out to your sponsor, therapist, or trusted friend immediately.

Develop a comprehensive relapse prevention plan. This plan should identify your triggers, early warning signs, and specific coping strategies.

Recovery is a journey, not a destination. There will be challenges and setbacks along the way. But by understanding your triggers, building a strong support system, and developing healthy coping skills, you can navigate those challenges and maintain long-term sobriety.

If you or someone you know is struggling with substance abuse, Mountainside can help. We offer individualized and comprehensive treatment that meets people where they are. Speak with an admissions specialist today to discover your options!

If you or a loved one is struggling with addiction, Mountainside can help.
Click here or call (888) 833-4676 to speak with one of our addiction treatment experts.

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