A process has a beginning, middle, and a late stage -- Addiction is a biological, psychological, emotional, social, and spiritual Disease Process that progresses through predictable stages & symptoms (marked in RED on the chart below).
Recovery and healing from addiction must also be on the biological, psychological, emotional, social and spiritual levels.
The Recovery Process also has an early, middle and late stage as (marked in GREEN on the chart below.)
Between the disease process and recovery process are the stages of alcoholism treatment referred to as "transition and stabilization" were first identified by Terrence Gorski. These are the tenuous stages where the alcoholic/addict has hit bottom and is involved in creating the neural networks needed for recovery to take root.
Many times inpatient addiction or alcoholism treatment is necessary simply for the need to establish a whole set of new behaviors - i.e. new neural networks - as quickly as possible. This is to give the alcoholic every chance in the world of making the transition into recovery.
There is a common misconception that treatment will end with a complete remission from addiction. Transitioning out of addiction into early recovery is usually a period of crisis that takes about 6 to 8 weeks... Stabilization can take another three months. Treatment is for transition and stabilization ONLY - What the person does...or does NOT do... after treatment will make all the difference in the world.
Do not be mislead about this - The Recovery Process really begins after alcoholism treatment when the newly recovering person becomes responsible for doing the things necessary to support their own recovery.
They must grow new networks consisting of both internal neural networks AND external social networks of other recovered people -- Recovery from alcoholism and other addictions does not take place in a vacuum.
Read Zebra's & Giraffes for an example of what to expect after alcoholism treatment. This is when the "rubber meets the road" for someone who is just getting out of treatment. Many of the alcoholism symptoms remain for a time early in recovery even though the drinking or drugging has stopped.
The Relapse Process is a transitional process that ends with a drink. Relapse (marked in RED DOTTED LINES on the chart below) is also a hallmark of the disease process because it happens frequently. Relapse has warning signs, such as post-acute withdrawal syndrome (PAW) and can be prevented if one has created and follows a relapse prevention plan.
When an alcoholic takes his/her first drink after a period of recovery their relapse process is over - the Disease Process is back in full swing... In other words, the circuit board is powered back on and the alcoholism network is fully operational.
Since relapse is also a process, it can be managed before the person completes the relapse cycle - if the relapse warning signs are noticed AND the appropriate steps are taken. We need to establish and grow a good relapse prevention network as part of our recovery process.
Below is a chart that outlines the processes of alcoholism, recovery, and relapse...
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